Unrecognized Steroid Exposure: Tawon Liar Induced Adrenal Insufficiency.

This case highlights the importance of obtaining a thorough medication history, including over-the-counter supplements, when evaluating unexplained metabolic abnormalities. Despite no obvious steroid use, this patient's prolonged use of an unregulated supplement led to the suppression of the HPA axis. While such patients may maintain some baseline cortisol production under normal circumstances, their impaired stress response increases the risk of adrenal crisis during acute illness. Early recognition and prompt management of adrenal insufficiency are crucial in preventing life-threatening complications.