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It is important to distinguish between dizziness and vertigo, as these terms are often used interchangeably but describe different experiences
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In a 66-year-old woman with a 2.3 cm pituitary macroadenoma, class II obesity on tirzepatide (Mounjaro), prediabetes, hypertension, ACTH of 14 pg/mL, postlowdose dexamethasone cortisol of 4.5 g/dL, 24hour urine cortisol of 66 g/24 h, and normal prolactin, IGF1, LH, FSH, free T4 and TSH, what is the cause of the abnormal lowdose dexamethasone suppression test?
Contact your provider within 24-48 hours for persistent nausea lasting more than 3-4 weeks or signs of dehydration
Headache has been reported in approximately 6-8% of patients in clinical trials, though causality is often difficult to establish given the high background prevalence of headaches in the general population
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