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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 answer • 2 doctors weighed in
Dr. Jesse Krakauer
Dr. Jesse Krakaueranswered
Endocrinology 47 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.
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Dr. Clarene Cress
Dr. Clarene Cress agrees1 doctor agrees

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Last updated Feb 22, 2016

Found in:

Blood›Low blood pressure›Hypotension

People also asked

Lightheaded, fatigue, low blood pressures, salt cravings. On very high salt and florinef. Normal AM cortisol. Doctor ordered ACTH stim test. What is that checking and will it likely be normal since AM cortisol was normal?
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