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A 28-year-old female asked:

Besides addisons disease and adrenal insufficiency what can cause your cortisol to be in the low/normal range all day, and below normal before bed?

2 doctor answers5 doctors weighed in
Dr. Karen Dantin
Family Medicine 38 years experience
Multiple: can do with some of the other hormones too.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Richard Greenwald
Podiatry 43 years experience
Cortisol: The pituitary hormone called adrenocorticotrophic hormone, or ACTH, regulates cortisol production by adrenals. If ACTH is low, this causes low cortisol prdcn, AKA secondary adrenal insufficiency. Taking cortisol-like medication, ie., prednisone, suppresses ACTH, upon cessation of the drug, ACTH can be low for a spell. Also may involve autoimmune condition autoantibodies injure cells-See your doc-
Created for people with ongoing healthcare needs but benefits everyone.

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Last updated Jan 5, 2019

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