Samples for serum cortisol are taken at t=0 (typically 8am) prior to the patient’s first hydrocortisone dose, then at one, two, five and nine hours after this dose. For patients taking hydrocortisone three times a day, the second dose should be given after the five hour sample and the third after the nine hour sample. Patients taking hydrocortisone twice daily should take their second dose at seven hours with an additional sample taken at that time. Clearly mark the patient’s details, date and time on each bottle.
Fermented dairy products like kefir are a little-known magic bullet for muscle building. Kefir is the perfect addition to any muscle-building blender bomb, providing distinct nutritional advantages over water or regular milk. If you usually use water in your shakes, 1 cup of kefir will add 150 calories to your diet. Compared to regular milk, kefir will allow your meal to be more easily digested due to the presence of probiotics (up to 10 billion good bacteria per cup). These healthy bacteria will help keep your digestive track running at peak condition so it can break down and assimilate a maximum amount of calories and nutrients from your meals.
Speaking of our most important figures, a recent edition of The Washington Post contained a piece on A-Rod’s recent decline and cited Yale economist Ray C. Fair’s mathematical model of how hitters age, derived using the stats of every batter who played at least 10 full seasons between 1921 and 2004. He uncovered that the typical peak is around age 28, even with a selective sample of hitters who aged gracefully enough to make it in the majors for a decade or more. By 29, such hitters are already in a decline. It’s worth noting that pitchers are at their best even earlier (around 26, which is when I noticed my own descent).