Guest guest Posted July 3, 2008 Report Share Posted July 3, 2008 HI Jane You actually don't need to stop your thyroid medication to get your adrenals tested - either for the 24 hour salivary adrenal profile or for the short synacthen test. I would not recommend anybody to take the short synacthen test unless there was a serious possibility they have 's disease, as stated previously, this test would make a dead donkey kick. The 24 hour salivary adrenal profile is much better. Luv - Sheila morning all, can anyone tell me about this test and how long you had to be off your thyroid meds prior to taking it? many thanks jane No virus found in this incoming message.Checked by AVG. Version: 8.0.101 / Virus Database: 270.4.4/1530 - Release Date: 02/07/2008 08:05 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 3, 2008 Report Share Posted July 3, 2008 again, thanks sheila, i asked because of the very unsatisfactory visit to the endo on monday, because of my suppressed tsh and a high resting heartbeat (i am moderately hypertensive) he stopped the thyroxin that my nice little gp had been prescribing for me, i also got the lecture on how abused thyroxin was, how awful of me to want to take something that makes me feel better, i had just been on 100 of thyroxin for a month and was starting to feel slightly more human. the upshot was that he would book further tests for me one was a mri of my pituitary gland and the other was a crh/trh stimulation test which i believe is the short synacthen test. i read up on the internet about that and i agree, it really isn't a test i want unless really necessary, the mri i will have. i think the nhs has now forced my hand and i will start on armour. fortunately i sent for some awhile ago on a just in case basis. sorry for going on abit but i am so angry with the little endo i could scream ! he even said that it is not uncommon for a woman of my age (53) to be unable to move off the couch after 2 p.m. anyway enough of my ranting ! regards jane > > HI Jane > > You actually don't need to stop your thyroid medication to get your adrenals tested - either for the 24 hour salivary adrenal profile or for the short synacthen test. I would not recommend anybody to take the short synacthen test unless there was a serious possibility they have 's disease, as stated previously, this test would make a dead donkey kick. The 24 hour salivary adrenal profile is much better. > > Luv - Sheila > > > > morning all, can anyone tell me about this test and how long you had > to be off your thyroid meds prior to taking it? many thanks jane > > > > > > > -------------------------------------------------------------------- ---------- > > > > No virus found in this incoming message. > Checked by AVG. > Version: 8.0.101 / Virus Database: 270.4.4/1530 - Release Date: 02/07/2008 08:05 > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 3, 2008 Report Share Posted July 3, 2008 Poor you Jane, On behalf of women in their 50's, of which I am one, I find his low expectations of our afternoons offensive!Very bad form! Good luck, x > > again, thanks sheila, i asked because of the very unsatisfactory > visit to the endo on monday, because of my suppressed tsh and a high > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 8, 2010 Report Share Posted July 8, 2010 Hi Margaret Read the following from Wikipedia http://en.wikipedia.org/wiki/ACTH_stimulation_test .. ACTH stimulation test Preparation. The person must fast at least 8 hours before the test which should be started by 10 am, but as close to 7 am as possible. The test shouldn't be given if on glucocorticoids, pregnenolone, or adrenal extract supplement as these will affect test results. Stress and recently administered radioisotope scans can artificially increase levels and may invalidate test results. Spironolactone, contraceptives, licorice, estrogen, androgen (including DHEA) and progesterone therapy may also affect both aldosterone and cortisol stimulation test results. If aldosterone is to be stimulated, salt and foods significant in sodium must be fasted for 24 hours prior to testing. This allows aldosterone to rise as far as possible. Women must test the first week of their cycle or aldosterone (and occasionally cortisol) results may appear ok in the last half of the cycle when progesterone is higher (progesterone breaks down into aldosterone and cortisol).[9] Thanks very much for confirming what I feared. What an absolute waste of time, effort and petrol plus NHS costs of now having to repeat the test. Bad enough happening to myself and the guy waiting too but having the same happen to your sister makes me think it is not uncommon then! I am going to complain to the consultant's secretary as was the other person waiting and now I can add that the test was too late and ask how much these cost. The guy waiting with me told me that he had complained about the registrar whom I had also seen. When he asked the registrar about his experience in endocrinology he replied that he was a 'novice'! It doesn't exactly instill confidence does it. Another thing I didn't know was that registrars spend a year in different departments. It is very depressing when you sit and think of the state of the NHS and that it is probably too enormous a task to drag it into the 21st century and it will therefore never improve. Thanks again, Margaret No virus found in this incoming message. Checked by AVG - www.avg.com Version: 8.5.439 / Virus Database: 271.1.1/2988 - Release Date: 07/07/10 18:38:00 Quote Link to comment Share on other sites More sharing options...
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