Think about it like this: if your body is a car, and it’s run down and needs to get checked – you are most likely going to carefully drive it to the closest garage. What you are not going to do is race there as fast as you can, because you want to take it easy on your car and not cause it to fall apart before it even reaches the garage. That’s what your body is doing in this case, it is lowering your cortisol level because it does not want your body to be “running on empty.”

From his introduction: "Part I gives you an overview of adrenal fatigue: what it is; who suffers from it, what causes it, how it progresses and why medicine has not recognized it as a syndrome.....Part II guides you through a questionnaire and some other simple processes to determine if you have adrenal fatigue, and if you do, what may be causing it......Part III provides a very comprehensive guide to recovering from adrenal fatigue. It contains specific info about which therapies work and exactly what you can do to help yourself feel energized and well again.......Part IV explains in relatively plain English what your adrenal glands do and how and why they are so important to just about every process that occurs in your body and mind. It will help you understand why you feel so bad when they are not functioning adequately." Sometimes, you don't even realize you feel bad because feeling bad becomes normal and you don't realize how bad you felt until you start to feel better. I am to that point now, I feel better.
The adrenal glands sit over the kidneys, where they play a significant role in the body, secreting more than 50 hormones necessary for life, including epinephrine (adrenaline), cortisol, dehydroepiandrosterone (DHEA), progesterone and testosterone. Since they produce so many essential hormones, the adrenal glands are responsible for many of the functions we need to stay alive and healthy, including:

The first question to ask is what stage the individual has reached. If he or she is still on Stage 1 or 2 Adrenal Fatigue, where cortisol levels are still high, then a recovery may take very little time. If the condition is caused by temporary stress at work or bereavement, we can reasonably expect cortisol levels to return to normal once the stress has passed. In fact, many of us enter Stage 1 or 2 Adrenal Fatigue multiple times during our lives, only to pass out of it within a few months as the underlying cause disappears.
We now know that HPA axis dysfunction is a more appropriate description of the fatigue that comes with adrenal dysfunction. Shift work has long been associated with increased health risks, including risk of insulin resistance, weight gain, cardiovascular disease and brain dysfunction. Many people do not have a choice but it is not a good idea to consistently lose sleep or upset your body’s circadian rhythm.

Did you know that MDs receive less than one day of nutrition training during their entire 4 years at medical school? A 2006 study found that the average MD received only 23.9 hours on this vitally important subject. Modern healthcare has drifted away from promoting things like nutrition, emotional wellness, and exercise, and has become almost exclusively focused on treating acute, life-threatening conditions. Again, that's not so helpful if you are suffering from a condition like Adrenal Fatigue.


Everyone comes from different backgrounds and have various experiences that affect their outlook on life; therefore, their view of something might be totally different than someone elses perspective. I like how you responded Heather, because after all we are real people even though we don’t talk face to face we still need to try and understand each other. This is part of life learning from one another.
The level of TSH is inversely proportional to the activity of your thyroid. If your thyroid is producing lots of T3 and T4, your pituitary gland produces less TSH (because the thyroid needs to be stimulated less). Conversely, if you are hypothyroid then your TSH is likely to be high, as your brain is telling the thyroid to produce more hormones. This is the same kind of feedback loop that exists for many other hormones in the body, including cortisol.
And to make things even MORE complicated “Experts” say that when you crave Salt, that is a sign of Low Aldosterone, but then others say that the Swelling before the Period is not just low Progesterone, but High Aldosterone as well, so how can i have “High Aldosterone” in the final stages of Adrenal Fatigue..i say Final because the Panic attacks, Heart Palps and Insomnia are over, i am just having Low Blood Sugar sometimes and Salt Cravings always. IS it possible to have alternating Aldosterone levels EVEN in AF?
Within the book’s more than 360 pages, the author covers virtually aspect of this dread ailment. He explains in great detail how the adrenals work in combination with other key systems in the body to maintain homeostasis and ensure sound health. He examines the symptoms that accompany this disorder, as well as how to differentiate normal momentary tiredness from the type of chronic exhaustion these patients must endure.

The pupil normally remains contracted in the increased light. But if you have some form of hypoadrenia [Mommypotamus note: This is the clinical term for adrenal fatigue], the pupil will not be able to hold its contraction and will dilate [open back up] despite the light shining on it. This dilation will take place within 2 minutes and will last for about 30-45 seconds before it recovers and contracts again. Time how long the dilation lasts with the second hand on the watch and record it along with the date. After you do this once, let the eye rest. If you have any difficulty doing this on yourself, do it with a friend. Have a friend shine the light across your eye while both of you watch the pupil size.


Low adrenal hormone levels may also be linked to low blood sugar. Normally, cortisol works to maintain blood sugar levels throughout the day, but low cortisol levels may not be sufficient to sustain blood glucose. When blood sugar levels drop, sleep is disrupted, which can cause you to wake earlier than normal – for example, between 1-3am. Eating a small, healthy snack before bedtime may help to combat this. Choose foods that are low in sugar and high in protein and/or healthy fats in order to help stabilize blood sugar without spiking it.
By purchasing "Adrenal Fatigue" you will be able to gain relief from the turmoil and restore your body into a state of calmness with a pervading sense of ease and clarity to soothe your mind and body. Not only that but with this step by step guide you will have a clear understanding of how the adrenal glands function when they are fresh and rejuvenated. You may not believe it now but by letting go and relaxing inside you can give your body the deep rest and cleanse that it needs. Living more harmoniously and in a tranquil state is a solution available to you by following this book.”
CoQ10 plays a vital role in helping the body to manage stress. Research has shown that supplementation with CoQ10 helps to reduce signs of inflammation in the blood and fight oxidative stress. Stress is a significant cause of inflammation, which – on top of adrenal fatigue – is linked to chronic health problems of the brain and cardiovascular system. Your stress-coping mechanisms become weaker with age, and are particularly vulnerable when cortisol is running low.
A food’s glycemic index (GI) is a calculation of how much each gram of carbohydrate raises your blood glucose level. The glycemic load is an estimation of how much a certain food will raise your blood glucose level after you eat it. High GI foods (GI>70 on the glucose scale) are simple sugars that cause sudden spikes in blood sugar. Low GI foods (GI<55) are usually ‘complex’ carbs that are digested slowly and therefore have less of an effect on blood glucose levels. This means they provide sustained energy for a longer period of time. Low GI foods can include whole grains, beans, lentils and soy products. Include some low GI fruits like berries and green apples.
Easy for the non-scientist to understand. Lots of obvious information, like sleep more and eat better. I used this book more for the supplements chapter. I increased my bit C and B6. I stopped taking DHEA because of this book (not recommended for women) and started taking pregnelone instead. Some stuff I didn't know is that salt is good for you and bananas are bad for you if you have adrenal fatigue.
From the treatment perspective, there is much to be learned for those who are unfamiliar with the syndrome. The authors delve into lifestyle changes that can positively impact your stress levels, various medications and natural remedies that can be effective in limiting the damage done to your adrenals, and supplements that can help you to improve your immunity and overall health.
Get plenty of sleep: Sleep is the most effective approach to high adrenaline levels. Many women require eight to ten hours of sleep to function optimally. Try to go to bed by ten P.M. Getting to sleep on the earlier side of midnight is much more restorative to your adrenals than sleep that begins later in the night, even if you sleep late the next morning to get in your full amount of sleep.

Testing for Adrenal Fatigue can take several forms. First we have the standard hormone tests, which include testing for cortisol and various thyroid hormones. These are the tests that your medical doctor will likely give you. Then we have the tests more frequently used by integrative doctors or naturopaths – these tend to look at the ratios of various hormones and neurotransmitters, in order to get a better idea of how a patient is feeling. And lastly we have a set of more subjective physical tests, which were mostly developed in the early days of Adrenal Fatigue diagnosis.
Thank you for the wealth of knowledge you share in your blogs and follow-up comments. What stage of adrenal/HPA-axis dysregulation would you consider a patient with the following results? Symptoms are consistent with abnormal cortisol levels and hypothyroidism; current treatment protocol from primary includes Armour thyroid 30mg. Could Hashimoto’s (or autoimmunity) be a possible cause? Or are lifestyle factors (sleep, glucose regulation and diet, stress, etc.) more likely for the following patterns?

Because so much of adrenal fatigue is really brain-based, most of the natural medicines I use focus on supporting optimal brain health and the brain’s response to stress. Explore blends of adaptogenic herbs like ashwagandha, eleuthero ginseng, holy basil, and rhodiola rosea to give your adrenal axis some TLC. I also incorporated phosphatidylserine supplements into my routine. (Of course, consult your doctor before implementing any herbs or supplements.)

I have been suffering from rocking vertigo for 7 months now with no known cause. It was brought on by a period of high anxiety/panic attacks. The feeling hasen’t left me since this happened to me in June. I have been researching adrenals as a cause because of how it started although im not seeing rocking vertigo as a normal symptom. I would say I experience fatigue too but the vertigo is the main problem.
When you live in the fight/flight mode all the time and you’re constantly stressed out, you’re setting yourself up for adrenal fatigue because they’ve been in overdrive for a long period of time and they’re been flooding your body with cortisol until they can’t keep up with the constant demand for more stress hormones. Now, your adrenals cannot produce enough stress hormones and/or they’re producing the wrong types of hormones at the incorrect times.

1- It says repeatedly that salt is good for you and potassium is to be avoided. But salt is toxic. I know this from my own experience. Salt gives me nasty headaches. Charlotte Gerson said that salt promotes cancer. Dr. Albert Schweitzer said the same. So did Dr. Birger Jansson. Dr. Max Gerson put all his patients on salt-free diets and gave them potassium supplements; he said that on this regimen sodium deficiency was rare, and his patients did very well. He c ...more


What we need to do is give our bodies time, and to understand why our bodies are producing low cortisol. It all comes down to root causes – as it often does in many aspects of our health. When we get a better sense of why our body is reacting the way it is, than we can really approach a solution. Low cortisol output might leave us feeling fatigued, but simply bringing outside cortisol into our systems is not going to solve the problem long-term.

If you have, or think you have, Adrenal Fatigue - this is the book to read! I've been diagnosed with it and my Dr told me to go and get myself the book and everything I need for my treatment will be in there! (Lazy? Maybe! Truthful? Yes!) This book will be your go-to-guide to tell you signs and symptoms of Adrenal Fatigue, dietary changes to help recovery, herbal medication (and dosage) required plus ideas on how to reduce the stress in your life.


I have Hashimoto’s and adrenal fatigue. I don’t know what’s causing my adrenal fatigue or how to find that out. Is it the autoimmune attack? Gut infections? Food sensitivities? The fact that I’ve been to like 50 doctors and nobody can help and they make me so stressed I want to yell at them? I also go to bed really late like 4am. And my blood sugar is chronically low despite eating protein and fat with each meal so I have these awful blood sugar swings which I’m sure is hard on the adrenals. I just don’t know how to figure out the cause and reverse it. Can you reverse it without figuring out the cause by taking a B complex and Vitamin C?
It is ordinary for stress to cause cortisol levels to rise in a normal fashion, but in adrenal fatigue the output of cortisol and other adrenal hormones is constantly being stimulated. This overstimulation causes the body’s vitality to dwindle. With each downshift in adrenal function, the body is considerably more affected in a negative fashion: “adrenal fatigue, in all its mild and severe forms, is usually caused by some form of stress…. It is important to know that your adrenals respond to every kind of stress the same, whatever the source” (p 11). Cortisol is a powerful hormone that has a profound effect on every organ and system in the body.
Healthy adrenal glands secrete appropriate amounts of cortisol, a hormone fundamental to optimal health. When released in normal levels, cortisol is essential to helping our bodies respond in healthy ways to stress and supporting a healthy immune response—without cortisol, the body cannot sustain life! Cortisol levels affect every tissue, organ and gland in the body. Balance is crucial.

The Adrenal Fatigue Solution contains everything you need to start treating your Adrenal Fatigue. We have included lots of information on the lifestyle changes that you should be making, along with complete lists of the vitamins, minerals and supplements that you should be discussing with your doctor. The eBook is written in simple, easy-to-understand terms, and is the perfect starting point for your treatment.
After that, she offers the outline for how you can be healed from adrenal dysfunction. This includes advice on diet, blood sugar maintenance, meal plans, and addressing digestive issues. Lifestyle changes are also a big part of this process, with sleep, relaxation, and exercise being major components of the recovery plan. There is even a section on supplements and extracts.
Thank you for sharing your recovery process for your adrenals! This spring I began the journey to find remove things from my diet that irritated my adrenals, causing them to ‘crash’. In my search for healing, I found your article and it’s so encouraging! I do have a few questions though…. is the reason for fat bombs to give the adrenals rest from needing to help create energy (by eating ‘sugar’ multiple times an hour? and after they’re back to normal, the fat bombs won’t be necessary?

While this may be discouraging to some, one issue I have with this assessment is that the main issue seemed to be study design, rather than hard results. The failure of scientists to conduct adequate tests does not immediately equate to the falsity of adrenal fatigue as a whole. In addition, a diagnosis for this condition is difficult because these cortisol levels fall in what conventional medicine would call “inside the normal range,” although the symptoms are clear to those suffering from the condition. Lastly, treatment for adrenal fatigue consists mainly of diet and lifestyle adjustments, which traditional doctors do not see as legitimate medicine. (That’s okay; we know that food is medicine, no matter how often the medical community fails to recognize this fact.)
Focus more on loving thoughts. Thoughts that bring you pleasure (like thinking about people you love, favorite pets, a delicious meal, or even a sweet memory) short-circuit the harm done by the body’s physiological reaction to stress. This learning to “think with your heart” may be challenging at first, but it’s definitely worth it. If you faithfully learn this and regularly pay attention to areas of your life that bring you joy and fulfillment, you will evoke biochemical changes in your body over time that will recharge your adrenal batteries. (For assistance, I recommend the training programs and books from The Institute of HeartMath.)
Do you feel that your energy levels are just at a permanently lower level than they used to be? Aging is often a factor in this, but chronic stress can be a major contributor to exhaustion too. If you’re one of those people who find themselves drinking more and more coffee just to get through the day, it might be time to look at the underlying cause behind your tiredness.

Constant foggy feeling. Looking for guidance as to what lab tests I can have my provider order to check for any hormone imbalances that I may have. I am a 36 yo female. In the past 8 months, I have had neck pain that revealed bulged discs, which I feel i have in control, not treat for this. I am working to fix my diet, but exercise of almost any sort causes my neck to flare up. I want to rule out any issues from labs first and start working on my diet and stress level.
If you truly have adrenal fatigue syndrome your most definitely going to suffering from some other obvious condition as well. Failure of the adrenal glands To work properly would cause serious side effects in your body that you would notice far sooner then you would notice this so called syndrome. All the symptoms mentioned above can signify multiple different illnesses that are more likely for you to have then an adrenal problem, such as depression for instance or just being tired. Adrenal fatigue syndrome is a fad illness, if you go to any doctor saying you think you have it they will laugh at you. I’ve seen it happen. Try taking a nap and taking care of yourself.

If you have adrenal fatigue, it can also be a major cause of excess fat storage and low energy levels. Luckily, you can heal adrenal fatigue with three simple steps: start an adrenal fatigue diet, take supplements and reduce stress. So, let’s talk about exactly what your adrenal glands do and how you can overcome adrenal fatigue in these three simple steps.
After that, she offers the outline for how you can be healed from adrenal dysfunction. This includes advice on diet, blood sugar maintenance, meal plans, and addressing digestive issues. Lifestyle changes are also a big part of this process, with sleep, relaxation, and exercise being major components of the recovery plan. There is even a section on supplements and extracts.
As you can see, there are a number of symptoms that might be related to other underlying disorders. Fortunately, the ways to combat these issues are very similar and will benefit your overall health. If you’ve experienced any of these adrenal fatigue side effects, take heart, for there are now many natural ways to treat and support your adrenal system.
One of the most commonly overlooked causes of Adrenal Fatigue is intestinal infections that gives rise to an inflammatory response. Such infection can occur sub-clinically with no obvious signs at all. Infections in the gut, including giardia, SIBO (small intestinal bacterial overgrowth), fungal dysbiosis, and h. pylori infection are just a few that may contribute to adrenal dysfunction.
The most accurate way to assess adrenal function is through a saliva cortisol and DHEA biopsy. There are other ways however to assess adrenal function, including through blood tests and through Hair Tissue Mineral Analysis. These methods won’t give you exact cortisol and DHEA values (blood tests can measure the adrenal hormones but saliva hormones are considered far greater due to the fact that saliva hormones are ‘free-fractioned’) but nonetheless they can give you insight into the 2 basic phases of adrenal imbalance: adrenal hyperfunction and adrenal hypofunction.
Navigating this ocean of uncertainty is not an easy task. Symptoms associated with adrenal fatigue probably have multiple causes. Frequent follow-up visits and a strong patient-clinician partnership are critical elements for success. Alternative and complementary clinicians often have better results, because the appointments tend to last longer and they view patients through a more holistic lens. An important word of caution: some medical professionals prescribe cortisol analogs to treat adrenal fatigue. Cortisol replacement can be dangerous even in small doses. Unintended consequences can include osteoporosis, diabetes, weight gain, and heart disease.
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