Stress, stress, and more stress are the conditions that
most of us operate under each day of our lives.
Between our obligations at home and in our families very few of us have
time for ourselves. Even exercise
can be perceived as stress by a body that is already overwhelmed.
In fact I see a lot of people in my practice that have not
changed their eating or exercise habits in years but have found that with their
high stress lives, they are steadily gaining weight and are unable to lose it,
especially around their waist.
The organs that help us manage our stress are our adrenal
glands. They are tiny stress hormone producers that sit on the top of each
kidney. Among the most notable
hormones that they produce are adrenaline, DHEA and cortisol.
Under chronic or extreme stress, the production of these hormones
declines because the adrenal glands become exhausted. Stresses like these can
take the form of psychological stress (emotional, work, family, etc.), extreme
exercise, surgery, toxic exposure, and infections that go undetected (often
Although adrenal fatigue has been described for over one
hundred years, it is only recently being recognized as a unique condition with a
specific set of symptoms. Some of
the major symptoms include:
• Fatigue and tiredness; general feeling of being wiped
• Weight gain and inability to lose weight despite effort
• Frequent colds and flu
• Sleep difficulties
• Difficulty concentrating and problems retaining
• Symptoms of PMS
Adrenal fatigue is generally diagnosed based on the
constellation of the symptoms above as
well as others. Often
the symptoms are so clear that lab testing is not necessary to confirm
the diagnosis, however there are special tests available if
Cortisol is probably the most important adrenal hormone
that is released when we experience stress.
This hormone increases the sugar in our blood so that we have the fuel we
need to escape danger. The fat cells around our waist respond particularly well
to cortisol. When we don’t burn
the sugar that’s been released into the bloodstream by cortisol, it gets
deposited as fat around our waist. This
is why we tend to gain weight around our midsection under stress.
The body’s response to stress, by depositing fat, is often overlooked
by those struggling with weight loss even though it is a significant cause of
Normally, cortisol is released twice throughout the day.
Any other releases of cortisol come as a result of our body’s response
to stress or to low blood sugar. As
you are probably realizing, the more stress a person goes through during the
day, the more cortisol is released from the adrenal glands.
On a chemical level, we are designed to handle “fight or
flight” (intense, short-duration) stress much better than the chronic
low-level stress we are subjected to every day.
Because of this, when we experience stress, our blood sugar levels rise
in preparation for a quick get-away or a fight for our lives.
Most of the time, we are not in life or death situations and do not use
that newly released sugar so it is deposited on our trunks as fat.
DHEA is another important hormone that is normally released
by the adrenal glands. It is responsible for the production of testosterone and
estrogen. These hormones are
instrumental in our sense of well-being. DHEA
declines with age and most degenerative diseases are correlated with low DHEA
levels. In times of intense or
prolonged stress, DHEA levels plummet and stay low when someone becomes
Stages of Adrenal
There are four stages of progression to full-blown adrenal
exhaustion. They are called the
stages of Maladaptive Stress Syndrome:
Stage 1: Alarm
This first stage is characterized by an increased output of
cortisol and adrenaline in response to stress.
The body’s response is called the “fight or flight” response.
As the stress continues, the adrenal glands start to become taxed due to
the increasing demands by the body for cortisol production.
As a result, we can begin to overreact to small stressors.
Stage 2: Resistance
This stage is characterized by chronic stress and cortisol
production. The results are weight
gain, fluid retention and immune suppression.
Chronic colds, flu and fungal infections like chronic sinusitis become
more and more common. A tendency
toward developing conditions such as diabetes, osteoporosis and arteriosclerosis
Stage 3: Exhaustion
In this stage, the adrenal glands become fatigued and
cannot continue to produce cortisol in response to stress.
Fatigue becomes the hallmark of the exhaustion stage and the development
of chronic fatigue syndrome and fibromyalgia begins.
The body can no longer manage stress so panic attacks, anxiety,
irritability, low blood sugar, low blood pressure and immune dysfunction are
Stage 4: Failure
Once this stage is reached, there is total failure of the
adrenal glands in response to stress. People
at this stage are very susceptible to cardiovascular collapse and death in the
face of stress.
Recovery from Adrenal
Recovery from adrenal fatigue can take anywhere from 3
months to 3 years. Each individual has a unique set of symptoms and an
individual response to treatment. The
recovery process depends upon the stage and severity of the adrenal exhaustion.
The road back to health from adrenal fatigue includes specific diet &
lifestyle changes, nutritional support, herbal treatments as well as
bio-identical hormone support. Each
person has unique biochemical needs that must be addressed by a physician but
there are several things everyone can do to reduce the impact of adrenal
• Eat breakfast every morning soon after rising
• Eat lunch before noon if possible
• Eat a total of 5 smaller meals spread throughout the
day (3 meals + 2 snacks)
• Reduce sugar and starchy foods from the diet (breads,
potatoes, pastas, sugary fruits, fruit juices, etc.)
• Eliminate coffee and caffeinated teas
• Ensure each meal and snack has a good quality protein
• Get to sleep before 10 pm and sleep 8-10 hours if
• Light to moderate exercise…avoid extreme exercise
All of these are aimed at reducing the amount of cortisol
that your body must produce,
which in turn will lessen the impact of daily stress.
However the number one things
everyone must do is:
and eliminate the chronic stresses in your life!
Often this may mean considering a job and lifestyle change,
as well as thoroughly addressing any relationship or family issues.
In a minority of cases, it can mean addressing
chronic sub-clinical infections or eliminating accumulated
toxic burdens. Although addressing these issues can be difficult and
life-altering, it is necessary in order to achieve a full recovery.