Is Your Cortisol Elevated?


Introduction Endocrinologist in Montgomery County, Maryland

As an experienced endocrinologist based in Montgomery County, Maryland, I am dedicated to providing expert care to those dealing with hypercortisolemia in my community.

My practice, located in Rockville, offers both virtual and in-person services, reaching individuals in nearby areas such as Chevy Chase, Bethesda, North Bethesda, Potomac, North Potomac, Gaithersburg, Germantown, Frederick, Silver Spring, Northern Virginia, and Western Maryland for comprehensive support.

With the mission of improving patients’ quality of life, my practice specializes in providing personalized therapies and evidence-based strategies for the assessment and management of hypercortisolemia.

Mild Hypercortisolemia: How to Identify Elevated Cortisol Levels

Elevated blood cortisol, a stress hormone, can contribute to various health issues, including weight gain, diabetes, insulin resistance, high blood pressure, osteoporosis, PCOS, and notably, cardiovascular disease.

Low Dose Dexamethasone Suppression Test (LDS)

The Low Dose Dexamethasone Suppression Test is a straightforward and effective blood test used to identify individuals with a mild elevation in cortisol. Typically covered by insurance, this test involves a two-step process:

  1. The patient is administered a 1 mg oral dexamethasone tablet precisely at 11 pm on any given day of the week, requiring an endocrinologist’s prescription.
  2. Subsequently, the patient undergoes blood work (cortisol testing) the following morning between 7-9 AM. A positive result is indicated by a serum cortisol level exceeding 1.8 mcg/dL.

Risk Factors Associated with Elevated Blood Cortisol

If you are experiencing any of the following conditions, you may qualify for the aforementioned test:

  • Difficult-to-control type 2 diabetes
  • Use of three or more medications for type 2 diabetes
  • Dependence on high doses of insulin for type 2 diabetes (indicative of a “severe insulin resistance” state)
  • Use of three or more medications, including a diuretic, to manage very high blood pressure (resistant hypertension).
  • Presence of adrenal tumors or masses
  • History or diagnosis of PCOS
  • Unexplained osteoporosis or bone fractures
  • Unexplained rapid weight gain, such as gaining 30 lbs in 3 months
  • Unexplained muscle loss or weakness

If you meet any of these criteria, consider discussing the possibility of this blood test with your endocrinologist to assess and address potential mild hypercortisolemia.

Dr. Tashko

Dr. Tashko serves as a board-certified specialist in endocrinology, diabetes, and metabolism, located in Rockville, Montgomery County, Maryland. With extensive training and expertise in these fields, Dr. Tashko plays a pivotal role in providing comprehensive medical care to patients grappling with endocrine disorders, diabetes, and metabolic conditions. Their dedication to staying up-to-date with the latest advancements in medical research and treatment options equips them to offer the highest standard of care. Patients who seek Dr. Tashko's expertise benefit from their in-depth understanding of the intricate hormonal systems regulating various bodily functions. Dr. Tashko works collaboratively with patients to diagnose, manage, and treat a diverse range of conditions, including thyroid disorders, hormonal imbalances, and diabetes complications. Their compassionate approach, coupled with their ability to explain complex medical concepts in simple terms, fosters a strong patient-doctor relationship. Dr. Tashko's practice goes beyond symptom management; they emphasize patient education and empowerment, enabling individuals to actively participate in their healthcare journey. By tailoring treatment plans to each patient's unique needs, lifestyle, and preferences, Dr. Tashko ensures a holistic and patient-centered approach to care. Their commitment to improving patients' quality of life and overall well-being is evident in their personalized and empathetic approach to medicine. In Rockville, Montgomery County, Maryland, Dr. Tashko stands out as a respected endocrinology, diabetes, and metabolism specialist who combines medical excellence with a patient-centric philosophy. Their unwavering dedication to advancing the field and delivering compassionate care cements their role as a trusted expert in the community.