u/Tight_Thing_60

I am a 36F who recently had microadenoma removal but having a though recovery.
I am having night sweats, chest pain like someone is chasing me from sleep, low BP, dizziness and fatigue.
My endo started me on 15mg of HC but it wears out between 2-4am because I wake up like I was chased, hot, sweaty and weak. She drew labs and it was "normal" acth 20 and cortisol 10.6. I told her I don’t feel good so she thought I was perimenopausal.
She drew another lab because my last dose of HC was noon the day before for an 0800 appointment. My new labs are acth 18, cortisol 6.4 insulin 18.8 and estrogen 30 via quest diagnosis.
Endo is suggesting weaning me off steroid and starting me in HRT. OB doesn’t believe I’m I in perimenopause and is suggesting birth control but I don’t like the way it makes me feel. Endo isn’t willing to order the HRT like she suggested.
My life is very uncomfortable. I’m fatigued, emotional and cant even go to the gym because little speed walk causes my HR to be in the 130’s and I get dizzy.

I need help to understand my issue. I had microadenoma and was on carb but no decrease in size so I opted for the surgery. Black mold was found and I was on abx. Another infection brewed and bactrim was taken for 14 days.
Now I had my cortisol drawn, PM was 3.6 and AM was 4.4. I do work PM shift 12 hrs I couldn’t even explain why PM was low.
I was started on HC but it’s been hard to deal with esp when I work nights. I take a dose at 4am and then by 11, I am up with weakness, pounding HR and jitters. When I’m off, I can’t sleep in the AM because of my medication and when I’m off, my body wakes up around 0200 needing a dose because my last dose at 3pm, wasn’t enough to last until at least 0600

Any night shifters on HC? How do you navigate this and also go to the gym?
I take 10mg during the day and 5mg at night.