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A 23-year-old female asked:

24-hr salivary cortisol tests showed dangerously low levels. one-off blood test showed abnormally high levels. treatment with hc denied. advice?

1 doctor answer1 doctor weighed in
Dr. Ed Friedlander
Pathology 46 years experience
I'm puzzled: Please forgive my confusion. Have you had an acth stimulation test? With your history, you are right to be concerned about autoimmune addisonism. If you feel as if you have this, and/or are confused by your labs or have poor rapport with the physician who worked you up, it's time for another opinion. Stay proactive and good luck.
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Last updated Apr 10, 2013


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