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I don't know what caused what, but my endocrinologist said that my adrenals do NOT respond to stress appropriately. When given an insulin tolerance test in which my blood sugar was deliberately forced (by insulin) to a low amount, my adrenals reacted poorly. The normal adrenal response is to have higher levels of cortisol when you have low blood sugar, and to get "shaky". I did not.

My doctor said "interesting" but had no idea whether POTS caused it, or it was there before or what. If I wanted (he left it up to me), I could take additional hydrocortisone when sick (which I do on occasion), or if I wanted I could take a bit extra on a daily basis. I chose not to take extra on a daily basis as the hydrococrtisone caused excessive heartburn.


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