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There are actually only a few instances where steroids (e.g., methyl-prednisolone, triamcinolone, dexamethasone, or "cortisone shots") should be used (e.g., for certain types of inflammatory processes but rarely for chronic injuries or pain) (1) (2) (3) (4) (5) (6) (7) (8)

She also had overweight and severe acanthosis nigricans

Medication is not a cure on its own

Pharmacol Rep 59:500516 Rhie YJ, Yoo JH, Choi JH, Chae HW, Kim JH, Chung S, Hwang IT, Shin CH, Kim EY, Kim HS (2019) Long-term safety and effectiveness of growth hormone therapy in Korean children with growth disorders: 5-year results of LG growth study

The difference is subtle and does not indicate any chemical change