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Author Archives: kkc

Cushing’s Symptoms After Steroid Injections

Question: I had a series of steroid injections in my back. It’s been 3 months since the last injection and I’m getting more and more Cushing’s symptoms. Is there any treatment for injection induced Cushing’s? How long can I expect this to go on? Do I need to worry about becoming adrenal insufficient? Answer: SteroidContinue Reading

Steroid Replacement Doses for Hypopituitary Patients

Question: I am completely hypopituitary and had a bilateral adrenalectomy to control my Cushing’s. I now have Nelson’s Syndrome and am on 30mg/day of hydrocortisone replacement. I still have uncontrollable diabetes, muscle weakness and look and feel like I still have Cushing’s. Is this normal for Nelsons or could my replacement dose be too high?Continue Reading

Replacement of Pituitary Hormones

Question: What are the typical medications for a person who has had their entire pituitary gland removed? Answer: Patients with hypopituitarism (no pituitary function) require hormone replacement with thyroid hormone, adrenal steroids (hydrocortisone), and gonadal steroids (estrogen, progesterone, and testosterone). If the posterior part of the pituitary gland has also been damaged, the patient mayContinue Reading

Pituitary Hormone Replacement

Question: I had a pituitary tumor almost 13 years ago. I now take 3 drugs due to the loss of pituitary hormones. How many patients have to continue to take medication for the rest of their lives and why? Answer: If a patient has hypopituitarism (low pituitary function) from either the tumor or the surgeryContinue Reading

Hypopituitarism and Stress

Question: I have permanent pituitary insufficiency and find that I don’t deal with stress well at all. Is this common for someone like me and will it get better? Answer: There are plenty of things that can cause us stress these days. The ability to deal with stress depends on many factors unrelated to one’sContinue Reading

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