I got the DHEAS result from my recent salivary lab test. Here it is, in relation to the cortisol testing that was also done:
DHEAS – 5.3 (range 2-23, age dependent). Last time I measured this it was high 15.4 – appropriate for a 20 year old. I was taking a DHEA supplement at the time and it wasn’t making me feel good. So I stopped. Currently my (nonsupplemented) DHEAS is in the low-normal range. With regard to Adrenal Fatigue I did some research, and here’s what I found on Wikipedia:
Interpretation Of The Adrenal Stress Index Test for DHEA and Cortisol Levels Levels of DHEA and cortisol vary according to the level of stress and for how long that stress has been applied. Increasing cortisol production is the normal response to short term stress and is highly desirable, so long as the stress is removed and the adrenal glands can recover. On-going, unremitting stress means the adrenal gland and the whole body is in a constant state of alert, does not get time to recover and eventually packs up. So, there are several stages of adrenal function gradually leading to failure: 1. Normal levels of cortisol and DHEA. Normal result. Normal adrenal gland. 2. Raised cortisol, normal DHEA. This indicates a normal short term response to stress. Typically low blood sugar – See Hypoglycaemia – the full story. 3. Raised cortisol and raised DHEA. The adrenal gland is functioning normally but the patient is chronically stressed. So long as the stress is removed, the adrenal gland will recover completely. 4. High levels of cortisol, low levels of DHEA. The body cannot make enough DHEA to balance cortisol. This is the first sign of adrenal exhaustion. This is the first abnormal response to chronic stress. The patient needs a long break from whatever that chronic stress may be – the commonest chronic stress is Hypoglycaemia – the full story, but also consider insomnia, mental, physical or emotional overload or whatever. DHEA can be supplemented to make the patient feel better, but it must be part of a package of recovery, without which worsening can be expected. 5. Cortisol levels low, DHEA levels low. The gland is so exhausted it can’t make cortisol or DHEA. By this time patients are usually severely fatigued. Often these is loss of diurnal rhythmn so no morning peak. This may also be associated with low melatonin at night. 6. Cortisol levels low, DHEA borderline or normal. This probably represents the gland beginning to recover after a long rest. DHEA may be used to help patients feel better whilst they continue their programme of rest and rehabilitation.
I don’t really know how to interpret this. During my last consult Kruse said he thought I was in “Stage 3 or 4 Adrenal Fatigue”…and I’m not sure how he got that information from my cortisol labs at the time, which were a little on the low side but still within range. I suppose I could put my labs up on the Dr. K. forum and see if anyone will hack them. I’m contemplating getting new hormone labs run…I feel a lot better since my BHRT dose was adjusted in October and I’m interested in seeing if I’m in the normal range yet.
I researched docs today who do the Wiley Protocol, and spent a couple of hours looking into their backgrounds and websites, and making sure they also addressed thyroid issues. I have a list of 7 within 90 minutes of me – 5 MDs and 2 nurse practitioners. I’ll call them on Monday and by the end of the day I hope to have an appointment set up with one of them.