Diagnosis of Cushing: A 24 hr urine cortisol is used to help in the diagnosis of cushings syndrome (high cortisol). It is a useless test for the diagnosis of low cortisol (addison's disease). The normal range is really to indicate where the upper limit of normal is, not the lower limit. Your level was normal, and therefore not consistent with hypercortisolism.
Answered 5/9/2018
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