by Dr. Tina Marcantel
Dr. Marcantel: The adrenals are located anatomically on the north pole of the kidneys in the back and they’re protected by the rib cage. There are two adrenal glands and they are each divided into two major parts. The adrenal medulla releases adrenaline to handle short-term or immediate stress–fight or flight, such as being in danger or having to deal with a sudden crisis. The adrenal cortex that surrounds the adrenal medulla has three layers. One layer has to do with regulating blood pressure. The next layer releases cortisol to help us handle long-term stress situations and the third layer releases progesterone, estradiol, testosterone, and DHEA in small amounts.
All through your life the adrenals are producing these hormones, but for a woman the primary source of the sex hormones is the ovaries. As I explained before (Why Is Menopause More Difficult for Some Women Than for Others), when a woman enters the perimenopause/menopause phase of her life, her ovaries slowly stop producing the sex hormones and the adrenal glands should be able to produce enough of those to help make the transition to menopause fairly smooth. However, if the adrenal glands are under a lot of stress for a long period of time, they can get overworked to the point where they can’t produce, as needed—a condition called “adrenal fatigue.”
One sign of adrenal fatigue is being “tired and wired.” When a person experiences chronic stress the adrenals are always releasing cortisol, so even though the person may be physically tired she still feels anxious or excited because of the high cortisol levels in her body.
Another sign of adrenal fatigue is low blood pressure because the adrenals aren’t able to help regulate it. Along with this sometimes people experience a craving for salt because in order to regulate blood pressure we need a certain amount of sodium in the body. When the adrenals are tired and the blood pressure drops, our body craves salt to bring up the volume of the blood, increasing the blood pressure.
Q: So is there a way to treat adrenal fatigue?
Dr. Marcantel: Absolutely! There are a number of things we can do, and of course I prefer to take a holistic approach—meaning we’ll deal with both the immediate physical symptoms but also work on getting to the root causes and dealing with those, as well.
First, I recommend intravenous (IV) therapy for patients who have been diagnosed with adrenal fatigue. This consists of a series of IV treatments using a solution of vitamins and minerals that are meant to specifically give support to the adrenals. This can help “jump start” the healing process. We can then continue with targeted supplements that can assist in supporting the adrenals.
The next step for the patient is learning to deal with the chronic stress that is the cause of adrenal fatigue. This comes through counseling and patient education. Sometimes it means making lifestyle changes. I also use acupuncture in conjunction with teaching a stress-relief method called Emotional Freedom Technique (EFT), which is a form of acupressure a person can use on himself. EFT can go a long way to helping a person overcome the effects of years of chronic stress.
Another great resource I’ve been using much more recently is maca, which is an herb that actually helps to rejuvenate the adrenal gland. I’ll go into that in much more detail in my next session and explain why maca may help reduce or even eliminate the need for hormone therapy for some women in menopause!