Advise on adrenal problems and having dental work carried out

[Guest guest]

Dear all and hello, I'm new here although have been following the posts quietly behind the scenes for a while. I really need some advise about having dental work done with adrenal problems.A bit about myself - I was diagnosed with m.e. a year ago. I'm 54. Long story short, I came across TPA, arranged a phone appointment with Dr P 6 weeks ago; I had adrenal and thyroid tests done at Genova and it appears I have very low cortisol levels (Dr P said that s was on the horizon if I wasn't careful) and lowish thyroid uptake. The exact levels I've included below. I'm currently on 4 NAX and 4 nutri thyroid, also COQ10 and vitamin C. This has made me feel less 'ill'. But I still have to be very careful and cannot take any stress without becoming quite ill - dehydrated, nauseous. As it is I'm in bed a lot of the day and can just about manage to do a little gardening for about 20 minutes max. I'm due to speak to Dr P again in 2 weeks.The problem I have is this. Six months ago, I had a badly leaking amalgam filling which was removed and refilled. It was particularly upsetting because I had a strong metallic taste around the gum and roof of my mouth for weeks afterwards. The dentist wasn't very helpful and was fairly dismissive and uncommunicative about the link between mercury and the metabolism. She did say the new filling may not last and that I may need to have a crown. This week the tooth has started coming away and I'm finding it very upsetting as pieces start falling off and with the thought of having to go through more dental treatment after my previous bad experience. Fortunately, I have found a new dentist who is also qualified to doctor level (not sure quite what that means) but she offers sedation. I'm trying to arrange to see her on Monday. However I'm really worried about having crown work done, when physically I am in quite a frail state and I don't know how my adrenals will stand up to it. I know you're supposed to have non- adrenaline based injections if you have m.e. Are there any other things I should consider? Should I ask the dentist if she can do something temporary again so that I can limit the amount of time spent in there? Would sedation help? I'll be very grateful for any advise offered as this is quite stressful for me and above all, I try to avoid stress!My test results from 6 weeks back when I was only on 1 tab NAX:CortisolSample 1: 5.3Sample 2: 1.8Sample 3: 1.9Sample 4: 0.9Total daily cortisol: 9.9 (range 21-41)DHEA (seems to be ok)Sample 2: 0.33Sample 3: 0.48ThyroidT3: 608 (range 592-1850)T4: 376 (range 347 -1994)Many thanks, Alison