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HPA Axis Dysfunction is a Legitimate — and Accurate Medical Diagnosis

By |2022-02-24T14:02:44-05:00August 25th, 2020|Categories: Adrenal|Tags: , , |3 Comments

I recently read an article on adrenal fatigue posted on a leading medical organization’s website that began with the claim that, “Adrenal fatigue isn’t an acceptable medical diagnosis.” This same article ended by stating, “. . . accepting a medically unrecognized diagnosis from an unqualified practitioner may leave the real cause — such as depression or fibromyalgia — undiagnosed, while it continues to take its toll.”

To be fair, the author is an M.D. and Ph.D. who studies the relationship between osteoporosis and cardiovascular disease and the potential role of estrogen in the development of both diseases. And the conventional medical community also recognizes adrenal insufficiency as a medically recognized diagnosis.

But to imply that adrenal fatigue is any less legitimate a diagnosis, or that the illness is any less “medical” in nature is puzzling. Especially when the same author recognizes depression and fibromyalgia as actual medical diagnoses. Truth is, even the medical community has no lab test for either of them.

In fact, I would suggest the opposite; that depression and fibromyalgia are not acceptable medical diagnoses and that accepting either diagnosis without a much deeper examination often leaves the real cause — an underlying adrenal-related physical condition undiagnosed and untreated.

I often see patients who have been diagnosed with depression or fibromyalgia or chronic fatigue syndrome — all medically-recognized diagnoses — who continue to suffer even when receiving what the conventional medical community deems proper treatment. Many of these patients have been diagnosed based solely on a process of elimination. It’s almost as if the doctor had given up resolving the issue and reached for a prescription pad in frustration.

Adrenal-related illnesses, like many medical ailments, exist on a spectrum and often involve more than one gland or organ or system. They are complicated conditions that require careful examination and detailed testing to unravel the mystery, and they often address several interrelated dysfunctions. Adrenal illnesses cannot be treated effectively simply by taking medications that suppress symptoms or supplements promoted solely for supporting immune function.

In this post, I describe a variety of health conditions related to the adrenal gland, some that may be caused by dysfunction upstream of the adrenal. With a greater understanding of the adrenal gland and dysfunctions that impact its health and function, my hope is that anyone with symptoms of an adrenal disorder seek a medical diagnosis from a functional and integrative medical practice to get at the root of what’s going on.

Adrenal fatigue

It was back in 1998 that James L. Wilson, DC, ND, PhD of Tucson, Ariz., coined the term “adrenal fatigue” and used it to describe a condition in which the adrenal glands — overstimulated by chronic stress — burn out and shut down, causing a variety of symptoms, including: Continue reading…

Hashimoto’s Thyroiditis – Yes, but what’s the cause?

I don’t know how many people are aware, but thyroid medication is the 4th most prescribed medication just below pain medication, cholesterol, and blood pressure. I think it’s quite interesting considering that low thyroid is associated with increased pain, elevated cholesterol and high blood pressure.

 

What’s more is that most cases of hypothyroid are actually caused by Hashimoto’s. I know this may all sound confusing, hypo this, hashi that! It’s simple to quickly get a handle on thyroid disease. Hypo – means low. Most people who suffer with thyroid problems are not producing enough thyroid hormone. The main reason is due to an autoimmune attack on the thyroid, whereby the immune system is  Continue reading…

Assessing Your Home For Root Causes of Chronic Fatigue & Inflammation

If you have been experiencing chronic health problems that seem to be unexplained it’s possible you stumbled upon my blog in an effort to find solutions.If you are a current patient in my Tampa holistic medicine practice, I may have asked you to read this blog to help better understand some next steps in your treatment plan. In this post I am going to share with you the importance of checking your home to be sure you are breathing clean air. I will also share resources so that you may start to improve your health immediately. 

Some tells. If you play poker you probably heard of a “tell”. This is a signal made by another player that essentially foreshadows her hand. Over twenty years of practice I have picked up on some tells that often suggest there is an indoor environmental issue at home. A few appear obvious, while for some symptoms the connection may be harder to comprehend, and you’ll see from a review of the list below:  Continue reading…

Chronic Fatigue Syndrome – Healing Your Frustrations!

Have you ever been told it’s all in your head? I mean, did you ever have the feeling that when you speak with your doctor, the look on his or her face is saying “you must be making this all up”? 

In my Tampa holistic and functional medicine practice, I regularly see patients who have many chronic symptoms. Symptoms that on the surface are seemingly unrelated and bizarrely appear to have no known cause. Many of these patients have been diagnosed as Chronic Fatigue Syndrome or exhibit multiple symptoms in multiple systems of the body. It appears as if they have some type of autoimmune condition(s). Although, some have been diagnosed with a specific autoimmune condition, many elude diagnosis. The doctor often suggesting “let’s retest in a few months or a year, it looks autoimmune, but I don’t see anything in your labs yet”. 

Case Study 

A forty year old female administrator recently presented with complaints of memory loss, lack of motivation and anxiety, all brain based symptoms, ok that fits. She explained to me that she has low sex drive, stomach pain, rashes that come and go and is always tired. When, I let her continue to state her concerns, “I also have cramps in my legs and I wake up stiff, my joints hurt, and at times I find it difficult to breathe. I sleep well enough but wake up tired.” There was more! “I have tingling in my hands and I feel weak”. This is suddenly sounding way more complex! 

The patient went on to tell me about her  Continue reading…

Hormone Replacement Therapy – Part II: Knowing What’s Involved

If you enjoyed Part I in our series about hormone replacement therapy (HRT), today’s post will complete the picture, especially with respect to what’s involved in HRT itself.

Hormone replacement therapy involves taking one or more sex hormones — estrogen, progesterone, testosterone. While we use the term “sex hormones,” these hormones are also important for heart, brain, bone, and immune system health and for mental health. Having adequate, balanced hormone levels along with healthy hormone receptors, reduces the risk of cardiovascular disease, diabetes, breast cancer, prostate cancer, and dementia. Optimizing hormones reduces risk factors for many of the chronic conditions that increase with age.

Hormone Replacement Therapy Doctor Lewis Tampa

HRT can be delivered via different routes, including oral (pills), injection, topically (creams or patches), or inserted into the skin as tiny pellets. The mode of delivery is determined with your doctor based on your specific needs and preferences. Pellet therapies injected into the skin can be done every three months in your doctor’s office. Pills or creams are administered daily and do not require any Continue reading…

Adrenal Fatigue Treatment Options for Tampa Residents

What do Academy Award-winning actress Gwyneth Paltrow, extreme skier and author of The Art of FEAR Kristen Ulmer, and singer and Instagram personality Kristina Cassandra “KC” Concepcion all have in common? Aside from having great minds for business and very successful careers, each is reported to suffer from Adrenal fatigue — a mild form of adrenal insufficiency.

If you’re unfamiliar with the condition, Adrenal fatigue may occur when the adrenal glands, positioned on top of the kidneys, produce too much or too little stress hormones (including cortisol and adrenaline) due to long-term exposure and response to stress.

Conventional medicine recognizes two adrenal-related diagnoses:

  • Addison’s Disease (low cortisol)
  • Cushing’s Syndrome (high cortisol)

Each of these two diagnoses is relatively rare and requires immediate attention. However, high or low cortisol in the absence of adrenal disease can cause fatigue, body aches, and a host of other symptoms commonly seen in clinical practice. Clusters of these symptoms are what clinicians commonly diagnose as adrenal fatigue.

Defining “Stress”

In the context of adrenal fatigue, stress is anything that triggers the adrenal gland to produce and release stress hormones, including: Continue reading…