Cushing’s disease is known to cause weight gain, among other symptoms. While dealing with my first pituitary tumor, which was surgically removed in 2020, I gained 70 pounds. In the first few months after my second tumor developed, I gained 50 pounds. My body changed, warped,…
Chronically Yours— Noura Costany

Noura Costany (they/them) is a writer from Queens, New York. They were originally diagnosed with cyclical Cushing’s disease in 2020, and their pituitary adenoma recurrence was confirmed in 2022. Noura is hoping the column “Chronically Yours” will help spread the word about cyclical Cushing’s disease, create an online community for those struggling with chronic illnesses, and bring light to inequality that is often overlooked in healthcare systems. You can catch Noura on TikTok and Youtube @chronicallyyours_.
It was 4:30 a.m. when I sat up in bed, eyes wide open. As I looked down at myself, I was filled with embarrassment. Had I just wet the bed? I rushed to the bathroom, feeling more humiliated than anything. I was about 25 weeks pregnant and couldn’t believe this…

This column describes the author’s own experiences with some alternative therapies. Not everyone will have the same response to treatment. Consult your doctor before starting or stopping a therapy. “Alternative medicine” is a bit of a buzz-term. Acupuncture, tai chi, herbs, and meditation, diverse as they are, have all…
As a Cushing’s disease survivor, I rely on my friends and family more than I would like to. There are days when I need help cooking, showering, or getting other simple tasks done. It can be frustrating and a little humiliating to rely on others for things that healthy…
I’ve been there a thousand times. Since I’m open about my illness online, people are acutely aware that I’m sick with cyclic Cushing’s disease. When I haven’t seen someone for a long time, they cock their head at me, their eyes fill with pity, and they ask in a…
Living with Cushing’s disease can feel very different from living a healthy life. With Cushing’s, we patients often have flare-ups, which are moments when our condition acts up and we experience more symptoms. For me, these symptoms include leg pain, migraines, sensitivity to light and…
Note: This column describes the author’s own experiences with ketoconazole, spironolactone, tirzepatide, and several supplements. Not everyone will have the same response to treatment. Consult your doctor before starting or stopping a therapy. Cushing’s disease has multiple treatment options. During my first occurrence in 2020,…
This column is dedicated to something that most Cushing’s disease patients have experienced: the dreaded MRI. I’d almost forgotten what an anxiety-inducing experience it can be until I had another scan done last week. Cushing’s disease is typically caused by a tumor in the pituitary gland, which…
Note: This column describes the author’s own experiences with ketoconazole, Mounjaro (tirzepatide), spironolactone, and supplements. Not everyone will have the same response to treatment. Consult your doctor before starting or stopping a therapy. I was diagnosed with Cushing’s disease three years ago. Since then, it has…
People with chronic illnesses live differently than those without them. This was a hard reality for me to grasp. I wanted my life to stay the same as it was before I found out I had Cushing’s disease. As frustrating as it may be, that’s really not an option.
Dealing with Cushing’s disease can be hard, and recently I’ve had more bad days than good ones. My goal is to maintain a positive attitude, no matter how frustrating life gets. Recently, I’ve been working on routines for the days when my cortisol is low, which makes me…
I recently had to lower my dosage of ketoconazole, one of the medications I take to treat my Cushing’s disease, because of liver problems. It always takes me some time to adjust to changes in medication, especially when it comes to my Cushing’s treatment. Since my…
I’m not sure if this experience is universal, but my Cushing’s disease symptoms change with the weather. Maybe I’m not so alone in that; Georgetown University Medical System, for instance, lists heat and cold intolerance among possible symptoms. I’ve learned over the years to manage most of these…
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