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The most recognizable physical signs of high cortisol include: Weight gain around the abdomen and lower back that does not respond to diet or exercise A rounded, puffy face, sometimes called cortisol face Thinning skin that bruises easily Slow wound healing High blood sugar or worsening insulin resistance High blood pressure Frequent infections from a suppressed immune system These physical changes happen because cortisol in excess breaks down muscle tissue for fuel, promotes fat storage in the midsection and keeps blood sugar chronically elevated

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Brinkmalm, A

Treat different body areas and you can bill both, but you'll need Modifier 59 plus documentation of the separate regions