Doctor insights on:
Adrenal Desiccated Standard Process
Would standard process adrenal supplements (drenatrophin pmg and adrenal desiccated) affect labs – cmp, tsh, free t3, (liothyronine) free t4?
Adrenal supplements: 46F asks about lab effects of adrenal supplements on CMP, TSH, FT3 and Free T4. This has likely never been studied as there is no regulation of adrenal supplements & makers can put anything in them until a bunch gets sick & reported to FDA. I would avoid these unless you need to waste money. I would also avoid a Dr who prescribes them. But need more information. Consult with me. ...Read more
How do you treat overactive adrenal glands? Doc says my s&s sound like adrenal...Insomnia, strong pulse, dry lips and mouth, polyuria.
Complicated: There ar many factors to be considered. First, a solid diagnosis. You need specific tests to confirm or rule this out. Next, if you do have excess hormone, the source must be determined: pituitary tumor, adrenal tumor, or ectopic production. Next, there are several medications used temporarily but, ultimately, the treatment is surgical. Is your doctor an endocrinologist? ...Read more
67 yr-old with years of monthly blackouts, with a history of PVC's, adrenal insufficiency and hypothyroidism, looking for a definitive diagnosis.....?
There a several potential causes for the syncope in this lady. Of concern is that the episode on August 4th occurred without warning. This could be arrhythmic in origin. Although a Holter has been done the patient may need an Event Monitor and if this is negative an implantable monitor may be needed.
We need to make sure she has normal LV function by Echo etc as she does have a history of PVC's.
Vasodepressor syndrome needs to be also considered as she does have some features compatible with this. TTT would be reasonable.
Finally hypotension secondary to the endocrine problem needs to be considered. Perhaps she might need a vasoactive medication as she does have hypotension. ...Read more
Probably not adrenal: The adrenal makes cortisol and adrenaline, both are stress hormones. People who are stressed out and having trouble coping are sometimes persuaded that it’s the adrenal’s fault. Although you may be feeling the effects of chronic stress, it is seldom due to adrenal problems. Poor adrenal function is determined by an acth (cotrosyn) stim test. See an endocrinologist if you have concerns. ...Read more
"adrenal crash" is not a medical term. It occasionally is medical slang for the secondary adrenal insufficiency that follows prolonged exposure to steroids and abrupt withdrawal. Usually a wean of steroid is needed to avoid this crash.
Fatigue following strenuous activity is not an adrenal problem. It is likely a needed recovery phase to repair muscle and rebuild glycogen stores. ...Read more
BIG question!: Too much cortisol or too much aldosterone, too little aldosterone and/or cortisol, too much catecholamine, androgens, and/or cancers. Holy cow! Big question! Cushing's, primary hyperaldosteronism, secondary hyperaldosteronism, Addison's, secondary adrenal insufficiency, congenital adrenal hyperplasia (classical & non-classical), pheochromocytoma, various malignancies, hemorrhage/infarct. Big topic ...Read more
Hormone replacement: Its never a good idea to take a hormone as a supplement unless there is a deficiency. Even in some hormone deficiencies, the drawbacks to replacement outweigh the benefits. While there is some limited evidence that dhea replacement can help specific groups (people with addison's disease for example), adrenal supplements do not have proof that they work at all. ...Read more
What kind of dr should I see, and what tests should they perform, to check on my adrenal function?
Adrenal: An internist can help; however, an endocrinologist is a specialist that deals with the endocrine glands of our body; test that can be perfomed to check how the adrenal gland is working may include : corticosteroid level (cortisol), catecholamine levels (epinephrine, norepinephrine), androgen level, aldosterone level, adrenocorticotropic hormone level (acth) etc... ...Read more
Too Much/Too Little: While the adrenal gland makes several hormones, too little or too much cortisol is usually the problem for adrenals that are under- or overactive. Adrenal insufficiency, or failure, causes weight loss, muscle weakness, low blood pressure, and can be fatal. In cushing's syndrome (too much cortisol) weight gain, the face may be round, and there is increased risk for diabetes and high bp. ...Read more
Why would it happen?: What makes you think you will have an adrenal crisis. Did you have adrenalectomy or addison's disease? Did your doctor advise you to wear a medic alert bracelet? ...Read more
It is too small!: Small nodules in the Adrenal gland do not require any immediate treatment if they are asymptomatic and found incidentally (Incidentaloma). If the nodule increases to a size of >10 mm (1CM), then it will require periodic monitoring, perhaps once yearly to verify if it is growing in size or producing any hormones which can then produce symptoms. You may visit and consult an Endocrinologist if needed ...Read more
No: Adrenal myelolipomas are benign and for the most part asymptomatic. They produce no hormones and are composed of fat and blood components. On rare occasions they can get large When producing symptoms, it is usually because they have become large, and are pressing on other organs or tissues nearby. They can then produce pressure symptoms or localized pain ...Read more
Many causes: "adrenal problems" is a very broad question. Your adrenal produces hormones, including cortisol and adrenaline. We need these hormones to sustain life; they are increased in response to stress. Adrenal failure can be from autoimmunity; adrenal overactivity from tumors. Alternative practitioners often allege “adrenal fatigue” from chronic stress. See an endocrinologist for adrenal problems. ...Read more
It depends.: First of all, I am assuming you mean a 4.2 centimeter tumor. If so, the first issue is to determine if this tumor is "functional", meaning that it secretes abnormal amounts of normal substances such as Epinephrine or steroids. If it is not functional, most people will watch tumors less than 4 CM and remove those larger than 6cm; the decision for those 4-6cm is often based on one's age and health. ...Read more
In some cases: Most episodes of adrenal crises have a trigger, such as severe illness, injury, or surgery. Once it is known that a person with adrenal insufficiency (ai) has such one of these triggers present, or planned, giving high-dose steroids can prevent adrenal crisis. Because such events can occur w/o warning, and a person w/ ai may not be able to tell docs about the ai, alert bracelets are recommended. ...Read more
Adrenal tumor: 1/1500 adrenal tumors can be cancerous (although very rare) so if you found an adrenal tumor, you need to see your doc to see 1)if it's producing any adrenal hormones or just non-functioning, 2)what's the size of the tumor and what's the likelihood it is cancerous or will turn cancerous (tumor > 6 CM very high risk) (i.E what's its charecteristics on ct scan, hounsfield units...). ...Read more
May not be needed: The adrenal makes cortisol and adrenaline, which are stress hormones. People who are stressed out are sometimes persuaded that it’s the adrenal’s fault. This is usually not true. "adrenal fatigue" is often a fake diagnosis. Poor adrenal function is determined by an acth (cotrosyn) stim test, and not by measuring just one blood or saliva level. See an endocrinologist about this if necessary. ...Read more
Multifunctional: Very briefly, the adrenal gland can be divided between the cortex and medulla. The cortex makes a variety of hormones which control salt balance, cortisol, and androgens. The medulla primarily secretes norepinephrine and epinephrine. Functions of medulla and cortex are completely different as are the way their hormones are made and how they work. ...Read more
No single test: The adrenals make quite a few different hormones, so no single test can tell if everything is just right. And it gets even more complicated. One key adrenal hormone, cortisol, can vary a lot between normal people, and within the same person depending upon time of day, and whether or not they're feeling well or not, so that different tests are needed for suspected high or low cortisol levels. ...Read more
Endocrine glands: Adrenal glands are small triangular shaped glands that sit on top of your kidneys and produce neurotransmitters (epinephrine/norepinephrine), corticosteroids, and mineralcorticoids. They have many effects on the body, including salt/water balance, blood sugar balance, energy metabolism, and immune system regulation. ...Read more
Adrenal gland: What are you treating them for? The treatment depends on what problem you have with them. In cushing's syndrome, the adrenals make too much cortisol and in addison's disease they make too little. The treatment of these diseases is quite different. Please rephrase your question for a meaningful answer. ...Read more
Depends on which one: There are different adrenal diseases which include blocks in enzymatic pathways going from one hormone to another in the adrenal cortex; destruction of the cortex; tumors of the cortex, tumors of the adrenal medulla, etc. Depending on which disorder you are referring to, treatment is different. ...Read more