dosing isocort question

[Guest guest]

Hi-

I had a first salivary test done ages ago that was odd (I took a nap

in the middle of the day that apparently screwed up the results!) -

and I have a new test result now. My doctor said I should work up to

6 isocort a day, but I am confused about dosing.

It seems the recommendation is to dose according to your natural

cortisol rhythm, i.e. most in the morning with decreasing doses during

the day.

But in my case, my salivary cortisol is right in the middle of the

ref. range in the am, and the midday and afternoon labs fall beneath

the reference range.

8am - 15.4 (12-22)

12pm - 2.6 (4-8)

4pm - 1.9 (3-7)

12am - 1.1 (1-3)

So should my morning cortisol be the highest dose? Or should I not

dose in the early am at all? I got my isocort dose up to 2 - 2 - 2,

and I have found that if I take three or more isocort at once I get a

big headache - but I have only tried the dose of three in the early am

when my cortisol level is actually ok.

I followed the doctor's instructions and after I got up to 6 isocort a

day I started on armour, and am now on 1/2 grain twice a day. My hair

has stopped falling out (thankfully), but I am still exhausted all the

time, and would appreciate any input on dosing this stuff.

Many thanks,