MAJOR PROBLEM FOR A LOT OF PEOPLE IS ALWAYS BEING TIRED!!!, There are many factors that cause these problems. How do we deal with them and keep up with the world and stay ahead of the curve and not be tired while doing it? This book was a very good read. Very informative and I definitely did not know a lot of these things that were mentioned. Vitamin B5, B6, and B12 these can give you a good boost. I now realized that I have to eat foods that support adrenal function. After reading this book I am now looking for my problem habits that I have that make me very tired throughout the day and I will try and eliminate them, 1 step at a time!
Part III tells you how to recover from adrenal fatigue. This part of the book leaves nothing out: it covers everything including lifestyle, diet, stress, supplements, and sleep. Wilson really wants you to examine your life for the real causes behind your health problems so you can make positive changes. He also believes that most cases of adrenal fatigue can be treated at home without the help of modern medicine, although he does provide suggestions for those with very severe adrenal fatigue who may need temporary natural hormone replacement so they function like a normal person and adopt better habits.
Chronic infections play a critical role in some cases of adrenal exhaustion. Chronic infections may originate in infected teeth or gums, though they can be located anywhere in the body. They contribute greatly to the toxic load of the body. Infections also cause inflammation and stress that must be countered using the adrenal hormones such as cortisol and cortisone.
Her brain felt foggy, she was irritable, and she was drinking three cups of coffee a day to get through her afternoon slump. At night she became super mom, cooking and taking care of the kids. Usually she was at her laptop until about midnight, which is when she physically couldn't keep her eyes open. Everything she described was classic for adrenal fatigue, but I wanted to make sure we were on the right track.
We tested her cortisol levels using a saliva test, and found that not only did she have the symptoms of stage 3 adrenal fatigue, the test confirmed it. Instead of following a curve that starts high on waking in the morning and trends down to its lowest point at night, her cortisol curve was a flat line. Her DHEA, another adrenal hormone, was also low, as were her free T3 — the active thyroid hormone — and her levels of B12, vitamin D, zinc, magnesium and selenium.
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Conventional medicine is truly wonderful at treating disease-state conditions. Unfortunately its focus on drugs also tends to suppress early-stage symptoms rather than treat their underlying causes. This can have the effect of delaying treatment until a disease state has developed. This is true in the case of adrenal fatigue cortisol testing. In the conventional standard of care, any cortisol level within a very broad range is considered normal, and anything outside that range indicates disease.
Stress is not a bad thing. We all have stress in many forms but the key is to be able to handle it and to balance your life in a way so that you do not stay in the fight/flight mode all the time. When that happens, you’ll have insomnia, belly issues/digestion issues, exhaustion, hormonal imbalances, weight gain, thyroid issues and many other symptoms. Your immune system will also be very suppressed so you’re susceptible to getting infections and viruses/colds or even catching something like Lyme disease. Sound familiar? I’m pretty much telling you what happened to me. My nervous system was knocked out of balance so much that my body couldn’t perform it’s regular duties and everything started to shut down because of emotional, physical and mental stressors that I was put under when I was younger, which is why I was a prime case for Adrenal Fatigue Treatment.

“Our role is to be good active listeners to determine if there is a true medical disorder lurking among the complaints. It is very important to take the person seriously, not to brush them off and say there is no [such thing as] adrenal fatigue. These people are suffering from something, so we need to take the suffering seriously.” – Lynnette Nieman, MD, president, Endocrine Society; senior investigator, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, Md.

One of the most difficult aspects of adrenal fatigue is the fact that medical science continues to avoid the subject. Despite their inability to diagnose many cases of extreme exhaustion without referencing adrenal function, there are many doctors who still stubbornly refuse to acknowledge the existence of this problem. That leaves patients with little choice other than to manage their own recovery program. The good news is that there is a wealth of information to be found in the many books on adrenal fatigue in the marketplace today.


Her brain felt foggy, she was irritable, and she was drinking three cups of coffee a day to get through her afternoon slump. At night she became super mom, cooking and taking care of the kids. Usually she was at her laptop until about midnight, which is when she physically couldn't keep her eyes open. Everything she described was classic for adrenal fatigue, but I wanted to make sure we were on the right track.

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.
In this book, the author does explain adrenal fatigue, but she doesn’t spend an excessive amount of time dwelling on the problem. Her focus is on one thing and one thing only: curing the ailment. To that end, she quickly gets to the meat of the subject by outlining her seven steps to addressing the weakened adrenals that are causing your fatigue. Dietary choices, vitamins, natural supplements, dealing with cravings – all of these topics are covered as she helps you to develop the framework for a viable recovery plan.
Do you have Adrenal Fatigue? A few changes in your diet and lifestyle can go a long way to getting your energy levels back. You can also use some natural supplements to give your body the support it needs to recover. Dr Eric Wood and I teamed up to write The Adrenal Fatigue Solution, which contains a comprehensive plan to recover from Adrenal Fatigue.
Adrenals. Ahhhhhhh, how I wish I knew about these guys a decade ago before my doctor put me on steroids in my 20’s, which took away my pain but also destroyed my adrenals!!! It’s taken me over 10 years to build back my adrenals. So much fun. Let me tell you. This has become part of my life so I love learning new ways to heal myself and my adrenals have been anything but easy to heal. They’re tricky and they’re exhausting and you end up feeling depleted, tired and fed up most of the time. When I learned about adrenal fatigue treatment from my Functional/Integrative M.D.’s I was amazed at all the knowledge I found on how I could start to heal these babies, which were KEY for my thyroid health. You’ll never have an optimal thyroid if your adrenals are out of whack. So, let’s talk about what adrenals are and how you can make sure they’re in tip-top shape. As Susan Blum, M.D. (she was my 1st Functional MD) mentions in this article for Well&Good, 8 Signs You Have Adrenal Fatigue, “When there’s severe, chronic stress, the adrenal glands can stay in the ‘on’ position, making extra amounts of these stress hormones.”
If stress is causing your cortisol levels to be elevated, this anti-inflammatory effect becomes too strong. This effectively stops your immune system from working as it should, and this weakened state can last for the duration of whatever is causing the stress. Without a properly functioning immune system, you become vulnerable to disease. Conversely, a lower level of cortisol allows your immune system to over-react to pathogens. This can lead to chronic inflammation and a number of respiratory or auto-immune diseases.

Adrenal fatigue should not be confused with another medical condition called Addison’s disease where the adrenal glands are not functioning at all. While Addison’s disease is often caused by autoimmunity, Adrenal Fatigue is largely caused by stress along with a host of other factors, like accumulation of toxic exposures, hidden infections, hormone imbalance, or even nutritional deficiencies.
There are a number of different tests for thyroid function, all blood tests. Here I’m going to give a brief summary of the most important ones. As with the cortisol test, your doctor should be looking beyond the reference ranges provided by the lab. In fact, these days it’s very common for someone to be diagnosed with mild hypothyroidism even if all their results are within the range.

There are also a number of recipes designed to improve both your overall nutrition and your energy levels. For most people, however, the real value of this book – as is true with most “Dummies” books – can be found in its usefulness as a reference guide. Within its pages, there are specific sections on every critical vitamin and mineral, all of the major hormones involved in the adrenal cascade, cellular energy production, exercise fundamentals, and even depression.


My biggest qualm with Adrenal Fatigue has to do with the diet section of the book (and perhaps you suspected this). On one hand, Wilson does offer some very valuable advice: eat balanced meals that include fat, protein and carbohydrates; avoid refined sugars and fruit juices; salt is your friend, especially unrefined sea salt; and eat high-quality, natural foods.

I live in the UK and am having great difficulty getting a diagnosis. Having read your article and taken your “quiz” I realise that I have most of the symptoms covered. My problem is to get my doctor (a General Practitioner) to recognise Adrenal Fatigue Syndrome. Do you know of anyone in the UK that I could consult? In the meantime, I will try all your Lifestyle tips, I shall enjoy the chocolate!
I didn't find any other book that explained what I was experiencing so spot on. I think Dr. Lam truly understands the deep levels and complexity of Adrenal Fatigue. HOWEVER, I think there is another business agenda going on here. His book also has a pervasive theme of "You won't get better without my help" when he states over and over: "it is needed to find a good practitioner experienced in natural healing in your area to guide you through this step"...it both validated me and increased my anxiety to read the book because I felt like unless I paid the enormous fee per phone call to get his help I wouldn't get better.
In a dark room, sit or stand in front of a mirror for about a minute to allow your eyes to adjust to the light. “Then shine a flashlight across one eye (not directly into it) from the side of your head. [Mommypotamus note: Some practitioners say to keep the light about six inches away] Keep the light shining steadily across one eye and watch in the mirror with the other. You should see your pupil (the dark circle in the center of the eye) contract immediately as the light hits your eye. This occurs because the iris, a tiny circular muscle composed of small muscle fibers, contracts and dilates the pupil in response to light. Just like any muscle, after it has been exercised beyond normal capacity, it likes to have a rest.
Those Adrenal Fatigue sufferers who are at a later stage of the condition will have consistently lower levels of cortisol. However, their blood sugar will tend to be much lower during the early morning (cortisol regulates blood sugar too). Your body realizes it’s hungry and forces you to wake up. Many Adrenal Fatigue sufferers are chronic late-night snackers for exactly this reason. You can get a better night’s sleep by improving your sleep hygiene.

Processed and microwaved foods: First of all, the microwave has its own dangers, but additionally, most microwaveable, ultra-processed foods have many preservatives and fillers that are hard to digest and wear out your body’s energy and digestion cycle. Try to buy food on the outer walls of your grocery store and prepare your own food whenever possible.


Diagnosing Adrenal Fatigue from a single test or symptom is very difficult. To make an accurate diagnosis, doctors and naturopaths need to look at a range of tests, sometimes conducted multiple times, and take note of every symptom. This requires experience and a thorough knowledge of the various systems in your body, as well as some patience too. It may require two or three visits to the doctor before you can be sure that you have Adrenal Fatigue.
For a little over two years I have been suffering from erectile dysfunction, I have tried different medications such as Viagra to no avail. Also, recently I have donated blood after which time my symptoms of ED seemed to disappear, however, recently, they came back. Also, I do feel tired throughout the day and had liquid come out the anus many times. My main concern is that it feels like my sex drives almost disappeared. Lastly, this condition started in late 2015 as I was taking Allopurinol prescribed by my doctor for the treatment of gout. Surprisingly, I have not had a gout attack since these problems started and had discontinued Allopurinol and still to this day have not had an attack. Is the Allopurinol partially or all to blame for this condition? Prior to me starting the gout medication I never had any such problems. Thank you for your help!
This not at all how Addison’s is dianosed. Addison’s testing usually entails an 8 am cortisol draw at a lab. They will also usually conduct an ACTH stim test to confirm. I hope you made it to an endo. They will not diagnose you with adrenal fatigue as there is no such diagnosis, and thus, no such diagnosis code. Your insurance company will not recognise adrenal fatigue either.
This is an excellent introduction to hormone imbalances of all kinds. All hormones are interrelated, and this book will help you sort out your symptoms so that you can determine which symptoms are adrenal, which are thyroid, and which are sex hormone related (estrogen, progesterone, testosterone). They have great diagnostic quizzes, and then outline treatment strategies for each hormone group. This is an easy read, and a great starting place if you're new to learning about health related topics.
My lingering issue is urinating frequently. Sometimes every hour (no infection gng on either- been gng on for abt 3 yrs. I’ve asked many Dr’s. and they have no idea- along with having hot flashes when my bladder wld get full. This goes on day & night-so to say I am sleeping soundly wld be a major stretch. I recently read an article that said the adrenals cold be the culprit. Can’t wait to get results from the labs this new Dr will draw. I’m soon to be 55 if the matters.Wondering if anybody else has experienced the freq urination/hot flash combination?
To that, all I can say is that adrenal fatigue is something I’ve seen personally. It is my opinion, through years of healthcare practice and supporting scientific evidence, that hypoadrenia is very real and associated with a number of complications. In addition, adrenal fatigue treatment is relatively non-invasive and is beneficial to your health, no matter the diagnosis. Of course, you should be under the care of a qualified medical professional, such as a functional medicine doctor, you trust and see them about any symptoms you experience (of any disease) so that they can determine appropriate treatment.
While CFS and adrenal fatigue are not the same, adrenal function may play a role in it. Those with CFS are often found to produce a low amount of the hormone cortisol, which is produced by the adrenal glands. Furthermore, CFS is a malfunction of the pituitary, a pea-sized gland at the base of the skull, which regulates all our hormones. The pituitary, hypothalamus and adrenals all work together as part of the HPA axis to regulate our health and hormones. Analysis of the data in over 50 studies that assessed adrenal function in CFS and fibromyalgia patients demonstrates that the majority of these patients have abnormal adrenal function due to hypothalamic-pituitary dysfunction.
I scored 12 out of 15 on the quiz above. My main concerns are brain fog/poor memory, lack of interest in sex, 20-lb weight gain, craving salty foods & sweets, pain in the upper back and around my chest area, AND tired all the time! I have bags under my eyes that I can’t get rid of them. I also read where adrenal fatigue is associated with melasma…due to hormonal inbalance. I seen adrenal fatigue supplements that I could buy through Amazon. What do you recommend my next step be?
If you’re healthy, your body will fall back into the relaxed state it was in before the threat and your body calms down. Everything shifts back to helping you digest, etc and your thyroid and reproductive organs go back to work. This relaxation response is spear headed by your parasympathetic nervous system, the other part of your autonomic nervous system. If you’re like many people, your stress will be high at work and your sympathetic nervous system will be in full gear helping you tackle everything that comes your way, then you shift into the parasympathetic nervous system at night when you’re with your lover or family or children and you can relax, watch TV, read, eat a nice dinner, cuddle, get ready for bed and perhaps have sex. All of which are quite relaxing to your nervous system. This is ideal.
Here’s another important thing to know about cortisol testing. Taking a single measurement, or even a 24-hour average, is not enough. The best cortisol tests take 4 individual samples at various points of the day and then map your cortisol levels over the course of a 24 hour cycle. Our cortisol levels vary dramatically, starting high when we wake up and then tapering off until they reach their lowest point late at night. This usually represents something like an 80% drop, which is perfectly normal. Your health care professional needs to see not just your average cortisol level, but also the size of the morning spike and how sharply it drops off afterwards.

As most books in the “Dummies” series do, this one covers the full range of issues involving the adrenals and their impact on patient energy. It explains, in simple and easy-to-understand language, how the adrenals work and why they become fatigued. It details the symptoms associated with this type of low energy, and tests that can be administered to detect adrenal dysfunction. There is also a large amount of insight into the types of stressors that can trigger the stress response that contributes to adrenal overload and fatigue.
Allow yourself to accept nurturing and affection. If you didn’t learn how to do this as a child, you may need to practice it. Every morning before you get up, spend a minute or two reveling in a memory of a time you felt loved. Do the same at night. Imagine your heart being filled with this love. Use affirmations that help you feel deserving of this nurturing and love.
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?
I’ve spoken exclusively about hormones so far, but neurotransmitters are another important part of our endocrine system. These chemical messengers transmit messages between our cells and, just like cortisol, they can become depleted after long periods of stress. With recent developments in testing procedures it is now possible to compare a patient’s neurotransmitter levels to a reference range for healthy patients. This test is usually conducted first thing in the morning and is best accomplished via a urine test. It is only available from a small number of labs.
To assess adrenal function, we conduct a one-hour ACTH stimulation test, which is very safe and reliable. We also look for thyroid issues and diabetes. After checking for a variety of endocrine disorders using testing and symptom assessment, we start working with a multidisciplinary team of doctors to figure out the root cause of the patient’s problem.
Women with more severe symptoms, or those who have reached complete exhaustion, usually need greater intervention.  We personalize the therapy to each woman’s symptoms and test results. We look into the cumulative stressors and other causes of fatigue (We urge you not to self-prescribe herbal supplementation and over the counter substances, as they can have adverse health effects).
any updates? How are you? I am in exactly the same boat as you. Except both ovaries are working. How old are you? Do you have high or low DHEA? Mine is super high. I have hypertension and now I am on blood pressure pills, twice a day. I an not over weight at all, and I eat great and exercise everyday. Except for the last month. I have been too sick, dizzy, to do much of anything but simple housework. No running, no yoga, cant do it. I have super high DHEA. No endo yet, I am trying progestin this week. It is low, I am esto dominant. Keep me posted.
But can stress cause extreme fatigue? Yes, it absolutely can. One study found that students undergoing chronic, long-term stress when prepping for medical exams at the end of their educational careers impaired the students’ cortisol awakening response. (10) By limiting this surge in cortisol that naturally occurs every morning when you wake up to help you feel alert, stress inhibits your ability to wake up fully, no matter how much sleep you get.
My biggest complaint is a foggy feeling in my brain. I feel like I am not able to do much because I am tired and end up with neck pain when I encounter any stress. I am stressed out very easily and annoyed by everything it seems. Low sex drive, constant fatigue, 10 lb weight gain. Used to have sinus issues but after surgery just allergies that are controlled. I feel like my immune system is shot, which can be improved with better diet and exercise practices. Anyways just trying to finally get all my duck in a row and make sure that is nothing medically causing my issues. This is greatly affecting my ability to be a good mom, and pursue career advancement and the job I have worked my whole life for, I basically feel really slow, I am terrified I don’t have the intelligence, energy, or focus to move forward.
When a threat happens, your sympathetic nervous system stops digesting your food, it stops worrying about producing babies so your reproduction stops and it takes away the priority from worrying about your immune system and your thyroid (because your body thinks it’s in survival fight/flight mode getting chased by a tiger) and your blood rushes out of those areas and into your legs and arms so that you can flee from the tiger your body thinks is chasing you. Your sympathetic nervous system was deigned to deal with physical challenges, so that’s why this reaction occurs. So, what is really happening is that your body doesn’t care about the long-term focus of your health right now. It’s focused on how to keep you alive right now in this moment through the fight/flight mode. THIS is called the stress response (fight/flight mode). Your blood pressure increases, your palms sweat and you feel pumped up and ready to fight or flee from danger. Sound familiar?
Lately I’ve noticed that I’m dragging in the afternoon and have less patience with the potami. Though in the past I would have beat myself up for my “bad attitude” or tried to give myself a pep talk to snap out of it, this time I’m taking a different approach. I’m acknowledging that my adrenals are tired, and I’m taking steps to give them the rest they need.

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Lori, I loved your entire comment. So hopeful, patient, and wise. This new world of social media… so much great help out there especially for getting involved and doing your own research. But also so much judgment, condemnation, lies and more. Baby steps is so true. Starting where it matters most to you is so important as habits change and hope is born. Thank you for being an encouraging voice! Keep up your good work for your own health.
This book is a good place to start in getting your life back in balance in go-go world that is pushing us to extreme levels of stress everyday. It has helpful, specific steps one can take but it needs a bit of help in the area of achieving better sleep. Poor sleep exacerbates all the problems of a 21st century life and an over-stressed life leads to poor sleep. "Catch 22". Gradual depletion is an easy thing to ignore until suddenly we are on empty. Don't ignore this information.
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.)
There are a number of nutritional approaches for dealing with adrenal issues. Protocols should be devised for each individual accordingly, due to the highly individual nature of the body. Therefore, understanding your own blood test results is essential in order to figure out a clear strategy from improvement. Click here to read more about blood chemistry.
I had a bilateral adrenalectomy 30 years ago. I take Prednisone and Flourinef replacement steroids. But I’m tired and depressed all the time. I’ve never taken DHEA and wondering if would help me? I’m menopausal. I’m 57 years old. I don’t have osteoporosis. My adrenal glands were removed when I was 17 – I was diagnosed with Cushings Disease. Later on I had a pituitary adenoma removed. I still have my pituitary gland. It’s functioning properly. My fatigue interferes with my life.
The idea underlying the condition is that constant stress puts an undue burden on the adrenal glands to produce hormones — especially cortisol — and the glands burn out. The lack of adrenal hormones leads to a host of generalized symptoms, including tiredness, trouble falling asleep or waking up, and a need for stimulants like caffeine to get through the day. With the fast-paced demands of modern life making many people feel consistently stressed out and sleep-deprived, it’s easy to understand the appeal of a diagnosis that promises an explanation — and treatment to counteract their feelings of fatigue.
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