Overcome Adrenal Fatigue: Regain Your Health & Energy - Heather Dane

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Overcome Adrenal Fatigue:Regain Your Health & Energyby Heather DanePublished in the Price-Pottenger Journal of Health and Healing - Fall 2016 Volume 40 Number 3Copyright 2017 Price-Pottenger Nutrition Foundation, Inc. All Rights Reserved Worldwide

We all seem to need more energy these days.If you were to do an informal poll, askingyour friends if they have all the energy theyneed, you might be surprised to find that themost common answer is “no.” And many ofthem might not be aware that a frequent but often overlooked - cause of low energyis adrenal fatigue, also known as adrenalexhaustion. In fact, it has been estimatedthat up to 80 percent of Americans will sufferfrom a lack of energy due to adrenal fatigueat some point in their lives.[1]However, there is some controversyregarding this condition. Many natural healthpractitioners recognize it as a syndrome thatoccurs when the adrenals are overworkedand no longer produce sufficient quantitiesof hormones needed for vibrant energyand overall wellness. However, in allopathicmedicine, it is not an accepted medicaldiagnosis. Before we look at the reasonsthat make adrenal fatigue so controversial,let’s examine what our adrenals do and whydysfunction in them is so common.Your adrenals are two walnut-shaped glandsthat sit on top of your kidneys. They play keyroles in a variety of physiological processes,including energy production, blood sugarregulation, hormonal balance, and thestress response. If you are experiencing alack of energy, ask yourself: How are yourstress levels? Many people who feel shorton energy are long on stress. In fact, stress particularly, chronic stress - is a major causeof adrenal fatigue.Stress and Adrenal FatigueIn their 2015 Stress in America survey,the American Psychological Associationfound that 24 percent of adults reportedexperiencing “extreme” stress levels, yetmany rarely took the time to engage in stressmanagement activities.[2] We seem to becaught in a modern conundrum: We have somuch to do and so little time and energy withwhich to get it done. In the long run, one ofthe things that suffers most is our health.By now, most of us know that stress is acontributing factor in many illnesses anddiseases.[3] What some of us may notknow is how this happens. In simplifiedterms, each time we experience stress, thehypothalamus, located at the base of thebrain, signals the adrenals to come to ourrescue. With a chronically stressful lifestyle,three adrenal hormones become mainstaysin the body: adrenaline (or epinephrine),norepinephrine (or noradrenaline), andcortisol.When adrenaline floods your body duringstress, the effect is like slamming your footon the gas pedal when driving up a big hill.Increasing your heart rate, raising bloodpressure, and boosting energy supplies,adrenaline provides your body with theresources it needs to get up and go.Norepinephrine evokes a similar response,making sure the body’s resources arePublished in the Price-Pottenger Journal of Health and Healing - Fall 2016 Volume 40 Number 3Copyright 2017 Price-Pottenger Nutrition Foundation, Inc. All Rights Reserved Worldwide

focused on flight. The subsequent release ofcortisol, the primary stress hormone, can beequated to what happens once the engine’spower kicks in and you’re speeding up thehill. Elevating blood glucose levels, boostingthe availability of substances needed fortissue repair, and curbing nonessential bodyfunctions, cortisol allows you to keep going.[4]We know that driving up a steep hill with thepedal to the metal is not great for a car, butwe often do the equivalent to our bodies.Over time, chronic stress diverts the body’sattention from the maintenance of wellness- impacting digestion, growth processes,immunity, reproduction, mood, memory, anddetoxification - because the priority becomesdealing with the perceived emergency.Moreover, when the adrenals bail us out ofstressful situations too often, they becomeoverworked and fail to produce hormones,such as cortisol, in the amounts needed forour ongoing well-being.Adrenal InsufficiencyWhile the allopathic medical communityoften fails to recognize adrenal fatigue’sexistence, adrenal insufficiency, a moreextreme condition, is an accepted diagnosis.Primary adrenal insufficiency, or Addison’sdisease, is a rare hormonal disorder in whichthe adrenals are damaged and unable toproduce sufficient cortisol (and sometimesanother hormone, aldosterone). Secondaryadrenal insufficiency, which is more common,occurs when the pituitary does not produceenough adrenocorticotropin (ACTH), ahormone that stimulates the adrenal glandsto produce cortisol; if ACTH output is too low,cortisol production drops.[5]Adrenal insufficiency can be life threateningbecause its symptoms tend to begingradually and are frequently unrecognizedin early stages. Some of its most commonsymptoms are chronic, worsening fatigue;loss of appetite; weight loss; generalizedweakness; and hypotension.[6] As weshall see, adrenal fatigue shares many ofthese symptoms, although it is a milderdysfunction. It is sometimes considered asubclinical form of adrenal insufficiency.There are various stages along the spectrumof adrenal dysfunction, which - while usuallynot as serious as Addison’s disease - stillimpact quality of life.Symptoms of Adrenal FatigueOne of the reasons there is a debate aboutwhether adrenal fatigue is a “real illness”is because of its wide-ranging signs andsymptoms. Some of the most commoninclude:ͫͫ Fatigue, especially in the early morningand mid-afternoonͫͫ Unrefreshing sleep or difficulty getting outof bed in the morning, even after a fulleight hoursͫͫ The feeling that everyday tasks take toomuch effortͫͫ A sense of being overwhelmed, even bysmall thingsͫͫ Increased energy and alertness in theeveningͫͫ Difficulty bouncing back from stress orillnessͫͫ Cravings for salty or sweet foodsͫͫ Reliance on caffeine or stimulants forenergyPublished in the Price-Pottenger Journal of Health and Healing - Fall 2016 Volume 40 Number 3Copyright 2017 Price-Pottenger Nutrition Foundation, Inc. All Rights Reserved Worldwide

Many additional signs and symptoms mayalso occur, depending on how advanced thecondition is. Examples of these are:ͫͫ Anxiety or depressionͫͫ Brain fog (forgetfulness or lack of mentalclarity)ͫͫ Blood sugar swingsAs you can see, the range of possiblesymptoms is very broad, and it’s importantto know that there may be reasons otherthan adrenal fatigue for many of these. Ifyou regularly experience a number of thesesymptoms, it’s best to work with your healthpractitioner to rule out other potentialcauses.ͫͫ Cold hands and feetDiagnostic Testsͫͫ Digestive problems (such as gas, bloating,and nausea)Another reason that adrenal fatigue is socontroversial is that the ACTH challengetest - the standard blood test that manyconventional physicians use to check foradrenal dysfunction - will not detect it. Inthis test, a baseline of circulating cortisol isestablished and then ACTH is injected andthe response to this stressor is measured.However, test results only indicate extremeunderproduction or overproduction ofhormones, and adrenal fatigue - even atlevels that seriously impact health andlifestyle - falls within the range of normalcy.[7]ͫͫ Extreme tiredness after exerciseͫͫ Hair lossͫͫ Hormone imbalances or increasedpremenstrual or perimenopausalsymptomsͫͫ Lightheadedness or blood pressurechanges when getting up rapidly fromsitting or lying downͫͫ Low libidoͫͫ Mood swingsͫͫ Skin problemsͫͫ Sleep disorders (difficulty getting to sleepor staying asleep)ͫͫ Weight gain or lossFortunately, there are other tests that canhelp you identify adrenal fatigue.[1](pp92-94),[8]The ones I recommend to my clients are thesaliva hormone test and the DUTCH (driedurine) test. Your doctor can identify whichtest is best for you.Published in the Price-Pottenger Journal of Health and Healing - Fall 2016 Volume 40 Number 3Copyright 2017 Price-Pottenger Nutrition Foundation, Inc. All Rights Reserved Worldwide

Blood Tests - A blood/serum cortisol testprovides a measure of total cortisol. It doesnot show the hormone metabolites, diurnalfluctuations of cortisol (which cycles over a24-hour period), level of free cortisol (thebiologically active form), or hormone levelswithin tissues. Some practitioners use bloodtests in combination with urine testing to getmore complete results.Saliva Hormone Test - This is a measure offree cortisol levels within cells, and it can bemore accurate than blood and urine tests.[1](p83),[9]The saliva test that is performed fourtimes in one day is the most helpful becauseyou can see how your cortisol fluctuatesthroughout the day.24-Hour Urine Cortisol Test - This testmeasures free cortisol in the urine. Thedownside of 24-hour urine testing is thatall of the urine collected goes into onecontainer, and there’s no indication of howyour cortisol level changes over time.DUTCH (Dried Urine Test for ComprehensiveHormones) - This is one of the newer testswhere urine is collected on test strips anddried. This collection method allows youto see changes in cortisol patterns frommorning to night. This test gives you theadvantages of the saliva hormone test andthe 24-hour urine cortisol test in one. Resultsshow free cortisol, other hormones, andhormone metabolites.Stressful LifestylesOnce stress becomes chronic and youradrenals are fatigued, you may find thatprovoking the rush of adrenaline can helpyou get through the day. Adrenaline can feela bit like a shot of caffeine, giving you the joltyou need to make things happen. Over time,the adrenaline rush can be addictive, and youmay - without even realizing it - encourage itthrough your lifestyle choices.These days, data from everywhere - fromthe World Health Organization to the HumanGenome Project - is pointing to the factthat most health conditions are less aboutgenetics and more about our lifestyle. Asa health coach and nutritionist, I find thatwhen a client comes to me with symptomsof adrenal fatigue, we can often find the rootcause in their mindset and lifestyle habits.This is great news because it means we canbegin to make lasting changes.Sometimes, a health issue, such as an injury,infection, autoimmune condition, or otherchronic illness, is contributing to adrenalfatigue symptoms. If this is the case for you,your health practitioner can help you identifya plan for addressing both your health issueand your adrenal function. However, youmay still find it helpful to assess your lifestylehabits.Here are some examples of lifestylecontributors to adrenal fatigue:ͫͫ Regularly overbooking your scheduleͫͫ Seeking approval from others instead offollowing your own inner guidanceͫͫ Engaging in chronic negative thinking(automatically thinking the worst about asituation or about yourself)ͫͫ Feeling helpless, powerless, or out ofcontrolͫͫ Not participating in fun activitiesͫͫ Neglecting rest or self-care routinesthat help you replenish yourself (e.g.,Published in the Price-Pottenger Journal of Health and Healing - Fall 2016 Volume 40 Number 3Copyright 2017 Price-Pottenger Nutrition Foundation, Inc. All Rights Reserved Worldwide

meditation, quiet time, and time to bealone, doing things that restore yourenergy)ͫͫ Multitaskingͫͫ Going to bed too late or not gettingenough sleepͫͫ Overexercisingͫͫ Practicing perfectionismͫͫ Maintaining poor eating habits (e.g.,skipping meals or eating a diet of sugaryfoods or fast and processed foods)ͫͫ Pushing yourself too hardͫͫ Working long hours, especially withoutbreaksͫͫ Working the night shift, which caninterrupt normal circadian rhythmsͫͫ Relying on stimulants, such as caffeine ornicotine, to gain energyI have a confession to make: I used to be anadrenaline junkie. It was so bad that when Istarted to change my lifestyle from working12-hour days to leaving work early to goto yoga, I’d change into my yoga clothes atred lights on the way to class! That’s a goodexample of an adrenaline lifestyle, whereyou are so busy that you don’t feel you cantake even a few minutes of time for yourself.Often, you may feel you have to multitaskjust to get through the day.Interestingly, the more I slowed down, thebetter I felt and the better my brain worked.The year I slowed down, I also workedsmarter and encouraged my whole team todo the same. At the end of the year, I gota big raise and promotion, and my teamwas the highest performing in our division.I learned that slowing down is the key tobetter health and performance.One thing I did not expect, however, wasthat when I first removed the caffeine andexcess adrenaline from my life, I’d feel sotired. This fatigue often causes people to goback to their old ways and, let me tell you,I was tempted. However, if you can stay thecourse, it’s worth it. Plus, there are someeasy nutritional and lifestyle changes you canmake to give you real, lasting energy.Practical Solutions for ResolvingAdrenal FatigueThe name of the game when recoveringfrom adrenal fatigue is first deciding you areworth it. You are! Often, a health conditionthat causes uncomfortable symptoms isan opportunity for you to begin listeningto your body. Your body is where yourintuition speaks to you, and symptoms arethe language it uses. These days, science isfinding more and more evidence that thebody and brain are linked. The gut-brainconnection, in particular, has become asource of study for many scientists, who havefound that the gut and brain have 24/7, twoway communication.[10] This gives a wholenew meaning to having a “gut feeling.”You could see adrenal fatigue as anopportunity to recommit to your healthand well-being. It could be an opportunityto find out what’s really important to you,to learn to take more time for yourself, andto trust that as you take care of yourself,everything and everyone else will take careof themselves. Most people with adrenalfatigue feel like they are carrying the weightof the world on their shoulders. They feelresponsible for everyone and everythingPublished in the Price-Pottenger Journal of Health and Healing - Fall 2016 Volume 40 Number 3Copyright 2017 Price-Pottenger Nutrition Foundation, Inc. All Rights Reserved Worldwide

around them. Mothers often find themselvesin this position, working as well as caring forthe family, which sometimes includes elderlyrelatives.Healing from adrenal fatigue often meanschanging your lifestyle in a way that supportsyour well-being. You may choose to takemore time for yourself and delegate sometasks to other people. When you trust thatthis is in everyone’s best interest, it’s a loteasier to start creating the space for healing.Here are some lifestyle tips to help youresolve adrenal fatigue:DECIDE YOU ARE WORTH ITIt’s all right to put yourself first and everyoneelse second as a form of self-care.PUT WHITE SPACE IN YOUR CALENDAR.This is free time that enables you to rest ortake a break and allows for the unpredictablethings that can happen.ASK FOR HELPFind ways to share the load with others. Youmight have your kids or spouse pitch in, yourfriends support you, or your colleagues orassociates take on some of your work tasks.At first, it may feel selfish or irresponsibleto ask for help. However, you’ll often findthat everyone around you thinks you’vebeen taking on too much anyway, and theyare glad to help. There may be people whogrumble and complain (such as teenagers),so be prepared to stick to your guns andremember the first tip above: You are worthit!DO ONE THING AT A TIMEAlthough you may feel you get more donewhen multitasking, it actually reducesproductivity while creating stress andadversely affecting brain health.[11,12] Oneof the first changes I recommend to mymultitasking, busy clients is to do one thingat a time and pay attention to whatever theyare doing. Maintaining focused awareness ona task, instead of thinking about the past orfuture, is a huge relief for the brain. Often,this improves relationships with family,friends, and colleagues because you aregiving them your full attention. Interestingly,performance also increases, which oftenmeans you can get more done in a day.NOURISH YOUR BODY WITH WHOLEFOODSEating sugary and processed foods willsabotage your adrenal health efforts. Youradrenals require nutrients, such as minerals,B vitamins, and vitamin C.[13,14,15] Thesecritical nutrients are often in short supplyin processed and fast foods, and too muchsugar actually depletes your body of them.See the section on nutritional remedies andelixirs, later in this article, for foods that canhelp boost adrenal health.FOCUS ON HEALING YOUR GUTMany people with adrenal fatigue haveunderlying gut issues, which affects thebody’s ability to digest and assimilatenutrients. Foods such as bone broth andnaturally fermented foods can help you healyour gut.KEEP YOUR BLOOD SUGAR STABLEIf you normally skip breakfast or other meals,or if you are always following low-caloriediets, your adrenals may be suffering. Thesebehaviors can lead to low blood sugar, whichis a body and brain emergency. Make sureto eat wholesome meals and snacks whenPublished in the Price-Pottenger Journal of Health and Healing - Fall 2016 Volume 40 Number 3Copyright 2017 Price-Pottenger Nutrition Foundation, Inc. All Rights Reserved Worldwide

EXERCISE GENTLYListen to your body and do what feelsappropriate for your energy level. If youare fatigued but have some energy forexercise, try rebounding (jumping on a minitrampoline), swimming gently, or takingwalks at your own pace. Stop when you feeltired. If you listen to your body and learn totrust it, it will tell you when you’re ready formore.GET PLENTY OF SLEEPyou are hungry. If you are not in touch withyour natural hunger signal, you may find thatover time, as you maintain a healthy eatingpattern, it kicks back in.DRINK PLENTY OF WATER WITHMINERALS ADDEDDehydration is a physical stressor, oftenbecause it is accompanied by electrolyteimbalance.[13] Drink plenty of water and addsome sea salt, Himalayan salt, or a mineralsupplement. Although it’s sometimesrecommended that people aim for eight8-ounce glasses of water per day, listento your body and do what feels right foryou. Take your time and build up to theright amount of water for your body. Irecommend my clients add to their watereither Anderson’s Concentrated MineralDrops or ConcenTrace Trace Mineral Drops,both of which contain a wide range ofnatural sea minerals. Adding a few drops toeach glass of water is a great place to start.My clients have reported more energy andbetter moods within the first week of addingminerals to their water. Make sure you don’tdrink too much water near mealtimes, as thiscan inhibit digestion.In traditional Chinese medicine, it is believedthat going to bed around 10:00 pm allows forthe greatest healing of the organs related toenergy. Try it for yourself and see how youfeel. If you are a night owl, you may want toreduce your bedtime by about 30 minutes toone hour every few nights until you are ableto go to bed at 10:00 pm. Aim for at leastseven to eight hours of sleep. One tip I giveclients who have trouble getting to sleep isto do a wind-down routine, starting at about7:00 or 8:00 pm. Lower the lights; turn offthe TV, computer, or phone; play soft music;read; take a bath; or meditate to help yourbody get into rest mode.SAY NOLearning how to say no to others and toexcess obligations allows you to say yes toyourself and your healing process. Healing isa time to come back to yourself, to nurtureyourself, and to reassess your priorities.This is hard to do when you are buried inobligations or to-do lists. It’s okay to taketime out from doing things for others whileyou recalibrate. Often, once you heal, youwill have a new set of priorities for livinga balanced life and newfound energy tosupport yourself and others.Published in the Price-Pottenger Journal of Health and Healing - Fall 2016 Volume 40 Number 3Copyright 2017 Price-Pottenger Nutrition Foundation, Inc. All Rights Reserved Worldwide

Nutritional Remedies & Elixirs forAdrenal HealthFOODS TO EMPHASIZE (PREFERABLYORGANIC)You can use food as medicine to help youradrenals heal. This can be a fun, deliciousway to nurture your body back to goodhealth. When you feed your body nourishingfoods, you feel more satisfied and balanced.Additionally, this strategy helps your gut stayhealthy, which sets the stage for balancedmoods and brain health.ͫͫ Seaweed - for its rich mineral content;bladderwrack is a medicinal seaweed thatis great for the thyroid and adrenalsFOODS TO AVOIDͫͫ Bone broth - for collagen to help heal leakygut, and vitamins, fatty acids, and mineralsto nourish the adrenalsͫͫ Sugar, high fructose corn syrup, andartificial sweetenersͫͫ Grain floursͫͫ Glutenͫͫ Genetically modified foodsͫͫ MSG and other excitotoxins, which maybe found in natural flavors, white vinegar,citric acid, carrageenan, and hydrolyzedproteinͫͫ Processed and fast foodsͫͫ Conventional meatsͫͫ Trans fats and refined fats and oils (e.g.,margarine, canola oil, and any oil that says“refined” on the label)ͫͫ Leafy greens (e.g., lettuces, Swiss chard,kale, collards, and cabbage)ͫͫ Vegetables in a rainbow of colors - forvariety and antioxidantsͫͫ Vegetable broth - for easily assimilablenutrientsͫͫ Fruits with low sugar content (e.g., GrannySmith apples and berries)ͫͫ Pasture-fed meats and poultryͫͫ Organ meats - full of B vitamins andmineralsͫͫ Cold-water fatty fish (e.g., salmon, herring,and sardines)ͫͫ Healthy plant fats - unrefined oils (e.g.,extra-virgin olive oil and virgin coconut oil),nuts, seeds, and avocadosͫͫ Healthy animal fats from pasture-fedanimals (e.g., raw butter, ghee, beef tallow,chicken and duck fat, and lard) - to boostabsorption of minerals and fat-solublevitamins (A, D, E, and K2), which are criticalfor recovery from adrenal fatigueͫͫ Fermented foods and drinks (e.g.,sauerkraut, kefir, and kombucha) – forprobiotics to help heal the gutPublished in the Price-Pottenger Journal of Health and Healing - Fall 2016 Volume 40 Number 3Copyright 2017 Price-Pottenger Nutrition Foundation, Inc. All Rights Reserved Worldwide

Supplements for Energy and Adrenal HealthThese are some of the supplements with which I’ve had great success in resolving adrenalfatigue with my clients. The goal with these supplements is to gently boost energy whilesupporting the adrenals and overall physical well-being. It’s best to consult with yourhealthcare practitioner to find out which of these are recommended for you.MINERALSMinerals are critical for adrenal health.Worldwide, over two billion people areestimated to be deficient in key minerals,particularly iodine, iron, and zinc.[16] Around80 percent of people are deficient inmagnesium.[17] Restoring magnesium setsthe stage for improved energy and mineralbalance. Consider taking magnesiumglycinate, magnesium taurate, magnesiummalate, or magnesium L-threonate. Often, ithelps to experiment to find the right form ofmagnesium for you. Adding ¼ teaspoon ofsea salt or Himalayan salt to an 8-ounce glassof water is a very affordable way to add traceminerals.B-COMPLEX VITAMINSB vitamins help with cellular metabolism,balanced moods, and energy. They also helpwith a process called methylation, whichsupports energy production, digestion,sleep, hormone balance, and detoxification.Look for a B-complex with pantethine (aB5 derivative) and active forms of B12 (asmethylcobalamin or adenosylcobolamin),folate (as 5-MTHF), and B6 (as P5P).WHOLE-FOOD VITAMIN CAvoid isolated ascorbic acid, which is onlypart of the vitamin C complex as it existsin food; it can cause a paradoxical vitaminC deficiency and lead to thyroid hormoneproduction failure.[18] Thyroid function andadrenal function often go hand in hand.Additionally, tyrosinase, a component ofwhole-food vitamin C, is important formineral balance.[19]Innate Response andMegaFood are good brands for whole-foodvitamin C.ADRENAL CORTEXSome people do very well with glandulars,such as adrenal cortex, which supports thehealth of the adrenals. Make sure to choosea brand, such as Nutricology, that usesglandulars from grassfed animals.ADAPTOGENSThese herbs help regulate the body’sresponse to stress, while providing gentleenergy. Examples are ashwagandha,astragalus, holy basil, licorice root,rhodiola, schisandra, and Siberian ginseng.I recommend my clients take tincturesin water or make teas with these herbsto sip during the day. You can also takea supplement that contains multipleadaptogens, such as Innate Response’sAdrenal Response Complete Care.PQQPyrroloquinoline quinone is a micronutrientwith antioxidant and anti-aging propertiesthat helps produce energy at themitochondrial level. It also helps themitochondria - the energy centers withinyour cells - reproduce, regenerate, and repairthemselves.Published in the Price-Pottenger Journal of Health and Healing - Fall 2016 Volume 40 Number 3Copyright 2017 Price-Pottenger Nutrition Foundation, Inc. All Rights Reserved Worldwide

COQ10Coenzyme Q10 is another micronutrient thatprotects the mitochondria from oxidativedamage and supports energy production.Both CoQ10 and PQQ tend to be very helpfulin resolving adrenal fatigue.D-RIBOSEThis natural sugar is necessary for buildingadenosine triphosphate (ATP), the compoundthat stores and delivers energy in your cells.ACETYL L-CARNITINEThis amino acid helps with moods andmoves fatty acids into the mitochondria forconversion into ATP.Published in the Price-Pottenger Journal of Health and Healing - Fall 2016 Volume 40 Number 3Copyright 2017 Price-Pottenger Nutrition Foundation, Inc. All Rights Reserved Worldwide

Recipes for Adrenal HealthADRENAL ELIXIRBONE BROTH BURDOCK ROOT ELIXIRTake this drink every day at 10:00 am and3:00 pm to boost your adrenal health andprovide you with a source of minerals andvitamin C.This recipe combines the anti-inflammatory,immune-boosting, and energizingcharacteristics of bone broth with thebenefits of burdock root. In Chinesemedicine, burdock root is used as a bloodbuilder and blood sugar balancer, as well asfor endocrine support. It aids the liver andgallbladder in processing and distributinglipids necessary for adrenal function.[20]To 8 ounces of water, add ¼ teaspoon ofHimalayan salt or unrefined sea salt (do notuse table salt).Add 2 to 4 ounces of fresh-squeezed lemonjuice.Mix in one of the following: 1 ounce oforganic unsulphured blackstrap molasses(such as Plantation) or 1 tablespoon oforganic tart cherry juice concentrate. Each ofthese adds potassium and other minerals.Simmer 1 teaspoon of fresh or dried burdockroot and 1 cup of bone broth (any type ofbone broth works) in a saucepan for 15minutes. Be careful not to boil it. You can addsome thinly sliced ginger for added digestivebenefits, if you like.Strain out the burdock and enjoy your drink!Reserve the burdock for cooking.It may take some time in the kitchen to makefoods that will nourish your adrenals, butremember, taking time for yourself is the firststep in healing adrenal fatigue.Published in the Price-Pottenger Journal of Health and Healing - Fall 2016 Volume 40 Number 3Copyright 2017 Price-Pottenger Nutrition Foundation, Inc. All Rights Reserved Worldwide

REFERENCES1. Wilson J. Adrenal Fatigue: The 21st Century Stress Syndrome. Petaluma, CA: Smart Publications; 2002:6.2. American Psychological Association. 2015 Stress in AmericaTM stress snapshot. /snapshot.aspx. Accessed August 20, 2016.3. Salleh MR. Life event, stress and illness. Malays J Med Sci. 2008; 15(4):9-18.4. Mayo Clinic Staff. Stress management: Chronic stress puts your health at risk. management/in-depth/stress/art-20046037 Updated April 21, 2016. Accessed August 18, 2016.5. National Institute of Diabetes and Digestive and Kidney Diseases. Adrenal insufficiency and Addison’s ddisons-disease/Pages/fact-sheet.aspx Published May 2014. Accessed August 20, 2016.6. Sarkar SB, Sarkar S, Ghosh S, Bandyopadhyay S. Addison’s disease. Contempy Clin Dent. 2012; 3(4):484-486.doi:10.4103/0976-237X.107450.7. Golan R. Adrenal exhaustion. http://www.ralphgolanmd.com/adrenal exhaustion.htm. Accessed September 11,2016.8. Gottfried S. The first step to your cortisol reset: get tested. ccessed September 11, 2016.9. Kharrazian D. Why Do I Still Have Thyroid Symptoms? When My Lab Tests Are Normal. New York, NY: Morgan JamesPublishing; 2010:15.10. McDaniel L. What is the gut-brain connection? ConnectWC. ection.html. Accessed August 21, 2016.11. Sanbonmatsu DM, Strayer DL, Medeiros-Ward N, Watson JM. Who multi-tasks and why? Multi-tasking ability,perceived multi-tasking ability, impulsivity, and sensation seeking. PLoS One. 2013; 8(1): e54402. doi: 10.1371/journal.pone.0054402.12. Bradberry T. Multitasking damages your brain and career, new studies suggest. w-studies-suggestPublished October 8, 2014.13. Adrenal Fatigue Team. Electrolytes: finding balance during adrenal fatigue. Dr. James L. Wilson’s ue/ Published May 7, 2015.Accessed August 20, 2016.14. Camfield DA, Wetherell MA, Scholey AB, et al. The effects of multivitamin supplementation on diurnal cortisolsecretion and perceived stress. Nutrients. 2013; 5(11):4429-4450. doi:10.3390/nu5114429.15. Patak P, Willenberg HS, Bornstein SR. Vitamin C is an important cofactor for both adrenal cortex and adrenalmedulla. Endocr Res. 2004; 30:871-875. doi: 10.1081/ERC-200044126.16. World Health Organization, World Food Programme, and United Nations Children’s Fund. Preventing and controllingmicronutrient deficiencies in populations affected by an e

chronic illness, is contributing to adrenal fatigue symptoms. If this is the case for you, your health practitioner can help you identify a plan for addressing both your health issue and your adrenal function. However, you may still find it helpful to assess your lifestyle habits. Here are some examples of lifestyle contributors to adrenal fatigue: