Adrenal Fatigue, Do I Have It?

Adrenal fatigue is a collection of signs and symptoms, which are a result of sub-optimal adrenal function. Basically, your adrenal glands get tired. The adrenal glands are small organs that sit directly on top of the kidneys.

Adrenal fatigue is caused by acute and/or chronic stress. This stress can be physical, emotional, psychological, or infectious. This stress results in adrenal over-stimulation. If your adrenal glands are under severe stress or prolonged stress, you will likely experience adrenal fatigue. This means that your adrenal gland loses the ability to adequately respond to further stress. It continues to function, but not at an adequate level.

When your adrenal glands get tired, you get tired. The predominate symptom is fatigue. This fatigue can be present for the entire day or wax/wane throughout the day. Other commonly expressed symptoms include:

• fatigue in the morning upon awakening
• feeling run down throughout the day
• difficulty in getting going in the morning
• inability to bounce back from stress
• salt/sweet cravings
• fatigue unrelieved by sleep
• increased effort to do every day tasks
• decreased libido
• decreased ability to handle stress
• increased time to recover from illness, injury, or trauma
• light-headed when standing up quickly
• mild depression
• increased PMS symptoms
• poor focus
• poor memory
• decreased tolerance
• decreased productivity

Most Americans will have some adrenal fatigue throughout their lives. Adrenal fatigue can be a mere nuisance and last from a few days to a few weeks. However, some bouts of adrenal fatigue can be severely debilitating and last for years. We test for adrenal fatigue with a four point saliva test throughout the day.

Your treatment will depend on the degree of adrenal fatigue. We’ll manage mild adrenal fatigue with adrenal rebuilder: an adrenal rich supplement. Adrenal rebuilder provides the building blocks necessary for improved adrenal health and function. Most treatments will last at least 3-6 months, with the more severe episodes of adrenal fatigue taking 6-12 months of treatment.

But don’t worry! With adequate time and treatment, nearly everyone can achieve a full recovery from adrenal fatigue. In fact, with cortisol replacement, most women will experience some improvement within 2 weeks. As your symptoms improve, it is important that you continue the treatment. Rebound adrenal fatigue is a common problem when people stop their treatment too soon.

Patients of Dr. Nathan Goodyear can start an adrenal evaluation by filling out the adrenal fatigue questionnaire. Then, call the Seasons office at 865-675-9355 and set up an appointment to discuss further treatment.

Black, White, and Gray in the World of Medicine

John 8:32 says, “You will know the truth and the truth will set you free.” As a Christian, I wholeheartedly believe that scripture. In that case, John was quoting Jesus Christ, and the truth of which he spoke was the truth of Jesus’ purpose for his life, death, and resurrection on this earth.

We hear that phrase thrown around in the everyday vernacular because it rings true for worldly topics, not just the heavenly. A good decision can only be made about a matter when the truth of opposing sides is known. Otherwise, any decision seems tainted in some way. Truth makes things clear and eliminates the gray in the black and white of the decision-making process.

So where is the gray in the world of healthcare? You don’t have to look far. In modern healthcare, physicians depend on the latest prescription drug to solve the problems of a symptomatic patient rather than delving deeper into the underlying physical chemistry. Having my practice dictated by which pharmaceuticals to dispense didn’t seem right in my soul. Where was the preventative care for the body? Was there a way to prevent disease and return the body to optimal health?

Truth in health and wellness is found in physiology and biochemistry. I, often begrudgingly, waded my way through the classes of organic chemistry, biochemistry, and physiology, not knowing that one day I would return to those roots as the fundamentals of my medical practice.

In returning to these fundamentals, I now spend time analyzing the body’s current function and, as naturally as possible, returning the body to optimal health.

Can I prevent disease? Well, not entirely. The overwhelmingly toxicity of our environment and the unique genetics of each person have a factor in disease, too. But the idea behind anti-aging and functional medicine is to provide my patients with the best quality of life possible for as long as they live instead of being debilitated by disease for years. It’s all about HEALTHY LIVING.

As I continue to practice medicine, I realize how important it is to EDUCATE. Health and wellness education is one of our primary missions at Seasons. It is the lack of wellness in north Louisiana which led me to seek further education in functional medicine (I am now board certified and fellowship trained in Functional Medicine) giving me the tools that I need to solve the health problems my patients deal with every day.

You see, I became a physician to help people get better and feel better. And because that wasn’t happening with the protocols currently being used by the American College of Gynecology, I sought a better way of doing things. But in doing so, I have also found that educating my patients, the community, the state of Louisiana, and even my fellow physicians is required. How to do that is the question!

Allow me to introduce you to DIIGO. Notice on the front page of our website in the column on the right there is a box labeled Seasons Diigo Updates. Diigo is a “cloud-based information management service that enables users to collect, highlight, access and share a variety of information, on a variety of devices,” according to their blog. That’s a fancy definition. For you non-tech types, Diigo allows me to bookmark what I’m reading and share it with YOU.

From the Seasons Diigo list, you can see what I’m reading — the latest developments and research in health and wellness — and what I recommend that YOU read in order to educate yourself. I use this tool to organize scientific research available on the world wide web that will help YOU understand the Seasons Five Points of Wellness (nutrition, exercise, hormone balance, reducing inflammation, and detoxification).

The abstracts (brief synopsis of studies) and articles you find on our Diigo list represent the latest discussions by physicians and scientists from around the world whose research contributes to your understanding of health and wellness TRUTHS. This is not information regurgitated and twisted by a news report. This is the real, actual science.

If you have questions about our preventative approach to healthcare, then read, and learn for yourself what the latest research indicates about the Seasons approach to wellness. I update our Diigo list almost daily, so check back often. Or better yet, subscribe to our list so that you receive daily updates of new wellness research.

With the world wide web at your fingertips, information is so readily available. You are not limited by the resources on your street, in your town, in your region, or even in your state. You have a whole world of information available at your fingertips. At Seasons, we’re trying to get the right information into the hands of those who are truly passionate about taking charge of their own wellness. And if you are reading this, then THAT IS YOU!

Happy reading. And cheers to the pursuit of wellness.

How do I keep up with the Seasons Diigo List?

1. Visit our website regularly. You can click on any of the links in the Seasons Diigo Updates box and go directly to the article.
2. Visit Diigo regularly. Visit http://groups.diigo.com/group/seasonswc and see the list there.
3. Have summary emails sent to you daily/weekly. To do this, you’ll need to create a diigo account at http://diigo.com. Once you’ve created an account, you can join the Seasons Wellness group. Depending on the notification setting you choose when you create your account, you’ll receive a summary email with all the articles I’ve bookmarked that day or that week.

Related articles

• Wellness: Do Doctors Know What To Look For? (time.com)
• Healthy Medicine: A New Model for Cancer Care (truthonmedecine.wordpress.com)
• Seasons Diigo Updates
• Integrative, Functional Medicine Comes to Hawaii (prweb.com)
• Wellness: Do Doctors Know What To Look For? (time.com)
• Wellness: Do Doctors Know What To Look For? (time.com)
• Talking with your doctor about COPD: NetWellness (cleveland.com)
• Why Become a Naturopathic Doctor? (brighthub.com)

 

What is Functional Medicine?

The following guest post was written by Dr. Ron Grisanti, a board certified chiropractic orthopedist with a master’s degree in nutritional science from the University of Bridgeport. You can read more of Dr. Grisanti’s posts at www.FunctionalMedicineUniversity.com and www.Clinical-Rounds.com.

It’s a science-based, natural way to become healthy again

Functional Medicine is patient-centered medical healing at its best. Instead of looking at and treating health problems as isolated diseases, it treats individuals who may have bodily symptoms, imbalances and dysfunctions.

As the following graphic of an iceberg shows, a named disease such as diabetes, cancer, or fibromyalgia might be visible above the surface, but according to Functional Medicine, the cause lies in the altered physiology below the surface. Almost always, the cause of the disease and its symptoms is an underlying dysfunction and/or an imbalance of bodily systems.

If health care treats just the tip of the iceberg, it rarely leads to long-term relief and vibrancy. Identifying and treating the underlying root cause or causes, as Functional Medicine does, has a much better chance to successfully resolve a patient’s health challenge.

Using scientific principles, advanced diagnostic testing and treatments other than drugs or surgery, Functional Medicine restores balance in the body’s primary physiological processes. The goal: the patient’s lifelong optimal health.

How Functional Medicine Heals a Key Health Care Gap

Today’s health care system is in trouble because it applies a medical management model that works well for acute health problems to chronic health problems, where it is much less successful.

If you have a heart attack, accident, or sudden lung infection such as pneumonia, you certainly want a quick-thinking doctor to use all the quick-acting resources of modern medicine, such as life-saving technology, surgery and antibiotics. We are all grateful about such interventions.

However, jumping in with drugs, surgery and other acute care treatments too often does not succeed in helping those with chronic, debilitating ailments, such as diabetes, heart disease or arthritis. Another approach is needed.

The Two-Pronged Healing Approach to Functional Medicine

To battle chronic health conditions, Functional Medicine uses two scientifically grounded principles:

1. Add what’s lacking in the body to nudge its physiology back to a state of optimal functioning.
2. Remove anything that impedes the body from moving toward this optimal state of physiology.

Plainly put, your body naturally wants to be healthy. But things needed by the body to function at its best might be missing, or something might be standing in the way of its best functioning. Functional Medicine first identifies the factors responsible for the malfunctioning. Then it deals with those factors in a way appropriate to the patient’s particular situation.

Very often Functional Medicine practitioners use advanced laboratory testing to identify the root cause or causes of the patient’s health problem. Old-fashioned medical diagnosis helps too, in the form of listening carefully to the patient’s history of symptoms and asking questions about his or her activities and lifestyle.

For treatment, Functional Medicine practitioners use a combination of natural agents (supplements, herbs, nutraceuticals and homeopathics), nutritional and lifestyle changes, spiritual/emotional counseling, and pharmaceuticals, if necessary to prod a patient’s physiology back to an optimal state. In addition, educating the patient about their condition empowers them to take charge of their own health, ultimately leading to greater success in treatment.

Treating Symptoms Versus Treating the Person

In the dominant health care model today, medication is used to get rid of people’s symptoms. If the patient stops taking the medication, symptoms generally return.

Functional Medicine approaches health problems differently. Instead of masking the problem, it aims at restoring the body’s natural functioning. Although Functional Medicine practitioners may prescribe pharmaceuticals, they are used to gently nudge the patient’s physiology in a positive direction so the patient will no longer need them.

For example, conventional doctors would normally prescribe pharmaceuticals like Prilosec, Prevacid or Aciphex to treat acid reflux or heartburn. When the patient stops taking such drugs, the heartburn symptoms come back. In contrast, a Functional Medicine practitioner might find that a patient’s acid reflux is caused by Helicobacter pylori bacteria. Eradicating the Helicobacter pylori might very well lead to the end of heartburn symptoms, permanently.

It’s also important to note that in Functional Medicine, treatment for similar symptoms might vary tremendously for different patients, according to their medical history and results of laboratory tests. Factors that can come into play in producing the same symptoms include toxic chemicals, pathogenic bacteria, parasites, chronic viral pathogens, emotional poisons like anger, greed or envy, and structural factors such as tumors or cysts.

The Roots of Functional Medicine

You may be surprised to learn that Functional Medicine isn’t new. It actually represents a return to the roots of modern scientific medicine, captured in this statement by Sir William Osler, one of the first professors at Johns Hopkins University School of Medicine and later its Physician-in-Chief: “The good physician treats the disease; the great physician treats the patient who has the disease.”

Another important saying by Osler is “If you listen carefully to the patient, they will tell you the diagnosis.” This encapsulates the importance placed in Functional Medicine on taking a thorough history from the patient.

Your Experience of Functional Medicine

We have titled this web site, “Your Medical Detective,” because patients often feel their Functional Medicine practitioner is leaving no stone unturned in their relentless research to pinpoint the causes of a particular patient’s symptoms.

When you consult a Functional Medicine practitioner, the first step is always your history. Practitioners are trained on how to unravel and make sense of a complicated story. Often clues in the story lead to the identification of key imbalances.

The next set of clues comes from a comprehensive physical examination, which includes many nearly forgotten examination procedures used by famous diagnosticians (both living and long gone), such as chapman reflex points, ankle brachial reflex and nail inspection.

The final set of clues comes from advanced laboratory testing. Innovative, cutting-edge lab tests help the practitioner look deeply into a patient’s physiology to identify how it has been compromised and how physiological balance can be restored.

After diagnosis and treatment, a Functional Medicine patient can expect his or her symptoms to diminish in severity, with a renewed sense of well-being and significant increase in health and vitality.

While there is no substitute for face-to-face treatment from a trained Functional Medicine practitioner, this site educates you on the Functional Medicine perspective and on the kinds of clues and treatments that may be key to restoring you to optimal health.

 

 

Winter Blues or Something Else?

“Maybe I just have the winter blues,” she said. This statement leads the list of commonly heard complaints from patients who come to me seeking answers for their symptoms.

“Sarah” came to our office frustrated that all of her lab work showed normal levels of everything. “My thyroid levels weren’t even low,” she exclaimed hoping that low thyroid would explain her symptom list including fatigue, sleep disturbance, mild anxiety and depression, as well as brain fog. She even had a prescription for an antidepressant but was reluctant to fill it. “I hate the person I have become! Even my family has noticed a change in me. Can you help me?”

Fortunately for Sarah, we are in the business of wellness. Instead of accepting a diagnosis of depression, we sought to identify specific markers showing mitochondrial insufficiency, my suspected cause for her symptoms. Don’t be scared by the term mitochondrial insufficiency. It’s just a fancy name for inefficient cellular energy production!

Without cellular energy, symptoms such as fatigue, exercise intolerance, mood disorders, insomnia, and brain fog can wreak havoc in our bodies. Other symptoms such as generalized muscle aches, skin disorders, and blood sugar imbalance can be affected by specific deficiencies.

Using advanced metabolic testing, we were able to measure “Sarah’s” organic acids, fatty acids, amino acids, as well as vitamin levels and toxins. Her results confirmed that her body wasn’t making the energy she needed.

Sarah is now equipped with her own custom-designed wellness plan to give her body optimal health. Along with specific vitamins, amino acids, and other supplements, she is detoxing her body by using our Far Infrared Sauna twice a week. Not only has her quality of life been enhanced, but her overall health has improved as well.

And by the way…she never had to fill the antidepressant prescription. And that’s a check in the win column of Sarah’s life! Cheers to wellness!