. Many doctors have told me they have never seen a case of adrenal insufficiency in their entire medical career. Of course not. You do never find what you have decided does not exist.
Regarding your last sentences, that many doctors have told you they 'd never seen a case of adrenal insufficiency in their entire medical carreer- thats true, most of their knowledge comes from books that were printed 10 yrs ago or from professors notes which exclude several medical facts depending on their professors standpoint.
I have to say that, really one or two doctors (from the 40 or 45 i met this yr) has seen adrenal insufficiency or heard about adrenal fatigue, or knows of sympathetic or parasympathetic overtraining yet ALL of them told me that i should talk with a psychiatrist or go on a long holiday.
Thats how easy they judge and make diagnoses-without even getting into serious testing. I think they feel obliged to jump to a diagnoses just to secure and excuse the yrs they spend studying (or trying to study and understand medicine-two completely different things) because they are afraid that if they dont give you a diagnoses you will go out disadvertising them.
Indeed their biggest mistake is not to admit that they are not aware of such problems or their solutions.
I know it must be hard for someone who has spent 10-12 yrs of his life, in order to obtain a medical and an endocrinology degree and someday he has to come across a patient who talks to him about saliva testing, adrenal fatigue, optimal hormone values and loads of other stuff he never heard of, but thats life. As well as in other aspects of life, medicine is under constant evolution. (recently i found out that my endocrinologist didnt know what reactive hypoglycemia was and didnt even know the relation between cortisol/adrenaline funtcion and testosterone was and which hormone limits what, yet he lectures about hormones in our university)- how the fuck is this possible now, dont ask me.
Anyways got my saliva tests back and i also found a very good doctor in a Greek-American Hospital who was really interested in all this, he also did saliva testing before and he said that it had changed his life. I have my saliva tests in a separate post as well for those who are not following with this one.
7-8 am cortisol 20 nM (normal values 13-24)
11-12 pm 5 nm (normal values 5-10)
4-5pm 1 nm (normal values 3-8)
midinight 1 (normal values 1-4)
DHEA 5ng/ml (normal values 3-10)
Cortisol/Dhea correlation spectrum shows that i am in the Non-adapted, low reserve adrenal categorie
I have some adrenal reserve but for some weird reason (which for me is not weird, since i have been suffering from overtraining for months now, this reserve gets very quickly depleted from noon time and on)
I have to say that this test was done when i was back on my feet, and under the use of some vitamins and antidepressant (diazepam) for at least a month. During summer i could rarely get out of bed and watch tv for example. I guess i should have done it back then, if i knew it existed.
Insulin <3 (Optimal 5-20 uIU/ml) How weird? I was eating like a dog, 6 meals a day and still had no energy to walk. I kept telling my doctors, that i feel i have some sort of hypoglycemia, yet they told me i was mad for saying that, since after 30 hours of fasting no change in my blood levels were seen. The blood glucose tolerance test that showed i had a massive drop in bglucose after the first hour was of no value to them. To them the only thing valued is the test they have been using for their entire lives. All their patients regardless, age, work, sex, previous health problems, current psychological, physiological and stress status are the same.
P17-0H progesterone 37pg/ml (optimal 22-100)
Salivary SIgA <5 normal (25-60 mg/dl)
I guess that this has to do with my sympathetic activity, but nevertheless in order to prove that someone must be able to understand how catecholamine work. After testing my catecholamines it was shown how increased their levels were, but still this didnt mean anything to my doctors till now.
Anyways, luckily i met this American doctor in this very good hospital who really explained to me what has been happening to me.
His advice was to take vitamins, C, B5, Biotin, Zinc, Copper, Glutamine (i dont know why glutamine-im not acutely overtrained) and vitamin E and
take 5 mg of hydrocortisone once a day but AT NOON time!!!
He told me that my cortisol levels are good in the morning, i shouldnt try to increase them more, i should just go an and add a boust of hydrocortisone during noon and maybe later on in the afternoons, but not at night or morning. I dont know, if this is good enough, or should i follow the normal pattern, 2.5 mg morning and then build up in the usual fashion as days and weeks go by.
I would like your insight on this one pls.
Take care. Soon i will come back with further saliva testing, i know its not optimal for all conditions but i want to doublecheck my androgens with blood testing in order to decide on future hcG use or not.
