Conversation: The conversation between human and AI assistant.
[|Human|] no pituarity tumor found. Cortisol base was .30. Second base was .50 before given Cortisol IV then 3.1 after 30 minutes and 5.1 after 60 minutes. Multiple tests negative but Endo is saying Adrenal Insufficency with Addison s. Endo is suggesting multiple epidurals (back, neck, shoulder) may be the cause. Now on meds. I don t understand my at 62 this is just now being discovered. Could this be caused by an injury such as a fracture L1 endplate (Aug 2013)? Thanks
[|AI|]  Hi, thank you for providing the brief history of you. A thorough neuromuscular assessment is advised. As you have an L1 end plate fracture, this is totally aging factor and called as a pathological fracture. Since you are 62, this kind of fracture is commonly ad Chat Doctor.  Also, the steroids are given for temporary pain relieving factors of which the side effects are totally unknown. But as you age and no exercises then chances for degenerative changes to occurs is possible and aging is an added