Doctor insights on:
Adrenal Performance Plus
Without knowing what caused my adrenal insufficiency plus autoimmune thyroiditis, low-t, low vit. D, etc, is the adrenal problems likely to reoccur?
Gland problems: If you have insufficiency of adrenals, thyroid, and gonads, you may have one of the autoimmune polyendocrine syndromes. The glandular failures, when they occur in this relatively rare disorder, are usually permanent. But you need to be under the care of an endocrinologist, who is best equipped to diagnose and treat this. ...Read more
My holistic doctor did a saliva cortisol test throughut the day. The results tell that I have adrenal fatigue. The doctor wants me to take adrenotone plus andphosphotidyleserine. Is it a good idea to take these?
Skeptical.: While promoted by various alternative medicine sites and "holistic" healers, adrenal fatigue isn't an accepted medical diagnosis. Keep a skeptical eye towards anything that sounds too good to be true - including supplements (especially if marketed by the doc). Supplements are largely unregulated - their purity and safety aren't tested. Most are useless. Common sense diet and exercise is best. ...Read moreSee 3 more doctor answers
I get migraines, and have a history of anorexia, hypotension, orthostatic BPs, dehydration, thyroid and adrenal problems, etc. Tonight, my migraine is getting worse again, plus shakiness, dizziness, feeling hot/flushed, nausea and the veins/arteries (?) o
Migraine and the: other symptoms you mention all need to be treated and may be related. Have you been to a migraine clinic at a local hospital? Please look into that. Also, diet can trigger migraine. Food sensitivity testing, perhaps through Great Plains Laboratory in Kansas can give you more info. Peace and good health. ...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: "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
Life threatening: Your adrenal glands make hormones which help to maintain normal salt and sugar levels in your blood as well as normal blood pressure. An adrenal crisis is a severe presentation of adrenal insufficiency which is life threatening due to potential problems with severely low blood pressure, in addition to very abnormal salt and sugar levels. ...Read moreSee 1 more doctor answer
Depends: Sometimes, if there is concern for a particular tumor called a pheochromocytoma, which release adrenaline, then you will want to use drugs that block adrenaline to keep your blood pressure safe during the surgery. Also, sometimes before a surgery you can embolize and block some of the blood flow going to the gland to make the surgery easier. ...Read more
Low cortisol state: Acute adrenal crisis is defined by the sudden drop in Hydrocortisone (or its equivalent) in the body, prompting acute physiological changes such as low blood sugar, lethargy, nausea, low blood pressure and sometimes even coma and death. Immediate steroid replacement is needed to reverse the above either via mouth (if the individual is stable and able to swallow) or via intra muscular/intravenous. ...Read moreSee 1 more doctor answer
Adrenal nodule: is a small mass in the adrenal gland. The vast majority of adrenal nodules incidentally detected on imaging studies are benign adenomas. These require no treatment, and generally have characteristic appearances on CT and MRI that enable a confident diagnosis without biopsy. If they don't have these characteristics, they may need follow up or biopsy because neoplasm/cancer is a possibility. ...Read more