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A member asked:
I did a salivary cortisol test (4 times of day), and the waking sample was low. i always feel fatigued in morning, sometimes deathly-fatigued. is this grounds for trip to endocrinologist?
6 doctors weighed in across 2 answers
Well....: cannot say in your particular case, but generally, this is what you look for in depression. A course of antidepressant would be one option.
Answered 10/15/2017
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Yes: While their is no clear indication of adrenal insufficiency, it will be necessary if indicated to do cosyntropin stimulation to rule it out especially if symptoms are subjective. Other causes could also be explored
Answered 11/24/2018
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People also searched for:
Help! I have fatigue, brain fog, dizziness (upon waking only). My 24hr salivary cortisol results were very low which instigated a serum cortisol test (8am 11.2 Mcg/d)l and a plasma acth (8am 16 pg/ml) my A1C was 4.8. Should I do a stimulation test?
I have very high levels of DHEA (480) but borderline low cortisol (3.7). Endocrinologist says PCOS. I worry about adrenal fatigue. Should I worry?
If cortisol blood test came back normal, could salivary cortisol lab show diff? Dr is checking for adrenal fatigue.
Causes of weight loss despite eating like pig (fast food, mini muffins, sugared bevs)? Normal CBC. Low-end salivary cortisol. Other Sx are fatigue, sleep issues, and excessive urination. More likely adrenal failure or cancer, and what kind?
Why are saliva and urine tests for cortisol only valid for high cortisol? Why don't endocrinologists feel saliva testing is valid for low cortisol?
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