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FAQ

What is Adrenal Fatigue?

Adrenal Fatigue is a modern-day epidemic and results from the overstimulation of the adrenal glands due to chronic stress and over time, low cortisol levels. The most common report is feeling “burnt out”.

Adrenal fatigue is one of the most common health disorders, but it’s not recognized or screened for in conventional medicine – unless you have the extreme case of Addison’s or Cushing’s Disease – and these are uncommon. However, Adrenal Fatigue will impact up to 80% of us at some point our lives. Adrenal fatigue may occur after a major life-changing event such as divorce, surgery, childbirth, or even following a car accident.

The main purpose of your adrenals is to enable your body to deal with stress from every possible source, ranging from injury and disease to work and relationship problems. Adrenal function is of paramount importance because these small glands play a pivotal role in determining the way your body responds to every change in your internal and external environment. For example, the protective activity of anti-inflammatory adrenal hormones such as cortisol help to minimize reactions like swelling and inflammation in situations ranging from allergies to autoimmune disorders. These hormones closely involved in many metabolic processes:

Blood sugar regulation
Metabolism of carbohydrates and fats
Conversion of fats and proteins into energy
Distribution of stored fat – focused around your waist (the spare tire); & sides of your face
Cardiovascular function
Gastrointestinal function

After mid-life (menopause in women, andropause in men), the adrenal glands gradually become the major source of the sex hormones circulating throughout the body in both men and women. These hormones themselves have a whole host of physical, emotional and psychological effects, from the level of your sex drive to the tendency to gain weight.

Adrenal fatigue causes a feeling of generalized “unwellness” which creates havoc on your life. In more serious cases, the activity of the adrenal glands is so diminished that you may have difficulty getting out of bed for more than a few hours per day. With each increment of reduction in adrenal function, every organ and system in your body is more profoundly affected. Metabolic changes occur in your carbohydrate, protein and fat metabolism, fluid and electrolyte balance, heart and cardiovascular system, and sex drive. Many other alterations take place at the biochemical and cellular levels in response to, and to compensate for, the decrease in adrenal hormones that occurs with adrenal fatigue.

What Causes Hypothyroidism?

Chronic Stress & Adrenal Fatigue

The adrenal glands take the leading role when it comes to managing stress through the production of cortisol. Research shows that adrenal fatigue has an impact on thyroid function. Even at a mild degree of deficiency, adrenal fatigue can negatively affect thyroid hormone conversion, utilization, and production. For example, high stress can cause too much cortisol in the circulation which promotes inflammation around the thyroid, and this reduces thyroid receptor responsiveness. Therefore, when treating thyroid issues with medicine or therapy it’s important to address the adrenals, this connection, and to care for them both effectively.

Hashimoto’s Hypothyroid

90% of cases of hypothyroidism are due to an autoimmune attack on the thyroid gland by either thyroperoxidase antibodies (TPOAb) or by thyroglobulin antibodies (TgAb), a condition called Hashimoto’s thyroiditis. What this means is that the body creates immune cells that attack the gland so that its function – and a person’s health – declines over time. This condition can be triggered by gluten in gluten-sensitive individuals. Similarly, in these people, gluten avoidance for at least 3 months may help lower antibody levels to a normal range.

Thyroid Conversion Disorder

In some cases, the conversion of T4 into T3 doesn’t function properly due an enzyme issue or otherwise. Test results will show normal levels of TSH and T4 but severely low levels of T3. Commonly, in these cases, patients are often told by their doctors that their thyroid function is “normal” even though they do not feel normal! This is also why some patients who are medicated with Levothyroxine or Synthroid (T4) may feel like their medicine or therapies are ineffective.

Thyroid Hormone Resistance

Thyroid hormone resistance can be thought of in the same way as insulin resistance is in diabetics. In this condition, the body’s cells are unresponsive to thyroid hormones. In these individuals, T3 and T4 levels can be normal but TSH levels are elevated.

Nutritional Deficiencies

For proper function and the creation of thyroid hormones, the thyroid gland requires the trace minerals iodine, selenium and zinc as well as an amino acid, thyroxine. Deficiency in any of these nutrients can create symptoms of hypothyroidism. Iodine is found in iodized salt and sea vegetables (such as nori and dulse flakes). I have come to find that iodine deficiency is more prevalent than previously given credit for (a 24 Hour Urine Iodine Challenge Test can determine this). The trace mineral Selenium is abundantly found in Oysters and Brazil nuts, and Zinc is rich in pumpkin seeds and beef. Thyroxine is the amino acid building block of thyroid hormones and can be found in most sources of protein.

Heavy Metal Toxicity and Mercury

The thyroid hormone and the heavy metal mercury have strikingly similar biochemistry. The long term exposure of this metal wreaks havoc on the thyroid gland and a person’s health, with these negative effects typically being experienced by dental patients who have currently have or previously had mercury amalgams. Sometimes it is prudent to screen for heavy metal toxicity and high levels of mercury that may be causing thyroid suppression. Heavy metal testing, followed by Chelation Therapy for removal of mercury from deep tissue stores is one naturopathic way to treat the underlying hypothyroid condition.

Central Hypothyroidism

In rare cases, disorders of the pituitary gland or hypothalamus in the brain may be an underlying cause for central Hypothyroidism (AKA secondary or tertiary hypothyroidism). There are usually other concerning symptoms (beyond the list seen on this page) that would warrant imaging and more advanced hospital testing.

How can the digestive system cause so many health issues?

Your digestive system is one of the most important systems in your body, so it’s connected to just about everything. If it isn’t functioning the way it’s supposed to, then you could be short on nutrients, have a buildup of toxins, or other issues that affect parts of your body that seem like they have nothing to do with digestion.

How is SIBO treated?

SIBO is treated by following a full regimen of natural gut restoration that will rebalance the bacteria levels in your small intestine. It typically involves a carefully planned diet as well as supplementary enzymes to support your recovery.

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“There is more wisdom in your body than in your deepest philosophies.”
– Friedrich Nietzsche

“The art of healing comes from nature, not from the physician.Therefore the physician must start from nature, with an open mind”
– Paracelsus

“I don’t count my sit-ups; I only start counting when it starts hurting because they are the only ones that count.”
– Muhammed Ali

“I believe that the greatest gift you can give your family and the world is a healthy you.”
– Joyce Meyer

A fit body, a calm mind, a house full of love. These things cannot be bought – they must be earned.”
– Naval Ravikant

“One touch of nature makes the whole world kin. ”
– William Shakespeare

“Begin with little things daily and one day you will be doing things that months back you would have thought impossible.”
– Swami Satchidananda

“When you want something, all the universe conspires in helping you to achieve it.”
– Paulo Coelho

Dr. Emina jasarevic, nd | Naturopathic physician