Re: Chris, et all, Help Please! Cortisol Dosing Question

[Guest guest]

My question is relative to my specific high cortisol

at night and how to dose properly.

I've seen that Dr. recommends ultimately for

20mgs: 12mgs first thing in the am, 5mgs @ noon, 2 mgs

@ 3pm, and 1mg at 6pm. But if my cortisol is rising

in the late afternoon / and out of range in the

evening, won't this last dose cause me more problems?

Shall I just dose 3 times a day instead?

I've learned recently about Phosphatidylserine and

just purchased 100mgs. It looks like I'll have to get

a much higher dose because I haven't noticed any

difference yet.

I've just started taking Isocort yesterday, so I've

only been taking 2.5mgs in the morning and I've

lowered my Thyroid-S to avoid any thyroid dump. I

feel no change - still very tired until late afternoon

/ evening when I start feeling like I can walk around.

And I don't feel more HypoT yet with lowering my

dose, so that was probably a good choice. During the

week, getting up at 7am is total agony. On the

weekends, I naturally wake up around 9am.

Here are my recent labs:

6/30/06 (BLOOD TEST MY ENDO INSISTED ON AFTER MY

SALIVA RESULTS)

Cortisol, Routine (taken at 4pm) - 2.9 (3 - 13 ug/dL)

Cortisol, Post Stim (taken 4:45pm) - 18.8 (range

greater than 2 times the baseline value)

6/19/06 (SALIVA PAID FOR MYSELF SINCE MY ENDO DIDNT

BELIEVE I HAD ADRENAL PROBLEMS)

Cortisol morning - 1.9 (3-8)

Cortisol noon - .7 (2-4)

Cortisol evening - .8 (1-2)

Cortisol night - 1.7 (.5-1.5)

__________________________________________________

[Guest guest]

>>I've seen that Dr. recommends ultimately for

20mgs: 12mgs first thing in the am, 5mgs @ noon, 2 mgs

@ 3pm, and 1mg at 6pm. But if my cortisol is rising

in the late afternoon / and out of range in the

evening, won't this last dose cause me more problems? <<

No. When you take enough HC in the mornings and then follow through the rest of

the day, your ACTH will be lowered as your body won't be screaming for cortiosl

all day, then by nighttime as there is no ACTH to call lfor more Cortisol, you

will need the 1MG aybe more.

--

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