“About cortisol levels and treatment for low levels”
I recently had a visit with my endocrinologist. As part of a huge bloodwork panel it was discovered my cortisol levels were not measurable < 2.5% we are currently doing further testing including an adrenal gland MRI, and I am on a bunch of medications. One of the medications I was prescribed was .5 MG of Dexamethasone and i was told to take 1/2 pill once daily.
In reading about the medication I see its a steroid, but it says its meant to lower cortisol. If I already have no cortisol why would taking a drug to lower something that needs to be raised be a treatment? Is this a mistake? should I seek a second opinion?
In reading about the medication I see its a steroid, but it says its meant to lower cortisol. If I already have no cortisol why would taking a drug to lower something that needs to be raised be a treatment? Is this a mistake? should I seek a second opinion?
Male | 42 years old
Complaint duration: 30 days
Medications: Dexamethasone
Conditions: still testing
1 Answer
Endocrinology-Diabetes|Endocrinology,Diabetes&Metabolism
Hi there,
From what you are describing, it looks like you have adrenal insufficiency, which is a disease in which your body is not making enough cortisol. Cortisol is a steroid which is essential for life. If a person was making their own cortisol (steroid) then taking steroids from outside (medication) can suppress their own cortisol production. But if you are not making enough cortisol, then your doctor will give you steroid medication (dexamethasone in your case), to replace what your body is not making anymore.
If you would like to see me for a second opinion, I would love to see you in my office or by telemedicine. Please call us at 512-387-4224 to make appointment or visit our website https://bluebonnetendocrinology.com/.
You do not need a referral!
From what you are describing, it looks like you have adrenal insufficiency, which is a disease in which your body is not making enough cortisol. Cortisol is a steroid which is essential for life. If a person was making their own cortisol (steroid) then taking steroids from outside (medication) can suppress their own cortisol production. But if you are not making enough cortisol, then your doctor will give you steroid medication (dexamethasone in your case), to replace what your body is not making anymore.
If you would like to see me for a second opinion, I would love to see you in my office or by telemedicine. Please call us at 512-387-4224 to make appointment or visit our website https://bluebonnetendocrinology.com/.
You do not need a referral!
