Hello everyone,
My first endo appointment is finally coming up to investigate possible adrenal issues. I was referred in April after a 'grey' area morning cortisol result and very low blood pressure overnight on a 24hr ambulatory test.
I am required to book a blood test before the appointment (tests listed below) so would like to ask for any advice on timings please? They have already stated it must be fasted and before 10am. I know about thyroid testing guidelines.
Wondering if I need to consider menstrual cycle timing - what stage might be best as I am perimenopausal and on HRT? Also, other vitamins/mineral alongside biotin interactions? Anything else - I haven't found anything online about prolactin, IGF-1 or adrenal cortex antibodies.
Thyroid - TSH, fT4, fT3
Hormones - Oestradiol, FSH, LH
FBC and U&E's
Prolactin
IGF-1
Cortisol
Bone profile
Adrenal cortex Ab screen
Background -
I have been regularly testing thyroid hormones myself over the last year approx. every 3-4 months. fT4 and fT3 both hover around 33% through the range with TSH around 2.4-2.8 (0.27-4.2). All testing guidelines adhered to. Antibodies are always within the low normal range. Thyroid ultrasound showed no atrophy or other abnormalities. This supports there is not an issue with the gland itself but possibly a pituitary deficiency could exist or I just naturally have lower thyroid hormones. I have not been diagnosed with anything thyroid related and do not take any thyroid hormones or glandular support.
Ferritin, B12, folate and Vit D all optimised - ferritin for the last the last 6 months, they rest for a lot longer. I have been on HRT for 18 months and feel this is optimised.