Guest guest Posted January 6, 2001 Report Share Posted January 6, 2001 " Katrina " <REVIVE2000@w...> wrote: >>>>>>Do you know people who have done this? Particularly after 5 yrs. How did they do? I asked about this (weaning from Florinef to licorice several times on several lists a few months ago and no one had a clue.<<<< I have helped many people wean off hydrocortisone but never had anyone hooked on florinef but I see no real problem. Florinef is synthetic aldosterone and fits into the mineralocorticoid receptors of certain kidney cells causing sodium retention. Cortisol will also fit the same receptor so, for the kidney to work as designed, something must protect these mineralocorticoid receptors from being stimulated by cortisol and thus preserving the specific function of aldosterone. This is the job of an enzyme called 11 beta hydroxysterone dehydrogenase---it deactivate cortisol. The kidneys contain an over abundant level of this enzyme, therefore, the cells that function in sodium retention are protected from cortisol and reserved for aldosterone alone. People with salt sensitive hypertension usually have low levels of 11 beta hydroysterone in the kidneys. Not having enough 11 beta-HSD to deactivate all the cortisol, allows the unactivate cortisol to fit into the mineralocorticoid receptor and cause the cell to retain salt, thus causing hypertension. Cortisol is acting as aldosterone in these people. The fact that the mineralocorticoid receptor will accept both aldosterone and cortisol is no accident of nature. In many areas, the body uses a combination of aldosterone/cortisol to stimulate sodium retention. 11 beta-HSD also deactivtes aldosterone to a certain degree but it is all too complicated to explain here. I'm not even sure scientists understand what's going on. Something is wrong in CFS. Either the body is: (1) not making enough aldosterone, (2) making too much 11 beta-HSD, (3) not making enough cortisol, (4) not enough mineralocorticoid receptors on the cells surface, (5) not sensitive enough to cortisol, (6) or an allergy or some sort is having a diuretic affect on the kidneys, (7) or ??????. The point is PWCs often do not retain enough salt so taking florinef, a synthetic aldosterone, helps us overcome this problem. But helping retain sodium is it does! If you problem is cortisol related, you really get no real benefit other than hanging onto fluid. And, since florinef is a crude synthetic drug, it often causes a lot of crazy side affects that are hard to explain. Personally, I think the drug is fitting some specific receptors in the brain that are not suppose to be stimulated by this chemical. The person usually just feels wackoed and can't really nail down the feeling. Licorice extract works differently than florinef. The herb inhibits the 11 beta-HSD enzyme that protects the mineralocorticoid receptor, thereby causing sodium retention. But there are no side effects from this action of licorice other than sodium retention because the results is exactly the way the kidney normal works in hypertensive folk. Most medical articles warning of the side affects of licorice extract are directed at the sodium retaining properties, but such action is a PWC is really not a side affect----it's a benefit! You have been on florinef for five years and have likely downregulated your own production of this hormone which explains why you have a hard time going off---your adrenals are not likely making it anymore. Maybe an every other day protocol (florinef/licorice) will be best for you but I can't be for sure. As I said, I have never heard of anyone specifically " dependent " on florinef so everything would experimental. It may be uncomfortable but not in any way dangerous. It's sad more doctors don't get behind licorice extract in CFS besides Dr. Baschetti, Dr. Posnecker, and a handful of others. The PWC could really benefit a lot from having someone else besides me talking about LE for CFS. It's been a real uphill battle just to get people to listen. Not only have I had to go to great trouble to import the right LE but I have had to defend myself from attack everytime I mentioned the stuff on newsgroups. >>>>Which particular kind of LE and how much? What would be thereason for combining (1 6th 3 hrs apart,etc. Just experimenting withdifferent levels?) And---nothing personal, but how can I be sure thatyou know what you are talking about regarding this<<<<<< Most of your answers can be found at: http://www.seaquake.com/licorice/index.html Here's hoping I don't get banned for mentioning my web site. I haven't yet posted the news but I am going out of business within the next month or so. Dr. Posnecker's office will be handling Baschetti licorice extract so if anyone wants to try this herb they can contact them at: 215-536-8001 I can help you get started and am usually available most anytime at 954-946-5551. Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.