Low Cortisol, Low Aldosterone, Low ACTH. What does this mean?

[Deleted member 17030]

I was in the ER 3 weeks ago, amongst the many labs they did my Cortisol, Aldosterone and ACTH all came back way low and they want me to see an Endo. Earliest apt I could get was March 14[SUP]th[/SUP]. I have no idea what I am facing. What is the ramifications of these test results below?

[TABLE="width: 0"]
[TR]
[TH]Component ACTH
[/TH]
[TH]Your Value
[/TH]
[TH]Standard Range
[/TH]
[/TR]
[TR]
[TD]Adrenocorticotrophic
[/TD]
[TD]<5 pg/mL
[/TD]
[TD]6 - 50 pg/mL
[/TD]
[/TR]
[/TABLE]

[TABLE="width: 0"]
[TR]
[TH]Component
[/TH]
[TH]Your Value
[/TH]
[TH]Standard Range
[/TH]
[/TR]
[TR]
[TD]CORTISOL,RANDOM
[/TD]
[TD]0.3 ug/dL
[/TD]
[TD]ug/dL
[/TD]
[/TR]
[TR]
[TD="colspan: 3"]CORTISOL REFERENCE RANGE
AM: 6.0-18.4 ug/dL
PM: 2.7-10.5 ug/dL
[/TD]
[/TR]
[/TABLE]

[TABLE="width: 0"]
[TR]
[TH]Component
[/TH]
[TH]Your Value
[/TH]
[TH]Standard Range
[/TH]
[/TR]
[TR]
[TD]Plasma Renin Activity, LC/MS/MS
[/TD]
[TD]0.08 ng/mL/h
[/TD]
[TD]0.25 - 5.82 ng/mL/h
[/TD]
[/TR]
[TR]
[TD]Aldosterone LC/MS/MS
[/TD]
[TD]2 ng/dL
[/TD]
[TD]SEE COMMENT ng/dL
[/TD]
[/TR]
[TR]
[TD="colspan: 3"](NOTE)
Adult Reference Ranges for Aldosterone,
LC/MS/MS:
Upright 8:00-10:00 am < or = 28 ng/dL
Upright 4:00-6:00 pm < or = 21 ng/dL
Supine 8:00-10:00 am 3-16 ng/dL
[/TD]
[/TR]
[/TABLE]

[TABLE="width: 0"]
[TR]
[TH]Component
[/TH]
[TH]Your Value
[/TH]
[TH]Standard Range
[/TH]
[/TR]
[TR]
[TD]CORTISOL,AM
[/TD]
[TD]0.4 ug/dL
[/TD]
[TD]6.0 - 18.4 ug/dL
[/TD]
[/TR]
[TR]
[TD="colspan: 3"]REFERENCE INTERVAL IS FOR A 8 AM SPECIMEN


[/TD]
[/TR]
[/TABLE]

 

[ratbag]

I wouldn't be able to get out of bed with those numbers. Just google Low ACTH.

 

[Deleted member 17030]

Funny thing is I have None of the symtpoms listed for low ACTH or Low Cortisol.

ACTH deficiency . Symptoms include weight loss, lack of appetite (anorexia), muscle weakness, nausea and vomiting, and low blood pressure (hypotension). Low blood levels of sugar and dilutional hyponatremia (low blood sodium levels) may occur;

In fact I have the polar opposte of the above. I have weight gain, hungry all the time, no nausea or vomiting, and mildly high blood pressure that I take meds for, and high sugar and salt not low levels lol.

I am tired all the time so something is not adding up.