saliva testing results

[balancedmama]

I got my saliva test results back yesterday and wondered if any of the wise ones in this forum could offer insight as to the next steps I should take. I took it primarily to see if I was dealing with adrenal fatigue. I am completely exhausted about 90% of the day and sleep does nothing to relieve it. I feel like I'm in a fog most of the time. Posted in the adrenal thread but I generally dont' get any input in there.

Free Cortisol Rhythm
Morning 19 Normal (13-24 nM)
Noon 10 Normal (5-10 nM)
Afternoon 17 Elevated (3-8 nM)
10:00pm 5 Elevated (1-4 nM)

Cortisol Burden: 51 (23 - 42)


DHEA
Pooled Value 13 Elevated
Adults (M/F): 3-10 ng/ml

Insulin
Fasting <3 Normal: 3-12 uIU/mL
Non-Fasting <3 Depressed Optimal: 5-20 uIU/mL

P17-OH 17-OH Progesterone 75 Normal
(Optimal: 22-100 pg/ml
Borderline: 101-130 pg/ml
Elevated: >130 pg/ml )

Total Salivary SIgA 6 Depressed
(Normal: 25-60 mg/dl
Borderline: 20-25 mg/dl)

Gliadin Ab, SIgA (Saliva) 12 Negative
(Borderline: 13-15 U/ml
Positive: >15 U/ml)

Any thoughts?

[balancedmama]

No one? I could really use some help here...feeling miserable, barely able to care for my family.

[tanyalynn]

Originally Posted by balancedmama

Ack, I just typed out all of my saliva results and then accidentally closed the window.

Okay, here I go again...

Free Cortisol Rhythm
Morning 19 Normal (13-24 nM)
Noon 10 Normal (5-10 nM)
Afternoon 17 Elevated (3-8 nM)
10:00pm 5 Elevated (1-4 nM)

Cortisol Burden: 51 (23 - 42)


DHEA
Pooled Value 13 Elevated
Adults (M/F): 3-10 ng/ml

Insulin
Fasting <3 Normal: 3-12 uIU/mL
Non-Fasting <3 Depressed Optimal: 5-20 uIU/mL

P17-OH 17-OH Progesterone 75 Normal
(Optimal: 22-100 pg/ml
Borderline: 101-130 pg/ml
Elevated: >130 pg/ml )

Total Salivary SIgA 6 Depressed
(Normal: 25-60 mg/dl
Borderline: 20-25 mg/dl)

Gliadin Ab, SIgA (Saliva) 12 Negative
(Borderline: 13-15 U/ml
Positive: >15 U/ml)

Any thoughts?

Missed this, saw your other thread... thoughts working backwards...

Negative to gliadin isn't significant if sIgA is low, I believe, and low sIgA needs to be considered and addressed, it's an important part of the immune system. I'd be thinking about problem-solving digestive stuff, but also immune system stuff, you can start with basics like vitamin D (tested recently? supplementing? the vitamin D council website is a good place to read, they've got a quick getting-going page), zinc, anything that's odd along these lines to use to problem-solve.

I know next to nothing about insulin/blood sugar stuff.

Progesterone I assume is okay, the cortisol pattern seems to follow the general shape here (but DHEA doesn't fit, I don't know why that would be...)

http://www.chronicfatigue.org/ASI%203.html

Look through the other stages, the 7-stage model seems pretty helpful to me, stage 1 is normal/healthy and stage 7 is barely able to function.

From your other thread, it sounds like you feel pretty crappy, is that a fair assessment? If I can give a guess, and it's only a guess, maybe your adrenals are starting to go downhill, but something else is off, because that cortisol pattern doesn't seem severe enough on its own to make you feel really bad. Had thyroid labwork done recently, with TSH and free-T3 and free-T4? Any autoimmune stuff in the family, or in your history? Possibility of celiac?

That's my best guess, but I'm just a recovering sickie.

I'll copy/paste this over, just in case.

[tanyalynn]

A few others for severe fatigue... have you tested iron and ferritin? Low ferritin, even in range, can cause fatigue even before iron goes low. B12 deficiency can cause fatigue (plus other weird symptoms), it's easy to test, and even easier to supplement on your own, you'd want a sublingual hydroxycobalamin or methylcobalamin, not cyanocobalamin, and see if it does anything.