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No your cortisol was normal after dex. This means I do not have Cushings. If they did an Aldo at the same time the would have ruled our GRA.What is your K?Just check that salt has not snuck in somewhere. What are ur other meds? Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertensionOn Feb 28, 2010, at 10:26 AM, Farah Rahbar <farahbar@...> wrote:

My cortisol was low (2.1), while all others, ACTH, sodium, K were within normal range. I did take one dex pill the night before the test.

But I am just exhausted - I have to really drag myself and all of my muscles are aching. I feel like I never get enough sleep even if i sleep all the time. this is all new i wasn't feeling like this before in the past 3 years that I've been on spiro. Also gained a substiantial amound of weight like 8 lbs in one month. All symptoms of hypothyroid but the blood test doesn't show this. I was thinking of taking a low dose synthroid just to see if I feel better. Waiting to see my doctor this week and see what she recommends.

Farah

On Sun, Feb 28, 2010 at 10:00 AM, Clarence Grim <lowerbp2mac> wrote:

Coffee helps me.

i would recommend trying but bet it will not help stopping it.

What were your last blood tests?

CEG

On Feb 28, 2010, at 11:56 AM, Farah Rahbar wrote:

Thank you for the information. I do drink a cup of coffee a day that has been helping me to get the day started since I've been so exhausted lately. I guess I have to cut down.

Farah

On Sun, Feb 28, 2010 at 12:03 AM, <moseleymandhotmail (DOT) co.uk> wrote:

I've read to recover you must :Get to bed before 10, eat whole grain foods and low fat foodStop drinkingStop smokingStop caffineExcersise but gentle not to muchTake vit C, B vitamins,Probotics

Caffine raises cortisol, excersise raises cortisol, smoking etc...all stimulants forcing your vody to work when really your exhaustedA bit like driving a car with the breaks on!!!That's what all the info says basically take out all the stressors to the adrenals, to re charge :)

Sent using BlackBerry® from Orange

From: Clarence Grim <lowerbp2mac>

Date: Sat, 27 Feb 2010 22:05:01 -0800

hyperaldosteronism <hyperaldosteronism >

Subject: Re: Dr. Grim a question for you on low cortisol

You do not have adrenal fatigue. It probably does not exis at least not in the science of medicine. Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

On Feb 27, 2010, at 5:31 PM, Farah Rahbar <farahbargmail> wrote:

Thank you for the responses. so, what do I do to counter the adrenal fatigue?

Farah

On Sat, Feb 27, 2010 at 11:07 AM, Clarence Grim <lowerbp2mac> wrote:

Adrenal fatigue is a myth mostly.

CE Grim MD

On Feb 27, 2010, at 2:16 AM, moseleymandhotmail (DOT) co.uk wrote:

Good morning,I've had several low morning cortisol labs aswell. I've also REALLY craved salt at times, increased allergies, nausea, weight loss, cold, loss of appetite,Muscle weakness, dry skin etc my tsh is 0.68 T3 3.5 (4-6.5) (T4 13.2 (12-22) but some of these symptoms like you say can be from PA also.

I think its must be possible to have thyroid/adrenal problems along side PA. This could be dangerous with the salt cravings for low cortisol people. The high K is just as dangerous as low K from what I've read.

My mum has hypot / adrenal problems. I also wonder if I could have Thyroid problems from my mum along side PA.Although, in that blog hyperaldosterone diagnosis. The author mentions the adrenal fatigue connection with PA

Sent using BlackBerry® from Orange

From: Farah Rahbar <farahbargmail>

Date: Fri, 26 Feb 2010 23:44:42 -0800

<hyperaldosteronism >

Subject: Dr. Grim a question for you on low cortisol

Dr. Grim:I've been feeling quite exhausted lately. I thought that perhaps I have hypothyroid in added to my PA.As it turns out my cortisol is rather quite low, meaning 2.1(normal according to the lab is 4.0 - 22.0) -

I am currently on 75mgs Aldactone for the past 4 yrs and 1000 vitamind D (for the past yr)

the reason I went to the doctor is because in the past month suddenly been experiencing a lot of exhaustion and fatigue and sudden weight gain. Today I looked at low cortisol symptoms on mayo clinic site that pretty much it appears thats what I have -all of the following symptoms- which I am pasting from mayo clinic's symptoms for low cortisol :

Muscle weakness and fatigue, my muscles are hurting so much, I was blaming it on low K but its not the case

Weight loss and decreased appetite - (except I have gained weight tremendously suddenly from 115 lbs to 123 in just a month)

Low blood pressure, even fainting (my bp has been under 120/80 consistently, feeling very tired, exhausted)

Salt craving (I have to search my cupboards for salty things or craving bread which I usually dont eat)

Low blood sugar (hypoglycemia), my 2 hour test was 89 after drinking the syrup so that not bad

Nausea, diarrhea or vomiting (been feeling nausea off and on)

Muscle or joint pains (a lot of it, lots and lots)

Irritability - thats me lately

Depression - feeling rather depressed lately off and on

Acute adrenal failure (addisonian crisis)Sometimes, however, the signs and symptoms of 's disease may appear suddenly. In acute adrenal failure (addisonian crisis), the signs and symptoms may also include:

Pain in your lower back, abdomen or legs - no back pain but some abdomen and leg pain

Severe vomiting and diarrhea, leading to dehydration NO

Low blood pressure

Loss of consciousness - NO

High potassium (hyperkalemia) - My current K is rather higher than its ever been but still within range 4.7 (reference range is 3.5 - 5.3)

In fact due to all these symptoms and weight gain I was sure that my thyroid was acting up but according to the lab results my thyroid is quite within normal range - TSH, 2.03(reference range 0.40 - 4.50), Thyroxine Free .9 (reference range 0.8-1.8)

surprisingly my cortisol is quite low at 2.1 taken at 8.30 am(normal for this time should be 4.0-22). I thought us PA people usually have higher cortisol!!

ACTH is 6 (normal range 6-40), I had to take one Dex pill at 11:00 pm the night before taking the blood test

No adrenalectomy as I've been diagnosed with hyperplasia.

I am yet to see my endo next week to discuss the lab result.

Does anyone else have same kind of symptoms and PA all together? this is my first experience with it after taking Aldactone for the past 4 years. could this mean that one of my adrenal glands may be failing or not functioning?

I appreciate any suggestions.

Thank You,

Farah

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Many people would disagree with you. The people on the Cushings boards and several websites give symptoms of adrenal fatigue.

Dr. Grim a question for you on low cortisol

Dr. Grim:I've been feeling quite exhausted lately. I thought that perhaps I have hypothyroid in added to my PA.As it turns out my cortisol is rather quite low, meaning 2.1(normal according to the lab is 4.0 - 22.0) -

I am currently on 75mgs Aldactone for the past 4 yrs and 1000 vitamind D (for the past yr)

the reason I went to the doctor is because in the past month suddenly been experiencing a lot of exhaustion and fatigue and sudden weight gain. Today I looked at low cortisol symptoms on mayo clinic site that pretty much it appears thats what I have -all of the following symptoms- which I am pasting from mayo clinic's symptoms for low cortisol :

Muscle weakness and fatigue, my muscles are hurting so much, I was blaming it on low K but its not the case Weight loss and decreased appetite - (except I have gained weight tremendously suddenly from 115 lbs to 123 in just a month)

Low blood pressure, even fainting (my bp has been under 120/80 consistently, feeling very tired, exhausted)

Salt craving (I have to search my cupboards for salty things or craving bread which I usually dont eat) Low blood sugar (hypoglycemia), my 2 hour test was 89 after drinking the syrup so that not bad

Nausea, diarrhea or vomiting (been feeling nausea off and on)

Muscle or joint pains (a lot of it, lots and lots) Irritability - thats me lately

Depression - feeling rather depressed lately off and on

Acute adrenal failure (addisonian crisis)Sometimes, however, the signs and symptoms of 's disease may appear suddenly. In acute adrenal failure (addisonian crisis), the signs and symptoms may also include:

Pain in your lower back, abdomen or legs - no back pain but some abdomen and leg pain

Severe vomiting and diarrhea, leading to dehydration NO

Low blood pressure

Loss of consciousness - NO

High potassium (hyperkalemia) - My current K is rather higher than its ever been but still within range 4.7 (reference range is 3.5 - 5.3)

In fact due to all these symptoms and weight gain I was sure that my thyroid was acting up but according to the lab results my thyroid is quite within normal range - TSH, 2.03(reference range 0.40 - 4.50), Thyroxine Free .9 (reference range 0.8-1.8)

surprisingly my cortisol is quite low at 2.1 taken at 8.30 am(normal for this time should be 4.0-22). I thought us PA people usually have higher cortisol!!

ACTH is 6 (normal range 6-40), I had to take one Dex pill at 11:00 pm the night before taking the blood test

No adrenalectomy as I've been diagnosed with hyperplasia.

I am yet to see my endo next week to discuss the lab result.

Does anyone else have same kind of symptoms and PA all together? this is my first experience with it after taking Aldactone for the past 4 years. could this mean that one of my adrenal glands may be failing or not functioning?

I appreciate any suggestions.

Thank You,

Farah

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Many people would disagree with you. The people on the Cushings boards and several websites give symptoms of adrenal fatigue.

Dr. Grim a question for you on low cortisol

Dr. Grim:I've been feeling quite exhausted lately. I thought that perhaps I have hypothyroid in added to my PA.As it turns out my cortisol is rather quite low, meaning 2.1(normal according to the lab is 4.0 - 22.0) -

I am currently on 75mgs Aldactone for the past 4 yrs and 1000 vitamind D (for the past yr)

the reason I went to the doctor is because in the past month suddenly been experiencing a lot of exhaustion and fatigue and sudden weight gain. Today I looked at low cortisol symptoms on mayo clinic site that pretty much it appears thats what I have -all of the following symptoms- which I am pasting from mayo clinic's symptoms for low cortisol :

Muscle weakness and fatigue, my muscles are hurting so much, I was blaming it on low K but its not the case Weight loss and decreased appetite - (except I have gained weight tremendously suddenly from 115 lbs to 123 in just a month)

Low blood pressure, even fainting (my bp has been under 120/80 consistently, feeling very tired, exhausted)

Salt craving (I have to search my cupboards for salty things or craving bread which I usually dont eat) Low blood sugar (hypoglycemia), my 2 hour test was 89 after drinking the syrup so that not bad

Nausea, diarrhea or vomiting (been feeling nausea off and on)

Muscle or joint pains (a lot of it, lots and lots) Irritability - thats me lately

Depression - feeling rather depressed lately off and on

Acute adrenal failure (addisonian crisis)Sometimes, however, the signs and symptoms of 's disease may appear suddenly. In acute adrenal failure (addisonian crisis), the signs and symptoms may also include:

Pain in your lower back, abdomen or legs - no back pain but some abdomen and leg pain

Severe vomiting and diarrhea, leading to dehydration NO

Low blood pressure

Loss of consciousness - NO

High potassium (hyperkalemia) - My current K is rather higher than its ever been but still within range 4.7 (reference range is 3.5 - 5.3)

In fact due to all these symptoms and weight gain I was sure that my thyroid was acting up but according to the lab results my thyroid is quite within normal range - TSH, 2.03(reference range 0.40 - 4.50), Thyroxine Free .9 (reference range 0.8-1.8)

surprisingly my cortisol is quite low at 2.1 taken at 8.30 am(normal for this time should be 4.0-22). I thought us PA people usually have higher cortisol!!

ACTH is 6 (normal range 6-40), I had to take one Dex pill at 11:00 pm the night before taking the blood test

No adrenalectomy as I've been diagnosed with hyperplasia.

I am yet to see my endo next week to discuss the lab result.

Does anyone else have same kind of symptoms and PA all together? this is my first experience with it after taking Aldactone for the past 4 years. could this mean that one of my adrenal glands may be failing or not functioning?

I appreciate any suggestions.

Thank You,

Farah

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Never confuse testimonials for science. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertensionOn Feb 28, 2010, at 11:50 AM, Stone <astone312@...> wrote:



Many people would disagree with you. The people on the Cushings boards and several websites give symptoms of adrenal fatigue.

Dr. Grim a question for you on low cortisol

Dr. Grim:I've been feeling quite exhausted lately. I thought that perhaps I have hypothyroid in added to my PA.As it turns out my cortisol is rather quite low, meaning 2.1(normal according to the lab is 4.0 - 22.0) -

I am currently on 75mgs Aldactone for the past 4 yrs and 1000 vitamind D (for the past yr)

the reason I went to the doctor is because in the past month suddenly been experiencing a lot of exhaustion and fatigue and sudden weight gain. Today I looked at low cortisol symptoms on mayo clinic site that pretty much it appears thats what I have -all of the following symptoms- which I am pasting from mayo clinic's symptoms for low cortisol :

Muscle weakness and fatigue, my muscles are hurting so much, I was blaming it on low K but its not the case Weight loss and decreased appetite - (except I have gained weight tremendously suddenly from 115 lbs to 123 in just a month)

Low blood pressure, even fainting (my bp has been under 120/80 consistently, feeling very tired, exhausted)

Salt craving (I have to search my cupboards for salty things or craving bread which I usually dont eat) Low blood sugar (hypoglycemia), my 2 hour test was 89 after drinking the syrup so that not bad

Nausea, diarrhea or vomiting (been feeling nausea off and on)

Muscle or joint pains (a lot of it, lots and lots) Irritability - thats me lately

Depression - feeling rather depressed lately off and on

Acute adrenal failure (addisonian crisis)Sometimes, however, the signs and symptoms of 's disease may appear suddenly. In acute adrenal failure (addisonian crisis), the signs and symptoms may also include:

Pain in your lower back, abdomen or legs - no back pain but some abdomen and leg pain

Severe vomiting and diarrhea, leading to dehydration NO

Low blood pressure

Loss of consciousness - NO

High potassium (hyperkalemia) - My current K is rather higher than its ever been but still within range 4.7 (reference range is 3.5 - 5.3)

In fact due to all these symptoms and weight gain I was sure that my thyroid was acting up but according to the lab results my thyroid is quite within normal range - TSH, 2.03(reference range 0.40 - 4.50), Thyroxine Free .9 (reference range 0.8-1.8)

surprisingly my cortisol is quite low at 2.1 taken at 8.30 am(normal for this time should be 4.0-22). I thought us PA people usually have higher cortisol!!

ACTH is 6 (normal range 6-40), I had to take one Dex pill at 11:00 pm the night before taking the blood test

No adrenalectomy as I've been diagnosed with hyperplasia.

I am yet to see my endo next week to discuss the lab result.

Does anyone else have same kind of symptoms and PA all together? this is my first experience with it after taking Aldactone for the past 4 years. could this mean that one of my adrenal glands may be failing or not functioning?

I appreciate any suggestions.

Thank You,

Farah

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Never confuse testimonials for science. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertensionOn Feb 28, 2010, at 11:50 AM, Stone <astone312@...> wrote:



Many people would disagree with you. The people on the Cushings boards and several websites give symptoms of adrenal fatigue.

Dr. Grim a question for you on low cortisol

Dr. Grim:I've been feeling quite exhausted lately. I thought that perhaps I have hypothyroid in added to my PA.As it turns out my cortisol is rather quite low, meaning 2.1(normal according to the lab is 4.0 - 22.0) -

I am currently on 75mgs Aldactone for the past 4 yrs and 1000 vitamind D (for the past yr)

the reason I went to the doctor is because in the past month suddenly been experiencing a lot of exhaustion and fatigue and sudden weight gain. Today I looked at low cortisol symptoms on mayo clinic site that pretty much it appears thats what I have -all of the following symptoms- which I am pasting from mayo clinic's symptoms for low cortisol :

Muscle weakness and fatigue, my muscles are hurting so much, I was blaming it on low K but its not the case Weight loss and decreased appetite - (except I have gained weight tremendously suddenly from 115 lbs to 123 in just a month)

Low blood pressure, even fainting (my bp has been under 120/80 consistently, feeling very tired, exhausted)

Salt craving (I have to search my cupboards for salty things or craving bread which I usually dont eat) Low blood sugar (hypoglycemia), my 2 hour test was 89 after drinking the syrup so that not bad

Nausea, diarrhea or vomiting (been feeling nausea off and on)

Muscle or joint pains (a lot of it, lots and lots) Irritability - thats me lately

Depression - feeling rather depressed lately off and on

Acute adrenal failure (addisonian crisis)Sometimes, however, the signs and symptoms of 's disease may appear suddenly. In acute adrenal failure (addisonian crisis), the signs and symptoms may also include:

Pain in your lower back, abdomen or legs - no back pain but some abdomen and leg pain

Severe vomiting and diarrhea, leading to dehydration NO

Low blood pressure

Loss of consciousness - NO

High potassium (hyperkalemia) - My current K is rather higher than its ever been but still within range 4.7 (reference range is 3.5 - 5.3)

In fact due to all these symptoms and weight gain I was sure that my thyroid was acting up but according to the lab results my thyroid is quite within normal range - TSH, 2.03(reference range 0.40 - 4.50), Thyroxine Free .9 (reference range 0.8-1.8)

surprisingly my cortisol is quite low at 2.1 taken at 8.30 am(normal for this time should be 4.0-22). I thought us PA people usually have higher cortisol!!

ACTH is 6 (normal range 6-40), I had to take one Dex pill at 11:00 pm the night before taking the blood test

No adrenalectomy as I've been diagnosed with hyperplasia.

I am yet to see my endo next week to discuss the lab result.

Does anyone else have same kind of symptoms and PA all together? this is my first experience with it after taking Aldactone for the past 4 years. could this mean that one of my adrenal glands may be failing or not functioning?

I appreciate any suggestions.

Thank You,

Farah

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Farah, your thyroid may be beginning to fail. Did you get antibody tests? I feel much better when my TSH is about

1 and my Free T4 is above the middle of the normal range. Your FT4 is barely in range. What about Free T3?

Val

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of Farah Rahbar

Dr. Grim:

I've been feeling quite exhausted lately. I thought that perhaps I have

hypothyroid in added to my PA.As it turns out my cortisol

is rather quite low, meaning 2.1(normal according to the lab is 4.0 - 22.0)

-

I am

currently on 75mgs Aldactone for the past 4 yrs and

1000 vitamind D (for the past yr)

the

reason I went to the doctor is because in the past month suddenly been

experiencing a lot of exhaustion and fatigue and sudden weight gain. Today I

looked at low cortisol symptoms on mayo clinic site

that pretty much it appears thats what I have -all of

the following symptoms- which I am pasting from mayo clinic's symptoms

for low cortisol :

Muscle weakness and fatigue, my muscles are hurting so much, I was

blaming it on low K but its not the case

Weight loss and decreased appetite - (except I have

gained weight tremendously suddenly from 115 lbs to 123 in just a month)

Low blood pressure, even fainting (my bp has been

under 120/80 consistently, feeling very tired, exhausted)

Salt craving (I have to search my cupboards for salty things or craving

bread which I usually dont eat)

Low blood sugar (hypoglycemia), my 2 hour test was 89 after drinking the

syrup so that not bad

Nausea, diarrhea or vomiting (been feeling nausea off and on)

Muscle or joint pains (a lot of it, lots and lots)

Irritability - thats me lately

Depression - feeling rather depressed lately off and on

Acute adrenal failure (addisonian

crisis)

Sometimes, however, the signs and symptoms of 's disease may appear

suddenly. In acute adrenal failure (addisonian

crisis), the signs and symptoms may also include:

Pain in your lower back, abdomen or legs - no back pain but some abdomen and leg

pain

Severe vomiting and diarrhea, leading to dehydration NO

Low blood pressure

Loss of consciousness - NO

High potassium (hyperkalemia)

- My current K is

rather higher than its ever been but still

within range 4.7 (reference range is 3.5 - 5.3)

In fact due to all these symptoms and weight gain I was sure

that my thyroid was acting up but according to the lab results my thyroid is

quite within normal range - TSH, 2.03(reference range 0.40 - 4.50), Thyroxine Free .9 (reference range 0.8-1.8)

surprisingly my cortisol is

quite low at 2.1 taken at 8.30 am(normal for this time should be 4.0-22). I

thought us PA people usually have higher cortisol!!

ACTH is 6 (normal range 6-40), I had to take one Dex pill at 11:00 pm the night before taking the blood

test

No adrenalectomy as I've been

diagnosed with hyperplasia.

I am yet to see my endo next week to

discuss the lab result.

Does anyone else have same kind of symptoms and PA all together?

this is my first experience with it after taking Aldactone

for the past 4 years. could this mean that one of my adrenal glands may be

failing or not functioning?

I appreciate any suggestions.

Thank You,

Farah

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Share on other sites

Farah, your thyroid may be beginning to fail. Did you get antibody tests? I feel much better when my TSH is about

1 and my Free T4 is above the middle of the normal range. Your FT4 is barely in range. What about Free T3?

Val

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of Farah Rahbar

Dr. Grim:

I've been feeling quite exhausted lately. I thought that perhaps I have

hypothyroid in added to my PA.As it turns out my cortisol

is rather quite low, meaning 2.1(normal according to the lab is 4.0 - 22.0)

-

I am

currently on 75mgs Aldactone for the past 4 yrs and

1000 vitamind D (for the past yr)

the

reason I went to the doctor is because in the past month suddenly been

experiencing a lot of exhaustion and fatigue and sudden weight gain. Today I

looked at low cortisol symptoms on mayo clinic site

that pretty much it appears thats what I have -all of

the following symptoms- which I am pasting from mayo clinic's symptoms

for low cortisol :

Muscle weakness and fatigue, my muscles are hurting so much, I was

blaming it on low K but its not the case

Weight loss and decreased appetite - (except I have

gained weight tremendously suddenly from 115 lbs to 123 in just a month)

Low blood pressure, even fainting (my bp has been

under 120/80 consistently, feeling very tired, exhausted)

Salt craving (I have to search my cupboards for salty things or craving

bread which I usually dont eat)

Low blood sugar (hypoglycemia), my 2 hour test was 89 after drinking the

syrup so that not bad

Nausea, diarrhea or vomiting (been feeling nausea off and on)

Muscle or joint pains (a lot of it, lots and lots)

Irritability - thats me lately

Depression - feeling rather depressed lately off and on

Acute adrenal failure (addisonian

crisis)

Sometimes, however, the signs and symptoms of 's disease may appear

suddenly. In acute adrenal failure (addisonian

crisis), the signs and symptoms may also include:

Pain in your lower back, abdomen or legs - no back pain but some abdomen and leg

pain

Severe vomiting and diarrhea, leading to dehydration NO

Low blood pressure

Loss of consciousness - NO

High potassium (hyperkalemia)

- My current K is

rather higher than its ever been but still

within range 4.7 (reference range is 3.5 - 5.3)

In fact due to all these symptoms and weight gain I was sure

that my thyroid was acting up but according to the lab results my thyroid is

quite within normal range - TSH, 2.03(reference range 0.40 - 4.50), Thyroxine Free .9 (reference range 0.8-1.8)

surprisingly my cortisol is

quite low at 2.1 taken at 8.30 am(normal for this time should be 4.0-22). I

thought us PA people usually have higher cortisol!!

ACTH is 6 (normal range 6-40), I had to take one Dex pill at 11:00 pm the night before taking the blood

test

No adrenalectomy as I've been

diagnosed with hyperplasia.

I am yet to see my endo next week to

discuss the lab result.

Does anyone else have same kind of symptoms and PA all together?

this is my first experience with it after taking Aldactone

for the past 4 years. could this mean that one of my adrenal glands may be

failing or not functioning?

I appreciate any suggestions.

Thank You,

Farah

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If thyroid can be in various states of failure, why not

adrenals?

Val

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of Stone

Many people would disagree with you.

The people on the Cushings boards and several

websites give symptoms of adrenal fatigue.

----- Original Message -----

From: Clarence

Grim

It

probably does not exis at least not in the science of

medicine.

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If thyroid can be in various states of failure, why not

adrenals?

Val

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of Stone

Many people would disagree with you.

The people on the Cushings boards and several

websites give symptoms of adrenal fatigue.

----- Original Message -----

From: Clarence

Grim

It

probably does not exis at least not in the science of

medicine.

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Share on other sites

If u can Dx it clearly and Rx helps (shown by blinded trails. then I have no problem with it. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertensionOn Feb 28, 2010, at 4:46 PM, Valarie <val@...> wrote:

If thyroid can be in various states of failure, why not

adrenals?

Val

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of Stone

Many people would disagree with you.

The people on the Cushings boards and several

websites give symptoms of adrenal fatigue.

----- Original Message -----

From: Clarence

Grim

It

probably does not exis at least not in the science of

medicine.

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Share on other sites

Hi Val and Dr. Grim:The doctor didn't test me for the T3 and T4. Just the tsh which was 2.03(range .40-4.50) and Thyroxine-free is 0.9(range 0.8 - 1.8). It does appear that my thyroxine free is on the low range of normal.

The only medications I am taking is 75mgs Aldactone and 1000 Vit DI dash, dont drink, don't smoke. I exercise lightly these days much lighter than usual, mainly because I feel exhausted and drink a cup of coffee with no sugar. I dont eat or drink any soda or anything that contain sugar.

FarahOn Sun, Feb 28, 2010 at 4:22 PM, Valarie <val@...> wrote:

 

Farah, your thyroid may be beginning to fail.  Did you get antibody tests?  I feel much better when my TSH is about

1 and my Free T4 is above the middle of the normal range.  Your FT4 is barely in range.  What about Free T3?

 

Val

 

 

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of Farah Rahbar

Dr. Grim:

I've been feeling quite exhausted lately. I thought that perhaps I have

hypothyroid in added to my PA.As it turns out my cortisol

is rather quite low, meaning 2.1(normal according to the lab is 4.0 - 22.0)

I am

currently on 75mgs Aldactone for the past 4 yrs and

1000 vitamind D (for the past yr)

 

the

reason I went to the doctor is because  in the past month suddenly been

experiencing a lot of exhaustion and fatigue and sudden weight gain. Today I

looked at low cortisol symptoms on mayo clinic site

that pretty much it appears thats what I have -all of

the  following symptoms- which I am pasting from mayo clinic's symptoms

for low cortisol :

Muscle weakness and fatigue, my muscles are hurting so much, I was

blaming it on low K but its not the case

Weight loss and decreased appetite - (except I have

gained weight tremendously suddenly from 115 lbs to 123 in just a month)

Low blood pressure, even fainting (my bp has been

under 120/80 consistently, feeling very tired, exhausted)

Salt craving (I have to search my cupboards for salty things or craving

bread  which I usually dont eat)

Low blood sugar (hypoglycemia), my 2 hour test was 89 after drinking the

syrup so that not bad

Nausea, diarrhea or vomiting (been feeling nausea off and on)

Muscle or joint pains (a lot of it, lots and lots)

Irritability - thats me lately

Depression - feeling rather depressed lately off and on

Acute adrenal failure (addisonian

crisis)

Sometimes, however, the signs and symptoms of 's disease may appear

suddenly. In acute adrenal failure (addisonian

crisis), the signs and symptoms may also include:

Pain in your lower back, abdomen or legs - no back pain but some abdomen and leg

pain

Severe vomiting and diarrhea, leading to dehydration NO

Low blood pressure

Loss of consciousness - NO

High potassium (hyperkalemia)

- My current K is

rather higher than its ever been but still

within range 4.7 (reference range is 3.5 - 5.3)

In fact due to all these symptoms and weight gain I was sure

that my thyroid was acting up but according to the lab results my thyroid is

quite within normal range - TSH, 2.03(reference range 0.40 - 4.50), Thyroxine Free .9 (reference range 0.8-1.8)

 

 surprisingly my cortisol is

quite low at 2.1 taken at 8.30 am(normal for this time should be 4.0-22). I

thought us PA people usually have higher cortisol!!

ACTH is 6 (normal range 6-40), I had to take one Dex pill at 11:00 pm the night before taking the blood

test 

No adrenalectomy as I've been

diagnosed with hyperplasia.

 

 

I am yet to see my endo next week to

discuss the lab result.

Does anyone else have same kind of symptoms and PA all together?

this is my first experience with it after taking Aldactone

for the past 4 years. could this mean that one of my adrenal glands may be

failing or not functioning? 

 

I appreciate any suggestions.

 

Thank You,

Farah

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Can u list what they dx are and how many does one need to make a dx? What tests are done to confirm dx? What trials can I IFind that show treating the Dx makes pt and tests better?Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertensionOn Feb 28, 2010, at 11:50 AM, Stone <astone312@...> wrote:



Many people would disagree with you. The people on the Cushings boards and several websites give symptoms of adrenal fatigue.

Dr. Grim a question for you on low cortisol

Dr. Grim:I've been feeling quite exhausted lately. I thought that perhaps I have hypothyroid in added to my PA.As it turns out my cortisol is rather quite low, meaning 2.1(normal according to the lab is 4.0 - 22.0) -

I am currently on 75mgs Aldactone for the past 4 yrs and 1000 vitamind D (for the past yr)

the reason I went to the doctor is because in the past month suddenly been experiencing a lot of exhaustion and fatigue and sudden weight gain. Today I looked at low cortisol symptoms on mayo clinic site that pretty much it appears thats what I have -all of the following symptoms- which I am pasting from mayo clinic's symptoms for low cortisol :

Muscle weakness and fatigue, my muscles are hurting so much, I was blaming it on low K but its not the case Weight loss and decreased appetite - (except I have gained weight tremendously suddenly from 115 lbs to 123 in just a month)

Low blood pressure, even fainting (my bp has been under 120/80 consistently, feeling very tired, exhausted)

Salt craving (I have to search my cupboards for salty things or craving bread which I usually dont eat) Low blood sugar (hypoglycemia), my 2 hour test was 89 after drinking the syrup so that not bad

Nausea, diarrhea or vomiting (been feeling nausea off and on)

Muscle or joint pains (a lot of it, lots and lots) Irritability - thats me lately

Depression - feeling rather depressed lately off and on

Acute adrenal failure (addisonian crisis)Sometimes, however, the signs and symptoms of 's disease may appear suddenly. In acute adrenal failure (addisonian crisis), the signs and symptoms may also include:

Pain in your lower back, abdomen or legs - no back pain but some abdomen and leg pain

Severe vomiting and diarrhea, leading to dehydration NO

Low blood pressure

Loss of consciousness - NO

High potassium (hyperkalemia) - My current K is rather higher than its ever been but still within range 4.7 (reference range is 3.5 - 5.3)

In fact due to all these symptoms and weight gain I was sure that my thyroid was acting up but according to the lab results my thyroid is quite within normal range - TSH, 2.03(reference range 0.40 - 4.50), Thyroxine Free .9 (reference range 0.8-1.8)

surprisingly my cortisol is quite low at 2.1 taken at 8.30 am(normal for this time should be 4.0-22). I thought us PA people usually have higher cortisol!!

ACTH is 6 (normal range 6-40), I had to take one Dex pill at 11:00 pm the night before taking the blood test

No adrenalectomy as I've been diagnosed with hyperplasia.

I am yet to see my endo next week to discuss the lab result.

Does anyone else have same kind of symptoms and PA all together? this is my first experience with it after taking Aldactone for the past 4 years. could this mean that one of my adrenal glands may be failing or not functioning?

I appreciate any suggestions.

Thank You,

Farah

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I would be tempted to take (preferably) a small amount of dessicated thyroid or some T4, especially if you have

thyroid antibodies.

Val

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of Farah Rahbar

Hi Val and Dr. Grim:

The doctor didn't test me for the T3 and T4. Just the tsh

which was 2.03(range .40-4.50) and Thyroxine-free is

0.9(range 0.8 - 1.8). It does appear that my thyroxine

free is on the low range of normal.

The only medications I am taking is 75mgs Aldactone

and 1000 Vit D

I dash, dont drink, don't smoke. I exercise lightly

these days much lighter than usual, mainly because I feel exhausted and drink a

cup of coffee with no sugar. I dont eat or drink any

soda or anything that contain sugar.

Farah

On Sun,

Feb 28, 2010 at 4:22 PM, Valarie <val@...>

wrote:

Farah,

your thyroid may be beginning to fail. Did you get antibody tests?

I feel much better when my TSH is about 1 and my Free T4 is above the middle of

the normal range. Your FT4 is barely in range. What about Free T3?

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Just my thoughts but I would think carefully before you start medicating

yourself and only do so with the full knowledge of your physician. If you still

have functioning regulation of your own thyroid hormone, adding exogenous

thyroxine will simply switch off the remaining manufacture and perhaps mean your

own gland is less responsive to fluctuations in demand. It is also likely to

throw off subsequent blood work, unless the lab know exactly what you are

taking.

> Farah, your thyroid may be beginning to fail. Did you get antibody tests?

> I feel much better when my TSH is about 1 and my Free T4 is above the middle

> of the normal range. Your FT4 is barely in range. What about Free T3?

>

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Ignore anything you read about adrenal fatiure. You have better things to do.And DASHCEGOn Feb 28, 2010, at 2:03 AM, moseleymand@... wrote:I've read to recover you must :Get to bed before 10, eat whole grain foods and low fat foodStop drinkingStop smokingStop caffineExcersise but gentle not to muchTake vit C, B vitamins,ProboticsCaffine raises cortisol, excersise raises cortisol, smoking etc...all stimulants forcing your vody to work when really your exhaustedA bit like driving a car with the breaks on!!!That's what all the info says basically take out all the stressors to the adrenals, to re charge :)Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Sat, 27 Feb 2010 22:05:01 -0800hyperaldosteronism <hyperaldosteronism >Subject: Re: Dr. Grim a question for you on low cortisol You do not have adrenal fatigue. It probably does not exis at least not in the science of medicine. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertensionOn Feb 27, 2010, at 5:31 PM, Farah Rahbar <farahbargmail> wrote: Thank you for the responses. so, what do I do to counter the adrenal fatigue?FarahOn Sat, Feb 27, 2010 at 11:07 AM, Clarence Grim <lowerbp2mac> wrote: Adrenal fatigue is a myth mostly.CE Grim MDOn Feb 27, 2010, at 2:16 AM, moseleymandhotmail (DOT) co.uk wrote:Good morning,I've had several low morning cortisol labs aswell. I've also REALLY craved salt at times, increased allergies, nausea, weight loss, cold, loss of appetite,Muscle weakness, dry skin etc my tsh is 0.68 T3 3.5 (4-6.5) (T4 13.2 (12-22) but some of these symptoms like you say can be from PA also.I think its must be possible to have thyroid/adrenal problems along side PA. This could be dangerous with the salt cravings for low cortisol people. The high K is just as dangerous as low K from what I've read.My mum has hypot / adrenal problems. I also wonder if I could have Thyroid problems from my mum along side PA.Although, in that blog hyperaldosterone diagnosis. The author mentions the adrenal fatigue connection with PASent using BlackBerry® from OrangeFrom: Farah Rahbar <farahbargmail>Date: Fri, 26 Feb 2010 23:44:42 -0800<hyperaldosteronism >Subject: Dr. Grim a question for you on low cortisol Dr. Grim:I've been feeling quite exhausted lately. I thought that perhaps I have hypothyroid in added to my PA.As it turns out my cortisol is rather quite low, meaning 2.1(normal according to the lab is 4.0 - 22.0) - I am currently on 75mgs Aldactone for the past 4 yrs and 1000 vitamind D (for the past yr)the reason I went to the doctor is because in the past month suddenly been experiencing a lot of exhaustion and fatigue and sudden weight gain. Today I looked at low cortisol symptoms on mayo clinic site that pretty much it appears thats what I have -all of the following symptoms- which I am pasting from mayo clinic's symptoms for low cortisol :Muscle weakness and fatigue, my muscles are hurting so much, I was blaming it on low K but its not the caseWeight loss and decreased appetite - (except I have gained weight tremendously suddenly from 115 lbs to 123 in just a month)Low blood pressure, even fainting (my bp has been under 120/80 consistently, feeling very tired, exhausted)Salt craving (I have to search my cupboards for salty things or craving bread which I usually dont eat)Low blood sugar (hypoglycemia), my 2 hour test was 89 after drinking the syrup so that not badNausea, diarrhea or vomiting (been feeling nausea off and on)Muscle or joint pains (a lot of it, lots and lots)Irritability - thats me latelyDepression - feeling rather depressed lately off and onAcute adrenal failure (addisonian crisis)Sometimes, however, the signs and symptoms of 's disease may appear suddenly. In acute adrenal failure (addisonian crisis), the signs and symptoms may also include:Pain in your lower back, abdomen or legs - no back pain but some abdomen and leg painSevere vomiting and diarrhea, leading to dehydration NOLow blood pressureLoss of consciousness - NOHigh potassium (hyperkalemia) - My current K is rather higher than its ever been but still within range 4.7 (reference range is 3.5 - 5.3)In fact due to all these symptoms and weight gain I was sure that my thyroid was acting up but according to the lab results my thyroid is quite within normal range - TSH, 2.03(reference range 0.40 - 4.50), Thyroxine Free .9 (reference range 0.8-1.8) surprisingly my cortisol is quite low at 2.1 taken at 8.30 am(normal for this time should be 4.0-22). I thought us PA people usually have higher cortisol!!ACTH is 6 (normal range 6-40), I had to take one Dex pill at 11:00 pm the night before taking the blood test No adrenalectomy as I've been diagnosed with hyperplasia.I am yet to see my endo next week to discuss the lab result.Does anyone else have same kind of symptoms and PA all together? this is my first experience with it after taking Aldactone for the past 4 years. could this mean that one of my adrenal glands may be failing or not functioning? I appreciate any suggestions.Thank You,Farah

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Ignore anything you read about adrenal fatiure. You have better things to do.And DASHCEGOn Feb 28, 2010, at 2:03 AM, moseleymand@... wrote:I've read to recover you must :Get to bed before 10, eat whole grain foods and low fat foodStop drinkingStop smokingStop caffineExcersise but gentle not to muchTake vit C, B vitamins,ProboticsCaffine raises cortisol, excersise raises cortisol, smoking etc...all stimulants forcing your vody to work when really your exhaustedA bit like driving a car with the breaks on!!!That's what all the info says basically take out all the stressors to the adrenals, to re charge :)Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Sat, 27 Feb 2010 22:05:01 -0800hyperaldosteronism <hyperaldosteronism >Subject: Re: Dr. Grim a question for you on low cortisol You do not have adrenal fatigue. It probably does not exis at least not in the science of medicine. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertensionOn Feb 27, 2010, at 5:31 PM, Farah Rahbar <farahbargmail> wrote: Thank you for the responses. so, what do I do to counter the adrenal fatigue?FarahOn Sat, Feb 27, 2010 at 11:07 AM, Clarence Grim <lowerbp2mac> wrote: Adrenal fatigue is a myth mostly.CE Grim MDOn Feb 27, 2010, at 2:16 AM, moseleymandhotmail (DOT) co.uk wrote:Good morning,I've had several low morning cortisol labs aswell. I've also REALLY craved salt at times, increased allergies, nausea, weight loss, cold, loss of appetite,Muscle weakness, dry skin etc my tsh is 0.68 T3 3.5 (4-6.5) (T4 13.2 (12-22) but some of these symptoms like you say can be from PA also.I think its must be possible to have thyroid/adrenal problems along side PA. This could be dangerous with the salt cravings for low cortisol people. The high K is just as dangerous as low K from what I've read.My mum has hypot / adrenal problems. I also wonder if I could have Thyroid problems from my mum along side PA.Although, in that blog hyperaldosterone diagnosis. The author mentions the adrenal fatigue connection with PASent using BlackBerry® from OrangeFrom: Farah Rahbar <farahbargmail>Date: Fri, 26 Feb 2010 23:44:42 -0800<hyperaldosteronism >Subject: Dr. Grim a question for you on low cortisol Dr. Grim:I've been feeling quite exhausted lately. I thought that perhaps I have hypothyroid in added to my PA.As it turns out my cortisol is rather quite low, meaning 2.1(normal according to the lab is 4.0 - 22.0) - I am currently on 75mgs Aldactone for the past 4 yrs and 1000 vitamind D (for the past yr)the reason I went to the doctor is because in the past month suddenly been experiencing a lot of exhaustion and fatigue and sudden weight gain. Today I looked at low cortisol symptoms on mayo clinic site that pretty much it appears thats what I have -all of the following symptoms- which I am pasting from mayo clinic's symptoms for low cortisol :Muscle weakness and fatigue, my muscles are hurting so much, I was blaming it on low K but its not the caseWeight loss and decreased appetite - (except I have gained weight tremendously suddenly from 115 lbs to 123 in just a month)Low blood pressure, even fainting (my bp has been under 120/80 consistently, feeling very tired, exhausted)Salt craving (I have to search my cupboards for salty things or craving bread which I usually dont eat)Low blood sugar (hypoglycemia), my 2 hour test was 89 after drinking the syrup so that not badNausea, diarrhea or vomiting (been feeling nausea off and on)Muscle or joint pains (a lot of it, lots and lots)Irritability - thats me latelyDepression - feeling rather depressed lately off and onAcute adrenal failure (addisonian crisis)Sometimes, however, the signs and symptoms of 's disease may appear suddenly. In acute adrenal failure (addisonian crisis), the signs and symptoms may also include:Pain in your lower back, abdomen or legs - no back pain but some abdomen and leg painSevere vomiting and diarrhea, leading to dehydration NOLow blood pressureLoss of consciousness - NOHigh potassium (hyperkalemia) - My current K is rather higher than its ever been but still within range 4.7 (reference range is 3.5 - 5.3)In fact due to all these symptoms and weight gain I was sure that my thyroid was acting up but according to the lab results my thyroid is quite within normal range - TSH, 2.03(reference range 0.40 - 4.50), Thyroxine Free .9 (reference range 0.8-1.8) surprisingly my cortisol is quite low at 2.1 taken at 8.30 am(normal for this time should be 4.0-22). I thought us PA people usually have higher cortisol!!ACTH is 6 (normal range 6-40), I had to take one Dex pill at 11:00 pm the night before taking the blood test No adrenalectomy as I've been diagnosed with hyperplasia.I am yet to see my endo next week to discuss the lab result.Does anyone else have same kind of symptoms and PA all together? this is my first experience with it after taking Aldactone for the past 4 years. could this mean that one of my adrenal glands may be failing or not functioning? I appreciate any suggestions.Thank You,Farah

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Ignore anything you read about adrenal fatiure. You have better things to do.And DASHCEGOn Feb 28, 2010, at 2:03 AM, moseleymand@... wrote:I've read to recover you must :Get to bed before 10, eat whole grain foods and low fat foodStop drinkingStop smokingStop caffineExcersise but gentle not to muchTake vit C, B vitamins,ProboticsCaffine raises cortisol, excersise raises cortisol, smoking etc...all stimulants forcing your vody to work when really your exhaustedA bit like driving a car with the breaks on!!!That's what all the info says basically take out all the stressors to the adrenals, to re charge :)Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Sat, 27 Feb 2010 22:05:01 -0800hyperaldosteronism <hyperaldosteronism >Subject: Re: Dr. Grim a question for you on low cortisol You do not have adrenal fatigue. It probably does not exis at least not in the science of medicine. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertensionOn Feb 27, 2010, at 5:31 PM, Farah Rahbar <farahbargmail> wrote: Thank you for the responses. so, what do I do to counter the adrenal fatigue?FarahOn Sat, Feb 27, 2010 at 11:07 AM, Clarence Grim <lowerbp2mac> wrote: Adrenal fatigue is a myth mostly.CE Grim MDOn Feb 27, 2010, at 2:16 AM, moseleymandhotmail (DOT) co.uk wrote:Good morning,I've had several low morning cortisol labs aswell. I've also REALLY craved salt at times, increased allergies, nausea, weight loss, cold, loss of appetite,Muscle weakness, dry skin etc my tsh is 0.68 T3 3.5 (4-6.5) (T4 13.2 (12-22) but some of these symptoms like you say can be from PA also.I think its must be possible to have thyroid/adrenal problems along side PA. This could be dangerous with the salt cravings for low cortisol people. The high K is just as dangerous as low K from what I've read.My mum has hypot / adrenal problems. I also wonder if I could have Thyroid problems from my mum along side PA.Although, in that blog hyperaldosterone diagnosis. The author mentions the adrenal fatigue connection with PASent using BlackBerry® from OrangeFrom: Farah Rahbar <farahbargmail>Date: Fri, 26 Feb 2010 23:44:42 -0800<hyperaldosteronism >Subject: Dr. Grim a question for you on low cortisol Dr. Grim:I've been feeling quite exhausted lately. I thought that perhaps I have hypothyroid in added to my PA.As it turns out my cortisol is rather quite low, meaning 2.1(normal according to the lab is 4.0 - 22.0) - I am currently on 75mgs Aldactone for the past 4 yrs and 1000 vitamind D (for the past yr)the reason I went to the doctor is because in the past month suddenly been experiencing a lot of exhaustion and fatigue and sudden weight gain. Today I looked at low cortisol symptoms on mayo clinic site that pretty much it appears thats what I have -all of the following symptoms- which I am pasting from mayo clinic's symptoms for low cortisol :Muscle weakness and fatigue, my muscles are hurting so much, I was blaming it on low K but its not the caseWeight loss and decreased appetite - (except I have gained weight tremendously suddenly from 115 lbs to 123 in just a month)Low blood pressure, even fainting (my bp has been under 120/80 consistently, feeling very tired, exhausted)Salt craving (I have to search my cupboards for salty things or craving bread which I usually dont eat)Low blood sugar (hypoglycemia), my 2 hour test was 89 after drinking the syrup so that not badNausea, diarrhea or vomiting (been feeling nausea off and on)Muscle or joint pains (a lot of it, lots and lots)Irritability - thats me latelyDepression - feeling rather depressed lately off and onAcute adrenal failure (addisonian crisis)Sometimes, however, the signs and symptoms of 's disease may appear suddenly. In acute adrenal failure (addisonian crisis), the signs and symptoms may also include:Pain in your lower back, abdomen or legs - no back pain but some abdomen and leg painSevere vomiting and diarrhea, leading to dehydration NOLow blood pressureLoss of consciousness - NOHigh potassium (hyperkalemia) - My current K is rather higher than its ever been but still within range 4.7 (reference range is 3.5 - 5.3)In fact due to all these symptoms and weight gain I was sure that my thyroid was acting up but according to the lab results my thyroid is quite within normal range - TSH, 2.03(reference range 0.40 - 4.50), Thyroxine Free .9 (reference range 0.8-1.8) surprisingly my cortisol is quite low at 2.1 taken at 8.30 am(normal for this time should be 4.0-22). I thought us PA people usually have higher cortisol!!ACTH is 6 (normal range 6-40), I had to take one Dex pill at 11:00 pm the night before taking the blood test No adrenalectomy as I've been diagnosed with hyperplasia.I am yet to see my endo next week to discuss the lab result.Does anyone else have same kind of symptoms and PA all together? this is my first experience with it after taking Aldactone for the past 4 years. could this mean that one of my adrenal glands may be failing or not functioning? I appreciate any suggestions.Thank You,Farah

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