Are Your Adrenals Sabotaging Your Health? Stress is not your friend


Those of us with Hashimoto's often blame our thyroid for the many signs and symptoms we experience. Hair loss? Thyroid! Weight gain? THYROID! Fatigue? It's gotta be the thyroid!

Treating hypothyroidism without treating the adrenals is one of the biggest reasons people continue to feel exhausted despite receiving treatment with thyroid hormones. Patients may initially report feeling more energetic after starting thyroid hormones, but this is usually followed by feeling worse and worse until they are right back to where they were before they started the thyroid medications. They will go back to their physicians to check blood work and will be told that everything is normal. 

The patient begins to feel crazy … but that’s when another layer of what is broken in Hashimoto’s becomes unraveled. Many symptoms of hypothyroidism actually overlap with symptoms of underactive adrenals, however, physicians don’t routinely check adrenal function in those with Hashimoto’s.

Symptoms of poor adrenal function may include the following: feeling overwhelmed, feeling tired despite adequate sleep, difficulty getting up in the morning on most days, craving for salty foods (a.k.a. “I just ate a whole bag of chips syndrome”), increased effort required for everyday activities, low blood pressure, feeling faint when getting up quickly, mental fog, alternating diarrhea/constipation, low blood sugar, decreased sex drive, decreased ability to handle stress, slowed healing, mild depression, less enjoyment in life, feeling worse after skipping meals, increased PMS, poor concentration, reduced ability to make decisions, reduced productivity, poor memory … do any of these sound familiar?

Stress is not your friend!

Stress causes our adrenals to pump out extra hormones, and shifts our body from a relaxing, digesting, healing state to a fight or flight state. The body's energy is shifted from doing "useless" things like growing beautiful hair, metabolizing, making hormones, digesting and repairing itself, and instead, all of the body's resources are reserved to make cortisol and adrenaline that is pumped through our veins so that we can keep going. 

This mechanism comes in really handy when you are chased by a bear, not so much when the mechanism gets triggered by traffic or loud television shows. 

Eventually, we run out of nutrients that are required for proper adrenal function and we get to a state of adrenal fatigue. This is when our body is no longer able to heal itself and we feel drained. 

There are four types of stress that turn on our fight or flight response:

  1. mental/emotional stress
  2. sleep disorders
  3. metabolic/ glycemic dysregulation
  4. chronic inflammation

Recovering from adrenal fatigue

Replenishing nutrients and using adaptogens, that balance out the adrenals can be helpful for everyone. I like to use the Daily Stress Formula from Pure Encapsulations. It contains nutrients and adaptogens. 

Stabilizing the blood sugar through diet is also important. 

Adrenal saliva testing can also be done to determine which stage of adrenal fatigue the person is in, and supplements can be used accordingly. I have a whole chapter dedicated to the adrenals in my book, Hashimoto's: The Root Cause and it is the longest chapter in the whole book, as matter of fact. I discuss testing, interpreting tests, what to do in each stage as far as supplements go and explain the who physiology behind the adrenals.

But the most important strategy for combating adrenal fatigue does not involve dieting, supplements, medications or testing. This strategy however, is often the hardest to implement. That strategy is...stress reduction. It was probably the hardest lifestyle change for me to implement.  I only had two settings "GO" and "SLEEP". I did not know how to relax, smell the roses, turn-off or unwind. 

I came up with this list of strategies to make myself more relaxed and shift my body into a state of relaxing, digesting and healing. I hope some of them will resonate with you, but many of you will need to come up with your own list. Many of these items may be really difficult to implement, especially for those of us with responsibilities like jobs, children, or elderly relatives who need our care, but somehow, you HAVE to schedule time for yourself. 

We often expect our doctors to heal us, but the healing comes from within just the same. 

No one else will do it for you. Put it in your planner if you must. 

 Some strategies to reduce stress include:

  • Do your best to eliminate, simplify, delegate, automate.
  • Be more resilient by being more flexible. Bruce Lee once said “Notice that the stiffest tree is most easily cracked, while the bamboo or willow survives by bending with the wind.”
  • Do the things that you like.
  • Orderliness and predictability are your friends. Plan your life that way when you can. Catch up on bills, checkbooks, and your long to-do lists. Keep your space neat and clean. Schedule times to clean the house and catch up on life, not just big events. Make sure you schedule down time as well.
  • Avoid burning the candle at both ends.
  • Massage, acupuncture, meditation or tai chi may help get you relaxed. 
  • Avoid multitasking. Do one thing at a time and keep your full attention on it before you move on to the next task. Take a small break in between tasks.
  • Start a journal, make your own list, be mindful of what makes you feel better, what makes you feel worse.    

I wish you the best of luck in your healing journey!

Your Thyroid Pharmacist,
Dr. Izabella Wentz, Pharm D.

PS. You can also download a free Thyroid Diet Guide, 10 Thyroid friendly recipes, and the Nutrient Depletions and Digestion chapter for free by signing up for my weekly newsletter . You will also receive occasional updates about new research, resources, giveaways and helpful information.  

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Archived Comments

thanks so much for this, I just want to cry from reading's me, and no one believes me.
Lisa so many of us feel the same. You've come to the right place, hugs.
I believe you. I am crying too. My doctor sent me to an Endo who has ignored my adrenal FAILURE for a year. Even after me being so " in her face about it"....she told me she had it under control. Im sick now. Pursue and dont give up. Fight for yourself and keep moving to the next doctor till they have it right! Bless you!
Hollie, Thank you for sharing your story, and I hope that you have found a doctor that will listen, and I am glad that you are taking charge of your own health. Keep me posted on your progress
I have been ignored for 40+ years and even if I had loads of money, I still wouldn't be able to reverse my autoimmunity and reach optimum health. But just listening to Dr Wentz and hearing her optimistic voice has cheered me up somewhat. Here in UK I can not find a doctor that would REALLY listen!
I feel the same way. My blood pressure goes up and down and it's my opinion that my adrenal glands are stressed and that's why the higher blood pressure! I can't get any doctor to listen to me not even my endo. Other than that he's been great for me. The doctors just want to give me blood pressure meds and it was so high that I tried everything they gave me and it jacked my blood pressure up so high. What they didn't tell me was blood,pressure meds contain sulfur and I'm allergic. Great!!
My Endo said they they don't deal with Adrenals because they don't know what to do about it. At least she was honest :)
You're not alone! I recently started seeing an acupuncturist. They have their own way of testing for issues. Holistic/ natural belief is that thyroid problems are not a disease but a symptom brought on by adrenal problems. If you can afford it, I highly recommend you see an acupuncturist. I started seeing mine just last week and I can't begin to tell you how much better I'm feeling! It's like Dr. Wentz said in a previous post, don't let another human being tell you what is and isn't wrong with your body. If you know something is wrong, something's wrong. There are people out there who are willing to listen and help you, but they may not be the people you're used to seeing. I've always found "alternative" medicine to be far more compassionate and understanding. And as far as "alternative," acupuncture has been practiced for 5,000 years. There's a reason people keep using it! Good luck!
Michaela, Thank you for writing, and I wholeheartedly agree with you. I am so glad that you have found a compassionate and caring acupuncturist. I had a wonderful experience with mine as well. Hope that this site has been helpful in your journey :)
Lisa, Find a doctor that will listen. Work on balancing your blood sugar, get plenty of rest. Check out my book for a whole chapter on how this works and what you can do about it. It does get better, I promise!
Lisa, It's time you Breathe, Believe and know you are Whole.
I feel like crying.. Happy to know that this is true and not in my head... My husband who researches everything, walks out of the room when I try to talk about.. Even read bits of this article.. This is so hurtful.. And he has turned our college daughters into not believing me. Even though I always lied and stood up for him to everyone that he's just so busy, he doesn't have much time for us... Yes... We all lived together... I have found out how he has used these last 2 crazy years to turn everyone against me. Would not touch me for over a year because of the weight gain. My normal weight 118 for 30 years.. Lost all but 20 lbs, now he's interested... Now I want something more in every sence of the word!!! We have been married 24 years, 6 years together before.. I have never been more hurt and have no idea what was ever real?
I know how you feel. My family jut treats me like the boy who cried wolf, because my story has been going on or years. And now after menopause juggling different hormones! Sometimes I feel paralyzed with too much going on. It's complicated, what ever you do keep taking your thyroid medication daily on an empty belly with lots of water! Eat clean. Find an alternative doctor. I understand, you'll be ok!
Renee, Feel so sorry for you that your husband is being a "jerk" about your being sick. Bad enough not having a Dr. that will listen. Mine will not do much either. Congratulations on loosing your weight . I need to do that, but no matter what I try, nothing works. Did you have a special diet you used? Might let your daughters know I understand this is heditary, so they may, suffer someday.. get better soon.
Me too! I've had so many health problems, including breast cancer, that no one believes nor wants to hear me talk about nearly every single thing you just listed.
It's sad when people we care about don't believe us or those in the medical profession who won't listen to us. I believe you! Hang in there.
Me, too. doctoredr says I'm starting menopause and need to work out. I'm too tired to work out and the salt cravings are ridiculous!
What do you think of the ondamed for treating thyroid and adrenals. Also, do you believe that your endocrine system will shut down due to heavy metals in your body?
Sandy, unfortunately I am not familiar with Ondamed, so I would not be able to advise you on its effectiveness and use. I do have helpful lifestyle and functional medicine strategies that I have explored in detail in my book if you are looking for effective ways to help both organs. Heavy metals can wreak havoc on our detox and hormonal pathways for sure and can trigger chronic disease, usually, however, it seems to start with the stress/adrenals. Hope that helps and keep me posted on your progress
How do you get rid of heavy metals in your body??? I've had foot detoxes and scalp analysis and both say Heavy metals-my foot bath had little metal shavings-I'm on 100 levothyroxine-still have all the symptoms you just said with adrenal fatigue!!!!
Thank you. I have fibro and had my thyroid removed almost 30 years ago when I had cancer. I'm tired all the time, low energy, frazzled more easily recently. 65 years old, but still want to be active.
Ann, Thank you for writing. I can appreciate the effect the thyroid can have on the whole body. Many patients are unfortunately under-dosed on thyroid meds, so I would start there...please take a look at the archives on this blog for helpful strategies as well as my book.
That describes how I feel to a tee. I don't know how to relax. It is awful to feel that way. My body and mind seems to jump from one task to the next at school and home. I am a teacher and the profession does not lend itself to relaxation.
Hi Michelle, Thanks for writing, many of us with autoimmune conditions tend to be that way. This characteristic unfortunately contributes to the vicious cycle. I had to make myself a list and learn how to relax. I still have to remind myself now. Not to get all philosophical on you, but it did help me to do some soul searching and asking myself why I always needed to be so busy and active. I am more scientific then spiritual, but read a book called the "Healing Code" and thought it had some good points about the effect of stress and how to reprogram yourself. Hope that helps and I wish you all the best in your journey. Keep me posted :)
@LIsa I completely know how you feel. I cried as well, because no matter how many times you try to tell people, your Dr., your family how you feel, nobody truly understands what you are going through. I can.
Hi Rhonda, Unfortunately we need to take charge of our own health, my hope is that this site and my book will give you the tools and inspiration to do so.
Can someone please tell me if powdered broccoli sprouts are high in iodine? I'm trying to lower my iodine intake to get my antibodies down. Also, are broccoli sprouts considered raw cruciferous?
Hi Jane, not iodine in broccoli. You may want to check out my goitrogen post:
Look at the work of Carolyn Dean and Morley Robbins. Adrenal Cocktail is a must for repairing adrenals.
Thanks Rosslyn!
Hello I'm new to this journey into endocrinology as I have only been diagnosed a few weeks with underactive thyroid. As I already have B12 anaemia my symptoms were put down to this until I caused a fuss. I do hope I dont have an uphill battle should this medication not be the wonderous answer to my prayers that the gp seems to think. It seems as if you all have the same fight to be taken seriously. Keep up the great stories & advice, knowledge is power so they say. Best wishes
Thanks Marsy! Keep on advocating for your health!
I have wake up nightly with nocturnal tachacharydia sometimes 3 times a night. I have heard hashi's can cause this is this true. I am on anxiety meds and levothyroxine. Thank you for you input. I am going to have food allergy testing soon. I have had these symptoms forever. I appreciate your feedback and am very interested in your book.
Hi Kelly- It's possible that Hashi's can contribute to that, esp. if you have high antibody levels and experiencing a large amount of thyroid hormone breakdown. - Have you worked to stabilize your blood sugar and considered a selenium supplement?
I suffer with hypo also extreme panic/ adrenaline rushes have you any suggestions how I may control these please
Theresa- Stabilizing your blood sugar as well as Selenium would be a great place to start. I have a ton of other strategies in my book that may help. Here's a post on Selenium- and anxiety-
I intend to get your book and read it. I have recently been diagnosed with hypothyroid. I do not know if it is Hashimotos or not. I have an appointment with a endocrinologist in December but recently found a doctor that prescribed Armour because my brief stint with Synthoid was painful. I was under a lot of stress this summer with a new job, husband diagnosed with cancer and kids coming home from summer. I think adrenal issues have played a part in my current thyroid problems. I am interested in taking the vitamin and wondered does the Daily Stress Formula take the place of a multivitamin or is it in addition to?
Hope the book will help you :) The Daily Stress Formula would be in addition to a multi-vitamin. It contains extra B vitamins that are often deficient in adrenal fatigue as well as adaptogens.
I have been suffering for the past 15 years. Each thyroid specialist told me that my lab is within range and I should not feel tired, foggy, and depleted of energey. This all changed when I found a Functional Medicine physician in Austin TX 2 yeasrs ago. Dr. Lisa Harte is working with me and I am slowly returning to normal. My hair stopped falling out, I no longer feel exhausted at 3 pm every day, and my bones don't hurt as much. Message to all, if your doc will not listen to you, find another one, and another until you find the right one to recognize your needs.
I fully agree Eliza- we all need doctors that will listen. Glad that you found your doctor and are feeling better :-)
Just wanted to.let everyone know that age and stress plays a part in all of this... stress depletes hormones -sex and adrenal hormones...hormones also lower with age and for some reason cortisol rises as we lose our sex hormones... I have adrenal disorder, low DHEA and low testosterone as a result of 5 months of intense stress...I am 41 and testosterone drops in half by age 40 so there is no way my body will ever recover from this stress response... I am now using a bioidentical dhea hormone to support the adrenals and hopefully raise my DHEA and testosterone... ladies please make sure to test your SEX hormones along with adrenal hormones...because there are three legs to the hormonal axis -these r thyroid, adrenals and sex hormones -estrogens (estradiol, estrone, and estriol) testosterone and progesterone... our. Sex hormones play a vital role in our mental and Physical health... because low progesterone means low GABA -calming neurotransmitter in the brain... estrogen -low seratonin and GABA... testosterone -low dopamine.. etc... this is why we can develop anxiety, panic attacks, depression, etc.... saliva testing- ZRT female profile III ...can be ordered on line from home... simple easy saliva test -results in 5-10 days... then find a functional medicine Dr in your area at ...these Drs are specially trained in getting to root cause by finding imbalances in the body... Hope this helps someone suffering to find all the missing links to their illness
Thank you for sharing Dana- wishing you all the best!
Just wanted to share that I used ZRT for FOUR different adrenal tests and was still very symptomatic of adrenal insufficiency. I finally found a specialist in California and he said that in his over 3,000 patients he's treated, ZRT labs are very in accurate. I retested through BioHealth labs and found out I was in Stage 3 adrenal fatigue!!!!.....and ZRT tests showed I was "normal".....beware!!!!
I TRULY believe I am in adrenal fatigue and insufficiency. Now to just get my dr on board. I really want to try the ZRT lab testing for everything!!! Then I could take the results to my dr to show him. He does listen to me, just goes by the old "standards", so I feel confident that If I can get he testing done, he will gladly fully participate in getting me on track. Thank you so much for the informative webinar. I've learned so much!!!!
Melissa, I would estimate that the majority of people with Hashimoto's are in adrenal fatigue. I'm so glad that you found the webinar helpful. Hope you'll start feeling better soon!
This sounds like me I've had an under active thyroid for twelve years now I've been diagnosed with hyper parathyroid but the symptoms are the same
Hope this post helped you Nicola
And even your 21 things to try is overwhelming for me!! Brain fog! Exhausted reading what needs to be done to escape this nightmare.
Raine- sorry to hear that. Be kind to yourself and get some rest. Resting is the most important thing for the adrenals.
Can you still have this problem if your thyroid was removed but still on levothyroxine?
Cieta, Most thyroid conditions result from the immune system attacking the thyroid because the immune system is out of balance. Even when the thyroid is taken out surgically or treated with radioactive iodine the autoimmunity still persists in most cases. Many people will have their thyroids removed, and will develop new autoimmune disorders such as Lupus, Rheumatoid arthritis, etc. The immune system just finds a different target :( We need to rebalance the immune system to prevent this (sometimes the autoimmunity can be reversed as well! The gut determines your immune system. With the exception of discussing proper thyroid medication dosing, the majority of my website and my book focuses on balancing the immune system.
This is exactly what I need. Now I know why I still feel bad. My stress levels have been out if control for last five years from a bad marriage (he's my toxic person) to loosing my brother and my best friend my cousin to our business failing. I crave sugar not salt and gained alot of weight and I'm struggling to stop eating it. My present doctor is good but she doesn't check my adrenals and suggested antidepressants. I'm going to get your book and try to get her to listen and work on the stress. Thank you for the information.
Hi Izabella, This sounds exactly like me! Except I also have celiac's disease. I recently went to Mayo Clinic because my adrenals are so enlarged, both of them. Mayo doesn't believe in adrenal fatigue and put me on an estrogen patch and progesterone, horrible, and I was totally bloated! I quit both after 3 weeks. I then went to a naturopath MD in Chicago, and she gave me cortisol(all natural) that I took for 2 weeks along with nature thyroid. I couldn't figure out why I felt so awful, turned the cortisol bottle over and it contained 3 different formas of wheat. I am just furious and sick, right now have a horrible sinus infection. I've had all blood tests and saliva tests, all came back abnormal. What do I do???
Adrenals has to be healed for thyroid meds to work. Or even not needing them at all. Blood sugar, diet and sleep helped the most. I also took cortex from Thorne for over a year and Cordyceps in the beginning for about 2 months. Plus AIP diet etc. And total life style change. Could not tolerate any thyroid meds before that without crashing. For autoimmune, Hashis, most should avoid night shades, so I would personally avoid the stress formula since it contains a night shade, Ashwaganda.
I have suffered since 2004 from Hashimoto's. I was on prescr. drugs 1st and requested Armour from my new Endo. Feeling better on the Armour but still not the old me...just don't feel right. I am going to order this book because I believe we have to do what is best for our health. I believe our body can do amazing healing if it is given the chance to do so. I went to a Chiro./nutritional several years ago but had to leave due to $. Worst thing I ever had to do, he was treating my Hashimoto's with Adrenal supplement, changed my diet, etc....exactly like everyone is talking about here. I know I found the best place to be for me and I look forward to healing and feeling like my younger version of me....I miss her so deeply!
Dr. Wentz, It's important to discuss AI thyroid conditions but what about us who have hypothyroidism but no antibodies? Would you still give the same recommendations? I've tried T4, combination of T3/T4 and now T3 but my body don't seem to utilize it. My saliva results are fair but I think it's some sort of inflammation but it's so hard to figure it out. My holistic doctor doesn't have a clue any more what to try next.
Hi Izabella , I got a virus in. 96 leaving me I'll for years , I have all the above symtems have just found a functional medicine dr getting tests done , you say to keep blood sugar level mine is low , what foods are best for this carbs or protein and how often should I eat thanks for all the information and hope
I have Hashimotos and had a saliva test done and my cortisol levels were so high they were off the chart for the entire test. MD put me on quercetin, DHEA, glycemic control, homocysteine supplements. Trying a new compounded t4/t3 thyroid med. Up to 3 grains dosage. Am I going in the right direction?
hi there, I hit rock bottom with my adrenals sept of last year and was housebound for 13 weeks with searing headaches and a 35.4 temp! since taking lots of vits and now 2ml HC cream as well I can do more with my life but im still limited. should I try HC pills? I have an underactive thyroid I take t4 and t3 and all bloods are in range in fact free t3 is pretty much at the top of the range. body temp is stable now 36.9 but am still exhausted still get back to back viruses/candida, sinusitis tonsilittus all the time and low grade migraines all the time.
I was diagnosed with Hoshimoto and Hypothyroidism ( taking L-thyroxine 150mg), Sleep Apnea (on CPAP machine), Celiac disease, Chronic fatigue syndrome, Depression ( on EffexorXR 37.5 mg 3 x a day) Had stage two estrogen fueled Breast Cancer ( on Exemestane 25mg. Cancer free 11 years. I can really use some advise in where to start with my healing process. I feel in dint have a very good dr. Who listens. I discuss my constant tiredness only to be met with take vitamins. I know it is more than that. Do you recommen
Dear Izabella: Thanks so for sharing this important info. I don't know what to say, but I have 3 excellent docs working with me and no one can get me to sleep at night- no one! I get these insane bouts with anxiety (not too sure where they come from), and I get wired and can't sleep. Actually, most nights I can fall asleep, but I wake up, sometimes a lot, sometimes it's once, but it's deadly and I NEVER fall back to sleep. I know my adrenals are KICKED, because I'm like a zombie all day long, but I just can't find the correct adoptagen. I have tried MANY, with doctor support. I have not tried the one you did, but I am always wiling to. I also wondered if low iodine would have anything to contribute to this issue as well! Please, any suggestions would be greatly appreciated. I am at my wits end!
So excited ans grateful to hear so many success stories and sharing of experiences. My journey has been so familiar to everyone I read! I fired my doctor after I quit gluten and dairy and told her how better I was. She wouldn't hear of it. I'm still working on my adrenal support with naturopath and diet. I'm juicing a lot but need to be eating more protein which I'm starting now. Let's keep sharing and owning our health and not listening to the naysayers. Do whatever it takes. The journey is emotional but the well being is so worth it. YIN yoga is so good for calming and meditation. I now teach Yin restorative and can share the gift with others. So glad I found Dr. I yahoo woot woot!
Your book mentions checking for virus that cause inflammation. My Epstein-Barr results were early antigen ab igg=12.6,nuclear antigen ab igg=181,virus capsid ab igg=269, all high and virus capsid ab igm=less than 10, negative. Could this be causing inflammation? My NP didn't think so. I couldn't find the article referenced in the book. The website stopped linking to articles written in that year. I have had thyroid and adrenal problems for 20 years.
Was very glad to have someone refer me to this sight.. Thirteen years ago I was finally diagnosed with Addison's Disease. At the same time my doctor told me I had Hosimotos. I take steroids every day because my adrenal glads produce nothing. But, since being put on the steroids my thyroid has not flip flopped as I call it. No one understands any of this except someone who has gone through it.
I looked at the ingredients in that daily stress formula and I see it contains lemon balm. I thought that suppressed thyroid function? I have Hashimoto's and struggle on and off with adrenal fatigue. Would the supplement help me or harm me? Thank you.

I was diagnosed with late stage Lyme disease, Hashimoto, and adrenal fatigue. It took years and many Dr 's to find the right one. I found a great Integrated Dr. She is amazing! Anyway the only way I could get my mind to stop racing and muscles to stop cramping was by taking GABA. I'm not sure how Dr. Wentz feels about but It has been a life saver.

Do you ship supplements internationally?

I started Paleo six weeks ago and felt great then my doctor put me on supplements and I'm sick as a dog and I cannot stay asleep I just stopped all the supplements. I'm so tired and sick I get up at 1 o'clock or 2 o'clock in the morning and I have to get up the word to go to work. I tried everything I just want to die

I haven't had my adrenals tested yet but I imagine they are depleted. I have Hashi's and am hypo. So this is something that can heal? What can I do now to help them heal? I do yoga, I eat right,......hmmm , maybe just a matter of time. Just want to start NOW to build up my adrenal function. What is the best thing to do right NOW?

So many of us have this problem!!! What is really going on!!! Seems like an environmental thing!!!! What is CAUSING THIS???

I have Hashimoto's with adrenal fatigue. Can I take Maca powder even though it is a night shade? I took 1/2 teaspoon last week and had a crazy side ache. Not sure what that meant.

This is so me with high cortisol all day.. I cannot continue living how I feel.. the shakiness is uncomfortable and I can't be a mother like I used to be... my children don't understand why their mom is no longer herself since they have disabilities :(

I was diagnosed with Graves' Disease when I was 26, and it was treated with radioactive iodine. I've been living with all the symptoms you describe for adrenal fatigue. Does your book help those of us with Graves Disease?

Hi Dr. Wentz, I am now on a t4, t3 med (novothyral in Germany). Mental fog is much improved, BUT I have had a large amount of dizzy and black out spells during the day and want to figure out where this is coming from. Could it be adrenal fatigue? I went back to your book and am trying to figure out how to tackle this problem. Can you direct me a bit? My doctor does not know what the problem is....