Adrenal Fatigue

The adrenal glands produce the hormone cortisol, which wakes you up in the morning and gives you the energy to handle the normal stresses of daily living.  

Andrenal Fatigue

If you are under extraordinary stress, your adrenals will produce more cortisol to help you get through it. But if your stress is prolonged, the adrenals may not be able to keep up, and your cortisol becomes depleted. You have difficulty getting out of bed in the morning and feel tired all the time. The slightest exertion exhausts you. This condition is called adrenal fatigue.

Despite being so tired, you may have trouble getting to sleep at night because you feel wide awake. This is because adrenal fatigue disrupts the normal cortisol rhythm, where cortisol is highest upon awakening and lowest at night.

Testing
I use a four-point salivary cortisol test—which takes four different samples at various times of the day—to check for disordered cortisol rhythms and to guide my treatment.

I also test for adequate levels of the hormone DHEA in the blood.

If indicated, I test for adequate neurotransmitter production as part of a comprehensive blood and urine profile called the Individual Optimized Nutrition panel (ION).

Treatment

Nutritional support
I recommend glandular, herbal, and vitamin supplements to be taken at specific times of day to help restore cortisol production to normal.

Hormone replacement
I recommend DHEA and/or pregnenolone, according to a specific schedule. If adrenal fatigue is severe, I prescribe cortisol as well.

Phosphatidyl serine
This supplement, taken an hour before bedtime, helps you sleep, by resetting elevated night-time cortisol levels.

Stress reduction techniques
I teach you several techniques:

  • Coherence breathing, a method that slows down the breath in order to calm your nervous system
  • Visualization
  • Progressive relaxation

Cranial electrical stimulation, provided by Alpha-Stim AID, a small device I prescribe for you. It can be used in place of or in addition to oral hormone replacement and supplements.