San Jose, CA
A 53-year-old male asked about a 17-year-old female:
We did cortisol test and it was 546.5 nmol/l. she suffers from underactive thyroid and vitamin d deficiency. according to lab its 2% above the normal range . shall we consider a problem in cortisol? can thyroid contribute to this or vitamin d?
1 doctor answer • 2 doctors weighed in

Dr. Clarence Grimanswered
Endocrinology 59 years experience
Testing for adrenal cortisol diseases (low or high) is complex and needs to be based on history, physicial, family history, meds being taken. Thyroid can contribute if VERY VERY low for a very long time. You did not say if test was saliva, or blood or urine and always send normal values for that lab. Best to consult with one of us here via video or better yet continue with the DR you are with.
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