my little bro was on steroids for 2 n half months for asmtha which increases his apetite like crazy and he put on about 20 lbs+ it all went to his face and the abdomen.
He went to the doctor and his chelosterol levels were 280, which is from him eating pizza rolls 3x a day for few months, he also had an appt scheduled to see a nutrionist.
My mom and the doctor said he has "cushioning disease" but no testing was done.
since that first appt I helped him with his diet and hes lost 5 lbs and I got him exercising. He eats similar to me. Eggs/Bacon/Chicken/Bread/Peanut butter etc.. Doing a lot better.

he went to the nutrionist today about his cholesterol and diet and they gave him a book of things he cant eat and told him he can no longer eat eggs and bacon only egg whites and turkey bacon.

his cholesterol hasn't been checked since hes been eating better and exercising idk why... he just was at the doctors.

but is that a little outrageous giving him a book of things he cant eat and that he cant eat a full egg any more?

Me personally I don't think he has cusionings disease I just think he put on a lot of weight quick and that's where it shows.
but theres no arguing with me vs a doctors / nutirionist advice.

Opinions?

you should have him keep exercising, eat healthy, drink lots of water and get bloods done in another 1-2 months

if his cholesterol levels are high, it doesnt mean he isnt allowed to eat certain foods with high cholesterol, just that he should avoid them when possible for his own health

its like telling a person with diabetes to not eat sugary foods, i mean, they can still eat them, but avoiding them is much better for them

for starters, saying he is on steroids is kind of misleading. They aren't anabolic steroids. Second, maybe his increased appetite is a side effect? Kinda sucks for him I guess.
I haven't even heard of that side effect. I have asthma as well and been on all kinds of stuff to help with it and never once did I have an issue with eating too much.

I used to have an absurd appetite but that was because I was physically active and burned all the energy I took in. I absolutely needed to eat as much as I did.

it is possible his cholesterol spiked from the weight gain. Does high cholesterol run in the family? if it's hereditary then there's a chance there isn't going to be a lot that can be done to lower it outside of cholesterol medication.

Aside from that, I think the biggest things those books and nutritionists will say is stay away from red meat, eggs and a ton of other shit. He can still eat it, but not getting his cholesterol under control could have serious repercussions later in life.

The axial weight gain is a result of Cushings syndrome and likely not the corticosteroid.

Cholesterol is more likely a result of lack of exercise alone or in combination with shitty diet than due to diet alone. Cholesterol will definitely improve with exercise but Cushings is probably quite easily testable if you look at acth levels in the blood.

1. how do you know that no test was done... if they are measuring his cholesterol, they they are likely monitoring his hormones with similar blood work.
2. saying "treated with a steroid" is pretty vague.... but some asthma treatments can lead to cushing-like symptoms... knowing his dosage/regimen/drug/route of administration and a timeline of drug use and diagnosis would be much more valuable.
3. if a doctor says something and you disagree, then that is tough... become one yourself, or stay on HnF and be a pseudoscientist who types incoherent/incorrect/irrelevant shit all day. I am sure any good doctor will follow up with further blood work in the near future and will see whether the symptoms presented were a sign of the medication or an actual disease.
4. get his diet and exercise in check and make sure that he is using his meds with the appropriate technique... especially if it is an inhaler to avoid systemic effects which mimic cushing syndrome and to best treat the asthma so he doesn't have to go on oral steroids (again?)

1. Relax I'm just asking for opinions not doubting the doctors , and I know no testing has been done cause he's told me about each appt
They also told him he couldn't be lifting more than 15 lbs cause his bones are weak. And no testing was done that day either so it makes me wonder.
So I'm trying to get him into working out and moving some weight and eating better but he has many restrictions . They were ok with him doing body weight movements even tho that's a lot more than 15 lbs

well bodyweight exercises are a good start...especially if he is young.
corticosteroids cause osteroblast (bone making) suppression and increase bone resorption, leading to a weaker frame. They probably won't use something like a DEXA on a child to prove it and want to wait until things stabilize. lol
If you get him started on the right path and the results of his physical examinations + lab exams change, then they will allow him to do weighted exercise.

First of all, motherfucking prednisone bro. I know the feels. I literally just got off of it yesterday and I have been on it way too many times in my life.

I myself always gain weight on prednisone. When I am on it, all I think about is food. I can seriously eat and eat and eat. My appetite is increased 100x what it usually is. Now that I am off prednisone, I seriously have to force myself to eat and it is a struggle to get 1500 calories a day, but when on prednisone, I could easily get 3k-4k calories without even trying.

My face always swells up with prednisone and I look like a chipmunk. My abdomen and love handles always come out of nowhere with the prednisone as well.

To everyone giving him shit about just saying steroids, I always say steroid when I talk about taking prednisone. Wouldn't it make you guys the jackasses for assuming stuff, not him?

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It's mind blowing the amount of negative side effects you receive from the one thing that helps make you get better.

you think the plasma dose of inhaled corticosteroids is similar to an oral dose of prednisone? im no doctor but i wouldnt expect cushing syndrome from an inhaler unless used in crazy excess