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Category Archives: Doctor’s Answers

Lack of Weight Loss After Bilateral Adrenalectomy

Question: I had two unsuccessful transsphenoidal surgeries followed by radiation. Since my ACTH levels were still extremely elevated, I had a bilateral adrenalectomy. My physical appearance (weight and fat distribution) has not changed as much as my doctor expected. Would growth hormone therapy be useful in my case? Answer: The lack of change in yourContinue Reading

Growth Hormone and Weight Loss

Question: Will my weight automatically return to normal after my Cortisol levels are normal? How quickly will this happen and will I need to diet? Also, I have heard that when most of the pituitary is removed, growth hormone replacement may be required before I can lose weight. Answer: These are good questions. Your weightContinue Reading

Gastric Bypass Surgery after Cushing’s

Question: I’m 40 years old and had a bilateral adrenalectomy 2 years ago, thus am on 20mg/day Cortef replacement. I feel alot better, but have not been able to lose the weight. Since I am considered obese, my doctor is now talking about gastric bypass surgery. I was wondering if anyone has any experience withContinue Reading

Diet and Exercise During Cushing’s

Question: While my cortisol levels are still high, is there anything I can do with my diet or exercise to keep my weight from increasing and loosing more strength? Is protein intake important? Answer: With excessive cortisol levels, diet and exercise are important to keep from gaining weight and losing more muscle strength. A nutritiousContinue Reading

Steroid Withdrawal and Pain

Question: Will the non-steroidal anti-inflammatory drugs help with the aches and pains due to the withdrawal symptoms that follow successful surgery? Answer: Patients who have been exposed to high doses of steroids either through Cushing’s or by receiving glucocorticoid therapy typically experience these symptoms. They can be severe and although they typically reflect cure ofContinue Reading

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