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Re: adrenals, was TK

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May I ask what kind of Dr. gave you the tests? I've seen my first

endocrinologist here in Atlanta and he didn't seem to have clue one except

conceded that my thyroid tests pointed to pituitary. Yet he offered no

tests. I have a referral to a new endocrinologist but haven't seen her yet.

I figured my hypothalamus and pituitary are involved a long time ago cause

of the sleep problems, etc. I have and take adrenal glandulars on my own

with armour thyroid. Couldn't handle the armour otherwise. Thanks. Jeanie

>

>Reply-To: frequent-dose-chelation

>To: frequent-dose-chelation

>Subject: adrenals, was TK

>Date: Sun, 03 Oct 2004 15:50:01 -0000

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>I take cortef. I got it based on symptoms.

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> > Hypothalmus, pituitary, adrenal. I have to take cortisol to live.

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Most endos are no good at this unfortunately. They generally

routinely treat the thyroid with synthroid and don't properly assess

adrenal involvement (even though it is laid out pretty clearly in the

endo textbooks that this should be done and the adrenals should be

supported *prior* to the thyroid).

The large majority of endos have an alarmingly unsophisticated

understanding of the HPA axis. Sometimes getting them to test

anything beyond TSH and T4 is a frustrating excercise, even in the

presence of fairly obvious adrenal, pituitary or hypothalmic

involvement in the patients' symptoms.

Those who do order cortisol blood tests often do so as part of a

larger blood panel and give no instructions on how to properly

prepare for the test in order to increase its accuracy (proper

fasting, being at the lab at specific times so that the lab can

provide the doctor with meaningful reference ranges).

Even with abnormal results from a cortisol test, many endos don't

consider there to be a problem unless the numbers are *way* out of

range (ie. clear cut s or Cushings)

> > > Hypothalmus, pituitary, adrenal. I have to take cortisol to

live.

> > >

> >

> >

> >

> >

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Jeanie,

I didn't have tests. I got it from a pain specialist. Look at

www.endfatigue.com There are doctors listed there who follow

Teitelbaum's protocol.

Apparently it's ok to take up to 20 mg per day.

how long have you been taking it and how many milligrams?

> May I ask what kind of Dr. gave you the tests? I've seen my first

> endocrinologist here in Atlanta and he didn't seem to have clue one

except

> conceded that my thyroid tests pointed to pituitary. Yet he

offered no

> tests. I have a referral to a new endocrinologist but haven't seen

her yet.

> I figured my hypothalamus and pituitary are involved a long time

ago cause

> of the sleep problems, etc. I have and take adrenal glandulars on

my own

> with armour thyroid. Couldn't handle the armour otherwise.

Thanks. Jeanie

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