See a doctor for evaluation if Cushing’s disease is suspected
Review symptoms and medical history
Perform a physical examination
Do a 24-hour urinary free cortisol test
Do a late-night salivary cortisol test
Do a low-dose dexamethasone suppression test
Repeat abnormal screening tests to confirm results
Measure ACTH levels to help determine the cause
Do imaging tests such as pituitary MRI if indicated
Do additional endocrine testing as directed by a specialist