Condition + Location
Adrenal Insufficiency Treatment in Portsmouth
8 holistic practitioners in Portsmouth who can help with Adrenal Insufficiency. Gabriel's evidence-based protocols, matched to local practitioners.
8 Practitioners
1 Treatments
1+ Supplements
Gabriel's Approach to Adrenal Insufficiency
Gabriel distinguishes TRUE adrenal insufficiency (life-threatening, needs hormone replacement) from HPA axis dysfunction ("adrenal fatigue"—cortisol dysregulation, recoverable). TRUE insufficiency: primary (Addison's—autoimmune) or secondary/tertiary (pituitary/hypothalamus) or iatrogenic (steroid-i...
Read full protocolRecommended Treatments
IV Nutrient Therapy
Key Supplements
- TRUE Insufficiency requires hydrocortisone 15-25mg/day divided doses (typically morning, midday, afternoon—mimics natural cortisol rhythm) OR prednisone 5-7mg/day, Fludrocortisone 0.05-0.2mg/day (if primary—mineralocorticoid replacement for aldosterone), Salt tablets or increased dietary salt (sodium replacement), DHEA 25-50mg (adrenals produce DHEA—replacement improves quality of life in women especially), Supportive (don't replace medical treatment): Vitamin C 1-2g/day (adrenal glands concentrate vitamin C), Vitamin B5 (Pantothenic acid) 500-1000mg (adrenal function), Magnesium 400mg, Vitamin D3 5000 IU (many autoimmune Addison's have other autoimmune conditions), Licorice Root (if NOT on fludrocortisone—raises cortisol, but can raise BP, use cautiously), Adaptogenic herbs CAUTIOUSLY (Ashwagandha, Rhodiola—may help but don't replace steroids), Electrolyte replacement
Key Lab Markers
- Morning cortisol (LOW in insufficiency—<3 μg/dL diagnostic, 3-10 suspicious), ACTH stimulation test (GOLD STANDARD—cosyntropin injection, measure cortisol at 30 and 60 min, failure to rise adequately confirms insufficiency), ACTH level (HIGH in primary—adrenal damage, LOW in secondary/tertiary—pituitary/hypothalamus problem), Aldosterone (LOW in primary insufficiency), Renin (HIGH if aldosterone low), DHEA-S (often low), Comprehensive metabolic panel (electrolytes—hyponatremia, hyperkalemia in crisis), Blood glucose (hypoglycemia common), CBC (anemia, eosinophilia), TSH (rule out concurrent thyroid issues—common in autoimmune), 21-Hydroxylase antibodies (if primary suspected—autoimmune Addison's), MRI pituitary (if secondary suspected—pituitary tumor, damage), Medication history (chronic steroid use—iatrogenic most common)
Practitioners in Portsmouth for Adrenal Insufficiency
Sorted by treatment relevance and Practitioner Score
#1
80GPS
Dr. Jennifer Quinn
VerifiedDr. Jennifer Quinn·ND
5.0(6)
875 Greenland Road, Unit B11, Portsmouth, NH 03801
integrative medicine
View Profile
(603) 945-8119#2
80GPS
Dr. Alyssa Christoforou
VerifiedDr. Alyssa Christoforou·ND
5.0(6)
875 Greenland Road, Unit B11, Portsmouth, NH 03801
naturopathic medicine
View Profile
(603) 945-8119#3
80GPS
Dr. Ashley Dumont
VerifiedDr. Ashley Dumont·ND
5.0(32)
208 Market St, #23, Portsmouth, NH 03801
Functional Medicine Consultation
View Profile
(603) 496-8802#4
80GPS
Dr. Christine Ambrose
VerifiedDr. Christine Ambrose·ND
4.8(28)
249 Islington Street #11, Portsmouth, NH 03801
naturopathic medicine
View Profile
(603) 501-9005#5
80GPS
Dr. Nicole Schertell
VerifiedDr. Nicole Schertell·ND, CCT
4.9(41)
501 Islington St Ste 1C, Portsmouth, NH 03801
Functional Medicine Consultation
View Profile
(603) 496-8802#6
80GPS
Dr. Ian D. Bier
VerifiedDr. Ian D. Bier·ND, PhD, LAc
4.9(47)
155 Borthwick Ave, West #102, Portsmouth, NH 03801
naturopathic oncology
View Profile
(603) 610-7778