A member asked:

Cortisol saliva test very high, but dexa suppression test normal. have had fatigue, low bp, weakness for years. which test to believe, and what now?

A doctor has provided 1 answer

Cushing's: There are several ways to screen for Cushings: 24 hr urine cortisol, overnight dex suppression, and midnight salivary cortisol. All would be altered if you took a steroid suppository. All need confirmation from other tests. Intermittant steroid use can cause symptoms of Cushing's, but no reason to think there is a tumor if you are taking steroids. You may need to see an Endocrinologist.

Answered 11/20/2014

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