Do your Adrenal Stress Index (ASI) results match your symptoms?

Discussion started by Maff 8 years ago

Hi all,

 

I have posted my latest Adrenal Stress Index (ASI) results in the group photos section (admittedly from a few years ago).

 

I wanted to say how well they correspond with how I feel subjectively during the day. My morning cortisol is on the low side and this corresponds with an inability to get out of bed and get going until 11am. In fact I get my best quality sleep 6am - 10am. Equally my night time cortisol is high and between 10pm and 2am I feel as awake and productive as at any time during the day...obviously this makes it hard to get to bed and get to sleep before 2am!

 

Given this it amazes me that the ASI is ignored by conventional medicine in general and endocrinologists especially. It is after all, used routinely in medical research and saliva adrenal hormone levels have shown excellent correlation with blood levels.

 

Anyway, my main point with this discussion was to ask if anyone else who has had an ASI has seen their results match how they feel so well?

 

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Maff
Maff
You could do it either way Deb, depending on what you wanted to test. You're absolutely right in what you've said. If you kept taking your supplements and did another test you would see if the supplements had brought your hormones back into the normal range i.e. they would be working and worth the money! Or you could stop the supplements (take the test away on holiday haha!) and then the results would represent how your adrenals were functioning on their own. This way would give you an idea if anything you had done (supplements, medication, lifestyle changes/stress reduction, diet etc) had improved your adrenal function since the last time you were tested.
8 years ago
debg
debg
Maff,
Thanks for your advice. If I ran another Adrenal Stress Profile would I take all my adrenal supplements as normal to see where they are putting me or would I stop them to see where I am naturally? Though I think it would have to be when I'm on holiday!!!
Deb
8 years ago
Maff
Maff
Hi Deb,

I'm surprised the combination of Siberian Ginseng and Liquorice didn't help as I found both of those to be very potent. Too potent in fact - I can't take them continuously or I quickly end up being unable to sleep at all!

I'm glad to hear you've been working with Dr. Peatfield. He lectured on my degree course and was a nice guy as well as clearly knowing his stuff. I suppose feeling "okish" on the prednisolone is better than feeling terrible but obviously not what you would like. I think you need to see an endo before jumping to any conclusions. Your cortisol would have to be chronically high for Cushing's syndrome to be a concern. Have you thought about doing another Adrenal Stress Profile test to see if your cortisol levels are now higher than before?

Absolutely true about adrenal and thyroid issues being inextricably linked. Generally you can't try to increase thyroid function until the adrenals are functioning well or you'll just overstimulate things. I believe Dr. Peatfield says as much in his book.

I would go see an endo as suggested by your GP just for peace of mind if you're worried about Cushing's. Good luck!
8 years ago
debg
debg
Hi Maff,

I've not yet found anything yet that I can honestly say helps. I'm taking Nutri Thyroid Extra and I introduced Siberian Ginseng and Liquorice Tincture but it didn't seem to help.

Dr Peatfield then suggested hydrocotisone (Cortef imported) as physiological dose- I took 20g spaced out throughout the day but I didn't see any improvement. I now take 5g of prednisolone and feel okish. The problem is that my GP has run a cortisol morning blood test and has found my cortisol level is sky high- and now wants to send me to see an endo. I'm a bit worried myself about the possibility of Cushing's syndrome- but sometimes all these things are a balance and I'm managing at the moment and I can't give up work.

So like everyone else on here, I'm struggling to find an answer. I see Dr Peatfield again next week so he might have further suggestions.

As far as adrenal fatigue in general goes, I believe it was brought about by a thyroid problem and I dont think you cant treat one without the other.
Deb
8 years ago
Maff
Maff
Hi debg, yes an Adrenal Stress Profile is the same test I'm talking about, the various labs just use slightly different names. If it involves taking saliva samples at set points through the day and measures cortisol and DHEA...that's the one!

Good to hear that your results match your symptoms too. I think this is such a great test for that reason. Some tests cost a fortune and don't really tell you anything useful or confirm or deny suspicions about what the problem is.

Sounds like your circadian rhythm is fine so your body knows when to secrete cortisol...it just doesn't give you enough to get through the day! Not surprised you like to have a good afternoon nap. My cortisol hits a trough at 4pm before increasing into the night and I feel like having a snooze in the afternoon too.

What have you done in the way of treatment since getting your results? If I had your results I would probably try taking something like ginseng around lunch time to get me through the afternoon. Hope you have found something that helps!
8 years ago
debg
debg
Is an adrenal stress index the same as an adrenal stress profile? I had mine done through Genova
If so, then Yes, my test results match how I feel!

My results showed I was in range in the morning (!) but cortisol bottoms out after about 4 hours and is still too low after a further 4 - and boy do I know about it around about 2 o'clock in the afternoon!! An afternoon nap when possible is good. Fortunately my levels stay low enough for me to get to sleep at night, but usually I'm wide awake at 4 which means the cycle starts all over again.

So yes, the results exactly match!
8 years ago

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