Hello @marmymoomy
I’m sorry to hear that you aren’t feeling well, it’s distracting and doesn’t allow us to live the life we’d like. It sounds like you’ve visited your PCP/GP and mentioned all your symptoms. Were there any tests they performed at all? If so, which ones? If not, there are still tests they can run before sending you to an endo. They can test thyroid by ordering a TSH, Total T3 and T4. You want the Total T3 along with TSH. What are the symptoms you have that make you want to test cortisol? If you have reasons for thinking it’s because you don’t have any energy or you feel like you are leaning toward more of the insomnia effect, cortisol results MIGHT give some indications but you would only get an 8am blood draw to start that testing. There are more tests around cortisol that would need to be done if that result is irregular. ACTH and DHEA could also be done from blood by a PCP. But, while it can be frustrating, its important to talk most about our symptoms to our doctors (no matter how you may feel a symptom is insignificant, it’s important to talk about) so they have the whole picture of what we go through. If you continue to feel strongly about particular tests then it’s ok to ask them why they feel that test is unnecessary. I’m not a physician, but I am a patient that has gone through tough experiences and also grateful ones to finally diagnose Cushing’s Disease. But I didn’t walk into a doctor’s office saying that I have a particular diagnosis, I focused on my symptoms and continued to be an advocate of those symptoms were not resolved and asked them what they thought the next step would be. I hope this helps in your journey.