Hi Teresa. Thank you for your long standing mentoring. I have had issues before, unrelated issues, for which you and your group has assisted me with. These recent things are new to me and unexpected. The adrenal management is tough, and has occurred on top of the accumulating cardiac things. Then there was a foot surgery tossed into the mix last summer, which is recovering well. As for the exercise, I always carry my cell phone, and have figured out where not to go. I have a partner 90% of the time, and pick my trails accordingly. I have backed off on my intensity and duration, following some uncomfortable events. Our gyms have been closed, so weights have been let go. Our pool has been closed as well. The upper body resistance parameters and the fatigue management with the cortisol dosing are a challenge. I am not sure if it is the adrenal fatigue or cardiac fatigue. So maybe a very informed physical therapist might be able to assist me. I was hoping for suggestions on what questions to ask my cardiologist and my endocrinologist. I also have looked at the NADF (American site) and Bart’s Endocrinology out of the UK for information. However information about the combination of cardiac concerns along with the endocrine seems to be unavailable. I have great Docs at Mayo, but I don’t want to pester them unless I have a legitimate question. They always get back to me! They are very very supportive. Do you have suggestions? Thank you Teresa!

Hello Teresa (Mentor)! I just read this old post from myself and then your response to it. Your response was the best advice I have ever had. I changed my patterns as a result. Fast forward a few years and through extraordinarily stressful events in my life, and unrelated to my aneurysm.... I have actually been able to reign things in. I was unable to exercise all together at times due to chest pain. I have had the cardiac issues dissected through by my cardiologist at Mayo, following tests to clarify what is going on. (Too multifaceted to share online). I always go back to your specific suggestions on how and where to arrange my daily exercise. By doing so, even my rough days become effective. The value of "staying Active" at any level, can only be understated. As I age, activity brings me happiness! Each year my body changes, and I must adapt. I have talented, kind, and engaged physicians providing guidance going forward. I am thankful for them, and for you mentors doing your thing out of the Mayo system for real people like me. 🌸

Hello again Teresa (Mentor). As I have slid into another chest pain slump, I was thinking about your post from a couple years ago, and this thread popped up this morning! Perfect timing! Angina has nixed my exercise again. I went from cross country skiing one day , to the couch the next with my ski boots still on. J love skiing! I re-read your words, regarding pacing myself. This approach is still relevant! I am attempting to push myself up and out again. I am in fact, on telemetry to assess the angina again and maybe new reasons, requiring an altered treatment approach. The trigger was extraordinary stress again. My aneurysm appears to have grown to 4.5, but I also have a PFO and ischemic small vessel coronary spasm (thus the angina). All of us in this forum have aneurysms, but many of us have co-morbidities which make it a challenge to take care of our aneurysms. I guess the takeaway is that I personally need to reassess and lay out a new plan/approach. I may not be able to exercise the way I want, but little bits of exercise/activity do in fact, accumulate. I do still carry my cell phone at all times, and have a partner if I am in the woods. The snow is still beautiful!!!!
Thank you Mentors!!!