have been relatively stable lately on hormone substitution after Graves induced TT (2014) but I have considered to have a deeper look into adrenals activity as I felt HRT, vitamins and minerals are well enough but situation stopped improving to a certain point.
Latest vitamin and test are here, last post, showing a very slightly elevated ACTH and Ferritin: healthunlocked.com/thyroidu...
Now, let's see what I have on adrenals:
- 2013, suppression test, passed
ACTH 28 Normal - [7.2 - 63.3]
Blood Cortisol @ 8am: 312 Normal: a.m. : 138 – 690
ACTH 74 Normal - [7.2 - 63.3]
Blood Cortisol @ 8am: 491 Normal: a.m. : 138 – 690
Ferritin 479 ng/mL Normal [30 - 400]
DHEA-S 164 NORMAL 88.9-427
Saliva cortisol test
6.7 @ 07:15 a.m. NORMAL 6-10 a.m. : < 24.1
5 @ 12:00 NORMAL N/A
<1.5 @18:00 NORMAL 16 - 20: < 9.65
<1.5 @23:00 NORMAL 24: < 11.3
ACTH 93 Normal - [7.2 - 63.3]
increased again from 01.06!!!
Blood Cortisol @ 8am: 445 Normal: a.m. : 138 – 690
Urine Cortisol (24h average) 237nmol/24h Normal: 100-379
Is it me or my adrenals are struggling?
On saliva test, especially on 20:00 and 23:00 points....less than 1.5 seems too low and consistent with the slightly elevated ACTH
Urine cortisol 24h test it is mid interval but
If true that adrenal activity has gone sluggish, what could be the progressive steps to be taken? Any correlation to the T4+T3 substitution treatment? (e.g. too much t4 or T3 blocks adrenal output...it's just an example)
What scares the shit out of me is the increasing ACTH! Might this be from too intensive exercising? (though I did much more intensive exercising and never ACTH was above max.) Might be the stress? I am going through a very stressful period at work.