![]() ![]() Given that ‘adrenal fatigue’ symptoms do arise especially after chronic stress or infection, then it may be better to review what we see and suggest different narratives to help understand the syndrome. The concept has drawn much criticism in conventional medical circles, including on comprehensive methodological grounds (1), although there is a comparable and defined syndrome linked to severe illness ‘Critical Illness-Related Corticosteroid Insufficiency (CIRCI)’ (see below). Their view is that the body does respond to diminished adrenal function with symptoms such as low energy, brain fog, volatile mood and depression, general aches and pains, food cravings, nervousness, overuse of caffeine and stimulants, sleep disturbances, compromised immunity and/or digestive problems. However unlike the defined and rare ‘adrenal insufficiency’ (such as Addison’s disease) blood tests do not pick up any reduction in adrenal hormones to counter this those promoting the adrenal fatigue concept say that this is because these tests aren’t sensitive enough. The term ‘adrenal fatigue’ was coined in 1998 by a naturopath James Wilson, as a “group of related signs and symptoms that results when the adrenal glands function below the necessary level,” this usually associated with intense stress and often following chronic infections. We see many patients who are distressingly lacking in energy, though perhaps not completely in chronic fatigue, ME, or fibromyalgia territory. ![]()
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