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A 51-year-old female asked:

Always so cold, low blood pressure 77/42 sometimes. low blood sugar. acth stimulation test ok. but sometimes low cortisol. ideas?

1 doctor answer2 doctors weighed in
Dr. Jesse Krakauer
Endocrinology 46 years experience
Sounds adrenal: B"sd this is challenging - does sound like adrenal insufficiency - probably due to hypothalamic / pitiutary dsyfunction. The options are extensive work up, or limited work up with a trial of glucocorticoids and possibly mineralcorticoid - fludrocortisone. Steroid therapy has its own significant side effects, so needs to be expertly managed, with frequent attempts to wean off the steroids.
Last updated Feb 22, 2016

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