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What is Adrenal Fatigue?
Adrenal Fatigue is a collection of signs and symptoms, known as a "syndrome” that results when the adrenal glands
function below the necessary level. Most commonly associated with intense or prolonged stress, it can also arise
during or after acute or chronic infections, especially respiratory infections such as influenza, bronchitis or
pneumonia. As the name suggests, its paramount symptom is fatigue that is not relieved by sleep but it is not a
readily identifiable entity like measles or a growth on the end of your finger. You may look and act relatively
normal with Adrenal Fatigue and may not have any obvious signs of physical illness, yet you live with a general
sense of un-wellness, tiredness or "gray" feelings. People suffering from Adrenal Fatigue often have to use coffee,
colas and other stimulants to get going in the morning, and to boost themselves up all day.
This syndrome has been known by many other names throughout the past century, such as non-Addison's hypoadrenia,
sub-clinical hypoadrenia, neurasthenia, adrenal neurasthenia, adrenal apathy, adrenal insufficiency and adrenal
fatigue. Although it affects millions of people in the U.S. and around the world, conventional medicine does not yet
recognize it as a distinct syndrome.
Adrenal Fatigue can wreak havoc with your life. In the more serious cases, the activity of the adrenal glands is so
diminished that you may have difficulty getting out of bed for more than a few hours per day. With each increment of
reduction in adrenal function, every organ and system in your body is more profoundly affected. Changes occur in
your carbohydrate, protein and fat metabolism, fluid and electrolyte balance, heart and cardiovascular system, and
even sex drive. Many other alterations take place at the biochemical and cellular levels in response to and to
compensate for the decrease in adrenal hormones that occurs with Adrenal Fatigue. Your body does its best to make up
for under-functioning adrenal glands, but it does so at a price. The three stages of Adrenal Fatigue are:
Stage I This is known as the Alarm Stage where the body is in an emergency crisis state. In this
stage the adrenals are producing excessive cortisol in response to stress. The entire system is in a hyper state
where the body is unable to relax. The brain perceives ongoing stress from one or more of the following: physical
pain, toxic chemical or heavy metal exposure, dehydration, nutritional deficiencies, food allergies, environmental
allergens, immune system compromise, body scars or unresolved emotional issues. The body is preparing itself to
“fight or flight” with this stress response. When the stressors are not resolved, and the cortisol output remains
high, other hormones are affected. High cortisol causes the output of thyroid and progesterone hormones to decrease,
while estrogen and the sugar-handling hormone, insulin, increase.
Stage II This is known as the Adaptive Stage where the body attempts to adapt or cope to the on-
going stress. In this stage the body it is unable to reduce the stressors. The adrenal output of cortisol is
declining as the adrenals begin to fatigue. The overall production of cortisol may appear to be in the same range as
the normal levels, but the overall energy and health of the body is declining in a parallel path to the declining
cortisol levels.
Stage III This is known as the Exhaustion Stage where the body is unable to continue to respond
to the ongoing stress to produce cortisol. The adrenal output of cortisol decreases due to the prolonged and
unhandled stress. The entire system is in a fatigued state where the body is unable to function properly. The end
result of this stage is adrenal fatigue and burnout. The recovery time for each stage is based on the amount of
cortisol output. The lower the total cortisol output, the longer the expected recovery time will be.

What Causes Adrenal Fatigue? Adrenal Fatigue is produced when your adrenal glands, which are part of your hormonal system, cannot adequately meet
the demands of stress. The adrenal glands mobilize your body's response to every kind of stress (whether it's
physical, chemical, emotional or mental) through hormones that regulate energy production and storage, heart rate,
muscle tone, and other processes that enable you to cope with the stress.
Whether you have an emotional crisis such as the death of a loved one, a physical crisis such as major surgery,
dietary stress, or any type of severe repeated or constant stress in your life, your adrenals have to respond. If
they don't, or if their response is inadequate, you will experience some degree of Adrenal Fatigue. In Adrenal
Fatigue your adrenal glands function, but not enough to maintain your normal, healthy homeostasis. Their output of
regulatory hormones has been diminished by over-stimulation. This over- stimulation can be caused either by a very
intense single stress or by chronic or repeated stresses that have a cumulative effect. The effects of stress
accumulate over time.
Who gets Adrenal Fatigue?
Anyone can suffer from Adrenal Fatigue at some time in his or her life. An illness, a life crisis, or a continuing
difficult situation can drain the adrenal resources of even the healthiest person. However there are factors that
can make you more prone to Adrenal Fatigue. These include certain lifestyles (poor diet, substance abuse, too little
sleep and rest, or too many pressures), a chronic illness or repeated infections such as bronchitis or pneumonia, or
a mother who suffered from Adrenal Fatigue around the time of your birth.
How common is Adrenal Fatigue?
An estimated 80% of North Americans suffer from Adrenal Fatigue at some point in their lives. Sometimes this is
temporary and only lasts a few days. At other times it can be debilitating and last for years (or a lifetime if
nothing is done about it).
How can you tell if you have Adrenal Fatigue?
You may be suffering from Adrenal Fatigue if you regularly experience one or more of the following symptoms:
1. Tired for no reason
2. Trouble getting up in the morning even when you go to bed at a reasonable hour
3. Feeling rundown, overwhelmed or feeling stressed
4. Can’t bounce back from stress or illness or pain in your body
5. Crave salty and/or sweet snacks and/or caffeine stimulants
6. Feeling best only after 6 PM
7. Difficulty falling asleep and/or staying asleep
8. Mood swings and/or anxiety attacks and/or depression
Are there other health conditions related to Adrenal Fatigue?
The degeneration that takes place in any chronic disease, from arthritis to cancer, place demands on your adrenal
glands. Therefore, take it as a general rule that if you are suffering from a chronic disease and morning fatigue is
one of your symptoms, your adrenals are likely fatigued to some degree. Also anytime a medical treatment includes
the use of corticosteroids, diminished adrenal function is most likely present. All corticosteroids are designed to
imitate the actions of cortisol, a hormone secreted by the adrenals, and so the need for them arises primarily when
the adrenals are not providing the required amounts of cortisol.
Is there help for Adrenal Fatigue?
Dr. Carol Ann Fischer, D.C., N.D. has taken specialized postgraduate certification programs to evaluate the adrenals
through a specific adrenal hormone evaluation. She has developed a program to easily, effectively and efficiently
help restore balance to the endocrine system through chiropractic treatment and nutritional/homeopathic
supplementation. Chiropractic care helps restore the communication within the nervous system, which allows the body
to return to a balanced state of function. Nutritional/homeopathic supplementation is then used to provide the
necessary building blocks to repair existing nutritional/energy deficiencies that have been created by the Adrenal
Fatigue.
The Effects of Stress
The main gland that responds to stress is the adrenal gland. There are two adrenal glands in the body located on top of each kidney. There are several important hormones that the adrenals release when the body is under stress.
Stress releases powerful neurochemicals and hormones that make the heart pump harder, increase breathing, decrease digestion, and cause muscles to become tense in preparation for action. One of the dominant hormones released during times of stress is Cortisol.
Cortisol production varies from person to person, and varies with each stress encountered. Cortisol has a beneficial effect when the body is under stress. It activates the relaxation response, which enables the body to return back to normal function.
Cortisol is also an important hormone involved many functions including glucose (sugar) metabolism, blood pressure regulation, insulin release for blood sugar maintenance, immune function and regulation of the inflammatory response.
The problem occurs when we experience too much stress, or stress for a prolonged period of time. With ongoing stress the adrenal output of Cortisol becomes continuous. Prolonged levels of Cortisol build up in the bloodstream and cause negative effects.
High cortisol levels cause impaired cognitive performance, blood sugar imbalances, decreased bone density, decreased muscle tissue, suppressed thyroid function, suppressed digestive function resulting in acid reflux, increased blood pressure, lowered immunity, increased inflammatory responses in the body, and increased abdominal fat resulting in unwanted weight gain.
There are several different, simple, non-invasive tests that can
be performed to evaluate cortisol levels. Call today to schedule
your Stress & Cortisol Test. See our
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Dr. Carol Ann Fischer has helped thousands of patients
regain their energy and adrenal function. A 30-minute no-charge
consultation is available to help you find out if you have
Adrenal Fatigue, and what can be done to help return your body
back to normal function. Click here to contact the office or call 734-664-0339 to
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