If you know that you have adrenal insufficiency, you are right that it should be treated BEFORE you take thyroid med. to avoid a possible adrenal crisis. This is a standard protocol at major hospitals. If you start vomiting or passing out, get to an emergency room. You need adrenal support. Maybe cut your thyroid med. to a quarter of a pill. It takes time for your body to adjust anyway. Discuss your adrenal insufficiency with a doctor asap.
Can you find a decent doctor?
Have you had adrenal testing?
My regular M.D. also refused to treat or even acknowledge my adrenal problem because, like so many doctors, he does not recognize any adrenal disorder short of Addison's Disease. I was deficient in many hormones and also had serious vitamin deficiencies, all of which my regular M.D. at a major clinic refused to treat.
After years of sickness and struggle, I found a D.O. (as opposed to an M.D.) and a Nurse Practitioner who are certified in Regenerative Medicine. They put me on a regime of DHEA, Armour Thyroid (instead of Synthroid), bio-identical hormones, B-12, and many other supplements. I no longer feel like the living dead, even though it's still quite a balancing act to keep all my levels optimal. It's also a hard financial struggle, since I have not been able to work. But without their help, the situation would be very bleak.
Try searching the Web for doctors associated with any of the following:
- Adrenal fatigue
- Armour thyroid
- Bio-identical hormones
- Regenerative Medicine
If you have a compounding pharmacy in your area that dispenses bio-identical hormones, ask them for the names of doctors who prescribe them. That is how I found my doctor.