Treating cushing. Mar 11, 2023 · Find a Cushing’s Specialist. The doctors listed here have been recommended to the CSRF as being expert physicians that are familiar with the symptoms and treatment of Cushing’s Syndrome and Cushing’s Disease. Your primary care physician should be able to order the screening tests. Since these doctors are experts in Cushing’s, they may ...

Cushing syndrome is a condition caused by too much of the hormone cortisol in the body. The excess may happen because of medications or because your body produces too much of the hormone. There are treatments for Cushing syndrome. Treatment may last for some time. Symptoms and Causes.

Treating cushing. May 20, 2022 · Treatment of Cushing's Disease in Horses. The first-line treatment for Cushing’s disease is an FDA-approved tablet called Prascend (pergolide). Some horses may need to be started on Prascend gradually as it can cause a decrease appetite.

Cushing’s syndrome (CS) is a severe condition with excess mortality and significant morbidity necessitating effective biochemical control ().Where a cause amenable to surgical intervention is identified, surgery at a center with appropriate expertise is the optimum management.

Mar 31, 2023 · Options to Treat Cushing’s Syndrome. If Cushing’s syndrome is confirmed, veterinarians have only a handful of treatment options. In fact, many veterinarians choose not to medicate for the disease based on bloodwork, other currently prescribed medications, additional conditions, and potential side effects of the Cushing’s disease medications. Cushings Free Naturally is a natural cushing’s supplement for horses. Equine Cushing’s disease is also known as pituitary pars intermedia dysfunction (PPID). Cushing’s in horses shows up as a longer, shaggy coat and delayed shedding after winter, laminitis/founder, increased sweating, muscle and weight loss and sometimes excessive drinking and urinating.

Jun 7, 2022 · Lignans dosage for Cushing's is 1-2 mg of lignan per pound of body weight. Melatonin also helps to treat hair loss in dogs, especially for those with Cushing’s disease. It also lowers cortisol levels. Melatonin dosage for Cushing's is 3mg every 12 hours for dogs under 30 Ibs and 6mg every 12 hours for dogs over 30 Ibs. May 12, 2022 · How much does it cost to treat Cushings in horses? Pergolide and cyproheptadine are the most commonly used medications. Pergolide is typically most effective. Treatment for a full-sized horse usually costs between $80-$100 per month. Cyproheptadine is less effective, but is also less expensive, at about $35 per month. Cushing’s triad, consisting of bradycardia, irregular respirations, and widened pulse pressures, is the body ’s response to increased intracranial pressure (ICP). It usually indicates a severe lack of oxygen in the brain tissue. The Cushing reflex and subsequent triad are the body ’s final attempts to oxygenate the brain and prevent ... Mar 31, 2022 · To treat Cushing’s disease, the tumor(s) would have to be removed or treated; in most cases this is not a viable option. The treatment approach also depends on what is causing the Cushing’s disease, and will vary according to whether the disease is caused by the pituitary gland, the adrenal gland or steroid medication. Apr 7, 2023 · Overview Symptoms Causes Risk factors Diagnosis Treatment Diet Management Outlook Cushing syndrome occurs when the body overproduces cortisol. It can cause symptoms, including weight gain and... May 12, 2022 · How much does it cost to treat Cushings in horses? Pergolide and cyproheptadine are the most commonly used medications. Pergolide is typically most effective. Treatment for a full-sized horse usually costs between $80-$100 per month. Cyproheptadine is less effective, but is also less expensive, at about $35 per month. CUSHING'S syndrome is usually treated surgically when it is associated with pituitary-dependent adrenocortical hyperplasia or an adrenal adenoma. However, the patient's general condition may exclude a surgical approach, and in these cases as well as in certain instances of Cushing's syndrome due to metastatic adrenal carcinoma of ectopic ... May 14, 2014 · Usually treatment for Cushing's is not even recommended unless the dog has clinical signs because treatment does not necessarily change their overall life span - it just keeps them from being polyuric (urinating a lot), polydypsic (drinking a lot), losing their hair, etc. Nov 3, 2017 · That said, 50% of the horses were alive 4.6 years after diagnosis (most that didn’t live got euthanized, and most of those got euthanzied because of problems related to Cushing’s). So, the bottom line is that you shouldn’t expect a treated horse to live longer with treatment, nor even to necessarily avoid problems. 10. Nov 3, 2017 · That said, 50% of the horses were alive 4.6 years after diagnosis (most that didn’t live got euthanized, and most of those got euthanzied because of problems related to Cushing’s). So, the bottom line is that you shouldn’t expect a treated horse to live longer with treatment, nor even to necessarily avoid problems. 10.

Jun 30, 2021 · In some cases, Selegiline hydrochloride (Anipryl®), and ketoconazole (Nizoral®) may be used to treat canine Cushing’s disease, The first line of defense for treating adrenal-dependant Cushing's in dogs is surgery to remove the tumor. If the surgery is uncomplicated and the tumor hasn't spread and isn't malignant, there is a chance that your ... Nov 3, 2017 · That said, 50% of the horses were alive 4.6 years after diagnosis (most that didn’t live got euthanized, and most of those got euthanzied because of problems related to Cushing’s). So, the bottom line is that you shouldn’t expect a treated horse to live longer with treatment, nor even to necessarily avoid problems. 10. May 20, 2022 · Treatment of Cushing's Disease in Horses. The first-line treatment for Cushing’s disease is an FDA-approved tablet called Prascend (pergolide). Some horses may need to be started on Prascend gradually as it can cause a decrease appetite.

Mar 31, 2023 · Options to Treat Cushing’s Syndrome. If Cushing’s syndrome is confirmed, veterinarians have only a handful of treatment options. In fact, many veterinarians choose not to medicate for the disease based on bloodwork, other currently prescribed medications, additional conditions, and potential side effects of the Cushing’s disease medications.

Median final dose: Cushing's disease 1375 mg; ectopic ACTH syndrome 1500 mg; benign adrenal disease 750 mg; and adrenocortical carcinoma 1250 mg. Adverse events occurred in 25% of patients, mostly mild gastrointestinal upset and dizziness, usually within 2 weeks of initiation or dose increase, all reversible. Cushing's syndrome is a collection of signs and symptoms due to prolonged exposure to glucocorticoids such as cortisol. Signs and symptoms may include high blood pressure, abdominal obesity but with thin arms and legs, reddish stretch marks, a round red face due to facial plethora, a fat lump between the shoulders, weak muscles, weak bones, acne, and fragile skin that heals poorly. Median final dose: Cushing's disease 1375 mg; ectopic ACTH syndrome 1500 mg; benign adrenal disease 750 mg; and adrenocortical carcinoma 1250 mg. Adverse events occurred in 25% of patients, mostly mild gastrointestinal upset and dizziness, usually within 2 weeks of initiation or dose increase, all reversible. Nov 15, 2021 · Vetoryl® Provides a Safe Treatment Option for Cushing's Syndrome. The primary goal of treatment is to reduce cortisol secretion, resulting in improved clinical signs. 1,2 “Dogs with Cushing's syndrome rarely die from Cushing's syndrome. Instead, they are often euthanized due to clinical signs and comorbid conditions that develop,” Heather ...

Other symptoms of Cushing's Disease in Horses: Excessive drinking and urination. Non-specific laminitis. A tendency for recurring infections in the hoof (foot abscesses) Loss of muscle mass, especially along the topline and rump. Depression and/or lack of energy. Fatty deposits, including cresty neck and/or weight loss. Apr 28, 2019 · Conventional Medical Treatments for Cushing’s in Dogs. Possible conventional treatments for Cushing’s disease include surgery, radiation and medicine. Surgery: Surgery can be used to remove a malignant adrenal tumor that is causing Cushing’s. But it’s rarely used for pituitary tumors, because they are very small and difficult to remove. Jul 4, 2023 · "Treating Cushing's is a balancing act," Stohlman said. "But dogs with the disease can live a good life if they are monitored closely by a veterinarian and the owner is diligent about bringing the ... Acupuncture as a natural treatment for Cushing syndrome can be particularly effective in reducing physical symptoms of Cushing disease like lowering pain, enhancing heart functions, and promoting quality sleep. It can also help in restoring your hormonal imbalance. However, it’ll take multiple sessions before you can see results. Dec 2, 2022 · What Is the Best Way to Treat Cushing Syndrome? About Cushing syndrome Best treatments Ectopic Cushing syndrome Cushing syndrome and diabetes Recovery timeline Self-treatment Takeaway... The first treatment is eliminating the high cortisol levels by treating the cause of Cushing’s Syndrome. Improvement in cognitive functioning will likely occur in time. Stimulant medications, like Ritalin and Adderall, can help with concentration, and through this means sometimes help also with memory, in that a person who focuses longer may ... Answer: People with Cushing’s syndrome can have a number of skin changes, including rashes. Skin tends to be thin and fragile, and breaks in the skin can lead to infections which may need antibiotics. Facial acne as well as fungal infections of the skin may be present as well. Katznelson. B y Dr. Laurence Katznelson, Stanford University ... Dec 2, 2022 · What Is the Best Way to Treat Cushing Syndrome? About Cushing syndrome Best treatments Ectopic Cushing syndrome Cushing syndrome and diabetes Recovery timeline Self-treatment Takeaway... Dec 2, 2022 · What Is the Best Way to Treat Cushing Syndrome? About Cushing syndrome Best treatments Ectopic Cushing syndrome Cushing syndrome and diabetes Recovery timeline Self-treatment Takeaway... Treatment of hyperadrenocorticism (HAC) may be achieved by surgery (adrenalectomy or trans-sphenoidal hypophysectomy), pituitary irradiation, or medical treatment. Surgery and radiotherapy are complicated procedures available only at a few specialty centers, therefore medical treatment is often the most practical and approachable treatment choice. Mar 31, 2022 · To treat Cushing’s disease, the tumor(s) would have to be removed or treated; in most cases this is not a viable option. The treatment approach also depends on what is causing the Cushing’s disease, and will vary according to whether the disease is caused by the pituitary gland, the adrenal gland or steroid medication. Answer: People with Cushing’s syndrome can have a number of skin changes, including rashes. Skin tends to be thin and fragile, and breaks in the skin can lead to infections which may need antibiotics. Facial acne as well as fungal infections of the skin may be present as well. Katznelson. B y Dr. Laurence Katznelson, Stanford University ... Treatment is typically pursued when the clinical signs start affecting a dog’s quality of life, and also when it’s necessary to reduce the complications associated with Cushing’s syndrome. It’s important to talk with your veterinarian about how to weigh the risks of surgery or the possible side effects of available medications. How Lignans Can Help in Cushing’s Disease Treatment for Dogs. Helps the return of normal skin and coat. Helps restore normal thirst and urination. Aids in the return of dog’s normal weight and appetite. Helps restore dog’s energy. Inhibits 3-beta HSD Enzyme, which effectively reduces Cortisol levels. Treatment of hyperadrenocorticism (HAC) may be achieved by surgery (adrenalectomy or trans-sphenoidal hypophysectomy), pituitary irradiation, or medical treatment. Surgery and radiotherapy are complicated procedures available only at a few specialty centers, therefore medical treatment is often the most practical and approachable treatment choice. Jul 6, 2021 · None of the treatments actually restore normal adrenal function but once the six months period has passed, dogs with the disease may live several more good quality years. New Developments: A new drug, trilostane, appears to have great potential in treating Cushing’s disease without some of the side effects caused by mitotane. Oct 1, 2011 · Treatment with o,p'-DDD or trilostane is discontinued until the pre-and post-ACTH stimulation cortisol concentrations are above 1 mg/dl. o,p'-DDD or trilostane treatment is also discontinued, and an ACTH stimulation test is performed if the dog develops signs suggestive of hypoadrenocorticism such as lethargy, weakness, anorexia, vomiting ...

Acupuncture as a natural treatment for Cushing syndrome can be particularly effective in reducing physical symptoms of Cushing disease like lowering pain, enhancing heart functions, and promoting quality sleep. It can also help in restoring your hormonal imbalance. However, it’ll take multiple sessions before you can see results. CUSHING'S syndrome is usually treated surgically when it is associated with pituitary-dependent adrenocortical hyperplasia or an adrenal adenoma. However, the patient's general condition may exclude a surgical approach, and in these cases as well as in certain instances of Cushing's syndrome due to metastatic adrenal carcinoma of ectopic ... Jul 29, 2015 · 1. Treatment goals for Cushing's syndrome. 1.1 In patients with overt Cushing's syndrome (CS), we recommend normalizing cortisol levels or action at its receptors to eliminate the signs and symptoms of CS and treating comorbidities associated with hypercortisolism. Nov 3, 2017 · That said, 50% of the horses were alive 4.6 years after diagnosis (most that didn’t live got euthanized, and most of those got euthanzied because of problems related to Cushing’s). So, the bottom line is that you shouldn’t expect a treated horse to live longer with treatment, nor even to necessarily avoid problems. 10. Jun 7, 2023 · Taking glucocorticoid medicines is the most common way to get Cushing syndrome. Your health care provider can look at all your medicines — pills, injections, creams and inhalers — to see if you're taking medicines that can cause the syndrome. If you are, you won't need other tests. Nov 3, 2017 · That said, 50% of the horses were alive 4.6 years after diagnosis (most that didn’t live got euthanized, and most of those got euthanzied because of problems related to Cushing’s). So, the bottom line is that you shouldn’t expect a treated horse to live longer with treatment, nor even to necessarily avoid problems. 10. Oct 29, 2020 · Background. While surgery is the first-line treatment for patients with endogenous hypercortisolism (Cushing syndrome [CS]), mifepristone has been shown to be a beneficial medical treatment option, as demonstrated in the SEISMIC (Study of the Efficacy and Safety of Mifepristone in the Treatment of Endogenous Cushing Syndrome) trial.

Nov 30, 2020 · There is some supportive evidence that lysodren therapy could help decrease that overall diabetic incidence in 13% of dogs. Statistically, treatment for Cushing’s disease may help decrease the incidence of gall bladder disease in 26.6% of patients. Hypertension and proteinuria improved in 47% with treatment, and 60-80% in other references. Cushing's Disease has no cure, so control of the disease and symptoms is crucial. Early identification of Cushing's disease is essential. The sooner treatment begins, the better prognosis for the dog. Canine Cushing's Disease. Cushing's disease, or hyperadrenocorticism, typically affects older dogs. It's a disease where the adrenal gland ... Sep 10, 2021 · The exact treatment depends on the underlying issue leading to cortisol overproduction. Treatment for Pituitary Tumors . In terms of treatment, the pituitary-dependent Cushing's disease is the most challenging form of hyperadrenocorticism. There are only two drug options – trilostane and mitotane. Median final dose: Cushing's disease 1375 mg; ectopic ACTH syndrome 1500 mg; benign adrenal disease 750 mg; and adrenocortical carcinoma 1250 mg. Adverse events occurred in 25% of patients, mostly mild gastrointestinal upset and dizziness, usually within 2 weeks of initiation or dose increase, all reversible. May 12, 2022 · How much does it cost to treat Cushings in horses? Pergolide and cyproheptadine are the most commonly used medications. Pergolide is typically most effective. Treatment for a full-sized horse usually costs between $80-$100 per month. Cyproheptadine is less effective, but is also less expensive, at about $35 per month. Cushing’s triad, consisting of bradycardia, irregular respirations, and widened pulse pressures, is the body ’s response to increased intracranial pressure (ICP). It usually indicates a severe lack of oxygen in the brain tissue. The Cushing reflex and subsequent triad are the body ’s final attempts to oxygenate the brain and prevent ... Jan 1, 2001 · Cushing's syndrome is the resulting set of symptoms observed when the body is exposed to excess cortisone (or related hormones) over a long period of time. Cortisol (called hydrocortisone when used as a medication) is a hormone produced by the adrenal glands that are located atop the kidneys. Jul 4, 2023 · "Treating Cushing's is a balancing act," Stohlman said. "But dogs with the disease can live a good life if they are monitored closely by a veterinarian and the owner is diligent about bringing the ... Mar 31, 2023 · Options to Treat Cushing’s Syndrome. If Cushing’s syndrome is confirmed, veterinarians have only a handful of treatment options. In fact, many veterinarians choose not to medicate for the disease based on bloodwork, other currently prescribed medications, additional conditions, and potential side effects of the Cushing’s disease medications. Sep 10, 2021 · The exact treatment depends on the underlying issue leading to cortisol overproduction. Treatment for Pituitary Tumors . In terms of treatment, the pituitary-dependent Cushing's disease is the most challenging form of hyperadrenocorticism. There are only two drug options – trilostane and mitotane. Jun 7, 2023 · Learn about symptoms, causes and treatment. ... Thyroid cancer, Atypical hyperplasia of the breast, Cushing syndrome, Multiple endocrine neoplasia type 2, ... Nov 30, 2020 · There is some supportive evidence that lysodren therapy could help decrease that overall diabetic incidence in 13% of dogs. Statistically, treatment for Cushing’s disease may help decrease the incidence of gall bladder disease in 26.6% of patients. Hypertension and proteinuria improved in 47% with treatment, and 60-80% in other references. Dec 8, 2022 · In most cases, Cushing's disease begins as subtle changes in behaviour and appearance. The most obvious sign is the lack of a topline. The hair coat may be thin or coarse, and there may be evidence of delayed shedding. Horses with Cushing's disease are usually lethargic. Their appetite and energy levels decrease. Acupuncture as a natural treatment for Cushing syndrome can be particularly effective in reducing physical symptoms of Cushing disease like lowering pain, enhancing heart functions, and promoting quality sleep. It can also help in restoring your hormonal imbalance. However, it’ll take multiple sessions before you can see results. Cushing's Disease has no cure, so control of the disease and symptoms is crucial. Early identification of Cushing's disease is essential. The sooner treatment begins, the better prognosis for the dog. Canine Cushing's Disease. Cushing's disease, or hyperadrenocorticism, typically affects older dogs. It's a disease where the adrenal gland ... Aug 6, 2021 · Metyrapone (Metopirone®), a pyridine derivative, is a useful treatment option for the management of patients with endogenous Cushing’s syndrome, based on evidence from more than six decades of its use in clinical practice, prospective and retrospective studies, as well as case reports. Metyrapone is associated with a rapid onset of action and is effective in reducing cortisol levels and ... Treatment of hyperadrenocorticism (HAC) may be achieved by surgery (adrenalectomy or trans-sphenoidal hypophysectomy), pituitary irradiation, or medical treatment. Surgery and radiotherapy are complicated procedures available only at a few specialty centers, therefore medical treatment is often the most practical and approachable treatment choice. Jun 15, 2023 · Cushing’s horses today have a better prognosis than ever before, and with proper treatment and management they can enjoy long and productive lives. In recent studies, McFarlane has found that PPID begins when hypothalamic neurons degenerate and produce less dopamine, the substance that restrains pituitary secretion.

Nov 15, 2021 · Vetoryl® Provides a Safe Treatment Option for Cushing's Syndrome. The primary goal of treatment is to reduce cortisol secretion, resulting in improved clinical signs. 1,2 “Dogs with Cushing's syndrome rarely die from Cushing's syndrome. Instead, they are often euthanized due to clinical signs and comorbid conditions that develop,” Heather ...

Oct 29, 2020 · What's the Treatment for Cushing's Disease in Dogs? Treatment of Cushing’s disease in dogs is largely dependent on the underlying cause. Treatment options include: Surgery. Medication. Radiation. If Cushing’s disease is caused by the excessive use of steroids, the steroid dosage should be carefully tapered down and discontinued.

Treatment of hyperadrenocorticism (HAC) may be achieved by surgery (adrenalectomy or trans-sphenoidal hypophysectomy), pituitary irradiation, or medical treatment. Surgery and radiotherapy are complicated procedures available only at a few specialty centers, therefore medical treatment is often the most practical and approachable treatment choice. Treating canine Cushing's syndrome: Current options and future prospects. 2018 Nov;241:42-51. doi: 10.1016/j.tvjl.2018.09.014. Epub 2018 Sep 27. , H S Kooistra , S Galac. 30340659. 10.1016/j.tvjl.2018.09.014. Naturally occurring hypercortisolism, also known as Cushing's syndrome, is a common endocrine disorder in dogs that can be caused by an ... Hi Dr. Angie, Thank you so much for all of the info regarding holistic treatments for Cushing’s Disease! My 8yo boxer was diagnosed this week and I decided to take the holistic approach so your article has been very helpful! 🙂 I’ve ordered Raw Ground Turkey, Farm Fresh Grass Fed Raw Goat Milk Kefir for probiotics, and beef broth for hydration to switch him off of kibble. Cushing's syndrome is a collection of signs and symptoms due to prolonged exposure to glucocorticoids such as cortisol. Signs and symptoms may include high blood pressure, abdominal obesity but with thin arms and legs, reddish stretch marks, a round red face due to facial plethora, a fat lump between the shoulders, weak muscles, weak bones, acne, and fragile skin that heals poorly. Mar 31, 2022 · To treat Cushing’s disease, the tumor(s) would have to be removed or treated; in most cases this is not a viable option. The treatment approach also depends on what is causing the Cushing’s disease, and will vary according to whether the disease is caused by the pituitary gland, the adrenal gland or steroid medication. Jul 4, 2023 · "Treating Cushing's is a balancing act," Stohlman said. "But dogs with the disease can live a good life if they are monitored closely by a veterinarian and the owner is diligent about bringing the ... How Lignans Can Help in Cushing’s Disease Treatment for Dogs. Helps the return of normal skin and coat. Helps restore normal thirst and urination. Aids in the return of dog’s normal weight and appetite. Helps restore dog’s energy. Inhibits 3-beta HSD Enzyme, which effectively reduces Cortisol levels. Oct 29, 2020 · What's the Treatment for Cushing's Disease in Dogs? Treatment of Cushing’s disease in dogs is largely dependent on the underlying cause. Treatment options include: Surgery. Medication. Radiation. If Cushing’s disease is caused by the excessive use of steroids, the steroid dosage should be carefully tapered down and discontinued. Treating canine Cushing's syndrome: Current options and future prospects. 2018 Nov;241:42-51. doi: 10.1016/j.tvjl.2018.09.014. Epub 2018 Sep 27. , H S Kooistra , S Galac. 30340659. 10.1016/j.tvjl.2018.09.014. Naturally occurring hypercortisolism, also known as Cushing's syndrome, is a common endocrine disorder in dogs that can be caused by an ...

eva elfiewhat time do sallypercent27s openkatu 107 javhaggar menpercent27s Treating cushing rvladbgcx15 [email protected] & Mobile Support 1-888-750-6855 Domestic Sales 1-800-221-8255 International Sales 1-800-241-7785 Packages 1-800-800-3162 Representatives 1-800-323-2445 Assistance 1-404-209-5325. Cushing's Disease has no cure, so control of the disease and symptoms is crucial. Early identification of Cushing's disease is essential. The sooner treatment begins, the better prognosis for the dog. Canine Cushing's Disease. Cushing's disease, or hyperadrenocorticism, typically affects older dogs. It's a disease where the adrenal gland ... . dandh distributing Treatment of hyperadrenocorticism (HAC) may be achieved by surgery (adrenalectomy or trans-sphenoidal hypophysectomy), pituitary irradiation, or medical treatment. Surgery and radiotherapy are complicated procedures available only at a few specialty centers, therefore medical treatment is often the most practical and approachable treatment choice. Mitotane, also known as o,p’-DDD (brand names: Lysodren®, Lisodren®) is an anticancer medication that is toxic to the adrenal gland cells and is used to treat hyperadrenocorticism (Cushing’s disease) or adrenal gland carcinoma. Its use in dogs and ferrets to treat adrenal disorders is ‘off label’ or ‘extra label’. 44 346 pillford f150 for sale under dollar5000 Jun 7, 2022 · Lignans dosage for Cushing's is 1-2 mg of lignan per pound of body weight. Melatonin also helps to treat hair loss in dogs, especially for those with Cushing’s disease. It also lowers cortisol levels. Melatonin dosage for Cushing's is 3mg every 12 hours for dogs under 30 Ibs and 6mg every 12 hours for dogs over 30 Ibs. g s173 release dateiowa men New Customers Can Take an Extra 30% off. There are a wide variety of options. The first treatment is eliminating the high cortisol levels by treating the cause of Cushing’s Syndrome. Improvement in cognitive functioning will likely occur in time. Stimulant medications, like Ritalin and Adderall, can help with concentration, and through this means sometimes help also with memory, in that a person who focuses longer may ... May 12, 2022 · How much does it cost to treat Cushings in horses? Pergolide and cyproheptadine are the most commonly used medications. Pergolide is typically most effective. Treatment for a full-sized horse usually costs between $80-$100 per month. Cyproheptadine is less effective, but is also less expensive, at about $35 per month. Oct 29, 2020 · What's the Treatment for Cushing's Disease in Dogs? Treatment of Cushing’s disease in dogs is largely dependent on the underlying cause. Treatment options include: Surgery. Medication. Radiation. If Cushing’s disease is caused by the excessive use of steroids, the steroid dosage should be carefully tapered down and discontinued.