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Corticosteroids can produce reversible hypothalamic-pituitary adrenalHPAaxis suppression with potential for glucocorticosteroid insufficiency after withdrawal of treatmentadrenocortical insufficiency may result from too rapid withdrawalmay be minimized by gradual reduction of dosagerelative insufficiency may persist for months after discontinuation of therapythereforein any situation of stress occurring during that periodreinstitute hormone therapyif patient is receiving steroids alreadymay increase dosage.

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