Re: cortef dosing

[Guest guest]

Jim your not supported yet you need to get up to 20 to 25 mgs a day. Then doing

your temps start taking them with a shake down temp gage after your up 3 hrs

every 3 hrs 3x's a day. Add them up div. by 3 this is your avg. when your temp

avg. is not going up or down more then 2ths your supported this can take about 2

to 4 weeks at the 20 to 25 mgs a day does.

This is the link I use to track my temps you can print out a chart to track

this. I know your worried but give it time try not to stress over this it makes

it worse.

Co-Moderator

Phil

> From: jim <virtuosa150@...>

> Subject: cortef dosing

>

> Date: Thursday, July 8, 2010, 10:20 AM

> I've been trying to find a dosing

> schedule that works for me.

>

> I hardly sleep last night. I took a 2.5mg dose at bedtime.

> I've tried this 2 times. Both nights I did not sleep. HC at

> bedtime does not work for me.

>

> This morning I woke at 5:00 and took 7.5mg. I wasn't shaky

> at all. I was running late this morning to work. I started

> to get shaky at 8:00. I was planning to take 5mg at 9:00 but

> instead took it at 8:30. I was still shaky.

>

> At 9:30 I took 2.5mg more. I'm still shaky. What could be

> causing this? I'm already at 15mg for the day. Is this a

> result of taking too much? I just can't figure this stuff

> out.

>

> I've been taking my temps the last few days and I'm at

> 97.2-97.5. This is where I was usually at before I started

> HC.

>

> Any thoughts form anyone would be appreciated.

>

>

>

> ------------------------------------

>

>

[Guest guest]

Jim, I will share what I know from experience, and this may conflict with what

Phil says, but again, you're dealing with two different men here. Phil is

hypopituitary, meaning all his hormones are low. Are you? Or is your adrenal

fatigue a temporary condition brought on my too much stress or low thyroid? I

think that makes a difference in your dosing. If Phil doesn't supplement, he

has no cortisol in his body. If your case is more like my hubby's, then you

make cortisol, just not enough cause your adrenals are fatigued.

OK, know that your cortisol resets every single day. So just because you had

two bad nights, doesn't mean tomorrow will be bad too. Cortisol follows a daily

rhythm and is highest in the morning, and is your natural wake-up hormone.

People with high morning cortisol bound out of bed (not me!). People with high

night cortisol are not tired at night and become night owls. But low cortisol

can cause insomnia too, and you will feel a slight vibration if you're low.

The minute you take any HC in the morning, you suppress your own production for

the rest of the day. You only suppress it from the point you took the dose.

When you said you took at at 5 a.m., did you then get up for the day or go back

to sleep? I was instructed to only take it upon waking. That starts the

suppression later. Shaky is a sign that you're too low and will have to take

more.

Another suggestion is to get some HC OTC cream from Wal-Mart, the tubes that are

used for itchy bug bites. That is the same stuff only in cream form. You can

rub a little right into your elbow vein and feel relief within minutes when you

start to get shaky. You would have to get a dosing syringe to use it for full

daily dosing, but for instant relief, just a small dab like for a bug bite does

wonders. Hopefully you're keeping a diary of the amounts you're taking, because

this counts towards your daily total.

Your temps say you are hypothyroid, so eventually you'll be adding thyroid meds.

For the rest of today, you should take more (2.5 or 5 mg) as soon as you feel

you need it (anxiety, shaking). You will probably have a total for the day that

hits 30 or more, but you can't change that now. You MUST take something if you

become shaky or you'll have an adrenal crisis.

What has helped hubby at bedtime is taking just a dab of HC cream if he feels

shaky. This is less then 2.5 mg, so cannot suppress his own production as much.

Do you have a physically active job or a desk job? If you're active, you might

need a higher amount on a daily basis. For an active person, I would suggest

10, 7.5, 7.5, 5 every 4 hours and a dab at bedtime if shaky. Certainly have a

high fiber, high fat snack with protein before bed, like peanut butter on an

apple. For a less active job, I would suggest 7.5, 5, 5, 2.5 and see if you

could fall asleep without anything.

DH says he wishes you the best; BTDT,

Barb

>

> I've been trying to find a dosing schedule that works for me.

>

> I hardly sleep last night. I took a 2.5mg dose at bedtime. I've tried this 2

times. Both nights I did not sleep. HC at bedtime does not work for me.

>

> This morning I woke at 5:00 and took 7.5mg. I wasn't shaky at all. I was

running late this morning to work. I started to get shaky at 8:00. I was

planning to take 5mg at 9:00 but instead took it at 8:30. I was still shaky.

>

> At 9:30 I took 2.5mg more. I'm still shaky. What could be causing this? I'm

already at 15mg for the day. Is this a result of taking too much? I just can't

figure this stuff out.

>

> I've been taking my temps the last few days and I'm at 97.2-97.5. This is

where I was usually at before I started HC.

>

> Any thoughts form anyone would be appreciated.

>

[Guest guest]

Barb is point on about this there is not much diff. in my problem then one with

over worked Adreanls I still make Cortisol only thing is not enough of it my

morning labs before HC were at 9. You need time your body has to adjust to your

HC your taking you need to slow down your adrenals from working so hard but in

doing this you need enough HC to support your body try the cream I did things

like this before my Dr. would treat me it helped. I find that people that feel

low in the morning if they take the HC meds say at 5 or 6am then go back to bed

when they get up they feel better. But they do this after they are supported so

get leveled then play with the time you take your HC to find what works the best

for you.

Co-Moderator

Phil

> From: Barb <baba@...>

> Subject: Re: cortef dosing

>

> Date: Thursday, July 8, 2010, 12:14 PM

> Jim, I will share what I know from

> experience, and this may conflict with what Phil says, but

> again, you're dealing with two different men here. 

> Phil is hypopituitary, meaning all his hormones are

> low.  Are you?  Or is your adrenal fatigue a

> temporary condition brought on my too much stress or low

> thyroid?  I think that makes a difference in your

> dosing.  If Phil doesn't supplement, he has no cortisol

> in his body.  If your case is more like my hubby's,

> then you make cortisol, just not enough cause your adrenals

> are fatigued.

>

> OK, know that your cortisol resets every single day. 

> So just because you had two bad nights, doesn't mean

> tomorrow will be bad too.  Cortisol follows a daily

> rhythm and is highest in the morning, and is your natural

> wake-up hormone.  People with high morning cortisol

> bound out of bed (not me!).  People with high night

> cortisol are not tired at night and become night owls. 

> But low cortisol can cause insomnia too, and you will feel a

> slight vibration if you're low.

>

> The minute you take any HC in the morning, you suppress

> your own production for the rest of the day.  You only

> suppress it from the point you took the dose.  When you

> said you took at at 5 a.m., did you then get up for the day

> or go back to sleep?  I was instructed to only take it

> upon waking.  That starts the suppression later. 

> Shaky is a sign that you're too low and will have to take

> more.

>

> Another suggestion is to get some HC OTC cream from

> Wal-Mart, the tubes that are used for itchy bug bites. 

> That is the same stuff only in cream form. You can rub a

> little right into your elbow vein and feel relief within

> minutes when you start to get shaky.  You would have to

> get a dosing syringe to use it for full daily dosing, but

> for instant relief, just a small dab like for a bug bite

> does wonders.  Hopefully you're keeping a diary of the

> amounts you're taking, because this counts towards your

> daily total.

>

> Your temps say you are hypothyroid, so eventually you'll be

> adding thyroid meds. 

>

> For the rest of today, you should take more (2.5 or 5 mg)

> as soon as you feel you need it (anxiety, shaking). 

> You will probably have a total for the day that hits 30 or

> more, but you can't change that now.  You MUST take

> something if you become shaky or you'll have an adrenal

> crisis.

>

> What has helped hubby at bedtime is taking just a dab of HC

> cream if he feels shaky.  This is less then 2.5 mg, so

> cannot suppress his own production as much.

>

> Do you have a physically active job or a desk job?  If

> you're active, you might need a higher amount on a

> daily  basis.  For an active person, I would

> suggest 10, 7.5, 7.5, 5 every 4 hours and a dab at bedtime

> if shaky.  Certainly have a high fiber, high fat snack

> with protein before bed, like peanut butter on an

> apple.  For a less active job, I would suggest 7.5, 5,

> 5, 2.5  and see if you could fall asleep without

> anything. 

>

> DH says he wishes you the best; BTDT,

>

> Barb

>

>

>

>

> >

> > I've been trying to find a dosing schedule that works

> for me.

> >

> > I hardly sleep last night. I took a 2.5mg dose at

> bedtime. I've tried this 2 times. Both nights I did not

> sleep. HC at bedtime does not work for me.

> >

> > This morning I woke at 5:00 and took 7.5mg. I wasn't

> shaky at all. I was running late this morning to work. I

> started to get shaky at 8:00. I was planning to take 5mg at

> 9:00 but instead took it at 8:30. I was still shaky.

> >

> > At 9:30 I took 2.5mg more. I'm still shaky. What could

> be causing this? I'm already at 15mg for the day. Is this a

> result of taking too much? I just can't figure this stuff

> out.

> >

> > I've been taking my temps the last few days and I'm at

> 97.2-97.5. This is where I was usually at before I started

> HC.

> >

> > Any thoughts form anyone would be appreciated.

> >

>

>

>

>

> ------------------------------------

>

>

[Guest guest]

Barb,

Thanks for continued support. I don't think my problem lays with poor pituitary

function. I believe my adrenals are just shot, maybe not to far to be gone for

good.

My doctor stated to me that it's not a good idea to go above 20mg/day. But in

able to continue to function, I'll probably have to go a bit higher.

I'm pretty certain HC before bedtime won't work for me. Last night I feel asleep

on the couch for 1 hr. before my bedtime dose. So I can fall asleep. After

taking the dose, I did fall asleep but woke up. Cortisol was probably too high.

Just a guess. I don't believe I experience the " vibration " of being low during

the night. I do wake up somewhat sweaty, even though the room is air

conditioned. Could be elevated E2, although that's not likely considering my low

E2 history.

I do have issues with my thyroid, but they can't be worked on until I get the

adrenals supported. That's been tried 2 times before, with disasterous results

both times.

I don't have a physically demanding job. I'm going to try 10, 7.5, 5, 2.5

tommorrow and see how that works.

Barb, thanks again for your help.

Jim

> >

> > I've been trying to find a dosing schedule that works for me.

> >

> > I hardly sleep last night. I took a 2.5mg dose at bedtime. I've tried this 2

times. Both nights I did not sleep. HC at bedtime does not work for me.

> >

> > This morning I woke at 5:00 and took 7.5mg. I wasn't shaky at all. I was

running late this morning to work. I started to get shaky at 8:00. I was

planning to take 5mg at 9:00 but instead took it at 8:30. I was still shaky.

> >

> > At 9:30 I took 2.5mg more. I'm still shaky. What could be causing this? I'm

already at 15mg for the day. Is this a result of taking too much? I just can't

figure this stuff out.

> >

> > I've been taking my temps the last few days and I'm at 97.2-97.5. This is

where I was usually at before I started HC.

> >

> > Any thoughts form anyone would be appreciated.

> >

>

[Guest guest]

Phil,

I'm concerned about going above 20mg/day. My doctor stated to me that it's not

so good going above this dose. If I need a slightly higher amount per day for

awhile, will this have an adverse effect on my natural production?

All I know is 5mg doses for the first 2 doses of the day aren't going to cut it.

Probably something like 10mg morning, 7.5mg 9:00am will work to get me over the

hump.

What are your thoughts? As always, I appreciate your time and devotion to my

problems and to maintaining this forum.

Jim

> > >

> > > I've been trying to find a dosing schedule that works

> > for me.

> > >

> > > I hardly sleep last night. I took a 2.5mg dose at

> > bedtime. I've tried this 2 times. Both nights I did not

> > sleep. HC at bedtime does not work for me.

> > >

> > > This morning I woke at 5:00 and took 7.5mg. I wasn't

> > shaky at all. I was running late this morning to work. I

> > started to get shaky at 8:00. I was planning to take 5mg at

> > 9:00 but instead took it at 8:30. I was still shaky.

> > >

> > > At 9:30 I took 2.5mg more. I'm still shaky. What could

> > be causing this? I'm already at 15mg for the day. Is this a

> > result of taking too much? I just can't figure this stuff

> > out.

> > >

> > > I've been taking my temps the last few days and I'm at

> > 97.2-97.5. This is where I was usually at before I started

> > HC.

> > >

> > > Any thoughts form anyone would be appreciated.

> > >

> >

> >

> >

> >

> > ------------------------------------

> >

> >

[Guest guest]

" jim " <virtuosa150@...> wrote:

> I'm pretty certain HC before bedtime won't work for me. Last night I feel

asleep on the couch for 1 hr. before my bedtime dose. So I can fall asleep.

After taking the dose, I did fall asleep but woke up. Cortisol was probably too

high. Just a guess. I don't believe I experience the " vibration " of being low

during the night. I do wake up somewhat sweaty, even though the room is air

conditioned. Could be elevated E2, although that's not likely considering my low

E2 history.

This actually sounds like your cortisol is going too LOW at night, blood sugar

goes low, adrenaline kicks in, which should wake you with a pounding heart and

sweaty. That's why they recommend that snack before bedtime. DH had all his

panic attacks in the middle of the night.

> Barb, thanks again for your help.

You're more than welcome.

[Guest guest]

Barb,

I have a glucose monitor. One time last week I tested when I woke up sweaty. I

thought the same thing. My reading was 97. I can't be hypoglycemia.

It's a curious thing though. My pulse is always somewhat fast. Right now sitting

here it's 84 or so. My doctor did a EKG. It was ok. He wasn't too concerned

about the pulse. Possibly something stemming from my problem with high rt3 and

norepinephrine. My wife says I'm a mess.

>

> > I'm pretty certain HC before bedtime won't work for me. Last night I feel

asleep on the couch for 1 hr. before my bedtime dose. So I can fall asleep.

After taking the dose, I did fall asleep but woke up. Cortisol was probably too

high. Just a guess. I don't believe I experience the " vibration " of being low

during the night. I do wake up somewhat sweaty, even though the room is air

conditioned. Could be elevated E2, although that's not likely considering my low

E2 history.

>

> This actually sounds like your cortisol is going too LOW at night, blood sugar

goes low, adrenaline kicks in, which should wake you with a pounding heart and

sweaty. That's why they recommend that snack before bedtime. DH had all his

panic attacks in the middle of the night.

>

> > Barb, thanks again for your help.

>

> You're more than welcome.

>

[Guest guest]

" jim " <virtuosa150@...> wrote:

> I have a glucose monitor. One time last week I tested when I woke up sweaty. I

thought the same thing. My reading was 97. I can't be hypoglycemia.

That's not necessarily true.

From Wikipedia: idiopathic postprandial syndrome

" The term idiopathic postprandial syndrome was coined around 1980 in an attempt

to reserve the term hypoglycemia for those conditions in which low glucose

levels could be demonstrated.[1] It was offered as a less confusing alternative

to functional hypoglycemia and as a less pejorative alternative to

" nonhypoglycemia " or " pseudohypoglycemia. "

The syndrome resembles reactive hypoglycemia except that low glucoses are not

found at the time of symptoms. "

> It's a curious thing though. My pulse is always somewhat fast. Right now

sitting here it's 84 or so. My doctor did a EKG. It was ok. He wasn't too

concerned about the pulse. Possibly something stemming from my problem with high

rt3 and norepinephrine. My wife says I'm a mess.

If your thyroid is very low, and with HC, it does go lower, your body will

compensate by secreting adrenaline. When my FT3 was below range, my BP was

170/100 and pulse about 100, and I was having hypoglycemic attacks throughout

the day, and eating at 2 and 4 a.m. in addition to all day. Could not leave the

house without a pail of food in tow. And I was losing weight!

I can sympathize with your wife

Barb

[Guest guest]

Jim people with bad Adrenals or low Cortisol levels can wake up in a sweat from

low sugar try eating some cheese of nuts before going to bed see if this helps.

This is a cut and paste from this link.

http://livingnetwork.co.za/hormones/adrenal-fatigue/

I have this problem with my sugar but as your on HC it gets better.

===================================================

Adrenal insufficiency is linked to insomnia in two ways.

1)If your cortisol drops too low during the night your blood sugar drops too.

Your body compensate by releasing adrenaline as an emergency measure to mobilize

more sugar. This has the effect of waking you in an instant. This can be reduced

by eating high protein snack before retiring e.g. sardines, nuts of high quality

protein shake.

2)In early stages of adrenal fatigue cortisol levels tend to rise and if they

are high at midnight they can energise you and keep you awake. Phosphorylated

serine can be used to lower cortisol at these times due to its ACTH dampening

effect.

Aldosterone is another hormone released from the adrenal cortex. It is a

mineralocorticoid, meaning it regulates salt balance, specifically by retaining

sodium and secreting potassium.

~ High Aldosterone causes high blood pressure and low potassium.

~ Low Aldosterone levels provide symptoms like low blood pressure, high pulse

(especially on standing), salt cravings, dizziness and/or light headedness on

standing and palpitations. In severe cases high potassium and low sodium is

found in the blood. Low aldosterone induces more renin to be made from the

kidney which is why renin is measured with aldosterone. It’s more typical for

people with adrenal insufficiency to be low on cortisol but sufficient in

aldosterone, but some people will have both. So, the usual recommendation is to

start on Hydrocortisone and monitor to see if aldosterone would also be needed,

if so Fludrocortisone (synthetic equivalent of aldosterone) commonly traded as

Florinef, can be added.

Co-Moderator

Phil

> From: jim <virtuosa150@...>

> Subject: Re: cortef dosing

>

> Date: Thursday, July 8, 2010, 1:21 PM

> Barb,

> Thanks for continued support. I don't think my problem lays

> with poor pituitary function. I believe my adrenals are just

> shot, maybe not to far to be gone for good.

>

> My doctor stated to me that it's not a good idea to go

> above 20mg/day. But in able to continue to function, I'll

> probably have to go a bit higher.

>

> I'm pretty certain HC before bedtime won't work for me.

> Last night I feel asleep on the couch for 1 hr. before my

> bedtime dose. So I can fall asleep. After taking the dose, I

> did fall asleep but woke up. Cortisol was probably too high.

> Just a guess. I don't believe I experience the " vibration "

> of being low during the night. I do wake up somewhat sweaty,

> even though the room is air conditioned. Could be elevated

> E2, although that's not likely considering my low E2

> history.

>

> I do have issues with my thyroid, but they can't be worked

> on until I get the adrenals supported. That's been tried 2

> times before, with disasterous results both times.

>

> I don't have a physically demanding job. I'm going to try

> 10, 7.5, 5, 2.5 tommorrow and see how that works.

>

> Barb, thanks again for your help.

>

> Jim

>

>

> > >

> > > I've been trying to find a dosing schedule that

> works for me.

> > >

> > > I hardly sleep last night. I took a 2.5mg dose at

> bedtime. I've tried this 2 times. Both nights I did not

> sleep. HC at bedtime does not work for me.

> > >

> > > This morning I woke at 5:00 and took 7.5mg. I

> wasn't shaky at all. I was running late this morning to

> work. I started to get shaky at 8:00. I was planning to take

> 5mg at 9:00 but instead took it at 8:30. I was still shaky.

> > >

> > > At 9:30 I took 2.5mg more. I'm still shaky. What

> could be causing this? I'm already at 15mg for the day. Is

> this a result of taking too much? I just can't figure this

> stuff out.

> > >

> > > I've been taking my temps the last few days and

> I'm at 97.2-97.5. This is where I was usually at before I

> started HC.

> > >

> > > Any thoughts form anyone would be appreciated.

> > >

> >

>

>

>

>

> ------------------------------------

>

>

[Guest guest]

No your can take upto and be safe 40 mgs a day the only people I know that do

this much have to because the HC gets killed in there stomach.

I still wake at between 5 to 6 am every morning I feel bad when I get up at 8am

so I do 10 mgs at 5 to 6am then do my Test C or HCG shots and take my Thyroid

meds and go back to bed. Doing this I feel great when I wake up at 8am I eat by

9am and take 5mgs then from this time until 1pm I workout go for a walk cut the

grass anything that needs being done I do around this time. Then when I eat at

1pm I take 10 mgs more this helps me recover from what I was doing then I eat at

6pm and take 5 mgs more for a total of 30 mgs but I worked my way up to this

dose over a 2 yr. time frame.

When I started on HC I was retired and house bound all I was able to do is sit

and work at this forum. I remember being shaky for so long it was a way of life

it took me some time to get past this going on HC but it never go worse it was

bad all ready.

Co-Moderator

Phil

> From: jim <virtuosa150@...>

> Subject: Re: cortef dosing

>

> Date: Thursday, July 8, 2010, 1:31 PM

> Phil,

> I'm concerned about going above 20mg/day. My doctor stated

> to me that it's not so good going above this dose. If I need

> a slightly higher amount per day for awhile, will this have

> an adverse effect on my natural production?

>

> All I know is 5mg doses for the first 2 doses of the day

> aren't going to cut it. Probably something like 10mg

> morning, 7.5mg 9:00am will work to get me over the hump.

>

> What are your thoughts? As always, I appreciate your time

> and devotion to my problems and to maintaining this forum.

> Jim

>

>

> > > >

> > > > I've been trying to find a dosing schedule

> that works

> > > for me.

> > > >

> > > > I hardly sleep last night. I took a 2.5mg

> dose at

> > > bedtime. I've tried this 2 times. Both nights I

> did not

> > > sleep. HC at bedtime does not work for me.

> > > >

> > > > This morning I woke at 5:00 and took 7.5mg.

> I wasn't

> > > shaky at all. I was running late this morning to

> work. I

> > > started to get shaky at 8:00. I was planning to

> take 5mg at

> > > 9:00 but instead took it at 8:30. I was still

> shaky.

> > > >

> > > > At 9:30 I took 2.5mg more. I'm still shaky.

> What could

> > > be causing this? I'm already at 15mg for the day.

> Is this a

> > > result of taking too much? I just can't figure

> this stuff

> > > out.

> > > >

> > > > I've been taking my temps the last few days

> and I'm at

> > > 97.2-97.5. This is where I was usually at before

> I started

> > > HC.

> > > >

> > > > Any thoughts form anyone would be

> appreciated.

> > > >

> > >

> > >

> > >

> > >

> > > ------------------------------------

> > >

> > >

[Guest guest]

Your sugar levels can stay good but your adrenaline levels can go up and do

this.

Co-Moderator

Phil

> From: jim <virtuosa150@...>

> Subject: Re: cortef dosing

>

> Date: Thursday, July 8, 2010, 2:03 PM

> Barb,

> I have a glucose monitor. One time last week I tested when

> I woke up sweaty. I thought the same thing. My reading was

> 97. I can't be hypoglycemia.

>

> It's a curious thing though. My pulse is always somewhat

> fast. Right now sitting here it's 84 or so. My doctor did a

> EKG. It was ok. He wasn't too concerned about the pulse.

> Possibly something stemming from my problem with high rt3

> and norepinephrine. My wife says I'm a mess.

>

>

> >

> > > I'm pretty certain HC before bedtime won't work

> for me. Last night I feel asleep on the couch for 1 hr.

> before my bedtime dose. So I can fall asleep. After taking

> the dose, I did fall asleep but woke up. Cortisol was

> probably too high. Just a guess. I don't believe I

> experience the " vibration " of being low during the night. I

> do wake up somewhat sweaty, even though the room is air

> conditioned. Could be elevated E2, although that's not

> likely considering my low E2 history.

> >

> > This actually sounds like your cortisol is going too

> LOW at night, blood sugar goes low, adrenaline kicks in,

> which should wake you with a pounding heart and

> sweaty.  That's why they recommend that snack before

> bedtime.  DH had all his panic attacks in the middle of

> the night.

> >

> > > Barb, thanks again for your help.

> >

> > You're more than welcome.

> >

>

>

>

>

> ------------------------------------

>

>

[Guest guest]

I received an Email from a person named Judy concerning this topic. I

inadvertently deleted it. I wanted to reply, but hit the delete button

by mistake.

Could you please email me again?

Thanks,

Jim

>

[Guest guest]

Phil,

I slept 4.5 hrs last night. I felt somewhat better this morning. I took 10mg

cortef. I lift some light weights this morning. Afterwards I felt shaky.

I took 10mg at 7:30. At 9:00am I took an additional 5mg cortef. Was still shaky.

I stared to feel hot and sweaty with my temperature up to about 98.2. Usually my

temp. is about 97.5. At 12:00 I took an additional 5mg cortef. 2:00pm I took

2.5mg. I'm still shaky and hot.

I think I may have gone a little to quickly on the HC. Might this be a thyroid

dump? Is this anything to be really concerned about? I can make it through this

if it isn't serious. I just have to accept i can't lift any weights for a while

until I get myself well.

> > > >

> > > > I've been trying to find a dosing schedule that

> > works for me.

> > > >

> > > > I hardly sleep last night. I took a 2.5mg dose at

> > bedtime. I've tried this 2 times. Both nights I did not

> > sleep. HC at bedtime does not work for me.

> > > >

> > > > This morning I woke at 5:00 and took 7.5mg. I

> > wasn't shaky at all. I was running late this morning to

> > work. I started to get shaky at 8:00. I was planning to take

> > 5mg at 9:00 but instead took it at 8:30. I was still shaky.

> > > >

> > > > At 9:30 I took 2.5mg more. I'm still shaky. What

> > could be causing this? I'm already at 15mg for the day. Is

> > this a result of taking too much? I just can't figure this

> > stuff out.

> > > >

> > > > I've been taking my temps the last few days and

> > I'm at 97.2-97.5. This is where I was usually at before I

> > started HC.

> > > >

> > > > Any thoughts form anyone would be appreciated.

> > > >

> > >

> >

> >

> >

> >

> > ------------------------------------

> >

> >

[Guest guest]

Okay one more try...

I tried to poste earlier and no results...

Jim,

I answered online so I don't have a copy of the email, sorry...I alos medant to

post ti to the groups so not sure how I messed that up...

If you remember any questions just fire away...oh and check your deleted emails

maybe there is a copy?

I may try to re-write the email if you can not find it...geez

Judy

[Guest guest]

Judy,

OK I found the email in my " trash " folder. I'll reply by email. There's a lot of

good things in there.

My head is a little scrambled these days.

Take Care,

Jim

>

>

> Okay one more try...

>

> I tried to poste earlier and no results...

>

> Jim,

>

> I answered online so I don't have a copy of the email, sorry...I alos medant

to post ti to the groups so not sure how I messed that up...

>

> If you remember any questions just fire away...oh and check your deleted

emails maybe there is a copy?

>

> I may try to re-write the email if you can not find it...geez

>

> Judy

>

[Guest guest]

Yes it sounds like a dump and you should not be lifting weights until your

supported just go for walks. Your doing better then you did the weights and

undid it all.

Co-Moderator

Phil

> From: jim <virtuosa150@...>

> Subject: Re: cortef dosing

>

> Date: Friday, July 9, 2010, 2:32 PM

> Phil,

> I slept 4.5 hrs last night. I felt somewhat better this

> morning. I took 10mg cortef. I lift some light weights this

> morning. Afterwards I felt shaky.

>

> I took 10mg at 7:30. At 9:00am I took an additional 5mg

> cortef. Was still shaky. I stared to feel hot and sweaty

> with my temperature up to about 98.2. Usually my temp. is

> about 97.5. At 12:00 I took an additional 5mg cortef. 2:00pm

> I took 2.5mg. I'm still shaky and hot.

>

> I think I may have gone a little to quickly on the HC.

> Might this be a thyroid dump? Is this anything to be really

> concerned about? I can make it through this if it isn't

> serious. I just have to accept i can't lift any weights for

> a while until I get myself well.

>

>

> > > > >

> > > > > I've been trying to find a dosing

> schedule that

> > > works for me.

> > > > >

> > > > > I hardly sleep last night. I took a

> 2.5mg dose at

> > > bedtime. I've tried this 2 times. Both nights I

> did not

> > > sleep. HC at bedtime does not work for me.

> > > > >

> > > > > This morning I woke at 5:00 and took

> 7.5mg. I

> > > wasn't shaky at all. I was running late this

> morning to

> > > work. I started to get shaky at 8:00. I was

> planning to take

> > > 5mg at 9:00 but instead took it at 8:30. I was

> still shaky.

> > > > >

> > > > > At 9:30 I took 2.5mg more. I'm still

> shaky. What

> > > could be causing this? I'm already at 15mg for

> the day. Is

> > > this a result of taking too much? I just can't

> figure this

> > > stuff out.

> > > > >

> > > > > I've been taking my temps the last few

> days and

> > > I'm at 97.2-97.5. This is where I was usually at

> before I

> > > started HC.

> > > > >

> > > > > Any thoughts form anyone would be

> appreciated.

> > > > >

> > > >

> > >

> > >

> > >

> > >

> > > ------------------------------------

> > >

> > >

[Guest guest]

You know you may not be able to reply directly because the email account was not

active...one of the problems I was having posting.

If you can cut and past the email into the forum then everyone can

comment....thanks

Judy

[Guest guest]

>Jim,

I have low pituitary and my husband has either adrenal fatique or bad

adrenals...it it too early to tell yet.

When I first started on HC I found I need to dose every 2-3 hours. MJy symptoms

was estreme pain in my legs from latic acid build up. My adrenals had been

stressed for so long that I had even stopped eating. so they have probably also

epreienced damage at this point as well.

After a few weeks my body built up enough reserve that I begin to forget to take

my HC at the 2-3 hour moark and I found I was able to change to 4 times a day.

I have to take 5 mg before bed or I will wake up in one hour with leg pain. My

husband on the other hand can not take any HC after 6 pm or it will keep him

awake....however if he has not had enough during the day to support him it will

also keep him awake and taking any at night will not fix it.

My husband tried to regulate his adrenals for months and was having so much

trouble it was frustrating...His temperatures averages would not stabilize and

he had to keep taking his HC every 2-3 hours. Until he started on

testosterone...then all the sudden he was able to back way down on his daily HC

dose.

He then tried to wean himself down on his HC because he thought his adrenals

worked a little bit (bad information) and ended up very sick again. So he

started back on every 2-3 hours until he built up his reserves again (a few

days)and now he understands that you need enough to cover the day AND to keep

your reserves stocked up.

He also has the high pulse and pounding heart at the end of the day and it

finally went away when he got on enough HC to keep him running, which for him is

35 mg.

I can run on about 15 mgs a day if I sit still all day but I may run low...I

know that 20 mgs a day for no activity works pretty well for me...but when I am

active riding my bike and working out I need as much as 35 mgs a day or I will

have an adrenal crash....and they are not fun...I can NOT eat for up to five

days.

One other interesting note is that since I too started on replacement

testosterone a few months bad I have found my adrenals to be less

sensitive...and example of BALANCED hormones working better together.

Another note if you have adrenal fatique for too long or if you stress them too

much for too long you can actually damage them....so you need to get enough HC

in your body to support you in your normal daily and activities.

I also have Type 1 diabetes which means I have no natural insulin. I test my BG

all the time all day...if you get low BG you will get a pounding heart such as

Phil and Barb were talking about, it is adrenaline that your body puts out to

raise your BG. Is your BG going low at night, maybe....but the pounding herat is

adrenaline..Your body will run on adrenaline when it runs too low on cortisol.

BTW glucose meters have a 20% error rate so your 97 could have been a 78, If you

washed your hands and did everything right, just a FYI the meter error rate is a

serious issue when you life depends on it.

Hope this helps,

Judy

[Guest guest]

>

> I've been trying to find a dosing schedule that works for me.

>

> I hardly sleep last night. I took a 2.5mg dose at bedtime. I've tried this 2

times. Both nights I did not sleep. HC at bedtime does not work for me.

>

> This morning I woke at 5:00 and took 7.5mg. I wasn't shaky at all. I was

running late this morning to work. I started to get shaky at 8:00. I was

planning to take 5mg at 9:00 but instead took it at 8:30. I was still shaky.

>

> At 9:30 I took 2.5mg more. I'm still shaky. What could be causing this? I'm

already at 15mg for the day. Is this a result of taking too much? I just can't

figure this stuff out.

>

> I've been taking my temps the last few days and I'm at 97.2-97.5. This is

where I was usually at before I started HC.

>

> Any thoughts form anyone would be appreciated.

>

I'm just curious. If starting on HC, will this have an effect of lowering a mans

testosterone level?

[Guest guest]

I know I post this link a lot but do read the FAQ's in this link and the Thread

on Adrenals a lot of posts from people having the same problems as we have.

With some good info on how to handle it.

http://forums.realthyroidhelp.com/viewtopic.php?f=12 & t=256

Also read the best parts from the book " Safe Uses of Cortisol " this puts your

mind at ease taking HC.

http://www.stopthethyroidmadness.com/safe-uses/

Some people eat up the HC as fast as they take it and need to switch to Medrol.

http://forums.realthyroidhelp.com/viewtopic.php?f=12 & t=15455

Jim keep posting until you get this right.

Co-Moderator

Phil

> From: jim <virtuosa150@...>

> Subject: Re: cortef dosing

>

> Date: Friday, July 9, 2010, 8:47 PM

>

>

>

>

>

>

>

> >Jim,

>

> I have low pituitary and my husband has either adrenal

> fatique or bad adrenals...it it too early to tell yet.

>

> When I first started on HC I found I need to dose every 2-3

> hours. MJy symptoms was estreme pain in my legs from latic

> acid build up. My adrenals had been stressed for so long

> that I had even stopped eating. so they have probably also

> epreienced damage at this point as well.

>

> After a few weeks my body built up enough reserve that I

> begin to forget to take my HC at the 2-3 hour moark and I

> found I was able to change to 4 times a day.

>

> I have to take 5 mg before bed or I will wake up in one

> hour with leg pain. My husband on the other hand can not

> take any HC after 6 pm or it will keep him awake....however

> if he has not had enough during the day to support him it

> will also keep him awake and taking any at night will not

> fix it.

>

> My husband tried to regulate his adrenals for months and

> was having so much trouble it was frustrating...His

> temperatures averages would not stabilize and he had to keep

> taking his HC every 2-3 hours. Until he started on

> testosterone...then all the sudden he was able to back way

> down on his daily HC dose.

>

> He then tried to wean himself down on his HC because he

> thought his adrenals worked a little bit (bad information)

> and ended up very sick again. So he started back on every

> 2-3 hours until he built up his reserves again (a few

> days)and now he understands that you need enough to cover

> the day AND to keep your reserves stocked up.

>

> He also has the high pulse and pounding heart at the end of

> the day and it finally went away when he got on enough HC to

> keep him running, which for him is 35 mg.

>

> I can run on about 15 mgs a day if I sit still all day but

> I may run low...I know that 20 mgs a day for no activity

> works pretty well for me...but when I am active riding my

> bike and working out I need as much as 35 mgs a day or I

> will have an adrenal crash....and they are not fun...I can

> NOT eat for up to five days.

>

> One other interesting note is that since I too started on

> replacement testosterone a few months bad I have found my

> adrenals to be less sensitive...and example of BALANCED

> hormones working better together.

>

> Another note if you have adrenal fatique for too long or if

> you stress them too much for too long you can actually

> damage them....so you need to get enough HC in your body to

> support you in your normal daily and activities.

>

> I also have Type 1 diabetes which means I have no natural

> insulin. I test my BG all the time all day...if you get low

> BG you will get a pounding heart such as Phil and Barb were

> talking about, it is adrenaline that your body puts out to

> raise your BG. Is your BG going low at night, maybe....but

> the pounding herat is adrenaline..Your body will run on

> adrenaline when it runs too low on cortisol.

>

> BTW glucose meters have a 20% error rate so your 97 could

> have been a 78, If you washed your hands and did everything

> right, just a FYI the meter error rate is a serious issue

> when you life depends on it.

>

>

> Hope this helps,

>

> Judy

>

>

>

>

>

>

> ------------------------------------

>

>

[Guest guest]

No if anything it can help as you get leveled off and have your Adrenals

supported your stress falls off and you find your Testosterone levels get

better. Being under Stress from an infection or worry can eat up your

Testosterone meds very fast.

Co-Moderator

Phil

> From: jim <virtuosa150@...>

> Subject: Re: cortef dosing

>

> Date: Friday, July 9, 2010, 8:51 PM

>

>

>

> >

> > I've been trying to find a dosing schedule that works

> for me.

> >

> > I hardly sleep last night. I took a 2.5mg dose at

> bedtime. I've tried this 2 times. Both nights I did not

> sleep. HC at bedtime does not work for me.

> >

> > This morning I woke at 5:00 and took 7.5mg. I wasn't

> shaky at all. I was running late this morning to work. I

> started to get shaky at 8:00. I was planning to take 5mg at

> 9:00 but instead took it at 8:30. I was still shaky.

> >

> > At 9:30 I took 2.5mg more. I'm still shaky. What could

> be causing this? I'm already at 15mg for the day. Is this a

> result of taking too much? I just can't figure this stuff

> out.

> >

> > I've been taking my temps the last few days and I'm at

> 97.2-97.5. This is where I was usually at before I started

> HC.

> >

> > Any thoughts form anyone would be appreciated.

> >

>

> I'm just curious. If starting on HC, will this have an

> effect of lowering a mans testosterone level?

>

>

>

> ------------------------------------

>

>

[Guest guest]

Phil, as always thanks for your kind help and the links to the information. It

seems that every little bit of stress causes me to shake. I then think I should

stress dose some HC. I believe I took too much yesterday. I spoke to my doc this

past Tuesday and told him I wasn't shaking anymore. I believe I was a little

premature in saying that.

I read the link concerning Medrol. The last couple of days, it seems that I've

needed more than the 20mg cortef that my doctor suggested I dose with per day.

Yesterday lifting weights didn't help matters any. I learned a hard lesson.

Today hasn't been too bad, but its Saturday so not much stress. I need to read

more about how sodium fits into my situation. I take 2 tsp. celtic salt per day

per my doctors recommendations. He wants 3 tsp. but this is difficult during the

work day.

I also started reading about the catecholamines (some being high) and rt3 (high)

mix into this mess. Very deep stuff.

Jim

> >

> > >Jim,

> >

> > I have low pituitary and my husband has either adrenal

> > fatique or bad adrenals...it it too early to tell yet.

> >

> > When I first started on HC I found I need to dose every 2-3

> > hours. MJy symptoms was estreme pain in my legs from latic

> > acid build up. My adrenals had been stressed for so long

> > that I had even stopped eating. so they have probably also

> > epreienced damage at this point as well.

> >

> > After a few weeks my body built up enough reserve that I

> > begin to forget to take my HC at the 2-3 hour moark and I

> > found I was able to change to 4 times a day.

> >

> > I have to take 5 mg before bed or I will wake up in one

> > hour with leg pain. My husband on the other hand can not

> > take any HC after 6 pm or it will keep him awake....however

> > if he has not had enough during the day to support him it

> > will also keep him awake and taking any at night will not

> > fix it.

> >

> > My husband tried to regulate his adrenals for months and

> > was having so much trouble it was frustrating...His

> > temperatures averages would not stabilize and he had to keep

> > taking his HC every 2-3 hours. Until he started on

> > testosterone...then all the sudden he was able to back way

> > down on his daily HC dose.

> >

> > He then tried to wean himself down on his HC because he

> > thought his adrenals worked a little bit (bad information)

> > and ended up very sick again. So he started back on every

> > 2-3 hours until he built up his reserves again (a few

> > days)and now he understands that you need enough to cover

> > the day AND to keep your reserves stocked up.

> >

> > He also has the high pulse and pounding heart at the end of

> > the day and it finally went away when he got on enough HC to

> > keep him running, which for him is 35 mg.

> >

> > I can run on about 15 mgs a day if I sit still all day but

> > I may run low...I know that 20 mgs a day for no activity

> > works pretty well for me...but when I am active riding my

> > bike and working out I need as much as 35 mgs a day or I

> > will have an adrenal crash....and they are not fun...I can

> > NOT eat for up to five days.

> >

> > One other interesting note is that since I too started on

> > replacement testosterone a few months bad I have found my

> > adrenals to be less sensitive...and example of BALANCED

> > hormones working better together.

> >

> > Another note if you have adrenal fatique for too long or if

> > you stress them too much for too long you can actually

> > damage them....so you need to get enough HC in your body to

> > support you in your normal daily and activities.

> >

> > I also have Type 1 diabetes which means I have no natural

> > insulin. I test my BG all the time all day...if you get low

> > BG you will get a pounding heart such as Phil and Barb were

> > talking about, it is adrenaline that your body puts out to

> > raise your BG. Is your BG going low at night, maybe....but

> > the pounding herat is adrenaline..Your body will run on

> > adrenaline when it runs too low on cortisol.

> >

> > BTW glucose meters have a 20% error rate so your 97 could

> > have been a 78, If you washed your hands and did everything

> > right, just a FYI the meter error rate is a serious issue

> > when you life depends on it.

> >

> >

> > Hope this helps,

> >

> > Judy

> >

> >

> >

> >

> >

> >

> > ------------------------------------

> >

> >

[Guest guest]

Jim like the others here told you you need to go easy until your supported well

no working out or doing anything that will stress you out. Your sick and need

to baby your self as hard as this is to do for us men do it. Take it easy once

you on HC for a time and it builds up in your body your going to be able to do

more. It a hole new ball game find out late what you can do and how much and

don't do more they your body can handle.

Co-Moderator

Phil

> From: jim <virtuosa150@...>

> Subject: Re: cortef dosing

>

> Date: Saturday, July 10, 2010, 2:08 PM

> Phil, as always thanks for your kind

> help and the links to the information. It seems that every

> little bit of stress causes me to shake. I then think I

> should stress dose some HC. I believe I took too much

> yesterday. I spoke to my doc this past Tuesday and told him

> I wasn't shaking anymore. I believe I was a little premature

> in saying that.

>

> I read the link concerning Medrol. The last couple of days,

> it seems that I've needed more than the 20mg cortef that my

> doctor suggested I dose with per day. Yesterday lifting

> weights didn't help matters any. I learned a hard lesson.

>

> Today hasn't been too bad, but its Saturday so not much

> stress. I need to read more about how sodium fits into my

> situation. I take 2 tsp. celtic salt per day per my doctors

> recommendations. He wants 3 tsp. but this is difficult

> during the work day.

>

> I also started reading about the catecholamines (some being

> high) and rt3 (high) mix into this mess. Very deep stuff.

>

> Jim

>

>

> > >

> > > >Jim,

> > >

> > > I have low pituitary and my husband has either

> adrenal

> > > fatique or bad adrenals...it it too early to tell

> yet.

> > >

> > > When I first started on HC I found I need to dose

> every 2-3

> > > hours. MJy symptoms was estreme pain in my legs

> from latic

> > > acid build up. My adrenals had been stressed for

> so long

> > > that I had even stopped eating. so they have

> probably also

> > > epreienced damage at this point as well.

> > >

> > > After a few weeks my body built up enough reserve

> that I

> > > begin to forget to take my HC at the 2-3 hour

> moark and I

> > > found I was able to change to 4 times a day.

> > >

> > > I have to take 5 mg before bed or I will wake up

> in one

> > > hour with leg pain. My husband on the other hand

> can not

> > > take any HC after 6 pm or it will keep him

> awake....however

> > > if he has not had enough during the day to

> support him it

> > > will also keep him awake and taking any at night

> will not

> > > fix it.

> > >

> > > My husband tried to regulate his adrenals for

> months and

> > > was having so much trouble it was

> frustrating...His

> > > temperatures averages would not stabilize and he

> had to keep

> > > taking his HC every 2-3 hours. Until he started

> on

> > > testosterone...then all the sudden he was able to

> back way

> > > down on his daily HC dose.

> > >

> > > He then tried to wean himself down on his HC

> because he

> > > thought his adrenals worked a little bit (bad

> information)

> > > and ended up very sick again. So he started back

> on every

> > > 2-3 hours until he built up his reserves again (a

> few

> > > days)and now he understands that you need enough

> to cover

> > > the day AND to keep your reserves stocked up.

> > >

> > > He also has the high pulse and pounding heart at

> the end of

> > > the day and it finally went away when he got on

> enough HC to

> > > keep him running, which for him is 35 mg.

> > >

> > > I can run on about 15 mgs a day if I sit still

> all day but

> > > I may run low...I know that 20 mgs a day for no

> activity

> > > works pretty well for me...but when I am active

> riding my

> > > bike and working out I need as much as 35 mgs a

> day or I

> > > will have an adrenal crash....and they are not

> fun...I can

> > > NOT eat for up to five days.

> > >

> > > One other interesting note is that since I too

> started on

> > > replacement testosterone a few months bad I have

> found my

> > > adrenals to be less sensitive...and example of

> BALANCED

> > > hormones working better together.

> > >

> > > Another note if you have adrenal fatique for too

> long or if

> > > you stress them too much for too long you can

> actually

> > > damage them....so you need to get enough HC in

> your body to

> > > support you in your normal daily and activities.

> > >

> > > I also have Type 1 diabetes which means I have no

> natural

> > > insulin. I test my BG all the time all day...if

> you get low

> > > BG you will get a pounding heart such as Phil and

> Barb were

> > > talking about, it is adrenaline that your body

> puts out to

> > > raise your BG. Is your BG going low at night,

> maybe....but

> > > the pounding herat is adrenaline..Your body will

> run on

> > > adrenaline when it runs too low on cortisol.

> > >

> > > BTW glucose meters have a 20% error rate so your

> 97 could

> > > have been a 78, If you washed your hands and did

> everything

> > > right, just a FYI the meter error rate is a

> serious issue

> > > when you life depends on it.

> > >

> > >

> > > Hope this helps,

> > >

> > > Judy

> > >

> > >

> > >

> > >

> > >

> > >

> > > ------------------------------------

> > >

> > >

[Guest guest]

I've been doing much better on HC dosing. It seems the following is working for

me:

-10mmg 5:00am

-7.5mg 9:00am

-5mg 12:00pm

-2.5mg 4:00pm

I'm starting to sleep some. I've come up with a cocktail of GABA, Taurine and

Inositol that seems to really calm me before bedtime. I take some casein protein

before bed. I am waking during the night. Possibly it's from low cortisol. I do

get up in the morning slightly shaky.

I'm going to try 1.25mg HC before bed tonight. Also, I've been reading about

5HTP. I took a very informal questionare test. It suggests I may be seratonin

deficient. It definitely suggests I am deficient in GABA.

Overall, I'm feeling much better and would like to thank those folks that were

kind enough to offer there advice.

Soon the thyroid will be addressed, this time in an orderly manner.

Jim

> > >

> > > I've been trying to find a dosing schedule that works

> > for me.

> > >

> > > I hardly sleep last night. I took a 2.5mg dose at

> > bedtime. I've tried this 2 times. Both nights I did not

> > sleep. HC at bedtime does not work for me.

> > >

> > > This morning I woke at 5:00 and took 7.5mg. I wasn't

> > shaky at all. I was running late this morning to work. I

> > started to get shaky at 8:00. I was planning to take 5mg at

> > 9:00 but instead took it at 8:30. I was still shaky.

> > >

> > > At 9:30 I took 2.5mg more. I'm still shaky. What could

> > be causing this? I'm already at 15mg for the day. Is this a

> > result of taking too much? I just can't figure this stuff

> > out.

> > >

> > > I've been taking my temps the last few days and I'm at

> > 97.2-97.5. This is where I was usually at before I started

> > HC.

> > >

> > > Any thoughts form anyone would be appreciated.

> > >

> >

> > I'm just curious. If starting on HC, will this have an

> > effect of lowering a mans testosterone level?

> >

> >

> >

> > ------------------------------------

> >

> >

[Guest guest]

Oh, one more thing. I took my temp. 15 minutes ago. It was 98.5. I've always run

between 97.2- 97.5 since I started taking my temp. months ago.

> > > >

> > > > I've been trying to find a dosing schedule that works

> > > for me.

> > > >

> > > > I hardly sleep last night. I took a 2.5mg dose at

> > > bedtime. I've tried this 2 times. Both nights I did not

> > > sleep. HC at bedtime does not work for me.

> > > >

> > > > This morning I woke at 5:00 and took 7.5mg. I wasn't

> > > shaky at all. I was running late this morning to work. I

> > > started to get shaky at 8:00. I was planning to take 5mg at

> > > 9:00 but instead took it at 8:30. I was still shaky.

> > > >

> > > > At 9:30 I took 2.5mg more. I'm still shaky. What could

> > > be causing this? I'm already at 15mg for the day. Is this a

> > > result of taking too much? I just can't figure this stuff

> > > out.

> > > >

> > > > I've been taking my temps the last few days and I'm at

> > > 97.2-97.5. This is where I was usually at before I started

> > > HC.

> > > >

> > > > Any thoughts form anyone would be appreciated.

> > > >

> > >

> > > I'm just curious. If starting on HC, will this have an

> > > effect of lowering a mans testosterone level?

> > >

> > >

> > >

> > > ------------------------------------

> > >

> > >