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How often would you repeat testing in a patient suspected of Cyclic Cushing's?

And is there a preferred diagnostic test? Whenever cyclic hypercortisolemia is suspected, it is advised that evaluation should be repeated for months, if not years, depending on the severity of presented symptoms. But neither the frequency of testing nor use of a single test is particularly recommended.
2 Answers
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Endocrinology · Kaiser Permanente Oakland Medical Center Endocrinology
Answered on

24-hour urine-free cortisol and MN saliva cortisol are preferred tests over ON dex suppression. The exact frequency depends on the severity of the symptoms, generally about every 3 months.

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Endocrinology · City of Hope Comprehensive Cancer Center
Answered on

I would check when the patient becomes symptomatic.

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