Can anyone help with cortisol saliva tests

[Dennnyp]

Hello could anyone help? recently has a cortisol saliva test as below. I have under active thyroid and diabetes. Could the slightly high cortisol readings stop me from losing weight. I have been trying so hard but nothing

Cortisol waking 11.30 (6.00-21.09)

Cortisol midday 7. 719 (1.5 - 7.60)

Cortisol 1600 1.9 (0.00 - 5.50)

Before bed 2.33 (0.00 - 2.00)

Many thanks

[pffft2017]

What's your TSH and T4/T3 levels like?

[MaisieGray]

Your results aren't optimal at any point. Ideally the morning level should be near the top of range, and be lower in range with each subsequent point throughout the day, so that your night time level is towards the bottom end of the range. Your results indicate that your morning level is not enough to start the day, as it were, and too much when going to bed, and your midday level should be much lower within in the range. Did the report provide you with an assessment of your adrenal status? Also did the test include DHEA?

[Dennnyp in reply to MaisieGray]

Hi MaisieGray thank you for your reply. The test did not include Dhea. Last year I was given an sst test as my morning cortisol was low at 153. But I passed that with flying colours (although they did not take an yacht blood test). I feel there is something wrong. my thyroid meds dont seem to working as well as they used to but the results say everything is fine. . And the doctors just want me to take antidepressants which I have refused. I am at a loss as to what to do next.

[Dennnyp in reply to Dennnyp]

ps the doc report said it looked like I was stressed (I dont think I am)

[MaisieGray in reply to Dennnyp]

I think what he meant was that there is evidence that your body is under stress for whatever reason, such as illhealth for instance, and not necessarily that you are stressed by external factors. So the latter might be transitory in say, the run up to Christmas; but might be long term if you are in a stressful situation that you can't resolve of get out of, such as being in a stressful job or being a carer for a sick relative for instance; the former may be long term and chronic, as in having one or more autoimmune diseases, or particular factors resulting from them. I can't quite grasp what you're saying about the testing you had, but the SST is a Short Synacthen test used to evaluate your adrenal glucocorticoid secretion in response to the injection of synthetic ACTH (aka tetracosactide or Synacthen). The saliva cortisol test report will often describe your status by one of several (3 or 4) stages, which encapsulates broadly where you are in terms of dysfunction; the Dr in this link uses 7 stages, but ignoring that, his article is a useful background to adrenal fatigue. Scroll down and you'll see "What stresses the adrenal glands" and more. drjockers.com/7-phases-adre...

[Dennnyp in reply to MaisieGray]

Thank you😁