Adrenal Gland Function Causes Tiredness, Low Blood pressure

Damage to this system could produce fatigue and a variety of seemingly unrelated health problems. For example, low adrenal gland function causes tiredness, low blood pressure, difficulty standing for a long time, poor concentration (“fibro-fog”), and is measurable by low blood or saliva levels of hormones cortisol and DHEA. Since the pituitary gland controls both the adrenal and the thyroid (or “energy level”) gland, low thyroid symptoms include fatigue, dry skin, cold intolerance, more brain fog and inability to lose weight despite careful eating. The blood level of thyroid hormone may be in the normal or low-normal range, but basal body temperatures (a long accepted measurement of reduced thyroid function) are quite low.

Probably through the effect on the adrenal gland, fibromyalgia sufferers are susceptible to certain infections: a flaring up of once dormant candida (yeast), intestinal parasites, or Epstein-Barr virus. These infections are not the cause of fibromyalgia, but rather the result of a compromised HPA axis. They may well be responsible for such seemingly unrelated symptoms as irritable bowel syndrome, recurrent vaginitis, or a sense of the flu.Lastly, the effect of the pituitary gland on the sex glands produces such problems as lack of libido or severe premenstrual syndrome.

Treatment of the conditions associated with HPA abnormalities is highly individualized. Very few patients have all areas afflicted simultaneously. Placing everyone on thyroid replacement, or treating everyone for candida or parasites is an expensive waste of time. Fairly simple blood and stool tests (fortunately usually insurance reimbursable) quickly determine those areas that need to be addressed. Medications may include: thyroid hormone, adrenal hormones (cortisol, DHEA, fludrocortisone), progesterone for women and testosterone for men, anti-parasiticals (Yodoxin) or anticandida agents (Sporonox, Diflucan, Lamisil).


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