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My aunt was diagnosed with Addison's disease several years ago. The disease started unnoticeably and developed rather slowly. The whole family paid no attention to the first symptoms: tiredness, loss of appetite, low blood pressure. It all seemed to me separate symptoms of dietary changes, lack of sleep, etc. then when my aunt started feeling sudden pain in her back and her hands started shaking my dad (her brother) persuaded her to have some medical tests and screenings. It all took about 2 months before she was finally diagnosed with adrenal insufficiency and initial stage of Addison's disease. The doctor explained that if not treated professionally and on time the disease could be life-threatening. He put my aunt on several different medications but they caused unacceptable side effects - vomiting after every food intake, insomnia, sometimes her blood pressure could suddenly rise high and she had frequent bleedings at the nose. Then she was put on Florinef and the situation changed completely. The medication is a corticosteroid aimed to treat adrenal insufficiency and it is just perfect for its purpose. My aunts test results are much better with Florinef. Besides it causes practically no side effects. Just slight dizziness in the morning, which disappears when she eats something. We are all happy to see her condition improving and we hope the disease won't develop any further. And of course we are all very impressed with Florinef. Excellent drug for adrenal insufficiency.

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Prioritizing activities, avoiding overexertion, and resting when needed are key to maintaining existing energy reserves.

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Since this is a common problem, it is one of the first things to rule out.

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My question here is, should I sue the VET?

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The key is to rotate treatment protocols if patients plateau, and treat all the co-infections, but once you have lowered the bacterial, parasitic and viral load of these infections and patients start to feel reasonably well, I don't think you need to use long term anti-infectives until they report that they are 2 months symptom free.

Selective serotonin reuptake inhibitors (Paroxetine; Sertraline) can be effective in treating resistant cases of neurocardiogenic syncope.

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Systemic symptoms may indicate the presence of hyperthyroidism, Addison's disease, or diabetes-related disorders.

You can see how important it is for us to develop better tests for these emerging tick-borne infections.

That is a good idea to test your adrenal hormone production first.

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In addition, the use of fludrocortisone, instead of glucocorticoids such as prednisone (or in combination with lower amounts of such glucocorticoids) to treat or stabilize hearing loss will reduce the detrimental side effects commonly observed with glucocorticoids.

And Addison's doesn't cause hair loss.

After an "Addisonian Crisis" (while being boarded at the vets), he responded well to injected prednisone, leaving us with a diagnosis of hypothyroidism (1 mg thyroxine daily) and atypical Addisons (10 mg prednisone daily).

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According to the case definition as revised in 1994, CFS consists of both (1) persistent or relapsing fatigue not resulting from exertion or relieved by rest, having a clear-cut onset, lasting for at least 6 months, and causing substantial (for example, 50% or more) reduction in the level of physical activity, and (2) simultaneous occurrence of 4 or more of the following symptoms for at least 6 months: headache, muscle pain, joint pain, sore throat, tender cervical or axillary lymph nodes, prolonged malaise after physical exertion, failure to be refreshed by sleep, and cognitive deficits (for example, impairment of attention, concentration, and short-term memory).

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While I can really understand why veterinarians would want to avoid the use of this category of medications I also think they are important enough in the treatment of painful conditions that it is worth finding a veterinarian who is willing to put up with the paperwork and minor risks of handling these medications if your pet has a painful condition that won't respond to drugs that are not controlled substances.

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