Hi there, I've just had these cortisol saliva results:
CORTISOL (SALIVA) WAKING *<1.5 nmol/L 6.00 - 21.00
CORTISOL (SALIVA) 12:00 7.240 nmol/L 1.50 - 7.60
CORTISOL (SALIVA) 16:00 2.780 nmol/L 0.00 - 5.50
CORTISOL (SALIVA) BEFORE BED *14.000 nmol/L 0.00 - 2.00
With the following comments:
"Your before bed salivary cortisol is increased and is at a level that raises concerns about an underlying disease affecting your cortisol levels, such as Cushings disease.
Your waking salivary cortisol is decreased and is at a level that raises concerns about an underlying disease affecting your cortisol levels, such as Addison's disease.
I recommend repeating your salivary cortisol test within the month to assess this further. "
This helps explain some of my symptoms as I can't sleep at night and I can't wake up in the mornings... but I can't have Addison's AND cushings...
Also, would my GP be likely to take these results seriously at all? I am hoping to be referred to an endocrinologist. Thank you!
It’s over 4 months since you started on 25mcg levothyroxine
Have you had blood retested recently
You may need dose increase
Testing TSH, FT4 and FT3
Essential to test vitamin D, folate, ferritin and B12 too
All thyroid tests should ideally be as early as possible in morning and fasting and don’t take any Levo in the 24 hours prior to test (delay and take straight after)
If under medicated (and 25.mcg is tiny dose) then adrenals can be over compensating for lack of thyroid hormones through the day
Thanks for this, I will bear that in mind. I last had my thyroid levels checked on 18 September. TSH, FT4 and FT3 were all in range. However, I am now very symptomatic. I need my levels checked again but I can't get in to even see my GP for two weeks!
Perhaps ring surgery and ask if possible to have blood test form to get Thyroid levels bloods tested first
Or test privately
For full Thyroid evaluation you need TSH, FT4 and FT3 plus both TPO and TG thyroid antibodies tested. Also extremely important to test vitamin D, folate, ferritin and B12
Low vitamin levels are extremely common, especially if Thyroid antibodies are raised
All thyroid blood tests should ideally be done as early as possible in morning and fasting. Do not take Levothyroxine dose in the 24 hours prior to test, delay and take immediately after blood draw. This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip, best not mentioned to GP or phlebotomist)
Private tests are available. Thousands on here forced to do this as NHS often refuses to test FT3 or antibodies or vitamins
Medichecks Thyroid plus ultra vitamin or Blue Horizon Thyroid plus eleven are the most popular choice. DIY finger prick test or option to pay extra for private blood draw. Both companies often have special offers, Medichecks usually have offers on Thursdays, Blue Horizon its more random