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Old 12-08-2007, 09:01 PM
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Default Dysautonomia/Autonomic Issues Likely Attributable to Adrenal Fatigue

Anyone familiar with this disorder, which includes autonomic issues such as labile pulse and blood pressure and it's link to adrenal fatigue?

Here's some background skinny:

What is “Dysautonomia” and How Common is it in Thyroid Patients? - Thyroid Health
Dysautonomia -- Not really confined to women's issues.

I visited a cardiologist this week, to whom I was referred by my endo, for these issues. The doctor verifies that my pulse increases by 30, and my blood pressure decreases by 20, when I go from a slanted lying position to standing up. (A sort of poor man's tilt table test, described in the the first link, above.) BP is supposed to increase to ensure good respiration! From what I have read, this is textbook Postural Orthostatic Tachychardia Syndrome. It can cause extreme fatigue because every time you stand up, your body responds like it's doing exercise. And when the BP drops, it causes imbalance and dizziness.

So, I asked the doc whether this condition usually causes symptoms (like the ones I am complaining of) and he tells me, "well, we usually only see it in old people, and it can cause symptoms in them." Well, I'm 37 and it's causing me symptoms. It wouldnt be the only thing that I share with geriatrics -- e.g., my free T is like that of an unhealthy 80 year old.

After I listed all the things that are going wrong with my body, all which I believe to be clinically significant, he looks at me perplexed. Testing him, I say, "I guess I sound like a hypochondriac." He replies, "Kinda."

Just another reason medicine needs to be better integrated, along the lines that Dr. Mariano espouses. I guess I am going to need to have some sort of cardiovascular event to be taken seriously by the cardiologist.

The ironic thing is that my integrative internist also recommended this particular cardiologist. Perhaps he will surprise me once he reads the holter monitor report.

Sometimes I feel that I would be taken a lot more seriously if I were a woman, as these sort of issues, like adrenal fatigue, are thought to be more common in women. I'm sure this is partly attributable to the fact that it is more socially acceptable for women to admit they are experiencing a medical problem that is less than absolutely catastrophic.

j
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Old 12-09-2007, 12:34 AM
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Default Re: Dysautonomia/Autonomic Issues Likely Attributable to Adrenal Fatigue

In plain english, this is a symptom of adrenal insufficiency and probably hypothyroidism. For many years, I lived with a resting pulse of 100+ and a lot of arrythmias. Come to find out, I needed cortisol and testosterone replacement. Doctors were perfectly happy to put me on beta blockers and not look any further. If your heart races and your BP drops upon standing, it is a safe bet that you need Florinef and Cortef. Any other odd symtoms? My other odd symptoms were chronic nausea and total heat intolerance.
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Old 12-09-2007, 01:26 AM
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Default Re: Dysautonomia/Autonomic Issues Likely Attributable to Adrenal Fatigue

Thanks for the quick response . . .

Lack of coordination (and I am athletic, at least was), motion sickness (movement induced nausea, including when I watch movies that are action packed, like Transformers), difficulty with vision (for instance, when reading), particularly peripheral vision, and pressure behind the eyes -- though I dont know whether the last 2 correlate with the hypo issues. My heart also races 100+ BPM in the morning, and when I go up the stairs in my house (it's crusing at 120+). Technically, I dont think that qualifies as tachycardia, but it seems nearly as bad when your thin, athletic, and in pretty decent shape, in spite of illness.

It irks the hell out of me that I get treated like I'm a damn clown by docs. Part of the problem, I suspect, is that I'm decent and athletic looking, seemingly well put together, and well spoken, in spite of pretty severe cognitive deficits, on a relative basis. I had to discontinue what was a very successful career as the demands were just too great. I get looks for that as well, from the doctors with whom I have not established my credibility. Like you, I also get heart palpitations and they dont correlate with stress.

A year ago, when I was on a MAOi, cuz the shrink that I was morbidly depressed, my adrenals were really getting fried, and I had a few near hypertensive crisis, and fell in the process of getting up on a handful of occassions. Things went black for a second, a few times.

Incidentally, while I am not sure it relates, whenever I give blood, or get cut badly, including a few weeks ago, when I fell down the stairs with a heavy crystal glass in my hand (which I was holding by cupping the glass at the top) and punctured my hand, I go into a very cold sweat and come close to passing out. I'm sure it's a hard drop in blood pressure. I recently read that this is highly suggestive of hypothyroid or adrenia, I cant recall which. And note, I have a pretty high pain threshold, so this is not just nerves.

While I would never wish this on any of you, it is comforting to know I am not alone. We can be a big can of mixed nuts, together!

j
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Old 12-10-2007, 11:55 AM
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Default Re: Dysautonomia/Autonomic Issues Likely Attributable to Adrenal Fatigue

I had similar issues to this except my pulse was near-death hah. resting was like 41 bpm and during sleep it dropped into the thirties. But after seeing a cardiologist who said the heart was good, they finally realized they needed to kick it in to gear and get my adrenals better supported so I could handle a higher dose of armour. Now, my pulse is near normal and things are regularlly getting better. i still have some low blood pressure issues, especially regarding ED and stuff of that nature but its getting better. Hope dr. john can fix even that in the next appointment.
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Old 12-10-2007, 12:35 PM
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Default Re: Dysautonomia/Autonomic Issues Likely Attributable to Adrenal Fatigue

Quote:
Originally Posted by jinxie1 View Post
Anyone familiar with this disorder, which includes autonomic issues such as labile pulse and blood pressure and it's link to adrenal fatigue?

Here's some background skinny:

What is “Dysautonomia” and How Common is it in Thyroid Patients? - Thyroid Health
Dysautonomia -- Not really confined to women's issues.

I visited a cardiologist this week, to whom I was referred by my endo, for these issues. The doctor verifies that my pulse increases by 30, and my blood pressure decreases by 20, when I go from a slanted lying position to standing up. (A sort of poor man's tilt table test, described in the the first link, above.) BP is supposed to increase to ensure good respiration! From what I have read, this is textbook Postural Orthostatic Tachychardia Syndrome. It can cause extreme fatigue because every time you stand up, your body responds like it's doing exercise. And when the BP drops, it causes imbalance and dizziness.

So, I asked the doc whether this condition usually causes symptoms (like the ones I am complaining of) and he tells me, "well, we usually only see it in old people, and it can cause symptoms in them." Well, I'm 37 and it's causing me symptoms. It wouldnt be the only thing that I share with geriatrics -- e.g., my free T is like that of an unhealthy 80 year old.

After I listed all the things that are going wrong with my body, all which I believe to be clinically significant, he looks at me perplexed. Testing him, I say, "I guess I sound like a hypochondriac." He replies, "Kinda."

Just another reason medicine needs to be better integrated, along the lines that Dr. Mariano espouses. I guess I am going to need to have some sort of cardiovascular event to be taken seriously by the cardiologist.

The ironic thing is that my integrative internist also recommended this particular cardiologist. Perhaps he will surprise me once he reads the holter monitor report.

Sometimes I feel that I would be taken a lot more seriously if I were a woman, as these sort of issues, like adrenal fatigue, are thought to be more common in women. I'm sure this is partly attributable to the fact that it is more socially acceptable for women to admit they are experiencing a medical problem that is less than absolutely catastrophic.

j
I have no answer to your difficult problem.

Wonder how/if you would feel better if yo did the following two step project:

Step I;
Using tests from my list (Quest) adjust so you are tested as follows:
DHEA at 110% of top range
FreeT3 to the top range
Bioavailable Testosterone to ~575
FreeE2 (0.45 - 0.6)

Step II

do this step after you are relatively compliant with step I

do at Genova Diagnostcs these two tests

NuTriEval
GDX NutrEval Profile
Estroessence
Genova Diagnostics EstroEssence

eat for few months whatewer those tests recomended,
buy the stuff mostly at LEF.org due to quality considerations
if you get some improvement but not enough,
ask at Genova for their Genomics testing
you may have some genes disorder
the test may identify disorder if any, and advice how to live with it.

I am working with osteopath who does anti-aging and anti-drugs therapies.
Integrative doc may also be useful.
================================================== ========
This is new idea (for me) when looking for helpful doctors:
check those who are dealing with alcoholics and other drug addicts.
I just do not know how to make such a search, any ideas?
.
.

Last edited by JanSz; 12-10-2007 at 12:47 PM.
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