Adrenal Insufficiency :: Skin Feels Constantly Like It Is On Fire?

Sep 1, 2015

I have been fealing very hot the past 4-5 months, occasional headaches, sweating, heart palpitations. My skin feels constantly like it is on fire. I got my cortisol tested via saliva testing, all seem to drop on the normal range, but the morning level seems pretty low? Isn't it supposed to be the highest during the morning? Heres the results:

7-8AM: 1,87 nmo/l (1,38-15,7)
12-13PM: 8,55 nmo/l (0,55-9,94)
16-17PM: 4,1 nmo/l (0,55-6,62)
22-23PM : 1,18 nmo/l (0,55-3,59)

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ps   They recently found a pituitary cyst on my posterior pituitary gland (they said its fine).  

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I am 38 Year Old male, Have been an athlete and or worked out since the age of 12 (super active). For the last 10 years or so I have been super fatigued/tired, don't recover well from exercise, terrible reactive hypoglycemia, muscle twitches, tan year round (i used to be white/pail as could be, now I carry at tan year round) short temper, sleep like crap. I can't seem to handle heat or a ton of direct sun. I will get sick for a day or 2 nauseous/fatigued/headache (it is not water usually i will drink 2 liters of water while out hiking for the afternoon.

I have taken 3 different Saliva cortisol test and all 3 looked the same, cortisol was in the tank upon waking and slowing rose throughout the day. The complete opposite of what it should look like. I finally talked my doctor into doing an ACTH Stim test. I have only got back the Cortisol results at this point, But they are very interesting??

From all that I have read on intercepting ACTH results your baseline Cortisol should double at 60 minutes. According to this test is should be >18 at 60 minutes I only rose 8!!! Please see results below.

Baseline Draw- 19.7, Standard > 5

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My doctor has put me on a course of steroids and antihistamines, but my skin feels like it's still on fire!

Have been taking Andopoline for about 5 weeks, and was then prescribed Ramipril 2.5 two weeks ago, then up to 5mg last week.

Took the first 5mg on Thursday, and started getting the symptoms first thing Friday morning

Has anyone else suffered from this, and how long does it last?

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These are the exact results shown on my endo's site:  
MAY 19: 3p ACTH   19 NL; CORTISOL 21.1  ; 21 HYX AB NEG; RENIN 3.48 NL; ALDO 12 NL; NA 139 NL; DHEA-S 153 NL

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