Thank you SOOO much for all your hard work in putting together these videos. Your clinical medicine series videos have been by far the most helpful resource for me for studying for Step 2. We love you!!!
I've just had a low morning cortisol test and I'm awaiting a hospital appointment. I feel absolutely dreadful, the worst headaches and some very strange muscle fasciculations all over my body plus hypoglycemia attacks that cause my whole body to tremor. The fatigue......it's just awful, takes me hours to get up then I'm done again mid afternoon. Thank you for this video, very helpful.
I have secondary adrenal insufficiency, caused by Pembrolizumab (Keytruda) immunotherapy. I see several new people every week joining the support groups online who have this side effect of immunotherapy, I think it’s becoming more and more common. I have almost no cortisol, almost no acth, and almost no DHEA. I also have almost no estrone, estradiol, estriol, progesterone, or pregnenolone. I have high FSH and FH. I was not in menopause prior to chemotherapy & immunotherapy.
Our kids asthma specialist had us put a humidifier inside their room which we later learned contributed to mold and dust mite growth, making their asthma chronic. He also prescribed FLOVENT, a steroid inhaler at a dose 4x what it should be for our tiny daughter and it shut down her adrenal system, she nearly died in ICU before an endocrinologist figured out the cause and treatment (cortisone helped her recover over 6 months until she was ok again). This doctor should be behind bars, but he's out doing it to thousands of other kids with the full support and profit of pharma. This system is not helping us. We got our kids off of the inhalers, removed the humidifier and they've been fine since. I'm not diagnosing other's conditions or situations but I'm a parent who nearly lost my child due to gross misuse of these drugs on my daughter.
I was recently diagnosed with Secondary Adrenal Insufficiency, but my MRI results came back normal. I have no history of long-term steroid use, and none of the typical explanations for Secondary AI seem to apply in my case. I've been informed that my condition is idiopathic. Could you please advise on what additional tests I can do to determine why my pituitary gland isn't functioning properly despite the normal MRI results?
Time 16:47 what if a pregnant mother does not have any pituitary/ adrenal/ endocrine issues before or during pregnancy… what would you guess would cause the new born to be diagnosed with hypopituitary?
How can my mother have Secondary and a tumor and I also have Secondary (looking for a tumor)? Is this genetic? I have been in Addison crisis. If I can tell you guys it is AWFUL for the patient... Multiply awful x 1,000,000. INTENSE headache, vomiting, more intense headache, lots of urination, drink water, urinate it back out... Then, you just want to lie down and go to sleep. Luckily (I didn't know I had Addisons), I called a friend and told him I was dying. I didn´t know I was dying but it felt like dying. They called 9'11. You should know that intense crying and greiving sends me into Addisons Crisis. I don´t know if this is true for other patients. I was out of the country. I am very surprised the abulance knew to give me steroids.
In CAH there is deficiency of 21-OH enzyme which cause decrease in aldosterone and cortisol and switch the pathway more towards the synthesis of androgen
I SWEAR MY PROFESSOR COULD'VE JUST PLAYED THIS! i sat there for 2H n understood nothing but Zack in 51 mins made it all click
Wait a minute, you apologised a few days ago for this masterpiece???!!!
You smashed medicine , you monster ❤️❤️🔥🔥🔥🔥🔥💪💪💪💪💪
Some people were just born to teach, thank you professor Zach!
Thank you so much for covering this. Diagnosed with secondary adrenal insufficiency from a TBI, this video helped me understand my condition better.
Thank you SOOO much for all your hard work in putting together these videos. Your clinical medicine series videos have been by far the most helpful resource for me for studying for Step 2. We love you!!!
I have Addison's Disease and love that you covered this !
literally the best teacher
I've just had a low morning cortisol test and I'm awaiting a hospital appointment. I feel absolutely dreadful, the worst headaches and some very strange muscle fasciculations all over my body plus hypoglycemia attacks that cause my whole body to tremor. The fatigue......it's just awful, takes me hours to get up then I'm done again mid afternoon. Thank you for this video, very helpful.
I have secondary adrenal insufficiency, caused by Pembrolizumab (Keytruda) immunotherapy. I see several new people every week joining the support groups online who have this side effect of immunotherapy, I think it’s becoming more and more common. I have almost no cortisol, almost no acth, and almost no DHEA. I also have almost no estrone, estradiol, estriol, progesterone, or pregnenolone. I have high FSH and FH. I was not in menopause prior to chemotherapy & immunotherapy.
Best teacher in the world ❤❤❤
You are always my go to channel. Thank you
Thank You very much for all the work, time, and execution of these very informative videos!! 👏🏼 👏🏼
Explicação maravilhosa! E muito obrigada por acrescentar legendas em português! ❤️
SAI here. Very helpful.
Thanks alot❤ from India🇮🇳
best teacher ever !
Very helpful thanks a lot
Our kids asthma specialist had us put a humidifier inside their room which we later learned contributed to mold and dust mite growth, making their asthma chronic. He also prescribed FLOVENT, a steroid inhaler at a dose 4x what it should be for our tiny daughter and it shut down her adrenal system, she nearly died in ICU before an endocrinologist figured out the cause and treatment (cortisone helped her recover over 6 months until she was ok again). This doctor should be behind bars, but he's out doing it to thousands of other kids with the full support and profit of pharma. This system is not helping us. We got our kids off of the inhalers, removed the humidifier and they've been fine since.
I'm not diagnosing other's conditions or situations but I'm a parent who nearly lost my child due to gross misuse of these drugs on my daughter.
Please do not stop spreading your message .
It’s relevant in all areas of health and medicine .
Hope she gets well soon !
get the papers and sue them !!
you will save hundreds of lives
Excellency at its best❤
I love your teaching methodologies.
Thank you so much
Thank you so much ❤
From Yemen, big thanks
Wow!!! Agreed this is a masterpiece presentation!!!👏😊
your videos carry me through my advanced physiology class!
Great video, thanks Ninja Nerd!
Amazing lecture as always. Ty Zach!
Thank You for wonderful lessons!
You are AMAZING!! Thank you so much!!
PERFECT. PERFECTION.
Thank you 💗
Sounds like your explanation fits some dysautonomia/ pots syndrome symptoms
Thanks!
My professor could never
You are great. Thank you for sharing yor knowledge.
Thank you for this video
U r amazing teacher .. love and respect 🙏🙏❤️
Thank you sir
Thank you for the videos
Thank you Zach!
Outdone yourself with this one 👏🏻
brother is back putting all my medical professors in university in shambles.
Anterior pituitary back at it again
Excellent work as always
Thankyou Zach❤
Thank you
Thank you!
Thanks
I was recently diagnosed with Secondary Adrenal Insufficiency, but my MRI results came back normal. I have no history of long-term steroid use, and none of the typical explanations for Secondary AI seem to apply in my case. I've been informed that my condition is idiopathic. Could you please advise on what additional tests I can do to determine why my pituitary gland isn't functioning properly despite the normal MRI results?
Excellent
You are amazing❤️
Thank you
What about hidradenitis suppurativa
Time 16:47 what if a pregnant mother does not have any pituitary/ adrenal/ endocrine issues before or during pregnancy… what would you guess would cause the new born to be diagnosed with hypopituitary?
You are amazing
zach explain it like drinking water
Why do I maintain a normal blood sugar when untreated for SAI if cortisol causes blood sugar to rise and my cortisol tanked?
Can you just tell me why just alpha 1 sensitivity increases why not beta 1 & 2 ?????????
Love u zackk❤❤
Awesome
Eosinophilia? Why would that be the case? And how high?
CRH isnt decreased in secondary, its increased (just to avoid confusion)
phenom vids brother
Elaborate
How can my mother have Secondary and a tumor and I also have Secondary (looking for a tumor)? Is this genetic?
I have been in Addison crisis. If I can tell you guys it is AWFUL for the patient... Multiply awful x 1,000,000. INTENSE headache, vomiting, more intense headache, lots of urination, drink water, urinate it back out... Then, you just want to lie down and go to sleep. Luckily (I didn't know I had Addisons), I called a friend and told him I was dying. I didn´t know I was dying but it felt like dying. They called 9'11. You should know that intense crying and greiving sends me into Addisons Crisis. I don´t know if this is true for other patients. I was out of the country. I am very surprised the abulance knew to give me steroids.
You rock
da best
Are there any other microbes that infect and deteriorate the adrenals? Never-ending. You answered.
I have an upcoming SOAP note on anadrenal crisis case, without you my ass is grass 😭
❤❤❤
❤
Yo I ❤
why isnt CAH considered primary adrenal insufficiency?
CEA is because of congenital absence of 21OH and manifested in young children.....
CAH*
In CAH there is deficiency of 21-OH enzyme which cause decrease in aldosterone and cortisol and switch the pathway more towards the synthesis of androgen
6 th like sir, I'm pratheesh from india ( Tamil Nadu).am big fan of you sir.say one hi sir.
🎉🎉🎉🎉
💯🥷💯🥷💯🥷💯
You are AMAZING!! Thank you so much!!
Thank you very much ❤
Thankyou sooo much for this
Thank you very much
thank you!
❤❤❤