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They recommend attempting to work up an adrenal etiology of excess cortisol, which includes serum ACTH, DHEAs, overnight dexamethasone suppression test with cutoff of 1.8mcg/dL[2], and ultimately adrenal imaging[3]
Third-party testing certificates (also called Certificates of Analysis or COAs) should confirm peptide identity and purity, ideally through HPLC and mass spectrometry
Neuroscience 293 , 136150 (2015)
10.1016/j.cyto.2019.154819 5
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