Then read on – I have good news! My husband and I recently took the kids on a much needed trip to the shore, and I managed to read up on adrenal fatigue and create a plan for my recovery. I was expecting to feel overwhelmed, but just the opposite happened. I discovered several simple things I can do to care for tired adrenals, which I’ll be sharing with in future posts. But first, I’ll bet you’re wondering if your low energy levels could really be related to adrenal fatigue.
The light should cause your iris to contract, making your pupils (the dark spot in the center of your eye) smaller.  Normally, they should stay that way, but if you have adrenal gland fatigue, the iris will be weak and will not be able to hold the contraction, it will either waver between contracted and relaxed, or will contract initially, but then open up after 10-30 seconds.
Adrenal fatigue is not recognized by the Endocrine Society or any other endocrinology society, but adrenal insufficiency is. One glaring problem for the adrenal fatigue concept is that the reported symptoms don’t match those from adrenal insufficiency, although there is some overlap. The adrenal fatigue symptoms are “mostly nonspecific” including being tired or fatigued to the point of having trouble getting out of bed; experiencing poor sleep; feeling anxious, nervous, or rundown; craving salty and sweet snacks; and having “gut problems,” says Nieman. For the most part, these do not match symptoms of chronic adrenal insufficiency, which is characterized by weight loss, joint pain, anorexia, nausea, vomiting, diarrhea, dry skin, low blood pressure, and fatigue.
The effectiveness of this multi-system treatment was further confirmed through the analysis of the cumulative findings of over 40 independent physicians and over 5,000 patients. Prior to the treatment at the Holtorf Medical Group, the patients had seen an average of 7.2 different physicians for the treatment of chronic fatigue syndrome or fibromyalgia without significant improvement.

Dr. Wilson created adrenalfatigue.org specifically to help you and the many others experiencing this very common problem caused by too much stress. Take the Adrenal Fatigue Questionnaire to see if low adrenal function may be your problem. Learn more about adrenal fatigue and how stress and adrenal function can affect your health and other related health conditions. Follow the guidelines for adrenal recovery Dr. Wilson developed over decades of clinical practice and research. Find a health professional familiar with adrenal fatigue to help you. Best of all, discover that you can reclaim your vitality and thrive in a stressful world!


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.
My doctor suggested I read this book as everyday I am exhausted & struggle to make it to the evening. I have chronic pain as well so it was good to get a scientific understanding of how the adrenals work & how my pain impacts on them & everything else. The book answered a lot of my questions & gave me the courage to say 'NO' to others just a little bit more (that's a journey!). Life is NOT about getting through the day, enjoyment & vitality is so important. The catchphrase 'Thriving NOT surviving" sums this book up! I LOVE it ...
The DUTCH testing is the only one I use because with other salivary testing you will not see the true picture (more here https://dutchtest.com/2016/07/05/adrenal-fatigue-is-all-in-your-head-sort-of/) About 30% of people with low free cortisol overall, have elevated levels of metabolized cortisol. Think about the implications of that. When you see low overall free cortisol in saliva (or in urine) you THINK cortisol production is low. In almost one out of three patients, they are actually making more cortisol than 80% of their peers. They make lots of cortisol! You just can’t see it in the free cortisol.
Another oft-quoted piece of evidence against the existence of adrenal fatigue is Todd B. Nippoldt’s interview with Mayo Clinic, stating essentially the same concerns. (6) Again, it is stated that consistent levels of chronic stress have no effect whatsoever on the adrenals and the only true endocrine disorders are those caused by other diseases and direct damage to the adrenal glands.
I had a doctor concerned about my adrenals and suggested a saliva test in 2009 because my cortisol was testing high- I didn’t do it. In April 2012 with another doctor I did a saliva test & my adrenals were off the charts. This Dr. handed me the adrenal support tablets with her face on the bottle bottle and did no subsequent testing. In October 2013 I wound up in the Endocornologist office. Her basic blood profile showed my cortisol high because of HCTH. After more subsequent testing and an MRI was discovered that I had Cushing’s disease- my set of symptom indicators were caused by a small benign tumor in my pituitary. I had a surgery in April 2014 and have been recovering my health steadily. I share this to say… If you are having testing done that shows your adrenals over functioning or underfunctioning you may need to see an Endocornologist to really have somebody who understands it working on the behalf of your health.

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.

Interesting article. I was diagnosed by my MD (endocrinologist) with Adrenal Insufficiency about 18 months ago. I am also a type 1 diabetic with other high-risk chronic diseases. He put me on a low dose of Cortisol twice a day. I have been hospitalized in ICU due to Adrenal Failure, which can be fatal if not treated. If you suspect adrenal issues, see your doctor.


Addisonian crisis: Causes, symptoms, and treatment An Addisonian crisis can cause weakness, nausea, fever, and even death. It is caused by a dramatic drop in cortisol levels. Cortisol helps regulate blood sugar levels and blood pressure, so a shortage can be dangerous. Read on to learn more about this condition caused by an adrenal gland failure. Read now
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