Cortisol cream/ Isocort buy where?

Dr. John,

We very much appreciate the time and effort you put in on this site.

Please accept a 'well done' re: your moderation of this board!!

As someone recently started on the HRT/TRT voyage it is great to be able to ask general questions about the field and to have your cutting edge info posted.

Thanks!!
 
I have a question regarding during the 4 saliva tests for cortisol levels that would be spread out over the course of a day. I imagine that their cortosol would be increased if they worked out on the day they were doing the tests. If so, would one want to work out? Doing so could increase cortosol. Not doing so, could potentially miss the fact that ones adrenals might sputter under the strain of a hard work out. Just wondered what folks thought about this.
 
I don't remember anything in the directions regarding physical activity. It stressed the time and amount of the sampling and the storage/shippping process. Mine was done at a lab in GA and I'm in CO. Was 4 samples, the first being as soon as you rise then approx 4-5 hrs later for each. So I would think that if a w/o would have an effect it would depend on when you w/o.
 
It runs $141.55 for the 4 Cortisols and 1 DHEA. It also includes TSH, Free T4, Free T3, microsomal antibody, estrogen, progesterone, and testosterone. I really wouldn't include the other stuff, but that seems to be the cheapest Cortisol tests I can find and it includes them.
 
FYI777 said:
To everyone here, remember you can live without thyroid,you can live without testosterone but you cannot live without the adrenals(known as Addison's disease and before corticosteroids were discovered this disease was fatal).So let's give our dues first and foremost to the adrenals first and take care of them first.

On a side note pantothenic acid(vitamin B5) is extremely important for adrenal health.Megadosing on this has been shown to increase endurance.
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You're not seriously suggesting that a person could live without thyroid....? I think that claim needs substantiation.

My understanding is that without thryoid, your cell metabolism will shut off and you will eventually enter myxedemic coma, which leads to shock, hypothermia and death.
 
Dr. John said:
Yup. But what a scary way to live: get separated from your meds, and you die (rather quickly) of acute Adrenal Insufficiency.
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Actually, as a dude without a thryoid gland, that's exactly how I feel! Underdosed on synthroid post thyroidectomy was like dying a slow spiraling death - my life consisted of waking, going to work, and crashing on the couch at the end of the day with only enough energy to eat and go to bed a few hours later. And that was with replacement hormone.

I have no illusions of lasting very long if I were to get stranded on some desert island someplace without access to my beloved Armour Rx.

Maybe adrenal is worse, but I think previous posts suggesting you can live without thyroid are misleading. ;-)
 
Dr. John said:
I think the point is that a person will die within hours of acute adrenal insufficiency.
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Ahhh...okay, understood what he meant now. I didn't realize adrenal was so quick!

Dr. John said:
Without testosterone, some wish they would. LOL.
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Been there, done that! LOL
 
I received a kit to do saliva labs and they say to avoid anything with caffeen in it. I drink coffee off and on all day long. In fact, I usually have a few cups after dinner so my last cup is usually around 6:30 or 7:00 pm. This does not interfere with my sleep at all. In fact I usually have to struggle to stay awake after 9:00.

When someone has adrenal fatigue, it makes sense to me that they would depend on caffein. If that is the case, how the hell do they expect someone to go a full day without it?
 
smitty4 said:
I received a kit to do saliva labs and they say to avoid anything with caffeen in it. I drink coffee off and on all day long. In fact, I usually have a few cups after dinner so my last cup is usually around 6:30 or 7:00 pm. This does not interfere with my sleep at all. In fact I usually have to struggle to stay awake after 9:00.

When someone has adrenal fatigue, it makes sense to me that they would depend on caffein. If that is the case, how the hell do they expect someone to go a full day without it?
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I have read pros and cons on coffee I don't buy this if you have one or two cups of coffee in the morning it's not going to cause a problem but if your drink it all day yes it will. I would do the test doing just what you do everyday to see what your levels are for you normal way of life.
Phil
 
pmgamer18 said:
I have read pros and cons on coffee I don't buy this if you have one or two cups of coffee in the morning it's not going to cause a problem but if your drink it all day yes it will. I would do the test doing just what you do everyday to see what your levels are for you normal way of life.
Phil
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Testing under they typical daily conditions makes sense to me, but I don't know enough about the labs to know if the caffein may somehow invalidate the results (e.g. eating rather than fasting would mess up lipid labs).
 
Dr. John said:
You shouldn't drink so much coffee.

Umm...remember: it's what I say, not what I do.
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LOL...yep, I know I shouldn't. I have cut back a few times, but it doesn't last. I wound up reading Wilson's "Adrenal Fatigue - The 21st Century Stress Syndrome" and in it, he indicates that a dependence on caffein can be an indication of adrenal fatigue. That's one of the reasons I got interested in the saliva labs. Well...that and other things listed in the book like craving salty and sweet snacks and others. Of course, I am sure that there are a lot folks who drink coffee, who also like salty/sweet snacks, etc., who are perfectly fine.
 
In my case I am Hypopituitary so my Pit. tells my glains to make hormones just not enough. My Cortisol levels are very low in the morning and through out the day. I feel much better doing 10mgs of Cortisol using Isocort in the morning and 5mgs at noon and dinner. My Question is, is it ok to stress dose using HC up to 20 mgs 3 - 4 times a day when comming down what Bronchitis for 2 - 7 days like Jefferies says in his book "Safe Uses for Cortisol"
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Isocort is made from sheep glands and one pill is said to = 2.5 mgs of Cortisol. Can one mix this with a stress dose of HC when getting sick or would it be better to just be on HC 20mgs a day and then stress dose when getting sick with HC.
I get sick with Bronchitis every winter and each time it is worse.
Phil
 
smitty4 said:
LOL...yep, I know I shouldn't. I have cut back a few times, but it doesn't last. I wound up reading Wilson's "Adrenal Fatigue - The 21st Century Stress Syndrome" and in it, he indicates that a dependence on caffein can be an indication of adrenal fatigue. That's one of the reasons I got interested in the saliva labs. Well...that and other things listed in the book like craving salty and sweet snacks and others. Of course, I am sure that there are a lot folks who drink coffee, who also like salty/sweet snacks, etc., who are perfectly fine.
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I read that book when it first came out, don't recall the details of it, though.

I have so many of the symptoms you guys describe (crave salt, crave sweet, afternoon fatigue, need my morning coffee, etc), but almost every 24 hour urine labs I've done the past year or two show EXCESS cortisol levels. That doesn't seem like adrenal fatigue, does it? Might be on the path to burning them out, but I don't see how adding a supplement would be beneficial in that situation.

My current strategies are to do things to reduce cortisol production, such as taking phosphatidylserene, relaxation, nutrition, etc.
 
pmgamer18 said:
In my case I am Hypopituitary so my Pit. tells my glains to make hormones just not enough. My Cortisol levels are very low in the morning and through out the day. I feel much better doing 10mgs of Cortisol using Isocort in the morning and 5mgs at noon and dinner. My Question is, is it ok to stress dose using HC up to 20 mgs 3 - 4 times a day when comming down what Bronchitis for 2 - 7 days like Jefferies says in his book "Safe Uses for Cortisol"
Invalid Link Removed

Isocort is made from sheep glands and one pill is said to = 2.5 mgs of Cortisol. Can one mix this with a stress dose of HC when getting sick or would it be better to just be on HC 20mgs a day and then stress dose when getting sick with HC.
I get sick with Bronchitis every winter and each time it is worse.
Phil
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I cared for my Mom for 25 years. She died on me Mar/2005 at 95yo.
I have a headache about it, as I think she died of heavy cold or flu
that I could have prevented had I got her a flu shot.
Her lungs have given up. Years ago I started her and myself on the
flu shots, but after the first one we both cought cold,
so I abadoned flu shots for years. In the fall of 05 I got my flu shot
again, no colds thruout the whole season.
Couple of weeks ago I got another flu shot, week latter I got little
cold with coughing. But it lasted few days and I think it is gone.
I plan on using flu shots from now on.
Are you taking flu shots, Phil?
 
Sorry to hear about your Mom I was taking care of my mother in law for the last 7 yrs. She was the only mother I had I loved her very much and she treated me like I was her son. My wife worked all day so I took care of her we lost her at age 85 the first of the yr.

I do get flu shots but still get sick every winter I had a bad head injury some 23 yrs. ago and have had this problem every winter after that. I know feel it from my cortisol levels being so low because of my Hypopituitary from the head injury.

I just found out this is my problem 5 months ago.
Phil
 
pmgamer18 said:
Sorry to hear about your Mom I was taking care of my mother in law for the last 7 yrs. She was the only mother I had I loved her very much and she treated me like I was her son. My wife worked all day so I took care of her we lost her at age 85 the first of the yr.

I do get flu shots but still get sick every winter I had a bad head injury some 23 yrs. ago and have had this problem every winter after that. I know feel it from my cortisol levels being so low because of my Hypopituitary from the head injury.

I just found out this is my problem 5 months ago.
Phil
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You may want to check your house.
You have mention before using a spa.
Check for humidity, spores, molds etc.
Radon.
I do not keep my house very tight, let the air in, cost more in heating but I consider it well worth it.
In the summer you are probably breathing more of the fresh air.
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Ok, you are low on Cortisol but have enough to stay out of trouble in the summer.
In winter you got more stress, where this extra stress is coming from?
 
Go point my Dr. told me to do this yr's ago so no that is not the problem I feel it's my cortisol levels being to low I was dam sick last winter and still have problems breathing now and most of the summer. I feel if I can't stop this it will kill me.
 
pmgamer18 said:
Go point my Dr. told me to do this yr's ago so no that is not the problem I feel it's my cortisol levels being to low I was dam sick last winter and still have problems breathing now and most of the summer. I feel if I can't stop this it will kill me.
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Well, Phil, you better figure it out, cause your loss would be a great blow to so many on so many different boards and forums! ;-)

Have you checked Dr Mirkin's website? He blames an awful lot on bacteria, and claims a lot of success curing things from rhuematoid arthritis to high PSA counts, to early adult onset asthma by LONG TERM dosing of antibiotics (usually combinations of the kind that kill bacteria, and the kind that prohibits bacterial multiplication). By long term, we're not talking the normal 3 to 10 days of antibiotics, but 6 weeks to 6 months.

Worth an email or browsing his website for another opinion.
 
Thanks I will check this out. I hope we have it figured out that it's my pituitary not working right and doing HC will fix this.
Phil
 
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