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Chronic Fatigue and Adrenal Function

Key Words

Fatigue, Exhaustion, Crying spells, Negative attitude, Muscle weakness, Unfounded fears, Allergies, Hives, Low blood pressure, Crave salt, Asthma, Respiratory disorders

I have written over 30 different articles on health and nutrition. There probably is no more dramatic impact on overall health than the subject we will discuss in this article.

Adrenal glands have a huge impact on our mental and physical health more so than any other organ or gland. I have written extensively on hypothyroidism since it too has a major impact on the health of both genders. Hypothyroidism affects 7 out of 10 women and 5 out of 10 men. When you realize how many people are affected by hypothyroidism you will begin to see the major influence that the adrenal glands will have on our health.

The number of people affected by hypothyroidism eventually are going to experience adrenal insufficiency. When the thyroid gland is underactive, the adrenals are called upon to help keep the individual in a harmonious healthy balance.

The Adrenal Glands and KidneysThe adrenal glands are two small glands about the size of an acorn, one sitting on top of each kidney. The adrenals produce many of our steroids and hormones that keep us healthy, both physically and mentally. With strong adrenal activity, the individual will be healthy both mentally and physically. They are the ones who enjoy friendly confrontation, fear nothing, are risk takers and many of them become business entrepreneurs or risk their lives in other forms of creative activity.

To give you an example of a person that I consider to have strong adrenal function based on his muscular build and his mental and physical strength is Pastor Joel Osteen. I believe that Joel's strength comes from God, but outside of his relationship to God I believe all of his characteristics are due to his strong glandular function. I can't believe that Joel weighs no more than 150 to 160 pounds but has been reported to bench press over 300 pounds. That is double his body weight. Just being able to press body weight is above average. I believe Joel is filled with courage and has a positive attitude. One of the strong characteristics of his strength is his thick crop of hair. People like Joel who have a strong adrenal function eventually become successful business and sales people and are not afraid to take risks to get where they want to go. Those with weak adrenals, depending on the degree of insufficiency, have weak muscles, are filled with fear and are afraid to tackle huge projects. They're afraid to speak up in front of others and would rather die than give a public speech. They are usually content just getting by and would prefer working in an occupation that allows them to be in an office by themselves with the door closed and not have to bother confronting their co-workers. They are usually shy. They dislike anyone looking over their shoulder, and when this should happen, they become nervous and tense. If they have to confront someone either physically or mentally, they will have to lie down later due to the exhaustion caused by the confrontation.

People with adrenal insufficiency usually have many symptoms associated with upper respiratory problems. They are the ones who always have a cold, allergies, hives and usually anything that goes around.

There are nutrients that can support better adrenal function and structure, and eventually will strengthen the person physically and mentally. Usually nutrition has been over-looked in supporting the individual with weak adrenals. Only when the individual shows clear signs of Addison's disease is it then medically treated.

Terry recommends a formula with these ingredients. Look for it at your local health food store.

Vitamin C 200 mg, Pregnenolone 15 mg, DHEA 10 mg, Adrenal extract (freeze dried adrenal powder) 450 mg, L-Tyrosine 450 mg, Licorice (Glycyrrhiza glabra) root (5:1) extract 125 mg, P5P (Pyridoxal-5-phosphate) 10 mg, Pantothenic acid (Calcium Pantothenate) 100 mg, Rehmannia (Rehmannia glutinosa) root (5:1) extract 75 mg

There are many subclinical signs and symptoms as we already have discussed, but at the end of this article I will give you a self analysis to determine your degree of adrenal insufficiency.

As early as 1898, Emile Sergent, the great French physician, described the two prime functions of the adrenals as antitoxic and angiotonic. His description of the detoxifying functions of the adrenals was brilliant. "Should these glands happen to be damaged, a condition of depression and muscular fatigue is seen to appear which, in man, we shall find in the form of the earlier symptoms of adrenal insufficiency-asthenia" (physical weakness and loss of strength). Emile Sergent, Etudes cliniques sur l'insuffisance surrenale. Functional adrenal insufficiency is the complex symptom of deficient activity of the adrenals due to a number of factors; inadequate development from birth, exhaustion by fatigue, senile degeneration, chronic stress or any factor which, without provoking organic disease of the glands, is capable of reducing their normal activity, asthenia, sensitive to cold and cold extremities, hypotension, weak cardiac action and pulse, anorexia, slow metabolism, constipation and psychasthenia are the main symptoms of this condition.

I caution you regarding hypotension (low blood pressure), since doctors are so concerned with high blood pressure, low blood pressure may be considered healthy. It is not. Nature always has a balance and high or low is abnormal.

I have seen individuals with low blood pressure in the range of 105 to 110 over 60 to 70 and they may wonder why they are always sick. Adrenal insufficiency is probably the number one factor underlying many health disorders that no one has an answer for. Adrenal insufficiency often begins after a period of prolonged stress. The stress can either be emotional or metabolic. The main symptom is fatigue which is most frequently severe in the morning. It is often the individual who describes himself as a slow starter or says he is not a morning person.

Hypothyroidism also plays a significant part in this complex function. Stiffness upon rising, especially of the low back, is often a complaint of the individual. Usually after a hot shower the back pain subsides. Another common finding is a sore throat in the morning. As the day progresses the sore throat resolves.

The opinion of medical experts is that the ability to resist infections is more a function of the adrenal's integrity than the immune system. The adrenal patient will have recurrent minor infections while the immune deficient patient will have more prolonged and deep seated infections that often respond poorly to standard antibiotic treatment. Very typical of adrenal insufficiency is post viral fatigue. After clearance of an infection or viral outbreak, the individual is usually exhausted. Most of the so-called chronic fatigue syndrome cases begin after significant stress such as surgery, viral infection, trauma or accident. The inability to recover is in large part due to adrenal exhaustion that has been developing due to underlying stress such as poor nutrition, mental and physical stress, overwork and lack of sleep.

Glycyrrhiza glabraAllergies, especially in the individual, are often a manifestation of adrenal insufficiency. Recurrent sneezing can be a subtle clue of adrenal weakness. In nearly every case of multiple chemical sensitivity syndrome, low adrenal function has been the underlying cause of the condition. Those who have less severe forms of sensitivities have proportionately less severe adrenal insufficiency.

Many people today are suffering from chronic fatigue syndrome. Usually when their fatigue began they were suffering from a viral infection or other major stress that challenged their adrenal glands. You will often find that rejuvenating the adrenals will provide substantial improvement.

Although the thyroid is often the first gland that comes to mind in patients with fatigue, I would recommend deferring any thyroid stimulation until you are certain of the integrity and normal function of the adrenals. If you first stimulate thyroid function without regard to the adrenal glands, you will increase the metabolism and therefore increase the demands placed on the adrenals. The ideal solution is to first support and repair the adrenal function, and then support the thyroid function if required.

Many people, who undergo thyroid therapy and initially have outstanding results but then deteriorate back to their original state of health, should think about the adrenal function and its support.

Rehmannia glutinosaTo correct adrenal insufficiency, there are a number of necessary nutritional factors that the adrenals require to function at their peak optimal level. B vitamins are necessary, particularly vitamin B6 (P5P the biologically active form of B6) and pantothenic acid. L-tyrosine is required to produce epinephrine and norepinephrine. The only place in the body that vitamin C is temporarily stored is in the adrenal glands. DHEA and pregnenolone are two adrenal hormones that are precursors for all other hormones. I believe it is very necessary to support the adrenal function with freeze dried adrenal extract. There are also two herbs that I would heavily rely on to support adrenal function; licorice root extract (Glycyrrhiza glabra) and Rehmannia (Rehmannia glutinosa). They both support adrenal gland and liver function. They facilitate the body's normal response to occasional stress. They support a healthy response to environmental stress and help restore adrenal function.

Diet. The ideal diet for someone experiencing adrenal insufficiency would be similar to the diet for the hypoglycemic person; low carbohydrates with an emphasis on proteins and high quality fats. Sodium is a critical factor and should not be avoided. However, the salt should be of high quality and not refined white salt or white sea salt. I would highly recommend Celtic sea salt, usually ½ teaspoon of salt to a quart of water, three quarts of the salt and water combination per day. You will also find this to be an excellent detoxifying method.

Chart 1:

The following questionnaire will help determine whether or not you could possibly be experiencing adrenal insufficiency (underactive function). Circle the number that is most appropriate for you. If the indication does not apply to you then just leave it blank. If you experience that indication in a mild way circle #1. That means you may experience that indication once or twice a month. Circle #2 for moderate symptoms which means they may occur several times a month. Circle #3 for severe symptoms which are symptoms that you are aware of almost constantly. Do not agonize over whether or not you have one of the following problems. Do not ask family members and friends if they think you have these problems. Do not think but answer these questions instantly. You should know at once if you have one of these indications. After you've circled the correct numbers, add your score. If you have a score of 5-8, you have a mild case of adrenal insufficiency. A score of 8-12 indicates a moderate case and 12 or over is a severe case of adrenal insufficiency.

Chronic fatigue123
Low blood pressure123
Muscle weakness123
Dizziness123
Weak, rigid nails123
Brown spots or bronzing of the skin especially on the shins123
Frequent hives123
Arthritis123
Respiratory disorders123
Bowel disorders123
Muscular and nervous exhaustion123
Increased perspiration123
Constipation123
Swollen ankles, especially in the P.M.123
Crave salt123
Allergies123
Asthma123
Bronchitis123
Weakness after colds and flu123
 

Chart 2:

Hypoadrenal vs. Hypothyroid
HypoadrenalHypothyroid
Sleep: awake at midnight or afterSleep and sleep a long time
Crave salt or sugarCraves carbohydrates and fat
Generally exhausted after exercisingFeel better after exercise
Intolerant to heat or neutral about hot or coldIntolerant to cold
 
The following is an excerpt from Hypoadrenocorticism by John Tintera, MD.
Hypoadrenal SymptomsHypothyroid Symptoms
Fatigue (excessive)94%Fatigue, sluggishness
Premenstrual tension85%Decreased libido
Mental depression79%Heavy menses
Inability to concentrate77%Depression
Craving for sweets75%Mental slowness, confusion, lethargy, apathy
Allergies73%Craving carbohydrates and fats
Apprehension71%Increased blood lipids, cholesterol and triglycerides
Headaches68%Ridged nails
Alcohol intolerance66%Tingling hands from carpal tunnel syndrome
Weakness65%Cold intolerance
Pain in the neck & trapezius muscles65%Deep, monotonous voice
Intervals of confusion61%Dull, expressionless look
Poor memory59%Possible goiter
Heart palpitations57%Constipation
Epigastric distress51% 
Backache48%Physical Signs
Lightheadedness47%Decreased Achilles' reflex return
Constipation or diarrhea45%Skin dryness, flakiness, cracking
Faintness or fainting spells42%Facial puffiness and paleness
Insomnia40%Decreased basal body temperature
(less than 97 F)
Dermatitis (various types)39%Hair loss
Compulsive behavior38%Weight gain
 Thinning of the outer 1/3 of the eyebrow
Physical signs  
Postural hypotension93% 
Skin dry or thin91% 
Perspiration scanty91% 
Low basal metabolic rate85% 
Hair sparse (on body)83% 
Underweight78%