Guest Post: It’s Not Me, It’s My Adrenals: Are You Stressed Out? By Dr. Sara Gottfried

by Michelle on May 26, 2011 · 2 comments

in Guest Post

It’s Not Me, It’s My Adrenals: Are You Stressed Out?

This is a guest post by Dr. Sara Gottfried. For more about Sara read her bio at the end of the post. Thanks Sara! -Michelle.

Do you wilt in the face of stress? Feel more anxious when you have to step up your game? Think you might be burned out?

It may not be you it may be your hormones.

Do you know if you have a problem with your adrenal function? Our adrenals sit like hats on top of our kidneys, and while they are small in stature, they are enormously influential in terms of your capacity to cope with stress.

Our adrenals sit like hats on top of our kidneys.

Some of us, myself included, spend too much time in fight/flight/collapse in response to daily stressors. Over time, this ongoing state of hypervigiliance takes a toll – the cells of your adrenals can’t keep up with the overtime and burn out. How do you know if this has happened to you? Two options: take a questionnaire or test your levels of the hormones your adrenals make, namely cortisol and DHEAS.

Cortisol is like a General, in command of the army that is your body. Cortisol has its hands in many things – it controls how you use fuel, how much energy you have at your disposal, how you respond to a crisis, how you digest food, and whether to store the bread you just ate around your mid-section.

DHEAS is a hormone of vitality; it is a pre-hormone to testosterone, and contributes significantly to sex drive.

You can have either too much of these two hormones (stage 1) or not enough (stage 2) or adrenal failure (stage 3), a life-threatening emergency.

I’m an organic gynecologist in the San Francisco Bay Area, and adrenal dysregulation is the most common hormone problem I see. Typically, my patients report poor stress resilience, difficulty functioning well under stress or even to react to them, sometimes even bordering on paralysis, which is totally new (and often has an onset in perimenopause, that time in your forties when your periods start to get closer together and PMS reaches new heights). Adrenal dysregulation manifests differently in different people  sometimes it feels more like excessive sensitivity to human suffering, or excessive compassion for the pain of other people, or even

Both cortisol and DHEA influence other hormones too, and some you may know about. Excess cortisol inhibits thyroid, estrogen, melatonin, and growth hormone. Excess DHEA inhibits cortisol and stimulates testosterone.

Clearly, one has to juggle many hormones to feel most vital.

What do you do if you think you might have a problem with adrenal function, either too much or too little? I advise going to your doctor and asking for a blood test. See where you are right now, as a baseline.

There are numerous therapies for wonky adrenals, and many of them have been tested with the tincture of time in ancient wisdom traditions such as Ayurveda and Traditional Chinese Medicine. Examples include botanicals such as Ashwagandha and Ginseng.

BUT.

I like to start with nutrition, whole foods nutrition.

Folks with high cortisol tend to crave carbohydrates, the refined type. Sugar, chocolate, pastries, any flour-sugar combination, really.

We must change that. Pronto.

I’m a fan of several food plans, depending on your particular circumstances. Generally, I find the Paleolithic diet, based on fruits, vegetables, meat, poultry and fish, is best at optimizing adrenal function. Limited, sprouted grains. I also recommend removing refined or processed carbohydrates, particularly breads, cereals, pasta, and baked goods. Particularly good for your best adrenal function are lean proteins, and healthy fats such as coconut oil and olive oil.

About Dr. Sara Gottfried: I believe in evidence-based ancient wisdom. I believe in eating your leafy greens rather than popping synthetic pills. I believe in Ayurveda and integrative medicine. I believe in botanical therapies over synthetic hormones. I believe you deserve to feel sexy, ripe and delicious. I believe in tending your flame. I believe that proactively managing and optimizing your health is your divine responsibility and a path to personal power. / I’m a mother suspicious of processed sugar and a yogini hotly pursuing lithe, lean lusciousness. I’m committed to deep green, organic living. I’m a scholar and a seeker of truth, vitality, hormonal balance, sacred balance, spirituality and divine self-actualization. / I’m Sara Gottfried, MD and you can find me at SaraGottfriedMD.com or like my facebook page at http://www.facebook.com/GottfriedCenter

Michelle

Health Food Lover is Michelle Robson-Garth. Michelle is a degree-qualified Naturopath (BHSc) and Massage Therapist. She is also a passionate writer, recipe-creator and all-round foodie from Melbourne, Australia. © Copyright: 2009-2012 Michelle Robson-Garth. Please ask permission first when using any text or images on healthfoodlover.com. Read the disclaimer here. Have a look at the recipe index for more health food lovin’ recipes. Join the Facebook page & follow Health Food Lover on twitter.

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{ 2 comments… read them below or add one }

Amanda Trevelino May 27, 2011 at 12:59 am

Great post. Having read, and identified with, James Wilson’s book about Adrenal Fatigue I support your recommendation of managing with diet. However, it would be nice to have a doctor’s support too, and calling your insurance company’s list of providers isn’t likely to yield great results. Do you happen to recommend any practitioners in Atlanta or a resource of like-minded docs nationwide?

Reply

Sara Gottfried MD June 9, 2011 at 2:35 pm

Amanda, sounds like you’ve noticed that healing the adrenals is a long, arduous process. We have an upcoming webinar on healing the adrenals that you can do from any where in the US (“like” our facebook page here to learn more: http://www.facebook.com/GottfriedCenter )
Or you can find an integrative physician through this link (although I can’t vouch for the doctors on this site):
http://www.acamnet.org/site/c.ltJWJ4MPIwE/b.5457489/k.60DF/Welcome_to_PhysicianLink__18005323688_/apps/kb/cs/contactsearch.asp

Hope that helps!
Dr. Sara

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