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Endocrine Evaluation in Obesity Guidelines Highlight Hypercortisolism Testing Recommendations

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The European Society of Endocrinology released clinical practice guidelines on performing endocrine workups in patients with obesity, highlighting several recommendations in regard to hypercortisolism.

The guidelines, published in the European Journal of endocrinology, recommend that not all patients with obesity be routinely referred to an endocrinologist. Instead referrals should be considered for patients with a suspected endocrine disease like endogenous hypercortisolism.

Additional recommendations concerning hypercortisolism include:

-Considering hypercortisolism testing in bariatric surgery candidates
-Not testing patients on corticosteroids for hypercortisolism
-Employing a 1 mg overnight dexamethasone suppression test as the first screening tool when hypercortisolism testing is considered

Read the full list of guidelines here.


Pasquali R, Casanueva F, Haluzik M, et al. European Society of Endocrinology Clinical Practice Guideline: Endocrine work-up in obesity. Eur J Endocrinol. 2020; 182(1);G1-G32. doi.org/10.1530/EJE-19-0893