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Thyroid (Expert Forum)

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acth deficiency

Answered by

Mark Lupo, M.D. - Thyroid Nodules, Thyroid Cancer, hyperthyroidism, hypothyroidism, Thyroid Ultrasound

Thyroid & Endocrine Center of Florida Sarasota - FL

Questions in the Thyroid forum are answered by Dr. Mark Lupo. Topics covered include goiter, graves disease, Hashimoto's thyroiditis, hyperthyroid, hypothyroid, thyroid cancers, thyroiditis, and thyroid stimulating hormone (TSH).

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MedHelp Member's Question

acth deficiency

by lkaye, Jul 11, 2007 12:00AM

Tags: acth, deficiency, pituitary, thyroid, ACTH Deficiency, pituitary gland, adrenal, Arthritis, cortisol, dose, endocrinologist, fatigue, Health, knee, years

My 80 year old mother-in-law has suffered from Cushings Disease for years. Recent tests show no acth production. Her endocrinologist wants her to stay on 15mg of cortisol per day (10/5). She has additional health problems--bulging disk, arthritis, recent knee surgery. She has terrible fatigue and weakness. Is this dosage sufficient? Should she be on additional replacements? She received the lab report in the mail with no follow-up from her doctor and no idea what is next. They haven't checked her pituitary or other areas.

Doctor's Answer

by Mark Lupo, M.D.

, Jul 12, 2007 12:00AM

20mg/day is the usually minimum dose for a patient whose body makes no cortisol -- but, cushings disease is an over-production, so perhaps she's been treated for this and now has an under-production? The symptoms are not-specific, but can be seen in adrenal insufficiency.

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