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.
PCPs (primary care physicians) are gatekeepers because they treat the while patient and manage referrals to specialists, rather than a patient deciding which specialist's opinions are sought. this concept became popular with the adven advent of HMOs - and services would only be paid if the PCP sought approval for major diagnostic tests and referrals. PCPs were financially rewarded if their patient population had fewer expensive tests and/or referrals.
Skip meals and avoid all carbohydrates, that can do some damage to your body.
