A 30-year-old female asked:

24 hours urinary free cortisol level(3 samples) is high,but acth (blood)is normal.have i got cushing's syndrome or these values depends to my obesity?

1 doctor answer2 doctors weighed in
Dr. Matt Wachsman
A Verified Doctoranswered
Internal Medicine 38 years experience
Depends on the level: but it's a reason to get a simple ultrasound to look at adrenals and ovaries. (a slight elevation of the cortisol is not very specific and while correlating with obesity which causes which gets ...tricky. A BIG elevation of it pretty much has to be from overproduction by the adrenals).
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Dr. Michael Kleerekoper
A Verified Doctor commented
A US doctor answered Learn more
I agree, but why hasn't the doctor discussed all of this with the patient?
Oct 18, 2015
Last updated Oct 18, 2015


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