Addison's Disease :: Interpretation With Hypothyroidism


Feb 10, 2015

I am 38 and have Hypothyroidism. I recently had a cortisol test and my initial results came back at a level of 210. I was told that the normal range was 150 - 650 ( or thereabouts ) and as my test was at 9am these levels should be much higher.

I have been refereed to see a hormone specialist but am just curious to know if anyone had an initial level of 210 at peak time and didn't have Addison's. Or, indeed they did have it?

Could it be adrenal fatigue? which is why I went to the drs as I read about on a thyroid website.

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Anyone else have high sodium results?

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Addison's Disease :: Low Blood Pressure And Dizzy Spells?

A few months ago my blood pressure plummeted-and recently I've been EXHAUSTED. I have to nap daily and have no energy. My blood pressure today at a GI appt was 75/62 the week prior it was 75/53. I've had several drs comment but I never really get noticeably dizzy as I've had dizzy spells on and off all my life. But with this utter exhaustion my GI said I should follow up asap w my primary dr.

Also, for years I've had upper left sharp stabbing pains-we've suspected my pancreas but scans are always clear.

Does this sound like it could be addisons? I'm not sure what else could cause this low bp (which is not normal for me)-I had my heart checked recently, was fine.

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Diagnosed 4 Autoimmune Disease Together - Arthritis, Coeliac, Hypothyroidism..

I'm 25 and over the past 6 years I've been diagnosed with 4 pretty serious autoimmune conditions. When I was 19, I was diagnosed with Rheumatoid Arthritis which is often crippling, even now. I was told this was an autoimmune condition. Shortly after, I was diagnosed with Coeliac Disease, another autoimmune condition. The Arthritis and symptoms of the coeliac disease when I hadn't controlled it obviously made me feel unwell and I often felt lethargic and unhopeful due to a lot of pain and stuff going on in my body. 

I managed to go on a clinical trial which allowed me to have a new and powerful arthritis drug which dramatically improved the condition and I managed to cut gluten out of my diet. I also lost a bit of weight - this helped. 

However, after the trial, my symptoms of arthritis gradually came back but was usually kept under control with the exception of a few flare ups. 

When I was 23, I was diagnosed with Type 1 diabetes after getting a very quick onset flurry of symptoms (another autoimmune condition) - I find this very difficult to manage. 

I've recently moved cities and transferring all of my specialists and treatments left me with no arthritis medication, and a long wait until I see a diabetes specialist to adjust insulin levels. As you can probably imagine, I've been in an awful lot of pain and been feeling very down, tired and lethargic. I'm very upbeat although having so many conditions and I don't let it bring me down, even though I work a full-time job 8 til 5 everyday. I've been having problems with blood tests, platelet counts, that kind of thing. 

I was aware that I had the antibodies for Hypothyroidism as I had the test for that about a year ago and I knew it was just a matter of time before I developed it. Upon my most recent blood tests, my TSH level was 47.7 - ten times the top end of the normal limit. I've literally just started levothyroxine but, as you can imagine, I feel completely overloaded with health issues and like my head is going to explode and quite down about it all. 

I'm sorry to give you my life story but I was just wondering if any one else has any of the other conditions I have and how they manage with all of them? 

Also - how should I have been feeling with a TSH of 47.7? Should I have been feeling VERY different because, like I said, I always feel fairly tired and down due to the combination of illnesses. Any advice at all would be appreciated - I feel massively alone with this.

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Addison's :: Understanding Low Cortisol

About two months ago, I had mentioned to my personal trainer that I was feeling very tired with low blood pressure. This had been going on for a couple months, on and off every couple of weeks. He mentioned that it could be cortisol-related.

I went home and did a lot of researching about the issue and found that I matched a lot of the symptoms of low cortisol. I went in to see my doctor a couple days later. When I mentioned that I thought it was low cortisol, he said that the adrenal glands usually do the job and that it probably wasn't that. He tried to prescribe me anti-depressants which I declined, and then ran a few blood tests, along with an AM only cortisol test (it was about 11AM).

The test came back with a level of 17 mg/dL of cortisol taken at 11AM. However, he said my blood sugar was 54 which was very low. Also, my Vitamin D was below normal ranges. Some other counts were off, but nothing that really pointed to anything that could be causing what I was feeling.

I took a multivitamin for a few weeks. I had also been congested in the back of my throat for two months, so I went back to see the doctor if he could do anything about that. He determined it was a sinus infection, and prescribed Cefuroxime for two weeks to get rid of the congestion. I asked if that could help my fatigue to which he said it could help.

So I finished the two week round of antibiotics, and now it's two weeks later and I still feel horrible. Here's the main things that I am experiencing. I really don't feel depressed and feel like I enjoy life a lot.

- Inability to wake up for work. I wake up around 9AM, and feel like I haven't slept at all. I previously had to wake up around 5AM to get everything done in the morning

- Feeling of drowsiness through the morning, up until noon. Sometimes like today it will last all day.

- Extremely low blood pressure while standing. This starts around 2PM every day and lasts until around 5PM. I usually don't fall down and just black out, but recently I fell because after standing up and injured my knee.

- Fluctuations in appetite, I will eat a TON of food with out gaining any weight (5-6 meals a day), but I exercise a lot so this isn't super concerning. My weight is constant.

- Itchy red eyes when I wake up

- Exhaustion when sitting, feels like I should lay down but not low blood pressure

- Hypoglycemia, my blood sugar is really low in the mornings, and then again in the evenings before dinner. Between that it feels fine but I don't do regular testing on this to know for sure.

Also I am 20 years old male and a competitive cyclist. I eat very healthy foods (although a lot to keep up my activity). I live at a high altitude (7,400ft).

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Hydrocortisone For Primary Addison's Due To Pheochromocytoma

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Historically I presented with low Cortisol and High ACTH.

* After a Dexamethasone Suppression test my blood cortisol was less than 1mcg (whatever that means)

* 17 Alpha Hydroxyprogesterone was 849

* ACTH Stim test results:

Baseline- 10mcg
30 min.- 13mcg
60 min.- 15mcg

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8am baseline reading - 12.82 ug/dl
30 Min after injection - 20.88
60 Min after injection - 24.44

I was stressed about the procedure to begin with. Then the nurse who drew my blood could not hit my vein and it was a very painful process as she continued hunting for it. It hurt so much I was almost in tears. This happened for the first two draws, and then I finally asked for a different nurse for the third draw. She hit my vein with no problems as most do since I have very prominent veins. I was so upset. Also, they had me walking back and forth between the lab and the waiting area after each blood draw.

Is it possible that my results were skewed by these factors?

I experienced an adrenaline rush shortly after being injected with the ACTH, and until about 5pm my heart was pounding pretty hard and I felt lightheaded. Is this normal?

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Had stool tests and blood tests. I expected them not to find anything to be honest and just did it to please my boyfriend and put his mind at rest.

Doctor phoned and said that "the stool test shows signs of inflammation indicative of inflammatory bowel disease". I couldn't really ask more questions because of where I was. Phoned in for blood results and told by reception that they were fine.

I have been referred to the gastroenterologist and have an appointment in 2 weeks.

I am tired all the time and find it really difficult to get out of bed, frequently have naps at work but put that down to shift working.

I don't want to take any laxatives because I never know when it will change between constipation and loose stools and when I'm working, I often can't get to the toilet.

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I am so confused as to what is going on and hate not being in control of my body. I know I only have mild symptoms, I feel so alone (shift work doesn't lend itself to meeting people regularly).

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