Karen is in her forties, very active at work and play. Over the past several years since her husband died, she has had a lot of stress with the loss of their home and many other problems. For several months, she has not been able to sleep well and she is tired all day. She laments, “I feel like I’m half-awake all night and half-asleep all day! I’m sick and tired of being sick and tired.” What is worse, she is gaining weight and feeling hopeless.
While the complaint of fatigue is among the most common for visiting a doctor, there are many reasons for it. One of the most common is “adrenal fatigue.”
This term conjures-up images of the adrenal glands working as hard as they can and just getting pooped-out. However, the glands don’t really get tired. Rather, the cells in the body react to long-term high levels of stress hormones by blocking their effects.
Cortisol, the primary stress hormone, affects every cell in the body.
- Over time it suppresses the immune system, allowing more infections
- Changes the neurotransmitters in the brain, causing depression and anxiety
- Causes insulin resistance, which can lead to diabetes
- Prevents the use of fat for energy leading to easy fatigue and hypoglycemia
With all these effect. it is no wonder people with chronic stress have such a multitude of symptoms! Often, these symptoms are vague and genera, but abnormalities don’t show up in the usual tests done by doctors. The patient then is told, “There is nothing wrong with you.” and goes home discouraged. Many people come into my office just hoping to have some terrible abnormality on the test so at least there will be something wrong.
Distinguish the Difference
There are a variety of reasons for being tired. Some of the more common ones are adrenal fatigue, low thyroid, chronic infections and metabolic disorders, such as diabetes. The difficulty is that these may overlap in any individual. Some ways to distinguish them are:...
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