Frequent weight gain, especially around the abdomen, face, or upper back
Persistent fatigue or low energy
Trouble sleeping or staying asleep
Feeling anxious, irritable, or depressed
Increased blood pressure
High blood sugar or insulin resistance
Muscle weakness or loss of muscle mass
Easy bruising
Thin skin or slow wound healing
Acne or oily skin
Increased appetite or cravings
Headaches
Reduced libido
Irregular menstrual periods
Frequent infections
Difficulty concentrating or memory problems
Blood tests showing elevated cortisol
Saliva, urine, or blood tests ordered by a healthcare professional