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The schedule you mention is a good one for cortisol replacement. I take 15 mg. in the a.m. and 5 about 5 p.m. It seems to work for me. I have also taken 10, 5, and 5, as you suggest.
Mr. Sleepy,

Sorry I'm slow to post on this... I've had a couple of "bad" days. I'm currently on 40mg... that's 25mg AM, 10mg noon and 5mg suppertime. Me and my MD are wanting to pull that down, but I haven't really stabilized in the last few months. Now even for males, that's on the high end. We've wondered if I'm malabsorbing or something, but that test came back negative.

I am one that goes up or down based on physical or emotional stress. My MD told me to increase (up to double) the dosage if I get sick, for instance. Most others, web sites, etc., will tell you the same. I try to keep to a stable dose, but about once every 2 weeks, something comes up... extra work stress, a head injury once a few months ago, a trip to Disney World, a visit to the dentist... all knock me for a significant loop (think weak, shaky blob of protoplasm) if I don't increase when I recognize the stress. I have begun using the analogy of an automatic transmission vs. a standard. If your adrenals are working, you've got an automatic transmission that takes you into the "fight or flight" mode. You don't have to worry about it... your body just does it. If your adrenals aren't, you've got to (1) recognize that you're insufficient and (2) evaluate a proper up-dosage and take it.

BUT you don't want to get your body into the habit of taking more than it needs. It's tough to pull back on the dosage. And higher dosages harm the body. Take only as much as you need, but no more.

Now... even if you're on 15mg/day, you should consider a Medic Alert bracelet or tag of some sort. I was on 15mg/day and had minor surgery 18 months ago... ended up in the ER with adrenal-related complications. A car accident or fall from a ladder, or even a missed day of meds could drop you into adrenal crisis, if your body is used to getting the 15mg/day orally.

I'm glad you've gotten some degree of your life back! Keep working with your Dr and if he/she is not helping, look for someone who understands.
Well Mr. sleepy, maybe we can compare notes because I go to the FFC as well. I have Fibro/ CFS / hypothyroid/ Adrenal exhaustion / anemia/and they have suggested some things, but I have done alot of my own research about alot of this stuff. I too wish another Dr. would have RX'd this years ago - about 2002 or so is when I was diagnosed. It would have made a big difference for me but instead I was first given heavy pain meds for Fibro. Well I didnt care at all for that, so I took myself off of all that stuff. I did me NO good. Anyway, what I do is I think of something I want to try and then ask my Dr. to see if its ok ( supplements ) and I try it. I have tried many- right now I am on a combo( I kinda play around with doses etc ) of things. Some maybe you have tried?

I take: "Amino acid blend"- sometimes switch up with just the " L- phenylalaline" and "L-tyrosine" alone- "Omega 3.6.9 fish oil" "Acetyl L Carnitine and Alpha Lipoic acid" (in same blend) "5 htp" for help with Seritonin production "Dopa bean" for help with Dopamine production ( they are now saying Fibro may be caused by low Dopamine production- although I dont think its JUST that only, there are many factors I think contributing. A good Iron supplement- Vit C and B-12 to ehance absorbtion of the Iron as well as good for many other things- ie Vit C helps to fight EBV ,good for immunity healing etc ( for CFS) Of course a good daily vit -" Pantothenic acid " "Vit D" for fake sunlight (ha ha- up here in Pacific Northwest we dont get alot of sun I gotta do what I can :rolleyes: ) of course Cortef ( FFC rx's that for me too) it seems like I forgeting something... I have tried Ginseng but it didnt do a thing for me ( but Acupuncturist that I work with said she would give me the REAL Ginseng not the kind in the drug store so I may give that another chance) I tried Provigil-- not a THING felt there. :confused:

As of now, I have been taking this combo for about 8 weeks. Seems to be pretty good. I think what has been most helpful are (Cortef) and Acetyl L- carnatine/ Alpha lipoic combo- Amino acid complex or amino acids seperately- Dopa Bean- Pantothenic acid - and getting Iron back up.
I hope you can try some of these things mentioned because you never know what might help in your own case. Oh wait ,I want to clarify I have been taking the Cortef alot longer (about 1 and half years ) . If you have any questions I will glady help. I still struggle the most I think with CFS and the FATIGUE involved. My pain has gone from about an 8 to about a 1 so I am very thankful for that, I just have this fatigue problem. I takes all I can do to go to work ( massage therapist) at least I can set my own hours so thats very helpful when all I can do is stay home in my scooby doo jammies and I getting pretty tired of that - Ill tell ya. :yawn:

What do they have you on over at the FFC where you are and what do you think of the clinic/Drs ? Have you tried anything that has helped you besides the Cortef? Its great to share ideas with as many people as possible, Ithink.

Hope you have a great one~ ~ LFH

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