Adrenal Fatigue Stage 3 - Assessment & Treatment

Reviewed Salivary Adrenal Stress (Cortisol) results.\nImpression is Stage 3 Adrenal Fatigue based on hypofunction at * time collections. Evening collection is normal/low normal.\n\nRecommend reduction of stressors by getting good sleep, eating anti-inflammatory diet, meditating/praying daily, saying "no" to extra commitments, etc.\nAlso recommend Integrative Therapeutics Brand Supplements (Ok to find alternative brand with similar ingredients, if desired) of Cortivive and Cortisol Manager.\n\nAdditionally, targeted hydrocortisone supplementation during the hypofunctioning times of day are recommended. Doses range from 2.5mg to 10mg at a time with a maximum total daily dose of 20mg. This daily dose is not enough to lead to adrenal suppression. However, if significant stressors occur- such as surgery, administration of "stress dose steroids" is reasonable.\n\nRecommend this modification for at least 3 months and consider retesting salivary levels vs continuation of modification.