Adrenal Cortex

Serum cortisol levels are slightly raised, without diurnal variation, and may not suppress with dexa-methasone overnight. Urinary 17-hydroxy and 17-keto steroids are decreased by 30-50%, but urinary-free cortisol may be increased. Corticotrophin-releasing factor (CRF) stimulation causes a subnormal corticotrophin rise but a normal or supernormal serum cortisol response. Levels of CRF in the cere-brospinal fluid are elevated. These changes in the hypothalamic-pituitary-adrenal axis are very similar to those seen in untreated depression.

Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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