From Lewis Blevins, MD – Bilateral adrenalectomy has always been an option to treat hypercortisolism due to Cushing’s disease due to an ACTH-secreting pituitary tumors. It is not considered first line treatment as it is
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Adrenal Cushing’s: a conversation
October 1, 2025
Listen to this fascinating discussion of adrenal Cushing’s or hypercortisolism as Dr. Lewis Blevins walks us through the disease’s characteristics, biochemistry, and treatment options. In the talk, he focuses on different conditions, including adrenal adenomas, adrenal cancer, adrenal hyperplasia, and other related diseases like Carney Complex and McCune-Albright syndrome.
Steroid doses and adrenal insufficiency
September 30, 2025
Learn about management and approaches to stress doses of steroids and adjustments in patients with adrenal insufficiency.
Dr. Naila Goldenberg speaks about Adrenal Insufficiency and her experiences with cortisol pumps
September 30, 2025
There is growing interest in the use of cortisol pumps to treat patients with adrenal insufficiency, though most physicians in the US lack experience in this area. Dr. Lewis Blevins caught up with Dr. Naila Goldenberg at The Endocrine Society Meeting in San Francisco, California, in July 2025.
When It Looks Like Cushing’s But It Isn’t
September 29, 2025
We are delighted to welcome Dr. Leena Shahla to the Pituitary Podcast. She is the director of The Duke Pituitary Program. Today she joins PWN co-founder and medical director of the California Center for Pituitary
What constitutes a normal test result?
September 28, 2025
From Dr. Lewis Blevins. What constitutes a normal test result? In most endocrine assays, it is a population of supposedly normal individuals that defines the upper and lower limits of normal. Take the mean, and
Steroid dose equivalents
September 28, 2025
From Dr. Lewis Blevins. There is a lot of confusion as to what constitutes a replacement dose of a steroid hormone for patients with hypopituitarism. The textbooks are wrong and, if we took doses they
Tests of Pituitary Function: Cushing’s syndrome
September 28, 2025
From Lewis Blevins, MD – Cortisol is a stress hormone. Thus, physical or psychic stress can elevate cortisol levels in normal persons. Depression and alcoholism can elevate cortisol levels and cause what is called pseudo-
Tests of Pituitary Function: Adrenal Insufficiency.
September 28, 2025
From Lewis Blevins, MD – The pituitary gland secretes ACTH that in turn drives cortisol production by the adrenal glands. ACTH secretion is determined by ambient cortisol levels, which inhibit ACTH production and secretion, and
Postoperative Evaluation of Patients with Cushing’s Disease.
September 28, 2025
From Lewis S. Blevins Jr, MD – One of the greatest challenges facing medical practitioners is in the recognition and diagnosis of Cushing’s syndrome and disease. As if this not sufficiently difficult, an even greater
Adrenal Insufficiency
September 28, 2025
Podcast – Adrenal insufficiency is the inability of the Adrenal Gland to perform its usual functions. In this exclusive podcast, Dr. Blevins explains the concept of adrenal insufficiency and shares his perspectives and approach to treatment.
Insights: Adrenal Insufficiency
September 28, 2025
From Lewis S Blevins Jr, MD – I define hypopituitarism as the partial or the complete deficiency of one or more anterior pituitary hormones. As a result of how this all works, patients can have
The long-term ramifications of Cushing’s
September 28, 2025
In this informative podcast, Dr. Lewis Blevins explores the long-term issues affecting people with Cushing’s disease and syndrome. For more information on Cushing’s download this series of podcasts. Music by Patrick Muecke