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They recommend attempting to work up an adrenal etiology of excess cortisol, which includes serum ACTH, DHEAs, overnight dexamethasone suppression test with cutoff of 1.8mcg/dL[2], and ultimately adrenal imaging[3]

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10.1016/j.cyto.2019.154819 5

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M.BushongE

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NAD stands for nicotinamide adenine dinucleotide

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For example, cyanocobalamin can be risky for people with a condition called Leber's disease, as it might harm the optic nerve

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References: Chan A, Paskavitz J, Remington R, Rasmussen S, Shea TB

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