Adrenal Fatigue

• Tired for no reason?
• Having trouble getting up in the morning?
• Need coffee, colas, salty or sweet snacks to keep going?
• Feeling run down and stressed?
• Cant fall asleep and/or stay asleep?

If you answered "yes" to one or more of these questions, you may be experiencing adrenal fatigue.

The adrenals are walnut-sized glands located on top of each kidney, and are important control centers for many of the body's hormones. The outer layer of the gland, called the adrenal cortex, produces hormones including cortisol, DHEA, estrogen and testosterone. The centers of the glands produce adrenaline, the hormone named after them.

The basic task of your adrenal glands is to rush all your body's resources into "fight or flight" mode by increasing production of adrenaline and other hormones. When healthy, your adrenals can instantly increase your heart rate and blood pressure, release your energy stores for immediate use, slow your digestion and other secondary functions, and sharpen your senses.

Every challenge to the mind and body creates a demand on the adrenal glands.

Unlike our ancestors, we live with constant, low-grade stress. Instead of occasional, acute demands followed by rest, we're constantly over-worked, under-nourished, exposed to environmental toxins and worrying about others - without a regular oasis of calm.

And the list of challenges is endless: lack of sleep, a demanding boss, the threat of losing your job, financial pressures, personality conflicts, yo-yo dieting, relationship turmoil, death or illness of a loved one, skipping meals, reliance on stimulants like caffeine and carbs, digestive problems, over-exercise, illness or infection, unresolved emotional issues from our past or present and more. The result is adrenal glands that are constantly on high alert. When the adrenal glands get to a stage where they unable to make adequate cortisol to respond to normal stress of everyday life, it is referred to as adrenal fatigue or adrenal exhaustion.

Higher and more prolonged levels of circulating cortisol (like those associated with chronic stress) have been shown to have negative effects, such as:

• Impaired cognitive performance
• Dampened thyroid function
• Blood sugar imbalances, such as hyperglycemia
• Decreased bone density
• Sleep disruption
• Decreased muscle mass
• Elevated blood pressure
• Lowered immune function
• Slow wound healing
• Increased abdominal fat

Chronically lower levels of circulating cortisol (as in adrenal fatigue) have been associated with negative effects, such as:

• Brain fog, cloudy-headedness and mild depression
• Low thyroid function
• Blood sugar imbalances, such as hypoglycemia
• Fatigue - especially morning and mid-afternoon fatigue
• Sleep disruption
• Low blood pressure
• Lowered immune function
• Inflammation

If this sounds like you, one of your main underlying problems may be adrenal fatigue.

What is Cortisol?

In its normal function, cortisol helps us meet stressful challenges by converting proteins into energy, releasing glycogen (sugar) and counteracting inflammation. For a short time, that's okay. But at sustained high levels, cortisol gradually tears your body down. Sustained high cortisol levels destroy healthy muscle and bone, slow down healing and normal cell regeneration, co-opt biochemicals needed to make other vital hormones, impair digestion, metabolism and mental function, interfere with healthy endocrine function; and weaken your immune system. And what happens after a constant demand for help? Your adrenal glands get tired, very, very tired. Finally, the demand for cortisol exceeds supply and you end up with low cortisol and a maladaptive stress response.

Adrenal fatigue is a likely factor in several medical conditions such as the following:

• Fibromyalgia
• Hypothyroidism
• Chronic fatigue syndrome
• Arthritis
• Premature menopause

Testing for Adrenal Fatigue

Saliva testing is an extremely effective, non-invasive and inexpensive diagnostic tool. It allows for needed multiple tests to get an accurate picture of the circadian rhythm or the bodily level of hormones throughout the entire day. Saliva tests the free hormones, which are the correct reflection of the bioactivity of the hormones available for use to the bodily tissues.

The test involves simply spitting into a test tube. Cortisol is measured four times - in the morning (8 AM), noon, evening (4 PM) and night (best between 11 PM and midnight). Ideally, cortisol is elevated in the morning to help you get going, lower but steady throughout the day to sustain energy, then falls in the evening to support restful sleep, this is called the circadian rhythm. This test also measures related hormones and the effects of stress on your system, including gluten intolerance. You carry the test tubes with you during the day (they easily fit into a pocket or purse) so they are handy when it's time to give a saliva sample. Immediate refrigeration is not necessary. Once the sample set is complete, you mail the tubes back to the lab for analysis in the prepaid mailing package that is included with the test kit. The results will be ready within 1 week.

Conventional medicine will detect only the extremes of adrenal insufficiency, when damage to the adrenals has already occurred (Cushing's disease and Addison's disease). Yet, within those extremes, you can feel miserable and still be told your cortisol levels are normal. This is known as a "sub-clinical" pattern, where you are not sick enough to require Western treatment, but you feel terrible. This is exactly where a qualified practitioner of Chinese & Functional Medicine is the best resource to provide help. By responding to early-stage symptoms of adrenal fatigue, we can reverse the developing dysfunction.