Sometimes it may need to be changed to a different form of medication if it's really that terrible.

有时它可能需要改变为另一种形式的药物, 如果它真的那么可怕。

Cushing syndrome can happen because of exogenous cortisol meaning that it comes from outside usually in the form of medications, or because of endogenous cortisol - meaning that the excess cortisol is made by the body.

库欣综合征可以由外源性皮质醇导致，就是说它是从外界来的，一般由药物摄取；也可以由内源性皮质醇导致，也就是身体本身制造了过多的皮质醇。