What is the approximate maximum period of time that it's possible to take hydrocortisone (20 mg. with breakfast and 10 mg. with lunch.) for Addison's disease or adrenal fatigue? I should be very grateful for your assistance.
(Slc, Utah, Usa)
I am hypothyroid with Addison's. I take 40 mg. hydrocortisone, and 150 mg. ThyroGold, and don't want to take anymore. I still have had symptoms, like getting cold easily and poor circulation and fatigue and some brain fog.
The circulation problem is mostly aggravated by the fact that I do a lot of art work sitting down. I have a little cube timer that goes off every 15 minutes so I can get up and walk around or do something else. But still, even 15 minutes of sitting makes my legs feel heavy and stiff.
I started drinking a lot of peppermint tea, sipping on it throughout the day. Also, I have rubbed peppermint essential oil into my adrenal areas and thyroid once a day and rub some of the oil on my upper lip under my nose. I rub the oil into the reflexology thyroid and adrenal areas of the feet, giving some definite massage there.
Studies show that smelling peppermint essential oil (be sure it's real essential oil) improves circulation and mental function and that's what I'm seeing. Within the first two days I noticed a big improvement in circulation, energy, mood and mental clarity.
(San Angelo, Texas)
PLEASE HELP, if you can. I have Addison's Disease but have been living a healthy, happy, active, normal life for twenty years because of Bezwecken's Isocort. I thought their plant-source cortisol was a miracle. Then they stopped making it. I am in bed, dying, heart pounding wildly as blood pressure dropping, as I search the Internet for a replacement. No luck. All adrenal cortex formulas have hormones removed, and there are no formulas like Isocort. Extremely allergic to synthetic forms of cortisol. Taking licorice, ginseng, ginkgo, schizandra, astragalus, pregnenolone, C, E, Pantothenic Acid and a multi and eating grapefruit. Those help to increase adrenal function, but not if one has "no measurable cortisol. "
Do you know of a natural glandular with the cortisol not removed? or a plant-source bioidentical cortisol? Please reply. Thank you,
(Fountain Inn, Sc)
(Golden Beach Qld)
I do not agree with your information on Addison's Disease :- there is no Glandular recommendation instead you are required to take Cortisol and Florinef issued from your endocrinologist and from my 17 years experience of the PAI disease you do not take Licorice as I have 90% of my adrenals destroyed( by my auto immune system:- hence Primary Addison's Disease) and so my adrenals CANNOT receive a boost or stimulation from Licorice as the receptors for Licorice and all other anti inflammatories are just NOT THERE as they have been destroyed ( as explained previously above)...and this outer section of my adrenals DOES NOT EVER grow back so NO amount of Vitamins or potions Zinc Extract etc will EVER Help these deficient Adrenals! Trying to agitate these diseased adrenals actually MAKES YOU FEEL VERY SICK and I have to go to 2 or 3 days bed rest to get over anti inflammatories foods or herbs that I have eaten.....believe me after 17 years of this PAI I know the symptoms of eating Anti Inflammatory foods ...I am physically and mentally WIPED out UNABLE TO READ OR SPEAK VERY MUCH AND CONFINED TO BED! Till this disruptive anti inflammatory foods and herbs have moved through my system.
Oh by the way I have been on these drugs for 17 years and my bone density is average or above and I have suffered no bone damage whatsoever and I DO NOT take Vitamins ( as stated above ) and I just drink fat reduced MILK its so simple ...... I walk exercise eat healthy for Addison's ( reduced potassium intake also is required for some of us ) and eat a fair amount of Cheese and drink fat reduced Milk I.e. healthy Bones!
I'm someone who has a similar condition to yours. While Addison's is primary adrenal insufficiency, mine is secondary adrenal insufficiency. (pituitary origin) They are usually caused by an autoimmune assault that results in low to no production of cortisol and other hormones. When cortisol is not produced, there is an extremely high probability of loss of life from even the smallest amount of stress. Cortisol replacement is very difficult to balance because it goes up and down daily, and it goes up with infections, etc. We have to try to approximate this dynamic fluctuation when taking this hormone.
With Addison's disease when cortisol is low, there is low sodium, low chlorides, and resulting high potassium in blood serum. There is often times metabolic acidosis. (low bicarbonates, etc. ) When cortisol is replaced correctly, sodium and chlorides are then held, and potassium returns back into cells from the serum in blood.
If cortisol replacement is too high, sodium and chlorides can become too high, bicarbonates may increase to push out high chlorides, and potassium will be flushed out of the body. This can result with Alkalosis. (often indicated along with low potassium in serum blood test).
Addisonians often have difficulty metabolizing calcium, and it can be high in blood and tissues. Cortisol usually lowers ca in blood, but ca can remain in tissues.
There can be high magnesium with low and high cortisol, because there is probably kidney distress. With electrolyte imbalances, there is most often kidney distress.
Most Endocrinologists now are recommending that patients try to keep maintenance cortisol dosages below 30mg. Daily and as close to 20mg. as possible. If dosage needs to be reduced, then it must be done very slowly, with Dr.s care and attention. (we don't want a crisis to occur).
I have struggled to reduce my daily dosage in the past, but I have found that certain natural substances I've learned about here, and through my own research have made my dosage reduction possible.
I found that increasing my potassium intake reduced my pain exponentially. I did not decrease my sodium intake. (sea salt) I do take a potassium supplement at this time as long as I seem to need it. ( I usually take potassium gluconate because it is more neutral, "plant like"). It is absorbed very quickly, so I take small amounts at a time so as not to disturb the other electrolytes. (250mgs) The amount I take daily varies, and I have a set of symptoms that indicate the need for more. I also eat a high potassium diet, but I salt it to good flavor.
I have found that, reducing the amount of acids that I have each day, helps with pain and helps with lowering my cortisol needs. It is also helping to lower my potassium needs. (less autoimmune, viral, infectious outbreaks).
I take Iodine (Lugol's) for glandular support and infection resistance. I couldn't take thyroid meds. (too stimulating for me). People take it in a wide variety of ways and amounts that change, so it's up to us to find that amount, but I like to put 4 to 6 drops of 2% lugol's in 1 oz. water, and hold it in my mouth for several minutes, then spit.
I also take H2o2 on occasions. When a lung infection arises, I use Bill Munro's method of intake until the infection ceases. I also apply it to my skin a few times weekly.
I also take Milk Thistle and Dandelion Root, (and leaf) regularly, off and on for kidney, liver support. I believe they really help this condition. They are powerful, so I take them 1 hr. apart from meds.
These practices have been so effective with keeping away infections for me, that I'm not sure I can remember when I had to double my cortisol dosage for an infection.
I really hope that this can ease the pain, Connie
(Yuba City, Ca)
Supplements, Dietary Changes
As someone with diagnosed Adrenal Insufficiency (Addison's Disease), I would recommend to anyone who suspects that they may have this problem to ask your doctor (MD) to run a morning cortisol test to begin with. The range of normal is quite large, and you may have a low normal reading that would indicate you may need cortisol replacement or prednisone. Some other tests can be done to determine whether the problem is in the adrenals themselves or in the pituitary or hypothalamus. The A.M. cortisol test is a blood test and should be done in conjunction with other tests for blood counts, electrolytes, and hormones. Cortisol is at its highest level first thing in the morning, so if it is low, it is only going down from there for the rest of the day.
Low sodium and postural hypotension are common symptoms as are abdominal and flank pain, sleeplessness, low body temp and feeling cold, hypoglycemia, an unusually dark tan, extreme fatigue(an overused term), and cravings for caffeine, sugar, alcohol, cigarettes, or other substances to boost you up. If you have all of these symptoms, you need to be tested for adrenal insufficiency asap.
Anything that you use to boost your metabolism-- thyroid hormone, diet products, adrenal stimulating complexes--will make your problem worse. I take supplements that strengthen my body and its overall function: Vit C, 1-3 g/day; Vit E, 400 IU/day; L-Tyrosine, 500 mg/day; liver cleanse product; green foods tabs. I tried licorice for about a month and noticed no difference. DO NOT TAKE POTASSIUM. Adrenal insufficiency causes hyperkalemia (excess potassium) and hyponatremia(low sodium). Be careful of B viamin complexes, too much B6 in the presence of low sodium causes magnesium overabundance which is manifested by tingling in feet, legs, hands, and arms. Low magnesium is not a symptom of adrenal fatigue. Avoid taking supplements that do not have a cal/mag ratio of 2/1.
Someone suggested tin chloride supplements. NO. Tin salts are toxic.
I also have tried to detox my enviroment by eating organic food, avoiding pesticides and chemicals, and changing all the products I use on my body. I juice organic fruits and vegetables almost everyday. The Blood Type Diet has made a big difference by eliminating agglutinating foods from my diet that were making me feel lousy.
I try to control my stress as much as possible by making choices about how I spend my time (as much as a mom with 4 kids can) and with whom I spend it. Some of these are tough choices and require a change in expectations on your part and those you interact with.
Not everyone who is fatigued has adrenal fatigue. Toxic enviroment, toxic food, and toxic relationships all cause a great deal of stress.
(San Bernardino, Ca)
(Los Angeles, Ca)