Adrenal Insufficiency or Fatigue

Dr. Weyrich's Naturopathic Functional Medicine Notebook

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Symptoms of adrenal insufficiency include:

Differential Diagnosis


Mild adrenal deficiency can be safely treated with low-dose cortisol, e.g. 4 to 30 mg/day in divided doses [Starr2005, pg 185]. Supplementation with thyroid hormone can further reduce side effects of cortisol supplementation [Starr2005, pg 185].

Dr. Starr suggests that patients being treated with corticosteroids should have a home blood-pressure machine, and take BP before a dose of corticosteroids and 1.5 to 2 hours after dose. If BP and heart rate normalize dose is correct; if these parameters get worse then the dose is too high [Starr2005, pg 190].

ICD-9 Codes



Unless specifically noted above, references used in the construction of this web page include the following:

[FDM] Lecture notes from Functional Medicine University.

[SCNM] Lecture notes from Southwest College of Naturopathic Medicine.

[UT] Lecture notes from the University of Tennessee graduate programs in Chemistry and Biochemistry.

[Brownstein2008] Brownstein D. Iodine: Why You Need It, Why You Can't Live Without It, Third Edition. Medical Alternatives Press (2008). See also [Cited by Starr2005].

[Starr2005] Mark Starr. Hypothyroidism Type 2: The Epidemic. Columbia, MO: Mark Starr Trust (2005).

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