Re: Building up adrenals to be able to take T3

[Guest guest]

Hi beki,

I don't know if this will sort it, but if HC is too much, why not try

prednisolone? It might be kinder as you have to convert that to HC yourself, so

it's slower acting and therefore I suppose, more gentle on your system. And you

only need to take it once a day.

>

>

> Any ideas - is this a usual reaction to HC? have you come across this before?

How long could I expect to wait before my adrenals can cope with the T3? Do

some peoples adrenal glands never get strong enough to raise the HC enough?

Would licorice/ginseng just be too much for my adrenals to?

>

>

> Beki

>

> ps - building up ferritin levels, some vits going in and may start B12

injections next week.

>

[Guest guest]

Hi Beki,

Have you actually tried just starting on 25mg HC without " building up " ?

For some folks starting low just makes things worse seems a little can reduce

your own poor Cortisol levels by much more than the little you add in.

------------------------------------------------------------

from STTM (about 5th paragraph down)

http://www.stopthethyroidmadness.com/adrenal-info/how-to-treat/

NOTE: in some patients, the above scheduling causes on overreaction of the HPA

axis which causes uncomfortable reactions when trying to raise. That knowledge

is changing the way some patients and doctors are using cortisol–namely, they

are " starting " right on 20 mg – 30 mg—the latter if the adrenal fatigue is

quite severe.

Below are three methods for starting directly on HC without ramping. All are

dosed at 8 am, noon, 4 pm and bedtime. By observation, we are seeing most

needing the 25 – 30 mg. starting dose.

For 20 mgs (mild adrenal fatigue): 7.5 – 5 – 5 – 2.5

For 25 mgs (moderate adrenal fatigue): 10 – 7.5 – 5 – 2.5

For 30 mgs (severe adrenal fatigue, Stage 5 or higher: 10 – 10 – 5 – 5

-----------------------------------------------------------

Prednisolone is an alternative in fact I am on it myself.

While true it does have longer term action however it is NOT bioidentical as HC

is.

Nor does HC does not need converting so not sure what that comment was about?

In addition while Docs will tell you Prednisolone only needs once daily dosing

for most that is NOT optimal at all.

I started with 3 times a day & have been on twice a day for some time now. Could

NOT cope with once daily that's for sure.

HC should be tried first as it is more bioidentical & easier to try & emulate a

more natural Cortisol replacement. Difficult to do with Prednisolone & easier to

take too much.

Prednisolone is a better choice IF you are fast metaboliser of HC (need frequent

dosing say every 2-3 hours), need more antiinflammatory properties (Pred is

higher than HC), or don't need mineralcorticoid properties (HC is higher than

Pred). Even if you use Pred (make sure it's Prednisolone NOT Prednisone) make

sure you get both 5mg & 1 mg tabs (to titrate doses & for flexibility) and you

will also need HC for stress dosing (Pred is too slow acting for that).

HC also has some mineralcorticoid properties which is an advantage if Sodium is

low/suboptimal & BP is low.

Out of interest what were your Saliva Cortisol, early am Serum Cortisol & Plasma

ACTH results?

Lethal Lee

>

> Hi there! Any help invaluable......

>

> Diagnosed Adrenal Insufficiency (probably from birth) and hypothyroidism by Dr

Peatfield - he's brill.

>

> Tests show I need T3 only (and symptoms I've experienced during trials I've

done of NDTH show I can't take any T4 at the moment either - eek!!!?) and my

adrenals are producing practically 'nowt'!!!!

>

> Been trying to build up HC since July so they are strong enough to cope with

the T3 thyroid support. However, everytime I raise it even a tiny amount, my

symptoms, pulse, temps, palps go 'bananas' and I become emotionally crippled.

I've tried leaving the new dose in for up to a month to let my body adjust but

my symptoms just get worse. (I am currently able to tolerate only 5mg HC - Doc

says I will need to be on 25-35mgs)

>

> Dr Peatfield seems to infer this means the dose is just too much for my

adrenals and the extra cortisol going in is bringing my thyroid receptors back

on and flooding my body with unused thyroid hormone (collected for so long). He

says there is nothing else I can do except me patient. I have read on Nicks

website its only T3 that can clear the RT3 is that right? What do you do if

your adrenals arent strong enough to put the T3 in!!!??

>

> I HAVE felt emotionally stronger overall since putting in Nutri Adrenal

extract 100mg but it's the same story with this I can't raise any higher. (Dr

Peatfield wants me evenutally to go up to 600-800mg per day).

>

> Any ideas - is this a usual reaction to HC? have you come across this before?

How long could I expect to wait before my adrenals can cope with the T3? Do

some peoples adrenal glands never get strong enough to raise the HC enough?

Would licorice/ginseng just be too much for my adrenals to?

>

> Not questionning Dr P, trust totally, just so many questions and know he

hasn't time to answer me. )

>

> Thank you

>

> Beki

>

> ps - building up ferritin levels, some vits going in and may start B12

injections next week.

[Guest guest]

On Fri, 22 Oct 2010 19:56:24 -0000, you wrote:

>Any ideas - is this a usual reaction to HC? have you come across this before?

How long could I expect to wait before my adrenals can cope with the T3? Do

some peoples adrenal glands never get strong enough to raise the HC enough?

Would licorice/ginseng just be too much for my adrenals to?

The adreanls group in the states may be able to help you with this

They have found that starting at a low level of HC often does not

work, it causes people to feel worse as it suppresses your own

production without replacing what it suppresses.

They suggest that starting at 20mg dosed as

20 mg: 7.5 - 5 - 5 - 2.5

at 4 hour intervals is normally a good starting point.

Their web site is

http://www.nthadrenalsweb.com/

and the adrenal group itself is on

NaturalThyroidHormonesADRENALS/

They have far more knowledge about adrenal dosing than I do.

Nick

[Guest guest]

Attached

is a paper written by Dr Peatfield about how to start using Cortisone and also

attached is recommended dosing by Dr Thierry Hertoghe who runs the

International Hormone Society. Hope these help you.

Luv

- Sheila

On Fri, 22 Oct 2010 19:56:24 -0000, you wrote:

>Any ideas - is this a usual reaction to HC? have you come across this

before? How long could I expect to wait before my adrenals can cope with the

T3? Do some peoples adrenal glands never get strong enough to raise the HC

enough? Would licorice/ginseng just be too much for my adrenals to?

The adreanls group in the states may be able to help you with this

They have found that starting at a low level of HC often does not

work, it causes people to feel worse as it suppresses your own

production without replacing what it suppresses.

They suggest that starting at 20mg dosed as

20 mg: 7.5 - 5 - 5 - 2.5

at 4 hour intervals is normally a good starting point.

Their web site is

http://www.nthadrenalsweb.com/

and the adrenal group itself is on

NaturalThyroidHormonesADRENALS/

They have far more knowledge about adrenal dosing than I do.

Nick

No virus found in this message.

Checked by AVG - www.avg.com

Version: 10.0.1144 / Virus Database: 422/3215 - Release Date: 10/23/10

2 of 2 File(s)

HOW TO START USING CORTISONE.doc

CORTISONE DEFICIENCY.doc

[Guest guest]

Thanks for advice and comments on my post everyone. Will try suggestions and

keep fingers crossed.

Kind regards and keep recovering.

Beki