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Low cortisol level (e.g., 3 microunits/ml (21 pM) in the context of hypoglycemia suggests pathologically excessive insulin levels, with the following differential diagnosis: Exogenous insulin (unfortunately, not all are detected by the assay for example, glargine may be missed)

It must be taken on an empty stomach with a small sip of water (no more than 120ml), followed by at least 30 minutes without food, drink or other oral medications

doi: 10.1186/s12974-024-03143-2

Mix in a sanitized container, refrigerate finished blends, and use within 24 weeks

This motivation is valuable and worth channeling toward approaches likely to produce results