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Adrenal insufficiency

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I know some of you are familar with adrenal problems and have a

question. Reagon's cortisol has tested low ever since being on high

dose steroids a year ago. We have kept her on just 1 mg of prednisone

a day to replace what her body would normally make. Last month I had a

saliva test done that tested her cortisol at 8:00 a.m. noon 4:00 pm.

and midnight. While her cortisol didn't even register at 8:00..it was

off the charts at midnight??? Which leads me to wonder..does she

really need the 1 mg of prednisone if her body is making cortisol..just

at night? And my next question is, when all of this started her dr.

had switched her to Advair 115 4 puffs a day. I have read that

anything over 400 mcg a day of fluticasone (Advair) can have greater

effects on cortisol levels than budesonide (pulmicort) does. I want to

discuss all this with her dr. next week at her appt. would would

appreciate any experience/knowledge anyone might have with this.

Thanks!

Becki

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