MediTest
27 Apr 2018
Author
Mark Hall
Title

DHEA Or 7-KETO DHEA? - Which To Take?

Body

Dr AW wants Paula to start DHEA because of her adrenal test results, but I am a bit confused which to get - DHEA or 7-KETO DHEA?I have found these on this UK website:-http://www.biovea.net/product_detail.aspx?PID=419&CID=0http://www.biovea.net/product_detail.aspx?PID=52&CID=0What do you guys take?Dr AW's clinic is closed for another week.  I saw a brief copy of a fax he sent to Paula's NHS GP which showed he wanted her to take 25mg of DHE

Comments

Hi Mark,

As for which type to take would depend on your objective.  I take the regular kind (DHEA) which turns into androgenic hormones such as testosterone and estrogen too. 

This is fine with my endocrinologist as I don't have too much testosterone to begin with and I take a small amount of estradiol since I am post menopausal and have had a complete hysterectomy anyway.  

The "keto" kind is not supposed to convert into the androgenic hormones.  I don't see how that would be very useful but I'm sure there are reasons to use that kind.  In fact, in the second link below, 7-keto DHEA is talked about and how it can be used and why.  

Dehydroepiandrosterone

DHEA and 7-keto DHEA discussed and compared

NAC 2.4g, Zith 250mg/MWF, mino 200mg, Tini 5day/1g/5 pulses, ValcyteSupplements, CFIDS/FMS, Hashimoto's, Psoriasis, PA, IBS, Sec Addisons Don't believe everything you think!  

Hi Mark, Reenie's answer is very thorough.   Your doctor may want Paula to use DHEA so it does convert to other hormones, especially if her saliva test showed low cortisol.  (you may want to ask him)  Below is a chart which explains the flow, fwiw :

Sorry your Christmas was not enjoyable.. perhaps next year!

 

pathways. Image removed.

 

JeanneRoz ~ DX'd w/ CPN 4/2007; 6/07 -"officially" dx'd w/CFIDS/FM; also: HHV6, EBV, IBS-C, 100 Doxy:BID; 500 mg Biaxin BID; Tindamax Pulses, B12 shots, ERFA Dessicated Thyroid,Cortef, Iodoral 25 mg, Vit D-6,000 uni

Thanks Reenie and Jeanne.

I only caught a quick glance of the adrenal results that Dr AW had faxed to Paula's NHS GP.  You know how bad the handwriting is of some docs, but it looked like she had high cortisol and high DHEA levels!!?? (this I'm unsure about and will re-check soon) and he wanted to perscribe 25mg of DHEA.  I may buy both versions of the DHEA anyway and see what he says on the 5th Jan.

It's interesting that when she first became bedridden, she was told that she had a hormonal imbalance.  She was told she had a raised LH/FSH ratio - suggestive of PCOS.

Mark

UK Carer of bedridden Severe CFS Feb06. Tick bites Summer04.  CPN dx.Apr07. Borrelia dx Sept08. Samento 15 drps daily July07.  200mg Doxy Jan08.  300mg Roxy Apr08 Stopped abx Nov/Dec08. Building up on Supps again.

I'm sorry Reenie & Jeanne if I am using you guys as adrenal and thyroid experts.

Even though Paula has been gradually getting worse whilst on the CAP these past 6 months, the past month has been the worst.  I firstly thought it may have been due to increased porphyria due to the being on the 2 bacteriostatic abx for so long.

Now I am beginning to understand that many of Paula's issues as well as porphyria, may be more thyroid and adrenal related, especially the severe fatigue issues.  One issue that has raised it's terribly ugly head, is terrible anxiety.  Anxiety that I have never seen like this in her before.

It happens like this:-

- Her energy levels are best from when she wakes up.

- Slowly from about 3pm onwards, her fatigue starts to increase.

- This leads to increased heart rate.

- Eventually between 5 & 6pm she gets into a major "fight or flight" situation.  Raising heart, terrible fatigue, trouble catching her breath.  She says that she can almost feel her adrenaline pumping.

- Around this time starts the anxiety and paranoia starts.  She gets so frightened thinking something horrible is going to happen, that she doesn't want me to leave the room just in case.

Just looking at the symptoms of adrenal and thyroid fatigue, I think it may fit Paula like a glove.

I think her porphyria and adrenal/thyroid symptoms seem to have merged.

My main question is this:-

I have read a number of times that thyroid and adrenal problems can cause hypoglyceima.  What are your thoughts in this?

The reason I ask, is that this is the only reason that Paula can't take glucose that is needed on this protocol.  She now has problems with other foods now that she was able to tollerate including apples, dates, bananas, plums, and now even potatos this past month or so.

Mark

 

UK Carer of bedridden Severe CFS Feb06. Tick bites Summer04.  CPN dx.Apr07. Borrelia dx Sept08. Samento 15 drps daily July07.  200mg Doxy Jan08.  300mg Roxy Apr08 Stopped abx Nov/Dec08. Building up on Supps again.

Mark, hmm.. I can  speak for my experiences on this one.  First off, if Paula's thyroid levels are low, then this will cause her adrenals to work harder.... It's confusing to think she has low cortisol symptoms if her test indicated high, but you would need to know if it was consistently high (all 4 times of the day) or just a couple of times.

My Cortisol was low in the AM to Noon, normal in the afternoon and High at night.  I believe the CAP clearing the bacteria started my situation to go haywire.

I actually had no problems keeping my thyroid levels for over 7 years (and I no longer have a thyroid) in control until I started CAP.  I have similar problems to Paula's only not to the extreme.  Before I started Cortef, I could not ride in a car for  as I would become quite  anxious about getting in an accident, plus it made me carsick (I still occasionally get carsick)  I would have episodes of hypoglocemia after eating.  I am better since taking Coref, but still find my heart speeds up after eating and occasionally I have anxiety... I also get these symptoms when I become constipated (go figure?) which is something I have had problems with since starting the CAP. 

The supplement Seriphos by InterPlexus (or any brand of Phosphorylated Serine) can help to balance out Cortisol levels.  You would take it at the time the levels were high; i.e., mine was in the afternoon through the evening ,so I would take 2 capsules at 3PM and then another 2 at 10 PM before bedtime. This was per the directives of my ND.

I was officially diagnosed with CFIDS and FM AFTER I started CAP (and became incapacitated).  My FM symptoms have pretty much diminished since I started the Cortef, but my CFIDS symptoms are still keep me pretty much in the house. My thyroid/adrenals have  one of the more difficult balancing acts for me on this path as they keep changing.

 What helps my anxiety is taking .25 mg of Xanex  -- it kicks in about 15 minutes... and definitely takes that feeling away.  Xanex is not as long acting as Klonopin.... (even though both are benzo's and can be addictive).  I took Klonopin (very small dose .5 mg) for over 12 years.... it was VERY difficult for me to wean off -- it took over 6 months to slowly wean off it --  even on such a small dose so when I started treating for CAP I decided not to take it again (but that's just me personally).

The adrenals are to be addressed first before starting thyroid supplementation...... it states it in the drug information sheet.  Most doctors don't bother to read it!! Has the doctor given you a script for Armour yet?  There is a natural adrenal supplementation called Isocort (you can buy it online) that some people start out with before going to Cortef...I tried it but it wasn't "enough" oomp for my adrenal glands.

My concern is, in Paula's situation,  I don't know whether you should try something like the Isocort or the Seriphos first?  Seriphos would just try to balance out the levels in the body.and there should be no reactions to it... Isocort would supplement the adrenals.

Paula has soooo much going on but you are on the right track!  Hope some of this helps and I am sure Reenie will have some very good input too.

 Also check out

http://tinyurl.com/73xnuy

 

 

 

 

JeanneRoz ~ DX'd w/ CPN 4/2007; 6/07 -"officially" dx'd w/CFIDS/FM; also: HHV6, EBV, IBS-C, 100 Doxy:BID; 500 mg Biaxin BID; Tindamax Pulses, B12 shots, ERFA Dessicated Thyroid,Cortef, Iodoral 25 mg, Vit D-6,000 uni

Thanks Jeanne - After talking to Paula's NHS doc who has the results faxed by Dr AW, she said she didn't understand it very well, but it seemed to show a low DHEA level.  She wasn't sure what the Cortisol level was.  I am getting a copy of the results tomorrow (well, the poor faxed copy from Dr AW) and will post what they say.

It is interesting that you also got the (get the) hypogleicemic reactions after eating - you mention that Cortef worked for you to an extent, but in my web searching I find that it is also caused by thyroid problems.

Thanks for the info about Seriphos.  I will look into it when we look at the cortisol results.

I think that something for anxiety may need looking into, but I know how wary Paula is of things like this - even though it may help - it is hard sometimes finding something that people wth CFS can take, never mind Paula's fears.

Dr AW wants to perscribe Armour, but I want to deal with the adrenals first as you say.  We have already bought natural adrenal and thyroid support from here:-

http://www.nutri-online1.co.uk/Portals/1/3206.pdf
http://www.nutri-online1.co.uk/Portals/1/3201.pdf

but I wanted to wait until we had spoken to Dr AW.

Thanks,

Mark

UK Carer of bedridden Severe CFS Feb06. Tick bites Summer04.  CPN dx.Apr07. Borrelia dx Sept08. Samento 15 drps daily July07.  200mg Doxy Jan08.  300mg Roxy Apr08 Stopped abx Nov/Dec08. Building up on Supps again.

Mark- the pattern you are describing "- Her energy levels are best from when she wakes up.- Slowly from about 3pm onwards, her fatigue starts to increase.- This leads to increased heart rate.- Eventually between 5 & 6pm she gets into a major "fight or flight" situation.  Raising heart, terrible fatigue, trouble catching her breath.  She says that she can almost feel her adrenaline pumping.- Around this time starts the anxiety and paranoia starts.  She gets so frightened thinking something horrible is going to happen, that she doesn't want me to leave the room just in case" are absolutely classic porphyria symptoms.

And both Cpn and porphyrins interfere with glucose levels and cause big blood sugar drops: Cpn causes infected cells to absorb glucose faster from the bloodstream (so it can fuel ATP and replication) and porphyrins interfere with gluco-genesis in the liver. The rapid heart rate, difficulty catching breath, etc. are all very familiar to me from my high-porphyria days. 

With the cholestyramine soaking up the fat-soluble porphyrins, you may still be getting a ramp up of production of heme during the day, and hence the production of porphyrins. The best way to shut this down is glucose, in large enough doses to make a difference. I would add this in regular doses from 3pm onwards, or earlier.

Thanks Jim - I understand that now.  Paula is now back on 2 sachets of Chole twice daily and is keeping it down ok without vomiting it up now.  Her porphryin level looks like it may be slowly starting to come down.

As she is now so severely hypoglyceimic this past month, I think glucose is unfortunately out of the window until we get her adrenals and maybe her thyroid sorted out.  Roll on these damn holidays so we can speak to Dr AW on Monday and take the DHEA.

In terms of her glyceimic problems now, she can only tollerate a few teaspoons of brown rice, green beans, and very few carrots, sweetcorn and peas in a mush together.

Thanks,

Mark

UK Carer of bedridden Severe CFS Feb06. Tick bites Summer04.  CPN dx.Apr07. Borrelia dx Sept08. Samento 15 drps daily July07.  200mg Doxy Jan08.  300mg Roxy Apr08 Stopped abx Nov/Dec08. Building up on Supps again.

Mark- not to harp on the porphyria ad nauseum (sorry!), but I thought I was hypoglycemic. I had classic symptoms, sudden blood sugar crashes, got really crazed if didn't eat and increasingly lost it as time went on, etc. When I started using glucose for porphyria I was a bit freaked that it would stimulate this. Turned out I was wrong... glucose in quantity did not make my "hypoglycemia" worse, it made it better as it shut down heme production and made up for the energy deficit from the Cpn. Last time I'll mention it, as I'm sounding like a broken record here. I've found over the years here that porphyria can be tremendously underestimated in the varied symptoms it can cause.

I agree with Jim here. Glucose helps me a lot with my porphyria.

If Paula feels bad after eating, can it be from toxins in her bile?

Perhaps vitamin C can help with that?

I really hope this new year brings a lot of improvement to Paula and you.

Best Wishes, Maria

 

Cpn since sep 2006. Autoimmune thyroid,hypofunction.levaxin,b12+folic acid.All classic cpn,porphyria and toxinsymtoms.Not able to work.Selftreating cpninfection with AllicinMax(garlic), NAC, high vitamin D3. CAP for over 3 years. Back to work and life

I think that the association of glucose with the apparent symptoms of hypoglycemia in Paula may need to be ignored for a short while to give this a try.   If Paula has been suffering from porphyria for a while (even before she started the CAP is a possibility) then she has been energy defficient for a long time and is bound to feel something when she takes it.   But glucose is a wonder substance at time and does work like magic for some conditions...

There is also the possibility that she may be harbouring other parasites that cause these symptoms.   I once read a book about food allergies 'Curing Food Allergies' written by Alan Hunter who was in a similar place to Paula who said that (p 87) when he ate food he was'allergic to'  he felt as though all his parasites (in his gut and blood) became 'excited' and he felt as thought these tiny creatures were suddenly 'mobilised' and 'rushed' to access the nutrition he was putting into his body...

 He eventually found a solution by eating only raw food.  

 I think I read somewhere that you feed Paula a 'soup' or pap containing carrots, I've got to point out that carrots are the vegetables that contain the highest level of sugar/glucose.   You also feed her brown rice and that also is high on glycemic index chart.  (Glucose GI of 100 the fastest available energy - carrots 49 - Brown rice 50 -  white rice 72 - rice cakes 82 - on the other hand red lentils 26 - porridge oats 49 - butter beans 31 - prunes 29 - cheese 0 - eggs 0)

I've got a feeling that something else is going on here.  Not sure what though...

Michèle (UK) GFA: Wheldon CAP 1st May 2006. Daily Doxy, Azi MWF, metro pulse.

Jim, csf_info & Michelle - You will never believe how much I want Paula to take the Glucose, and short of forcing it into her (which I obviously can't) - I don't know what to do.

I wish I could speak to Elinor or someone on the phone who may be able to speak to Paula and put her mind at rest.  She may not be able to talk much on the phone as her energy is so low at the minute, but at least it is better than nothing. Image removed.

Thanks for that book link Michelle - I've added it to my Amazon wish list. - It does look an intriging idea.

Paula is completely pining her hopes on the adrenal and thyroid support bringing her glycemic (or what she thinks are glycemic) reactions down enough for her to be able to take the glucose.  Also she is hoping that the double dose of Chole twice daily will bring her levels down enough in the time being.

I just wish she would try the glucose again - she says that when she last took it early last year, the effect was that it seemed to give her energy, but she had no energy to do anything with it. - this was with only a small amount of glucose though - Maybe as Jim says - if she took a large enough emount, it may reduce these symptoms.????

I'm even wondering if Paula's symptoms are hypoglycemia after all....

UK Carer of bedridden Severe CFS Feb06. Tick bites Summer04.  CPN dx.Apr07. Borrelia dx Sept08. Samento 15 drps daily July07.  200mg Doxy Jan08.  300mg Roxy Apr08 Stopped abx Nov/Dec08. Building up on Supps again.

That is what I am wondering too, but it is going to be difficult to convince her unless she is prepared to test herself.   If she is still eating rice cakes they are very close to the reaction she might get from pure glucose, in he more lucid moments she might understand that....   I suggest you get a glycemic index like this one. It will give you and Paula something to compare foods with and make an educated guess.

Michèle (UK) GFA: Wheldon CAP 1st May 2006. Daily Doxy, Azi MWF, metro pulse.

Thanks Michelle and Jeanne.  I'll have a look into the GI links.  To answer your question Michelle - Paula now doesn't eat rice cakes since she had a crash after eating one at the start of December.  She says she can only eat a small amount of carrots as long as most of the mush she eats at the minute contains brown rice that is slowly absorbed.

Mark

UK Carer of bedridden Severe CFS Feb06. Tick bites Summer04.  CPN dx.Apr07. Borrelia dx Sept08. Samento 15 drps daily July07.  200mg Doxy Jan08.  300mg Roxy Apr08 Stopped abx Nov/Dec08. Building up on Supps again.

Jim, I could ask this in a pm to you, but it may help others as well as Paula.  I ask you, knowing that you have CFS too.

You said "I thought I was hypoglycemic. I had classic symptoms, sudden blood sugar crashes, got really crazed if didn't eat and increasingly lost it as time went on, etc."

I am sorry to ask this of you, but when you get a chance, could you please describe the above in more detail for Paula and I will read it to her.  I feel that what she thinks are glycemic reactions are not at all.

For everyone else, I so appreciate your advice and comments. I feel Paula is getting worse at times (and then a bit better??), and would love her to take a big dose of glucose (we only have it in powder form) - to see if her symptoms lessen.

And yet - yes, it looks like she is low in both free T3 and free T4 thyroid hormones.

(Update 15th Jan09) I have seen the salivary adrenal results.  They are as follows :-

                                       8am               12pm               4pm               12am
Cortisol Ref Lev          12.0-33.0        10.0-28.0        6.0-11.8           1.0-5.0
Actual Level                    64.6*              20.7                19.7*               1.3

DHEA S Ref Lev            8.0-24.0         5.0-10.8          3.5-7.5             2.0-5.0
Actual Level                    3.9*                 2.2*                2.7*                3.1

UK Carer of bedridden Severe CFS Feb06. Tick bites Summer04.  CPN dx.Apr07. Borrelia dx Sept08. Samento 15 drps daily July07.  200mg Doxy Jan08.  300mg Roxy Apr08 Stopped abx Nov/Dec08. Building up on Supps again.

Hi Mark,

Sorry I haven't been on the site for the last couple of days as I had my grandkids with me for a visit.  

I wish there was a way to talk on the phone but I know long distance is outrageous.  I only have free long distance in the US.  I have on occasion talked with someone on yahoo using a headset.  It's very much like a phone if you wanted to try.  I'm saying this because I think sometimes we can all benefit from a phone buddy.  I know it's helped me alot over the years in figuring things out for me and others.  Image removed. 

Maybe there is someone you can do this with if not me.  I'm just making the suggestion as I see you posted something to wanting to communicate on the phone with someone.  

As far as your postings, there's no doubt in my mind that Paula's situation is complicated.  I see from your posting of labs that she has all sorts of hormonal issues and also her diet issues.  

It appears to me that EVERYONE is probably correct in part, meaning yes, the lack of enough dietary fat, too many carbs, (even natural sugars as in carrots) infection, etc, ALL play a part in hormonal upsets.  Food sensitivities can also produce hypoglycemic like symptoms.  I think I've had all of these same issues at one point or another in my life as well so I'm familiar with most first hand.  

For example, if you read Dr Powell's theory on hibernation, the increase in cortisol which is also addressed in Russ' book, The Potbelly Syndrome, will not only cause or affect blood sugar and/or insulin levels but will also shut down the thyroid function. 

Do you see where I'm going here?  It's all quite complex and overlapping.  I think there may be a number of issues you and Paula are dealing with all simultaneously. 

FWIW, I am hypoglycemic and I get worse at times during treatment.  Now, is it also secondary porphyria?  I'm sure it can be, but I have had labs done to show me I have had insulin resistance, hence, hypoglycemia.  I can and do keep it under control with diet.  

I've also had bouts of anxiety attacks which were treated for a time with benzodiazapines when I first became too ill to work but I haven't used them for years now.  Again, this is a hormonal thing being triggered by increase in cortisol but the increase in cortisol can be triggered by an infection, stress, or something else but it's how you manage once it's happened that may be more significant at the moment.  

I've chosen not to use glucose as it triggers too much middle weight gain for me BUT, something was also happening at the time I gained middle weight to my thyroid.  Again, this only further supports the hibernation or human dormancy syndrome that Dr Powell suggests in his patent and protocol he uses for treating this illness.  

You can use glucose to treat secondary porphyria and I was even taught to USE glucose tabs in a hypoglycemic attack, but then following it up with a small lower glycemic snack meal to prevent the rebounding of blood sugar. 

As for rice, I eat basmati brown rice as it is much lower in glycemic index value than jasmine rice. (the glycemic index is not affected by it being brown or white but the type of rice)  That one is higher in glycemic value than eating straight sugar, BUT you can also balance all of these glycemic values if you put enough fat into the mix as it slows down digestion of the meal.  Protein helps too. 

There's no one real good answer, just a combination that will work best and finding the best combination for Paula is the key, IMO.   

So again, it's very complex and I don't know how much you can do for Paula unless you use a shotgun approach.  By that I mean using diet, porphyria measures, thyroid, adrenal support, etc, all simultaneously. 

NAC 2.4g, Zith 250mg/MWF, mino 200mg, Tini 5day/1g/5 pulses, ValcyteSupplements, CFIDS/FMS, Hashimoto's, Psoriasis, PA, IBS, Sec Addisons Don't believe everything you think!  

Mark- the symptoms I was referring to included:

Mood swings, fatigue, irritability, anxiety, headaches, palpitations, sugar cravings, inability to concentrate and others, feeling faint, shortness of breath, feeling light headed or foggy, feeling suddenly hungry and needing to eat very often.

I also eventually was given a 3 hour glucose tolerance test which showed normal glucose response. 

Jim,

You may already know this but... Image removed.

you can have perfectly normal glucose levels during a GTT, (have had at times as well) but you must perform insulin studies along with the glucose to find out if you are producing too much insulin to keep your glucose levels normal, ie; insulin resistance.  

Anyway, I had all of the symptoms you are reporting and whenever I did the pin prick testing my glucometer measured absolutely normal, but then the 3 hr GTT w/insulin studies revealed I was producing 3-4x the amount of insulin a normal person would to keep their glucose within range.  

Diet helps immensely with this but I can still feel the symptoms and I'll bet you a dollar that my glucose is normal.  

NAC 2.4g, Zith 250mg/MWF, mino 200mg, Tini 5day/1g/5 pulses, ValcyteSupplements, CFIDS/FMS, Hashimoto's, Psoriasis, PA, IBS, Sec Addisons Don't believe everything you think!  

Mark, I must say that it is very common to have a problem with T3 with these persistent infections. There is a synthetic T3 (Cytomel) that I took for a while now but I get a bio-identical T3 from a compounding pharmacy. It is called T3 Triiodo-L-Thyronine (15 mgs a day)

Believe me when I say that my fog of fatigue mostly lifted in just 4 days after I began taking it. I seriously believe this is the lynch pin that will begin to make a difference for Paula.

Now that you have the test results,see if you can get a prescription for some T3!!!!

Raven

Feeling 98% well-going for 100. Very low test for Cpn. CAP since 8-05 for Cpn/Mycoplasma P.,Lyme, Bartonella, Mold exposure,NAC,BHRT, MethyB12 FIR Sauna. 1-18-11 begin new treatment plan with naturopath

Hi Mark,

about the DHEA, I started taking the high test when I was officially diagnosed with CFIDS & FMS 3 years ago already.  The additional testosterone had me in a very aggressive posture so I had to stop taking it.  My doc said take the 7 Keto & that has done the trick for me I guess.  Even so, I still have the makings of a mustache & fight my husband for the shaver Image removed.  kidding!  I have my own razor, noooo, I have discovered waxing & dying Image removed.   

It isn't legal to import DHEA here in Canada,(I knowImage removed., you can just buy it at WalMart in the USA, but I managed to get it anyway- like Canada Customs would stand in the way of my getting better.

I too was hypoglycemic & thought the glucose would "push me over the edge".  It did no such thing.  I did find that I put on some weight - I wonder if my body knows what to do with the stuff!  Glucose works soooo well for porphyria I have to say.  When I have really needed it, I use it.  If anything now, my hypog. episodes are less frequent so I think I can chalk up another positive for treating.

Hugs for your both

Happy New Year!

CFIDS/ME, FMS, MCS, IBS, EBV, CMV, Cpn, H1, chronic insomnia, Chronic Lyme, HME, Babesia, Natural HRT-menopause, NAC 2.4 gm,Full CAP 6-2-07, all supplements+Iodorol, Inositol-depression, ultra Chitosan, L lysine Pulse#27 04-19-10 1gm Flagyl/day-5 days<

Mark,

Your persistence, patience and love for Paula shine through your posts.  I know you are the one who knows Paula best and what she can tolerate.  I will only add a few comments to the already excellent advice already given.

 I too was diagnosed with Insulin Resistance and PCOS, which began my journey to this site and CAP.  My 2 hour glucose levels were within normal limits, but as was stated before, it was my Insulin levels that were increased.  There is a lot of information about Insulin Resistance on PCOS websites.  The doctor who diagnosed me was an infertility specialist(even though I was completely finished with having babies) because 90% of infertility is due to PCOS.  He was the 4th doctor I went to with the complaint that "something was wrong with my body"-sound familiar? 

I was prescribed metformin for the insulin resistance and Vaniqua for the facial hair.  I had polyps removed from my uterus, which can eventually turn into uterine cancer, but can only be detected by a special ultrasound-not in the typical annual exam category.

So, anyway, after 9 months of treatment, I became so tired and cold(sleeping with 7 blankets and a heating pad at my feet), I began to research possible hypothyroidism.  The 3rd dr. I sought for treatment came reccomended by the website on About.com for hypothyroidism.  I also found lots of information on stopthethyroidmadness.com website invaluable.  I had low T3 and the doctor prescribed Armour, starting with 15mg and slowly increasing to 45mg to my now functional level.

The 2nd physician I saw for thryoid assessment just happened to order a 24 hour urine for cortisol.  The results were high-68(upper normal was 45).  After Dexamethasone suppression test was normal, she said I was in a "high stress state" and said to call her if I wanted to do a sleep study or start Wellbutrin.  I needed or wanted neither one of those and began searching the internet and found The Potbelly Syndrome and then this website.  What a Godsend!

I hope and pray Paula's dr.'s will help with the adrenal and thyroid issues and hope some of my story was helpful.  I would reccomend the tests for insulin resistance, because it can lead to Type II diabetes, and can possibly be treated too.

If she is insuling resistant, the mixture of foods you listed for her are very high in carbs, except for the green beans.  I know the brown rice is a complex carb, but with Insulin Resistance, a carb is a carb is a carb.

Melanie

Mel W.  asthma for 20 years, PCOS, insulin resistant, hypothyroid, high cortisol9normal 2/09), low ferritin, low D3--34(2/09).  Recent PCR-PCN not detected.  Dr. treating empirically.  Doxy 200mg.  Azith 250mg MWF 11/10.  Flagyl pulse #3