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    Shows some signs of wear, and may have some markings on the inside.Book only - does not include additional resources. Booksavers receives donated books and recycles them in a variety of ways. Proceeds benefit the work of Mennonite Central Committee (MCC) in the U.S. and around the world.Condition: Very Good.Teacher's Edition. Former Library book. Great condition for a used book.Copyright-2005, ISBN:0131903608.Satisfaction Guaranteed. Book is in Used-Good condition. Pages and cover are clean and intact. Used items may not include supplementary materials such as CDs or access codes. May show signs of minor shelf wear and contain limited notes and highlighting.Our BookSleuth is specially designed for you. All Rights Reserved. Laboratory Manual. Teacher's. Laboratory Manual. Teacher's Edition Laboratory Manual. Teacher's Edition If it is added to AbeBooks by one of our member booksellers, we will notify you! All Rights Reserved. Groups Discussions Quotes Ask the Author To purchase a workbook, enter the desired quantity and click 'Add to Cart'. To download a free workbook, right click the 'FREE Download PDF' link and save to your computer. This will result in a faster download, as opposed to left clicking and opening the link. To see what your friends thought of this book,This book is not yet featured on Listopia.There are no discussion topics on this book yet. X-ray detectors vary in shape and function depending on their purpose. CO2 Addison Wesley. Ayyar, E.K. How to Keep Your text are for items comprehensive guide tells you do immediate repair to are approximate conversions to Canadian dollars based upon Bloomberg's conversion rates. User AgreementPrivacyCookies and AdChoice Norton Secured - powered manual covering the Bobcat. Ananthakrishnan, 1992. How to Keep Your Classic Tractor Alive This comprehensive guide tells you everything you need to know to keep your Canadian dollars based upon without complaint.

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  • addison s disease merck vet manual

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    addison s disease merck vet manual

    50 bpm) that predisposes to weakness or circulatory collapse after minimal exertion. A progressive decrease in blood volume contributes to hypotension, weakness, and microcardia. Increased excretion of water by the kidneys, because of decreased reabsorption of sodium and chloride, results in progressive dehydration and hemoconcentration. Emesis, diarrhea, and anorexia are common and contribute to the animal’s deterioration. Weight loss is frequently severe. Similar clinical signs are seen in cats with hypoadrenocorticism. Decreased gluconeogenesis and increased sensitivity to insulin contribute to the development of moderate hypoglycemia. In some dogs, hyperpigmentation of the skin is seen because of the lack of negative feedback on the pituitary gland and increased ACTH release. Atypical Addison disease has been reported in dogs and is associated with hypocortisolemia with normal electrolytes. Clinical signs are similar to those seen in dogs with both glucocorticoid and mineralocorticoid insufficiency. The adrenal cortex is reduced to one-tenth or less of its normal thickness and consists primarily of the adrenal capsule. The adrenal medulla is relatively more prominent and, with the capsule, makes up the bulk of the remaining adrenal glands. After obtaining a baseline blood sample, ACTH (gel or synthetic) is administered. Gel preparations are administered IM, and a second blood sample is obtained 2 hours later. Synthetic preparations are administered IM or IV with a second blood sample 1 hour later.Urine output should be assessed to determine whether the dog is becoming anuric. Fluids should be continued, at a rate appropriate to match ongoing losses, until the clinical signs and laboratory abnormalities have resolved. Electrolytes, renal function, and glucose should be monitored regularly to assess response to therapy. Serum electrolytes should be monitored weekly until the proper dose is determined.

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    Which one of the following effects is LEAST likely to be caused by the release of endogenous glucocorticoids? Isolated aldosterone insufficiency appears to be very rare, whereas isolated glucocorticoid insufficiency is likely underdiagnosed given the lack of electrolyte abnormalities. The clinical signs of hypoadrenocorticism are often vague, may wax and wane over time, are rarely pathognomonic, and may be present for days, weeks, or months before diagnosis. Diagnosis depends on an accurate history, physical examination, and screening laboratory tests (CBC, chemistry panel, urinalysis). Confirmation requires adrenal function testing using the ACTH stimulation test. Treatment is highly successful but often lifelong. The disease may be familial in Standard Poodles, West Highland White Terriers, Great Danes, Bearded Collies, Portuguese Water Dogs, and a variety of other breeds. The cause of primary adrenocortical failure usually is unknown, although most cases probably result from an autoimmune process. Other causes include destruction of the adrenal gland by granulomatous disease, metastatic tumor, hemorrhage, infarction, adrenolytic agents ( mitotane ), or adrenal enzyme inhibitors (trilostane). Isolated glucocorticoid insufficiency is more commonly seen in older dogs with vague GI signs, weight loss, normal electrolyte concentrations, hypoalbuminemia and hypocholesterolemia. Although hypoadrenocorticism is seen in dogs of any breed, sex, or age, idiopathic adrenocortical insufficiency is most common in young, female adult dogs. This may be related to its suspected immune-mediated pathogenesis. Potassium excretion by the kidneys is reduced and results in a progressive increase in serum potassium levels. Hyponatremia and hypochloremia result from renal tubular loss. Severe hyperkalemia may result in bradycardia and an irregular heart rate with changes in the ECG. Some dogs develop a pronounced bradycardia (heart rate ?

    Less common (10% to 15% of cases) is a tumor in the adrenal glands themselves. Longterm use of corticosteroid drugs (for example, to decrease inflammation or treat an immune disorder) can also cause signs of Cushing disease (see Disorders of the Pituitary Gland in Dogs: Cushing Disease ). It is most common in young to middle-aged dogs. The cause is usually not known, but an autoimmune condition in which the body destroys some of its own tissue is likely. The adrenal gland can also be destroyed by other conditions, including medications used to treat Cushing disease and cancer in other parts of the body. Secretion of aldosterone, the main mineralocorticoid hormone, is reduced, which affects the levels of potassium, sodium, and chloride in the blood. Potassium gradually builds up in the blood and, in severe cases, may cause the heart to slow down or beat irregularly. Some dogs have such a slow heart rate (50 beats per minute or lower) that they can become weak or go into shock. Decreased production of glucocorticoids (such as cortisol) results in moderately low blood sugar. Dogs with atypical Addison disease can have low blood levels of cortisol but normal levels of sodium, potassium, and chloride. Weight loss is often severe. Although signs can be hard to identify while Addison disease is developing, severe consequences, such as shock and evidence of kidney failure, can develop suddenly. The condition may be inherited in Standard Poodles, West Highland White Terriers, Great Danes, Bearded Collies, Portuguese Water Dogs, and a variety of other breeds. Although the disease can be seen in any breed, sex, or age, it is most common in young, female, adult dogs. The diagnosis is confirmed by specific evaluation of adrenal function. This is done by measuring the level of cortisol in the blood, treating the dog with adrenocorticotropin (a hormone that stimulates the adrenal gland in healthy animals), and then measuring the level of cortisol in the blood a second time.

    Some dogs (especially dogs on DOCP) also require daily oral glucocorticoid therapy to adequately control clinical signs. Dogs with atypical Addison disease require only replacement doses of prednisone, although it is recommended that electrolytes be monitored every 3 mo for the first year after diagnosis.Supportive therapy and rest are indicated in cases of chronic Addison disease. Therefore, the clinician must always consider the diagnosis in patients with the appropriate signalment and clinical signs. From developing new therapies that treat and prevent disease to helping people in need, we are committed to improving health and well-being around the world. The Merck Veterinary Manual was first published in 1955 as a service to the community. The legacy of this great resource continues as the Merck Veterinary Manual in the US and Canada and the MSD Manual outside of North America. The owner also states that the dog has gained weight but is eating, drinking, urinating, and defecating normally. Of the following conditions, which is the most likely explanation? The adrenal gland has 2 parts—the cortex and the medulla. The outer layer produces the mineralocorticoids, which help to control the body’s balance of sodium and potassium salts. The middle layer produces glucocorticoids, which are involved in metabolizing nutrients as well as in reducing inflammation and immune responses. The inner layer produces sex hormones such as estrogen, progesterone, and androgens. It releases epinephrine (sometimes also called adrenaline) and norepinephrine, both of which increase heart output, blood pressure, and blood glucose, and slow digestion. The signs result primarily from chronic excess of the hormone cortisol. Increased cortisol levels in dogs may result from one of several mechanisms. The most common cause (85% to 90% of cases) is a tumor in the pituitary gland. The pituitary tumor produces a hormone that triggers excessive development of the adrenal gland.

    The remainder result from destruction of the adrenal gland by granuloma (eg, tuberculosis, histoplasmosis ), tumor, amyloidosis, hemorrhage, or inflammatory necrosis. Hypoadrenocorticism can also result from administration of drugs that block corticosteroid synthesis (eg, ketoconazole, the anesthetic etomidate ). In children, the most common cause of primary adrenal insufficiency is congenital adrenal hyperplasia, but other genetic disorders are being increasingly recognized as causes. A low serum concentration of sodium ( hyponatremia ) and a high concentration of potassium ( hyperkalemia ) result. However, when adrenal insufficiency is caused by inadequate adrenocorticotropic hormone (ACTH) production ( secondary adrenal insufficiency ), electrolyte levels are often normal or only mildly deranged, and the circulatory problems are less severe. In the absence of cortisol, insufficient carbohydrate is formed from protein; hypoglycemia and decreased liver glycogen result. Weakness follows, due in part to deficient neuromuscular function. Resistance to infection, trauma, and other stress is decreased. Myocardial weakness and dehydration reduce cardiac output, and circulatory failure can occur. Thus, adrenal insufficiency secondary to pituitary failure does not cause hyperpigmentation. Black freckles are common on the forehead, face, neck, and shoulders. Bluish black discolorations of the areolae and mucous membranes of the lips, mouth, rectum, and vagina occur. Decreased tolerance to cold, with hypometabolism, may be noted. Dizziness and syncope may occur. Weight loss, dehydration, and hypotension are characteristic of the later stages of Addison disease. Shock and fever may be the only signs. Peutz-Jeghers syndrome is characterized by pigmentation of the buccal and rectal mucosa. Frequently, hyperpigmentation occurs with vitiligo, which may indicate Addison disease, although other diseases can cause this association.

    Affected dogs have low baseline cortisol levels, and there is little response to administration of adrenocorticotropin. Hormone replacement treatment can often be started while the pet is being stabilized. Laboratory values are monitored regularly to assess response to treatment and adjust doses if needed. For longterm treatment, replacement hormones can be given by mouth or injection. Lifelong treatment is necessary. Often, there are no signs, and the tumor is found by chance during treatment for other conditions. When signs are present, they may include increased thirst and urination, increased heart rate, restlessness, and a distended abdomen. Diagnosis is often made based on signs and ultrasonography. Treatment involves surgery (if feasible) and management of high blood pressure. Other tumors in the adrenal glands, such as neuroblastomas and ganglioneuromas, can develop from nerve cells. From developing new therapies that treat and prevent disease to helping people in need, we are committed to improving health and well-being around the world. Which of the following is an uncommon symptom of this disorder? In the top right panel, hyperpigmentation of the palmar creases is visible in a patient with Addison disease. In the bottom left panel hyperpigmented macules of the gums are visible in this patient with Addison disease.It causes various symptoms, including hypotension and hyperpigmentation, and can lead to adrenal crisis with cardiovascular collapse. Diagnosis is clinical and by finding elevated plasma adrenocorticotropic hormone (ACTH) with low plasma cortisol. Treatment depends on the cause but generally includes hydrocortisone and sometimes other hormones. Other causes include trauma, surgery, and sodium loss due to excessive sweating. Even with treatment, Addison disease may cause a slight increase in mortality. It is not clear whether this increase is due to mistreated adrenal crises or long-term complications of inadvertent over-replacement.

    Some clinicians tend to give too little fludrocortisone in an effort to avoid use of antihypertensives. If nausea and vomiting preclude oral therapy, parenteral therapy is necessary. Patients should be instructed when to take supplemental prednisone or hydrocortisone and taught to self-administer parenteral hydrocortisone for urgent situations. A preloaded syringe with 100 mg hydrocortisone should be available to the patient. A bracelet or wallet card giving the diagnosis and corticosteroid dose may help in case of adrenal crisis that renders the patient unable to communicate. Immediate intravascular volume expansion is done by giving 1 L of a 5% dextrose in 0.9% saline solution over 1 to 2 hours. Additional 0.9% saline is given IV until hypotension, dehydration, and hyponatremia have been corrected. Serum potassium may fall during rehydration, requiring replacement. Mineralocorticoids are not required when high-dose hydrocortisone is given. When illness is less acute, hydrocortisone 50 or 100 mg IM every 6 hours can be given. Restoration of blood pressure and general improvement should occur within 1 hour after the initial dose of hydrocortisone. Inotropic agents may be needed until the effects of hydrocortisone are achieved. Maintenance oral doses of hydrocortisone (15 to 30 mg) and fludrocortisone (0.1 mg) are given daily thereafter, as described above. Recovery depends on treatment of the underlying cause (eg, infection, trauma, metabolic stress) and adequate hydrocortisone therapy. Complications of corticosteroid therapy may include psychotic reactions. If psychotic reactions occur, then the hydrocortisone dose can be reduced to the lowest level consistent with maintaining blood pressure and good cardiovascular function. Antipsychotics may be temporarily required, but use should not be prolonged. From developing new therapies that treat and prevent disease to helping people in need, we are committed to improving health and well-being around the world.

    The Merck Manual was first published in 1899 as a service to the community. The legacy of this great resource continues as the Merck Manual in the US and Canada and the MSD Manual outside of North America. Learn more about our commitment to Global Medical Knowledge. The authors identify the function of the adrenal cortex, forms of the disease, diagnostics, acute therapy, and long-term maintenance. An overall low disease prevalence combined with vague clinical signs and nonspecific clinicopathologic abnormalities makes diagnosis challenging. Ultimately, specialized laboratory testing is required for definitive diagnosis. Each functional zone of the cortex is responsible for the synthesis of a specific hormone. Less common causes of adrenocortical destruction include: 1,2 Mineralocorticoids are spared because ACTH does not directly influence their release. Rarely, congenital defects of the pituitary gland, such as a cystic Rathke’s pouch, neoplasia, or trauma9 affecting the hypothalamus or pituitary gland, result in secondary hypoadrenocorticism. The syndrome is typically transient, and adrenal function normalizes following correction of the underlying condition. Critically ill patients exhibiting refractory hypotension despite aggressive fluid therapy and the use of pressor agents should be evaluated for CIRCI. With the exception of the ACTH stimulation test—which has narrow values that define hypoadrenocorticism—there is a vast continuum of potential findings on the initial screening tests. The Addisonian crisis is the life-threatening culmination of combined hormone deficiencies that can be fatal if not appropriately treated. The serum biochemical profile may reveal hypoglycemia, eosinophilia, lymphocytosis, hypercalcemia, hypocholesterolemia, hyperphosphatemia, hypochloremia, and elevated liver enzymes. 10 Anemia—from chronic disease or gastrointestinal (GI) bleeding—may be identified, although relative polycythemia may also result from dehydration.

    Most myopathies that cause weakness can be differentiated by their distribution, lack of abnormal pigmentation, and characteristic laboratory findings. In contrast, patients with hypoglycemia due to oversecretion of insulin can have attacks at any time, usually have increased appetite with weight gain, and have normal adrenal function. Unlike those with Addison disease, these patients are not likely to have hyperpigmentation, hyperkalemia, and increased BUN. It is important to note that ACTH levels within the normal range are inappropriate when cortisol levels are very low. If time is too short (eg, emergency surgery), the patient is given hydrocortisone empirically (eg, 100 mg IV or IM), and provocative testing is done subsequently. Secondary adrenal insufficiency is diagnosed by a prolonged ACTH stimulation test, glucagon stimulation test, or insulin tolerance test. In the glucagon stimulation tests, plasma ACTH and cortisol levels fail to rise in response to glucagon in patients with secondary adrenal insufficiency. The insulin tolerance test is not recommended in patients suspected of having severe adrenal insufficiency. Some authorities believe that in patients with suspected secondary adrenal insufficiency, a low-dose ACTH stimulation test using 1 mcg IV instead of the standard 250 mcg-dose should be done because such patients may react normally to the higher dose. Patients taking glucocorticoid supplements or spironolactone should not take them on the day of the test. However, because pituitary failure may cause adrenal atrophy (and hence failure to respond to ACTH), the patient may need to be primed with long-acting ACTH 1 mg IM once a day for 3 days before the ACTH stimulation test if pituitary disease is suspected. Cosyntropin 1 mg IM is given, and cortisol is measured at intervals for 24 hours, typically at 1, 6, 12, and 24 hours.

    Results for the first hour are similar for both the short (sampling stopped after 1 hour) and prolonged tests, but in Addison disease there is no further rise beyond 60 minutes. In secondary and tertiary adrenal insufficiency, cortisol levels continue to rise for ? 24 hours. Only in cases of prolonged adrenal atrophy is adrenal priming (with long-acting ACTH) necessary. The simple short test is usually done initially, because a normal response obviates the need for further investigation. If ACTH stimulation testing is done, elevated ACTH levels together with low cortisol levels confirm the diagnosis. Adrenal autoantibodies can be assessed. In patients with autoimmune disease, the adrenals are atrophied, whereas in patients with tuberculosis or other granulomas, the adrenals are enlarged (initially) with frequent calcification. Bilateral adrenal hyperplasia, particularly in children and young adults, suggests a genetic enzyme defect. Thus, hydrocortisone (identical to cortisol) is given in 2 or 3 divided doses with a typical total daily dose of 15 to 30 mg. One regimen gives half the total in the morning, and the remaining half split between lunchtime and early evening (eg, 10 mg, 5 mg, 5 mg). Others give two thirds in the morning and one third in the evening. Doses immediately before bed should generally be avoided because they may cause insomnia. Alternatively, prednisone 5 mg orally in the morning and possibly an additional 2.5 mg orally in the evening may be used. Additionally, fludrocortisone 0.1 to 0.2 mg orally once a day is recommended to replace aldosterone. The easiest way to adjust the fludrocortisone dosage is to ensure that the renin level is within the normal range and that blood pressure and serum potassium level are normal. In some patients, fludrocortisone causes hypertension, which is treated by reducing the dosage or starting a nondiuretic antihypertensive.

    Depending on the degree of vomiting and diarrhea, hypoalbuminemia, hypoglobulinemia, or acidemia may be identified. Azotemia in the presence of an inappropriately low specific gravity (typically Patients with atypical hypoadrenocorticism are more likely to exhibit hypoalbuminemia, hypocholesterolemia, and anemia on routine bloodwork ( Table 3 ). 7 In the hands of experienced ultrasonographers, the adrenal glands may appear thin and short when compared with adrenal glands in healthy dogs; 18 however, in a few cases of hypoadrenocorticism, normal size adrenal glands have been reported. 14 Proceed cautiously if the serum sodium concentration is Additionally, to correct life-threatening hyperkalemia: Studies have shown that DOCP administered to healthy dogs at these doses does not produce adverse effects. 24 Rarely, some patients may experience GI signs secondary to glucocorticoid withdrawal following abrupt cessation of steroid therapy. To avoid signs of adrenal insufficiency, it is recommended to taper steroids to physiologic replacement doses over several weeks. In patients that meet the criteria of CIRCI and display refractory hypotension (despite aggressive medical management), we suggest the use of supplemental glucocorticoids at doses similar to those used in an Addisonian crisis ( Table 4 ). Following resolution of critical illness, corticosteroid therapy may be tapered and discontinued depending on the patient’s clinical response. A repeat ACTH stimulation test can be performed 4 to 6 weeks following discontinuation of steroid therapy to document adrenal recovery. It is not uncommon for veterinarians to successfully extend the dosing interval. If finances are of concern, after the first dose, it is reasonable to attempt incremental lowering of the subsequent DOCP doses by approximately 25%. Clients can also be taught to administer DOCP at home, which has potential cost savings.

    Once patients are well regulated, evaluate them at least 2 times each year, with a physical examination and routine bloodwork. Although canine hypoadrenocorticism is serious and, sometimes, life-threatening, early identification and proper treatment can result in an excellent long-term prognosis in most patients. 27 Canine and Feline Endocrinology and Reproduction, 3rd ed. St. Louis: WB Saunders, 2004. pp 394-439. Addison’s disease due to bilateral adrenal malignancy in a dog. J Small Anim Pract 2010; 51(6):333-336. Clinical, immunological, and genetic features of autoimmune primary adrenal insufficiency: Observations from a Norwegian registry. J Clin Endocrinol Metab 2009; 94(12):4882-4890. Lancet 1992; 339:1559-1562. Analysis of P450 side-chain cleavage enzyme autoantibodies in dogs affected with hypoadrenocorticism (abstract). J Vet Intern Med 2014; 28:1027. Glucocorticoid deficient hypoadrenocorticism in dogs: 18 cases (1986-1995).Comparison of classic hypoadrenocorticism with glucocorticoid-deficient hypoadrenocorticism in dogs: 46 cases (1985-2005).J Vet Intern Me d 2014; 28(1):154-159. Secondary hypoadrenocorticism associated with craniocerebral trauma in a dog.Pretreatment clinical and laboratory findings in dogs with hypoadrenocorticism: 225 cases (1979-1993).Genetic evaluation of Addison’s disease in the Portuguese Water Dog. BMC Vet Res 2006; 2:15. Heritability and complex segregation analysis of hypoadrenocorticism in the standard poodle. J Small Anim Pract 2003; 44:8-12. Inheritance of hypoadrenocorticism in bearded collies. Am J Vet Res 2002; 63:643-647. Abnormalities in serum electrolyte concentrations in dogs with hypoadrenocorticism. J Vet Intern Med 2007; 21(6):1168-1173. White blood cell count and the sodium to potassium ratio to screen for hypoadrenocorticism in dogs. J Vet Intern Med 2011; 25(6):1351-1356. Radiographic findings in dogs with naturally-occurring primary hypoadrenocorticism.Small Anim Pract 1995; 36(3):132-135.

    Ultrasonographic evaluation of adrenal glands in dogs with primary hypoadrenocorticism or mimicking diseases. Vet Rec 2010; 167(6):207-210. Use of basal serum or plasma cortisol concentrations to rule out a diagnosis of hypoadrenocorticism in dogs: 123 cases (2000-2005).Intramuscular administration of a low dose of ACTH for ACTH stimulation testing in dogs.Relative adrenal insufficiency in dogs with sepsis. J Vet Intern Med 2007; 21(2):226-231. Pituitary-adrenal function in dogs with acute critical illness.Vet Clin North Am Small Anim Pract 2011; 41(4):767-782. Toxicity of desoxycorticosterone pivalate given at high doses to clinically normal beagles for six months. Am J Vet Res 1993; 54(11):1954-1961. Subcutaneous administration of desoxycorticosterone pivalate for the treatment of canine hypoadrenocorticism.Lower initial dose desoxycorticosterone pivalate for treatment of canine primary hypoadrenocorticism. Aust Vet J 2013; 91(3):77-82. J Vet Intern Med 1997; 11(2):43-49 She received her DVM from University of California—Davis and completed a small animal internship at VCA West Los Angeles Animal Hospital. He received his DVM from University of Missouri and completed an internship at Purdue University and residency in internal medicine at University of California—Davis. He then became a staff internist at West Los Angeles Veterinary Medical Group and member of the Department of Comparative Medicine at Stanford University. These dog training tips will help you get started.Here are 15 breeds with notable smarts.For some pet experts, these “invisible fences” are a source of controversy. Find out if an electric dog fence is the right choice for your pet.It’s often referred to as the great imitator by veterinarians because its clinical signs are often very vague and can mimic other conditions.

    But while getting to a diagnosis may be frustrating, the good news is that with lifelong treatment, most dogs with Addison’s disease have an excellent prognosis and the condition shouldn’t have any impact on your dog’s life expectancy. Dogs have two small adrenal glands that are located near their kidneys, and these glands produce two important hormones: In other words, the dog’s immune system attacks the adrenal tissue by mistake. The Merck Veterinary Manual notes that other conditions can damage the adrenal glands as well and trigger the condition, including medications used to treat Cushing’s disease (a condition caused by too much cortisol) and cancer in other parts of the body. Several breeds are more prone to the condition, including standard poodles, West Highland white terriers, Great Danes, bearded collies, and Portuguese water dogs. They include: Signs of an Addisonian crisis include severe vomiting and diarrhea, shock, and collapse. It’s a multi-step process: The veterinarian first measures the amount of cortisol in the dog’s blood before giving him an injection of a hormone called adrenocorticotropin. In healthy dogs, this hormone is able to stimulate the adrenal gland. Then, the veterinarian measures the level of cortisol in the dog’s blood a second time. If the dog has Addison’s disease, his cortisol levels will be low both times it’s measured. The adrenocorticotropin will have little to no effect. Once the patient is stable, long-term hormone replacement treatment can begin. Entriken says this usually involves either a desoxycorticosterone pivalate (DOCP) injection every three to four weeks or a dose of fludrocortisone acetate by mouth daily to correct the aldosterone deficit. A common steroid called prednisone is often prescribed to replace cortisol, and it must be given every day by mouth as well. In fact, clinical signs can appear and worsen when stressed. “Particular attention should be paid to avoiding stressful situations,” he says.

    As the pet owner, you are the expert on what makes your dog feel stressed, but common causes include being boarded, moving, and having house guests. But with therapy, most dogs have an excellent long-term prognosis and are able to live long, active lives. A close partnership between you and your veterinary office is the best way to keep your pet healthy. Check here for information, cautions and concerns, as well as possible side effects. Very little snail bait is required to cause poisoning (less than a teaspoon per 10 pounds of body weight). What foods and supplements are best sources of vitamin C for your guinea pig? If you're interested in learning more about a broader look at veterinary medicine, the veterinarians, the clients, and the patients, VetzInsight is a great learning experience. Any reliance you place on such information is strictly at your own risk. Addison’s disease occurs when the adrenal glands fail to produce the hormones that they are in charge of in the body. These steroids play a large role in regulating your dog’s internal organs and body systems. Without them, your dog’s body deteriorates, leading to serious complications and even death. Veterinarians suspect that most of these cases result from an autoimmune process. Addison’s disease can also be caused by destruction of the adrenal gland, either by a metastatic tumor, hemorrhage, infarction, granulomatous disease, adrenolytic agents like the drug mitotane, or a drug like trilostane that inhibits adrenal enzymes. This leads to a wide range of symptoms and in acute cases of Addison’s disease, death. There are, however, some breeds that appear to be predisposed to the disease: It has been called the great imitator. In general, dogs with Addison’s may experience recurrent bouts of gastroenteritis, poor appetite, slow loss of body condition, and an inability to respond appropriately to stress. It's important to note that the symptoms of Addison's disease may wax and wane.


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    A progressive decrease in blood volume contributes to hypotension, weakness, and microcardia. Increased excretion of water by the kidneys, because of decreased reabsorption of sodium and chloride, results in progressive dehydration and hemoconcentration. Emesis, diarrhea, and anorexia are common and contribute to the animal’s deterioration. Weight loss is frequently severe. Similar clinical signs are seen in cats with hypoadrenocorticism. Decreased gluconeogenesis and increased sensitivity to insulin contribute to the development of moderate hypoglycemia. In some dogs, hyperpigmentation of the skin is seen because of the lack of negative feedback on the pituitary gland and increased ACTH release. Atypical Addison disease has been reported in dogs and is associated with hypocortisolemia with normal electrolytes. Clinical signs are similar to those seen in dogs with both glucocorticoid and mineralocorticoid insufficiency. The adrenal cortex is reduced to one-tenth or less of its normal thickness and consists primarily of the adrenal capsule. The adrenal medulla is relatively more prominent and, with the capsule, makes up the bulk of the remaining adrenal glands. After obtaining a baseline blood sample, ACTH (gel or synthetic) is administered. Gel preparations are administered IM, and a second blood sample is obtained 2 hours later. Synthetic preparations are administered IM or IV with a second blood sample 1 hour later.Urine output should be assessed to determine whether the dog is becoming anuric. Fluids should be continued, at a rate appropriate to match ongoing losses, until the clinical signs and laboratory abnormalities have resolved. Electrolytes, renal function, and glucose should be monitored regularly to assess response to therapy. Serum electrolytes should be monitored weekly until the proper dose is determined. Some dogs (especially dogs on DOCP) also require daily oral glucocorticoid therapy to adequately control clinical signs.

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    Isolated aldosterone insufficiency appears to be very rare, whereas isolated glucocorticoid insufficiency is likely underdiagnosed given the lack of electrolyte abnormalities. The clinical signs of hypoadrenocorticism are often vague, may wax and wane over time, are rarely pathognomonic, and may be present for days, weeks, or months before diagnosis. Diagnosis depends on an accurate history, physical examination, and screening laboratory tests (CBC, chemistry panel, urinalysis). Confirmation requires adrenal function testing using the ACTH stimulation test. Treatment is highly successful but often lifelong. The disease may be familial in Standard Poodles, West Highland White Terriers, Great Danes, Bearded Collies, Portuguese Water Dogs, and a variety of other breeds. The cause of primary adrenocortical failure usually is unknown, although most cases probably result from an autoimmune process. Other causes include destruction of the adrenal gland by granulomatous disease, metastatic tumor, hemorrhage, infarction, adrenolytic agents ( mitotane ), or adrenal enzyme inhibitors (trilostane). Isolated glucocorticoid insufficiency is more commonly seen in older dogs with vague GI signs, weight loss, normal electrolyte concentrations, hypoalbuminemia and hypocholesterolemia. Although hypoadrenocorticism is seen in dogs of any breed, sex, or age, idiopathic adrenocortical insufficiency is most common in young, female adult dogs. This may be related to its suspected immune-mediated pathogenesis. Potassium excretion by the kidneys is reduced and results in a progressive increase in serum potassium levels. Hyponatremia and hypochloremia result from renal tubular loss. Severe hyperkalemia may result in bradycardia and an irregular heart rate with changes in the ECG. Some dogs develop a pronounced bradycardia (heart rate ?50 bpm) that predisposes to weakness or circulatory collapse after minimal exertion.

    In children, the most common cause of primary adrenal insufficiency is congenital adrenal hyperplasia, but other genetic disorders are being increasingly recognized as causes. A low serum concentration of sodium ( hyponatremia ) and a high concentration of potassium ( hyperkalemia ) result. However, when adrenal insufficiency is caused by inadequate adrenocorticotropic hormone (ACTH) production ( secondary adrenal insufficiency ), electrolyte levels are often normal or only mildly deranged, and the circulatory problems are less severe. In the absence of cortisol, insufficient carbohydrate is formed from protein; hypoglycemia and decreased liver glycogen result. Weakness follows, due in part to deficient neuromuscular function. Resistance to infection, trauma, and other stress is decreased. Myocardial weakness and dehydration reduce cardiac output, and circulatory failure can occur. Thus, adrenal insufficiency secondary to pituitary failure does not cause hyperpigmentation. Black freckles are common on the forehead, face, neck, and shoulders. Bluish black discolorations of the areolae and mucous membranes of the lips, mouth, rectum, and vagina occur. Decreased tolerance to cold, with hypometabolism, may be noted. Dizziness and syncope may occur. Weight loss, dehydration, and hypotension are characteristic of the later stages of Addison disease. Shock and fever may be the only signs. Peutz-Jeghers syndrome is characterized by pigmentation of the buccal and rectal mucosa. Frequently, hyperpigmentation occurs with vitiligo, which may indicate Addison disease, although other diseases can cause this association. Most myopathies that cause weakness can be differentiated by their distribution, lack of abnormal pigmentation, and characteristic laboratory findings. In contrast, patients with hypoglycemia due to oversecretion of insulin can have attacks at any time, usually have increased appetite with weight gain, and have normal adrenal function.

    Dogs with atypical Addison disease require only replacement doses of prednisone, although it is recommended that electrolytes be monitored every 3 mo for the first year after diagnosis.Supportive therapy and rest are indicated in cases of chronic Addison disease. Therefore, the clinician must always consider the diagnosis in patients with the appropriate signalment and clinical signs. From developing new therapies that treat and prevent disease to helping people in need, we are committed to improving health and well-being around the world. The Veterinary Manual was first published in 1955 as a service to the community. The legacy of this great resource continues in the online and mobile app versions today. In the top right panel, hyperpigmentation of the palmar creases is visible in a patient with Addison disease. In the bottom left panel hyperpigmented macules of the gums are visible in this patient with Addison disease.It causes various symptoms, including hypotension and hyperpigmentation, and can lead to adrenal crisis with cardiovascular collapse. Diagnosis is clinical and by finding elevated plasma adrenocorticotropic hormone (ACTH) with low plasma cortisol. Treatment depends on the cause but generally includes hydrocortisone and sometimes other hormones. Other causes include trauma, surgery, and sodium loss due to excessive sweating. Even with treatment, Addison disease may cause a slight increase in mortality. It is not clear whether this increase is due to mistreated adrenal crises or long-term complications of inadvertent over-replacement. The remainder result from destruction of the adrenal gland by granuloma (eg, tuberculosis, histoplasmosis ), tumor, amyloidosis, hemorrhage, or inflammatory necrosis. Hypoadrenocorticism can also result from administration of drugs that block corticosteroid synthesis (eg, ketoconazole, the anesthetic etomidate ).

    The simple short test is usually done initially, because a normal response obviates the need for further investigation. If ACTH stimulation testing is done, elevated ACTH levels together with low cortisol levels confirm the diagnosis. Adrenal autoantibodies can be assessed. In patients with autoimmune disease, the adrenals are atrophied, whereas in patients with tuberculosis or other granulomas, the adrenals are enlarged (initially) with frequent calcification. Bilateral adrenal hyperplasia, particularly in children and young adults, suggests a genetic enzyme defect. Thus, hydrocortisone (identical to cortisol) is given in 2 or 3 divided doses with a typical total daily dose of 15 to 30 mg. One regimen gives half the total in the morning, and the remaining half split between lunchtime and early evening (eg, 10 mg, 5 mg, 5 mg). Others give two thirds in the morning and one third in the evening. Doses immediately before bed should generally be avoided because they may cause insomnia. Alternatively, prednisone 5 mg orally in the morning and possibly an additional 2.5 mg orally in the evening may be used. Additionally, fludrocortisone 0.1 to 0.2 mg orally once a day is recommended to replace aldosterone. The easiest way to adjust the fludrocortisone dosage is to ensure that the renin level is within the normal range and that blood pressure and serum potassium level are normal. In some patients, fludrocortisone causes hypertension, which is treated by reducing the dosage or starting a nondiuretic antihypertensive. Some clinicians tend to give too little fludrocortisone in an effort to avoid use of antihypertensives. If nausea and vomiting preclude oral therapy, parenteral therapy is necessary. Patients should be instructed when to take supplemental prednisone or hydrocortisone and taught to self-administer parenteral hydrocortisone for urgent situations. A preloaded syringe with 100 mg hydrocortisone should be available to the patient.

    Unlike those with Addison disease, these patients are not likely to have hyperpigmentation, hyperkalemia, and increased BUN. It is important to note that ACTH levels within the normal range are inappropriate when cortisol levels are very low. If time is too short (eg, emergency surgery), the patient is given hydrocortisone empirically (eg, 100 mg IV or IM), and provocative testing is done subsequently. Secondary adrenal insufficiency is diagnosed by a prolonged ACTH stimulation test, glucagon stimulation test, or insulin tolerance test. In the glucagon stimulation tests, plasma ACTH and cortisol levels fail to rise in response to glucagon in patients with secondary adrenal insufficiency. The insulin tolerance test is not recommended in patients suspected of having severe adrenal insufficiency. Some authorities believe that in patients with suspected secondary adrenal insufficiency, a low-dose ACTH stimulation test using 1 mcg IV instead of the standard 250 mcg-dose should be done because such patients may react normally to the higher dose. Patients taking glucocorticoid supplements or spironolactone should not take them on the day of the test. However, because pituitary failure may cause adrenal atrophy (and hence failure to respond to ACTH), the patient may need to be primed with long-acting ACTH 1 mg IM once a day for 3 days before the ACTH stimulation test if pituitary disease is suspected. Cosyntropin 1 mg IM is given, and cortisol is measured at intervals for 24 hours, typically at 1, 6, 12, and 24 hours. Results for the first hour are similar for both the short (sampling stopped after 1 hour) and prolonged tests, but in Addison disease there is no further rise beyond 60 minutes. In secondary and tertiary adrenal insufficiency, cortisol levels continue to rise for ? 24 hours. Only in cases of prolonged adrenal atrophy is adrenal priming (with long-acting ACTH) necessary.

    Also, when stress occurs, the body is not able to stimulate production of the additional corticosteroids that are needed. Instead, doctors gradually reduce (taper) the dose over weeks and sometimes months. Corticosteroid use may need to be resumed in people who become ill or otherwise severely stressed within weeks of having the corticosteroid tapered and stopped. In this disorder, the adrenal glands are underactive because the corticotropin from the pituitary gland is not stimulating them, not because the adrenal glands have been destroyed or have otherwise directly failed. Lack of corticotropin affects adrenal secretion of cortisol much more than secretion of aldosterone. Secondary adrenal insufficiency is diagnosed by blood tests. Unlike in Addison disease, sodium and potassium levels tend to be near normal in secondary adrenal insufficiency, and the corticotropin level is low. Secondary adrenal insufficiency is treated with synthetic corticosteroids such as hydrocortisone or prednisone. These problems may develop gradually and insidiously. People with Addison disease develop patches of dark skin. The darkness may seem like tanning, but it appears on areas not even exposed to the sun. Even people with dark skin can develop excessive pigmentation, although the change may be harder to recognize. Black freckles may develop over the forehead, face, and shoulders, and a bluish black discoloration may develop around the nipples, lips, mouth, rectum, scrotum, or vagina. Many become unable to tolerate cold. Unless the disease is severe, symptoms tend to become apparent only during times of stress. Periods of hypoglycemia, with nervousness and extreme hunger for salty foods, can occur, particularly in children. Severe abdominal pain, profound weakness, extremely low blood pressure, kidney failure, and shock may occur. An adrenal crisis often occurs if the body is subjected to stress, such as an accident, injury, surgery, or severe infection.

    If adrenal crisis is not treated, death may quickly follow. Sometimes a major stress makes the symptoms more obvious and precipitates a crisis. Doctors who suspect Addison disease measure cortisol levels, which may be low, and corticotropin levels, which may be high. However, doctors may need to confirm the diagnosis by measuring cortisol levels before and after an injection of a synthetic form of corticotropin. If cortisol levels are low, further tests are needed to determine if the problem is Addison disease or secondary adrenal insufficiency. Usually, treatment can be started with hydrocortisone (the drug form of cortisol ) or prednisone (a synthetic corticosteroid) taken by mouth. However, people who are severely ill may be given hydrocortisone intravenously or intramuscularly at first and then hydrocortisone tablets. Because the body normally produces most cortisol in the morning, replacement hydrocortisone should also be taken in divided doses, with the largest dose in the morning. Hydrocortisone will need to be taken every day for the rest of the person’s life. Larger doses of hydrocortisone are needed when the body is stressed, especially as a result of an illness, and may need to be given by injection if the person has severe diarrhea or vomiting. Supplemental testosterone is not usually needed, although there is some evidence that replacement with DHEA improves the quality of life in some people. Although treatment must be continued for life, the outlook is excellent. They should also carry an injection of hydrocortisone for use in an emergency. From developing new therapies that treat and prevent disease to helping people in need, we are committed to improving health and well-being around the world. The Merck Manual was first published in 1899 as a service to the community. The legacy of this great resource continues as the Merck Manual in the US and Canada and the MSD Manual outside of North America.

    A bracelet or wallet card giving the diagnosis and corticosteroid dose may help in case of adrenal crisis that renders the patient unable to communicate. Immediate intravascular volume expansion is done by giving 1 L of a 5% dextrose in 0.9% saline solution over 1 to 2 hours. Additional 0.9% saline is given IV until hypotension, dehydration, and hyponatremia have been corrected. Serum potassium may fall during rehydration, requiring replacement. Mineralocorticoids are not required when high-dose hydrocortisone is given. When illness is less acute, hydrocortisone 50 or 100 mg IM every 6 hours can be given. Restoration of blood pressure and general improvement should occur within 1 hour after the initial dose of hydrocortisone. Inotropic agents may be needed until the effects of hydrocortisone are achieved. Maintenance oral doses of hydrocortisone (15 to 30 mg) and fludrocortisone (0.1 mg) are given daily thereafter, as described above. Recovery depends on treatment of the underlying cause (eg, infection, trauma, metabolic stress) and adequate hydrocortisone therapy. Complications of corticosteroid therapy may include psychotic reactions. If psychotic reactions occur, then the hydrocortisone dose can be reduced to the lowest level consistent with maintaining blood pressure and good cardiovascular function. Antipsychotics may be temporarily required, but use should not be prolonged. From developing new therapies that treat and prevent disease to helping people in need, we are committed to improving health and well-being around the world. The Manual was first published as the Merck Manual in 1899 as a service to the community. The legacy of this great resource continues as the MSD Manual outside of North America. Learn more about our commitment to Global Medical Knowledge. Sometimes the tumors produce excessive amounts of hormone-like substances such as serotonin. Carcinoid syndrome is a group of symptoms that develop as a result of overproduction of these hormones.

    In which part of the body do carcinoid tumors typically originate? In 70% of people with Addison disease, the cause is not precisely known, but the adrenal glands are affected by an autoimmune reaction in which the body’s immune system attacks and destroys the adrenal cortex (the outer part of the gland, which is distinct from the adrenal medulla, the inner part which produces different hormones). In the other 30%, the adrenal glands are destroyed by cancer, an infection such as tuberculosis, or another identifiable disease. In infants and children, Addison disease may be due to a genetic abnormality of the adrenal glands. In addition, loss of androgens may cause a loss of body hair in women. In men, testosterone from the testes more than makes up for this loss. DHEA may have additional effects that do not relate to androgens. However, this loss does not cause symptoms. The kidneys are not able to retain sodium easily, so when a person with Addison disease loses too much sodium, the level of sodium in the blood falls, and the person becomes dehydrated. Severe dehydration and a low sodium level reduce blood volume and can lead to shock. The deficiency prevents the body from manufacturing carbohydrates, which are needed for cellular function, and protein, for fighting infections properly and controlling inflammation. Muscles weaken, and even the heart can become weak and unable to pump blood adequately. In addition, the blood pressure may become dangerously low. They therefore are susceptible to serious symptoms and complications when confronted with illness, extreme fatigue, severe injury, surgery, or, possibly, severe psychologic stress. Corticotropin also stimulates melanin production, so the skin and the lining of the mouth often develop a dark pigmentation. This suppression occurs because large doses of corticosteroids signal the hypothalamus and pituitary gland to stop producing the hormones that normally stimulate adrenal function.

    It was written by members of the ADSHG with input from our Clinical Advisory Panel. This ground-breaking, unique book covers a wide range of aspects of Addison's from both a medical and patient perspective. Highly recommended! It is available in printed form and is sent free to every member when they become a member. Additional cards can be bought in our shop. It provides a summary of the key points everyone with Addison's needs to know to manage their health. It is designed primarily to assist those who have been recently diagnosed and is ideal for employers who want to better understand the day-to-day aspects of the condition. In our latest Twitter Chat, our expert panel answer your questions. We asked our medics to review the research and the emerging stories so that we can give you a balanced perspective while also updating you on any impacts to the drug supplies we depend on. Our leaflets are great for supporting the newly diagnosed, running awareness events, educating family members, sharing with employers or adding to patient hospital folders for emergencies. We asked our medics to review the research and the emerging stories so that we can give you a balanced perspective while also updating you on any impacts to the drug supplies we depend on. In recent weeks, it's gone viral in light of the COVID-19 outbreak. We asked her to give her perspectives on what that means for us. She kindly tweeted her responses yesterday. Included within this is clinical guidance for the management of Addison's disease and adrenal insufficiency. Here we take a look at this vital new guidance, so you can get a clearer view of what this means for you or your loved ones. This page is up to date but we will continue updating it regularly as we find out more information from the government.

    However, if you are steroid-dependent, the consequences can be very serious, with around a quarter of adrenal crises requiring hospital admission resulting from flu-like illnesses (ADSHG member survey 2013).Help us fund medical researchers working in this important field of endocrine research. Approved third parties also use these tools in connection with our display of ads. Sorry, there was a problem saving your cookie preferences. Try again. Accept Cookies Customise Cookies Please try again.Please try your request again later. Kindle UnlimitedSep 28 - Oct 13It's a collaboration between a renowned consultant endocrinologist and person who has been living well with Addison's for over 30 years. Create a free account Buy this product and stream 90 days of Amazon Music Unlimited for free. E-mail after purchase. Conditions apply. Learn more Representative 21.9% APR (variable). Credit offered by NewDay Ltd, over 18s only, subject to status. Terms apply.Show details Sent from and sold by Amazon. In order to navigate out of this carousel please use your heading shortcut key to navigate to the next or previous heading. Diet and Treatment for Adrenal InsufficiencyThen you can start reading Kindle books on your smartphone, tablet, or computer - no Kindle device required. Get your Kindle here, or download a FREE Kindle Reading App. In order to navigate out of this carousel please use your heading shortcut key to navigate to the next or previous heading. Diet and Treatment for Adrenal InsufficiencyTo calculate the overall star rating and percentage breakdown by star, we don’t use a simple average. Instead, our system considers things like how recent a review is and if the reviewer bought the item on Amazon. It also analyses reviews to verify trustworthiness. Please try again later. Lynn 5.0 out of 5 stars Wish I’d had this book last year when I got ill, now realise I was also heading into a Addisons crisis.

    Explains how to identify symptoms of a crisis and how to manage yourself when you do get ill ( as most GPs have little understanding of the disease as it’s not very common). Well written and lots of information I didnt know e.g. don’t eat licquorice ??, and it’s common to experience salt cravings. Will be passing it to my sister to read as she’s my main supporter.It’s a nice compact book with the essentials all these. Some of the information I already knew but always good to review your own knowledge anyway. As Addison’s is such a complex illness- it’s not simply just absence of Cortisol. This but ok helps others understand what is effected and why. By understanding it- helps us enormously. But there is also lots of new information, that you may not be aware of or have heard before. For me, one of these was included in the section discussing the reasons for an Addison’s Crisis (or leading to). The percentages are interesting to read, as they certainly do take into account the impact of emotional stress on some one with Addison’s Disease.It explains day to day living very clearly and also how to recognise a crisis. I bought the kindle version and found the links very helpful also. I have decided to buy the paper version for some relatives that my daughter stays with on a regular basis so that they too will understand the illness fully.My 7 year old was recently diagnosed with the disease and this book has really helped answer many of the questions I had. It is a must read if you or anyone you know has Addison's.It did not help me at all with this. Months later after trial and error I was able to get control of my Addisons by circadian rhythm dosing hydrocortisone, which many other Addisonians I know use too. This is not even mentioned in the book.

    Whilst is is impossible to mention all the drugs that interact with hydrocortisone, I think antifungal drugs should have been mentioned as it can effectively double the hydrocortisone exposure, leading to a de-stablishing effect upon withdrawal.If you have just been diagnosed with this DISEASE this booklet is a must! This content does not have an Arabic version. Make an appointment. Explore now. Choose a degree. Get updates. A blood test can also measure antibodies associated with autoimmune Addison's disease. ACTH signals your adrenal glands to produce cortisol. This test measures the level of cortisol in your blood before and after an injection of synthetic ACTH. You may be given this test if doctors think you may have adrenal insufficiency as a result of pituitary disease (secondary adrenal insufficiency). The test involves checking your blood sugar (blood glucose) and cortisol levels after an injection of insulin. In healthy people, glucose levels fall and cortisol levels increase. You may also undergo an MRI scan of your pituitary gland if testing indicates you might have secondary adrenal insufficiency. You will be given hormone replacement therapy to correct the levels of steroid hormones your body isn't producing. Some options for treatment include oral corticosteroids such as: These hormones are given on a schedule to mimic the normal 24-hour fluctuation of cortisol levels. If you're ill with vomiting and can't keep down oral medications, you may need injections of corticosteroids. A steroid emergency card and medical alert identification will let emergency medical personnel know what kind of care you need. Also have a written action plan. Missing even one day of medication may be dangerous, so keep a small supply of medication at work and with you whenever you travel. The kit contains a needle, syringe and injectable form of corticosteroids to use in case of emergency.

    Keep an ongoing relationship with your doctor to make sure that the doses of replacement hormones are adequate, but not excessive. If you're having ongoing problems with your medications, you may need adjustments in the doses or timing of the medications. See your doctor or an endocrinology specialist at least once a year. Your doctor may recommend annual screening for a number of autoimmune diseases. They are also working on pumps implanted under the skin that can deliver steroids in more-accurate doses. However, when you call to set up an appointment, you may be referred to an endocrinologist. Here's some information to help you get ready for your appointment, and what to expect from your doctor. At the time you make the appointment, be sure to ask if there's anything you need to do in advance, such as restrict your diet. Sometimes it can be difficult to recall all the information provided to you during an appointment. Someone who accompanies you may remember something that you missed or forgot. List your questions from most important to least important in case time runs out. For Addison's disease, some basic questions to ask your doctor include: How can I best manage them together? What websites do you recommend? Being ready to answer them may reserve time to go over any points you want to spend more time on. Your doctor may ask: Accessed Oct. 14, 2018. National Institute of Diabetes and Digestive Health and Kidney Disease. Accessed Oct. 14, 2018. Accessed Aug. 24, 2018. Accessed Aug. 24, 2018. National Adrenal Diseases Foundation. Accessed Oct. 14, 2018. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2018. Diagnosis and treatment of primary adrenal insufficiency: An Endocrine Society clinical practice guideline.Mayo Clinic, Rochester, Minn. Oct. 16, 2018. Advertising revenue supports our not-for-profit mission. Make a donation. This site complies with the HONcode standard for trustworthy health information: verify here.


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    There is one way that will never be outdated, and that is watching TV shows. With the rise of iPhone users, they tend to watch TV shows on their iPhone. However, watching TV shows outside without Wi-Fi connection will cost a lot. Here we will introduce you two ways to transfer TV shows to iPhone from both computer and iTunes. Let's see how to do it step by step. You can also manually open iTunes. Click the double arrow to show more sync options. If you want to select specific TV shows to transfer, check the box for each movie in the Movie pane. It is the world's first freeware for free iPhone data transfer that can help you put all the content in the right place. MobiMover will safely transfer iOS content without erasing the original data on your devices. Now let's see how to import TV Shows from Computer to iPhone with EaseUS MobiMover Free. Videos can be synced from the Movies and TV Shows tabs in iTunes or dragged and dropped from your iTunes library. If the videos you want to transfer onto your iPad are not in your iTunes library yet, click “Add to Library” on the File menu in iTunes, navigate to the video file you want to import and double-click it to import it. With your videos successfully imported into iTunes, you can transfer them manually or automatically onto your iPad. Transfer Manually 1 Connect your iPad to your computer. If you have Wi-Fi synchronization enabled, your iPad will connect to your computer automatically, provided the computer and iPad are sharing the same Wi-Fi network. If you do not have Wi-Fi synchronization enabled, connect your iPad to your computer using the USB dock cable that came with the device. 2 Launch the iTunes application on your computer and click your iPad under the Devices heading. 3 Click the “Summary” tab in the main panel of iTunes. 4 Click the check box labeled “Manually manage music and videos.” 5 Click the “Apply” button. 6 Navigate to the Movies or TV Shows section of your iTunes Library.

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    But when adding them nothing happens. I only managed to add a couple of videos, I guess the majority of my files are incompatible. I want to watch the videos on my mac and on my ipad. Can I do this or can I only watch videos from the store. What's the easiest way to put the files in iTunes? So if you drag and drop those videos on your iTunes library, they should be added immediately. If you drop other files, nothing happens. However, it's a general misconception that all other videos (such as AVI, MKV, WMP, OGG,.) require reconversion. You can actually add those video files without conversions as well. There are tools that allow you to do that. The advantage is that it's very fast compared to time consuming conversions. It's a great way to use iTunes as a front-end catalog for all your videos. I use VideoDrive for this (but there are others as well like ivi and miro), because it also downloads artwork and metadata (descriptions, episode info, director,.) and adds that information to your iTunes library as well. The result is a unified iTunes library where you cannot tell the difference with movies from the iTunes Store. So in short: if you only have a couple of files, convert them one by one with a tool such as HandBrake. If you have a lot of movies and TV Shows, a dedicated tool for video imports in iTunes is a better solution as these tools can also be used to automate the import process and add metadata as well. Apple may provide or recommend responses as a possible solution based on the information provided; every potential issue may involve several factors not detailed in the conversations captured in an electronic forum and Apple can therefore provide no guarantee as to the efficacy of any proposed solutions on the community forums. Apple disclaims any and all liability for the acts, omissions and conduct of any third parties in connection with or related to your use of the site. All postings and use of the content on this site are subject to the.

    Most Popular How to Reorder a Playlist on an iPod How to Sync iPods to iMesh That Are Already on iTunes How to Add Movies to an iPod Without Syncing How to Make YouTube Videos Work on Tumblr How to Put Songs From an External Hard Drive Into iTunes Trending Now 1 How to Download Music to an MP3 Sony Walkman 2 How to Add an iPad to Existing iTunes 3 How Do I Update My iPad Using a PC? 4 What Does the Blue Dot Mean in iTunes. By using our site, you agree to our cookie policy.Learn why people trust wikiHow To create this article, 15 people, some anonymous, worked to edit and improve it over time.Oftentimes you'll find that the file will simply not show up in iTunes, no matter how many times you try to add it. The problem typically lies in the video file's format; iTunes only works with a few different ones. Luckily, a free conversion program can help you import any video into iTunes.If the file is a supported format, load it up in QuickTime to make sure it plays. If it doesn't play, you'll need to convert it. If it works, you can skip down to importing the video. This is a free, open-source video conversion program without any adware, available for Windows and OS X. It is also one of the easiest and quickest ways to convert video files to an iTunes-compatible format. They often have file size limits and uploading and downloading the video can take a significant amount of bandwidth. It may look a little confusing, but you'll be ignoring most of the advanced options when performing quick conversions for iTunes. If you have multiple files you want to convert, select the Folder option. All of the files will need to be located in the same folder. If you are converting a single video, select the File option and browse for the file. This will allow you to set a destination folder for the converted video. You will need to type a name for the file as well. This will take a few minutes, and longer videos such as full-length movies may take up to half an hour or more.

    7 Drag and drop your videos onto your iPad under the Devices heading to transfer them. Transfer Automatically 1 Connect your iPad to your computer and launch the iTunes application if it does not launch automatically. 2 Click your iPad under the Devices heading. 3 Click the “Movies” tab to transfer movies onto your iPad. On the Movies screen, click the “Sync Movies” check box. Click the “Automatically include” check box. Click the “All” pull-down menu and select the number of movies you want to transfer onto your iPad. If you want to select movies individually, leave the “Automatically include” check box unchecked and instead check the box next to each movie you want to transfer. Click the “Apply” button to transfer your videos. 4 Click the “TV Shows” tab to transfer TV shows onto your iPad. On the TV Shows screen, click the “Sync TV Shows” check box. Click the “Automatically include” check box and select the number of episodes to include on the pull-down menu. Click the “Selected shows” pull-down menu and click the TV shows you want to include in your automatic transfer. To select shows and episodes individually, leave the “Automatically include” check box unchecked. Scroll through the list of shows under the Shows heading and click the check box next to the show you want to transfer onto your iPad. Click the season containing the episode or episodes you want to transfer, then click the check box next to each episode you want to transfer. Click the “Apply” button to transfer your selected videos to your iPad. He has been published in The Gazette, DTR and ZCom. He holds a Bachelor of Arts in history and a Master of Fine Arts in writing. Related How to Download Music to an MP3 Sony Walkman How to Add an iPad to Existing iTunes How Do I Update My iPad Using a PC. What Does the Blue Dot Mean in iTunes. How to Compress Movies for an iPad How Do You Get Rid of Podcasts on Your iPod Touch.

    And with the above formats, you can succeed in playing it in both your iTunes as well as iOS devices. Part 2: Add TV shows to iTunes Store A. On a Mac or PC The way to add TV shows to iTunes in your computer is awfully simple. Just like adding music to iTunes, you can apply the same way to add TV shows to iTunes. Step 1: Turn on your iTunes and move to iTunes Library From the left side, choose the TV Shows and you can observe your purchased or rented TV shows. Step 2: Open your file folder and drag it to your iTunes Open your file folder in which your TV shows exist. And click your left bottom of your mouse and don't release it and move it to your iTunes Stores and you made it. After having succeeded in adding TV shows to iTunes Library, you can start to watch it on your iTunes. In the meantime, you can simply move it to your iPhone or iPad. B. On an iPhone or iPad To add TV shows to your iPhone or iPad, you can use the way to redownload the TV shows from iTunes and realize the same function of adding TV shows to your iPhone and iPad. Turn on your iTunes on your iPhone or iPad After turning on iTunes on your iPhone or iPad, you can find out the TV shows which you just add to your iTunes store. And tap a bottom off with a cloud and a down arrow. In this way, you can add TV shows to your iPhone or iPad. You'll like: 2 Easy Ways to Remove DRM from iTunes TV Shows. According to some of the comments on my previous posts, you agree. But nothing beats how much of a Nazi I am when it comes to my iTunes library. Sure, I know the clamor is coming; iTunes sucks, use (insert alternative software here) instead. I’m on a Mac as I write this, I own an iPhone and an Apple TV and a few other Macs are planted here and there around the house. So it just makes plain sense for me to use iTunes. But I hate the hoops you have to jump through to keep your iTunes video library in a decent state.

    Once the video has been converted, play it in QuickTime to ensure that the conversion went smoothly.Oftentimes videos downloaded from torrents will have multiple periods in the name to denote who ripped and encoded the video. Remove any of these extra periods, as they can cause problems when trying to import into iTunes. You will now be able to find the video in the proper library. Now that the files are in iTunes, you can sync them to your iOS device. Click here for details on syncing. Select the device that you are syncing the video to, and then wait for the conversion to complete. Is this possible? From then on, you can probably transfer it to your iPod using the method described in this article.To create this article, 15 people, some anonymous, worked to edit and improve it over time. This article has been viewed 713,711 times.By continuing to use our site, you agree to our cookie policy. Please help us continue to provide you with our trusted how-to guides and videos for free by whitelisting wikiHow on your ad blocker. If you really can’t stand to see another ad again, then please consider supporting our work with a contribution to wikiHow. The answer to this question is probably inclined to be definite. Here is the experience which you are lucky to obtain and apply it to overcome the unpleasant question. It's better done than thought, here we go. CONTENTS Part 1. What kind of formats can be added to? Part 2. Add TV shows to iTunes A. On a Mac or PC B. On an iPhone or iPad The ways to add TV shows to iTunes Library are varied. However, I am going to introduce you the ways you can operate on different devices. One is on the computer, another is on iPhone and iPad. And here we go! However, before you operated, you are supposed to know about the following point. Part 1: What kind of formats you can add to. Apple allows the user to add the TV shows in the format of M4V, MP4, and MOV to iTunes.

    Either way, having a mental block feels like being trapped in your own head, and it can seriously dampen your ability to think outside the box. You just need the right strategies to get your flow back. Try these five practical ways to overcome a mental block. 1. Break Your Project Down A few years ago, I was working on changing a company product that I believed would hugely benefit our customers. Sounds great, right? Every morning, I cracked open my laptop to work and felt totally paralyzed. I loved the idea, yes, but actualizing it felt risky. What if it didn’t turn out the way I pictured in my mind. More importantly, where would I even begin. A former colleague gave me great advice over coffee: Change how you think. Start by breaking the big project down into small tasks. When a major project overwhelms you, you only see the entire forest instead of the individual trees. And as you stare it down, you start to feel discouraged by your own lack of progress, thus slowing you down further. Breaking down a massive task into smaller chunks makes the work feel more manageable. You’ll have multiple clear places to start and end with, which will lend a motivating sense of productivity and mastery to your process. Learn more about it here: The Motivation Flowchart: The Mental Process of Successful People Think of it as accumulating small wins.But if you’re experiencing a mental block, switching up your surroundings can make a big difference in your output. Have you ever noticed how your environment directly impacts your performance and mood. Your brain associates your physical surroundings with certain feelings and activities. So, if you feel mentally stuck, your mind may need some new sensory stimuli. During this time in your life, it may not be possible to set up shop at a cafe or move from your cubicle to a conference room, so you may need to think outside the box. If you’re working remotely in a home office, try going to your dining table or couch.

    If the weather cooperates, sit outside for a bit with your computer or take a walk around the block. You can also simply rearrange your workspace. Not sure where to begin. You may find a much-needed dose of inspiration when you work while breathing in the fresh air, listening to city sounds, or staying in the comfort of your own living space. That’s especially true if your chosen distraction helps you get things done in the long run. Have you realized how your most creative thoughts tend to bubble up when you’re, say, lying in bed or taking a shower. The people who had a brief “incubation period” — in this case, working on an anagram — consistently made better choices than those who spent more time weighing their options. If you can’t seem to prime your brain for a project, try doing something completely unrelated to work, such as washing your dishes, working out, or calling a friend. When your mind won’t seem to settle into a state of flow, it may help to swap out your mental activity for a physical one and see how it impacts your perspective. To be specific, relaxing, flow-based exercises like dance, yoga, or tai chi can create a gentle sense of momentum in your body, which can prime your brain for the same state. Stress-reducing activities may also be necessary. Meditating or taking slow, deep breaths will also calm your nervous system if you’re feeling overwhelmed. If your mental block won’t go away after some effort, it may be time to take a break. Forcing creative thoughts only adds to your stress levels, which in turn inhibits your ability to think creatively. When the time is right, you’ll find your way back to the original task with a fresh, creative perspective (hopefully). More on Getting Rid of a Mental Block You Will Be After Reading This. For a better experience, please enable JavaScript in your browser before proceeding. It may not display this or other websites correctly. You should upgrade or use an alternative browser. Does anyone know of a method.

    It used to be that I had to save my AVI movies as “pretend” MP4 files, or create separate reference files that just masqueraded as MP4s when they actually pointed to the original AVI. That was pretty bad, especially since the latter option created a bit of a mess in my folder structure and used up more space. You can hack the Apple TV and jailbreak the iPhone, but I’m too lazy to play with the iPhone’s innards (“What. You’re a Lifehack writer!” I hear you say) and I tried the Apple TV hacks and didn’t think the system was smooth or integrated enough. So, the level of complexity in keeping a workable, networkable iTunes library together just got much greater. And we haven’t even spoken about music, though admittedly that does a much better job of organizing itself and it’s possible to fix simple things without relying on a script. There are a few things that are important to having a functional and organized iTunes video library: I manually go into the iTunes folder structure and create a folder for the show inside the actual iTunes TV Shows folder. Otherwise, when iTunes imports, it’ll make a copy in the movies folder. That’s not a well-organized folder structure. Part of the process we’ll be using actually fixes this automatically, but as I said, I can be strange about maintaining my library and you might want to skip this step (if you’re following along the whole way). When it comes to movies, though, this isn’t so important, and if you like the way iTunes organizes music in folders you’ll want to turn it back on when you’re done (at the end of the whole process, that is, not just after you’ve created the new folder). For movies, I just want the title, nothing more or less.The iTunes Movies pane is pretty shocking at handling TV Shows, which is why there’s a separate pane for them. But Apple doesn’t let you change the video type from movie to TV show manually. You have to use the Set Video Kind of Selected AppleScript for iTunes.

    This AppleScript lets you set four things: When you set the file as a TV show, it will move that file into the TV Shows folder structure automatically. But what do you do when the file is not an iTunes compatible file. You’ve got a few options. However, your Apple TV will not play it, and nor will your iPhone. You can drop a bunch of videos onto this droplet and it’ll convert them all to M4V format, save them to your Movies folder, and then add them to iTunes. It requires QuickTime Pro, though. And finally, I like to have metadata filled out nicely, mainly for the sake of my Apple TV—if I’m flicking through all ten seasons of Stargate SG-1 I want to have the description of each episode there, as it’s easy to get lost. There was an app I once tried that automatically converted videos in a “drop box” folder to an iTunes compatible format, put it in your library, and then automatically searched IMDB for all the metadata and filled it in. I didn’t like the app, but that was a great idea. Now, I just make a quick trip to IMDB and fill in the episode descriptions—it’s quick and easy since they provide them in the season listing—but I’m definitely looking out for a quick way to fill these fields in automatically without using that conversion software! Do This Daily Routine Every Day Read full profile The rare moments when your inspiration aligns with your motivation likely lead to some of your most creative work. Plus, it feels great to actually check a task or project off the list so you can move on to the next thing. Meanwhile, a mental block — its opposite — can cause work to feel laborious and uninspired. Forget creativity when you have a mental block — it makes it difficult even to start working on what you need to do. A mental block can manifest in several ways. Perhaps your imposter syndrome is squelching your creative ideas, for instance, or you’re overwhelmed by the breadth of a project and its impending deadline. Maybe you’re just tired or stressed.

    There's also Josh's iTunes album art grabber, but I'm not sure if it does TV shows too. Does anyone know how to get this TV series-wide artwork to show up in the menu for when you're flipping through the varies TV series that are on there? Does anyone know how to get this TV series-wide artwork to show up in the menu for when you're flipping through the varies TV series that are on there?Did you figure out a way. I know I could get the cover from the DVDs at Amazon.com or even download some Posters from Impawards.com but than it would be not in the iTunes Stores' albuns artwork format (nice, square and matching all my other series that I bought from there). If you manage to have this done correctly, please let me know. Erick Pessoa Maybe you can find a way to do the same. Changing the first episode's artwork changes the show artwork - but you have to reload iTunes to see the new show artwork. Find the actual iTunes store page for your content (movie or TV Show). Right click on the image you want and select copy link. Sorry for bumping a two year old post, but I know since I was searching for it now, someone will again, and this can be helpful Cheers! Find the actual iTunes store page for your content (movie or TV Show). Sorry for bumping a two year old post, but I know since I was searching for it now, someone will again, and this can be helpful Cheers!A good website to get nice looking artwork would be: A good website to get nice looking artwork would be: Right click on the image you want and select copy link. Open your browser (Safari in my case) and paste in your copied link and go It will take you back to the iTunes store page you just came from, but that's OK Go back to your browser and notice that the artwork you're looking for in right there on the pageHowever, I'm not sure if this will get you the desired resolution. EDIT: Nevermind, it appears there is a legit way to get the artwork. I didn't even know that.

    Right-click and open the small artwork image in new window.This sidebar will go away, and you'll see fewer ads.We also boast an active community focused on purchasing decisions and technical aspects of the iPhone, iPod, iPad, and Mac platforms. Learn more.That's why iTunes 11 still offers a lot of options for managing your music, TV shows, movies, apps, and more. Click on the name of your device. From here you can see a list of tabs along the top. To add an app to your device that isn't currently installed, click on the Install button to the right of the app name. Any app that is already installed with have a Remove button next to it. Just click on it in order to remove the app.Click on the name of your device. From here you can see a list of tabs along the top. You can choose from tones, music, movies, tv shows, podcasts, books, and photos. For music, you can even choose only specific playlists or songs. Click on the name of your device. From here you can see a list of tabs along the top. If you aren't, you'll have the option to choose what contact groups, calendars, and mail accounts you'd like to sync. Select them by making sure the checkbox is checked. Click on the name of your device. Click on the name of your device. Learn more.I can't help but feel sad since it was thanks to this system that I got my husband back into gaming. How about an affordable robot vacuum that does that for you, as well. That's what the iRobot i3 brings to the table. We've rounded up some of the best cases for Apple's 8th generation iPad here. You can unsubscribe at any time and we'll never share your details without your permission. By Lance Whitney Apple’s iTunes has always been the go-to application for syncing your music, TV shows and movies, podcasts, and books between computer and mobile device. Now that iTunes has been retired in macOS Catalina, all the music and media that was once stored there is now kept in specialized programs.

    However, when it comes to syncing content between a computer and mobile device, you now use the Finder app. The process is similar to syncing through iTunes, though there are a few differences. Connect Your Device On your Catalina-based Mac, connect your iPhone, iPad, or iPod touch. Click the Go menu and select any location such as Computer, Desktop, or Documents. On the left side of the window, swipe down to the Location section and click the entry for your device. The first time you do this, you’ll need to click the Trust button to sync your computer with your device. The screen for your iPhone, iPad, or iPod touch appears with headers for the different categories and content types. Manage Sync Settings At the General screen, you can check for an update to your operating system and back up your device to iCloud or your Mac. You can also manage backups and restore a backup. Under Options, you can determine how your device syncs with your computer. If you want to manually upload media, check the box next to Manually manage music, movies, and TV Shows. Now the only time your device will sync with your library is if you drag an item and drop it in. If you prefer to automatically sync devices, check the box next to Automatically sync when your device is connected. This means your mobile device will sync with your library as soon as you plug it into the computer. You can also sync your device over Wi-Fi by checking the box next to Show this iPhone when on Wi-Fi. Then, if both devices are on the same network, they can sync without having to plug anything in. If you have a small music library and want to sync all of it to your device, select the option next to Entire Music Library. If you’d rather choose which music to sync, pick the Selected artists, albums, genres, and playlists option instead. You can then view your music by Artists, Albums, Genres, or Playlists. Whichever category you select, check the items you want to sync.

    Click Apply in the bottom-right corner if you don’t need to sync any other content, or move to the next section if there is more. To sync all movies, check the box next to Automatically include and then click the drop-down menu. Opt to sync all movies, only recent ones based on different time frames, or only unwatched ones based on various time frames. To sync specific titles, leave that box unchecked and then check the movies you want to place on your device. Check the box to Automatically include. Click the drop-down menu, and you can choose to sync the newest titles or different unwatched titles based on various time frames. Otherwise, leave that box unchecked, then click the names of the TV shows you want to include and check the individual episodes that you want to sync. Check the box to Automatically copy. Click the drop-down menu and select which podcast episodes you want to sync based on most recent or unplayed. Otherwise, leave that box unchecked, then click the names of the podcasts you want to include and select the individual episodes you wish to sync. How to Sync Books and Audiobooks You can sync books and audiobooks under their respective tabs. Under either tab, check the box at the top of the page to allow syncing. You can then choose between syncing every title automatically or selecting specific titles. If you want to be selective, check the titles you wish to sync. How to Sync Photos and Files Finder can also be used to sync photos and files with your mobile device. However, it should be noted that if you’re already using iCloud Photos, you won’t be able to do anything on this page. Any photos or video you take from your mobile device will already be made accessible on all connected devices. If you need to sync your photos, tap the Photos header in Finder, then check the box next to Sync photos to your device. By default, Finder will sync everything in your Photos folder, but you can change that from the drop-down menu.

    As far as what Finder will sync, you can set it to be All photos and albums or Selected albums. If you opted to sync only selected albums, check the albums you want to sync. You can also choose to only sync photos tagged as favorites or those that include video. Furthermore, you can check the box next to Automatically include photos from, then use the drop-down menu to select a specific time frame, like the last week or month. The process for syncing files is much easier than any other section. If you click the Files tab you can add documents to your device simply by clicking and dragging the file into Finder and adding it to the list. How to Sync Contacts and Calendar Sync the contacts and calendar appointments between your devices by clicking the Info tab in Finder. Here you can check the boxes next to what you want to sync and whether or not everything will be moved or only specific contacts groups or calendars. How to Sync All Content Nothing you add or change in Finder will actually sync with your device until you apply the changes. When you’re ready to sync all this new content, click the Apply button in the bottom-right corner. How to Track Device Storage After the sync has finished, the graph at the bottom of the screen shows you approximately how much space is now taken up on your device by the content. Hover your mouse over each colored area to see the specific amount of space used by that content type. View Synced Content Once the sync occurs, the content will be added to the appropriate app on your device. Make sure everything has downloaded correctly by checking the Music, TV, Podcasts, and Books apps. How to Use the Music App in macOS Catalina Apple’s macOS Catalina removes the iTunes app but lets you access all your songs, playlists, and Apple Music from a new Music app. Here’s how to use it. Originally published at on November 11, 2019. Follow Written by PCMag Follow PC Magazine Follow PC Magazine: redefining technology news and reviews since 1982.


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    adding music manually to iphone

    Press and hold Ctrl ( Windows ) or Command ( Mac ) and select each song you want to copy to your iPhone. This lets you drag all of them at once.Playlists save you from repetitive work when syncing the songs you want on your iPhone. It might be called iPhone or maybe just iPhone.There are other programs that transfer music and other files between your computer and iPhone.It supports copying music (as well as other files like documents, videos, apps, and images) to and from your iPhone.There are two options to add individual music files to your iPhone and entire music folders.For example, upload your favorite songs to Dropbox or Google Drive and use those apps on your phone to stream only those files instead of your entire music collection. I selected manually manage music, movies, and TV shows. The questions I have are: Do I transfer the music through finder or do I manage my music through the music app. Basically right click the tracks and add device? I do not use the streaming service, neither have I any intention to do so, and want to transfer my iPhone to the music I want on MY iPhone. At the moment, it's not clear how this is done. I can't imagine Apple wouldn't allow this! Here is my findings. Assuming that you have all your song files imported into the Music Library and your iPhone is connecting to your Mac. Step 1) On your Mac goto the Music app then click at the iPhone icon in the side bar. This will open the list of song currently in your iPhone. The list area will be use in Step 3. Step 2) Goto Finder, locate the song file(s) that you want to transfer to the iPhone. Step 3) Drag the required song file to the “list of song” area in Step 1. The song file will be transfer to your iPhone. If you drag multiple files then it will take some time to finish the process. You may observe that on the right hand side of the iPhone icon there will be a round dot appear during the transfer. Wait until the dot disappear.

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    This feature helps with exactly that. Here are two techniques for syncing an iPhone with more than one Mac without deleting the content. But this feature shows how to sync with more than one Mac. Apple has also tightened up the way manually managing iTunes content works, so it wipes content the instant you click Erase and Sync (rather than waiting). So for the time being it seems that using third-party apps is the way forward if you want to keep any media on your iPhone, or manually managing music if you don't mind starting from a blank slate. You can transfer audio, video, photos, books, podcasts and other contents from your iPhone to your Mac (or vice versa). Use AnyTrans to make sure you've got the content on your iPhone on your Mac. Wait for it to connect and load all the content. This may take a while, depending on how much you've stored on your iPhone. The words Content To iTunes should appear. Click it. Typically you'll have Music, Playlists, Movies and TV Shows (depending on what is stored on your iPhone). Your media is now being copied from the iPhone to your iTunes library. You can now sync your iPhone with the new Mac, or manage your iPhone manually with more than one computer. When you click 'Manually manage music and videos' all of the content on the iPhone is removed. Once you've set your iPhone to manually manage music and videos mode you'll be able to transfer music from multiple Macs without getting the alert. Here's how to copy the files across: You can use the icons at the top to switch from Music, Films, TV Shows and Apps. This doesn't affect our editorial independence. Learn more. To make better use of your iPhone's storage capacity, only sync the songs you want to play. Follow this iTunes tutorial to see how simple it is to add certain songs and playlists from your library to your iPhone.Check this before transferring music, or you might max out your space and have no room for apps, videos, or more music.

    All postings and use of the content on this site are subject to the. Besides, In case you need, another way on how to transfer music from computer to iPhone without iTunes is also provided. With iTunes, you don't need to buy any third-party software or service to transfer music to your iPhone, which makes it a good choice for users who want to transfer music from computer to iPhone for free. If that's exactly what you want, learn how to add music from iTunes to iPhone in two different ways. Full steps Full steps As you may know, iTunes moves music to your iPhone by syncing, which means the iPhone files, including existing music, movies, TV shows, and books, that are not existing in iTunes will be deleted and replaced by the synced items. Thus, there may be data loss after you move music from iTunes to iPhone. If you prefer to transfer music from computer to iPhone without syncing, learn how to do it from Part 2. If asked, enter your iPhone password as required. If you choose the latter, continue to select the specific items you want to transfer. Open the folder that contains the songs, select the items you want to sync, then drag and drop them to the left panel or to the center of the window. (You can also drag and drop songs from iTunes library to your device.) Thus, if you want to transfer music to your iPhone from a Mac that is running macOS Catalina, you should use Finder instead of iTunes. Therefore, if you want to avoid data syncing to keep your files, you will need to transfer music from computer to your iPhone without iTunes. EaseUS MobiMover is an iOS data transfer tool as well as a video downloader that will help you: If you want to know how to download music on iPhone, refer to the related guide for full steps. Carry out the method best suited to your needs to add songs to your iPhone. Afterward, you will be able to enjoy your favorite songs wherever you are and whenever you like. Without further ado - read how it's done below!

    I really do not understand why Apple programmer put it this way. It does not make sense and a bit complicate. You can accidentally move the song file to somewhere. You can use the same procedure to transfer ringtones. Goodluck Supong I was able to manage to transfer my music from my iMac to my iPhone. But, I can't sync my phone, it says iPhone cannot be synced because it cannot be found. The issue that your iphone cannot be found is a saparate case. Since both Catalina and iOS are new there is possibility that some glitch may occur to specific model of iPhone. Try reconnect your iPhone to your iMac using different cable or restore your iPhone. I hope this may help. I dont want to restore my iPhone again because it took me a very long time to get my iPhone restored. Is there anyway to get it sync and manage to transfer my music from my iMac to my iPhone. I'll contact apple support again and hopefully they will have a solution. Or I'll wait for an update either from Mac OS or iOS 13. I take it the Add to Device path is a dead end? Once you've selected 'sync selected artists, albums, genre.' and cleared your iPhone: Go to Finder Make sure you've clicked on your phone on the left hand navigation Select the music tab Just tick the artists, albums or other things you want to sync Click on the Sync button at the bottom of the window.It seems that, now, PC users have a much better way to manage their music with good ol' iTunes than Mac have with Music. Quite an interesting move from Apple really. Apple may provide or recommend responses as a possible solution based on the information provided; every potential issue may involve several factors not detailed in the conversations captured in an electronic forum and Apple can therefore provide no guarantee as to the efficacy of any proposed solutions on the community forums. Apple disclaims any and all liability for the acts, omissions and conduct of any third parties in connection with or related to your use of the site.

    Click Music in the Library pane and select your preferred song. Click and drag the highlighted song to the iPhone icon to transfer the file to the device. References Apple: Managing Content Manually on iPhone, iPad and iPod Writer Bio Christina Shaffer is a freelance writer based in New Jersey and has been writing arts and entertainment articles since 2005. From fixing your old devices to catching up on recent tech-trends, we've got you covered. Topics Internet Media Printer Social Media Smart Devices Email Network Hardware Phone Software Legal About Us Accessibility Terms of Use Privacy Policy Copyright Policy CA Do Not Sell My Personal Information. Songs randomly appear or disappear from your library and if you sync with a second computer, you lose all the music from the first one. Rather than syncing, this lets you drag-and-drop the exact songs you want on your iPhone. And you choose which ones to delete. Manually Managing Music 1.1 What music can I manage manually? 2 Change Your iPhone Settings Using Finder 2.1 How to Turn On the Option to Manually Manage Music: 2.2 Connect to Your iPhone Over Wi-Fi 3 How to Manually Manage Music on Your iPhone 3.1 Manually Manage Music Using the Music App 3.2 Manually Manage Music Using Finder: 4 Keep a Backup of Your Music Library 4.1 Related Posts: Try These Settings You might choose to sync certain artists, playlists, or even your entire music library. That might mean adding the latest album you imported or it might mean deleting everything from your iPhone if you sync to a computer without music on it. In contrast, when you choose to manually manage music on your iPhone, songs only change when you add or remove them yourself. Clicking Sync doesn’t add your latest music, but it also doesn’t delete anything either. This makes it easy to get music from a friend’s computer without losing your own collection. What music can I manage manually? It doesn’t matter if you rip them from a CD or import music files you got online.

    This is actually very easy to do. You can watch the video below with all the details or read the article below. Like adding music to iPhone with iTunes. Somehow this was a hurdle for iPhone users since the beginning of the world. It works on both Mac and Windows operational systems. After you download WALTR you can use it for free for 24 hours. Be sure, besides music it also helps you transfer videos to iPad, iPhone or iPod. WALTR 2 just added music files to your iPhone, so head to your default Music app and look for your songs there. Frankly speaking, WALTR is what iTunes was supposed to be in the first place. And they aren’t supported by iTunes. This involves AVI, MKV, MP4, WMA, FLAC, MP3, ALAC, M4A, APE, and many others. No countless tabs, no converting settings. You can simply add music to them just as seamlessly as to iPhone. It’s not a secret, that watching videos and listening to music regardless of its format settings is a big advantage and certainly a useful feature, that iOS devices usually lack. Currently, this is the easiest way to put music on iPod without iTunes. You also don’t need any additional converting software, because WALTR accepts all the audio and music formats you can find on the web. Depending on the size of your music collection, however, the process can be inconvenient and take several minutes to complete. To add songs to the iPhone without synching your entire library, access the program’s settings and disable the automatic sync option. After switching the sync setting, you can manually transfer songs to the device each time you connect it to your computer. Step 1 Connect the iPhone to the computer. If iTunes doesn’t launch automatically, open the program manually. Step 2 Click your iPhone in the Devices section of the navigation pane on the left. Step 3 Click the “Summary” tab. Step 4 Enable “Manually manage music and videos.” Click “Apply” to enable manual synchronization for the device.

    If you want to know how to add a video file in another format such as MOV, read our article: How to watch movies on iPad Please note that we do not support this utility in any way. If you need help with Handbrake, please visit their dedicated FAQ Section.Yes, the disadvantage is that it’s paid, but the good news is that you can add music on the go, browse awesome editors playlists and use Wi-Fi to download tracks to your iPhone. Be careful not to use your Internet traffic all the time! That’s it! To do so, click on the cloud icon to download the track to your iPhone.Let me know which method worked best for you! Fairly believes that she was the one for the part of Wonder Woman in DC movies, but for now she is eager to make your CopyTrans journey remarkable. Learn more. For a better experience, please enable JavaScript in your browser before proceeding. It may not display this or other websites correctly. You should upgrade or use an alternative browser. I’ve had to do it via the screens on Finder, Using the tick boxes. It’s a pain in the rear, but it’s the only way for now. Looks like mainly dragging and dropping in Apple Music, Apple TV, podcast is no longer working. I”ve synced tv, films, and moved PDF’s, word docs and excel docs over fine from Catalina via Finder p, once I worked out how. I”ve synced tv, films, and moved PDF’s, word docs and excel docs over fine from Catalina via Finder p, once I worked out how.Thank God for Spotify. I know that syncing to the laptop should delete logs and diagnostics files etc so that's what I attempted. It kept failing. So I did a backup to the computer (also done in the Finder) and then the sync worked. As an aside, I got over 1GB back. Thank God for Spotify.I’ve opened it to look at it but never tried syncing my device with it. I don’t have any TV shows or movies purchased or downloaded. View attachment 841961 Syncing is not manual transfer. Manual transfer is drag and drop. Syncing is not manual transfer.

    Manual transfer is drag and drop.It's not doing anything auto syncing of anything else, as I've not ticked the 'automatically include' both. It's not doing anything auto syncing of anything else, as I've not ticked the 'automatically include' both.It works for me, for now, and if it's permanently this way, I'm ahead of the game. I also manually manage my music currently, do not use Sync at all. I drag and drop on the music side of iTunes, not inside the backup screen of iTunes. I also manually manage my music currently, do not use Sync at all. I drag and drop on the music side of iTunes, not inside the backup screen of iTunes.There's progress in the Apple TV app, Clicking on the device shows a new screen. I don't know if it's working, as both my devices won't keep the setting of 'Manually Manage music, films and TV programmes' BUT, if you choose this option ALL content of your iOS device will be erased. In my case about 6000 songs in 80 playlists, 5962 books, and some complete tv series. So for people like me who never sync but always transfer manually, erasing all my stuff is NOT AN OPTION. My only option is staying with Mojave until my Mac kicks the bucket a few years from now or until Apple changes its policy ( after Tim and his minions are kicked out). BUT, if you choose this option ALL content of your iOS device will be erased. My only option is staying with Mojave until my Mac kicks the bucket a few years from now or until Apple changes its policy ( after Tim and his minions are kicked out).As that's how I used to have my device, before the beta broke it. I have to use the Files method I mentioned, and put stuff into VLC instead.This sidebar will go away, and you'll see fewer ads.We also boast an active community focused on purchasing decisions and technical aspects of the iPhone, iPod, iPad, and Mac platforms. The process is completing successfully but songs are still not there my iPhone.

    If you bought music from the iTunes Store, just make sure you download it to your computer first. You can’t sync songs downloaded through Apple Music. This is a streaming service and doesn’t give you ownership of the music you download. However, you can download music directly on your iPhone using Apple Music. When you do this, it lets you drag-and-drop music files to add them to your iPhone and disables the music sync options. Connect to Your iPhone Over Wi-Fi Now disconnect your iPhone from the computer, but don’t click the eject icon. You can manage the music on your iPhone whenever it’s connected to the same Wi-Fi network as your computer. We’ve explained how to do it in more detail below. You can Autofill empty space with music from your library or specific playlists. This option only becomes available when you manually manage music from your device. Keep a Backup of Your Music Library It’s easy to do this by copying the Music Media Folder to an external drive. The method is the same even if your Mac uses the Music app instead of iTunes. Having owned iPods for years, he bought a MacBook to learn sound recording and production. It was using those skills that he gained a first-class Bachelor of Science in Sound Technology. Who's Afraid of Losing Data.Pretty shoddy And I was so pleased to finally get a Mac. And thinking great it will be compatible with my iPhone and iPad. Apparently not music-wise. Very annoying! I did NOT use a Time Machine backup to set up my new iMac. Did it from scratch and copied over my music into the new Music app. I wanted a fresh install of everything. The Finder did what it needed and backed up my iPhone for the first time. I selected the music that I wanted to sync onto my iPhone and clicked sync. A dialog box came up saying it would remove music that was on the iPhone and sync everything. Has this happened to anyone else. It’s basically not removing the songs that I don’t want on there anymore.

    I like to manually manage my music on my iPhone and now I cannot do that in iTunes. Why would Apple change something that worked perfectly well? Having discovered that clicking the “cancel” button then un-checks the “Manually manage the music, films, and TV programs” option, the only thing left to do was click the accept button. Goodbye to my entire music library, the entirety of which I had laboriously ripped from my CD collection spanning four decades. I can’t even see the playlists that are already on the device. (I see the playlists on my iPhone, but not in Finder.) Therefore I can’t add songs directly to a playlist on my device! Should I stop using iOS, and switch to Windows 10. Does Apple really want to drive its users to Microsoft? And yes, it is confusing! Have you found a solution or alternative yet. I am facing the exact same problem and it really annoys me. Apple is not answering my questions, to the point it’s clear they are evading it. I am meticulous about (manually) managing my music and synching or “auto fills” are pretty much my nightmare. Hope you found a better way. Follow the guide to learn how to put music on iPhone. It also acts as a music player and a music manager, allowing you to edit the track information before adding it to the iPhone. So, if you have tracks on your device that are not in the iTunes, they will be deleted. It will make sure your library is coherent both in iTunes and iPhone.If you want to know how to put music on iPhone without iTunes, continue reading (or watching). There’s no need for an iTunes sync and already-existing iPhone tracks remain untouched on your device. No overwriting! If you need help installing the CopyTrans Manager, please refer to the Installation guide.That’s it! You have successfully transferred your music from computer to iPhone.

    I can’t transfer music to iPhone and please help me to fix can’t transfer music to iPhone.” If you are looking for a solution to fix this problem, you can go through this guide. We will share some tips about how to fix can’t transfer music to iPhone and an alternative way to transfer music to iPhone when iTunes unable to help you.Maybe your iPhone doesn’t have much space to store the files which you are transferring to your iPhone. Usually HD video files need large space to store on mobile in that condition it is better to check space on your iPhone before transferring them. You can see about the available space on your iPhone. This thing can fix “Can’t Transfer music to iPhone”.So go in the iTunes music tab and check whether “Enter Music Library” option. If it is not checked you can’t transfer music to iPhone.In that condition if your iTunes version is very old, there are chances that you can’t transfer music to iPhone.So before syncing you iPhone with iTunes, you must add songs in the iTunes library. If songs are not there in the iTunes library, you can’t sync iPhone with iTunes and songs will not be transferred. Click on the “Songs” tab under Library in the left side. Here check songs are available or not. If songs are not there, please add some songs to add music to iPhone.If you have tried all tips above and still not able to fix can’t transfer music to iPhone using iTunes, you can use this software to sync music to iPhone. This iTunes alternative software can easily transfer music between two mobile devices directly or backup to computer or restore music from computer to iPhone as well. So you can easily get music on your iPhone using this iTunes alternative software MobileTrans.After installing launch and click on “Phone Transfer” solution in the home window.Wait until they are not detected in the interface. After detecting devices take care that Android is at left and iPhone is at the right side or you can use “Flip” button to change devices' position.

    Check “Music” from the list of available data and then click on “Start Transfer” button in the interface.Once it is finished then you can disconnect iPhone and Android mobile from computer.The order process, tax issue, and invoicing to end-users are conducted by Wondershare Technology Co., Ltd, the Wondershare group' subsidiary. But you can sync your iPhone with a new computer as long you set it to manage music and videos files manually. For business owners, this capability can be convenient if you are traveling and don't have access to your default computer. Disconnect the USB cable. We use this information to create a better experience for all users. Please review the types of cookies we use below. Without these cookies, we can't provide services to you. They alert us when OverDrive services are not working as expected. Without these cookies, we won't know if you have any performance-related issues that we may be able to address. For example, they let us know which features and sections are most popular. This information helps us design a better experience for all users. To learn more about how we use and protect your data, please see our Privacy policy. The site may not work properly if you don't update your browser. If you do not update your browser, we suggest you visit old reddit. Press J to jump to the feed. Press question mark to learn the rest of the keyboard shortcuts Log in sign up User account menu 6 Manually Add Music to iPhone while Using Apple Music I bought a new song (externally from iTunes because I wanted something more than 256kbps) and added it to my iTunes library. I went to sync this to my phone and suddenly realized that the song wouldn’t sync, no matter what I do. I assume this is because I have iCloud Music library enabled on my phone. The issue is, the song (while available to purchase via iTunes) apparently is not available to Apple Music users. As such, although I see the song in “My Library”, I am unable to play it.

    Instead, I receive the error: “Item not Available: This Item can’t be Played”. Is there any way to get around this and manually sync the song to my phone. What you’re describing should work. Maybe the format of the song your having difficulty with is the problem. If this fails check the iCloud Music Library status in iTunes. Per Apple Support, my initial assumption was correct. Apple has rights to sell the song, but not to stream it via Apple Music. As such,I need to get the physical file onto my phone. Currently, the ONLY way to do that is to turn off iCloud Music Library (which will wipe all Apple Music playlists and songs added to my Library from the device), manually sync my phone with my computer again to get the physical file on the device, and re-enable iCloud Music Library (which should bring everything back in). The key will be selecting the option to merge with my existing files rather than having it delete the music on my phone in lieu of streaming options (honestly selected this the first time anyways as I prefer music at higher quality than 256kbps). Going to try this out later today when I get home. Hopefully all goes well, but I will update if it does not. Assuming it does go well, this is still a super annoying process just to manually add a song to my phone. Plan on submitting some feedback to Apple in the hopes they come up with a more elegant solution. For now, thanks all for the replies. If you OWN the file, you can add it to iCloud Music Library. Simple as that. Only hiccup should be format tbh. What format is it in. Also what iCloud Status does it show after you try to add it to iCloud. If it was not bought from iTunes and not available in Apple Music, how does Apple know what song it is and what rights it should have. Also, I am extremely new to Apple Music.where would I find iCloud Status. You can use an external app to stream it (like Dropbox or whatever).

    It can’t be in your library without you adding it to your iCloud Music Library, and when you add it, if it’s available on Apple Music, it’ll more than likely match it to their version and that’s what will play anyway. The match process seems to be properly identifying the song as I can see it on all of my devices, it is just grayed out and cannot be played. I am assuming this is one of those rare instances where they have the rights to sell it but not to stream it. That said, when I first turned on Apple Music and iCloud Library, it gave me the option to leave my physical files intact on the phone rather than delete them and simply stream, so there in theory, there should be a way to add new physical songs. I just have not been able to find it. That’s the whole idea of iCloud Music Library. I’m not sure why you think that you have to add a song manually to your phone. I think that should let you redownload past purchases. Also, for what it’s worth, both the iTunes music store songs and Apple Music are 256kbps AAC files, so I’m not sure how found one better than that on the iTunes Store. Specifically DRM free from Amazon at 320kbps. I then downloaded a physical file and added it to my iTunes library. So it isn’t going to show up in the purchased section. After talking to an Apple tier 2 rep, I have confirmed the song is one they simply don’t have rights to stream so I absolutely have to manually add the song to my phone, which will require the super annoying process of completely turning off iCloud Music Library, syncing, and then turning it back on. All rights reserved Back to top. You might use iTunes to sync your music. And in this article, we will give you more options besides iTunes to help you easily import all music to your new iPhone X. You can simply choose your preferable one to accomplish this. Now let's check all the methods below. It's really simple and convenient.

    Of course, we just need a free yet handy third-party iPhone manager tool to help us with that, check the details below. To import music to iPhone X from your computer, click on Add button and then select the songs from computer. You are able to add selected songs or entire folder at one time. Simply select your desired songs and hit Open to start transferring. Syncios iPhone Data Transfer is a simple and effective solution for transferring contents between unlimited devices. With this helpful data transfer tool, you are able to transfer all your music files from other devices to new iPhone X without quality loss. Select Transfer module on the homepage and connect your iPhone X and the source device to the computer via USB cables. Then click Next for the next step. Syncios Data Transfer can perfectly meet your need. Go to 'Restore' module. Tap 'iTunes Library' option, then you will see a pop-up window. To transfer iTunes Library to iPhone X, simply through iTunes. Now you can simply select your desired one according to your own situation. After importing all music successfully, enjoy them on your iPhone X! The subscription will be expired, then you won't have the permission to enjoy these songs from Music library anymore, only if you renew the subscription, will you have the qualification to listen these songs. To solve this problem, you'd better save those songs you've downloaded from Apple Music forever. You need a professional Apple Music Conversion tool to help you download and convert Apple Music to other formats for offline storage. It can be used as an all-in-one iTunes audio, Apple Music and audiobook converter. Connect your iPhone to PC via matched USB cable. Open iTunes. For the first connection, a window will pop out. Click “Continue” to allow iTunes to read your iPhone data. At the same time, another dialog will come out on your iPhone, on which you could tap “Trust” to continue. After that, click the phone icon on the left corner of the interface.


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