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In this segment, Dr. Sassan Mirfakhraee explains why oral steroids aren’t always enough for managing adrenal insufficiency, especially in patients who continue to struggle with persistent adrenal symptoms despite consistent glucocorticoid replacement therapy. He breaks down how the hydrocortisone pump offers a more physiological approach by mimicking natural hormone rhythms—helping reduce early-morning fatigue, nausea, and other classic adrenal insufficiency symptoms. This method has also shown promise in adrenal crisis prevention and reducing hospital visits for high-risk individuals. ▶ Why some patients experience ongoing issues with oral steroid therapy ▶ Signs of acute adrenal crisis and when adrenal crisis treatment is critical ▶ How malabsorption and adrenal insufficiency are connected, and what to do about it ▶ Which patients benefit most—those with malabsorption, shift work, or frequent adrenal crisis symptoms ▶ How to identify candidates for hormone therapy via infusion over traditional routes ▶ The role of the adrenal gland in maintaining balance and when to look beyond standard primary adrenal insufficiency treatments This conversation provides insight into tailoring adrenal insufficiency treatment strategies for real-world complexity. #adrenalinsufficiency #hydrocortisonepump #oralsteroids #adrenalcrisistreatment #malabsorption #adrenalgland #hormonetherapy #glucocorticoidreplacement #adrenalcrisissymptoms #shiftworkcare