Cortisol arithmetics

[JanSz]

I was looking at this sample Adrenocortex Stress Profile
GDX Adrenocortex Stress Profile Sample Report

It is a result of frequently mentioned Cortisol saliva test.

GDX Adrenocortex Stress Profile

The chart shows sample four point saliva Cortisol levels.

I have not done this test yet.
Many did.

Well when the results are less than optimal we take 20mg of Cortef in divided dose, sometimes up to 30mg, sometimes we take stress dose up to another 30mg for a max of 60mg/day, but that have to be infrequent, otherwise our Adrenals will get worst not better.

Cortef comes in 5mg pills, 20 or 30mg that is 4 to six pills.

Cortef is fast acting, gets in the blood quickly and is metabolized out in probably 3-4 hours.

How should I use my 4 to six pills of Cortef (daily)?
I propose that it should be used on as need basis indicated by test results.

The attempt is made to restore Cortisol levels to its ideal level, (Ideal Middle Point level column)(see attachment).

One would take a Cortef at 7AM, 11AM, 4PM, 11PM.
The dose will be proportional to the amount missing to be at ideal level.

Someone whose chart will come same as the sample chart would
take 4.5 pills 7AM
take 1/2 pill 11PM
no pills at 3:00PM
take 1 pill 10:00PM
That is for a total of 6 pills/day

Does this makes any sense?
Is there a better way?

 

[Travis]

Cortef is fast acting, gets in the blood quickly and is metabolized out in probably 3-4 hours.

How should I use my 4 to six pills of Cortef (daily)?
I propose that it should be used on as need basis indicated by test results.

The attempt is made to restore Cortisol levels to its ideal level, (Ideal Middle Point level column)(see attachment).

One would take a Cortef at 7AM, 11AM, 4PM, 11PM.
The dose will be proportional to the amount missing to be at ideal level.

Someone whose chart will come same as the sample chart would
take 4.5 pills 7AM
take 1/2 pill 11PM
no pills at 3:00PM
take 1 pill 10:00PM
That is for a total of 6 pills/day

Does this makes any sense?
Is there a better way?

How fast? I honestly have no idea...

Also assuming these were your test results why dose cortef heavier in the morning when levels appear to be low? Or am I reading this wrong?

Also is it safe to assume a diurnal curve similar to your one test result? Or do you think periodic testing or testing several days in a row would be needed to get a more accurate picture?