Sam Zuber, MD

Dad and husband to the best, endocrine and general surgeon at Surgical Associates of La Jolla Medical Group, Inc in La Jolla, CA

[American Association of Endocrine Surgeons @TheAAES]

What is Mild Autonomous Cortisol Secretion (aka - MACS)?

MACS is the most common benign hormone-secreting adrenal tumor and is associated with metabolic comorbidities including hypertension, diabetes, obesity, osteoporosis, and increased cardiovascular risks. #NADF #ADAM26

[American Association of Endocrine Surgeons @TheAAES]

NEW guidelines for who should be screened for primary aldosteronism (PA)! PA may cause high blood pressure in 5-20% of patients. Screen ALL patients with high blood pressure for PA with a blood test (plasma aldosterone and plasma renin). @EndoSociety https://t.co/mUeUoQXzWy

[American Association of Endocrine Surgeons @TheAAES]

Following adrenal surgery in patients with high cortisol levels, some patients need steroids right after surgery. The other adrenal gland is usually "suppressed" by the overfunctioning tumor and turns off for a few months or as long as a year. #AADAM2026 @nadf_adrenal @TheAACE

[Sam Zuber, MD @samzuberMD]

Sooooo important! I will see this happen often where the radiologist will say it’s a benign nodule and therefore no one thinks twice about it. Benign doesn’t mean insignificant and it’s crucial to get the functional work up completed!

[American Association of Endocrine Surgeons @TheAAES]

What is an adrenal "incidentaloma"?

A mass or nodule was discovered on imaging done for another reason. But incidental doesn’t always mean insignificant. If you have an adrenal mass, ask:

✔️ Is it functioning?
✔️ Does it have concerning features?

#ADAM2026 #NADF

[American Association of Endocrine Surgeons @TheAAES]

Happy Adrenal Disease Awareness Month! All month, @TheAAES will be posting daily content about the little triangle-shaped, hormone-producing glands that sit above our kidneys. #AADAM2026 #AdrenalDay2026 @NADF

[American Association of Endocrine Surgeons @TheAAES]

#GravesDisease is the only form of hyperthyroidism that can affect the eyes. If you’re having symptoms—bulging eyes, gritty or dry eyes, redness, pain, pressure, or double vision—get evaluated by an eye doctor and an endocrinologist. #GDAM2025 @AmThyroidAssn @GDATF @TheAACE

[American Association of Endocrine Surgeons @TheAAES]

International Parathyroid Awareness Day! This day commemorates Sir Richard Owen's birth in 1804. He is renowned for his discovery of the parathyroid glands in the Indian Rhinoceros back in 1852. #CheckYourCalcium #PAM2025 @TheAACE @ParaTroupers1 @TheEndoSociety

[American Association of Endocrine Surgeons @TheAAES]

High PTH with low vitamin D?

Sometimes, high parathyroid hormone (PTH) isn’t caused by a parathyroid tumor—it’s your body compensating for low Vitamin D. This is called secondary hyperparathyroidism.

Your doctor may recommend Vitamin D supplements and recheck

#PAM2025

[American Association of Endocrine Surgeons @TheAAES]

Some patients with primary hyperparathyroidism have all 4 parathyroid glands enlarged—this is called hyperplasia.

In these cases, surgeons often perform a subtotal parathyroidectomy, removing 3.5 glands and leaving just enough tissue to keep calcium levels normal.

#PAM2025

[American Association of Endocrine Surgeons @TheAAES]

4D Parathyroid CT is one of the most sensitive scans for spotting overactive parathyroid glands—especially when multiple glands are involved or in unusual locations other tests might miss.

But remember, primary hyperparathyroidism is diagnosed by blood tests—not scans.
#PAM2025

[American Association of Endocrine Surgeons @TheAAES]

🤔 Can I have primary hyperparathyroidism even if my calcium is “normal”?
Yes—you can. 📉📈

Sometimes calcium levels fluctuate or stay in the high-normal range, but elevated PTH tells the real story.

🧪 Always look at labs together to get the full picture.

#PAM2025

[Dutch Rojas @DutchRojas]

The U.S. healthcare system isn’t broken.
It’s an engineered scam, legalized corruption wrapped in non profit labels, lab coats, billing codes, and suits.

Here’s the one stat that proves it—and why you’re broke, sick, and still on hold with your insurer.

A thread..🧵

[Dutch Rojas @DutchRojas]

𝐌𝐞𝐝𝐢𝐜𝐚𝐫𝐞 𝐢𝐬 𝐩𝐚𝐲𝐢𝐧𝐠 𝐃𝐨𝐜𝐭𝐨𝐫𝐬 𝟏𝟗𝟗𝟖 𝐰𝐚𝐠𝐞𝐬 𝐭𝐨 𝐩𝐫𝐚𝐜𝐭𝐢𝐜𝐞 𝟐𝟎𝟐𝟓 𝐦𝐞𝐝𝐢𝐜𝐢𝐧𝐞.

𝐒𝐢𝐧𝐜𝐞 𝟏𝟗𝟗𝟖, 𝐢𝐧𝐟𝐥𝐚𝐭𝐢𝐨𝐧 𝐡𝐚𝐬 𝐫𝐢𝐬𝐞𝐧 𝟖𝟐.𝟏%.

Medicare’s physician payment formula (the Conversion Factor)?

Down 9.9%.

That’s not “fiscal responsibility.”
That’s institutional gaslighting.

𝐌𝐞𝐚𝐧𝐰𝐡𝐢𝐥𝐞, 𝐝𝐞𝐟𝐞𝐧𝐬𝐞 𝐜𝐨𝐧𝐭𝐫𝐚𝐜𝐭𝐬, 𝐂𝐄𝐎 𝐬𝐚𝐥𝐚𝐫𝐢𝐞𝐬, 𝐚𝐧𝐝 𝐢𝐧𝐬𝐢𝐝𝐞𝐫 𝐭𝐫𝐚𝐝𝐞𝐬 𝐟𝐥𝐨𝐮𝐫𝐢𝐬𝐡.

But the doctors treating Medicare patients?

They’re being asked to do more with less, year after year, because “𝐡𝐞𝐲, 𝐰𝐞 𝐝𝐨𝐧’𝐭 𝐡𝐚𝐯𝐞 𝐭𝐢𝐦𝐞 𝐭𝐨 𝐛𝐫𝐢𝐛𝐞 𝐂𝐨𝐧𝐠𝐫𝐞𝐬𝐬 𝐥𝐢𝐤𝐞 𝐞𝐯𝐞𝐫𝐲𝐨𝐧𝐞 𝐞𝐥𝐬𝐞”, while the cost of running a practice skyrockets.

If the American people want Congress to preserve access to care for aging Americans, it’s time to speak up and tie Medicare’s payment formula to inflation, just like their own salaries.

𝐔𝐧𝐭𝐢𝐥 𝐭𝐡𝐞𝐧, 𝐠𝐨𝐨𝐝 𝐥𝐮𝐜𝐤 𝐟𝐢𝐧𝐝𝐢𝐧𝐠 𝐚 𝐝𝐨𝐜𝐭𝐨𝐫 𝐰𝐡𝐨’𝐥𝐥 𝐭𝐚𝐤𝐞 𝐌𝐞𝐝𝐢𝐜𝐚𝐫𝐞.

They’re busy trying to survive the 20th century in the 21st.

#HealthcarePolicy #Medicare #PhysicianBurnout #InflationMath #FixTheFormula

[American Association of Endocrine Surgeons @TheAAES]

Pheochromocytoma is a lump (tumor) in the middle part of the adrenal gland. It produces the hormones involved in the fight-or-flight response and may cause high blood pressure, headache, sweating, and symptoms of a panic attack. #AADAM2025 @NADF_adrenal @PheoParaAlliance

[American Association of Endocrine Surgeons @TheAAES]

Get the most updated recommendations for management of adrenal tumors: https://t.co/p9xRHLGwl9 #AADAM2025 #AdrenalDay2025 @NADF_adrenal @TheEndoSociety @TheAACE

[American Association of Endocrine Surgeons @TheAAES]

If your high blood pressure is caused by "primary aldosteronism" and is a problem in both of your adrenal glands, treatment is medication called a "mineralocorticoid receptor antagonist" (spironolactone or eplerenone). #AADAM2025 #AdrenalDay2025 @NADF_adrenal @TheEndoSociety

[Tanaz Vaghaiwalla, MD MS @TVaghaiwalla]

📣April is #AdrenalAwarenessMonth & a great time to highlight PPGL! Surgery has a role for localized and metastatic disease. A MDT helps patients undergo safe surgery & includes partners in Endocrine, Oncology, Anesthesia #adrenal #pheo #para #letstalkaboutnets

[Hockey Mountain High @HockeyMtnHighCO]

LANDESKOG NOW WITH HIS FIRST GOAL!!!! #Avs #GoAvsGo #EaglesCountry @MileHighSports

[Pheo Para Alliance @PheoPara]

Why should you include an #endocrine surgeon and #endocrinologist on your #pheo #para #PPGL team? Because they have considerable experience with #endocrine conditions.
Hear from the experts👉https://t.co/4Dgp00kawG
#AADAM2025 @NADF_Adrenal @TheEndoSociety @TheAACE

[American Association of Endocrine Surgeons @TheAAES]

Today (April 7) we celebrate International Adrenal Awareness Day with the #InternationalAdrenalConsortium, a global network of patient and advocacy organizations. #AdrenalDay2025 https://t.co/HuOcYXGLvi #AADAM2025 @NADF_adrenal