Dr. Friedman first published in 2010 in Hormones and Metabolic Research that most patients with Cushing’s disease are episodic, which means they only have high cortisol values some of the time, with normal or low values at other times. Some Endocrinologists still don’t believe this and erroneously tell patients they don’t have Cushing’s if one test is normal. Dr. Friedman does multiple testing for Cushing’s and instructs his patients to test when in a high. Patients describe the following issues as things they tend to experience in a “high” phase which include:
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- Glucocorticoids and Sleep: Dr. Friedman’s NIH Research
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