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I was given an injection of ACTH not Cortif. I'm going to ask my endo about additional tests. Although my ACTH test hasn't clearly show LOCAH so far, all my symptoms seem to indicate it. I struggle with acne and hirsutism (which currently are my greatest problem). I'm curious how you treat these symptoms. Do you see any significant improvement being on Dex? I have these pigment changes on my armpits too. I also noticed a long time ago that I got tired more than people around me but I have never thought it could be caused by hormonal syndrome. Sometimes I'm suprised that even when have a good sleep at night (at weekends), I get tired after 3,4 hours after I get up. How you treat acne and other symptoms besides being on dex?