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Joined: Apr 2008
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Posts: 335
Teresa,

The tests usually ordered by doctors for adrenal function, are ones that gauge the adrenals ability to respond to stimulation from a burst of glucose or the ACTH hormone. That latter one is a pituitary hormone that stimulates the adrenals to produce cortisol.
What patients really need is a multi-level test that gives a reading of cortisol levels at different times during the day, so that the circadian rhythm is established. Some patients can have a normal morning reading, in fact even an elevated one but their level at mid or late day, drops to very low normal or even clinically low.
Many pharmacies are now carrying the "ZRT Labs" brand of multi-reading saliva adrenal tests, so you might check with your surround area pharmacies or look at the tests on ZRT's website,
here>> www.salivatest.com .

Even research articles published on PubMed state that saliva testing of adrenal cortisol is accurate and they also state that a single reading may not be sufficient to test for mild adrenal insufficiency in conditions that cause it.

"Cortisol levels peak in early morning and need to be collected before patients rise in the morning; and determining single levels of hormones that are secreted in a pulsatile fashion may not be representative of normal functioning."

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Last edited by JimLow - Thyroid Health; 07/25/08 01:11 PM.

Jim Lowrance
Thyroid Health
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The trouble is getting the drs to do the saliva test. That is supposedly the most accurate as it tests 4 times in 24 hours.

Has anyone heard of using cortizone cream for adrenal fatigue?

Thyroid and adrenal fatigue equals one big mess that is almost impossible to clean up!

Joined: Apr 2008
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pmcgall,

Yes I have, in fact have corresponded with patients who were prescribed higher strength creams to treat their cortisol and sex hormone imbalances.
When a patient does use a cream or any other cortisol raising treatment, they need to retest their cortisol and sex hormone levels at regular intervals, similar to how thyroid restesting is done. The saliva tests are good for testing all of these hormones.
I remember seeing mention of creams used for hormone replacement on different websites.
There's a good website called womantowoman that has pages on adrenal fatigue.
Here's one of those pages:

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Jim Lowrance
Thyroid Health
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