Abstract:To the Editor, We thank Dr. Lee and colleagues for their interest in our systematic review and meta-analysis on relative adrenal insufficiency (RAI) in cirrhosis 1 and wish to comment on their letter. 2 We agree that total cortisol (TC) levels are an imperfect assessment of patient adrenal function in cirrhosis given their dependence on the availability of liver-derived binding proteins. This is high-
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