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What to do after an adrenal crash?

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DH crashed today with shakes and nausea and panic. He had a meeting

with a new director this morning, and I didn't think to tell him to

stress dose if it made him nervous. It was a routine meeting, the new

boss chatting with everyone individually one by one. I'd gone to the

post office to mail my saliva labs and he was unable to reach me and

panicked since I'm usually home. So that made him worse with worry.

He didn't know what to do so drove home, and by then he was shaking and

nauseous. After stress dosing him with extra HC cream, he calmed down,

and stopped shaking. Fed him lunch and he's now resting.

My question is, did he burn all his cortisol reserves? Do we continue

to stress dose for the rest of the day or keep him at a higher than

normal dose for several days? Or just go back to regular dosing at the

next 3 p.m. dose? Or does maybe his crashing this bad mean he needs to

take more HC in general? He's been taking about 28 mg/day.

His temps did a weird thing over the weekend too, which I can only

figure was a mild thyroid dump, cause he didn't feel bad. The markings

on the syringe had started wearing off and I think he was probably

inadvertently taking more. Temp averages:

97.87

97.83

97.90

97.87 - increased Armour by 1/8 at bedtime

97.97

97.97 - increased Armour by 1/8 at bedtime, total now 2.25 grains

98.43

98.33

98.63 - he got a 98.8 reading that afternoon, high for him

98.00

97.93

So for the last 11 days, all temps were between 97.8 and 98.0, except

for those 3 days when they spiked after the Armour raise. In the past,

spikes after raises have never jumped that much.

He also had a mild panic attack Tuesday afternoon and I'm wondering if

that was possibly withdrawal from taking a higher dose over the long

weekend and no stress, to going back to work and taking a lower dose,

since we bought a new syringe so he could properly dose.

Thanks Val, for any insight or suggestions you can offer.

Barb

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