Carling Adrenal Center

09/08/2025

Patients with adrenal disease travel from around the globe to have adrenal surgery with Dr. Carling at the Hospital for Endocrine Surgery in Tampa, FL. Dr. Carling performs adrenal surgery exclusively and is the highest-volume adrenal surgeon in the world, performing about 500 adrenal operations per year.

Learn more and become our patient here: https://www.adrenal.com/surgery

09/05/2025

🩺 Interesting Case of the Week: Cushing’s Syndrome from Bilateral Adrenal Tumors

This week, we cared for a patient from Connecticut with subclinical Cushing’s syndrome caused by tumors in both adrenal glands. Many patients travel from New England to the Hospital for Endocrine Surgery for expert adrenal care with Dr. Carling, who practiced in Connecticut for 17.5 years. ✈️

Subclinical Cushing’s occurs when adrenal tumors produce excess cortisol, which can cause significant symptoms. About ¾ of patients have a tumor on one adrenal, but ¼ have tumors in both glands, which requires a careful approach.

The goal is to remove all tumor tissue while preserving enough normal adrenal tissue to avoid adrenal insufficiency—a partial bilateral adrenalectomy. Her CT scan showed a 3.8 cm right adrenal tumor and a 3.0 cm left adrenal tumor.

She first had a partial mini back scope adrenalectomy (MBSA) on the right in November 2022, and this week returned for a partial MBSA on the left adrenal. The surgery went perfectly, her cortisol levels are balanced, and she is cured without needing steroid replacement. ✨

Learn more about Subclinical Cushing’s Syndrome: https://www.adrenal.com/cushing-syndrome/overview
Learn about Mini Back Scope Adrenlectomy: https://www.adrenal.com/adrenal-surgery/mini-scope-adrenal-surgery

09/03/2025

🧠💪 It’s Healthy Aging Month—and here’s your reminder: Getting older doesn’t mean feeling worse.

We hear it all the time: “I thought I was just getting old…” But fatigue, brain fog, high blood pressure, bone loss, weight changes, or depression aren’t just a normal part of aging. In fact, these are common symptoms of treatable endocrine conditions—like parathyroid disease, thyroid nodules or cancer, adrenal tumors, and more.

💡 The best part? Many of these problems can be cured with a short, minimally invasive surgery. And when they are, people often say they feel 10, 15, even 20 years younger. Don’t ignore the signs. Don’t settle for “it’s just aging.” Let’s find the real reason you don’t feel like yourself.

📍The Hospital for Endocrine Surgery
💙 National leaders in thyroid, parathyroid, and adrenal care

09/02/2025

📢 Summer 2025 Updates from the Carling Adrenal Center

This summer has been an important one at the Carling Adrenal Center, the world’s leading center for adrenal surgery. Dr. Tobias Carling and his team shared groundbreaking research and surgical advances at major international conferences, reinforcing their role in setting global standards for adrenal care.

✔️ In June and July, the team presented new data on primary aldosteronism (Conn's Syndrome) and Cushing’s Syndrome at the International Aldosterone Conference and the Endocrine Society’s annual meeting in San Francisco. Their work highlighted the benefits of minimally invasive adrenal surgery, individualized post-operative care, and reducing unnecessary treatments.

✔️ In August, Dr. Carling spoke at the Florida Endocrine Association, presenting strategies for tailoring care in patients with adrenal Cushing’s to optimize recovery and long-term outcomes.

With more than 600 adrenal operations performed each year, the Carling Adrenal Center continues to lead the way with precision, compassion, and science—helping patients worldwide access the highest level of adrenal surgery expertise.

📍 Learn more and watch the full video here: https://www.youtube.com/shorts/2nOxTOWnHn0
➡️ Become a Patient: https://www.adrenal.com/become-a-patient

Advancing adrenal surgery worldwide with new research & patient care updates

09/01/2025

Happy Labor Day from the Hospital for Endocrine Surgery!

Today, we honor the hard work, dedication, and resilience of workers across the country—including our incredible team of surgeons, nurses, technologists, and staff who show up every day to deliver world-class care.

Whether you're spending the day relaxing with loved ones or catching up on your to-do list, don’t forget to prioritize your health. If something has felt off for a while, it might be time to look deeper.

🏥We’re here for thyroid, parathyroid, and adrenal care—when you’re ready.

08/29/2025

🔵 Pheo Para Awareness Week – Interesting Case of the Week 🔵

Not all pheochromocytomas present with the “classic” symptom of high blood pressure. This week’s patient—a 68-year-old Asian American woman from New Jersey—had a baseline blood pressure of just 108/68 mmHg. Her blood pressure only spiked during short, intense episodes lasting 5–20 minutes.

Instead, her main symptoms were leg and arm cramps, difficulty concentrating, irritability, anxiety, pre-diabetes, and even panic attack–like episodes. Lab testing confirmed the diagnosis with elevated metanephrines, and she underwent a 17-minute Mini Back Scope Adrenalectomy (MBSA)—the safest and most effective operation for pheochromocytoma. She is now recovering well and regaining her quality of life.

This case is a reminder that pheochromocytomas and paragangliomas can look very different from patient to patient—each with its own genetic and clinical story. During Pheo Para Awareness Week, we encourage patients and doctors alike to stay alert to these rare tumors, even when the presentation isn’t “typical.”

📖 Learn the Top 6 differences between pheochromocytoma and paraganglioma here: https://www.adrenal.com/blog/top-6-differences-between-pheochromocytoma-and-paraganglioma
👨‍⚕️ Discover why the MBSA is the gold standard operation for pheochromocytoma: https://www.adrenal.com/adrenal-surgery/mini-scope-adrenal-surgery

08/28/2025

📢 Primary Aldosteronism and Kidney Health After Surgery

Primary aldosteronism (PA), caused by adrenal tumors that produce excess aldosterone, places a significant burden on the kidneys. Elevated hormone levels lead to glomerular hyperfiltration, inflammation, and scarring—factors that increase the risk of chronic kidney disease (CKD).

In this video, Dr. Tobias Carling, Director of the Carling Adrenal Center, explains how PA affects the kidneys before surgery, why some patients may experience a short-term drop in GFR (kidney function) after adrenalectomy, and which patients are at higher risk of kidney changes. He also emphasizes the importance of ongoing follow-up with a nephrologist to ensure the best long-term outcomes.

At the Carling Adrenal Center, minimally invasive adrenal surgery cures PA, normalizes hormone levels, corrects blood pressure and potassium imbalances, and provides essential long-term protection for kidney health.

📍 Learn more and watch the full video here: https://www.youtube.com/shorts/mwNHcoXDoC0

➡️ Become a Patient: https://www.adrenal.com/surgery

How adrenal surgery protects kidney health in primary aldosteronism patients

08/27/2025

🎗️ Pheo Para Awareness Week | August 25–31, 2025

Pheochromocytomas and paragangliomas (Pheo Para) are rare adrenal tumors—but for the patients affected, they can be life-altering. These tumors often go undiagnosed for years, mistaken for anxiety, panic attacks, or high blood pressure with no clear cause.

At the Carling Adrenal Center, we see and treat more patients with pheochromocytoma than any other center in the country. Early diagnosis and expert surgical care are critical. This week, we're raising awareness so more patients can get the answers—and the cure—they deserve. 💛

📍 Learn more at adrenal.com

08/26/2025

📢 Updated 2025 Guidelines on Primary Aldosteronism

The Endocrine Society has released its 2025 clinical practice guidelines on primary aldosteronism (PA)—a common but underdiagnosed cause of hypertension.

Dr. Tobias Carling, world-renowned adrenal surgeon, provides expert insight into the new recommendations, which now advise screening all patients with high blood pressure using the aldosterone-renin ratio (ARR).

Early diagnosis of PA is critical, as untreated disease significantly increases the risk of stroke, heart attack, and kidney damage. Dr. Carling also addresses the complexity of the current guidelines and highlights more practical pathways to diagnosis, along with the role of minimally invasive, tissue-preserving adrenal surgery in improving long-term outcomes and reducing dependence on medication.

📍 Learn more and watch the full discussion here: https://www.youtube.com/shorts/WGdGPrufszU

New PA guidelines: better screening & adrenal surgery insights from Dr. Carling

08/25/2025

It’s Pheo Para Awareness Week, and we’re going LIVE with Dr. Tobias Carling—the world’s leading adrenal surgeon—for a special Q&A session.

💬 Got questions about pheochromocytoma or paraganglioma?
💬 Wondering if your symptoms could be related to an adrenal tumor? 💬 Confused about imaging, lab tests, or whether surgery is needed?

Whether you’ve been diagnosed or are still searching for answers, this is your chance to get trusted, expert guidance straight from the surgeon who performs more adrenal operations than anyone in the country.

No question is off limits. While we’ll focus on pheo and para tumors in honor of the awareness week, Dr. Carling will also answer questions about Conn’s syndrome, Cushing’s syndrome, adrenal cancer, and more.

🟡 Drop your questions in the comments
🟡 Share this event with others who might benefit
🟡 Join us LIVE and get the answers you deserve!

08/25/2025

Patients with adrenal disease travel from around the globe to have adrenal surgery with Dr. Carling at the Hospital for Endocrine Surgery in Tampa, FL. Dr. Carling performs adrenal surgery exclusively and is the highest-volume adrenal surgeon in the world, performing about 600 adrenal operations per year.

Learn more and become our patient here: https://www.adrenal.com/surgery