Need help from the experts, child with adrenal fatigue

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I have a 12 yr old whoe saliva test was bad. It indicates stage 7

fatigue. Depressed morning, noon and evening cortisol. Borderline low

dhea (maladapted stage 1).

Anyway, as you can imagine..she's not a happy or well child. She

presents with symptoms as well as symptoms of Hypothyroid. (TSH is 3.04)

I am running the gammet of doctors right now..and need to know exactly

what testing we should be asking these people for. They seem to

poo-poo the saliva panel..saying that they did not think this was

entirely the problem. (huh? seems obvious to me). I am hesitant to use

HC on a child.

She has been on adrenal cortex for over a year, which helps control

the anxiety and a few other symptoms.

I hear about ACTH stim tests? Is that a bad idea? Serum cortisol? Do

we need to know if this is pituitary problem or gland problem? I am

buried in papers and books over here, and have tons of info on both

hypoadrenal and hypothyroid. And everything points to her problems

being related to this. I emailed the chief of ped endo at the big city

hospital near here. but not expecting to find that he will have much info.

She even shakes all the time now, her hand writing has gotten bad, I

could make pages of the symptoms..and she needs help. Others??