“In the rush of daily life, we all push through periods when we don’t feel well. However, it is important for those of us with adrenal insufficiency to be cognizant of the difference between feelings associated with normal fatigue and an episode of low cortisol requiring an update.

Most of us have been taught that having a cold or flu puts stress on our bodies which requires additional cortisol, with instructions to double or triple our replacement steroid dose within the protocols. It is equally important to be able to recognize emotional and injury-related stresses also deplete cortisol levels. It is crucial we adjust to accommodate for these situations.

We hope these vignettes of ordinary and extraordinary events will help you consider your own daily routine. You may recognize yourself in some or all of these stories. We hope you enjoy reading and reflecting.”