A patient present with dehydration, hypotension and fever. Lab testing reveals hyponatremia, hyperkalemia and hypoglycemia. These imbalance are corrected, burt the patient returnes 6 weeks later with the same symptoms annd hyperpigmentation, weakness, anorexia, fatigue and weight loss. The next step in the evaluation of this patient is to:

1. obtain a thorough history and physical, and check serum cortrisol and ACTH level

2. perform a diet hystory and recheck electrolytes, CBC and Fasting blood glucose in 2 weeks.

3. refer a nutritional assessment and consider referal for a central kline to replace fluid and electrolyte.

4. replace minerelocorticoids with supplementation and instruct the patient in the etiology.