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Addison's Disease Message Board

Addison's Disease Board Index

Hi Jdar and Noevr,

I'm sorry you are going through this. A few points to consider.

1. Addison's or cortisol deficiency is not difficult to control;
2. 7.5 mg of hydrocortisone is a tiny dose. Well below full replacement and very low for even a mild deficiency. 20-25 mg of hydrocortisone is equivalent to 5 mg of prednisone. The typical starting dose for a female with a mild cortisol deficiency is 10 mg of hydrocorticone at 7 am and 10 mg at noon.
3. Your sex steroids should be corrected when taking cortisol. This includes testosterone, estradiol and progesterone.
4. Always take DHEA with cortisol. It's about a 1:1 relationship with hydrocortisone. you dose only once per day. For example. 10 mg of hydrocortisone at 7 am and noon means 20 mg DHEA at 7 am. Your body always releases these two hormones to balance. Cortisol is catabolic and DHEA is anabolic. If you only take cortisol and don't add DHEA and correct the sex steroids excessive side effects can occur such as thinning of the skin, osteoporosis decreased muscle mass, increased weight and fat mass etc.
The proper dose is determined by the clinical sings and symptoms as well as serum and 24 hour urine testing.
5. Lastly you doc must understand that the lab reference range does not describe optimal health.

Again, this is not complex or difficult to manage. It may be difficult for you to find a doctor that understand the above.

Let me know if you need more information.

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