Adrenal Disorder
Our clinic’s provider, Hansel Rayner, is a leading expert in infusion pump cortisol replacement therapy, a treatment that mimics the body’s natural circadian rhythm. This approach leads to far better therapeutic outcomes for patients with adrenal insufficiency.
Hypercortisolemia (Cushing's Disease)
Adrenal Dexamethasone (DST) Protocol
1. All Adrenal Adenoma’s. 2. All Pituitary Adenoma’s or masses. 3. ALL PCOS patients 4. Hypertension poorly controlled or on greater than 3 meds. (also order Aldosterone/Renin). 5. All patients with Hyperaldosteronism. 6. All patients on u500 insulin. 7. All Patient’s taking >100u insulin daily. 8. A1C >8 with aggressive Diabetes management. 9. Hirsutism in females. 10. Patients on GLP-1 without weight loss and reduction in A1C 11. All Patients with classic Cushing’s signs and symptoms. 12. Infertility in females. 13. Morbid Obesity. 14. All Patients with pituitary disorder’s 15. All patients with elevation of cortisol levels on random labs. 16. Osteoporosis. 17. Dyslipidemia. 18. Fatigue/Weakness - Written by Hansel M. Rayner, PA-C, FASEPA
Dexamethasone(DST) test:
Step 1: Dexamethasone Suppression lab with ACTH and Dexamethasone level or: AM cortisol, Dexamethasone, ACTH. Step 2: Interpretation - Cortisol Level 1.8 or greater. If ACTH suppressed likely adrenal in origin. Step 3: If Positive order Adrenal protocol CT of Abdomen AND Pituitary MRI. - Written by Hansel M. Rayner, PA-C, FASEPA
Adrenal Insufficiency (Addison's Disease)
What is adrenal insufficiency?
Adrenal insufficiency is a disorder that occurs when the adrenal glands don’t make enough of certain hormones. The adrenal glands are located just above the kidneys. Adrenal insufficiency can be primary, secondary, or tertiary. Primary adrenal insufficiency is often called Addison’s disease.
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Adrenal insufficiency can affect your body’s ability to respond to stress and maintain other essential life functions. With treatment, most people with adrenal insufficiency can have a normal, active life.