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OCR: adequate Failure of serum cortisol to increase afte glucose insulin-induced hypoglycaemia (plasma gand <2.2mmol/l), plus symptoms of sweatin presence ofpalpitations, is a strong indication of the is usually Cushing's syndrome since this response ormal intact in depressed and obese subjects. N ed in responsiveness, however, may be retain intermittent Cushing's syndrome. iced To exclude the possibility of alcohol-indu asumption pseudo-Cushing's syndrome, ethanol co ssment as should be rigorously banned during asse to normal the biochemical abnormality may revert within days of abstinence from alcohol.