Adrenal Fatigue

High stress and cortisol dysfunction are at the core of this often-overlooked health condition.

Do you feel like you’re constantly running on empty? Tired, wired, and stressed? According to the team of integrative physicians at CentreSpringMD, chronically high-stress hormones can lead to a complex issue known as HPA axis dysfunction, commonly referred to as adrenal fatigue. An inability to regulate stress hormones like cortisol can place you at risk for numerous diseases, and create debilitating symptoms like fatigue, insomnia, and even early menopause.

Cortisol is a stress hormone that helps regulate many of the body’s systems, including metabolism, immunity, and blood pressure. When cortisol levels are too high or too low, it can lead to a variety of symptoms.


Symptoms of adrenal dysfunction/HPA axis dysfunction include:
  • Extreme fatigue
  • Unexplained weight loss/weight gain
  • Low blood pressure, fainting
  • Low blood sugar (hypoglycemia)
  • Brain fog or difficulty concentrating
  • Muscle or joint pains
  • Anxiety, depression, or irritability
  • Fertility issues (early menopause)
  • Sugar or caffeine cravings
  • Frequent illness, poor immune health
  • Decreased sex drive or libido
The largest root cause of adrenal fatigue is chronic physical, mental, or emotional stress, triggered by:
  • Chronic overexercise
  • Nutritional deficiencies
  • High-stress at work or home
  • Elevated blood sugar
  • Environmental toxins
  • Infections, such as SIBO or candida
  • Trauma
  • Chronic illness
  • Poor sleep
  • Emotional stress such as loss or grief
  • Isolation or loneliness

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The Integrative Approach to Adrenal Dysfunction and Fatigue

Adrenal fatigue is the name for a collection of symptoms that occur as a result of dysfunction between your brain, adrenal glands, and stress hormones, like cortisol. 

Adrenal fatigue, however, is less about the adrenals becoming 'worn out' and more about the body's response to a constant stream of high cortisol, which leads to a dysfunction in your body’s stress response. 

Successful treatment for adrenal dysfunction and fatigue relies on restoring balance within the brain, nervous system, and endocrine (hormone) system.

Adrenal fatigue/cortisol dysfunction testing may include:

  • DUTCH (Dried Urine Test for Comprehensive Hormones) to examine hormones and their metabolites
  • Saliva testing for DHEA and cortisol
  • ACTH stimulation test

Functional Medicine Treatment Options

An integrative team of compassionate, knowledgeable providers can help you fix adrenal dysfunction and fatigue using a combination of holistic therapies and modern interventions. You’ll receive a personalized treatment plan to manage stress levels, implement lifestyle changes, and promote healthy cortisol levels.

The following options may benefit you during treatment:

Supporting Services for Adrenal Dysfunction and Fatigue

CranioSacral Therapy

Using a light, pain-free touch, a craniosacral therapist will address circulatory, inflammatory, digestive, and neurological concerns by identifying internal tension. By monitoring and engaging specific tissues at the base of the head where it meets the spine, we can assist the body in self-correction by releasing tension in the nervous system.

CranioSacral therapy is a welcomed alternative therapy to invasive techniques that offer limited improvement and troublesome side effects.

Benefits of CST for adrenal fatigue include:
  • Improved sleep
  • Increased mobility
  • Decreased pain and inflammation
  • Reduced migraine symptoms
  • Reduction in anxiety symptoms
Hormone Balancing & Replacement

Healthy adrenal function is crucial for overall hormone balance. Health conditions affecting the adrenals may benefit from hormone replacement, including:

  • Addison’s disease
  • Cushing’s syndrome

If you’re experiencing symptoms of adrenal fatigue or HPA axis dysfunction, your integrative medicine provider can help you determine which treatment plan is right for you.

Get Adrenal Dysfunction Treatment at CentreSpringMD

In the holistic hormone replacement therapy at CentreSpringMD our providers often choose bioidentical hormones when a hormone replacement is needed as part of a functional, integrative hormone replacement therapy plan. These hormones interact more naturally with the body and often present fewer side effects. The dosing for bioidentical hormones is highly individualized.

To learn more information about adrenal dysfunction and potential treatment options, contact us today to schedule a new patient appointment.

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