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I’m already on hydrocortisone (HC), can I test cortisol and or ACTH levels?

April 26, 2017ACTH cortisol HC Hydrocortisone I’m levels Test

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I’m already on hydrocortisone (HC), can I test cortisol and or ACTH levels?

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No, once steroid is started, those tests are not reliable. In every case I’ve seen where a doctor uses these tests for dosing a patient’s cortisol replacement, the patient was left undertreated. ACTH will go to pretty much zero in proper cortisol dosing.