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» LymeNet Flash » Questions and Discussion » Medical Questions » Best test to have adrenals checked?

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Author Topic: Best test to have adrenals checked?
Tammy N.
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Thanks.
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Lymetoo
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Saliva test .. I think it's DiagnosTech or something like that.

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Opinions, not medical advice!

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OtterJ
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Blood test and any lab can do this. Get all of your hormones checked.
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ukcarry
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The trouble with the blood test for cortisol, for example, is that doctors tend to want you to have it first thing in the morning and that may be a point at which your levels are higher.

If the saliva tests are accurate, at least you do them at 4 different points during the day. The overall level in a one draw blood test may be deceptively within the normal range or near it, with you still having one or more really low points. I had two severely low measurements ina saliva test, but the first saliva tube 8.00 am was not too bad.

[ 03-25-2013, 02:02 PM: Message edited by: ukcarry ]

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lax mom
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My saliva test was through this lab:

http://www.aeron.com/

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MannaMe
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the 4 four vials of saliva test is the best one. I also think it was Diagnostech.... or something like that.
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Keebler
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IMO, there is no test that will tell us what we would really like to know. We have to listen to our bodies. I would put money toward support.

Unless you are considering Cortef, I would not bother. It's just a fact that the entire adrenal system is stressed big time during lyme and that support is required.

Go by how you feel with such support, as you figure out what works best for your body. But don't expect support to all of the sudden make you feel normal again. It just can't do that as long as lyme & all are still in the picture.

Still, with certain support, you should fee better able to tolerate stimuli and have a bit better endurance as long as you still monitor closely your need to rest and move wisely.


http://flash.lymenet.org/ubb/ultimatebb.php/topic/1/89790

Topic: NATURAL SLEEP & ADRENAL SUPPORT
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GiGi
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Saliva tests are colored/influenced/distorted by any amalgam/metals and/or plastics in mouth. That is why Dr. K. does not base treatment on these results.

(he recently mentioned at a seminar)

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Sammi
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I agree with lax mom.

Saliva testing is much better, and Aeron Labs is good for this testing. My insurance even covered part of it.

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Tammy N.
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Thanks for the replies.

I just got back from my LLMD appt. She gave me a test kit from Genova. It's for 4 vials of saliva. I know no test is perfect, but I'm still going to do it.

It looks like ins may cover part of it, so that would be great.

Thanks.

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daynise
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BioHealth Laboratories is the lab my recent adrenal test came from. It was a one day, 4 vial, saliva test and it showed abnormalities, so I think it's a pretty good one.

Oh just saw you got one- good luck!!

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lax mom
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Any saliva test is better than treatment based on guessing.

I had asked my LLMD for Cortef recently because I was certain my cortisol was flat...wrong. My salivary cortisol levels were very, very high.

I shudder to think what would have happened if I blindly added Cortef to that adrenal mess.

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kim812
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The cortisol levels can change in a minute....there is no good test for this but if you want to test then the saliva is the best one. My doctor told me none of them are really accurate.
Any little bit of stress and it just has to be a tiny could raise the level anytime of day.

The other test to see if the adrenals can react to stress properly is the ACTH STIM test. They use an IV to put a stressor into your body and in 30 min and 60 min check the cortisol levels to see if the adrenals responded to the stress inducer. I had it done a few years back but can't remember what they use in the IV.

My saliva showed flat line throughout the day but the ACTH test showed my adrenals could pump out the cortisol when needed. So in my opinion that is the best test...

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Tammy N.
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Thanks again for the replies.

I've had it so drilled into my head that steroids are a no-no for Lymies. Is Cortef different? Or can it suppress the immune system and would it be best to avoid?

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lax mom
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My LLMD uses it when cortisol has completely flat lined.

This book is pretty good:

http://adrenalogic.com/

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Keebler
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It's all about the dose. Details here:


http://flash.lymenet.org/scripts/ultimatebb.cgi?ubb=get_topic;f=1;t=119975;p=0

Cortef ? Physiological replacement dose range is discussed here.

Adrenal links & sleep support, too.


IF a higher than physiological dose is involved, this really matters:

http://flash.lymenet.org/scripts/ultimatebb.cgi/topic/1/100984?#000000

Topic: what do (typical) STEROIDS actually do to us? And how they can be a disaster for those with lyme.
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Keebler
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It's best to first employ adrenal support and see if that will do the trick. If additional help is required, Cortef may be the ticket.

For others' experiences, search in the subject line for either

Cortef - or - Hydrocortisone

http://flash.lymenet.org/scripts/ultimatebb.cgi/ubb/search/search_forum/1

LymeNet Archives
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Sammi
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You can find a great chart "Signs and Symptoms: Adrenal Fatigue vs. Low Thyroid Function" at
http://drrind.com/therapies/metabolic-symptoms-matrix

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Tammy N.
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Thanks again for the replies.

Sammi - very cool chart! I have a combo of both, but tend to have more of the adrenal symptoms. Very interesting. Thanks.

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Sammi
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You are welcome!

Good luck with the testing.

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