How To Lose Weight With Congenital Adrenal Hyperplasia?

In today’s post, I will share How To Lose Weight With Congenital Adrenal Hyperplasia?

Let’s start with the basics.

Growing up with a medical condition like Congenital Adrenal Hyperplasia can be very difficult. However, it can considerably reduce the problem of having CAH if the right type of information is made available and discussed.

In addition, as young adults, the issues of fertility and sexuality need early discussion to approach adult life with confidence. Unfortunately, these issues can be difficult for some children, parents, and doctors.

Now, the first question which comes to somebody’s mind is, What is congenital adrenal hyperplasia?

Table of Contents

What is congenital adrenal hyperplasia?

The adrenal gland sits above both kidneys of the body. It is made up of a medulla that makes adrenaline; this part works perfectly in CAH.

The surface part of the adrenal gland is called the adrenal cortex, which makes three main hormones called steroids. These steroids are secreted into the bloodstream and are necessary for normal health. So it is the adrenal cortex and its hormones that are involved in CAH.

The three main steroids involved in CAH are:

  • Cortisol 
  • Aldosterone
  • Androgens

The hormone disturbances affected by CAH

  • Lack of cortisol
  • Lack of aldosterone
  • Excessive androgens

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Another important factor to consider is; Symptoms of CAH. So let’s go through this important section.

Symptoms of CAH

People with CAH can be affected by the following symptoms:

  • Weakness
  • Fatigue
  • Low blood pressure
  • Addison’s disease
  • Excess hair growth in “inapplicable” places, like the chin or upper lip
  • Virilizing effects such as acne, hirsutism
  • Thinning of hair on the head (balding)

I’m sure that most of you were wondering about the treatment of Congenital Adrenal Hyperplasia. But If you still do not have an answer to this question, let me quickly explain it to you…

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People with congenital adrenal hyperplasia have a normal life expectancy, and for most people, there is very little protection in everyday life if the condition is well controlled.

However, adults with CAH need lifelong follow-up in specialist hospitals to maintain medical care and provide early advice on fertility when needed.

It is advisable to get regular check-ups even if everything is well controlled. 

For women, check-ups should be made 2 – 3 times per year. For men, one time per year is sufficient. The main scope of treatment is to maintain normal cortisol levels and control salt loss in salt losers. 

In women, good medication of CAH brings about control of testosterone levels, regular periods, and improved fertility. In addition, good medication can reduce aggressive behaviour in men and control excessive desire for sex. Also, the sperm count can decrease if CAH is not well treated.

An increase in the treatment of steroids for some months can restore fertility in men.

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Let us take a look at a little more detail.


Types of steroids tablets and examples of daily dose for adult

  • Hydrocortisone – 10 to 20 mg/day
  • Prednisolone – 2.5 to 10 mg/day
  • Dexamethasone – 0.1 to 0.75 mg/day

Before we dig more, it’s worth looking at the preventions of congenital adrenal hyperplasia.

Prevention of congenital adrenal hyperplasia

You cannot prevent CAH. It is a genetic disorder. You can get it from your parents or a random gene mutation. You can pass it on to your children if you have the condition.

However, People with classic CAH can successfully manage their condition by using hormone replacement therapy or supplement throughout their lives. People with non-classic CAH may not require any treatment; they only need small doses of corticosteroids. Medications for CAH are taken daily.

Here is one thing you need to know:

How to lose weight with congenital adrenal hyperplasia?

Many people with CAH, especially women, have the battle to avoid gaining weight. Mostly, weight gain in congenital adrenal hyperplasia is a side effect of treatment. In addition, short stature and depression can make weight gain more likely.

Careful prevention of weight gain is better than a harsh weight-reducing diet. Careful adjustment of treatment, attention to diet, and exercise should avoid weight gain. A normal healthy diet low in sugar and fat and high in fiber is best.

Regular, sustained exercise of an hour may require several times per week to keep fitness levels up and weight down.

Here is which foods you need to eat while on the adrenal fatigue diet. 

Adrenal fatigue diet plan weight loss

Some foods that adrenal fatigue diet plan include:

  • Protein-rich foods include lean meats, fish, eggs, dairy, nuts, and legumes.
  • Leafy greens and colourful vegetables.
  • Whole grains.
  • Relatively low-sugar fruits.
  • Sea salt in moderation.
  • Healthy fats like olive oil and avocado.

Here, I have added some frequently asked questions to help you with your concerns.

Frequently Asked Questions

Does congenital adrenal hyperplasia cause weight gain?

The inability of these adrenal glands to produce vital hormones is why untreated new-borns become very ill with CAH salt depletion, which can lead to dehydration, poor weight gain, bloating failure, low blood sugar, shock, and drowsiness.

What’s the life expectancy of someone with congenital adrenal hyperplasia?

The median age of death in patients with CAH was 26 to 46 years and in controls 27 to 47 years. In patients with CAH, there was a decrease in 23 compared to 942 controls. The mortality ratio was 2.3 in CAH males and 3.5 in CAH females.

What happens if congenital adrenal hyperplasia is not treated?

However, if an infant has untreated congenital adrenal hyperplasia, they will produce excessive male hormones such as testosterone from their adrenal glands. This will result in the rapid growth of both boys and girls, with the additional effect of the virilization of girls.

How do you fix adrenal hyperplasia?

Classic CAH is treated with steroids that replace the lesser hormones.

  1. Infants usually take a form of cortisol called hydrocortisone.
  2. Adults take hydrocortisone, prednisone or dexamethasone, which also replaces cortisol.


If you have confidence in yourself, it is much easier to put the condition into perspective for the person you tell because they know that you have CAH.

That’s enough from me; Now it’s your turn to share some important tips.

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