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Doctor insights on: How To Test Cortisol Levels

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How can you test cholesterol levels?

How can you test cholesterol levels?

Fasting lipids: You should fast for at least 8 hours and then have blood drawn for total cholesterol, triglycerides, HDL (good) cholesterol, and LDL (bad) cholesterol. The results need to be interpreted by a physician who also knows your detailed medical background in terms of whether you have hypertension, diabetes, heart/kidney disease, obesity, as well as smoking and family history. ...Read more

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How does stress relate to cortisol levels?

How does stress relate to cortisol levels?

Stress cortisol: 34 person of unknown age and gender and medical hx. Asks: How does stress relate to cortisol levels? ANS: very complex control system. Usually increases it. But do not know what you mean by "stress". Everyone's definition of what stresses them is different. Recommend googling this for better answers than we can give here. Check wikipedia as well. Then discuss with your Dr. ...Read more

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What can high cortisol levels do to you?

What can high cortisol levels do to you?

High Cortisol: High cortisol can cause a number of problems including diabetes, high bp, osteoporosis, cataracts, weight gain, emotional problems, muscle loss/weakness, stomach ulcers, and skin problems. ...Read more

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How can I normalize my blood cortisol level?

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

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Can a 24 urine cortisol test reliably rule out adrenal insufficiency? At what cortisol level?

Can a 24 urine cortisol test reliably rule out adrenal insufficiency? At what cortisol level?

Most helpful test: The 24 urine cortisol testing is one of the most sensitive tests and gives a better picture over the course of the day instead of just getting a sample from you a single time. There are blood tests and saliva tests which can be falsely be falsely elevated or falsely low depend L depending on your other medications and the time the test is performed. The best is to see an endocrinologist to help. ...Read more

Dr. Alvin Lin Dr. Lin
3 doctors agreed:
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What are DHT levels and how can I test the levels?

Dr. Alvin Lin Dr. Lin
3 doctors agreed:
What are DHT levels and how can I test the levels?

Dihydrotestosterone: Dht is one of two metabolites of testosterone (estradiol is the other). You can easily check for both via simple blood draw. Reference ranges will vary depending upon lab & equipment used, therefore specific test ordered. High Dht is associated w/hair loss & enlarged prostate. We can lower Dht w/5ari, eg Finasteride & dutasteride, but might increase Estradiol (think seesaw effect). So check both. ...Read more

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How can you raise your glucose level for a blood test?

How can you raise your glucose level for a blood test?

Why raise it?: You need to know the real level of blood sugar which varies from fasting levels to post-prandial levels(after eating food it goes up). ...Read more

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How to check testesterone levels .. and fertility ?

How to check testesterone levels .. and fertility ?

Visit a doctor...: Male fertility can be assessed by a combination of blood test (testosterone and other relevant hormone levels and tests for other potential medical issues) and semen/sperm analysis. The semen analysis is necessary, as we need to know that you have enough sperm that are able to move and can figure out where to go. ...Read more

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I have very high blood cortisol. How to reduce cortisol levels, what do you recommend?

I have very high blood cortisol. How to reduce cortisol levels, what do you recommend?

High cortisol: Walk in nature, meditate, take phosphatidyl serine, and/ or use adaptagenic herbs like ashwaganda to lower your cortisol levels. ...Read more

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How is energy related to blood glucose levels?

How is energy related to blood glucose levels?

Glucose metabolism: Glucose is the fuel for all cells. Low glucose levels mean not enough fuel for cells. Insulin is what makes the glucose enter a cell. If you have Insulin deficiency (type 1) or if there is Insulin resistance (type 2) -again glucose levels are high in the blood but not able to enter the cells (again the cells are starved for glucose)-one would feel tired ...Read more

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How to decrease creatinine levels?

How to decrease creatinine levels?

May not need to: Lab testing isn't "one size fits all." a lab may list 1.2 as the "upper limit of the reference range", but a muscular patient can and should have a higher level. When i was lifting daily, my creatinine stayed at 1.6, and an elite bodybuilder's is likely to 2.0 or so. The level itself doesn't make you sick; it's just one piece of information to tell whether there's kidney disease. ...Read more

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What can high cortisol levels mean?

What can high cortisol levels mean?

How high?: It depends on how high it is above normal? If mildly elevated and if you don't have symptoms of cushing's syndrome: fat at mid section, stretch marks in the abdomen, moon-face, buffalo humps...Then this might be just the way you are. If it's very high and you have symptoms of the above, see your doctor to make sure you don't have a pituitary or adrenal tumor overproducing cortisol. ...Read more

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How can you test for sugar levels in sweets?

How can you test for sugar levels in sweets?

Use the nutrition...: information listed on the package. If preparing food yourself, you can use the nutrition information for the individual ingredients, ie, sugar, flour, oil or butter, etc. To find out how it affects your blood sugar, testing can be done with glucose testing machines used regularly by individuals with diabetes. ...Read more

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How to interpret thyroid test results?

How to interpret thyroid test results?

No easy answer: The best way to interpret thyroid test results is to talk to your doctor. ...Read more

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What can cause elevated pm cortisol levels?

What can cause elevated pm cortisol levels?

Cortisol: Blood cortisol varies throughout the day. Although it tends to be higher in the am than the pm, it is pulsatile, and responds to stress. So it is not a simple matter to even define an elevated pm cortisol. Cushing's syndrome elevates both am and pm cortisol and removes the circadian pattern. You don't mention why this was measured. Suggest seeing an endocrinologist. ...Read more

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What can high pm cortisol levels mean?

Stress: There are many different causes of high cortisol. I will mention one- stress. Usually cortisol is high in am and low in pm. Recent studies are showing woman in the workforce having higher pm cortisol levels associated with job stress. Other causes of high pm cortisol should be addressed by your doctor. ...Read more

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If cancer was to cause elevated ferritin levels, how high would the levels get?

If cancer was to cause elevated ferritin levels, how high would the levels get?

Depends: It depends on the type of cancer. The highest levels are seen in an uncommon entity called hemophagocytic lymphohistiocytosis. You may consult this site for more information on this entity. http://www.hopkinsmedicine.org/healthlibrary/conditions/hematology_and_blood_disorders/hemophagocytic_lymphohistiocystosis_134,212/ ...Read more

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Can I test my cortisol levels if I am taking hc?

Can I test my cortisol levels if I am taking hc?

No: If you are taking Hydrocortisone you cannot measure a cortisol lvel. You would need to hold your hc before getting blood drawn. ...Read more

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What do they do if you have a high cortisol level? What other tests are done?

What do they do if you have a high cortisol level?  What other tests are done?

Suppression or urine: The 2 screening tests that can be performed are an overnight Dexamethasone suppression test (odst) or a 24 hour urine collection for cortisol. For the odst, you take Dexamethasone (a steroid) the night before you get blood drawn for a morning cortisol. The normal response to taking dex is a decrease in cortisol production. If one of these tests is abnormal, a 2 day dex test is done to confirm. ...Read more

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What kinds of tests do you take to determine your cortisol level to decide if you have excess cortisol?

What kinds of tests do you take to determine your cortisol level to decide if you have excess cortisol?

Suppression or urine: The 2 screening tests that can be performed are an overnight Dexamethasone suppression test (odst) or a 24 hour urine collection for cortisol. For the odst, you take Dexamethasone (a steroid) the night before you get blood drawn for a morning cortisol. The normal response to taking dex is a decrease in cortisol production. If one of these tests is abnormal, a 2 day dex test is done to confirm. ...Read more

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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

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High cortisol levels on 2 blood tests? Why?

High cortisol levels on 2 blood tests? Why?

How high?: It's important to know how high the tests were above the normal range (were they clinically significant?). Cortisol is produced by the adrenal glands which is under control by the pituitary. The problem could be either one. Your doctor who ordered the cortisol should be able to tell you the next step of workup. If the tests were indeed very high, you will need more testings before treatment. ...Read more

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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

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I had cortisol blood test at 8:20 in the morning my level is 19.9 what it means is it considered high. thank you?

I had cortisol blood test at 8:20 in the morning my level is 19.9 what it means is it considered high.
thank you?

Don't know: why you would have had a morning cortisol done, but your value is normal. If you're concerned about cortisol excess, the afternoon (4pm) value or a suppression test may help. Talk w/your doctor. ...Read more

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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

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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

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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

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Does a comprehensive metabolic test check cortisol & epinephrine levels? If not, how is it checked?

Does a comprehensive metabolic test check cortisol & epinephrine levels? If not, how is it checked?

If problem suspected: Cortisol and epinephrine levels are not checked routinely. If someone has low sodium and high potassium on a comprehensive metabolic panel,24 hr urine cortisol or other test may be ordered particularly if symptoms such as malaise exist (adrenal insufficiency).Hormones related to epinephrine are checked for episodes of v high blood pressure/rapid heart rate, to evaluate for pheochromocytoma (rare) ...Read more

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If I take an Ativan before a Cortisol AM blood test, will the Ativan effect my cortisol levels result?

If I take an Ativan before a Cortisol AM blood test, will the Ativan effect my cortisol levels result?

Possibly: Reducing anxiety (Ativan ). Can lower cortisol levels but Ativan does not directly affect cortisol levels. So, if you took Ativan due to anxiety before the cortisol blood test the result could be a lower cortisol level than you would have had without the anxiety. ...Read more

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I received slightly high saliva cortisol levels from recent test. What is a good approach to deal with this?

I received slightly high saliva cortisol levels from recent test.  What is a good approach to deal with this?

Get blood tests: If you have clinical symptoms, have your doc to blood cortisol levels and maybe a morning level after a dose of synthetic cortisone (dexamethasone) the nite before, or check 24-hour urinary cortisol level. A single mildly abnormal saliva cortisol test is most likely of no significance -- but should be followed up. ...Read more

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My acth test came back low, but my cortisol levels were normal. I also have darkening of the skin. What could be the reason?

Need evaluation: Why were these tests done? Adrenal insuff usually involves fatigue, changes in na k, not just skin darkning. Without knowing the actual numbers, it is hard to interpret "normal cortisol levels" and the acth test. You should perhaps see an endocrinologist, certainly before going on steroids. In answer to your other question, it is not likely the adderal, which should have no effect on adrenals. ...Read more

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Is 3822.00 mmol/l normal 24- hour urine creatinine? Is 200.1ug/24h normal cortisol level for 24 hour urine test?

Is 3822.00 mmol/l normal 24- hour urine creatinine? Is 200.1ug/24h normal cortisol level for 24 hour urine test?

See below: Normal urine creatinine (24-hour sample) values range from 7-21 mmol/day (males) and 5-16 mmol/day (females). Results depend greatly on your age and amount of lean body mass. Normal urine 'free' cortisol (24-hour sample) is usually less than 50 ug (=mcg). ...Read more

Dr. Paul Grin Dr. Grin
2 doctors agreed:
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Can you die from high cortisol levels? Mine was 26.5 at 4pm, i got a blood test. Will Xanax (alprazolam) help?

Dr. Paul Grin Dr. Grin
2 doctors agreed:
Can you die from high cortisol levels? Mine was 26.5 at 4pm, i got a blood test. Will Xanax (alprazolam) help?

The stress hormone: Chronic stress creates an overexposure to cortisol and puts you at increased risk of numerous health problems: anxiety, depression, digestive problems, heart disease, sleep problems, weight gain. In women who take estrogen or birth control pills the level is much higher. To control your stress, eat a healthy diet, get regular exercise and plenty of sleep. Do not look for the fast fix (xanax). ...Read more

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Are there any lifestyle changes i can practice to lower my cortisol levels..I'm on test cyp for hypogonatic hypogonadism?

Are there any lifestyle changes i can practice to lower my cortisol levels..I'm on test cyp for hypogonatic hypogonadism?

Check cortisol level: Usually people who have low cortisol level complain of fatigue and depression. This is the same with low testosterone or estrogen. There's evidence that elevated cortisol can also depressed testosterone levels. You need to know if this is indeed your case or not. Since cortisol is the primary stress hormone, lifestyle changes would revolve around any form of stress reduction: meditation, exercise, yoga or gentle stretching, worrying less, doing things are calming. ...Read more

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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

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My cortisol level has been 2. I had endo but he released me to my primary. Should i keep having blood tests? He gave me meds for 2 months still low.

My cortisol level has been 2. I had endo but he released me to my primary. Should i keep having blood tests? He gave me meds for 2 months still low.

Symptoms? signs?: You cannot make a diagnosis of adrenal insufficiency based on random cortisol levels. You should have signs and symptoms that are consistent with adrenal insufficiency. Many people are on steroid medications through injections, inhalers, pills, creams that affect their adrenal function and produce low cortisol levels. Trust that your endo knows what he is saying. ...Read more

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My 24H urine cortisol test result shows free cortisol level as 5.44 ug/dl. Is this a normal level?

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