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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Taking Cortisol. Got Elevated Testosterone, Androstendion, Progesterone. Reason?

Dear, which test should I done more my last test day1 cortisol am 379.6 (171-536) cortisol pm 399.55 (64-397) . acth am 3.42 (1.6-13.9) acth pm 10.12 in th evening at the 22:30 i dring 1mg dexamethasone pills day2 cortisol 24.9 i done cortisol am and pm before few months and it was almost same results, there is no circadian rythm. and first time when i check cortisol in the morning it was 1047 and the range was (135- 680) also i have elevated androstendion, testosterone , 17 oh prog, no PCOS , no extra hair on my body, lot s od acne not all of time. And i feel very sick.
Tue, 19 Mar 2013
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Endocrinologist 's  Response
Hello

your loss of circadian rhythm and non-suppressed cortisol after taking dexamethasone can be a feature of excess endogenous cortisol production as seen in cushings syndrome. You would definitely require further complete evaluation by an endocrinologist.
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Taking Cortisol. Got Elevated Testosterone, Androstendion, Progesterone. Reason?

Hello your loss of circadian rhythm and non-suppressed cortisol after taking dexamethasone can be a feature of excess endogenous cortisol production as seen in cushings syndrome. You would definitely require further complete evaluation by an endocrinologist.