Category: Women’s Health and Hormones

Report from Women’s Hormone Boot Camp Continuing Education Weekend

A few weeks ago, I attended a 3 day, multi speaker conference known as “Hormone Boot Camp” that was attended by over 250 health care providers from around the country.  I’ve attended these hormone conferences many times before, usually every other year since med school.  I am a hormone user myself and have many patients on hormone therapy and want to be sure I’m keeping us all safe while we take advantage of the many benefits of bioidentical replacement.   I also want to keep up on new studies, new medications, and new delivery systems. 

10 things I want my patients to know:

  1. Starting hormone replacement at an earlier age is better.   There is little effect and potential harm if started > 10 years after menopause or if > 60 yo.  They now refer to it as the “Critical Window” of the optimal time to start.
  2. In most cases, you do not need to stop hormones until you want to. You don’t need to come off due to an imagined increased risk.   There are many long-term benefits of remaining on hormones beyond controlling symptoms such as hot flashes and insomnia including reduced heart disease, stronger bones, better cognition, less symptoms of aging and more.
  3.  If you start hormones too late, it can increase the risk of dementia.  But if started earlier it can prevent or delay the onset. 
  4. All forms of hormone testing (blood, urine, saliva) are valid for a baseline test, but salivary testing might be best evaluating hormone therapy.   If you are using serum (blood) tests for checking doses, serum estradiol with show up in a lower range. 
  5. Breast cancer risk from estrogen therapy is minimal and some studies even show that taking estrogen may decrease your risk of breast cancer.  Daily alcohol creates a greater risk than estrogen does. 
  6. Even if you have breast cancer, you are more likely to die from cardiovascular disease. Only 1 out of 31 American women die from breast cancer, while heart disease causes 1 of every 3 deaths.  75% of patients (men and women) hospitalized for a heart attack had cholesterol levels that would indicate they were not at high risk for a cardiovascular event.  At BNHC we can run expanded lipid tests to show much more helpful information to help modify your risk.  Read more in Dr. Nicole Maxwell’s article https://boisenaturalhealth.com/the-low-down-on-lipids/
  7. In women with a family history of breast cancer or BRCA 1 & 2 mutations, hormone therapy does not increase risk of getting cancer.  If personal history of breast cancer, some forms of hormones may be useful for symptom control with little risk. 
  8. Estrogen and progesterone may not be enough to increase libido.  Testosterone is often needed and can sometimes work wonders. *
  9. If you had your ovaries removed, replacing those lost hormones is very important to reduce the risk of bone loss, dementia, and other diseases of aging.  25% of women who have a hysterectomy only (kept their ovaries) will lose ovarian function after the surgery and have an earlier menopause.
  10. One of the speakers Tori Hudson, ND a former professor of mine and the author of books herself says that the book Estrogen Matters by Avrum Bluming, MD and Carol Tavris, PhD is the only book she recommends for both patients and providers! 

* Big NewsI now have a DEA number which means I can prescribe testosterone now.    Come see me if your estrogen and progesterone aren’t doing enough to help with libido!

Symptoms and Testing for Hormone Imbalances: The Big Six

By Joan Haynes, NMD

Hormone imbalances is something we see a lot of at Boise Natural Health. Listed below are symptoms of deficiency and excess of different hormones. Because there is such an overlap between the symptoms of the hormone imbalances, testing takes the guess work out.

Estrogens

Deficiency

  • Hot flashes
  • Night sweats
  • Vaginal dryness
  • Foggy thinking
  • Memory Lapses
  • Incontinence
  • Tearful
  • Depressed
  • Insomnia
  • Heart palpitations
  • Bone loss
  • Aches/pains

Excess

  • Mood swings
  • Tender breasts
  • Water retention
  • Nervousness
  • Irritability
  • Anxiety
  • Fibrocystic breast
  • Uterine fibroids
  • Weight gain hips
  • Bleeding changes
  • Headaches
  • PMS

Progesterone

Deficiency

  • Hot flashes
  • Night sweats
  • Vaginal dryness
  • Foggy thinking
  • Memory lapses
  • Incontinence
  • Tearful/Anxiety
  • Depressed
  • Sleep disturbances
  • Heart palpitations
  • Bone loss
  • Irritability
  • PMS
  • Infertility

Excess

  • Sleepiness
  • Breast swelling
  • Breast tenderness
  • Decreased libido
  • Mild depression
  • Candida infections
  • Water retention

Androgens (DHEA and Testosterone)

Deficiency

  • Low libido
  • Vaginal dryness
  • Foggy thinking
  • Foggy thinking
  • Fatigue
  • Aches/pains
  • Memory lapses
  • Incontinence
  • Depressed
  • Insomnia
  • Bone loss
  • Decreased muscle mass
  • Thinning skin

Excess

  • Excess facial hair
  • Excess body hair
  • Loss of scalp hair
  • Increased acne
  • Oily Skin

Cortisol (Adrenal Gland)

Deficiency

  • Fatigue
  • Sugar cravings
  • Allergies
  • Chemical sensitivity
  • Stress
  • Cold body temperature
  • Heart palpitations
  • Aches/pains
  • Arthritis

Excess

  • Insomnia
  • Depression
  • Bone Loss
  • Tired and wired
  • Weight gain in waist
  • Loss of muscle mass
  • Thinning skin

Thyroid

Deficiency

  • Fatigue
  • Weight gain
  • Goiter
  • Constipation
  • Low body temperature
  • Dry hair
  • Hair loss
  • Dry skin
  • Achy joints
  • Infertility

Excess

  • Fatigue
  • Weight loss
  • Goiter
  • Increased hunger
  • Racing heart
  • Diarrhea
  • Excess energy
  • Bulging eyeballs
  • Mood swings

Insulin

Low blood sugar

  • Anxiety or irritability
  • Trouble concentrating
  • Fast heartbeat
  • Shaking
  • Sweating
  • Irritability of confusion
  • Dizziness
  • Hunger
  • Nausea
  • Sugar cravings

High blood sugar

  • Increased thirst and a dry mouth
  • Frequent urination
  • Tiredness
  • Blurred vision
  • Recurrent infections
  • Patches of darker skin
  • Skin heals slowly
  • Weight loss or weight gain

Testing Options

Some factors that determine which tests to order are symptoms, chronic health issues, family history, cost and insurance coverage.

Sex hormones (estrogen, progesterone, testosterone, DHEA) can be measured in saliva, blood, or urine. For menstruating women, collection is best near day 20 of their cycle. (Day 1 is the first day of bleeding). For non-menstruating women and men, the test can be run any day of the month.

Thyroid (TSH, Free T3, Free T4, Thyroid antibodies, Reverse T3) can only be measured in blood.  It is important to avoid biotin for 48 hours prior to testing and time the blood draw about 4 – 6 hours after taking thyroid hormone.

Adrenal (Cortisol and DHEA) can be measured in blood or saliva.  Cortisol starts off high in the morning and lowers in the evening

For current prices and more information – call Boise Natural Health Clinic 208-338-0405.  You can schedule a free brief consult with one of our doctors to see if we can meet your needs.

Dr. Maxwell Attends Hormone Boot Camp

Recently I attended the Women’s Hormone/Menopause and Perimenopause Boot Camp held by Tori Hudson, ND.  She’s an author and leader in the field of natural medicine and women’s health.  This was the second time in five years that I had in five years of studying women’s health with the numerous speakers Dr. Hudson invites to her 3-day conferences.  I loved every minute of the weekend and am excited to share this knowledge with my patients! 

During the boot camp, we learned extensively about:

  • The latest scientific research on the benefit, safety and dosing of women’s hormones 
  • Updates in herbal support in women’s health (mental health, vasomotor symptoms, and more)
  • Nutrition and lifestyle interventions that support a woman through the menopause transition and prevent long term issues of aging. 

Not surprisingly, no two women’s menopause transition is alike. I appreciate the challenge of evaluating and managing each woman individually to achieve optimal results and peak health.

Many women begin to experience a variety of physical and mental-emotional symptoms long before they meet the definition of menopause. These changes that appear, usually from around age 40 to 51, are called perimenopause and can occur over as much as several years.

In menopause, as a doctor, we start to think about supporting cardiovascular health, bone health (osteopenia and osteoporosis), cognitive health (preventing mental decline) as well as sexual health and tissue support.

As your care provider, I am ready to help you through this challenging time, armed with the latest scientific updates to support you. 

Kale and Biotin Can Interfere with Thyroid Function and Lab Reports

By Joan Haynes, NMD

Kale and Other Cruciferous Veggies

Kale is a cruciferous vegetable related to other well-known healthy veggies such as broccoli, Brussels sprouts, and cabbage. Cruciferous vegetables are unique in that they are rich sources of healthy, sulfur-containing compounds known as glucosinolates.  Glucosinolates form a substance called goitrin that can suppress the function of the thyroid gland by interfering with iodine uptake, which can, as a result, cause poor function and enlargement of the thyroid gland.

Cooking Destroys Glucosinolates

Once cooked, cruciferous foods lose up to 80% of their goitrogenic (iodine interfering) chemicals, so they no longer block the uptake of iodine.  Studies show steaming for 3 minutes ensures the bioavailability of helpful nutrients we want from these vegetables but destroys the goitrogenic effect.  Blanching (cooking the vegetable quickly in boiling water) is extra effective because the glucoinolates float off into the water.  I strongly recommend cooked, daily cruciferous veggies with some occasional raw ones weekly too.

Green Smoothie Danger

Many people are under the mistaken impression that a daily raw kale smoothie is a healthy choice.  Certainly, the occasional one is fine, but its when people are having daily, massive amounts of kale that we see interference of thyroid function.  Especially juicing of kale in large amounts and on a very frequent bases is not recommended either, especially for people who may already be iodine deficient such as vegetarians and vegans.

Biotin – A Culprit in Thyroid Testing

Biotin is a B vitamin, and the Institute of Medicine recommends a daily intake of 30 mcg.  That’s micrograms.  But many patients take “hair, skin, and nails” supplements that contain milligram doses – that’s a thousand fold increase.  When patients take megadoses of biotin, it can cause falsely high and falsely low results in a variety of laboratory tests, including thyroid tests.  Inaccurate test results can cause misdiagnoses and even mistreatment.  Be sure to tell your health care providers about  all the nutrients you are taking when you are getting lab work.

 

Here’s some links if you want to read more:

https://www.endocrineweb.com/conditions/hypothyroidism/news-update-can-kale-cause-hypothyroidism

https://endocrinenews.endocrine.org/january-2016-thyroid-month-beware-of-biotin/

https://hormonesbalance.com/articles/truth-cruciferous-thyroid-not-think/

Caution with Iodine Supplements

by Joan Haynes, NMD

Many patients have come to the clinic taking large doses of iodine, in hope that it will improve their thyroid function and help with fatigue or weight gain. While iodine is critical to human health and proper thyroid function, too much of it can become toxic to the body.  How many micrograms or milligrams should you be taking a day?

In my opinion, the RDI (Recommended Daily Intake)is set too low at 150 mcg per day.  Iodine is probably safe at doses up to 1 mg per day, but a common supplement has 12.5 mg per capsule and people sometimes take 4 of them per day!!  Note the difference between micrograms (mcg) and milligrams (mg).  This is over 300 times the RDI and can lead to trouble.

What is Iodine

Iodine is a trace mineral “critical to human health. It forms the basis of thyroid hormones and plays many other roles in human biochemistry. While the thyroid gland contains the body’s highest concentration of iodine, the salivary glands, brain, cerebrospinal fluid, gastric mucosa, breasts, ovaries and a part of the eye also concentrate iodine. In the brain, iodine is found in the choroid plexus, the area on the ventricles of the brain where cerebrospinal fluid (CSF) is produced, and in the substantia nigra, an area associated with Parkinson’s disease.” 1

To understand the technical difference between iodine and iodide, read more here.

Symptoms of Low Iodine

Goiter (enlarged thyroid), hypothyroidism, intellectual disability, and cretinism (congenital hypothyroidism leading to stunted physical and mental development), fibrocystic breast disease, muscle pain.  There is also some concern that low iodine levels permit the over-accumulation of other similar minerals called halides – floride, bromide, chloride which are ubiquitous in our environment.

Iodine Toxicity

Different people have different needs for minerals.  If someone’s genetics come from an iodine-poor part of the world and suddenly they have a large increase in their intake, they may develop thyroid problems.  This may occur because their thyroid has become very efficient at utilizing small amounts of iodine.  In particular, they may develop iodine-induced hyperthyroidism.

Iodism (iodine poisoning) produces a brassy taste, runny nose, and acne-like skin lesions.  It can also cause a goiter, the enlargement of the thyroid gland, thirst, diarrhea, weakness, and convulsions.

There aren’t good statistics on how common these side effects are, but one researcher and clinician who routinely uses up to 50 mg doses of daily iodine reports that side effects occur in less around 5 percent of patients.  He reports hyperthyroidism, allergies, swelling of the salivary glands and thyroid.

There is a big debate going on in the alternative medicine community about iodine.  If you’d like to read more about that read this article The Great Iodine Debate by Westin Price Foundation.

How to Use Iodine Safely

The Reference Daily Intake is 100-150 mcg per day.  Many clinicians think this is too low. This will prevent goiters and other overt signs of deficiency but may not be adequate to prevent other conditions of iodine deficiency.

The average person, who is not using iodized salt, should take a multivitamin-mineral supplement with iodine in it.  We should all also eat plenty of iodine rich foods.

IODINE RICH FOODS 4

 

FOOD AMOUNT OF IODINE PORTION
Iodized salt 45 mcg 1/8 of a teaspoon
Seaweed/dried kelp 19 – 2,984 mcg 1 sheet dried
Cod (wild caught) 99 mcg 3 oz
Yogurt, whole, grassfed 75 mcg 1 cup
Egg 24 mcg 1 egg
Tuna 17 mcg 3 oz
Lima Beans 16 mcg 1 cup cooked
Corn 14 mcg ½ cup cooked
Green Peas 6 mcg 1 cup cooked
Bananas 3 mcg 1 medium

The Bottom Line

Iodine doesn’t work by itself for thyroid health.  Your thyroid also needs selenium, zinc, copper, magnesium, calcium and the amino acid tyrosine from protein.  Using these nutrients along with iodine might prevent problems in cases where high doses of iodine might lead to thyroid problems.

If you are treating a low thyroid, then you want to make sure that if you do use larger doses that you are monitoring your thyroid through lab testing.  Bottom line – I recommend sticking with microgram (mcg) dosages and including seaweed and dried kelp into your diet regularly.

References

  1. https://www.westonaprice.org/health-topics/modern-diseases/the-great-iodine-debate/
  2. https://www.thyroid.org/iodine-deficiency/
  3. http://orthomolecular.org/resources/omns/v13n14.shtml
  4. https://draxe.com/iodine-rich-foods/

Hair Thinning in Women – Identifying the Cause

by Joan Haynes, NMD

Hair loss in women is usually a symptom of an underlying health condition.  It can be emotionally devastating to women.  A thorough work up can reveal the contributing factors.  Knowing the cause of the hair loss leads to an individualized treatment plan.  Often women’s other nagging health problems improve with a whole body approach.   Over my years of practice, it has been so satisfying to see women return to health and regrow their hair.

Here are the most important considerations when evaluating a woman’s hair loss:

  1. Anemia is low iron in the blood and is easy to tests to for with blood work. A complete blood count (CBC) and most importantly a serum ferritin which is your storage form of iron. A ferritin level below 90 is associated with hair loss.  I routinely see values in the teens!
  2. Hormones play a big role in hair. Women may have deficiencies or excess of any hormone –  testosterone, estrogen, or progesterone, DHEA, cortisol, or prolactin.  Clues to a hormone cause are acne, hair growth on face, infertility, PCOS (Polycystic Ovarian Syndrome), irregular menses, menopause, PMS, and hormone use.  Read more at Testing for Hormones Imbalances.
  3. Thyroid conditions often cause hair loss and many other symptoms. It is useful to be thorough when testing thyroid.  Blood tests to consider for a full thyroid work up: TSH, free T3, free T4, reverse T3 and thyroid antibodies.
  4. Autoimmune conditions can be tested for such as an ANA which will test for multiple autoimmune conditions including systemic lupus erythematous.
  5. Stress is one of the most common causes of thinning hair and sometimes the hair loss happens even after the stress has passed.
  6. Scalp and skin conditions might be the problem if there is any itching, redness, bumps, or broken hairs. Exposure to chemicals and fragrances can cause skin reactions.  A dermatologist can do a punch biopsy to test for things like psoriasis, seborrheic dermatitis, and look for infections.
  7. Family history could be a factor if female relatives with similar problems?
  8. Personal history is important to review. Any recent diet change, weight loss, surgeries, or illness?  Is the hair loss sudden or a gradual loss?  Losing more in certain spots or all over scalp?  Any hair loss or growth on the rest of the body?  Do you have any ongoing health issue and/or have other symptoms coincided with the hair loss?   Are you taking any medications or supplements?

To understand more, WebMD has a great article:  At Boise Natural Health Clinic, we can order the lab work that you need and many lab companies will bill your insurance.

Calcium . . . Friend or Foe?  A Fresh Look at Bone Health and Osteoporosis

by Joan Haynes, NMD

Still think 1200 mg of calcium daily will build good bone?  Think again.  That much calcium might only not help, but actually harm.  Excessive calcium might compromise cardiac and kidney health.  Here’s a fresh look at osteoporosis and the host of minerals, cofactors, diet and lifestyle recommendations that are necessary for good bone health.

Careful with Calcium

Health professionals are beginning to question the recommendations on calcium supplementation.  A study published in the British Medical Journal in 2008 showed a positive correlation between calcium supplementation and an increased risk of myocardial infarction (heart attack) in older women through calcification of coronary arteries.  Other studies showed too much calcium leads to deposits in the kidneys leading to kidney stones.

Not All Calcium is the Same

The type of calcium is always important to consider.  At BNH we recommend calcium citrate or calcium citrate-malate.  These are highly absorbable forms of calcium and we recommend that women stay under 500 mg a day.  The popular and inexpensive calcium carbonate form is what chalk and Tums are made from.  Calcium carbonate actually blocks its own absorption through buffering stomach acid.

Low Stomach Acid

You might be getting plenty of calcium and other minerals in your diet, but if you don’t have enough stomach acid to break them down, you can’t absorb them.  Symptoms of low stomach acid might be acid reflux, heartburn, burping, gas, bloating, and nausea.  Low stomach acid is associated with an inability to digest meat well and often people’s stomach feels heavy or overly full after meals, despite eating a normal amount.  Sometimes, even if there are no gastrointestinal symptoms, it is useful to screen patients for low HCL if they have poor mineralization health conditions, such as those with anemia, osteoporosis, thinning hair, thin nails, and nervous system problems like insomnia, anxiety, and restless leg syndrome. READ MORE about low stomach acid in an article on our web page.

Bones are MUCH More than Calcium

To build and maintain bone we must also have optimal amounts of vitamin D, vitamin K, magnesium, potassium and essential trace minerals such as boron.  Adequate protein is also needed as well as omega-3 oils.

High Calcium Foods are High Mineral Foods

We all know that dairy foods are high in calcium, but many of our patients avoid dairy.  The best food sources of calcium, other than dairy, include whole grains, beans, almonds and other nuts, dark green leafy vegetables like kale, bok choy and turnip greens, also salmon and sardines. It is interesting to note that individuals who avoid dairy due to lactose intolerance do not experience a corresponding increase in osteoporosis.

A Word about Strontium

In my patients that have demonstrated bone loss with a DEXA scan, I recommend the mineral strontium citrate.  This mineral has been shown to increase bone density.  Caution: calcium will inhibit the absorption of strontium if taken together so they must be ingested at different meals.

Alkaline Diet

A diet high in animal protein, grains, and sugar and low in vegetables and fruit can cause an increase in urinary excretion of calcium, leading to bone loss.  These foods acidify your system, causing a leaching of calcium from the bone to keep your body’s pH normal.  A whole-foods, plant-based diet create a more alkaline environment.

Exercise

Always at the top of the list to build and maintain healthy bones is exercise.  Both weight bearing and cardio together have been shown to be the most effective.

Don’t Wait to Take Bone Health Seriously

About one in two women over the age of 50 will develop osteoporosis but what is often overlooked is one in four men over the age of 50 will also develop the disease.  Be proactive with your bone health.

At Boise Natural Health, we can help you design an effective bone health program that includes individualized supplementation and overall health optimization.  Call today to make an appointment 208-338-0405. 

Not Coping Well With Stress? You Might Have a Progesterone Deficiency.

by Joan Haynes, NMD

Women with low progesterone often have symptoms of insomnia, PMS, anxiety, irritability, breast tenderness, food cravings, hot flashes, irregular menses, infertility, uterine fibroid, low thyroid, low adrenal function and a host of other symptoms.

Progesterone’s main job during child bearing years is to prepare and maintain the uterus for pregnancy. Progesterone also affects brain function. It produces a sense of calmness and helps promote rejuvenating sleep. But when progesterone levels are low, the body can feel it has too much estrogen, even though estrogen levels can be normal. This is known as “estrogen dominance”.

When woman are under stress, their progesterone gets robbed to feed the cortisol (stress) pathway. This can leave us less able to handle stress and we may find ourselves anxious, overwhelmed and extra grouchy with those we love. We may also end up with adrenal fatigue,which often goes hand-in-hand with low progesterone. These may be the first symptoms of perimenopause and can happen years before other symptoms start to occur.

Testing

Low progesterone levels can be easily determined with saliva or urinary hormone testing.
Read more in my article Testing for Hormones: The Big Five.

No Need to Suffer there is Help for You

If you aren’t feeling yourself, come in and we can see if low progesterone and/or low cortisol are making you feel out of sorts. We can talk about ways to restore your hormone balance naturally, perhaps using bioidentical progesterone, herbs, supplements and dietary changes.

Recommended Thyroid Book by Wentz

by Joan Haynes, NMD

Hashimoto’s Thyroiditis: Lifestyle Interventions for Finding and Treating the Root Cause

by Izabella Wentz, PharmD, FASCP

Hypothyroidism is one of the most common health conditions we see at Boise Natural Health.  In 20 years of treating this condition, I’ve attended my share of classes and read numerous books and professional articles about thyroid function.  This book was great reading which confirmed that I’ve been on the right track in my practice, and also provided me with a wealth of new insight that my patients are already benefiting from.

Pharmacist Izabella Wentz gives a great overview of current theories about thyroid function and autoimmune disease in general.  Whether you are a newly diagnosed thyroid patient or one who has been on medication for years, it will behoove you to keep up with the latest medical advancements and treatment options.

If you like scientific detail like me, this book goes into specifics about how the thyroid works and what happens when it stops working well.  Wentz describes how “the body becomes stuck in a vicious cycle of immune system overload, adrenal insufficiency, gut dysbiosis, impaired digestion, inflammation, and thyroid hormone release abnormalities.”  Wentz discusses how to remove triggers and repair the body.  You learn how to maximize your thyroid function as well as your overall health.

One chapter I particularly appreciated was “Iodine Controversy” in which Wentz discusses the cautious use of iodine, which she describes as a “Goldilocks” supplement.  If there is too little, thyroid levels will be low.  Take too much, however, and the thyroid can become overactive.  I’ve seen this a number of times with new patients coming in with a wildly overactive thyroid induced by toxic doses of self-administered iodine.

Because Wentz’s book adheres to the naturopathic principle of treating the whole person to restore balance, it is an easy book to recommend to those wanting to learn more about optimal thyroid health.

What is Adrenal Fatigue?

Joan Haynes, NMD

The most common complaint I see in my practice is fatigue.  Fatigue can have many, many causes including a low thyroid, nutritional deficiencies, depression, poor sleep, etc.  However, generally unrecognized in conventional medicine, adrenal fatigue is something I see quite commonly.  The adrenal glands are your stress-defense team.  Extreme or prolonged stress (from any cause) will overtax them.

Common Symptoms of Adrenal Exhaustion

From Julia Ross, M.A. The Diet Cure

  • Sensitivity to exhaust fumes, smoke, smog, petrochemicals
  • Inability to tolerate much exercise, or you feel worse after exercising
  • Depression or rapid mood swings
  • Dark circles under the eyes
  • Dizziness upon standing
  • Lack of mental alertness
  • Tendency to catch colds easily when weather changes
  • Headaches, particularly migraines, along with insomnia
  • Breathing difficulties
  • Edema (water retention)
  • Salt cravings
  • Trouble falling asleep or staying asleep
  • Feeling of not being rested upon awakening
  • Feeling of tiredness all the time
  • Feeling of being mentally and emotionally overstressed
  • Low blood sugar symptoms
  • Need for caffeine to get you going in the morning
  • Low tolerance of loud noises and/or strong odors
  • Tendency to startle easily, panic
  • Food or respiratory allergies
  • Recurrent, chronic infections, such as yeast infections
  • Lightheadedness
  • Low tolerance for alcohol, caffeine, and other drugs
  • Fainting
  • Tendency to get upset or frustrated easily, quick to cry
  • Tendency to get a second wind (high energy) late at night
  • Low blood pressure
  • Haven’t felt your best in a long time
  • Eyes sensitive to bright light
  • Feeling of being weak and shaky
  • Constant fatigue and muscular weakness
  • Sweating or wetness of hands and feet caused by nervousness or mood swings
  • Relieve anxiety and depression by eating
  • Frequent heart palpitations
  • Chronic heartburn
  • Vague indigestion or abdominal pain
  • Alternating constipation and diarrhea
  • Infrequent urination
  • Cravings for sweets or alcohol
  • Lack of thirst
  • Clenching and/or grinding of teeth, especially at night
  • Chronic pain in the lower neck and upper back
  • Inability to concentrate and/or confusion, usually along with clumsiness, ADD, ADHD
  • An unusually small jawbone or chin; lower teeth crowded, unequal in length or misaligned
  • A chronic breathing disorder, particularly asthma
  • An excessively low cholesterol level (below 150mg/dl)
  • Bouts of severe infection

 

Testing for Adrenal Dysfunction

Sometimes the diagnosis can just be made based on symptoms and history.  Other times, we’ll test salivary cortisol levels four times during the day and measure DHEA too.  Often the adrenal tests are included as part of a larger hormone and general workup.

Treatment to Help the Adrenal System

Finding out the root cause(s) of the dysfunction is key.  Balancing blood sugar and ensuring proper sleep is essential.  Some people need to learn strategies to better cope with stress.  Most need to use herbs and other supplements to boost adrenal function.  Often treating other hormonal imbalances is important, especially in women with low progesterone and people with a low thyroid.

Recovery is possible.  It’s wonderful to hear people tell me how much better they feel with proper treatment.