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Originally Posted by SPE Perfectly normal? Yeah right. If your cortisol doesn't double after an ACTH stim test, you have adrenal insufficiency. |
He even checked my result with another endo, because I told him I thought he might be wrong. Same answer.
Found this text regarding interpreting a ACTH
test on this website
http://www.arup-lab.com/guides/clt/tests/clt_fro7.jsp (scroll down a little)
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Interpretation: Normally, serum cortisol will increase by greater than 7 µg/dL with a peak serum cortisol greater than 20 µg/dL. Note that the peak value is more important than the incremental change, since an incremental change may be absent in stressed patients where adrenal output of cortisol is already maximally stimulated by endogenous ACTH.
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According to this both love_en and myself are pretty darn "normal".
JH