Re: Too Thin and Weepy Eyes


Eleanor Kellon, VMD
 
Edited

A reminder that reference ranges for ACTH aren't "normals" any more than the ones for insulin are.  It's a statistically generated range. If you talk about ceilings or cutoff values instead, it's more like 28 to 30 outside of the seasonal rise months https://www.thelaminitissite.org/news/ppid-weekly-acth-cutoffs-now-being-used . When you add in the possibility of lab error or poor sample handling, a value in high 20s with symptoms warrants an adjustment.
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Eleanor in PA

www.drkellon.com 
EC Owner 2001

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