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Hydrocortisone tapers.

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Hi Andy,

I have asked this question on the list a few times and we never really came to a

definitive answer.

Hydrocortisone is often recommended for stronger adrenal support 2-4 times per

day 5mg.

There is also the recommendation for Cortisone tapers every 2-3 months to

control allergies and fatigue while chelating.

Amalgam Illness pg. 75 that: " Allergies and fatigue can be controlled with 5-8

day prednisolone tapers (at fairly high doses) every 2 months during therapy if

needed " .

We are unable to obtain Prednisolone (Intermediate-acting) in South Africa, but

can get Hydrocortisone (short acting) with ease. Hydrocortisone is a

short-acting corticosteroid, while Prednisolone is an intermediate-acting - so

is that why it is more suitable to use prednisolone for tapers?

Is it possible to do Hydrocortisone tapers every 2-3 months and if so would you

need to divide the hydrocortisone dose up over a day due to its short acting

characteristics?

I know that you would need to quadruple the dose of Prednisolone (5 mg.) to

get a similar dose of Hydrocortisone (20mg.).

We can get prednisone with ease here, but I see that it is not advised some

people are unable to convert it.

Could you please advise when you have found tapers to be useful, and when you

would prefer longer term adrenal support?

Thanks very much,

Dean

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> We can get prednisone with ease here, but I see that it is not advised some

people are

unable to convert it.

Most people convert it just fine.

> Could you please advise when you have found tapers to be useful,

Allergy, excessive inflammation, inflammation related problems, fatigue and

malaise and

spaciness due to allergy.

>and when you would prefer longer term adrenal support?

Continuing signs of day to day inadequacy of adrenal function, such as low

weight,

nausea, confusion, weakness, stress intolerance, emotional distress, increased

sensitivity

to pain, smells and the tastes of salt and sweet, chemical sensitivity.

Sometimes both are appropriate, sometimes one or the other.

Andy

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> We can get prednisone with ease here, but I see that it is not advised some

people are

unable to convert it.

Most people convert it just fine.

> Could you please advise when you have found tapers to be useful,

Allergy, excessive inflammation, inflammation related problems, fatigue and

malaise and

spaciness due to allergy.

>and when you would prefer longer term adrenal support?

Continuing signs of day to day inadequacy of adrenal function, such as low

weight,

nausea, confusion, weakness, stress intolerance, emotional distress, increased

sensitivity

to pain, smells and the tastes of salt and sweet, chemical sensitivity.

Sometimes both are appropriate, sometimes one or the other.

Andy

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