Doctor insights on:
Melatonin And Cortisol
Adrenal gland: yesGet a more detailed answer ›
Doubtful: Best to consult with dr who ordered testing. ...Read more
YES: no severe or unpleasant side effects unless you are allergic to these components. ...Read more
Poor correlation: Hi. Oral cortisol (aka hydrocortisone) does not reliably affect ACTH secretion nor aldosterone levels. That is somewhat unfortunate for those of us treated adrenal insufficiency, since determination of proper dose is based solely on clinical response, and not labs. Aldosterone is driven by the renin-angiotensin system bypassing the pituitary. UIHC is excellent, so you have great docs close at hand ...Read more
Caffeine depleted my serotonin levels and melatonin levels causing me to have anxiety. What natutal supplements can I take?
Assessment 1st: What you take depends on what the problem is, & what result you want. Before trying more supplements, it would make sense to see your doctor for assessment of the "derealization" and insomnia you mentioned in your additional patient information. These may be connected to more complicated conditions, and need specialized treatment for best results. Hoping for the best possible outcome for you! ...Read more
Taking ashwagandha 470 mg day/470 night for low cortisol-can i take small amount of lithium orotate for sleep?
Probably OK but Why: I guess the easy answer is that it is probably safe. However I am not quite sure i understand why you are doing this. Lithium orotate is very low dose formulation of lithium ( a medication used mostly for bipolar or manic depression) that is available over the counter. It seems like an unusual choice to help you sleep. ...Read more
Will 10mg of amitriptyline increase serotonin and noreph. Levels to assist with stress and/or anxiety?
Yes: As a pharmacist, i don't consider it a vitamin (vitamins and minerals to me are things the body has to have to function properly, like vitamin a, c, d, etc. And minerals like iron and magnesium). I would consider it a natural sleep aid, however, since the body does contain and use melatonin in sleep regulation. ...Read more
Cause of low ACTH and low cortisol in the am? My stim test results:ACTH -5.2, and cortisol- 2.4 before injection then 60minutes from injection cortiso
Unfortunately your: question is incomplete....try again. Dr ZGet a more detailed answer ›
ACTH ALDO Cortisol: I have seen two families in which ACTH is the major driver for aldo production. They have the syndrome called GRA (Glucocorticoid Remedial Aldosteronism) caused by a cross over mutation in the genes controlling aldo production so that the major controller of aldo is ACTH. As you are young and making this question if you also have HTN your team should consider this. Many do not have low K. ...Read moreSee 1 more doctor answer
Production of antidiuretic (adh), thyroxine and t3, (liothyronine) parathyroid (pth), hormones of the adrenal cortex and the pancreas, can you tell me about this?
Complex: Please ask a specific question. This is way too complex and vague to answer. If you want to know about all these hormones, consider an Endocrinology fellowship at a major teaching hospital. Of course, before that, you will need a BS, an MD, and a 3 yr Internal Medicine residency. ...Read more
I took xanax before my bloodwork and tested with a high cortisol level. Doesn't xanax reduce cortisol levels?
No. HPA axis abn.: Must do w/u for Cushing's disease vs syndrome via endocrinologist. Anxiety stemming from endogenous depression also keeps cortisol high. A DST or dexamethasone suppression test, can help to distinguish it all. If not Cushing's, then, antidepressants likely to normalize high levels, avoiding tolerance by Xanax ...Read more
Low day and night cortisol levels, constant adrenaline feeling and increase in severe panic. Severe insomnia. Pheochromocytoma?
Unlikely but possibl: Pheochromocytoma is a very rare disorder that typically presents with severe high blood pressure, high heart rate, headaches, palpitations. Panic attacks can have very similar symptoms. You should do a 24 hr urine collection to check catecholamine levels, VMA, and metanephrines. ...Read moreSee 1 more doctor answer
Can adrenal fatigue cause low grade fever? Are progesterone and estrogen levels related to adrenalin and cortisol?
Dubious diagnosis: "adrenal fatigue" is a pop diagnosis, not an evidence-based one. Since true addison[s isn't a febrile illness, this isn't either. I've wondered if the "subclinical addison's" claims might have something to them, but would urge you not to self-diagnose. The danger of self-diagnosis / treatment is missing another real emotional, situational or physical problem. Your doctor should work your temp up. ...Read moreSee 1 more doctor answer
I have low cortisol, progesterone, estradiol and melatonin levels, and high testosterone. What could cause this combination of abnormalities?
Glandular dysfunctio: Many people have adrenal fatigue which will lower cortisol levels and associated stress will mess up sleep or melatonin. Ovarian dysfunction is also common at earlier age due to poor diets and chemical toxicity even as early as prenatal. Iodine deficiency may be contributing to same. See a dr at acam.Org. ...Read moreSee 1 more doctor answer
Yes.: Actually, the best time to take Olanzapine and Lorazepam is at bedtime because they are sedating. Some people take the Olanzapine after supper and the Lorazepam right at bedtime because it is faster acting. If the Olanzapine by itself controls your anxiety and puts you to sleep, you may skip the Ativan (lorazepam) all together and just take it as needed for breakthrough anxiety. ...Read moreSee 1 more doctor answer
Yes: Glandulars have been a traditional source of these hormones, but there absorption is not realiable. Check with your doctor or check out acam which is an organization that has investigated and held standards on hormone supplementation. They even have a physician referral on there website. ...Read moreSee 1 more doctor answer
Sleep depravation one night led to a chain of sleepless nights. Benadryl (diphenhydramine) sleep hygiene melatonin and no stimulants won't help how can I stop the chain?
Insomnia: There are tons of different sleep aids available, but at this point your insomnia is also caused by the fear/anxiety of not being able to fall asleep. I've had good success with short as needed use of Lorazepam in select patients. It works like a champ for them up to a week and then they are able to sleep on their own. There's a concern of them being addictive, but short and as needed use is ok. ...Read moreSee 1 more doctor answer
Suspected ai, low salivary cortisol, low 24hr urinary cortisol, going for 8am serum cortisol and acth. Fast prior to bl. Work?
Generally not: Necessary, but check w/your specific lab to make sure of their requirements. ...Read more