Adrenal fatigue is a condition that usually results from a long period of chronic stress. Over time, this stress taxes the adrenal glands and HPA axis, thereby disrupting the production of cortisol and other hormones. The body initially produces large amounts of cortisol to cope with the stressors, but eventually cortisol levels drop. The cortisol cycle can also become dysregulated, with irregular peaks in the evening.

Adrenal fatigue can affect blood sugar and sugar metabolism as stress normally causes the adrenal glands to produce more cortisol, which helps raise blood sugar levels so the cells can more glucose to generate energy for your response to the stressor. The elevated blood sugar, in turn, requires higher levels of insulin to get the glucose from the blood into the cells. When this cycle is repeated frequently, the cells may become insulin resistant to protect themselves from too much glucose, especially when no energy-consuming physical action is taken in response to the stress. The greater the insulin resistance, the more insulin it takes to get glucose into the cells. In this way, chronic or repeated stress can contribute to persistent insulin resistance, and the resulting high levels of glucose (hyperglycemia) and insulin circulating in the blood that are likely precursors to metabolic syndrome and type 2 diabetes.
Rethinking Fatigue: What Your Adrenals Are Really Telling You and What You Can Do about It is a book by Nora Gedgaudas, the author of Primal Body, Primal Mind: Beyond the Paleo Diet for Total Health and A Longer Life. With expertise in both nutritional science and neurofeedback therapy, Dr. Gedgaudas brings a fresh voice to the debate concerning fatigue and adrenal function.
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.
Testing can be an important part of the process. The patients have often been given saliva tests for cortisol, so Nieman tells her patients that saliva tests are not considered reliable. She explains that the standard test is the corticotropin (ACTH) stimulation test — and that if the adrenal glands can respond to the stimulation by releasing cortisol, it disproves that theory that the glands are burned out.
Another big key to overcoming adrenal fatigue is taking the right supplements using supporting herbs. I always recommend eating the right foods to heal your body. However, it can still be a challenge to get enough of every nutrient you need every day. Therefore, it can be useful to wisely use dietary supplements for vitamins and minerals particularly vital for adrenal support.

The Adrenal Fatigue Treatment information in this article is a combination of what I learned throughout the last decade of healing Hypothyroidism in my body as well as information from the following Functional/Integrative doctors and their books: Amy Meyer’s M.D.and Aviva Rohm M.D., who I truly admire, believe in and agree with. Click on their name for additional Adrenal Fatigue Treatment information.


Hi I'm Jedha, resident nutritionist (MNutr.BSSc.). My motto is: “YOUR HEALTH IS YOUR WEALTH” because there is nothing in this world that makes us more wealthy than having good health. I truly believe that good food is the key to a happy, healthy life and I'm on a mission to inspire you to get back inside your kitchen, eat real food, and as a result, improve your health dramatically. Trust me, there is great power in the food we eat! So here you'll find easy and practical info to help you eat well, and feel your best everyday. I look forward to getting to know you :)

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Methylation labs: Methylation is a collection of biochemical actions in the body that happen 1 billion times every second. Healthy methylation helps to maintain a healthy brain, gut, hormones, and detox pathways, and also protects your DNA. However, some of us have genetic mutations that impair the methylation process. I have multiple methylation gene mutations, one of which is the MTHFR gene mutation, making me less able to absorb certain essential vitamins. This was useful information because I was then better able to supplement to make up for my nutritional deficiencies.

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.


The easy, relaxed lifestyle experienced by our ancestors no longer exists, and we're not even aware of how much stress we're under. The problem? "Our lifestyles have changed, but our bodies haven't," Dr. James Wilson said in his November lecture at the First Arizona Choices Exposition in Tucson, Ariz. A large portion of our population is feeling tired and stressed out, and we want to know why.

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.

Got this after a friend recently mentioned that she was diagnosed with Adrenal Fatigue. I had no clue about the condition and decided to research. This guide was incredibly informative despite its length. The author was straightforward with his facts that were both scientific and practical. I’m quite convinced to see a specialist now after reading this and realizing that I have a few of the most common symptoms. This just might have saved my life.
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 ...

Treatments for adrenal fatigue vary from using certain botanical medicines - which certainly will always play a major role, to using intravenous vitamin therapy. Usually this combination very quickly delivers results that both address the symptoms and nourish your adrenals back to optimal function. Additionally, patients usually need some blood sugar support and dietary changes to support stabilizing and decreasing insulin resistance while healing the adrenal glands.

Also, before anyone decides to fully diagnosis themselves, first, they need to do research into the subject. I know for cortisol, if you have too much, it is bad for you as well, especially if you take a cortisol supplement and get angry with 10 mins, that means you have too much cortisol and need to level it out. You are the only person who knows what type of stress you are under on a daily basis.
For herbal relief of adrenal fatigue, look to adaptogens. This class of herbs (which includes ginseng, ashwaghandha, and rhodiola) is thought to build your resistance to physical, chemical, and biological stress, as well as boost your energy and vitality. In a 2009 study, for instance, researchers found that taking 576 mg of a standardized rhodiola extract in supplement form daily reduced stress and increased mental performance (without producing adverse effects) in a group of adults suffering from stress-related fatigue.
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.
Any excessive stress can deplete the adrenals, especially when weakened by poor nutrition. Working too much or emotional stress are two common causes. Excessive stimulation, especially for children, is another cause. Fast-paced, high-stress, fear-based lifestyles are a sure prescription for adrenal burnout. Other stressors in cities are noise and electromagnetic pollution. Cell phones, microwave towers and appliances like televisions, microwave ovens and computers give off strong electrical fields.
If you think you may suffer from adrenal fatigue, read this book now. I thought I might have it, and have gone though tons of tests to see what’s going on. This book helped me rule adrenal fatigue out, thankfully. But it helped my friend find answers to nagging questions and issues she has faced for years with her body. This book is great and very informational.
He also spends a great deal of time targeting the root causes of this fatigue, linking these causes to one common factor: stress. His central premise is one that has been taken up by other authors in other forums, which is just one indication of how influential he has been in this area of health. That premise is simple: adrenal fatigue is the result of massive amounts of stress overwhelming the adrenal glands’ ability to manage and then recover from the effects of the stress response.
My life started to get better when I read this book. Every single improvement in my health over the past six months, and there have been many, have come from putting the advice in this book into action. I can not recommend it highly enough to people who want to do more, but just simply can not summon the energy and are tires of not knowing why they are so tired.
Written as one part case study and one part treatment guide, Heineken’s book covers such topics as the different aspects of Addison’s disease when compared to adrenal fatigue, basic details about the adrenals, symptoms that can help you recognize your ailment, and testing methodologies. There is also information detailing her experiences with a variety of recovery options presented as practical advice to aid in the development of your own treatment plan.
Eating right for one’s type of metabolism will help to ensure the proper amounts of sodium and potassium levels as well as raw materials for one’s unique biochemistry. In addition to this, understanding the regulatory effects that the sympathetic and parasympathetic nervous system has with the endocrine system is also a very important part of the picture.

I recently ordered a hormone test kit from John Lee's website, in an effort to figure out some health issues I was having. I included cortisol levels in the kit, because I am a type-A person and figured my cortisol levels were high and perhaps that contributed to the issues. Surprisingly, my cortisol levels were low at all 4 times of the day tested. A good doctor I showed the results to said "You have adrenal fatigue" and recommended an adaptogen called Adreno-Mend. As a retired RN, I felt a bit stupid and in an attempt to educate myself I ordered this book. I had no frame of reference for adrenal fatigue and this book provides an excellent explanation, as well as a framework to overcome the life style choices that have contributed to your adrenal fatigue. The endocrine system is so complicated, I don't pretend to understand it all, but rest assured, if one thing is out off order, it affects all your other hormones so they cannot function optimally. That includes all your glands regulating metabolism, digestion, immunity, quality of sleep, etc. I'm sure in our busy culture there are millions of people who suffer needlessly because they are unaware and they have a doctor who is not tuned in to all this. I had enough insight to order the test kit, maybe because I'm a nurse, maybe God steered me there. Once I had the results, I made an appointment with my family doctor (who I like a lot), to discuss it with him. He looked at the report and said "This is not mainstream medicine; you don't need hormone replacement; this is a natural part of aging." So, even if you go to a board certified internist who you like, you can't depend on them to be enlightened and pro-active on your behalf. Cortisol is a hormone that regulates many aspects of our health and/or illness so it is beyond me how it is not "mainstream medicine"; this author even states that many people who come to physicians with these symptoms of stress, anxiety, inability to sleep, etc, are given anti-depressants or sleeping pills or told to seek pyschiatric care. He makes the point: You are not crazy, there is a physical cause for what is happening and you can have understanding and some control over your symptoms.


In addition, a dysfunctional hypothalamic-pituitary-adrenal (HPA) axis and disruptions to your body’s cortisol production can significantly hinder healthy sleep patterns. In the lead-up to adrenal fatigue, elevated cortisol levels will prevent you from falling asleep at night. This hyperactivity can fragment sleep patterns and decreases slow-wave sleep. These disturbances tend to worsen the axis dysfunction, setting up a vicious cycle.

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If you have very advanced Adrenal Fatigue, this guy gets it. This is the only doctor (besides my doctor) that understands everything involved when you have very advanced Adrenal Fatigue/ Chronic Fatigue/ Fibromyalgia (They are all the same- they just express different symptoms for each of us). For example, no one else really addresses how the liver is involved, or pancreas, or tinnitus, or hormones or what's going on with the muscles as well as Dr Lam. I hate the Wilson work because it doesn't address those of us that are very advanced and have all these issues and many, many more. Dr Lam offers ideas on healing that are gentle enough for people like me to tolerate. Those of us that are advanced usually have oppositional responses to supplements, medication and food and this guy gets it!
Part II will help you determine if you indeed have adrenal fatigue and if you do, how severe your burnout is. There’s a very detailed questionnaire, advice on self-tests you can do by yourself, and a guide to getting lab tests done, too. (The questionnaire blew my mind, and helped me see how much my health has improved over the last 18 months. I also saw that I still have a lot of room for improvement!)

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!
Dehydroepiandrosterone (DHEA) is an androgen that is produced by both the adrenal glands and the ovaries. DHEA helps to neutralize cortisol’s immune-suppressant effect, thereby improving resistance to disease. (Cortisol and DHEA are inversely proportional to each other. When one is up, the other goes down.) DHEA also helps to protect and increase bone density, guards cardiovascular health by keeping “bad” cholesterol (LDL) levels under control, provides vitality and energy, sharpens the mind, and helps maintain normal sleep patterns.
Adrenal Reset: 7 Days to Restart Energy and Cure Adrenal Fatigue is the 2015 book by Heather Leiman that offers her one-week plan to launch your fatigue recovery plan. It’s one of the shorter books on our list, coming in at only thirty pages. So, if you’re looking for an in-depth, meticulous examination of adrenal fatigue and its various treatment options, this is not the book for you. If, however, you want a concise guide to jumpstarting your recovery plan, with a minimal amount of background exposition, Leiman’s work is exactly what you’re looking for!
As an NTP Practitioner for over 5 years this is taught to us as Certified Practitioners. Firstly it must be done by another person preferably a Professional who knows what to look for and is experienced. Do not shine directly in your eyes and the photo is misleading, it implies you can do it yourself, not recommended Secondly, this quite honestly not the way to fully assess your adrenal function. It gives a starting point but the best way is to have an ASI adrenal panel done called a Salvary panel. This is basic information and yes the book is a bit out dated with much more new reliable information out! Nora Gegedous has a new Adrenal e book out and I fully believe working with Practitioners who deal with this topic. The other Newly graduated NTP had very valuable information above consening the actual procedure. This is very individual and complicated. I have taken many advanced seminars on this subject and work with many clients very specifically.

Food is medicine. I always ate healthy, other than my favorite "healthy junk foods" of gluten-free pizza and stevia soda. But I knew that if I was going to rehab my adrenal fatigue, I had to take my food medicine plan to the next level. I had to make sure my diet was on point for hormone health. Here's the 90-day food plan I used to improve my sleep and energy.


My 21 year old son has been diagnosed with”idiopathic hypersomulence” after a sleep study showing no apnea or narcolepsy. He lived in a house that had several feet of water in the basement and had black mold on the windowsills of his bedroom. He’s living with us now, but he is so tired all of the time! On weekends, he’ll sleep til 4 p.m.He will sometimes come in from work and lay on the floor from exhaustion. I desperately want to help him. He does have tonsil stones and we’ve scheduled a tonsillectomy. I don’t know if it will help or hurt, going through a surgery. If you can give ANY direction, I would be very grateful!
I read about adrenal fatigue in another book and as they described the syndrome I was baffled because I thought they were describing normal every day life. The idea that it might be possible for me to have a day where I was not tired and cloudy headed definitely peaked my interest. This book was fascinating to me because it explained what causes these kinds of symptoms and what it would take to put things back in balance. The regimen of supplements suggested by this book was overwhelming and jus ...more
This group of vitamins is the first step in getting your mind and body back into gear. B vitamins work together in helping the body create energy from the food you eat, while also supporting brain function and healthy skin, hair and muscles. Although the role of each B vitamin differs slightly, they’re all vital for a healthy metabolism and energy production.
Unfortunately, many individuals and physicians continue to deny that this syndrome is a legitimate disease. The medical literature is, however, very clear in proving the opposite; individuals with this disorder have measurable hypothalamic, pituitary, immune and coagulation dysfunction. These abnormalities then result in a cascade of further abnormalities, in which stress plays a role by suppressing immunity and hypothalamic-pituitary function.
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?
I have a question. I experienced quite severe adrenal weakness symptoms after gradually increasing DHEA until I was taking 30 mg. a day. I couldn’t even exercise like I always have . I know now that I should have not taken it as I have a history of low blood sugar. I stopped the DHEA entirely and started takiing licorice root caps, 3 caps 3x a day with meals. I feel so much better! My blood pressure was not too low when I started, 120 over 72, but yesterday, it was 137 over 92 with a resting pulse of 66. I am afraid to cut out the licorice, because every time I cut it out entirely in the past, I don’t feel well. Even though I also take a good Adrenal glandular too. Maybe if I cut it down to 2 caps 2 times a day? i wonder if that would lower my blood pressure enough. Btw, I am a 62 year old female in good health otherwise and on no meds.
The diagnosis of Cushing syndrome (CS) requires evidence of cortisol hypersecretion. While serum cortisol levels fluctuate unpredictably and are strongly dependent on concurrent cortisol-binding globulin (CBG) levels, a 24-hour urine specimen integrates the cortisol production for an entire day and is not affected by CBG. Urinary cortisol reflects the portion of serum-free cortisol filtered by the kidney, and correlates well with cortisol secretion rate.
I’m here to share my story of healing with you. I know what it’s like to suffer and not know what’s going on with your body. I’ve been there. I was lost, searching for answers and alone for 10 years until I learned how to get my body working for me, not against me—to address the underlying symptoms instead of using a Band-aid approach to reclaim my vitality. I want to show you that eating and living clean feels incredible. Once you see life this way, you’ll never go back. Ever. Come play along with me on Instagram, Pinterest, Facebook and Twitter. I’m here for you. xo
When the adrenals are chronically overworked and straining to maintain high cortisol levels, they lose the capacity to produce DHEA in sufficient amounts. DHEA (dehydroepiandrosterone) is a precursor hormone to estrogen, progesterone, and testosterone, and is necessary to moderate the balance of hormones in your body. Insufficient DHEA contributes to fatigue, bone loss, loss of muscle mass, depression, aching joints, decreased sex drive, and impaired immune function.

The term "adrenal fatigue", which was invented in 1998 by James Wilson, a chiropractor,[3] may be applied to a collection of mostly nonspecific symptoms.[1] There is no scientific evidence supporting the concept of adrenal fatigue and it is not recognized as a diagnosis by any scientific or medical community.[1][2] A systematic review found no evidence for the term adrenal fatigue, confirming the consensus among endocrinological societies that it is a myth.[4]

Also, before anyone decides to fully diagnosis themselves, first, they need to do research into the subject. I know for cortisol, if you have too much, it is bad for you as well, especially if you take a cortisol supplement and get angry with 10 mins, that means you have too much cortisol and need to level it out. You are the only person who knows what type of stress you are under on a daily basis.
The book is divided into 4 parts that are arranged sequentially so that each section prepares the reader for the successive readings. Part 1 is an overview, including the causes of adrenal fatigue, while part 2 segues to self-help assessment tools, including a questionnaire designed to help readers determine if they are experiencing adrenal fatigue. Part 3 provides an extensive guide focused on recovery from adrenal fatigue, while part 4 presents a reference section on the role of the adrenal glands.
I dealt with adrenal fatigue before I developed Bulletproof. It was hard to figure out what was wrong because a lot of doctors didn’t (and still don’t) recognize adrenal fatigue as real. One big reason is that when your stress response is messed up, it affects so many parts of your biology that it’s hard to identify as adrenal fatigue, and even harder to study.
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