A 30-year-old woman complaining of tiredness was seen by her physician. A serum sample was collected at 2 pm. The following results were obtained (reference ranges are given in brackets):

TSH 1.3 mU/L (0.5–5)

Free T4 15 pmol/L (9–22)

Cortisol 220 nmol/L (>550 at 9 am)

The physician has asked for advice regarding the interpretation of the results and any further investigations you would recommend.

What advice would you give to the physician?​

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