Lyrics · 完整歌詞
Selective oestrogen receptor modulators differ by tissue:
clomiphene blocks hypothalamic receptors to raise gonadotrophins,
tamoxifen antagonises the breast but stimulates the endometrium,
and raloxifene spares the uterus.
Growth hormone deficiency receives somatropin, Laron syndrome receives IGF-1,
and acromegaly receives octreotide, never growth hormone.
All long-term glucocorticoid courses suppress ACTH,
so they are tapered slowly and doubled on sick days.
Is the potassium normal and the skin unpigmented?
Then the insufficiency is secondary, because aldosterone still answers to renin.
On suspicion of adrenal crisis,
hydrocortisone 100 mg intravenously precedes the cortisol result,
followed by 200 mg over twenty-four hours.
Lumbar bone density falls fastest on glucocorticoids,
so alendronate reduces resorption while intermittent teriparatide alone builds bone.
All long-term glucocorticoid courses suppress ACTH,
so they are tapered slowly and doubled on sick days.
Is the potassium normal and the skin unpigmented?
Then the insufficiency is secondary, because aldosterone still answers to renin.
On suspicion of adrenal crisis,
hydrocortisone 100 mg intravenously precedes the cortisol result,
followed by 200 mg over twenty-four hours.
Lumbar bone density falls fastest on glucocorticoids,
so alendronate reduces resorption while intermittent teriparatide alone builds bone.