thanks john,

thinking this morning that i am taking a step back, proceeding cautiously, not sure if it was the fish oil or just because, but tummy not so great last night when i woke up around 5 am or when i woke again later before eating.

i don't like to take things where i read mixed reviews unless i have no choice, so waiting on the DHEA, conjugated linoleic acid.

have decided to do things in this order:

1. wait til break week next week and do my at home cortisol saliva test, send that off. i often make the mistake of getting tested after i start new things, that doesn't really make any sense. often its cause by the time i get approved for a test, couldn't wait any longer and needed to start a med to get some relief, but in this case, will wait another week.

2. start the daypro that the rheumy ordered. rheumy stuff is higher priority at the moment.

3. try the fish oil again. if i still think i'm getting symptoms, wait a day or two then try probiotic instead.

4. add in fish oil or probiotic, whichever one i didn't start yet.

5. discuss DHEA and conjugated linoleic with the endocrine PA at the GYN office and if i can also with the endocrinologist, but he's in step down retirement, only sees patients a few months out of the year, so may have to talk to his PA instead, the one who handled my change in vit D prescription. just need to do more research on these. it sounded like there was more than one way to skin the adrenal gland, metabolic syndrome, high LDL cats, so thinking i may want to try more conservative treatments first. thinking maybe try a statin again for just a few weeks low level like a few years ago, 10 mg simstatin taken for only a month wiped the slate clean so to speak, and that was 1/2 the lowest dosage the GP said would do anything. while that gave me edema and that's why i stopped, it was extremely effective. maybe try another one like lipitor, mabye another won't cause edema, or maybe try a teeny tiny amount. also wondering if i could just find a way to lower the middle weight, just try harder, if i could avoid some of these supplements or drugs.

thanks for helping me to trouble shoot and think through all of this heart



sue

Spondyloarthropathy, HLAB27 negative
Humira (still methylprednisone for flares, just not as often. Aleve if needed, rarely.)
LDN/zanaflex/flector patches over SI/ice
vits C, D. probiotics. hyaluronic acid. CoQ, Mg, Ca, K.
chiro
walk, bike
no dairy (casein sensitivity), limited eggs, limited yeast (bread)