Fluctuating cortisol

[beth910]

My morning saliva cortisol is 47, then plumments for the 11 am reading to zero. I take Seriphos at night and then adrenal supplement during the day. Can high am cortisol make you "shakey" and nauseous?

[beth910]

Thanks-I am shakey and nauseus when I wake up..it subsides after a few hours. That's why I wondered if high morning cortisol could cause this.

[Mark Lupo, M.D.]

the level in the am does not matter -- it's the drop after a meal -- usually within 1-2 hours

[beth910]

I checked my morning blood sugar...it ranges from 82-90.

[Mark Lupo, M.D.]

Possibly, I don't use the saliva tests for cortisol with the exception of late-night salivary cortisol to screen for Cushings.  Reactive hypoglycemia tendency for low blood sugar) is a more common cause of shaky/nausea.