How do I get through tomorrow?

[Guest guest]

Hi Guys,

As I have posted Dr P thinks I am having trouble converting the T4 to

T3, so I am supposed to wait a week on 1 1/2 grains Armour to allow

the T4 to drop down a bit (had been on 2.5 to 3), and then add in

12.5 of T3, and I am due to start this Monday. I am taking 5mg of

prednisone daily.

I haven't taken much armour at all in the last week due to toxicity

symptoms, so am starting to feel quite achey, foggy and tired again.

I have somebody with me for work tomorrow, and I need to be at my

best.

Should I up the prednisone for the day, start the T3 early, or not do

anything?? (or maybe not take the armour tonight at bedtime, as I

have been and take it in the morning so it's effects last longer??).

I also think I may be coming down with my daughter's cold, so wonder

if I should be stress dosing anyway??

Thanks

Leah xxx

[Guest guest]

Well if you are coming down with a cold then stress-dosing would be

appropriate Leah, how would you do that with 5 mg Pred?

I usually add in an extra 5 mg h/c per dose if I get a cold makign an

extra 20 mg per day and 20 mg equals 5 mg Pred right?

The added stress of a T3 increase could well put extra strain on your

adrenals so you would have a double burden perhaps in terms of

lowered cortisol though perhaps the stress dose will work for both.

Personally, I think I would wait until the cold is on its way out but

it is your call Leah.

It it is too much your adrenals will soon tell you with false hyper

symptoms. Then you can either add in more in terms of stress-dosing

or drop the T3 increase.

Mo

ps and HEAPS of vitamin C will help too.

>

> Hi Guys,

>

> As I have posted Dr P thinks I am having trouble converting the T4

> to T3, so I am supposed to wait a week on 1 1/2 grains Armour to

> allow the T4 to drop down a bit (had been on 2.5 to 3),

[Edit Abbrev mod]

[Guest guest]

Hi Mo,

Dr P said I could have up to half as much again on stressy days... I

guess this does count, so I will def go for 7.5 tomoro! I have been

having hyper type symmtoms again today which is what made me stop the

armour, so I guess they are a bit under the weather still. Perhaps I

should wait until this cold appears and then subsides before doing

the T3 at all. Dr P did suggest waiting a week, though I felt that

he said that because he thought it would take that long at least for

em to get any (he didn't count on the generosity of my secret

benefactor!)...

Can I ask, how do you know the difference between adrenal hyper

symptoms and true hyper symptoms?

Leah xxx

>

> Well if you are coming down with a cold then stress-dosing would be

> appropriate Leah, how would you do that with 5 mg Pred?

> I usually add in an extra 5 mg h/c per dose if I get a cold makign

an

> extra 20 mg per day and 20 mg equals 5 mg Pred right?

> The added stress of a T3 increase could well put extra strain on

your

> adrenals so you would have a double burden perhaps in terms of

> lowered cortisol though perhaps the stress dose will work for both.

> Personally, I think I would wait until the cold is on its way out

but

> it is your call Leah.

> It it is too much your adrenals will soon tell you with false hyper

> symptoms. Then you can either add in more in terms of stress-dosing

> or drop the T3 increase.

>

> Mo

>

> ps and HEAPS of vitamin C will help too.

> >

> > Hi Guys,

> >

> > As I have posted Dr P thinks I am having trouble converting the T4

> > to T3, so I am supposed to wait a week on 1 1/2 grains Armour to

> > allow the T4 to drop down a bit (had been on 2.5 to 3),

>

>

> [Edit Abbrev mod]

>

[Guest guest]

So ~ these are certainly stressy days!

Did Dr Pete Field know about the cold? That's hpw my divvy ME

consultant refers to the Good Doctor only because he cannot figure

out how to spell..........

Adrenal stress hyper symptoms occur when we put too much on the

adrenals either though illness, emotional stress, too much thyroid

hormone etc.

It can FEEL like we are having too much thyroid hormone in that we

can get palps, agitation, sleeplessness etc. so it can be difficult

to tell the difference.

The true hyper is more likely to occur if our FT3 is well over the

range.

And, even then, mine is WELL over the range and I am not hyper so a

bit of detective work is sometimes needed.

If there are hyper symptoms along with a VERY high FT3 then I would

consider that I may be hyper. Along with HIGH temps and pulse.

IF pulse is high and you are NOT getting enough cortisol, there is a

conversion problem etc. then suspect adrenals.

Don't know if that is making sense, I had very little sleep last

night and I am more muddly than usual. Mo

>

> Dr P said I could have up to half as much again on stressy days...

I

> guess this does count, so I will def go for 7.5 tomoro! I have

been

> having hyper type symmtoms again today which is what made me stop

the

> armour, so I guess they are a bit under the weather still. Perhaps

I

> should wait until this cold appears and then subsides before doing

> the T3 at all. Dr P did suggest waiting a week, though I felt that

> he said that because he thought it would take that long at least

for

> em to get any (he didn't count on the generosity of my secret

> benefactor!)...

>

> Can I ask, how do you know the difference between adrenal hyper

> symptoms and true hyper symptoms?

>

> Leah xxx

>

>

> >

> > Well if you are coming down with a cold then stress-dosing would

be

> > appropriate Leah, how would you do that with 5 mg Pred?

> > I usually add in an extra 5 mg h/c per dose if I get a cold

makign

> an

> > extra 20 mg per day and 20 mg equals 5 mg Pred right?

> > The added stress of a T3 increase could well put extra strain on

> your

> > adrenals so you would have a double burden perhaps in terms of

> > lowered cortisol though perhaps the stress dose will work for

both.

> > Personally, I think I would wait until the cold is on its way out

> but

> > it is your call Leah.

> > It it is too much your adrenals will soon tell you with false

hyper

> > symptoms. Then you can either add in more in terms of stress-

dosing

> > or drop the T3 increase.

> >

> > Mo

> >

> > ps and HEAPS of vitamin C will help too.

> > >

> > > Hi Guys,

> > >

> > > As I have posted Dr P thinks I am having trouble converting the

T4

> > > to T3, so I am supposed to wait a week on 1 1/2 grains Armour to

> > > allow the T4 to drop down a bit (had been on 2.5 to 3),

> >

> >

> > [Edit Abbrev mod]

> >

>

[Guest guest]

Hey Mo,

Don't worry it made prfect sense!

No Dr Pete (teehee!!) did not know about the cold - and actually it

hasn't appeared, I just assumed I was coming down with it as my

daughter has it, and I was feeling really rpey and a bit sniffly

yesterday, but this has gone...

I did take the stress dose of an extra 2.5 today, but it hasn't

helped a great deal (tho lord knows how I would have felt if I hadn't

have had it).

I had a very stressful morning, and then (as usual - it's often the

same time of day, esp when I'm at work) I came over with pressure in

my head, racing pulse and generally feeling quite hyper. Funnily

enough the lady I was with said I had gone all pale and

looked " shaken up " .

Now it has eventually passed I just feel drained achey and with a

pounding headache.

Funnily enough I get this more at work than at home - and my job

involves selling to people I don't know and presenting etc. it can

be quite emotionally stressful - so it sounds like it's adrenals.

Though why it happens at the same time each day (between 130 and 3) I

don't know?? It happens even when I have no armour so my previous T3

peak theory is out of the window...

My temps are still low ish and have never been high so I guess it

must be my adrenals - Dr Field (haha) says I cannot convert

completely, so maybe there is still a lot of stacked T4??

Anyway thanks for the advice hon, I think I will definitely wait a

bit longer to add in the T3 so I don't stress these poor little

adrenals even more!!

Take Care

Leah xx

>

> So ~ these are certainly stressy days!

> Did Dr Pete Field know about the cold? That's hpw my divvy ME

> consultant refers to the Good Doctor only because he cannot figure

> out how to spell..........

> Adrenal stress hyper symptoms occur when we put too much on the

> adrenals either though illness, emotional stress, too much thyroid

> hormone etc.

>

[Guest guest]

What did your ASI show at that time of the day Leah?

And I am curious as to why you went for the Pred rather than hc? I am

thinking it, h.c, is easier to adjust if you need a little extra here

and there.

Mo

> Though why it happens at the same time each day (between 130 and 3)

I

> don't know?? It happens even when I have no armour so my previous

> T3 peak theory is out of the window...

> My temps are still low ish and have never been high so I guess it

> must be my adrenals - Dr Field (haha) says I cannot convert

> completely, so maybe there is still a lot of stacked T4??

>

[Edit Abbrev Mod]

[Guest guest]

Afterthought Leah - are you eating anything for lunch that could be

causing symptoms at the time you mention ie 1.30 and 3 pm ??

Just a thought.

Mo

>

> What did your ASI show at that time of the day Leah?

> And I am curious as to why you went for the Pred rather than hc? I

am

> thinking it, h.c, is easier to adjust if you need a little extra

here

> and there.

>

> Mo

>

>

> > Though why it happens at the same time each day (between 130 and

3)

> I

> > don't know?? It happens even when I have no armour so my previous

> > T3 peak theory is out of the window...

> > My temps are still low ish and have never been high so I guess it

> > must be my adrenals - Dr Field (haha) says I cannot convert

> > completely, so maybe there is still a lot of stacked T4??

> >

>

>

>

> [Edit Abbrev Mod]

>

[Guest guest]

Hi Mo,

My ASI was high at all 4 times of the day, however I had a blood test

which returned low, and Dr P found signs in my blood pressure etc.

Dr P feels that it was not a normal day (and I agree with him).I

actually chose pred because I had some already in the cupboard for an

allergy I have.

DR P did say that he would not have chosen the pred as 1st choice but

since I was on it, that it was still an OK choice... I have been

thinking about swapping to HC... Maybe it may be worth doing to allow

me to up the dose for this weird time of day...I will ask Dr P at my

6 week check.

Leah x

In thyroid treatment , " Mo Osborne "

<moosborne@...> wrote:

> What did your ASI show at that time of the day Leah?

> And I am curious as to why you went for the Pred rather than hc? I

> am thinking it, h.c, is easier to adjust if you need a little extra

> here and there.

> Mo

[Edit Abbrev Mod]

[Guest guest]

Hi Leah,

Of the fight or flight syndromes:-

'Fight' is due to adrenalin and the white coloured face is periferal

blood vessel constriction; this prevents excess blood loss if injured.

'Flight' is due to nor-adrenalin and that gives the flushed face ~

needing to shed heat when running, hence periferal dilation of blood

vessels.

A child may appear white if either ill or just about to defend

him/herself, alternative interpretation is to expect an attack.

A chid in fear may go red then run or stand their ground if unsure

about adult expectations.

Adults may be able to mimic either of these facial appearences, if

adequately trained to do so, but to be on the safe side, expect

trouble if someone goes 'white' in anger.......

Adrenal fatigue may mislead by facial appearance if there is

insufficient cortisol to compensate for adrenalin due to stressful

experience(s) eg talking to strangers (selling etc).

A cortisol boost might just help to sustain a difficult talking

session....'stage fright' ~ such as drove Fry to 'do a runner'

when appearing on a live stage performance, can be devastating for an

actor.

I hope the day has sorted itself out, both by the 'lesson' in

treatment, and by the outcome of the presentation.

Running out of a standard dose of prednisolone or hydrocortisone will

be predictable, most days.......between 1.30pm and 3.00pm might be

typical.

I certainly need a B vit boost first thing in the morning, else

I 'loose it' about 11.30 am ~ midday; though I don't have a formal Dx

of hypothyroidism ~ it may be LOCAH, late onset congenital

hyperplasia....and a tendency to be hyperthyroid, if anything.

best wishes

Bob

>

> Hey Mo,

> Don't worry it made prfect sense!

> No Dr Pete (teehee!!) did not know about the cold - and actually it

> hasn't appeared, I just assumed I was coming down with it as my

> daughter has it, and I was feeling really rpey and a bit sniffly

> yesterday, but this has gone...

>

> I did take the stress dose of an extra 2.5 today, but it hasn't

> helped a great deal (tho lord knows how I would have felt if I

hadn't

> have had it).

>

> I had a very stressful morning, and then (as usual - it's often the

> same time of day, esp when I'm at work) I came over with pressure in

> my head, racing pulse and generally feeling quite hyper. Funnily

> enough the lady I was with said I had gone all pale and

> looked " shaken up " .