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Doctor insights on: Low Cortisol Caused By Pituitary Failure

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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

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24h urine cortisol range goes from 0-193 noml/d how can it start from zero? Cause if I have low cortisol i'll be -1 nmol/d and that's impossible!

24h urine cortisol range goes from 0-193 noml/d  how can it start from zero? Cause if I have low cortisol i'll be -1 nmol/d and that's impossible!

What we measure: Glad you are curious. Cortisol is spilled into the urine only when there's enough in the blood so that some isn't bound to the carrier protein. So there may be none in the urine. Endocrine testing is fraught with confusing points. Hope you workup turns out. ...Read more

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Can taking lamotrigine cause low cortisol? If so, how can it be raised?

Can taking lamotrigine cause low cortisol? If so, how can it be raised?

No: Lamotrigine is not associated with lower cortisol levels. However, if taking the medication reduces your chronic stress, that may help reduce stress-related mildly elevated cortisol levels back toward normal, which is desirable. ...Read more

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Could depression during pregnancy cause low cortisol levels in the baby?

Could depression during pregnancy cause low cortisol levels in the baby?

No: One study shows that infants of depressed mothers actually had slightly higher cortisol levels than others, especially if the mom had anxiety also: http://tinyurl.Com/k5cgwfo these changes no longer existed at 18 mo, perhaps when the infants' self-regulatory abilities kick in. Maternal depression can have other effects on infant development, though: http://tinyurl.Com/ltlfasx. ...Read more

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I have hypothyroidism and chronic stress/anxiety. Does low cortisol cause hypothyroidism?

I have hypothyroidism and chronic stress/anxiety. Does low cortisol cause hypothyroidism?

No: Cortisol is made by the adrenal glands whereas hypothyroidism refers to low levels of thyroid hormone from the thyroid gland. Having one does not cause the other. Chronic stress and anxiety also do not cause these disorders. Low cortisol (adrenal insufficiency) is a rare disorder, typically autoimmune related, and must be diagnosed correctly, not simply by a low cortisol level. ...Read more

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Dx with low cortisol . Could this cause daily headaches/migraines and/or irregular periods?

Dx with low cortisol . Could this cause daily headaches/migraines and/or irregular periods?

Complex question: Addison's disease is adrenal failure, and that can cause you to be quite ill. However, it is not clear what is meant by "low cortisol". Cortisol varies considerably throughout the day. One blood measurement does not diagnose much of anything. You may want to see an Endocrinologist before beginning any treatment for this. ...Read more

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0.70 level of anti-TPO and very low cortisol. T3 (liothyronine) T4 is normal. What could it be?Can it be the cause of recurring gynaecomastia even after the surgery?

0.70 level of anti-TPO and very low cortisol. T3 (liothyronine) T4 is normal. What could it be?Can it be the cause of recurring gynaecomastia even after the surgery?

Anti-TPO Antibody: Is an antibody produced by your immune system that attacks your thyroid gland and causes hypothyroidism. Low cortisol is concerning for adrenal insufficiency and you may need a Cosyntropin stimulation test to evaluate. The majority of gynecomastia tends to be idiopathic or related to medications. There are rare instances of tumors producing hormones that cause the findings. ...Read more

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Could 4mm lung nodule cause fatigue&muscle loss for 1year?Tested positive on early cdtlung blood test.sodium slight low cortisol slight high. Advice?

Mgt: The potential for malignancy should be assessed by a follow up imaging test. Please discuss with your physician. Family history, type of nodule, location and smoking history are part of the evaluation. If you smoke, please stop smoking and avoid smoke exposure. ...Read more