Adrenal Fatigue Case Studies
75The Stages of Adrenal Disease
Case Study of Mild (Early Stages) Adrenal Fatigue
Sally, a 32 year old mother of 3 small children came to our office complaining of anxiety and an inability to sleep through the night. She was having trouble falling asleep, and staying asleep. In fact, the smallest noises or movements would arouse Sally from her sleep, making it difficult to feel rested the following day. Sally was a 3rd grade teacher with many work related stressors, so rest was a necessity for her to function fully while at work.
On further interview, Sally revealed that she was also frequently suffering from symptoms very closely related to adrenal fatigue; namely, she had irritability, headaches, loss of sexual libido, difficulty concentrating with poor recall, PMS and irregular cycles.
Due to all of the many symptoms suggesting an adrenal stress disorder was the underlying mechanism, she was asked to complete a salivary hormone test to determine her cortisol diurnal rhythms. The Adrenal Stress Index (ASI) was used to measures Sally's salivary levels of cortisol throughout the day to determine the health of her adrenal glands.
Sally's results showed us:
Morning cortisol levels 37 (normal 13-24)
Noon cortisol levels 13 (normal 5-10)
Afternoon cortisol levels 7 (normal 3-8)
Evening cortisol levels 5 (normal 1-5)
Total cortisol burden 62 (normal 23-42)
The Adrenal Stress Index (ASI) A Salivary Test for Cortisol Levels
This Adrenal Stress Index test revealed that Sally was experiencing
symptoms of increasingly elevated cortisol levels throughout the day.
Her elevated evening cortisol levels were the main reason for her
insomnia.
This ASI pattern is typical for an acutely stressful event, and the Early Stages of Adrenal Fatigue Syndrome.
In these acute early phases, the adrenals still have plenty of reserves
and are able to produce excess hormones in response to the offensive
stressor. The adrenals do this at the expense of progesterone, the
precursor to the production of cortisol. To learn more on how the body
produces hormones through a cascade of naturally occurring reactions,
visit the Youthful Aging Center online.
Sally received adrenal support through the appropriate supplements to
nurture the glands, stabilize the blood sugars and down regulate the
hyper responsive sympathetic nervous system that is causing so many of
her symptoms.
We have posted more case studies to show how Adrenal Fatigue and Adrenal Exhaustion presents in people's lives.
If you think that you may be suffering from symptoms of Adrenal Fatigue, get tested and treated early before the condition aggravates leading to damage to your adrenal glands. This condition is reversible, but like all glands of the body, exhaustion takes many months to years for a full recovery.
The following lists demonstrates the usual symptoms and stressors related to this condition. Use it as a checklist for your own life situation.
The Symptoms of Chronic Adrenal Fatigue and Exhaustion
Chronic stress leads to adrenal exhaustion and finally to the symptoms commonly defined as the Adrenal Fatigue Syndrome, left unchecked it leads to Adrenal Exhaustion.
The symptoms of severe adrenal fatigue and exhaustion include:
- Pain/spasm in upper back &
- neck muscles
- Loss of libido
- Poor memory
- Light headed when standing
- Headaches
- Irritability/moodiness
- Alcohol intolerance
- Tenderness in low back
- Dry/thin skin
- Scanty perspiration
- Slow wound healing
- Cold intolerance
- Weakness
- Nervous/anxious
- Chronic inflammation
- Palpitations
- Weight gain
- Low blood pressure
- Sweet/salt cravings
- Unexplained hair loss
- Muscle wasting
- Poor concentration
- Frustration/confusion
- Low body temps
- Slow recovery from work outs
The Role Stress Plays in Creating Adrenal Fatigue Syndrome
Stress comes in many forms, including:
- Anger - Fear
- Worry/Anxiety
- Depression
- Guilt
- Overwork
- Physical and Mental strain
- Excessive exercise
- Sleep deprivation
- Light-cycle disruption
- Late hours
- Surgery
- Trauma/Injury
- Noise Pollution
- Inflammation
- Pain
- Toxic exposure
- Infections
- Chemicals - Heavy metals
- Electromagnetic fields
- Radiation
- Geophysical
- Malabsorption
- Maldigestion
- Illness
- Low blood sugar - Poor diet
- Nutritional deficiencies
- Inhalant Allergies
- Food Reactions
- Molds
- Temperature extreme
For more information on how adrenal fatigue contributes to and coexists with anxiety disorders check out this article.
CommentsLoading...
It's great to see this info posted here. You're absolutely right that all docs should be on the look out for this. So few even know where the adrenals are let alone what and ASI is. This info is a life saver! Thanks!!
thank you for providing this information. i have many of these symptoms and it's nice to know I'm not going crazy. this helps a ton!
thank you :)









S 2 years ago
This is great information. I am so grateful for your insight!