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Factors that encourage the body to begin producing cortisol again
Polymyalgia Rheumatica (PMR) | Last Active: May 5 8:04am | Replies (16)Comment receiving replies
"For some people, depending on how long they have taken prednisone, their adrenal function may never improve."
So then what???
I'm at 4 mg for the fourth or fifth time. I have some days where fatigue does set in but not every day. Only MTX and Plaquenil have been suggested neither of which I want to take. I feel tempted to have a little caffeine as a perk but a vertigo Meniere's episode is stopping me. Meniere's can be worse than pmr. Right now I have Achilles tendonitis with a bone spur making walking difficult. My heel is hurting already and I haven't gotten out of bed yet.
Can your adrenals really never recover? Anybody on permanent low dose prednisone?
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According to my endocrinologist, a maintenance dose of prednisone for the rest of my life would be needed if my adrenal function didn’t improve.
Even after I got off prednisone, my endocrinologist said I shouldn’t hesitate to take prednisone again. She said my adrenal function was “adequate” for “normal days” but my cortisol level probably wasn’t adequate for more stressful days.
I have been off prednisone for 2 years so my cortisol level isn’t checked anymore unless I have symptoms of adrenal insufficiency.