Cortone Acetate is a steroid medication that is used to treat a variety of conditions, including arthritis, allergic disorders, skin conditions, and some types of cancer. It works by reducing inflammation and suppressing the immune system. This medication should only be used under the supervision of a healthcare professional, as it can have serious side effects if not used correctly.
Cortone Acetate is a steroid medication that is used to treat a variety of conditions, including arthritis, allergic disorders, skin conditions, and some types of cancer. It works by reducing inflammation and suppressing the immune system. This medication should only be used under the supervision of a healthcare professional, as it can have serious side effects if not used correctly.
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Cortone Acetate
Depletes
Prolonged use of Cortone Acetate can impact 6 essential nutrients.
Vitamin D
Research suggests corticosteroids can lower vitamin D levels in the body by increasing its breakdown. This is a concern because vitamin D plays a crucial role in bone health and the immune system, and corticosteroids themselves can weaken bones. A study found that calcium and vitamin D3 supplements helped prevent bone loss in the lower back (lumbar spine) and hip (trochanter) for people with rheumatoid arthritis who were on low-dose corticosteroids. Evidence suggests vitamin D may work synergistically together with corticosteroids to improve asthma treatment by boosting the effectiveness of corticosteroids or by overcoming resistance to these medications in some patients.
Replace with Vitamin D3 (Cholcalciferol) (1000 IU) (25 mcg)
Research: Banerjee A, Damera G, Bhandare R, Gu S, Lopez-Boado Y, Panettieri R Jr, Tliba O. Vitamin D and glucocorticoids...
Magnesium
Corticosteroids can increase the body's excretion of magnesium, potentially leading to a deficiency. This is concerning because magnesium plays a vital role in many bodily functions, including muscle and nerve function. Research suggests that magnesium supplementation alleviated corticosteroid therapy associated muscle atrophy. Supplementation with magnesium should be considered during long term corticosteroid therapy.
Replace with Magnesium Citrate (75 mg)
Research: Schutten JC, Joris PJ, Minović I, Post A, van Beek AP, de Borst MH, Mensink RP, Bakker SJL. Long-term magnesium...
Selenium
Corticosteroids can increase the urinary loss of selenium elevating the risk for deficient levels. Selenium is a mineral that acts as an antioxidant, helping protect cells from damage. Studies have shown that rheumatoid arthritis patients taking high doses of corticosteroids tend to have lower selenium levels. This is concerning because low selenium intake is linked to osteoporosis, and selenium has been shown to play a role in bone protection in animal models of corticosteroid-induced osteoporosis. Supplementation with selenium should be considered during long term corticosteroid therapy.
Research: Luo Y, Xiang Y, Lu B, Tan X, Li Y, Mao H, Huang Q. Association between dietary selenium intake and the prevalence of...
Potassium
Maintaining healthy potassium levels is important when taking corticosteroids. These medications can increase the amount of potassium the body loses through urine. Potassium is a vital mineral that helps muscles and nerves function properly. While short-term use of corticosteroids might not cause significant problems, studies suggest that with prolonged treatment, the body's ability to maintain proper potassium balance (homeostasis) can be affected.
Research has found that corticosteroids increased chromium excretion in patients after just three days. Chromium is an essential mineral that helps regulate blood sugar levels. This is important because corticosteroids themselves can raise blood sugar, contributing to diabetes. Evidence suggests that chromium supplementation improved fasting blood glucose levels in patients with steroid-induced diabetes.
Replace with Chromium Polynicotinate (200 mcg)
Research: Mohn ES, Kern HJ, Saltzman E, Mitmesser SH, McKay DL. Evidence of Drug-Nutrient Interactions with Chronic Use of Commonly...
Calcium
Corticosteroids can lower calcium levels in the body. This is a double threat to bone health because corticosteroids themselves can weaken bones. Calcium is essential for strong bones, and a study showed that supplementing with both calcium and vitamin D3 helped prevent bone loss in people with rheumatoid arthritis taking corticosteroids. Supplementation with calcium should be considered during long term corticosteroid therapy.
Replace with Calcium Citrate (75 mg)
Research: Homik J, Suarez-Almazor ME, Shea B, Cranney A, Wells G, Tugwell P. Calcium and vitamin D for corticosteroid-induced...
Health Impact
Cortone Acetate-induced nutrient depletion can lead to a range of health problems
Muscle Cramps & Neuromuscular Irritability
Clinical reports and modern reviews note that hypomagnesemia is associated with muscle cramps and spasms; mechanistic work links low magnesium to impaired ATP handling and sustained muscle contraction.
Research: Bilbey DL, Prabhakaran VM. Muscle cramps and magnesium deficiency: case reports. Can Fam Physician. 1996;42:1471-1473.;...
Arrhythmias & Blood Pressure Changes
Cardiovascular reviews identify subclinical magnesium deficiency as a contributor to arrhythmias and hypertension, particularly in individuals on diuretics or medications that increase urinary magnesium loss.
Research: DiNicolantonio JJ et al. Subclinical magnesium deficiency: a principal driver of cardiovascular disease? Open Heart....
Thyroid Hormone Conversion Issues
Reviews of selenium and thyroid disease underscore selenium’s role in deiodinase and glutathione peroxidase activity and note that low selenium status is associated with autoimmune thyroid disease, although supplementation trials show mixed clinical benefit.
Research: Bano I et al. Selenium as a key regulator of thyroid function: a comprehensive review. Nutrients. 2025;17(1):e40358914.;...
Higher Oxidative & Cardiac Stress
Epidemiologic and mechanistic work links low selenium status with increased oxidative stress, inflammation and adverse cardiometabolic outcomes, though randomized supplementation trials have produced heterogeneous effects.
Research: Rayman MP. Selenium and human health. Lancet. 2012;379(9822):1256-1268.; Zuo Y et al. Correlation between selenium levels...
Weakness, Cramps & Fatigue
Clinical reviews of hypokalemia list weakness, fatigue and muscle cramps as hallmark symptoms even with moderate potassium depletion, especially in the context of diuretic use or gastrointestinal losses.
Guideline and textbook sources emphasize constipation and arrhythmias as clinically significant sequelae of hypokalemia, especially at lower serum levels or in patients with underlying heart disease.
Research: Cleveland Clinic. Low potassium level (hypokalemia): causes and symptoms. 2023.; Johnson Memorial Health. Low potassium...
Reduced Insulin Sensitivity
A systematic review and meta-analysis of chromium supplementation in type 2 diabetes suggests small improvements in fasting glucose and HbA1c in some trials, but high-quality randomized studies in prediabetes found no clear benefit, indicating that the clinical impact of chromium depletion remains uncertain.
Research: Asbaghi O et al. Effects of chromium supplementation on glycemic control in patients with type 2 diabetes: a systematic...
Side Effects
Common side effects of Cortone Acetate, some of which may be related to nutrient depletion
Review
Side effects of Cortone Acetate, an anti-inflammatory corticosteroid drug, may include:
1. Weight gain 2. Increased appetite 3. Swelling in your ankles or feet 4. Mood changes, such as irritability or agitation 5. Insomnia 6. Increased blood pressure 7. Acne 8. Thinning of the skin 9. Muscle weakness 10. Increased risk of infection 11. Osteoporosis (weakening of the bones) 12. Glaucoma or cataracts if used long-term in high doses
It is important to talk to your doctor about the potential side effects of Cortone Acetate and discuss any concerns you may have before starting treatment.
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Calcium Citrate
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Pure Encapsulations Chromium supplement is a dietary supplement designed to support healthy glucose metabolism and overall metabolic function, using a highly bioavailable form of chromium.
Pure Encapsulations Magnesium supplement is a dietary supplement designed to support overall health by providing highly bioavailable magnesium to aid in muscle function, energy production, and cardiovascular health.
The Selenium supplement by Pure Encapsulations is a dietary supplement designed to support antioxidant defenses and overall health by providing a bioavailable form of selenium, an essential trace mineral.