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mation is now thought to be the root cause of   tea, chocolate, soft drinks)
            the majority of chronic diseases. The adrenal   •   Chronic pain and/or illness
            hormone cortisol is used by the body to put the   •   Chronic or severe allergies
            inflammatory fire out. (Cortisone shot, any-  •   Trauma, injury, surgery
            one?) Cortisol is made from cholesterol. If you   •   Corticosteroids (prednisone, cortisone)
            experience chronic inflammation, your body   •   Synthetic vitamin C (ascorbic acid).
            preferentially makes cortisol to put the fire(s) out
            at the expense of making the sex hormones. The      If you have afternoon sluggishness, think adrenal insufficiency. Other
            hormonal symptoms experienced may simply   signs of adrenal weakness include general fatigue, difficulty falling asleep
            be a natural compensatory imbalance second-  despite exhaustion, lack of libido, sugar cravings (especially for a "lift"),
            ary to inflammation. Those people with lower   low blood pressure, arthritic tendencies, increased perspiration, swollen
            cholesterol levels are even more susceptible to   ankles, allergies, tendency to asthma, poor circulation, cold hands and
            this imbalance.                           feet, constipation, aversion to hot weather, low cholesterol, dizziness, salt
                Our adrenal glands are our glands of sur-  cravings, brown spots or bronzing of the skin and nervous exhaustion.
            vival. They produce numerous hormones that
            are necessary in assisting the body to handle   DON’T FORGET THE THYROID
            inflammation and stress. Ideally, we function      If you have morning sluggishness despite adequate sleep, think “thy-
            best living in a state of acute or occasional stress   roid.” The number one symptom of low thyroid function (hypothyroid)
            and long periods of rest or peace. Unfortunately,   is fatigue or exhaustion. Brain fog may also be a part of the hypothyroid
            many people living in our modern hurried   picture. Hair loss and chipping or peeling nails without other symptoms
            culture experience just the opposite—chronic   is usually not thyroid. Look for the classic signs first. Other symptoms
            stress with occasional rest.              can include ovarian cysts, tinnitus, tendon and ligament problems as well
                The body prioritizes hormone pathways   as the propensity towards injury (chronic muscular and skeletal injuries).
            to address chronic stress and inflammation   Also commonly seen in hypothyroidism is infertility, insulin resistance,
            by directing the lion’s share of pregnenolone   constipation, anxiety, depression and night blindness, which is often due
            down the adrenal steroid pathway. The result   to the liver not converting beta-carotene to vitamin A. Ringing in the
            is unavailable pregnenolone for the creation of   ears, edema (especially of the face) and weight gain, though not always,
            sex drive. (Can you say “low libido”?) In the   are common symptoms of low thyroid function. Those persons with
            body’s wisdom, one cannot successfully deal   primary hypothyroidism tend to prefer warm weather (whereas adrenal
            with chronic stress and procreate, especially in   insufficiency people prefer cool weather).
            the absence of adequate cholesterol to provide      Hypothyroidism is often overlooked. It is important to work with
            the necessary parts for both the adrenal and   a trained practitioner who understands the merits of extensive thyroid
            sex hormone pathways. The bottom line is to   testing along with observation of one’s symptoms. Thorough thyroid
            take care of the inflammation issues first and   testing includes serum levels of TSH, total T4, total T3, free T4, free
            give your body the chance to self-regulate your   T3, T3 uptake, reverse T3, free thyroxine index T7, thyroxine-binding
            challenges.                               globulin (TBG), thyroid peroxidase antibodies (TPO ab) and thyroid
                Common stressors that can lead to adrenal   antithyroglobulin antibody (TAA). Assessment by a trained health care
            dysfunction include:                      practitioner experienced in supporting thyroid disorders is key.
                                                         Additional tests that are useful in any hormone-balancing endeavor
            •   Unresolved emotional stress (anxiety, fear,   include temperature charting, DUTCH Test (sex and adrenal via dried
                worry, anger, guilt, depression)      urine), salivary hormone testing of sex and adrenal hormones, serum
            •   Late hours, insufficient sleep        testing of hemoglobin A1c, Comprehensive Metabolic Panel along with
            •   Overwork, either physical or mental, in-  phosphorus and a Complete Blood Count. Also, an in-office Ragland’s
                cluding excessive physical exercise   test is helpful in monitoring adrenal status as well as a Page graph for
            •   Nutritional deficiencies              an understanding of inherent endocrine function potential.
            •   Refined sugar (white sugar, brown sugar,
                corn syrup, fructose, dextrose, dextrin,   GET STARTED ON BALANCING
                high fructose corn syrup, etc. found in most      Foundational to recovery from bioidentical hormone therapy and to
                processed foods)                      hormone balancing is establishing steady blood sugar levels as well as
            •   Overconsumption of caffeine (coffee, black   a healthy sleep routine. One of the common complaints of menopausal

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