Peer pressure? if that’s the question then the answer is true.
Because the patient may be extremely sick and they don’t want to pay for a lot of it.
Another reason is the patient may have a history of substance abuse
Since someone would be performing wind sprint activities, it is guaranteed when performing any activity is to get better overtime so I would say to "work above your target heart rate"
Most cases of Cushing disease are sporadic, which means they occur in people with no history of the disorder in their family. Rarely, the condition has been reported to run in families; however, it does not have a clear pattern of inheritance.
The various syndromes that have Cushing disease as a feature can have different inheritance patterns. Most of these disorders are inherited in an autosomal dominant pattern, which means one copy of the altered gene in each cell is sufficient to cause the disorder.