Adrenal Insufficiency and Cortisol Replacement

There are many questions around replacing cortisol for hypothalamic-pituitary brain tumor patients that have developed adrenal insufficiency. From dosages and timing of dosing, when to stress dose and the effects of long-term steroid use to weight gain and increased hunger.
In June’s Monthly Learning Series, we will explore this topic in depth so join us and bring your questions!
Presenter
Lisa Swartz Topor, MD, MMSc, is the fellowship director of pediatric endocrinology at Rhode Island and its Hasbro Children’s Hospital, and is an associate professor of pediatrics and teaching scholar at The Warren Alpert Medical School of Brown University. She is board certified in pediatrics and pediatric endocrinology and her clinical interests include adrenal disease, thyroid disorders and diabetes.
Dr. Topor received her medical degree from Harvard Medical School in Boston and completed her residency and fellowship at Boston Children’s Hospital. She pursued additional training in clinical investigation at Harvard Medical School and Massachusetts Institute of Technology.
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[@robertmarking817]

Amazing presentation!!! 👏😊

[@RaymondAWoodFoundation]

Thank you!

[@sneakypress]

Really good presentation. 😅

[@RaymondAWoodFoundation]

Thank you!

[@lauriea999]

I take cortef daily my life is a nighmare thank you for this my endocrine is not as educated as you are

[@trafficjon400]

Right and why I am afraid to be treated making it worse. 5 years of suffering.

[@RaymondAWoodFoundation]

If you ever need support please reach out to us at [e-mail]

[@astrologersriuday1187]

I have Adrenal Insufficiency ... How should I understand wheather I should eat Hydrocortisone Life Long ? Or Not 🤔🤔 ?

[@lep8622]

I dont feel it’s necessary if you live a stable peaceful life. Medication is to deal with constant stress factors . Not needed for normal stress.

[@stacycraft999]

Um if you have adrenal insufficiency, you cannot survive without some form of hydrocortisone. Even for normal everyday life. Please take your meds regularly, or you may die

[@astrologersriuday1187]

​@@stacycraft999, Are you Doctor ? From ?

[@surlespasdondine]

@@stacycraft999exactly. Cortisol is the most important hormone, if you don't produce any, you need to replace it. Before medication to replace it existed, the diagnosis was a death sentence.

[@trafficjon400]

@@surlespasdondine Correct ' Addison's patients is worse sometimes? can take up to 4 injections daily of Hydrocortisone for some, or end up in Adrenal Crisis and if not treated with in 15 minutes can die.