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

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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

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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

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