Your free (unbound) AM cortisol could be even lower, if your result indicates
It seems that you have a cortisol dysregulation (your day time cortisol is low and your night time is high-re: sleep quality issues) and ideally you should get tested for 4x cortisol (saliva test), as it also may interfere with thyroid function.
The adrenals down-regulate thyroid function for recovery and re-balance and till this is corrected, thyroid regulation may not only be difficult to achieve, its regulation also might impede the ability of the adrenals to re-balance.
I hope you have a good endocrinologist who is willing to address this.
Most endos ignore "sub-clinical" lab results and as long as the patient is
not suffering from a real crisis, they also ignore the symptoms, which could be severe enough to affect the patient's quality of life dramatically!
Im thinking a little along those lines too. I've just ordered myself a private test and will see what comes out.
I've got some new results from my private test. ORdered an Adrenal Stress test. Results are:
Sample 1: 13.7 (12-22)
Sample 2: 8.5 (5.0 - 9.0)
Sample 3: 5.6 (3.0 - 7.0)
Sample 4: 5.2 (1.0 - 3.0)
I can't but help think Sample 1 is a bit low, but Sample 4 is actually out of range for when I go to sleep. No wonder I suffer with sleeping.
On top of this, DHEA:
0.61 am, 0.57pm, DHEA : Cortisol Ratio - 1.79 (2.0 - 6.0), and DHEA Mean 0.59 (0.40 - 1.47).
I think my DHEA is a bit low too.
I would say you appear more on the Cushing's side than AI with a loss of diurnal rhythm and an elevation at night. That was how I was with my Cushing's.
The symptoms can overlap. Lived/live them both.
Loss of diurnal rhythm? Can you explain?
Normal diurnal rhythm is highest in the morning and lowers throughout the day. So yours (as was mine) is opposite as you are high at night.