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Originally Posted by chasingtime i would find it hard to believe that i would have a tumor immediately following castration and i think its adrenal insufficiency. salt sounds simple but how do you get cortisone. and what are PVC's or tachycardia? did you also have cold sweats and feel crappy? my t is 787 and e is 35...
one more thing, are you saying this test will not work for adrenal insufficiency? |
Cortisone is available from out of country. Getting it past Customs is another story. Usually, you need 25-35 mg hydrocortisone, 5 mg prednisone or 6 mg methyl prednisolone daily to replace cortisone. If you need a lot of salt, that means your aldosterone is low as well. Replacement for that is 0.05-0.1 mg fludrocortisone.
I never had cold sweats. But for the longest time, I started the day with severe nausea, had that after every meal, and warm weather would guarantee I would be sick. The only good days were ones that were cold and cloudy. BTW, I am in Honolulu, Hawaii, so it is hot and humid all year long. PVC's are a type of arrhythmia that is easily detected because of the long gaps between heart beats. Tachycardia is the medical term for a rapid pulse. Mine was 100 and my blood pressure was not normal as well 110/40.
If the doctor were looking for adrenal insufficiency, he would run an ACTH stimulation
test and draw a serum ACTH before doing the stim
test. The problem is, I have seen doctors interpret those tests in such a way that many cases of adrenal insufficiency are missed. If a doctor wanted to rule out adrenal insufficiency, he would question a serum cortisol that did not go above 50 units 60 minutes post ACTH injection. The reason I was not diagnosed and forced to self treat is the doctor decided that 37 units was adequate. Note that my base cortisol was 28 units. The other pitfall is some doctors expect doubling of cortisol post injection, however there the issue of a base reading as low as 10 or 15 units doubling to 20 or 30. I highly doubt, I would be in such bad shape if my cortisol did double and peak at 50+. What skews the tests towards these false negatives is what kind of people get stim tests. I have trouble believing a healthy man stims only to 37. Serum ACTH is good for helping to determine if your adrenal insufficiency is due to pituitary failure or adrenal gland failure. In pituitary failure, serum ACTH is low. For adrenal failure, ACTH is high. Reason is, ACTH is the hormone signal to the adrenals, as LH and FSH is to the testes.
Re: what is endo looking for with this test? 
Linear Mode
