Hi All, I haven't posted here in a while because I've been busy going to doctors to try and figure out what I have. I thought I had POTS and NMH, possibly chronic fatigue (had some of the markers, not all) and polycystic ovarian syndrome. Then my GYN called and said my FSH and LH were quite low and she felt I had some type of hypothalamic/pituitary insufficiency. She said this was not consistent with polycystic ovarian syndrome. Pituitary insufficiency can lead to adrenal and thyroid gland problems. My cardiologist also agreed that I have some sort of adrenal insufficiency. I have all the symptoms of Addison's/adrenal insufficiency that is secondary to a pituitary problem. My doc recommended I read Dr. Teitelbaum's book and although overwhelmed, found it very interesting. I still think I most closely have adrenal insufficiency symptoms. Here's the problem. I went to the endo and she gave me the ACTH stim test. My results were 20.9 baseline, 28.1 1/2 hour and 22.7 at 1 hour. The endo said this was perfectly fine. According to Dr. Teitelbaum's book, he felt you should increase by at least 7 at 1/2 hour and 11 at 1 hour, and reach at least 35. My cardiologist agrees with this and prescribed low dose Cortef. Has anyone tried this? I am very nervous about going on steroids but I think I am actually going to try them as I am sick of being sick and with my lab work coming back the way it did, it all seems to link into an adrenal problem, even though the endo said it was good. I hope this doesn't sound too confused, but I am very confused at this point. Anyone have any thoughts on Dr. Teitelbaum's plan or the Cortef treatments. Thanks for any help, Elaine P.S. My thyroid is also underactive according to the latest test (even the endo agreed), and this links into everything Teitelbaum is saying. Haven't started thyroid meds yet as they can cause a racing heart and palpitations and I have enough of that. I've decided to try Cortef first then ease into thyroid meds.