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QuestionHow do I raise my cortisol levels when I have PTSD?Luba Lee, FNP-BC is a Board-Certified Family Nurse Practitioner (FNP) and educator in Tennessee with over a decade of clinical experience. Luba has certifications in Pediatric Advanced Life Support (PALS), Emergency Medicine, Advanced Cardiac Life Support (ACLS), Team Building, and Critical Care Nursing. She received her Master of Science in Nursing (MSN) from the University of Tennessee in 2006.Post-traumatic stress disorder oftentimes has been associated with lower levels of cortisol and it might be related to initial high amounts of cortisol as a response to the stress in in the traumatic event but eventually adrenal glands are exhausted and struggle to maintain adequate levels of cortisol. In that way, low cortisol in the case of PTSD is similar to low cortisol levels as seen in adrenal fatigue disorder. To normalize cortisol back into balance you have to address both psychological and physiological domains as mind directly affects your body. Working with both a psychologist and a medical doctor as well as stress reduction, working through traumatic events in the group setting, employing mindfulness, exercise, anti-inflammatory diet, getting adequate rest and sleep can all help normalize your cortisol.
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QuestionI am a pituitary adenoma patient on oral hydrocortisone. I am due for surgery in a few weeks time, but my cortisol level as at today is 45mcg/dl. How do I get it to go up?Dr. Zora Degrandpre is a Natural Health Doctor and Licensed Naturopathic Physician in Vancouver, Washington. She is a grant reviewer for the National Institutes of Health and the National Center for Complementary and Alternative Medicine. She received her ND from the National College of Natural Medicine in 2007.You don't say when that cortisol level was measured, but normal levels of cortisol are 7-28 mcg/dL in the morning and 2-18 mcg/dL in the afternoon. 45 mcg /dL is higher than normal. You should call your doctor, let them know what your cortisol level is, and ask them what the best approach would be for you before you go in for surgery.
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QuestionDo floaters disappear after lowering my cortisol levels?Luba Lee, FNP-BC is a Board-Certified Family Nurse Practitioner (FNP) and educator in Tennessee with over a decade of clinical experience. Luba has certifications in Pediatric Advanced Life Support (PALS), Emergency Medicine, Advanced Cardiac Life Support (ACLS), Team Building, and Critical Care Nursing. She received her Master of Science in Nursing (MSN) from the University of Tennessee in 2006.Eye floaters are very common and most are caused by age related changes and lowering your cortisol levels would not affect whether or not they disappear. However, if you suffer from adrenal fatigue and concerned about bringing your cortisol levels down by lowering your stress and inflammation, you may notice overall improvement in your health and therefore eye floaters might be somewhat less bothersome and chance of forming new ones might be reduced as well.
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QuestionWhat are the side effects of hormone tablets?Luba Lee, FNP-BC is a Board-Certified Family Nurse Practitioner (FNP) and educator in Tennessee with over a decade of clinical experience. Luba has certifications in Pediatric Advanced Life Support (PALS), Emergency Medicine, Advanced Cardiac Life Support (ACLS), Team Building, and Critical Care Nursing. She received her Master of Science in Nursing (MSN) from the University of Tennessee in 2006.Side effects of oral steroids short-term can include: increased appetite, insomnia, increased energy, increased blood pressure, irritability, mood changes; and long-term side effects can include: weight gain, thinning of the bones (osteoporosis), increased chance of infections (as steroids such as cortisol suppress immune system), acne, water retention, swelling, increased blood pressure, hyperglycemia, increased risk of cataracts, diabetes and stomach ulcers.
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