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Elevated ACTH?

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Have any of you with high candida kids seen a temporary spike in ACTH levels

when candida was flaring and then a decrease later? A friend's child had a

ACTH level of 111 (top ref range of 47) and then a few weeks later the test

showed ACTH at 71 -- still high but a big drop. The doc wants an MRI but they

couldn't get her to go to sleep with the pills so will need to do general

anethesia (which she's had a bad reaction to in the past) to get an MRI. In

searching for info on ACTH, I saw a vague mention of candida infestations

possibly

leading to autoimmune adrenal problems but couldn't find much more. Anyone know

about this or other reasons for such an elevated number?

Gaylen

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By far the most likely reason for this elevation is mild adrenal

insufficiency, or a functional inadequacy of adrenal cortical

secretions. This is very commonn in heavy metal tox.

They obviously are not seeing a real doctor and they do need to find

one. The point of the exercise is not to punish the kid and insurance

company with expensive and unnecessary testing. The easier test is

give the kid hydrocortisone for a while and see if ACTH normalizes and

symptoms are reduced.

An ACTH secreting tumor that only raises it to 111 will almost

certainly not be visualizable on MRI anyway, and in any case such

tumors very rarely reduce their output when you take hydrocortisone.

71 and 111 are really not very high. over 1,000 is high enough that an

immediate MRI would be worth the risks of sedation.

A real doctor is important at this point, which probably means no

endocrinologists.

Andy . . . . . . .. . . . . .. . . . . . .

> Have any of you with high candida kids seen a temporary spike in ACTH levels

> when candida was flaring and then a decrease later? A friend's child had a

> ACTH level of 111 (top ref range of 47) and then a few weeks later the test

> showed ACTH at 71 -- still high but a big drop. The doc wants an MRI but they

> couldn't get her to go to sleep with the pills so will need to do general

> anethesia (which she's had a bad reaction to in the past) to get an MRI. In

> searching for info on ACTH, I saw a vague mention of candida infestations

possibly

> leading to autoimmune adrenal problems but couldn't find much more. Anyone

know

> about this or other reasons for such an elevated number?

> Gaylen

>

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