I have a question about adrenal fatigue and hope it's OK to ask it here.
I was diagnosed with adrenal fatigue four years ago, based on blood and 24 h urine (the latter showing even lower cortisol levels than blood), and put on Medrol. At most, I have taken 6 mg daily (which I was told is considered a physiological dose). I have since worked my way down to 4 mg daily, and stayed there.
However, when I asked my doctor (trained by Hertoghe) at my latest appointment (back in August) how long I am supposed to stay on Medrol, the reply was: "For the rest of your life".
That came as a complete surprise to me, as I always imagined that, one day, I would be able to wean off adrenal support, and then my adrenals would be able to take over cortisone production once again. I have no idea if you can shut your own adrenal production down if you stay on drugs like Medrol for years (I read somewhere that it is just a myth that your own adrenal production will shut down, and that it will resume even after 20 or more years on cortisol replacement drugs), but I don't like the idea of taking a drug like Medrol for the rest of my life.
There was a time when I felt better on 6 mg than 4 mg daily; that is no longer the case, and 4 mg seem to do the same thing as 6 mg.
Also, I have not been able to figure out if adrenal fatigue (although not an officially recognised diagnosis) is a life-long condition, or if the idea is to get the adrenal glands going again? As far as I know, they are not damaged in any way (like they are in patients with Addison's disease, or adrenal insufficiency), but rather tired after being overworked for years. In my case, as so often, this seems to have been caused by hypothyroidism.
Some seem to be able to cure adrenal fatigue by taking supplements or hydrocortisone for a short time, and then successfully wean off it. I have already been on Medrol (albeit on a physiological dose) for four years, which is quite long. I have no idea how difficult it would be for me to wean off it now, or how long it would take...I know it should be decreased rather than just stopped.
Or is the idea that once you start treating adrenal fatigue, it's a life-long treatment?