Monitoring adrenal insufficiency through salivary steroids: a pilot study.
Lorenzo TucciFlaminia FanelliIlaria ImprotaValentina BissiClaudia LenaGreta GalanteMarco MezzulloMatteo MagagnoliAnna Bianca LalumeraGiacomo ColombinKimberly CosciaLaura RotoloValentina VicennatiUberto PagottoGuido Di DalmaziPublished in: European journal of endocrinology (2024)
None of the GRTs mimics normal glucocorticoid rhythmicity and exposure. SalE, SalF and Z-score may be useful markers for monitoring and comparing different GRTs. Excess glucocorticoid in early afternoon best associated with depressive symptoms and worse life and sleep quality.