How Can Salivary Cortisol Results Be Interpreted?
Question: I was looking for an interpretation of my 11pm salivary cortisol results. I have issues with hyperadrenergic symptoms for many years. Unable to gain or maintain weight and weight loss. I have recently went back to a former endocrinologist who ordered this test. Follow up in 2 weeks but picked up my own results. I am concerned about going under anesthesia for an endoscopy/colonoscopy not knowing what my cortisol results mean. I have heart palpitations a lot. My new endo doesn't know I'm having this procedure on Friday..being a different health network
The cortisol levels look low to me, there is no information about the 11pm levels to reference
The cortisol levels look low to me, there is no information about the 11pm levels to reference
Brief Answer:
About weight loss.
Detailed Answer:
Hello,
The symptoms you described are suggestive for underproduction of cortisol (XXXX disease) that is confirmed by a synacthen stimulation test.
Cortisol in saliva help to diagnose overproduction of Cortisol ( Cushing syndrome). Cortisol in saliva does not have a minimum level but is signicative when it is higher than normal.
Regarding to your symptoms, I would suggest to check thyroid function ( TSH, Ft4 and Ft3) catecholamines (free plasma metanefrines) and a synacten stimulation test.
These are the most common endocrinological pathologies manifested with weight loss.
Hope the information will help.
Regards,
Dr. Mirjeta Guni
Endocrinologist
About weight loss.
Detailed Answer:
Hello,
The symptoms you described are suggestive for underproduction of cortisol (XXXX disease) that is confirmed by a synacthen stimulation test.
Cortisol in saliva help to diagnose overproduction of Cortisol ( Cushing syndrome). Cortisol in saliva does not have a minimum level but is signicative when it is higher than normal.
Regarding to your symptoms, I would suggest to check thyroid function ( TSH, Ft4 and Ft3) catecholamines (free plasma metanefrines) and a synacten stimulation test.
These are the most common endocrinological pathologies manifested with weight loss.
Hope the information will help.
Regards,
Dr. Mirjeta Guni
Endocrinologist
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Above answer was peer-reviewed by :
Dr. Kampana