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Robin Berzin, M.D. is a functional medicine physician and founder of Parsley Health. She received her master's from the Columbia University College of Physicians and Surgeons, and was later trained in Internal Medicine at Mount Sinai Hospital.
"Adrenal fatigue" describes a disruption of the adrenal glands' ability to make cortisol (a stress hormone) in the right amounts at the right times. Chronic stress, an unhealthy diet, and general inflammation are all thought to contribute to it. Though adrenal fatigue is not recognized as a legitimate condition by the traditional medical community, I've seen the effects of unsteady cortisol levels play out time and time again with my patients. Here are the signs you might be dealing with them too.
In this stage, many people wake up early in the morning (often around 3 a.m.) and are unable to fall back asleep. Later in the day, some stressor kicks in, and they feel more awake. Their cortisol peaks early, flattens out, but often has midday or early evening rise.
The adrenal diet I recommend contains lots of brightly colored vegetables, lean clean protein, and whole grain gluten-free carbs. A strict no-carb diet can stress the body even more, worsening adrenal burnout. So skip the cookies and cakes, but reach for the quinoa, lentils, and buckwheat.
Getting to bed before 11 p.m. is a must if your hormones are off. I've seen that many people get a second cortisol surge after 11 p.m., which further disrupts sleep patterns.
Feeling tired, stressed or burnt out? Don’t feel like you have the energy that you want to have? It could be a result of adrenal fatigue. Adrenal fatigue occurs when the adrenal glands become overstressed and overworked, and it can lead to numerous health symptoms, especially symptoms of fatigue, exhaustion, and brain fog.
The adrenal glands are small, triangular-shaped glands located on top of both kidneys. Adrenal glands produce hormones that help regulate your metabolism, immune system, blood pressure, response to stress and other essential functions. They are among the first glands to respond to stress, and also among the first to suffer as a result of stress.
When we undergo an excess of mental or physical stress, the adrenal glands can become depleted. The adrenal glands release a stress hormone called cortisol. Cortisol plays several important roles in the body. It helps control the body’s use of fats, proteins and carbohydrates; suppresses inflammation; regulates blood pressure; increases blood sugar; and can also decrease bone formation. This hormone also controls the sleep/wake cycle.
Cortisol is released during times of stress to help your body get an energy boost and better handle an emergency situation. This is a great support when we are actually facing an immediate danger and need an energy boost to fight or flee from a situation. When we experience stress on a regular basis, however, excesses of the cortisol hormone are released. Not only does this deplete the adrenal glands responsible for many necessary functions, but it can have its own slew of negative health effects over time.
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