Women
are tired of being tired. They are also tired of arguing with the
blood tests their doctors hold out in front of them to show that there
is nothing wrong. They know that they shouldn't have to feel the
fatigue, low libido, anxiety, depression and even hair loss that has
become their daily life. In fact, you can even throw in Fibromyalgia,
Chronic Fatigue Syndrome, Osteoporosis, chronic insomnia, weakened
immunity and numerous other symptoms. So if your blood tests are
normal, what is going on? Well it may likely be a gland, and don't
assume it is the thyroid.
Please
direct your attention to the center of the stage. The person that is in
the spotlight has the answer for you, and his name is Matt
Damon. That's right Matt Damon, the gorgeous actor who also shares a
condition with you known as Adrenal Fatigue Syndrome. Matt's adrenals
gained notoriety when he experienced severe adrenal fatigue during
grueling dieting and training while preparing for a recent film.
Adrenal Fatigue Syndrome
The
adrenal glands are essential for our day-to-day ability to handle
stress. They adapt to our environment and our sensory awareness,
maintaining a constant state of readiness for any stress that our brain
identifies. Stress is something that can vary from person to person,
including what may trigger a stressful response. Once you decide that
something is stressful, the adrenal glands will release a cascade of
chemicals into the blood which will alter the function of every cell in
your body. This "fight or flight" response is intended for short-term
change, but in our present world, may become a long-term adaptation,
changing the very nature of who you are.
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�Mineral corticoids� hormones which increase blood levels of sodium
and water and decrease blood levels of potassium. That means they
control muscle tension levels, blood pressure, circulation, water
retention.�
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The adrenals are actually a part of the
kidney meridian
and in fact, lie on top of each kidney. There are two areas of the
adrenal, the cortex on the outside and the medulla within. The adrenal
cortex releases three groups of hormones, the first of which is known as Mineralocorticoids,
which include aldosterone. These hormones increase blood levels of
sodium and water and decrease blood levels of potassium. That means
they control muscle tension levels, blood pressure, circulation, water
retention (and all the bacteria in it) and maintain your pH balance.
They are made from cholesterol, so if you are on the fat-free path,
blood pressure medication is in your future. They are also strongly
triggered by stress.
Adrenals and Combating Stress
The second group of hormones are known as the Glucocorticoids,
the most important of which is cortisol. They provide your body
tissues with ready energy to combat the effects of stress. Once stress
occurs, they begin to break down available
stores of fat
and protein for energy and tissue building. So again, if you have low
levels of fat and protein in your diet, your body will cannibalize your
own tissue. These hormones also dampen inflammation and depress immune
responses. Cortisol redirects blood to larger muscle groups and also
inhibits the thyroid by increasing thyroid-binding proteins made in the
liver.
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�Glucocorticoids, the most important of which is cortisol, provide your
body tissues with ready energy to combat the effects of stress.�
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It
has a strong link to progesterone, testosterone and particularly DHEA,
as high cortisol levels can exhaust DHEA production. In fact our very
body metabolism is determined by the balance between DHEA and
cortisol. If the adrenals are healthy, then cortisol enables the body
to produce progesterone even after menopause, making up for the drop in
ovarian function. This can be important, as post-menopausal
progesterone maintains emotional balance through a calming action, so
low levels can cause anxiety. Cortisol also cycles numerous times
through the blood so its effects, whether positive or negative, can be
long-term.
How DHEA can Affect You
The final group of hormones are the Androgens
such as DHEA. In females DHEA is thought to increase sex drive and
libido. DHEA also helps with weight loss by maintaining lean muscle
mass, but it also increases the turnover rate of bone cells which can
lead to osteoporosis if high levels are maintained over time.
The Adrenal Medulla is the trigger for determining how strongly we will react to
stress.
It does this by secreting only one group of hormones known as the
catecholamines. These include epinephrine or adrenalin and
norepinephrine. The presence of these chemicals will produce a euphoric
feeling and also will increase heart rate, respiration and decrease
unnecessary functions such as reproduction and digestion.
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�The positive & necessary effects these chemicals produced in the
first 30 minutes of stress are replaced by negative and damaging
changes when sustained for longer periods of time� Known as
sympathetic dominance and this is what leads to Adrenal Fatigue
Syndrome�
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But
the positive and necessary effects these chemicals produced in the
first 30 minutes of stress are replaced by negative and damaging
changes when sustained for longer periods of time. This is what is
known as sympathetic dominance and this is what leads to Adrenal
Fatigue Syndrome. Adrenal depletion is not viewed by the medical
community as a condition that merits significant attention, yet
possibly 75% of symptoms begin as a result of adrenal fatigue.
Symptoms of Adrenal Fatigue
Some of the general symptoms of adrenal fatigue are constant tiredness,
need for extra sleep,
inability to cope with stress, reduced sex drive, body pain, sighing,
yawning, recurrent infections, irritability, craving sweet food,
irrational anxiety and digestive distress. Many current drugs can
deplete the adrenals such as the Statin drugs. And not only drugs, but
many foods can stress the adrenals as well such as caffeine, alcohol,
sugar and nicotine.
The initial stress
will cause the adrenals to go into the �Alarm Phase�. This is a normal
period of resistance to the stress, intended to be of short duration,
such as 30-40 minutes and should be asymptomatic. Both cortisol and
DHEA increase during this phase. High levels of cortisol will initially
cause an insulin surge, causing sugar cravings. For people that
experience recurring Alarm phases, such as firemen, critical care
nurses, EMT�s, public speakers and performance artists, I use herbal adaptogens which will fine-tune the stress response mechanism so that this phase is more efficient.
Adaptogen
is a term first defined in 1947 by Lazarev as ��a substance which
elicits a state of raised resistance to stressors�� Adaptogens help
the adrenals to produce normal levels of hormones despite chronic
stress being present. They promote regeneration, increase
concentration, balance mood and increase metabolism. The initial Alarm
Phase response will be stronger and faster and feedback control is more
effective so the response is shut off faster. This prevents depletion
of the adrenals and damage to the adrenal tissue.
Restless Leg Syndrome & Stress
The second phase of adrenal response
is one of continued resistance, in which cortisol remains high but DHEA
decreases and we become sympathetic dominant. We are hyperadrenal
during this phase, with symptoms that may include anxiety attacks, mood
swings, onset insomnia, restless leg syndrome and a generally
�stressed� feeling. Due to the higher cortisol levels,
many patients experience
�epic� dreaming, which is very exhausting. Increased cortisol levels
extend the length of REM cycle sleep, allowing less time for Delta Wave
sleep, which is the period of healing, repair and growth. Because of
this, healing capacity diminishes and immunity weakens.
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�High cortisol increases obesity by increasing fat deposition and the loss of lean muscle mass.�
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Increased
levels of cortisol also use up our stores of calcium. If there is
insufficient calcium that is bioavailable, the body will cannibalize
bones and other structures. Higher levels of cortisol will increase
prolactin which can cause a lack of ovulation and increases the removal
of calcium from bones into the blood, which supports sympathetic
dominance. High cortisol increases obesity by increasing fat
deposition and the loss of lean muscle mass. It also has an
antagonistic effect upon insulin production. It will cause headaches
from vasoconstriction and inhibit the conversion of T4 to T3 for
thyroid function. It shrinks and kills off hippocampus cells depleting
emotional memory.
Adrenal Fatigue & Psychic Awareness
Many people believe that psychic awareness
is based in the hippocampus, meaning that as adrenal fatigue sets in,
psychic awareness may falter. As DHEA levels decrease and the
catecholamine reserves are depleted, depression will begin. It is
common for potassium levels to be low compared to sodium levels during
this phase and higher protein intake will sustain the increased
cortisol levels.
Phase 3 is the exhaustion
phase in which cortisol and DHEA levels are both low. The person has
now shifted from sympathetic dominance or resistance to parasympathetic
dominance or exhaustion. The adrenal is now under-functioning and the
body will enter a conservation mode. Symptoms of this phase are
depression, maintenance insomnia and exhaustion, all of which can
contribute to Chronic Fatigue Syndrome. Low levels of cortisol can
bring on Fibromyalgia symptoms, impotence in men, panic disorders,
infertility, anorexia nervosa, low white blood cell levels and low
blood pressure.
Returning to Sleep
Sleep
will be disturbed by waking up and not returning to sleep, a result of
cortisol surges from the adrenals having lost their proper timed
response. These surges can be worsened by hypoglycemia issues. Low
levels of DHEA can cause recurring infections, arthritis, obesity and
early menopause.
Many
of these people simply lie down under the weight of the stress. They
give up, they cry, they feel that life offers nothing for them.
Instead they feel that life and the people around them simply drain
them. They believe it will never change, and sometimes they are
right. Choices are made which serve only to maintain the status quo,
even though it is bringing them to the brink of despair. So the first
order of business are adrenal tonics which will conserve cortisol,
while nourishing and restoring the adrenal glands. Adrenal tonics are
different from adaptagens because they increase or release available
energy from our reserves. They reduce side effects of corticosteroid
drugs and improve regulation of cortisol and DHEA output. They give the
adrenal glands a rest by providing temporary energy. At the same time
I will give them high-grade nutrition and provide restoration and
treatment for each body system that relies on adrenal function, in
order to temporarily spare the adrenals.
Natural Chemistry & Managing Stress
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�Although stress seems to be our worst enemy, it is also something we cannot live without.�
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So
providing natural chemistry
in the form of herbs, compressed foods and nutritional therapy can
bring someone back from the brink. It also gives them the incentive to
learn new coping strategies, relaxation techniques and hopefully to
make healthier choices every day. Although stress seems to be our
worst enemy, it is also something we cannot live without. Notice what
a double potential stress has here. It is the factor, which produces
painful symptoms, causing limitations and even degenerative
conditions.
On
the other hand it is the signal of a weak point, which, if managed
correctly, can guide one to greater strength, more endurance, fewer
limitations, and finer art. We cannot control every situation and
experience so there is no stress involved and we wouldn�t want to. So
instead we need to learn how to recognize stress, pay attention to each
body symptom and discover the way to work through it with coping
mechanisms, body therapies and herbs. What we need in our lives is to
learn how to form a working relationship with the stresses of our
activities and the results of our choices. Remember, it is not the
stressor that is good or bad, but what we learn to do in response to
it.
Suggested formulations for adrenal fatigue and related symptoms:
To relax the mind
� I suggest a soothing complex of Valeriana, Zizyphus and Passiflora
which can help with relaxation of the mind and restful sleep.
California Poppy provides more of a sedative effect for those whose
minds are racing at night. For those who have severe mood swings, or
who have a strong link between their emotions and their body function,
I suggest a combination of Schisandra, Damiana, Scutellaria and
Hypericum. Sleep is especially important as it is only during sleep
that neurotransmitter chemicals and hormones are synthesized and normal
chemical balance can be restored.
To restore nervous system balance
� Providing a combination of organically-bound minerals such as
potassium and iodine can break the sympathetic dominant cycle by
working through the nervous system and bring the body fluids into pH
balance. Ashwaganda or Withania will also provide an excellent
adaptagen for the adrenal glands during this period.
To restore adrenal reserves
� Adaptagenic herbs such as Rehmannia, high-grade Licorice, Eleuthero
and Ashwaganda can all help to restore depleted adrenals from chronic
sympathetic dominance.
To balance digestive function
� Digestive enzymes including hydrochloric acid, powdered digestive
fiber such as cellulose, apple pectin or barley bran, and the use of a
digestive bitter formula can all help to normalize digestive function
so that nutrition can be absorbed and utilized by the body tissues. The
digestive bitter formula that I make for my patients includes Dandelion
root, Tangerine fruit peel, Milk Thistle, Ginger rhizome, Gentian root
and Chamomile.
To support immune function
� It is essential during this recovery period to prevent the additional
stress of illness. I suggest a combination of Echinacea Angustifolia
and Echinacea Purpurea to modulate the activity of the immune system,
reducing hyperimmune responses such as allergies. Also, lymphatic
drainage can be of particular benefit during this time to cleanse and
remove debris from body tissues. Galium or Phytolacca decandra are
perfect for this. In severe cases, I will even use an adrenal or
spleen desiccate to prevent further body degeneration.
If you would like to schedule an evaluation at one of the sites, please email
isisboston@netzero.com or call +1 617-734-4708 U.S. East Coast time for the
latest availability.
Institute
of Structural
Integrative Studies
1652 Beacon Street
Washington Square
Brookline
, MA 02445, USA
tel +1 617.734.4708
www.isisboston.com
, and
www.theherbaladvisor.com/
Listen to:
Interview with naturopath Karen Clickner on personalized natural treatments:
Karen discusses holistic approaches to treatment and the differences
between individuals. Karen has taught at the Reese Institute, the Wood
Hygienic Institute, The Florida Institute of Massage Therapy, Massage
Institute of New England and the Palmer School of Massage Therapy.
Interview with naturopath Karen Clickner on infertility and natural treatment:
Karen also discusses adrenal fatigue and causes and herbal treatment of
common problems in men and women. Karen's articles have been featured
in various publications including AMTA Journals. Karen is currently
owner of I.S.I.S. in Brookline, MA and maintains a private practice in
Geneva, Switzerland and London, UK. Her latest book, Ancient Healing
for Modern Times will be available soon.
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