Endocrine

Cushing's Disease

Overproduction of cortisol causing excessive thirst, hunger, urination, and a pot-bellied appearance.

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Expert guides

The Concurrent Diseases That Fight Your Insulin

The dose has crept up again. We're at numbers that would have sounded alarming three months ago, the glucose curve is still a flat high line that barely dips, and you're doing everything right. And yet the insulin just isn't working. The natural instinct, yours and sometimes mine, is to reach for the dial and...

Claire Greenway12 min read

Cushing's explained: the thirsty, pot-bellied, balding dog

If you've ended up here, it's probably because your older dog has started drinking gallons, seems hungry all the time, wees more than they used to, and has developed a sagging, pot-bellied look with a thinning coat and a lot of panting...

Claire Greenway9 min read

Cushing's from steroids: the iatrogenic kind owners cause by accident

If your dog has been on steroids for a while, for itchy skin, an immune problem or joint disease, and is now starting to look a bit Cushing's-like, this is the article for you. The medical name is iatrogenic hyperadrenocorticism, which just means Cushing's caused by tr...

Dr. Alastair Greenway8 min read

Treating Cushing's with trilostane: when to, when not to, and the monitoring

If your dog has just been diagnosed with Cushing's, the next conversation is usually about a tablet called trilostane. It's a well-understood drug that genuinely helps, and most dogs do well on it. But there are two things the single-product manufacturer pages tend to skip...

Claire Greenway9 min read

Diagnosing Cushing's: the testing maze (and the over-testing trap)

If your vet has mentioned Cushing's and then started talking about a morning of blood tests, a urine sample, maybe a scan, you'd be forgiven for thinking they're being indecisive. They're not. Cushing's is one of the few conditions in dogs where there genuinely isn't a single clean blood test that settles it…

Dr. Alastair Greenway9 min read

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