Читать книгу Anti-Aging Therapeutics Volume XIV - A4M American Academy - Страница 47

Evaluate adrenal function prior to starting testosterone, ideally with a circadian rhythm test (4 saliva samples). If patient is in Stage 3 adrenal fatigue, consider deferring testosterone until the adrenals have been corrected because of concerns about negative feedback.

Caution adrenal deficiency patients about the symptoms of adrenal shutdown – orthostatic lightheadedness and standing fatigue (caused by a drop in blood pressure), and excessive thirst (due to low aldosterone levels). Adrenal shutdown can be immediately corrected with oral or injectable corticosteroids.