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A DHEA/cortisol salivary adrenal test revealed Phase 2 adrenal dysfunction with low cortisol levels at noon, in the evening and nighttime (0.4–1.25 nmol/L, normal range 2.1–15.7), a low DHEA at 107 pg/mL (normal range 137–336) and a 6-h urine DMSA challenge was positive for elevated levels of mercury (26 micrograms/g creatinine, normal range less than 3) and elevated levels of lead (14 micrograms/g creatinine, normal range less than 2)

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Taking injections in the evening rather than morning may help those affected by tiredness