Re: Proper dosing of HC ---- and Olif

May 4, 2007

If routinely using more than 20 mg Cortef per day over the long term

it is important to think about the risks and have a doctor on board

who is willing to provide testing and treat infections when needed.

As I said before, my doctor did not want to start me on HC in the

first place but a specialist did start me on it and my own doctor has

been totally awesome about helping me out with it and providing any

support and testing when needed.

Read p 118 to 122 of " Amalgam Illness " a couple of times. Note the

part on p 121 " Long term replacement of adrenal steroids..... requires

careful monitoring, immediate medical attention after stress or

trauma, wearing a medalert bracelet, etc. "

A doctor can be very helpful by testing morning cortisol and ACTH

(before taking any Cortef) to monitor the pituitary and adrenal

response in case there is any change. There is also a blood test

(N-telopeptide) that can be used to ensure that there is no major bone

loss.

In chapter 4 of " Safe Uses of Cortisol " Jefferies discusses many of

the principles for treating adrenal insufficiency. I think it

important for both the patient and doctor to read those pages. There

is also a hand out he gives to all patients - but I can't find that

page just now.

Because I routinely take more than 20 mg cortef per day I have a

medalert necklace and carry solu-cortef. I also find it handy to

carry cortisol cream in my back pack (I don't usually use it but could

if I needed to).

J

> >

> > :

> > " I've been afraid to go over the 20 mg suggested by Jeffries but

> have not had

> > much benefit at 20 mg. "

> >

> > I am reading Jefferies' book right now, and it seems he often

> prescribed up to 30 mg daily. If 20 mg wasn't enough, he would go up

> to 4 doses of 7.5 mg each.

> >

> > -Olif

> >

>

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