Guest guest Posted July 23, 2008 Report Share Posted July 23, 2008 Thank you, Nicola. Great to hear from someone w/a similar experience. I wasn't sure exactly which story you were referring to on the addisons network site. Wasn't sure how to find it. Just read the story about the man and his wife in " About us/Contact us. " Interesting about Pred. Is that Prednisolone, or Prednisone? I need to be at a sane dose to prepare myself for the stress of the extraction that needs to be done pre-chelation. Right now my Dr. and I are working on bringing me down VERY gradually off the HC to the point where I'm on only Medrol, since supposedly Medrol is more sustained. We'll see if that works better. How do you think Medrol and Pred compare in terms of being long-lasting and effective for a difficult case? I believe I went so long trying to convince a dr. to treat my hypoadrenal situation, all the while getting ignored, that my adrenals are probably very atrophied now. I was in the ER twice before my dr. finally consented to put me on HC. So my body is trying to make up for lost time. After the 2 ER visits, my dr. put me on lots of sea salt w/all fluids. I take 1/4 tsp. of sea salt per pint of water I drink. That solved my major problems w/low blood pressure right away (What a relief! I need lots of salt to live.) The problem was, I was urinating about every hour or two. Then I found out about how the adrenals are supposed to make Aldosterone, too, and not making it results in salt wasting. I am now taking Florinef (100mcg / day, total), and it helps quite a bit. I am now urinating much less frequently (at a more normal rate). But I'm still on so much HC and Medrol. Today's total dose: HC-90 mg, Medrol-12mg, Florinef-100mcg. It got so high from the stress of last Saturday's dental work. I stress dosed up to 140 mg HC that day, and Medrol 18mg. We'll try bringing me down by 10 mg less of HC every 3 days, while keeping Medrol at 12mg throughout. But I have to really protect myself from any stressors, even minor stressors. Otherwise I'll have to drive my dose back up again rather than tapering it down. > > > > > > I've been really researching to try and figure this out. What is > > causing me to use up my HC > > > so fast? If I know that, then Andy's book can tell me what to > take > > to fix it. > > > > > > Is this a matter of liver metabolism? I haven't had any liver > > profile tests done yet. (Probably > > > should at this point). But I have many signs of fast phase one, > > slow phase 2. > > > > > > Would fast phase 1 liver metabolism cause me to burn up all my > > hydrocortisone so fast? > > > > > > Again, would taking lots of Vit. B5 help? I started a B-50 for > the > > first time earlier today > > > (don't have B5 yet), and I was surprised to find my low cortisol > > symptoms stayed away > > > longer than usual. But then it wore off. Consistent w/what Andy > > says--B vit. capsules are > > > not long-acting. > > > > > > I just wonder what route to take to slow down my metabolism of > > hydrocortisone so I'm not > > > always hyper-dosing it. If this is caused by fast phase 1 liver > > metabolism, I'll jump into > > > taking the supps that help with liver (like Milk Thistle, which > I'm > > not currently taking), like > > > maybe more methylating agents? > > > > > > If this is just a matter of needing B5, then that's what I'll > focus > > on. > > > > > > Or maybe I just need to transition to Medrol instead of HC for my > > adrenal support. > > > > > > Gotta get this solved before my extraction in 2 weeks. I don't > want > > to become comatose > > > due to lack of cortisol during dental surgery. > > > > > > > > > > > > > > > > > > <snip> > Quote Link to comment Share on other sites More sharing options...
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