I wish you a lot of luck, if you're gonna be seeing a conventional endocrinologist or rheumatologist.
Adrenal fatigue is not in their medical dictionary.
I would not put a lot of hope on this appointment.
My choice, if I were in your shoes, would be a Functional Medicine
doctor who has training in thyroid and adrenal issues
Here are some basic correlations:
1 Hashimoto's shares the same alleles as RA (allele: a variant form of a gene)
2.If you have been diagnosed with an autoimmune disease, you have a proven predisposition towards other autoimmune diseases.
3. Adrenal Fatigue down-regulates thyroid function for adrenal recovery, which could result in secondary hypothyroidism type 2 (thyroid resistance)
4.Dr. Lowe from the Fibromyalgia Research Foundation supports the premise that most fibromyalgia patients are either hypothyroid or thyroid hormone resistant. Look for under-treated or untreated hypothyroidism.
(Did I read in another post you have Fibromyalgia? Pls ignore this, if not)
5. Thyroid dysfunctions in RA patients are most often of autoimmune nature (Hashimoto's)
Please consider sending more details regarding your medical history,like
diagnosis, test results, treatment, meds, current symptoms, etc , so I can give you more specific information.
If you suspect adrenal fatigue, I can send you a screening questionnaire.
Sad but I actually have never even been to an endo. Rhuemy diagnosed and between him and my GP they have been trying to keep up. I stated in 50mcg of levothyroxine 2 yrs ago. 6 months later they bumped me up to 75mcg and within a month I was in the hospital and they brought me back down to 50 again. I do blood work every 3-6 months and there's a slight increase in my numbers each time but I have stayed within the "normal" range. Yes I do have fibro as well. I am currently on 50 mcg levothyroxine, 5mg clonazepam, 20 MG omeprazole for heartburn and acid reflux I developed, and started a few months ago on 75 MG venlafaxine(Effexor) bc my anxiety, depression, panic attacks, and insomnia have worsened. I have also had PTSD since childhood.
In the last 2 years after diagnosis, I had a severe case of mono in which my liver enlarged, my cholesterol has been high, I was recently diagnosed with hyperglycemia, my HR is always really high, and occasionally high BP, hospitalized for a severe UTI that turned into a horrible bladder and kidney infection. I am resistant to most antibiotics, and I am just constantly ill. I am always exhausted and there are days that I don't even get out of bed. Not enough Ibruprofen or antidepressants in the world. Most days it takes everything I have to get out of bed. Not easy with a 10 and 11 yr old. I have missed a lot of life with them in the past 5 years due to all these health issues and I am frustrated beyond belief with not being able to function daily. The docs don't seen to have an extensive knowledge of my condition to be able to adequately treat and care on the level I feel I need and I'm trying to have a better understanding myself as far as a direction. It's hard when no one understands how you feel on the inside bc you can't see it on the outside.
There's a therapeutic duplication due to the fact that you are taking
4 drugs in the CNS category, exceeding the recommended maximum of 3!
Perhaps your prescribing doctor had a good reason for this, however, please have this checked, to absolutely ensure this was not an oversight!
You need a Holistic Doctor or a Functional Medicine Doctor, because your treatment is so delicate, conventional doctors probably won't be able to help you much.
For example there's an explanation for your "crash" which your doctor likely unknowingly caused by giving you a larger dose of levothyroxine.
In my opinion, levothyroxine which is T4 only, would be contra-indicated as it converts to Reverse T3, deducing available levels of T3, should you have adrenal fatigue.
The proper treatment would call for T3 only like Cytomel in the lowest starting dose at first. As a trial later of Natural Desiccated Thyroid could be added,but again only in the starting dose initially.
An Adrenal Stress Profile is necessary to my opinion.
Look into : Functional Adrenal Stress Profile – BH #201 – Cortisol x 4, 2 averaged DHEA-S from Biohealth Labs.
It helps evaluate the impact of chronic stress on adrenal function by measuring bioactive hormones.
The test results will assist your Holistic or Functional Medicine Doctor
to guide you with hormonal therapy and lifestyle changes to reverse many of your symptoms.
I can send you a screening questionnaire for Adrenal Fatigue, if you like.
This would be a good starting point. Let me know.
Thank you, Niko for all you help. Yes I would like the questionnaire. I have felt the docs I have been seeing do not have extensive knowledge or experience with my condition. I was referred once to an endo and they canceled my appt that took me 6 mos to get in the first place so I was very frustrated and didn't return to that office. Since then I have been constantly sick but as a single mother, I don't always keep up with myself as well as I do with my children. But I know I can't function any longer this way.
Another question...I have days where different areas of my skin hurt. Sounds weird to even say it and I'm not sure how to explain it. A few days ago it was my right leg, outer thigh area. Today, all of the sudden just a burning sensation/bruised feeling on left outer thigh with stone kind of lumps or knots under skin. That area is also a bit visably swollen. Just curious if you or anyone had any clue whether it is anything that sounded familiar to the veterans of this site? Lol
Check your inbox. The questionnaire will be there in a couple minutes.
Your skin symptoms may have to do with your hormonal and neurotransmitter imbalance & common with thyroid and adrenal issues.
I know it's been tough for you but please hang in there. OK?
Thank you, Niko. I got the questionnaire and replied. I'm hanging in there and am appreciative of your support. I don't have any friends or family close and no one that understands how I physically and mentally feel. I have PTSD dating back to early childhood and things must keep piling up over the years. I'm trying to keep my head above water.
Hey Chelly. Don't mention it.
Just glad to be of help
Now, it is time to start lessening the load.
You know you cannot carry on like this much longer,
I feel for you and I know how hard it is from your perspective and predicament, but you gotta find the energy, the spark to ignite this healing process.
Ask for help and you will receive it, but you have to stay tuned-in!
I'm totally into the entire spectrum of energies, from the physical and molecular to the emotional and spiritual and I know it works this way.
People who have not been through similar situations, really have no idea.
When you mentioned about professionals, not being able to help you- because of them not having the direct life experience and understanding- it brought me back memories... I'll tell you more another time.