Top
30
Doctor insights on: Fatigue Cortisol Level

Share
1

1
I have a cortisol level of 0.8. Can that cause weight gain, extreme fatigue, joint pain. Low bp, heart palpitations? What should I do?

I have a cortisol level of 0.8. Can that cause weight gain, extreme fatigue, joint pain. Low bp, heart palpitations? What should I do?

Complicated: Normal 8 am cortisol is 8-23 micrograms per deciliter. Since you don't use units, it's not clear if you're normal or not. Moreover, even if it's low as I think you're hinting, your Symbicort (budesonide and formoterol) may have suppressed it. A cortrosyn stimulation test is needed. Finally, low cortisol could cause fatigue and low BP, but not the other symptoms. Clearly, you need to stay under your doctor's care! ...Read more

Dr. Tony Willson
418 doctors shared insights

Cortisol Level (Definition)

Cortisol is what the body produces. It is often obtained to check if your body's adrenal gland (which produces the cortisol) is functioning well especially after one has been taking cortisone (prednisone) for a long time. Sometimes it is used to screen out over-production of cortisone by the body ...Read more


2

2
My cortisol level was 739nmol/L is this normal or should I be concerned?

My cortisol level was 739nmol/L is this normal or should I be concerned?

Depends on the time: would be helpful to know what the laboratories reference range is, as cortisol levels vary over the course of the day. When was the sample obtained? ...Read more

3

3
Recent tests showed my 9am plasma cortisol level was high (644 nmo/L ref range 170 - 550nml/L) and 11pm salivary cortisol normal. What can this mean?

Recent tests showed my 9am plasma cortisol level was high (644 nmo/L ref range 170 - 550nml/L) and 11pm salivary cortisol normal. What can this mean?

Stress: Chronic stress can cause elevated cortisol--although it could also be due to your diabetes. I suggest DHEA (dehydroepiandrosterone), 25 mg in the morning. DHEA should help to normalize your cortisol, and help you handle stress. I also suggest 1,000 mg mastic gum (available on line or from a health food store) for your abdominal distress--may be able to discontinue Rabeprazole. ...Read more

4

4
What's the "normal" cortisol level?

What's the "normal" cortisol level?

Varies thru the day: "normal values for a blood sample taken at 8 in the morning are 6 - 23 micrograms per deciliter (mcg/dl). The examples above are common measurements for results for these tests. Normal value ranges may vary slightly among different laboratories." http://www.Nlm.Nih.Gov/medlineplus/ency/article/003693.Htm. ...Read more

5

5
Will mildly elevated cortisol level lead to weight gain?

Will mildly elevated cortisol level lead to weight gain?

Maybe...: Excess glucocorticoid, whether natural or ingested, is certainly involved in redistribution of body fat. For a more specific answer i'd discuss with an endocrinologist (or a good primary) in person. ...Read more

6

6
Blood test Cortisol level 19.9 what does it means thank you?

 Blood test Cortisol level 19.9 what does it means thank you?

Meaningless: Was the blood drawn in the AM or PM.
Ask the provider who drew it what he was looking for and how to interpret the results ...Read more

7

7
What is a 8am cortisol level test for? Why 8am? Is that hour your highest level?

What is a 8am cortisol level test for?  Why 8am?  Is that hour your highest level?

Cortisol: An 8 am cortisol level measures the function of the adrenal gland. It is done at 8 am because the levels are usually higher. ...Read more

8

8
What would you say are medical indications of a high cortisol level and a high sed rate?

Let me explain: Cushing's syndrome is a condition that results from dramatically elevated levels of cortisol in the bloodstream.
The sedimentation rate blood test measures how quickly red blood cells settle in a test tube in one hour. The more red cells that fall to the bottom of the test tube in one hour, the higher the sed rate.
Find out if inflammation is present some place in the body. ...Read more

9

9
My cortisol level is 26.5. What is normal? I got the test done around 4pm and it was a blood test.

My cortisol level is 26.5. What is normal? I got the test done around 4pm and it was a blood test.

Depends: On why it was checked. A cortisol >40 is diagnostic of cushing's syndrome, a disease caused by too much cortisol. A random cortisol of >18 rules out adrenal insufficiency, a disease of too little cortisol. ...Read more

10

10
Morning (5 am) cortisol level is 1. (normal range 6- 22.6 ). Is it dangerous for it to be that low? Been having increasing ambiguous symptoms.

Morning (5 am) cortisol level is 1. (normal range 6- 22.6 ). Is it dangerous for it to be that low? Been having increasing ambiguous symptoms.

Low cortisol: If you are not suppressing cortisol production by taking some form of steroid hormone, this level is very low, and raises suspicion for addison's disease. There are many symptoms associated, including weakness, fatigue, low blood pressure, etc. One morning cortisol is not diagnostic; you need an acth test, which is not complicated. See your doctor right away. This is easily treated. ...Read more

11

11
What does it mean to high cortisol in the am and normal cortisol level in the pm? I have been struggling with weight gain for over a year now.

What does it mean to high cortisol in the am and normal cortisol level in the pm? I have been struggling with weight gain for over a year now.

It depends: Upon what "high" means. It's most likely normal since it falls to normal in the pm. See you doctor if you have questions. He can easily do an overnight suppression test as an outpt. ...Read more

12

12
My cortisol level has been low for the 2nd time in the morning. I received a cortisone shot in the beginning of November. Would this make it low?

My cortisol level has been low for the 2nd time in the morning. I received a cortisone shot in the beginning of November. Would this make it low?

Cortisol: Cortisone shot from November will not affect your blood cortisol 3 months later. Presumably you are getting a cortisone shot in an affected arthritic joint? Why is a blood cortisol being measured repeatedly? Cortisol levels bounce around a lot and an isolated level means little. Does your doctor think you have Addison's disease? Maybe you should see an Endocrinologist. ...Read more

13

13
How bad is morning cortisol level of 40? Endocronolgist isn't concerned, she said only concerned if it's low. I'm 31 yr old female the is very active

How bad is morning cortisol level of 40? Endocronolgist isn't concerned, she said only concerned if it's low. I'm 31 yr old female the is very active

High AM Cortisol: A morning cortisol level of 40 is elevated. It may not be "bad", but it is outside conventional range for morning cortisol. Stress can elevate cortisol, but this value is high. Either you are very stressed, or you have an ongoing secretion excess that requires evaluation, diagnosis, and management. More testing needed, such as 24 hr urine collection, suppresion testing, ACTH testing, & imaging ...Read more

14

14
My cortisol level was 15.3 ug/dl. What does this mean?

Depends: When it was done.
Cortisol levels are higher in the am (15.3 would be normal) then in the pm (this level would be too high for the pm) ask your doctor why he/she drew it in the first place. ...Read more

15

15
What is the definition or description of: cortisol level?

What is the definition or description of: cortisol level?

The body secretes : Cortisol is what the body produces. It is often obtained to check if your body's adrenal gland (which produces the cortisol) is functioning well especially after one has been taking cortisone (prednisone) for a long time. Sometimes it is used to screen out over-production of cortisone by the body as in cushing's disease. ...Read more

16

16
How can I normalize my blood cortisol level?

Usually serious: You need to see a physician especially an endocrinologist to find out the cause. With the possible exception of low cortisol levels due to exogenous cortisone intake other causes of abnormal levels require specialist intervention. Don't play doctor! ...Read more

17

17
What does it mean when your cortisol level in your blood is low?

What does it mean when your cortisol level in your blood is low?

Addison's disease: A very low cortisol could be addison’s disease, but this is relatively rare, and “low cortisol” is way over-diagnosed; the term “adrenal fatigue” is sometimes used, which is a fake diagnosis. If someone says you have this, see an endocrinologist for confirmation. ...Read more

18

18
What should I do if my cortisol level is high on the 24 hour test?

What should I do if my cortisol level is high on the 24 hour 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

19

19
My cortisol level is 6.7. It's way low in normal range. Reason for concern?

My cortisol level is 6.7.  It's way low in normal range. Reason for concern?

Probably not...: ... But the more important question is why was the cortisol level drawn in the first place? Reference ranges for cortisol are almost meaningless as cortisol levels are affected by so many things... Including time of day, one's stress level, etc. Having said that, in some contexts, an 8am cortisol value of 6.7 mcg/dl might be considered a bit low. Best to get the advice of the doctor who drew it. ...Read more

20

20
What types of illness can cause blood cortisol level to be double from normal level?

What types of illness can cause blood cortisol level to be double from normal level?

Cushings: Syndrome but stress, obesity, contraveptives might also elevate. You need a Decadron (dexamethasone) supression test ...Read more

21

21
I have just been diagnosed with acute low cortisol level. What food is appropriate?

No food.: Low cortisol requires taking cortisone or a related hormone. Food is not a treatment. ...Read more

22

22
What causes low cortisol level even after you have been on medication s for more than six months?

What causes low cortisol level even after you have been on medication s for more than six months?

Need more informatio: What medications have you been on? How do know your cortisol level is low? Do you have any symptoms? We need more information to provide any reasonable answer. ...Read more

23

23
What does it mean when my cortisol level is 0.7 at 8am after a dose of dexamethasone the night before?

What does it mean when my cortisol level is 0.7 at 8am after a dose of dexamethasone the night before?

Normal: Hi. Your doctor ran a standard screening test for Cushing's syndrome, the overnight dexamethasone suppression test. Your cortisol in response to dexamethasone suppressed normally (normal cortisol suppression should be less than 1.8 or so). Therefore, the data are consistent with you not having Cushing's syndrome. ...Read more

24

24
My s-cortisol level are 288 & S-ferritin 13. Is that ok? Friends say cortisol have to be 400+ & ferritin 100+. Do not know the referens.

Discuss with yr doc: My ferritin reference range for adult females is 10-150. You're toward the low end, & low is caused by iron deficiency: get checked for iron deficiency & possible anemia as well. Serum cortisol levels are affected by numerous variables, esp. time of day: range AM: 7-25 mcg/dL & PM: 2-14 mcg/dL. You should discuss your findings with your primary medical provider or specialist. Hope that helps. ...Read more

26

26
How do multiple steroid shots effect cortisol level and adrenal functioning?

Cortisol shots: Cortisol shots will increase your blood cortisol level and look after your adrenal glands.

Please go online and look for "cortisol shots" - you will learn a lot. Take your time reading the several articles. ...Read more

28

28
I took xanax before my bloodwork and tested with a high cortisol level. Doesn't xanax reduce cortisol levels?

I took xanax before my bloodwork and tested with a high cortisol level. Doesn't xanax reduce cortisol levels?

No. HPA axis abn.: Must do w/u for Cushing's disease vs syndrome via endocrinologist. Anxiety stemming from endogenous depression also keeps cortisol high. A DST or dexamethasone suppression test, can help to distinguish it all. If not Cushing's, then, antidepressants likely to normalize high levels, avoiding tolerance by Xanax ...Read more

29

29
Is it normal after taking the overnight dexamethasone suppression test to have your cortisol level be <0.8 mcg/dl, also did not fast. ?

Is it normal after taking the overnight dexamethasone suppression test to have your cortisol level be <0.8 mcg/dl, also did not fast. 
?

Dex suppression test: 41 F from UT asks: Is it normal after taking overnight sex to have cortisol < 0.8 msg/dl and did not fast. ANS: To decide it it is normal I need to know a few more things. 1. What was the dose or Dex? 2. Why was it done? 3. What are the normal ranges for that lab? 4. What other meds were you taking? So can consult with me so i can get more details and answer better. But probably OK. ...Read more

30

30
Just recently had acht testing done thyroid was normal cortisol level was four collection time was early afternoon what does this indicate?

Just recently had acht  testing done  thyroid was normal  cortisol level was four   collection time was early afternoon  what does this indicate?

Clarification: You should discuss this with the physician who ordered the test but ur question required some clarification. First of all, acth testing has nothing to do with thyroid. Secondly, acth testing give u cortisol values at 3 different time points. Is the cortisol of 4 before or after acth was given? If before, we need to know the other values as well, if after, then this indicates adrenal insufficiency. ...Read more