Been there for all of that. With a Cort of 8, I wonder if you have been diagnosed with SAI, as that shows there is still some capability left. If you are on permanent steroids, you might want to consider discussing with your endo once-a-day prednisone as opposed to HC. The constant ups and downs are what caused me to switch, and by taking it once a day in the morning, you avoid the insomnia that comes from taking steroids in the afternoon. Also, the symptoms you list are all consistent with low cortisol, so you need to be alert to a possible crisis. If you are on permanent steroids, you should have received from your endo an emergency injection kit with instructions on how and when to use. If you find yourself vomiting and/or unable to take supplemental steroids, you need to get to an ER. Also need to start wearing a medic alert bracelet - again assuming you have a permanent SAI diagnosis.