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Hey Bob

those are great sources but look at this statement,

http://www.endotext.org/adrenal/adrenal14/adrenalframe14.htm

GLUCOCORTICOID WITHDRAWAL SYNDROME

Glucocorticoid withdrawal can present as an acute adrenal crisis or

with symptoms of chronic glucocorticoid deficiency. Thus, patients may

suffer from anorexia, myalgia, nausea, emesis, lethargy, headache,

fever, skin desquamation, arthralgias, weight loss, and postural

hypotension. In addition, they may experience exacerbation of

previously present autoimmune disease (eg, rheumatoid arthritis,

atopic dermatitis, or asthma) or have new autoimmune disease (eg,

Hashimoto's thyroiditis or Graves' disease). Amatruda et al. first

defined the steroid withdrawal syndrome as a symptom complex

resembling true adrenal insufficiency, with nonspecific symptoms like

weakness, nausea, and arthralgias, occurring in patients who have

finished a dosage reduction of glucocorticoid therapy and who respond

normally to HPA axis testing

Someone somewhere has got to make a connection between adrenal

function and autoimmune diseases if that is indeed the case. I would

like to read that paper by Amatruda et al. if it gets into Hashis and

Graves with reference to steroid production and adrenal insufficiency.

lotsa luv

Dawnx

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