How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. D. Love Your Own Question

Dr. D. Love
Dr. D. Love, Doctor
Category: Medical
Satisfied Customers: 17959
Experience:  Family Physician for 10 years; Hospital Medical Director for 10 years.
21597572
Type Your Medical Question Here...
Dr. D. Love is online now

do you have my questions from befor because i feel it is u

Resolved Question:

do you have my questions from befor because i feel it is urgent
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. D. Love replied 2 years ago.
I believe that there are duplicate questions.
Do you have the results of the prior tests?

Customer: replied 2 years ago.

yes 1 post awakening nothing inside range, out side range 11.00


2.nothing inside range 3.9 outside range sample 4+.5 hours


 


3 nothing inside range. inside range 1.2 sample 4+5 hours


 


4 prior to sleep inside range 1,0 nothing outside range


 


My daily cortisol nothing in range, 17.1 outside range


 


Range 21-41 nmol/L


 


DHEA levels 2 am 0.11 in range nothing outside


 


sample 2 3pm 0.13 in range, nothing outside range


 


DHEA Cortisol Ratio 0.70 inside range, nothing outside range


 


The fatigue as we expected is quite marked You will need to follow the full adrenal protocol.


 


Which is dit staining of sugar, salt, refined foods, eating wholefoods, protein eating every 3 to four hours to get rid of fats, small meals.


 


Lifestyle relaxing reading going for walks, meditation, exercise gentle, yoga pliates.


 


 

Expert:  Dr. D. Love replied 2 years ago.
In response to the saliva tests, were any blood tests done to assess adrenal function?
Was the specialist unable to do this recently since he was on leave?

Expert:  Dr. D. Love replied 2 years ago.
I realize that you have had difficulty in accessing the above questions, so I will assume that no blood tests have been done, either when the original saliva tests were done or recently.

There are several issues to consider in this situation.

First, the saliva tests for adrenal function are reasonable for an initial screening test, but are not considered specific for diagnosis of adrenal dysfunction. If the saliva tests are abnormal, then the usual next step would be to perform more specific tests of adrenal function, most often an ACTH stimulation test. There also would typically be other endocrine assessment, including thyroid blood tests and possibly prolactin levels.

If the ACTH stimulation test indicates that there is adrenal insufficiency, then the next step would be to provide adrenal hormone supplementation. If there is concomitant thyroid dysfunction, then there should be thyroid hormone replacement. These hormones are only available by prescription; there are no over the counter medicines or supplements that will be able to accomplish the same effect.

So, the next step should be to perform these blood tests of adrenal and thyroid function, and if necessary, provide hormone replacement treatment.

If I can provide any further information, please let me know.

Dr. D. Love, Doctor
Category: Medical
Satisfied Customers: 17959
Experience: Family Physician for 10 years; Hospital Medical Director for 10 years.
Dr. D. Love and 4 other Medical Specialists are ready to help you
Customer: replied 2 years ago.

I had a big argument with my doctor, she said that she was going to give a blood test for this along with about six others she did for kidney,liver,something in my blood count they did again so i can only have certain antibiotics. I had a chest x ray because i was feeling pain and keep getting chest infections and a ecg. Everything was clear, my sugar level is 6.4 but she didn't, she said it is a very expensive test, but because i was angry she did offer it to me in the end but i had had enough by then. Can I have these blood test privately. My thyroid blood tests have come back ok.

Expert:  Dr. D. Love replied 2 years ago.
I'm glad that you could finally get through to the question.

It is appropriate to perform these other tests to look for other conditions, but thet will not help clarify whether there is adrenal dysfunction.

Yes, it would certainly be OK for you to see a private Endocrinologist that can perform these tests of adrenal function.

Customer: replied 2 years ago.

how will i carry on with this feeling of every emotion i am going through because i am nor releasing adrenaline to cope i am feeling faint and light headed. so, so tired not sleeping. the fainting feeling is sometimes making me feel sick i have a dog and i cant walk far.

Expert:  Dr. D. Love replied 2 years ago.
If there is adrenal dysfunction, then the symptoms will typically improve with the hormone replacement noted above.

It is important to note that adrenaline is actually released by a different mechanism, and adrenal insufficiency typically affects cortisol and similar hormones, but does not affect adrenaline. The adrenal gland has two parts that develop separately; the inner portion releases adrenaline and the outer portion releases cortisol and similar hormones. The term adrenal insufficiency refers to a defect in release of cortisol and similar hormones.

Customer: replied 2 years ago.

I see.Cortisol deficiency not adrenaline deficiency. So do you think that is what i need. Or i should have the test first Is this cortisol i will be given a steroid. Do you think it is that serious now.


 


Also this saliva test was don in 2011. I had a breavment so did not carry on with the protocol. My general doctor is a woman, dr peatfield is the man that treats thyroid and adrenal fatigue he is on annual leave.

Expert:  Dr. D. Love replied 2 years ago.
The saliva testing was for cortisol and similar hormones, so that is what further evaluation is needed. You should definitely be tested first before starting on hormone replacement.

As for whether it is serious, the severity of symptoms is of such severity that further evaluation is necessary, but it does not appear to be life threatening from your description of symptoms.

The cortisol is a steroid, but there are many hormones that are steroids, including the DHEA, oestrogen, progesterone, and testosterone. All of these have a similar base structure that is derived from cholesterol. In many contexts, it is apparent which steroid is meant, so we will use the generic term, but if the context is not clear, we will specify which type of steroid is meant.

Customer: replied 2 years ago.

what side effects will it have. I was taken off a cholesterol pill because it was expensive and put back on statin which in the first place made me rally ill. i am on a lower dose now but it gives me diarrhea i kept off it for a while and was getting back to normal but took it again and it started again.


 


I did a survey of all my symptoms on a adrenal fatigue


it came to 200 which according to the survey is severe.


What could happen if it gets serious.


 


 


 


 

Expert:  Dr. D. Love replied 2 years ago.
If you look up the side effects to adrenal steroids, they sound frightening, but the reality is that for hormone replacement, they are very well tolerated, as it is simply providing the hormone at the level the body is supposed to have. It is when we use the same medicines in higher doses to treat disease that the frightening side effects can occur. At replacement doses, they may cause some nausea or vomiting, but are generally very well tolerated.

The most severe manifestations of adrenal insufficiency is profound weakness, low blood pressure, dizziness, confusion, and possibly coma.

Customer: replied 2 years ago.

I have weakness but can still take my dog for short walks. dont have low blood pressure it high, definitely dizziness. confusion. my legs and feet are swelling up, have lots of chest infections, allergies, cant lose weight, cause apparently you dont release the fats you should. asthma, craving for salt and sugar. I dont think I have really been well since i took hrt for menopause which did my whole system in, that was sixteen years ago. lots of bowel problems and weakness. allergies. I came off it,


 

Expert:  Dr. D. Love replied 2 years ago.
The symptoms that you describe are not at the level that is seen with the more severe manifestations of adrenal insufficiency. These symptoms certainly could be due to the adrenal insufficiency, but if there was concern of the more severe manifestations, it would typically require that a person be admitted for aggressive treatment.

Customer: replied 2 years ago.

Hope fully the blood tests wont show that.. Well thank you Doctor Love you have an incredible name by the way you have relieved a few of my anxieties. and made me rethink a few other things.


 


I will book up for blood test as soon as possible.


 


Would like to introduce you to an incredible message of how to find personal peace. www.wopg.org


 

Expert:  Dr. D. Love replied 2 years ago.
You're welcome. I hope that you feel better soon. Thank you for the message for personal peace.

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Previous | Next >
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
 
 
 

Related Medical Questions