High cortisol result

[JonnyA]

I’ve been on T3 only for about a year now, and whilst I have improved markedly in this time, there have nevertheless been some lingering symptoms - particularly things like fathigue, difficulty concentrating, brain fog and so on.

My endocrinologist recommended that I did a cortisol saliva test, and my results are captured in the image attached.

In short, they seem somewhat high throughout (even the late night one seems high based on alternative reference ranges I have seen). I assume (and hope) that the results don’t indicate cushings, but they seem high nonetheless and my symptoms are certainly consistent with many of those associated with high cortisol. I believe they are a consequence of some significant weight loss I (intentionally) underwent a few years ago, and haven’t felt myself since

I’ve requested a follow-up with my doctor, but in the meantime any thoughts on the significance of these results and potential treatment options would be very welcome.

Thanks!

[radd]

JonnyA,

Unless blood labs also indicate high levels of cortisol you don’t have Cushings. Remember saliva tests only indicative of the 'free' cortisol levels and not the whole picture. 

Saliva tests are great for assessing which supports to put in place and in the functional world this would most likely be an adaptogen to help reduce cortisol levels and get the HPA Axis stress response working in a more balanced fashion to discourage these highs.

My favourite is ashwagandha but is isn't always suitable for everyone. Others are rhodiola, holy basil, ginseng, etc.  They all work slightly differently in affecting tissues and organs but all aim to attain homeostasis.

thyroidpharmacist.com/artic...

[JonnyA in reply to radd]

Thanks Radd. My endocrinologist has indeed recommended a series of adaptogens. Are these sort of supplements generally considered effective at lowering cortisol, as opposed to the kind of heavy pharmaceutical drugs that might be used to treat something like cortisol?

Any personal experience / recommendations would be greatly appreciated. Thank you!