cortisol results: Hi there, I’ve been... - Thyroid UK

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cortisol results

TiredMummy profile image
3 Replies

Hi there,

I’ve been complaining of feeling nauseous in the mornings and hungover so I followed the suggestion on here of doing a cortisol blood test. The result was higher than I was expecting at 284 (166-507) so I’d imagine this is close enough to 300 to not cause concern. I did the test fasting at 8am. I’ve also discovered I feel much better on less T3 (particularly the mornings) so I’ve reduced it back down to 5mcg at the moment in two doses. I’m thinking of re-starting HRT as been off it now for over four months and the flushing at night is getting worse. I believe oestrogen can act as a type of steroid….? If so this might help. I also have some adrenal cortex supplements which I haven’t taken yet as considering whether to re-test my cortisol first…..

Any words of wisdom appreciated, thank you x

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TiredMummy
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Brightness14 profile image
Brightness14

Why no take the 4 point Cortisol saliva test this is best for the answers you require.

TiredMummy profile image
TiredMummy in reply toBrightness14

My understanding is the saliva test is only good for diagnosing high cortisol though? I’m trying to address my low-ish morning cortisol. I’ve done saliva tests in the past and was thinking the blood test either points to retesting or starting adrenal supplementation…..I’m not sure of the benefit of the saliva test, doctors won’t use it and what difference will it make to my regime is what I’m pondering on… x

TiggerMe profile image
TiggerMeAmbassador in reply toTiredMummy

Saliva test is good for showing how your cortisol behaves throughout the day high or low and also gives 'free' levels rather than total as you have, the fact you find you don't tolerate T3 well in the morning suggests your 'free' cortisol is low

Your serum result looks much like mine did though my 'frees' were rock bottom, I wouldn't be surprised if your cortisol is higher in the evening which is why the T3 dose hits the spot!

I'd certainly add in a morning adrenal supplement and see how you feel, have you tried taking your morning dose of T3 during the night if you happen to get up at a vaguely regular time as this can help raise morning cortisol?

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