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Yes, a friend of mine who consulted with a very experienced endo, said she was told it was impossible to get any accurate cortisol readings unless you've been off all (adrenally-effecting) meds for at least 5 weeks. Do you have others in your family with CAH?
A pituitary tumour could cause a mid-range ACTH in the presence of high cortisol. Hopefully it's not that.
