Learn the truth behind TikTok's latest viral health trend: 'moon face,' and see what truly causes 'moon face' and why self-diagnosis isn't the answer.
’s latest mass diagnosis is facial swelling and puffiness known as “moon face,” caused by high levels of the stress hormone cortisol. Along with the popular awareness-raising— which does result from elevated levels of cortisol — it’s a challenging diagnosis for even seasoned endocrinologists. On top of that, treating it involves more than simply taking supplements, cutting out caffeine, or doing some stretches in the morning, as many TikTokers seem to suggest.
When Burtch’s patients have Cushing’s syndrome and the associated moon face, he says that it’s often because they’ve been on high doses of steroid treatments — like prednisone, hydrocortisone, or dexamethasone — for several months, for conditions like asthma, rheumatoid arthritis, or inflammatory bowel disease., more than 10 million Americans take this type of steroid medication each year, but it’s not known how many develop Cushing’s syndrome.
While some of the remedies that TikToker have suggested aren’t unreasonable for a healthy lifestyle — like intermittent fasting and strength training — Burtch points to the lack of empirical evidence demonstrating that other strategies like hot and cold therapy and breathing techniques actually help decrease cortisol levels.
That said, for many people, simply having a morning routine or becoming more active can benefit their mental health, and, in turn, reduce their stress levels, he explains. “So indirectly, some of the stuff can work, whether there’s a lot of scientific basis or not,” Burtch says.
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