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  • Neuron1

    If the reason for the low cortisol is his asthma medication, he should not return to a normal at any point he remains on the medication, since the physiological response to a consistent dose should remain the same. It would be ideal if we knew the exact form of inhaled corticosteroid he is on (fluticasone, beclometasone, mometasone or budesonide), the dose, frequency and route of administration. Overall, the rate of adrenal insufficiency for patients using inhaled corticosteroids is 1.1 per 10,000 person years from a large study in Quebec, Canada by Lapi et al in the European Respiratory Journal 2013.

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