http://lymemd.blogspot.fr/2012/06/adrenal-fatigue.html
Adrenal fatigue
Stress - anxiety - palpable across the room, emanates from her pores. Everything is going wrong at the same time. Unfortunately, this is not new. There has been no response to everything I've thrown at her. The tell-tale Babesia symptoms: night sweats, flu-like feelings, air hunger, have not budged
I prescribe a dose of Cortef/cortisol.
Adrenal fatigue is not a real diagnosis according to the Mayo Clinic. Look for real diagnoses like fibromyalgia or depression the web page suggests. No science.
There are decades of published, peer-reviewed research showing alterations in adrenal function in depression, chronic fatigue syndrome, fibromyalgia and other related conditions. The results are abnormal, but confusing and difficult to make sense of.
Adrenal function is regulated by a system of feedback loops. One structure in the brain, the hypothalmus, sends a message to another part of the brain, the pituitary, which in turn sends a message to the adrenal glands. The system is called the Hypothalmic-Pituitary-Adrenal axis. Abbreviated HPA axis. The brain is able to sense whether enough adrenal hormones are made and take corrective actions.
The same system works for thyroid and reproductive hormones.
Over-worked adrenals, secreting "stress" hormones such as cortisol and adrenaline, are unable to keep up with the demands placed on them. The whole HPA system becomes sick in variable ways.
Adrenal fatigue is associated with chronic debilitating illness like chronic Lyme disease.
The adrenal gland is complex in anatomy and function, releasing a wide array of hormones which I will not address here.
Organized medicine likes blacks and whites. There is no gluten sensitivity, only Celiac disease or not. Likewise, only extreme adrenal disorders, Cushings and Addison's disease are accepted. Black and white. No shades of gray.
The adrenal fatigue syndrome is associated with a plethora of symptoms : Total exhaustion. Lack of endurance. Anxiety, panic attacks and depression. Dizziness. Dizziness with standing. Aches and pains. Brain fog. Inability to cope with trivial stress. Fatigue more prominent in morning - or -evening. Second wind at night. Insomnia. Salt and/or sugar cravings. Weight gain. And numerous others.
Testing of saliva, urine and blood may give confusing results.
Cortisol levels peak level at around 8 am. There is a slight spike at 4 am. Otherwise, levels decline and stay low throughout the day and into the night.
For this reason cortisol should usually be given in the morning.
I have found measuring DHEA, another adrenal hormone, which can be supplemented, to be helpful.
For the most part, the diagnosis is clinical.
The immune system works better with small doses of cortisol called "physiologic", even though it is a "steroid." High doses of steroids suppress the immune system and must be avoided.
A little cortisol hopefully takes pressure off the overworked, dysfunctional, HPA, system. Hopefully the hormone can be gradually withdrawn as the disease abates. Tapering must be done slowly as the sleepy adrenals wake up.
The above patient needs to reduce stress, get more rest and eat a nutritious diet. She is a tough case.
I prescribe a dose of Cortef/cortisol.
Adrenal fatigue is not a real diagnosis according to the Mayo Clinic. Look for real diagnoses like fibromyalgia or depression the web page suggests. No science.
There are decades of published, peer-reviewed research showing alterations in adrenal function in depression, chronic fatigue syndrome, fibromyalgia and other related conditions. The results are abnormal, but confusing and difficult to make sense of.
Adrenal function is regulated by a system of feedback loops. One structure in the brain, the hypothalmus, sends a message to another part of the brain, the pituitary, which in turn sends a message to the adrenal glands. The system is called the Hypothalmic-Pituitary-Adrenal axis. Abbreviated HPA axis. The brain is able to sense whether enough adrenal hormones are made and take corrective actions.
The same system works for thyroid and reproductive hormones.
Over-worked adrenals, secreting "stress" hormones such as cortisol and adrenaline, are unable to keep up with the demands placed on them. The whole HPA system becomes sick in variable ways.
Adrenal fatigue is associated with chronic debilitating illness like chronic Lyme disease.
The adrenal gland is complex in anatomy and function, releasing a wide array of hormones which I will not address here.
Organized medicine likes blacks and whites. There is no gluten sensitivity, only Celiac disease or not. Likewise, only extreme adrenal disorders, Cushings and Addison's disease are accepted. Black and white. No shades of gray.
The adrenal fatigue syndrome is associated with a plethora of symptoms : Total exhaustion. Lack of endurance. Anxiety, panic attacks and depression. Dizziness. Dizziness with standing. Aches and pains. Brain fog. Inability to cope with trivial stress. Fatigue more prominent in morning - or -evening. Second wind at night. Insomnia. Salt and/or sugar cravings. Weight gain. And numerous others.
Testing of saliva, urine and blood may give confusing results.
Cortisol levels peak level at around 8 am. There is a slight spike at 4 am. Otherwise, levels decline and stay low throughout the day and into the night.
For this reason cortisol should usually be given in the morning.
I have found measuring DHEA, another adrenal hormone, which can be supplemented, to be helpful.
For the most part, the diagnosis is clinical.
The immune system works better with small doses of cortisol called "physiologic", even though it is a "steroid." High doses of steroids suppress the immune system and must be avoided.
A little cortisol hopefully takes pressure off the overworked, dysfunctional, HPA, system. Hopefully the hormone can be gradually withdrawn as the disease abates. Tapering must be done slowly as the sleepy adrenals wake up.
The above patient needs to reduce stress, get more rest and eat a nutritious diet. She is a tough case.
La fatigue surrénale
Le stress - anxiété - palpable à travers la pièce, émane de ses pores. Tout va mal en même temps. Malheureusement, ce n'est pas nouveau. Il n'ya pas eu réponse à tout ce que j'ai lancée sur elle. Les symptômes révélateurs Babesia: sueurs nocturnes, pseudo-grippaux sentiments, manque d'air, n'ont pas bougé, je prescrire une dose de Cortef / cortisol. La fatigue surrénale n'est pas un véritable diagnostic selon la Clinique Mayo. Recherchez les diagnostics immobiliers comme la fibromyalgie ou la dépression de la page Web suggère.Aucune science. Il ya des décennies d'publiées, évaluées par les pairs des recherches montrant des altérations de la fonction surrénalienne dans la dépression, syndrome de fatigue chronique, la fibromyalgie et autres troubles connexes. Les résultats sont anormaux, mais confus et difficile de donner un sens. fonction surrénale est régie par un système de boucles de rétroaction.Une structure dans le cerveau, l'hypothalamus, envoie un message à une autre partie du cerveau, de l'hypophyse, qui à son tour envoie un message aux glandes surrénales. Le système est appelé l'axe hypothalamo-hypophyso-surrénalien. Abrégée axe HPA. Le cerveau est capable de détecter si suffisamment hormones surrénales sont faits et prendre des mesures correctives. Le système fonctionne même pour la thyroïde et les hormones de la reproduction. Over-travaillé glandes surrénales, sécrétant des hormones de «stress» comme le cortisol et l'adrénaline, sont incapables de faire face à la exigences qui leur sont imposées. L'ensemble du système HPA devient malade de façon variable. La fatigue surrénale est associée à la maladie débilitante chronique comme la maladie de Lyme chronique. La glande surrénale est complexe de l'anatomie et la fonction, libérant un large éventail d'hormones qui je n'aborderai pas ici. médecine organisée aime les Noirs et Blancs. Il n'ya pas de sensibilité au gluten, que la maladie coeliaque ou non. De même, seuls extrêmes surrénales, troubles de Cushing et la maladie d'Addison sont acceptées. Noir et blanc. Aucun. Nuances de gris Le syndrome de fatigue surrénale est associée à une pléthore de symptômes: l'épuisement total. Le manque d'endurance. L'anxiété, la panique et la dépression. Des étourdissements. Vertiges avec debout. Maux et douleurs. Brouillard de cerveau. Incapacité à faire face au stress trivial. La fatigue plus importante dans le matin - ou de soirée. Second souffle dans la nuit. L'insomnie. Sel et / ou envies de sucre. Le gain de poids. Et de nombreux autres. Test de salive, d'urine et de sang peut donner des résultats étranges. niveaux de cortisol niveau de crête à environ 8 heures du matin. Il ya un léger pic à 4 heures.Dans le cas contraire, les niveaux de refuser et rester faible tout au long de la journée et dans la nuit. Pour cette raison, le cortisol doit généralement être administré le matin. J'ai trouvé la mesure de la DHEA, une autre hormone surrénale, qui peut être complétée, pour être utile. Pour la plupart Le diagnostic est clinique. Le système immunitaire fonctionne mieux avec de petites doses de cortisol appelé «physiologique», même si c'est un "stéroïdes".De fortes doses de stéroïdes suppriment le système immunitaire et doit être évitée. Un peu cortisol prend espérons pression sur les surmenés, dysfonctionnel, HPA, système. Espérons que l'hormone peut être progressivement retirées, comme la maladie diminue. Resserré en bas doit être fait lentement que les glandes surrénales endormis se réveillent. Le patient ci-dessus doit réduire le stress, prendre plus de repos et de manger un régime alimentaire nutritif. Elle est un cas difficile.
