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Abdominal: No, adrenal suppression is linked to fatigue and overwhelm not abd pain. ...Read more
Feed your adrenals : Cortisol - as are all corticosteroids is derived from cholesterol. Studies have shown that a high saurated fat, low polyunsaturated fat diet will increase corticosteroid levels. Also supplementation with pregnenolone will increase ability of your adrenals to make cortisol, progesterone, estrogen, testosterone and other corticoids. Reduce all forms of stress. Get sleep and sunlight. ...Read moreSee 1 more doctor answer
If high cortisol can decrease serotonin levels then can low cortisol(like due to iatrogenic adrenal suppression) increase serotonin levels?
Is the risk of adrenal suppression/insuffiency increased or the same at, let's say, 35 mg prednisone compared to 45 mg? Or any dosage above 7.5 equal?
0.5 mg florinef (fludrocortisone) every other day works so well for my POTS but I'm so afraid I will end up with adrenal suppression & osteoporosis when I'm older. Help?
POTS is a 'syndrome': "Syndrome" = "we don't get it". In POTS, there is an unexplained alteration in the balance of stress/relaxation response (autonomic system) that coordinates heart rate and blood vessel size and so-on. After cardiology has assured no dangerous abnormalities, it makes sense to try cranial osteopathy or craniosacral which can balance autonomic system. Look for credentialed providers. ...Read more
Is it risky to be on 0.05 mg Florinef (fludrocortisone) ever other day for POTS? I struggle with when off it. Concern for bones, thinning skin, adrenal suppression
Non-issues: B"sd Florinef (fludrocortisone) is the only aldosterone like agent available. To my knowledge, unlike corticosteroids it does not suppress the pituitary adrenal axis or cause thinning of the skin. If anything it should decrease renal calcium excretion and possibly decrease bone loss. the main concerns; 1.hypokalemia 2. hypertension, especially when supine. glad to discuss further ...Read more
Florinef (fludrocortisone) for POTS. Wish 2wean off eventually but sx come back. Are most w/POTS on longterm?Isn't it bad to be on longterm(bones,adrenal suppression)
Currently there is: no cure for POTS. All treatments are palliative to avoid symptoms and complications from syncope. It is a molecular genetic abnormality of the autonomic nervous system. Although there is potential for long term side effects from the Florinef (fludrocortisone) the alternative is harm and disability from non treatment. Of course Sx come back without Florinef (fludrocortisone). Ask about other therapies that might be reasonable. ...Read more
Acth lab <5 1 wk p completing 15day prednisone taper. Is adrenal suppression artificial? Concerned?20mg x3tabsx 5days, x 2x 5 days, x1 x 5 days.
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