Doctor insights on:
24 Hour Urinary Free Cortisol
24 hours urinary free cortisol level(3 samples) is high,but acth (blood)is normal.Have I got Cushing's syndrome or these values depends to my obesity?
Depends on the level: but it's a reason to get a simple ultrasound to look at adrenals and ovaries. (a slight elevation of the cortisol is not very specific and while correlating with obesity which causes which gets ...tricky. A BIG elevation of it pretty much has to be from overproduction by the adrenals). ...Read moreSee 1 more doctor answer
Im on medications like ginette 35, finasteride and aldactone (spironolactone).Will i be able to take a 24 hour free cortisol test?Will my medications affect the result
Test will work: Hi. Your BCP, finasteride, and spironolactone will not interfere with your 24-hour urinary cortisol test. PCOS is a "diagnosis of exclusion", meaning things like Cushing's may need to be excluded for PCOS to be a valid diagnosis. Your doctor has considered that Cushing's is possible, so has ordered the 24-hour UFC to screen for Cushing's. Good luck! ...Read more
It depends.: Usually, these are sent out to a reference laboratory, and run in batched. It may take a week to get reult4s reported back. ...Read more
My 24H urine cortisol test result shows free cortisol level as 5.44 ug/dl. Is this a normal level?
Not enough info: For a 24 hour urine free cortisol test, you want to know the total cortisol on 24 hours. It will be in mcg/24 hours. You are telling me the concentration without the volume of urine. It is the total cortisol that we need to know in 24 hrs. Also there are differences among lab assays and you generally need to follow the local labs referemce range. Typically if total is greater than 130 then high. ...Read more
I have to do a 24 hour cortisol/dhea test but decided to suspend it because i had a poor night's sleep. Was i right to suspend the test?
Confirmatory test: The 24 urine test is a screening test, so it should pick up most people who truly have excess cortisol, but will also be falsely high in some normal people. To confirm excess cortisol production, a 2 day suppression test is done by having you take a pill called Dexamethasone for 2 days then having you get labs done. ...Read more
See below: There is actually a wide range for normal and part of the range shifts with age. Your result is firngt in the middle of normal for your age. ...Read more