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    What does my cortisol urine test report indicate?

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Posted on Sat, 1 Jul 2017 in Thyroid Problem and Hormonal Problems
Question: I had 2 24hr urine cortisol tests done. one was 143.2 on Dec 16,2016. on Feb 21 2017 it was 134.9. My dexamethasone test done on march 7 2017 my dexamethasome test was <1 and my acth was <5. also my midnight cortisol saliva test was 0.03 . I have a adrenal node on my left adrenal gland that measures 14mm. I was told I don't have cushings.
doctor
Answered by Dr. Mirjeta Guni 27 minutes later
Brief Answer:
About Cushing syndrome diagnosis;

Detailed Answer:
Hello and thank you for asking!
There are many available tests for screening for Cushing syndrome but in my everyday practice I prefer the low dose dexametasone test for screening for adrenal Cushing.
It is more sensitive than salivary or urinary cortisol.
As the cortisol is suppressed after 1 mg dexametasone, a secreting adenoma is excluded.
So, i agree with your physician.
Hope the information will help.
Kind regards,
Dr.Mirjeta
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Mirjeta Guni 13 minutes later
what is causing the high cortisol levels in the urine?
doctor
Answered by Dr. Mirjeta Guni 2 hours later
Brief Answer:
about cortisol level:

Detailed Answer:
Welcome back!

Cortisol is increased in some other situations rather than Cushing's syndrome.

Obesity, stressful situations can cause high cortisol levels that usually are suppressed by dexamethasone, differently from Cushing's syndrome.

That is why I do rely on the Dexamethasone suppression test.

Wish you good health. Feel free to ask further.

Regards,
Dr.Mirjeta


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Mirjeta Guni 1 hour later
how can you reduce high cortisol?
doctor
Answered by Dr. Mirjeta Guni 24 hours later
Brief Answer:
Cortisol level reduction:

Detailed Answer:
Hi again,
Poorly managed blood sugar levels (especially hypoglycemia, having low blood sugar) and high levels of inflammation can contribute to high cortisol levels and other hormonal imbalances. Following an anti-inflammatory diet low in processed foods and high in antioxidants, fiber and essential nutrients is key to balancing hormones, controlling your cravings and getting you on the right track.
Some of the most significant dietary contributors to inflammation and high cortisol levels include:

-high-sugar, high-glycemic diet (with many packaged foods, refined grain products, sugary drinks and snacks)
-consuming high amounts of refined and trans fats
drinking too much caffeine and alcohol
-experiencing insufficient intake of micronutrients and antioxidants
-not consuming enough fiber (which makes it hard to balance blood sugar)
-not consuming enough healthy fats or protein (which can lead to hunger, weight gain and high blood sugar)
Hope the information will help.
Kind regards,
Dr.Mirjeta
Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Mirjeta Guni

Endocrinologist

Practicing since :2006

Answered : 2306 Questions

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