Help with Cortisol Saliva Results: Just got the... - Thyroid UK

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Help with Cortisol Saliva Results

whatevs profile image
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Just got the results back from my saliva test and the commentary from the doctor is as follows;

"I note that you are taking this test to investigate cortisol problems as the cause of fatigue, reduced blood pressure & pulse, and loss of effectiveness of thyroid medication.

Your waking, daytime and before bed salivary cortisol levels are all within normal levels. This makes it unlikely that you have an underlying disease affecting your cortisol production such as Cushing's or Addison's disease."

Any additional commentary from the experts here about these results ? I assume any fatigue/problems with T3 I've had can't be attributed to cortisol/adrenal issues ?

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SeasideSusie profile image
SeasideSusieRemembering

whatevs

I do wish Medichecks and BH would add DHEA to their tests, it's very important for the full picture. And the results they give for Sample 4 doesn't tell you anything.

These are the optimal levels for cortisol:

Sample 1 - waking - at the tip top part of the range

Sample 2 - noon - in the upper quarter (though not at the very top of provided range)

Sample 3 - 4pm - around mid-range

Sample 4 - Bedtime - at the very bottom (Literally. So if range is 1-4, people are at 1, not even 2)

Your results for Samples 1 and 2 aren't optimal, Sample 3 is about right, Sample 4 is meaningless as there is no actual result, it could be anywhere between 0 and 1.4. If it's much over 0 up to 1.4 it's too high.

So the doctor's comments are correct in that Addisons and Cushings aren't a problem.

Samples 1, and 2 are classed as normal but not optimal, and Sample 3 is pretty good. There is nothing useful to be said about Sample 4.

So I think you can possibly rule out any major problem with your adrenals.

How are your Vit D, B12, Folate and Ferritin?

whatevs profile image
whatevs in reply to SeasideSusie

Thanks Susie - one less thing to worry about then !

Re: How are your Vit D, B12, Folate and Ferritin?

Only folate is low - on 5mg of prescribed folic acid to bring it up. Will have it tested again soon.

Right - so on I battle trying to get my T4/T3 dosage just right ! :D

SeasideSusie profile image
SeasideSusieRemembering in reply to whatevs

whatevs

Just checking that your nutrient levels are optimal (I haven't gone back and read all your previous posts)

Vit D - 100-150nmol/L

Ferritin - half way through range

B12 - top of range

Folate - aim for at least half way through it's range

I found that it took a lot of tweaking and a lot of time to find my right balance of Levo and T3 - good job I'm patient :D

Howard39 profile image
Howard39

Hi

I have to agree that you need your dhea tested. Mine was nil and I was shattered. So easy to fix as well and easier to increase thyroid meds if adrenals as fully functioning.

After diet, absorbtion and optimal vitamins that is.

The cheapest way is to check your temperature 4 times a day with a basal thermometer. Aim for 36.50 and take the average. Any variation above 0.3 will show you have an adrenal issue. Any temp below this level and your meds are too low.

Good luck.

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