Do normal levels of 11-deoxycortisol indicate adequate ACTH reserves?
My cushing's symptoms have returned, and I am going to have a lot of testing.
My 11-deoxycortisol (serum) level was in the lab's normal range. I believe this means that I have adequate ACTH reserves. Does this also mean that I must be producing acth on my own again?
Some more info needed.
11 deoxycortisol is not the only lab exam that confirms or rules out an overproduction of ACTh and cortisol.
You need to check ACTH and free urinary cortisol at the 24-hour urine.
The fact that 11 deoxy is within the normal ranges is a good news.
If you have other blood tests, please attach them.
Hope I have answered your query.
Dr Mirjeta Guni, Endocrinologist