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What to Know About Adrenal Insufficiency and Cortisol Severe fatigue and weakness Weight loss Anorexia Nausea and vomiting Faintness or dizziness, especially upon standing Low blood pressure Low blood sugar Darkened skin on the face, neck, and backs of hands How to Test Cortisol Levels The Link Between Cortisol, Metabolism, and Weight Gain Resources We Trust Mayo Clinic: Chronic Stress Puts Your Health at Risk MedlinePlus: Cortisol Blood Test Cleveland Clinic: Tips to Reduce Cortisol Levels and Dial Down Stress Cushing’s Support & Research Foundation: Tips for Caretakers National Institute of Diabetes and Digestive and Kidney Diseases: Eating, Diet, & Nutrition for Adrenal Insufficiency & Addison's Disease Sandy Bassin, MD Medical Reviewer Sandy Bassin, MD, is an endocrinology fellow at Mount Sinai in New York City