Question: I am on permanent replacement steroids. Do I need to increase my dose with exercise? Answer: Some patients remain on permanent replacement with glucocorticoid steroids because the pituitary gland is not able to produce enough ACTH (following extensive pituitary surgery for Cushing’s disease or other pituitary tumor or disease); others are on permanent replacement… Continue Reading
Author Archives: kkc
Is One Adrenal Gland Really Enough?
Question: How has it been shown that one adrenal gland REALLY makes enough cortisol? My adrenal works, but not enough for periods of stress. What do I do? Answer: One normal adrenal gland is able to produce sufficient amounts of cortisol, aldosterone and adrenal androgens to fulfill the body’s needs. If one adrenal gland… Continue Reading
Diabetes and cholesterol after long term remission
Question: I didn’t have diabetes, high cholesterol or tri-glycerides during my Cushing’s, but have developed them after my curative surgery, which I think increases my risk for cardiovascular disease. Are those that had Cushing’s predisposed to developing these conditions later in life? Answer: It is well known that active Cushing’s increases the risk for… Continue Reading
Preventing and Treating an Adrenal crisis
Have you ever had an adrenal crisis? If you have experienced the pain, confusion, nausea, vomiting, rapid heartbeat, low blood pressure, weakness and other disturbing symptoms, you know you need help right away. Without immediate correct treatment, an adrenal crisis can be life-threatening. A recent review (1) reports “Studies in patients on chronic replacement therapy… Continue Reading
Androgen Replacement Therapy in Women with Adrenal Insufficiency
INTRODUCTION Androgen levels are lower in women with adrenal insufficiency than in healthy women of comparable age. This raises the question of whether testosterone or DHEA replacement therapy should be part of the standard hormone replacement therapy regimens prescribed to women with adrenal insufficiency, including in patients with a history of Cushing’s syndrome. WHAT ARE… Continue Reading
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