How to Diagnose Adrenal Adenomas

The dexamethasone suppression test you reserve for people with adrenal adenomas in general. In my practice, I do late, nice, delivery cortisol, at least two, it's easier for the patient, they do before they go too bad. And then I do another at least two unaryphy cortisol. For somebody in a general practice or in a primary care practice, I would recommend starting with two saliva cortisol and maybe a urine,. The overnight dexameth asone test is sometimes easier to be done in more rural area where the access to salivary cortisol is not as easy.