I've ramped up my training but neglected to up my meds. oops. Problem.
When I was training for the Vineman and the GTR 50 in 2007, I upped my daily Hydrocortisone to 25 mg/day and Florinef to .05. I've not been doing so much for November and December so I decreased to 22.5 mg HC and .025 of Florinef (couldn't go lower on either). In the last 2 or 3 weeks I started doing more and have not increased any meds at all.
Yesterday was terrible. It started out with a headache and 1.5 hours of shoveling 12 inches of snow out of the driveway. I was exhausted too. Skipped my run for the day and moped around. By evening, I took 10 mg extra of HC to no avail and I started getting nauseous and really unable to form coherent sentences (I'm sure it could be argued that I never make coherent sentences). I took 5 more mg of HC and started feeling much better, nausea went away and slept well. Woke up this morning feeling like a million bucks.
Moral of the story: Make sure you increase your HC if you need to!