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Re: Low Cortisol

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What are the ways besides taking hydrocortisone to

build up ones cortisol levels???

I've always been intrigued with Dr. Cheney's approach

to cortisol

testing. As I understand it, it's a stress response

mechanism, so it

makes sense to see how the levels respond to stress.

Here is an

excerpt of someone's summary of a presentation made by

Dr. Cheney in

last fall. The full text and a video tape offer can

be found at

www.freeyellow.com/members7/tomtrissel/index.html.

Dr. Cheney has done studies on the dynamic response of

cortisol in

CFIDS, as opposed to the static level, which is not

that different from

normal. The dynamic response, as measured using a

stationary bike is a

lot different from normal. Normal individuals, put on

an exercise

protocol, will usually double their cortisol 20

minutes post-exercise.

CFIDS patients produce less cortisol, with the more

disabled patients

producing the least cortisol. Dr. Cheney included

CFIDS patients with

varying levels of disability in the cortisol test. He

observed a linear

relationship between cortisol response to a bicycle

test, and level of

functionality in CFIDS patients.

Dr. Cheney hypothesized from the cortisol findings,

that it isn’t the

fatigue or the symptoms that disable the patients,

although it impairs

their quality of life. " What really disables them is

that when they

push themselves, physically, cognitively, or

emotionally, they do not

have the appropriate dynamic response at the

hypothalamic level to have

a significant enough cortisol and other hormone

response to the dynamic

exigencies of life. " The result is a kind of

push/crash phenomena. He

explained that if cortisol goes down in response to a

defined stressor,

you crash. Dr. Cheney believes that this is perhaps

the major reason

why CFIDS patients cannot work.

_________________________________________________________

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  • 8 years later...
Guest guest

I am a mod with at the new site and was working with him at STTM site.

Your saliva test is only good for Cortisol for get the sex hormones on the test

they are not any good. Never seen one good one yet. What did you order off

STTM site and if you want you can post your Cortisol levels I can help with

this.

Here is a FAQ's we did about low cortisol read this it will answer most of

your questions. Then if you need more just ask.

has not been feeling well latey and is on and off the forum. Most of

what he helps with is pituitary problems.

http://www.stopthethyroidmadness.com/adrenal-info/faq/

john_dragoo <john_dragoo@...> wrote:

I take androgel and arimidex (1/4 pill every 3 days)...my last

testosterone level was 1020; also did a morning saliva test recently

and my estradiol was 1.4 and my cortisol was only 0.5L on a range of

3.7 to 9.5. I still have a lot of fatigue and I wonder what my low

cortisol means?..I ordered something from the " Stop the Thyroid

Madness " website for low cortisol but wonder if it's safe. I'm trying

to set up a virtual meeting with Dr. Cris but now luck yet...any

thoughts?

Co-Moderator " Don't believe anything you hear and only half of what you see. "

Phil

---------------------------------

You rock. That's why Blockbuster's offering you one month of Blockbuster Total

Access, No Cost.

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  • 3 weeks later...
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Tia,

If you are really concerned about the results, perhaps you could

call the endo's office. Let them know that you would like to speak

to the endo briefly to put your mind at rest because you are quite

worried about the results and don't want to wait until you come in

for an appt.

Also, don't be concerned about giving access to your email address.

We all have to do it, and it isn't a problem at all.

P

>

My endocrinologist has booked me in for next tuesday to stay at his

clinic as a in-patient for an insulin test and I'm not looking

forward to it.

He thinks that it is my pituitary gland that is failing me.

I am worried that it might be a pituitary tumeur..........

I am so worried :(

>

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Ok - that's fine Tia - thanks for that.

Luv - Sheila

> > Look forward to 'meeting' you again when your membership has been made official.> > Luv - SheilaHi Sheila,Just done it!x

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Hi Tia - There is an organisation for people with pituitary problems - PITPAT, they have a website.

Pituitary reasons for hypothyroidism are supposed to be rare though I think that many of us diagnosed are actually pituitary rather than 'just' hypothyroidism! The main problem with being diagnosed with a pituitary problem seems to be that as its considered rare, and most doctors never see a case, they just dont think of it! I wonder how many of us on this group are really undiagnosed pituitary people and because we go for so long without being diagnosed, that's why we get all the other symptoms that most people with hypothyroidism dont get (the pains hair loss etc). The TSH doesnt raise with pituitary disease therefore if thats the only test they do they wont find it!

I understand that the pituitary is like a master gland that controls all the hormonal glands so the effects are not just thyroid but can be ovaries etc, I dont really know about cortisol but I think its a hormone and therefore could be affected by the pituitary.

I do know that a lot of pituitary problems are caused by pituitary tumours - BUT this does not necessarily mean surgery or that its cancer - in the VAST majority of cases they are benign (in fact I think pituitary cancer is extremely rare). Some people can be controlled by diet and supplements apparently - I have an acquaintance with a pituitary tumour who controls with diet and supplements and primarily she needs to ensure that she sleeps well to cope - she does take melatonin and temazepam but never more than 3 days in a row and she copes very well under supervision from a competent doctor!

It sounds like your doctor knows his/her stuff by even considering pituitary disease! Have a look at the PitPat website and relax - whatever the cause you are on the right road to be getting better!

Gill x

Well, I got "some" of my blood tests back which were done via a private endocrinologue. I'm still waiting for my auto antibodies test to come back from the lab.I was told the Calcium test was fine and so was the ACTH.However the Cortisol test was low but I was not told how low.My endocrinologist has booked me in for next tuesday to stay at his clinic as a in-patient for an insulin test and I'm not looking forward to it.He thinks that it is my pituitary gland that is failing me.I must admit that he did see my previous blood test done via the NHS (TSH 2.55 and free T4 15.6) and said they were fine.Has anyone suffered from low cortisol because of a pituitary that is not fonctioning properly?I read somewhere that if the pituitary is not working then it can affect the thyroid since the pituitary is also known as the "Master gland".Anyone to give me more info?I am worried that it might be a pituitary tumeur because for the past few years I have had trouble with my eyes: pressure behind my eyes, sharp pain behind my eyes, so many floaters and some of them are really big, sudden darkness in my left eyes followed by shooting stars)Do you think these vision troubles are signs of pituitary tumeur?I am so worried :(

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>

> Hi Tia - There is an organisation for people with pituitary

problems - PITPAT, they have a website.

>

> Pituitary reasons for hypothyroidism are supposed to be rare though

I think that many of us diagnosed are actually pituitary rather

than 'just' hypothyroidism! The main problem with being diagnosed

with a pituitary problem seems to be that as its considered rare, and

most doctors never see a case, they just dont think of it! I wonder

how many of us on this group are really undiagnosed pituitary people

and because we go for so long without being diagnosed, that's why we

get all the other symptoms that most people with hypothyroidism dont

get (the pains hair loss etc). The TSH doesnt raise with pituitary

disease therefore if thats the only test they do they wont find it!

>

> I understand that the pituitary is like a master gland that

controls all the hormonal glands so the effects are not just thyroid

but can be ovaries etc, I dont really know about cortisol but I think

its a hormone and therefore could be affected by the pituitary.

>

> I do know that a lot of pituitary problems are caused by pituitary

tumours - BUT this does not necessarily mean surgery or that its

cancer - in the VAST majority of cases they are benign (in fact I

think pituitary cancer is extremely rare). Some people can be

controlled by diet and supplements apparently - I have an

acquaintance with a pituitary tumour who controls with diet and

supplements and primarily she needs to ensure that she sleeps well to

cope - she does take melatonin and temazepam but never more than 3

days in a row and she copes very well under supervision from a

competent doctor!

>

> It sounds like your doctor knows his/her stuff by even considering

pituitary disease! Have a look at the PitPat website and relax -

whatever the cause you are on the right road to be getting better!

> Gill x

>

I think he is a good endocrinologist; some of his patients include

the royal family, celebrities and so on. I won't even bother say how

much he charges cos you'll scream but my private insurance covers it.

I'm still mad that he advised me to see a psy to treat my

stress...pfff.

I do not think I am allowed to give his name on this forum but if I

am allowed then let me know and I'll tell you who he is.

I must say he did ask for more blood tests compared to my NHS GP

which I think I might sue after she refused to check my eyes because

because I had been in her office for ten minutes instead of

seven...pfff... and because I told her that a " real " doctor would

never say such things to a patient she then wrote on my file:

Verbally abusive behaviour... Is she for real???

Tia x

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hi Tia - he must be the best if he counts the Royal Family amongst his patients!! Let Sheila know off forum who he is! sounds like you are in good hands.

Chin up!

Gill x

I think he is a good endocrinologist; some of his patients include the royal family, celebrities and so on. I won't even bother say how much he charges cos you'll scream but my private insurance covers it.I'm still mad that he advised me to see a psy to treat my stress...pfff.I do not think I am allowed to give his name on this forum but if I am allowed then let me know and I'll tell you who he is.I must say he did ask for more blood tests compared to my NHS GP which I think I might sue after she refused to check my eyes because because I had been in her office for ten minutes instead of seven...pfff... and because I told her that a "real" doctor would never say such things to a patient she then wrote on my file: Verbally abusive behaviour... Is she for real???Tia x

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Guest guest

>

> May I encourage you to pop into your optomertrist (sp) and ask him

to

> have a look in your eyes. They have the ability to look behind the

> eye and may be able to give you some indication in the first

instance.

>

> Then I would also ask the GP for an MRI to check out anything. I

can

> understand why you are distressed, but once you have some facts to

> work with you then can plan a course of action. I often think not

> knowing is the worst

>

> I mention this as just last week a lady I know saw an optomatrist

(sp)

> and he found she had an aneurysm. I am not telling you this to cause

> you more distress, or infer you may have an aneurysm, but to

> highlight how much a good optomatrist can tell you.

>

> jennyfreeman

> PS: I had a cerebral aneurysm coiled - like many things its not the

> problem it once was thanks to modern technology. It was cos I had

> asked my doc for an MRI of the pituitary that we found the aneurysm.

>

>

> >

Hi ,

Thanks for your reply :)

I went to the Eye Clinic just over 2 years ago. They put some drops

in my eyes and after 30mn had a look. I was then told that they could

not see anything wrong. My complaint was that I could see too many

floaters and at times it felt like if a black cloud was covering my

left eye and then I would see lots of shooting stars. But they said

my eyes looked fine. I'm a bit worried because I read that pituitary

tumeur can cause problems with the eyes when the tumeur presses

against the optic nerves.

The lady at the Eye Clinic told me to ignore the floaters. Pfff...

how could I? They are absolutely EVERYWHERE.

I will ask for an MRI when I'll see my endo next tuesday.

x

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