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. 2022 Mar 2;8(1):18. doi: 10.3390/ijns8010018

Figure 1.

Figure 1

Algorithm for Adrenal Insufficiency Surveillance in Males with ALD. The algorithm attempts to address the lack of clear ACTH and cortisol references ranges. Prior to one year, due to the lack of predictable ACTH and cortisol secretory patterns, it may be reasonable to consider performing a cosyntropin stimulation test as the initial screen if returning for testing is challenging. ALD, adrenoleukodystrophy; ACTH, adrenocorticotropic hormone. Algorithm reprinted with permission [18].