Health Podcast Library

#519 Mild Autonomous Cortisol Secretion

Mar 30, 2026
1:07:07

Episode Description

Become a master of cortisol and learn how to identify and treat a common condition in patients with adrenal tumors! Join us as we learn about mild autonomous cortisol secretion (MACS) with Dr. Irina Bancos (@irinabancos), an internationally renowned adrenal expert!

Claim CME for this episode at curbsiders.vcuhealth.org!

Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME

Show Segments

  • Intro
  • Advice for listeners
  • Adrenal incidentaloma Definition (Case 1)
  • Hormonal workup for adrenal incidentalomas
  • Defining mild autonomous cortisol secretion (MACS)
  • Significance and prevalence of MACS
  • Diagnostic testing for MACS
  • Treatment options for MACS (surgery vs. comorbidity management)
  • Post surgical management of MACS (Case 2)
  • Diagnostic testing for adrenal insufficiency (AI)
  • Glucocorticoid withdrawal syndrome management
  • Deciding when patients are able to come off of steroids after AI
  • Outcomes after adrenalectomy in MACS
  • Take home points


Credits

Written and produced by Paul Wurtz MD. Show notes, cover art, and infographic also created by Paul Wurtz MD.

  • Producer, writer, show notes, and CME: Mobeen Ahmad MD
  • Cover art and infographic: Kate Grant MBChb, MRCGP
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Mobeen Ahmad MD
  • Reviewer: Emi Okamoto MD
  • Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
  • Technical Production: PodPaste
  • Guest: Irina Bancos MD, MSc

Disclosures

Dr. Bancos has the following disclosures:
  • Consulting, advisory board or safety monitoring board (all fees to institution): Recordati, Corcept, Esteve, Spruce, Sparrow, Diurnal, Neurocrine, Lufordi, Adaptyx, Crinetics, Xeris, AstraZeneca, NovoNordisc, Camurus.
  • Research grant for investigator initiated research (to institution): Esteve, Recordati


Sponsor:
Panacea Financial

Visit PanaceaFinancial.com today to claim your $100 bonus and start banking built for the way you actually live and work.


Sponsor:
MasterClass

Right now, as a listener of this show, you get at least 15% off any annual membership at MASTERCLASS.com/CURB.

Sponsor:
Branch Basics 

Use code [CURB] for 15% off the Premium Starter Kit at BranchBasics.com.

Proudly Supported by

Patrons of Health Podcast Library

Achieving Health
AAOS Career Podcast
AAOS Now Podcast
OrthoInfo
Aging Like a Pro
Who the Health Cares? with Prof Michael Sparer
Stronger After Stroke

Supporting Shows

HIT Like a Girl Pod: Empowering Women in Health IT
Healthcare for Humans
Speak Up For Your Health
Cuts and Consults
Faces of Digital Health
This Just In Radio Show
Thriving with Addiction with Dr. Jonathan Avery
Coffee Break: Breaking the Cycle of Bullying in Healthcare, One Cup at a Time
Hopeful Hints
Beyond The Paper Gown Podcast