The clue is the incidental adrenal mass that looks benign enough to ignore. This episode earns its place because it makes the work-up concrete: malignancy risk on imaging, cortisol screening for everyone, and shared decisions about adrenalectomy without forgetting postoperative adrenal insufficiency.

A low short-term cardiovascular risk score can under call risk in younger adults. ApoB, lipoprotein(a), metabolic syndrome features, and coronary artery calcium refine prevention decisions, and any positive calcium score in a younger patient should be treated as a meaningful red flag.

Eating-disorder assessment is clinical, not questionnaire-led. Three-minute orthostatic observations, ECG, and electrolytes help expose medical instability, while weight-loss prescribing with GLP-1 agents can be unsafe in underweight or actively restrictive illness unless specialist psychological and dietetic support is built in.