Re: Dosing 40mg of HC

[Guest guest]

When you take a higher AM dose it lowers ACTH and you will run lower in

cortisol at night which is probably why you are waking so early. moving

the bedtime dose to 5MG and lowering the AM dose a bit should balance

oyu out.

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[Guest guest]

Thanks, thought so. My Top Doc explained why he originally wanted to

start me on 20mg all in two early doses. He said that sometimes it's

possible to dose it that way and the patient's adrenals do the rest

with just the early day supplementation. He didn't pay any attention

to my saliva labs showing me at stage 5 during that first appt and

when I went back I was already taking 32.5 mg in four doses. That's

when I asked about the two early dose strategy and he said that

sometimes it works and sometimes it takes a whole day dosing schedule

like I am doing and that I could go up to 40mg. He still wanted me to

front-load the dosing which is why I have been trying the 15 first.

I'm going to adjust the way that you suggest.

Temps have been very steady for the past four days - between 98.1 and

98.2. I think that I could up another 1/8 and I felt pretty hypo

today so I would like to, but I struggled last weekend and had to

stress-dose to get through it. I'm just going to stress-dose a little

prophylactically when I increase from now on, but I feel like I

should stick where I am for a few more days.

>

> When you take a higher AM dose it lowers ACTH and you will run lower

in

> cortisol at night which is probably why you are waking so early. moving

> the bedtime dose to 5MG and lowering the AM dose a bit should balance

> oyu out.