Short Synachten Test

[GreatJob32]

Hi There, diagnosed hypo over 20 yrs ago and never felt well since, I know everyone here totally gets just how debilitating and gruelling.

seeing and endo for first time - has anyone an experience with Short Synachten Test? I don’t suspect Addisons as been unwell like this for 20 yrs. Not sure what else it shows?

I’m not sure it’s best course of action and why DHEA and Saliva Cortisol test not more helpful?

Erin

[SlowDragon Administrator]

Before booking any consultation, especially if it’s a private one we ALWAYS recommend getting FULL thyroid and vitamin testing done

all thyroid blood tests early morning, ideally just before 9am and last dose levothyroxine 24 hours before test

This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip)

Private tests are available as NHS currently rarely tests Ft3 or all relevant vitamins

List of private testing options and money off codes

thyroiduk.org/getting-a-dia...

Medichecks Thyroid plus antibodies and vitamins

medichecks.com/products/adv...

Blue Horizon Thyroid Premium Gold includes antibodies, cortisol and vitamins

bluehorizonbloodtests.co.uk...

Only do private testing early Monday or Tuesday morning.

Link about thyroid blood tests

thyroiduk.org/getting-a-dia...

Link about Hashimoto’s

thyroiduk.org/hypothyroid-b...

Symptoms of hypothyroidism

thyroiduk.org/wp-content/up...

Tips on how to do DIY finger prick test

healthunlocked.com/thyroidu...

Medichecks and BH also offer private blood draw at clinic near you, or private nurse to your own home…..for an extra fee

If you normally take levothyroxine at bedtime/in night ...adjust timings as follows prior to blood test

If testing Monday morning, delay Saturday evening dose levothyroxine until Sunday morning. Delay Sunday evening dose levothyroxine until after blood test on Monday morning. Take Monday evening dose levothyroxine as per normal

Did you get Dio2 gene test done

[GreatJob32 in reply to SlowDragon]

hi there thanks for your reply and all the info. I’m getting full thyroid panel and vits including selenium. The genotype test they couldn’t get despite suggesting I have it done! I’ve read that this gene is likely in patients showing normal thyroid levels which mine are not. I’m also a bit annoyed with myself as I didn’t ask the consultant what the treatment options that might be available to me are? Locally pharmacy say T3 not available anywhere.

[SlowDragon Administrator in reply to GreatJob32]

Locally pharmacy say T3 not available anywhere.

Well that’s complete rubbish

There’s currently 64,500 prescriptions on NHS per year in England (Typically 6 prescriptions per person per year)

openprescribing.net/analyse...

Probably at least the same again in numbers on private prescription

[SlowDragon Administrator in reply to GreatJob32]

The genotype test they couldn’t get despite suggesting I have it done!

available direct with Regenerus

regeneruslabs.com/products/...

cdn.shopify.com/s/files/1/0...

thyroiduk.org/deiodinase-2-...

thyroiduk.org/the-regret-de...

Many members find they test positive for Heterozygous Dio2 ( inherited from one parent)

A few test positive for homozygous Dio2 (inherited from both parents)

[SlowDragon Administrator in reply to GreatJob32]

Private prescription for T3

Vast majority use online pharmacy

Thybon Henning 20mcg T3 (usually then cut into 1/4’s to get 5mcg) is vastly cheaper than any other options at 50p-60p per tablet

thyroiduk.org/if-you-are-hy...

thyroiduk.org/if-you-are-hy...

NHS prices for U.K. licensed T3

healthunlocked.com/thyroidu...

[SlowDragon Administrator in reply to GreatJob32]

Private prescription for T3

Vast majority use online pharmacy

Thybon Henning 20mcg T3 (usually then cut into 1/4’s to get 5mcg) is vastly cheaper than any other options at 50p-60p per tablet

thyroiduk.org/if-you-are-hy...

thyroiduk.org/if-you-are-hy...

NHS prices for U.K. licensed T3

healthunlocked.com/thyroidu...

[Angel_of_the_North]

I had a SST years ago. The reaction I got was "oh, something's not right there" but after numerous other tests including CT scan nothing was ever done. But several years later, I was diagnosed with central hypo. The actual test made me cry uncontrollably for no obvious reason (so take tissues just in case). But afterwards I felt great

[GreatJob32 in reply to Angel_of_the_North]

thanks for your reply,

Glad you felt ok after the test … little bit worried about it.

[Angel_of_the_North in reply to GreatJob32]

Honestly nothing to worry about. They take blood to test cortisol first, then inject "fake" ACTH, then take blood again after about half an hour and an hour. So three tiny blood draws, but nothing awful. I think I felt wonderful afterwards because I actually got some ACTH so my cortisol went normal for once - no problem with my adrenals but a problem with hypothalamus or pituitary.

[Angel_of_the_North]

Oh, and if you take cortiscosteroids for anything (eg Crohns, asthma inhaler, chest infection) don't take for 24 hours before test

[Angel_of_the_North]

The one to worry about is the adrenal stress test where they inject you with insulin so that you go hypoglycaemic (causing stress) and then take many blood samples over several hours. Then give you a biscuit and some flat lucozade. That one actually made me really ill, but not until I tried to walk out of the hospital and passed out in the car park - say "no" to that one.

[humanbean]

For information about the SST - what to expect - read pages 68 - 70 in this link :

imperialendo.co.uk/Bible201...