Tuesday, December 11, 2007

Subclinical hypercortisolism in patients with osteoporosis

More common than you might think. Via Annals of Internal Medicine.

1 comment:

Vreni said...

Glad to see that FINALLY subclinical cortisol issues are being recognized by the medical community. I think that problems with cortisol levels, either too high or too low, as well as problems in cortisol rhythm are far more common than previously believed, especially for women in midlife, and for many others that are highly stressed. Because cortisol has strong influences on so many other hormones, like T3, T4, insulin, estrogen, progesterone, testosterone, and DHEA to name a few, when cortisol is messed up, the impacts are far reaching and varied, including hypothyroid, insulin resistance, PMS, chronic fatigue issues, insomnia, CVD, depression, and as you have noted, osteoporosis. I think that the best way to test for subclinical cortisol issues is to use a circadian saliva test, where the patient spits into a test tube first thing in the morning, at noon, at 4pm and before bed. The results reveal a lot about the endocrine system, and one can test many hormones with the same test, so it is very useful. This sort of testing is the cornerstone of functional medicine, and I hope that more and more physicians will become aware of this style of medicine and start to integrate it into their practices, as functional medicine actually gets to the root cause of health issues and disease.