75 Signs, Symptoms, and Alerts of Adrenal Fatigue Syndrome

By: Michael Lam, MD, MPH

Adrenal fatigue

There are many symptoms of Adrenal Fatigue

Adrenal Fatigue Syndrome can present itself in association with any of the following signs, symptoms, or conditions. Because there is no definitive laboratory test for this potentially debilitation condition, always be the alert if you have any significantly number of the following.

Not everyone has all of the symptoms or conditions listed below. The number varies from person to person, but if you take a step back and look from afar, they collectively paint a picture of a body under threat. The higher the prevalence or intensity of the items listed below, the higher the chances that you may have Adrenal Fatigue Syndrome.

Characteristic Adrenal Fatigue Symptoms

  1. Unable to fall asleep despite being tired
  2. Wake up in the middle of the night for no reason
  3. Heart palpitations at night or when stressed
  4. Low Blood pressure consistently
  5. Low libido and lack of sex drive
  6. Low thyroid function, often despite thyroid medications
  7. Feeling of hypoglycemia though laboratory values are normal
  8. Depression, often unresolved after anti-depressant
  9. Endometriosis
  10. Polycystic Ovarian Syndrome
  11. Uterine fibroids
  12. Fibrocystic breast disease
  13. Hair falling off for no reason
  14. Irritable under stress
  15. Anxiety
  16. Panic attacks
  17. Feeling “wired” and unable to relax
  18. Feeling of adrenaline rushes in the body
  19. Fogging thinking
  20. Inability to handle stress
  21. Waking up feeling tired in the morning after night’s sleep
  22. Feeling tired in the afternoon between 3:00 and 5:00 pm
  23. Inability to take in simple carbohydrate
  24. Coffee needed to get going in the morning and throughout the day
  25. Coffee, tea or energy drinks triggering adrenaline rush and adrenal crashes
  26. Feeling tired between 9:00 and 10:00 PM, but resists going to bed
  27. Craving for fatty food and food high in protein
  28. Craving for salty food such as potato chips
  29. Dry skin more than usual
  30. Unexplained hair loss that is diffuse
  31. Exercise helps first, but then makes fatigue worse
  32. Chemical sensitivities to paint, fingernail polish, plastics
  33. Electromagnetic force sensitivity, including cell phone and computer monitors
  34. Delay food sensitivity, especially to diary and gluten
  35. Unable to get pregnant, requiring IVF
  36. Post partum fatigue and depression
  37. Recurrent miscarriages during first trimester
  38. Abdominal fat accumulation for no apparent reason
  39. Temperature intolerance, especially to heat or sunlight
  40. Dysmenorrhea advancing to amenorrhea
  41. Premature Menopause
  42. Constipation for no apparent reason
  43. Joint pain of unknown origin
  44. Muscle mass loss
  45. Muscle pain of unknown reason
  46. Cold hands and feet
  47. Premature aging skin
  48. Inability to concentrate or focus
  49. Psoriasis of no known reason
  50. Gastritis despite normal gastroscopy
  51. Low back pain with no history of trauma and normal examination
  52. Dizziness for no known cause
  53. Fructose mal-absorption
  54. Tinnitus (ringing in the ear) chronically
  55. Numbness and tingling in extremities bilaterally
  56. Mouth sores recurrent
  57. Short of breath even though breathing is fine
  58. Ovarian cyst
  59. Breast cancer associated with estrogen dominance
  60. Grave’s disease
  61. Hashimoto’s thyroiditis
  62. Legs that feel heavy at times
  63. Dark Circle under eyes that does not go away with rest
  64. Loss of healthy facial skin tone color
  65. Body feel tense all over and unable to relax
  66. Postural orthostatic tachycardia
  67. Irritable Bowl Syndrome, with more constipation then diarrhea
  68. Chronic Fatigue Syndrome unimproved with medicine
  69. Fibromyalgia unresolved after conventional help
  70. Systemic Candida that gets worse when under stress
  71. Electrolyte imbalance despite normal laboratory values
  72. Irregular Menstrual Cycle that “stops and go”
  73. Lyme Disease but unable to fully recover after medication or intolerance to drugs
  74. H Pylori Infection in the past and was told resolved but never feel the same since
  75. Heavy metal and mineral toxicity may mimic Adrenal Fatigue Syndrome
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  4 Ways to Manage Anger and Prevent Adrenal Gland Failure

This list is not intended of you to self diagnose Adrenal Fatigue Syndrome. If you think you may have Adrenal Fatigue Syndrome, the first task is to get more educated. Because of the rather convoluted and complex nature of this syndrome, always consult a qualified health professional prior embarking on any recovery plan. Most recovery programs fail and the condition may worsen if you lack a clear understanding and what lies ahead.

© Copyright 2012 Michael Lam, M.D. All Rights Reserved.


Adrenal Fatigue Questions

What is Adrenal Fatigue?

Adrenal Fatigue is a state of sub-optimal health applied to a collection of non-specific symptoms such as weakness and low energy that is hard to explain. Most forms of Adrenal Fatigue are mild, with full recovery after rest, and therefore they will go undetected. If the condition is left to natural progression and the stressors continue to persist, Adrenal Fatigue may worsen. Advanced Adrenal Fatigue can be incapacitating. Physical or emotional stress (such as toxic relationships) plays a big role in this condition.

What does Adrenal Fatigue feel like?

Feeling of adrenaline rushes in the body, brain fog, inability to handle stress, waking up feeling tired in the morning after a full night’s sleep, feeling tired in the afternoon between 3:00 pm and 5:00 pm, inability to take in simple carbohydrate, feeling tired between 9:00 and 10:00 PM, but resists going to bed, craving for fatty and high-protein foods, craving for salty food such as potato chips, dry skin more than usual, unexplained hair loss that is diffuse, meaning it is spread across the entire scalp.

How do Pranayama and Adrenal breathing exercise compare with one another ?

They are very similar, with ABE, you should not go over 80% of lung capacity and you don’t want to hold your breath. The key is calming.

When having Adrenal Fatigue are being sensitive to, wheat and dairy considered to be a symptom?

Wheat and diary sensitiivtye often accompanies AFS for a wide variety of reasons. First they can be hard to digest and assimilate for those who are already weak as the body slows down in a compensatory response to stress in order to conserve energy. Excessive metabolite cumlation due to slow assimiaiton cause inflammation and that sets up a vicous cycle to further slowing of the gut, exacerbating the sensitivities.

Related Post
  Anxiety and Adrenal Fatigue Syndrome - Part 2

How can herbs play a role in treating Adrenal fatigue?

If you have early stages of Adrenal Fatigue Syndrome, taking some adaptogen herbs may help you deal with stress better. You may want to read my articles: 7 Adrenal Recovery Mistakes and Adrenal_Fatigue_Glandular_and_Herbal_Therapy.asp>Adrenal Fatigue Glandular and Herbal Therapy

What is the difference between regular wheat and sprouted wheat and how they affect the adrenals?

Sprouted wheat actually removed the enzymes inhibitor which prevents the nutrients in the grain from absorption. For those who are sensitive , this type is less traumatic to the gut.

How much toxins are being pulled out by doing something like the oil pulling? Its a gentle oral detox does it remove enough toxins?

Oil Pulling has been practiced in India for 5000 years. It may remove only toxins localize in the mouth area.

Muscle aches and pains are common with detox. Is it a lack of nutrients or the subtraction of toxins that gives people muscle aches in early stages of detox?

The pain maybe due to inflammation, which maybe a retoxification reaction. Read my article on Retoxification and AFS.

It is possible because the body is constantly in a flight and fight mode when you have allergies.

Whenever you have infection, it weakens the body’s immune system, causing more stress to the body. Read my article on Stealh Infection and AFS.

For some people with AFS, vitamin C could be stimulating and causing sleepless nights.

Some studies has shown that vaccination causes immune dysregulation. When anything is changed in your body, the adrenals are affected because of the stress.

They all contain the active ingredient for detox: activated charcoal.

If a woman’s reproductive hormones are balanced, there should be no issues with her libido. Read my article: https://www.drlam.com/blog/signs-symptoms-low-libido/17686/

Yes. Long term use is not recommended, but it dose have its palce for short term use and selected case.s.

There is no study to show this, but we do notice that for people who have a “Heaty” type body as defined by traditional Chinese medicine (TCM), this tends to occur more freuqently.

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  • J Chan says:

    Many of the adrenal fatigue symptoms are very similar to low progesterone or estrogen dominance. Would taking progesterone cream along with b6, magnesium, vit C and zinc address both

    • Dr.Lam says:

      Estrogen dominance is closely assocaited but only part of the clinical picture of AFS. symptoms of estrogen dominance can often , but not always , be helped by natural progesterone. In the AFS setting, however , especially in advance stages, the use of progesterone and zinc have to be very careful as they can backfire. Each person is different. Generalalities dont work well and that is why many fail in self navigation.
      Click 7 Adrenal Fatigue Recovery Mistakes for more information.

      Dr Lam

  • Brandon says:

    How can you tell if you have a sensitivity to Electromagnetic forces?

    • Dr.Lam says:

      When you are exposed or near EMG, you have symptoms . They can be subtle, and unless you focus on your body, most people miss it.

      Dr Lam

  • Phil says:

    I seem to have a lot of the symptoms on your list, but how would i be able to know for sure if Adrenal Fatigue is the cause for all my symptoms? Is there any kind of test i can do?

  • Helena says:

    What is the protocol for chronic adrenal fatigue? Where do I start? Detox, herbal support etc. I already do not eat dairy, wheat and have difficulty with fructose.
    I have IBS (C) and have had joint pain.
    I do yoga, mindfulness meditations which help . However, I have a stressful life situation that has created chronic stress.
    I will say I’ve always been foggy in the morning, always was a late night person
    But I am not fatigued through the day. Mornings are difficult however.
    Please advise . Any referral to a practitioner in the Philadelphia area much appreciated.Thank you.

    • Dr.Lam says:

      There is no protocol for AFS because everyone is different. My book gives you a good overall picture on what are the key things to look at . For some people, detox is first, but for others, this can crash them. So everyone needs to be different. That is the challenge. Our appraoch to this issue is unique. Do make sure you avoid these mistakes to start. Click 7 Adrenal Fatigue Recovery Mistakes for more information. We do have a telephone coaching program that for most people will suffice.

      Dr Lam

      Dr Lam

  • Carla says:

    I have fatigue so bad that I feel like I am falling asleep even when I am talking. Is this conected? It seems like I have many of the symptoms you list here

  • Suzie says:

    I am a breast cancer survivor, estrogen + progesteron +. I was put on Anestrazole but the side effects were so bad I was switched to Femara. I have many
    Of these symptoms but that is because the medication is shutting down my adrenal glands. Is there anything I can do to help with these side effects?

    • Dr.Lam says:

      It is common to have side effects from medications ,but whether it is totally due to adrenal issues remains to be determined. Often times its multi factorial and many organs, especially the liver, can also be involved. The first step is to go back to your doctor for advise. If there are no other options but to stay on , then you should support your adrenals without worsening the cancer status. there are ways to do it but the program needs to be planned out carefully and everyone is different.

      Dr Lam

  • Barb says:

    I’ve had increasing symptoms of AF especially past few years w/o diagnosis. Dr.s have diagnosed Fibro & CFS & labs always ‘look good’ otherwise — Dr. thinks I’m ‘hypochondriac’ when I list my debilitating symptoms! I suggested to him “adrenal exhaustion” so he’s referred me to endocrinologist I see in 2 days. Can you suggest the best testing to confirm or eliminate adrenal exhaustion? I’m 70, have Medicare to cover testing and am a proactive patient. Thank you in advance.

    • Dr.Lam says:

      Conventionally trained endocrinologist are not versed in AFS. Do not be surprised if your thesis is rejected. It is good to go thru the work up to make sure it is not anything else. You need to be proactive to educated your doctor on this matter. Click Laboratory Testing for more information. Here are two article you will find useful. Click Why Conventional Medicine Rejects Adrenal Fatigue for more information. Do remember that there is no definitive test to 100% fully “diagnose” AFS at this time as we are still decades away. The key comes down to a good history will clinical correlation that fits.

      Dr Lam.

  • Chad says:

    Can you please explain how someone could have constipation or diarrhea… seems a bit contradictory to risk both. Thanks Dr. Lam!

    • Dr.Lam says:

      The body’s GI track is in a constant state of flux , absorbing nutrients and water etc.This process , on extremes, would lead to diarrhea ( if water absorption is insufficient, for example) , or constipation ( when too much liquid is absorbed, for example). The body self regulates,and the result is well formed stool at the end. This process , when disrupted, can lead to extremes, from one side of the spectrum to another. A common condition called Irritable Bowl Syndrome is associated with such flux. There is no contradiction once you understand the physiology.

      Dr Lam

  • Jennifer Ryan says:

    Hi. I had Cushing’s syndrome and my R adrenal gland and tumor were removed Nov 2015. I had to quit my job as a physical therapist, but have recently started back. I also started swimming laps about a month ago. I am so tired all the time that my LE feel like lead and all I want to do is sleep. I’m only working part time and my cortisol is at a normal level. Are there any supplements I can take to help with the fatigue? I am off cortisol and have been since April.

    • Dr.Lam says:

      With your history, you have to be very careful with supplements, especially those that stimulate the adrenals to avoid any chances of triggering excessive cortisol release. A more complete holistic and comprehensive program requiring detailed history is needed so you dont get into trouble long term. It is easy to give you more energy by stimulating the adrenals, but the pros and cons have to be weighted carefully.
      Click Adrenal Fatigue & Hormone Therapy for more information. Click Adrenal Fatigue Glandular & Herbal Therapy for more information.

      Dr Lam

  • Jude Carrillo says:

    Can adrenal fatigue be the cause of systemic myopathy? Or can it be a contributing factor to symptoms that mimic muscle disease or muscular dystrophy?

    • Dr.Lam says:

      AFS and the illness you mentioned are different. Anytime your adrenals are weak, the body tend to decompensate more.

      Dr Lam

  • Nikki says:

    I never knew that these symptoms were all apart of adrenal fatigue, I have been struggling for so long and looking for answers and no one ever knows. I am so glad I was able to find this article to give me some insight.

  • Laurie says:

    Hi Dr. Lam,
    I attempted to post a few days back but it seems I did something wrong as I don’t see post at this time.
    Short background, I have not felt well for the last few years. I was diagnosed with Ischemic Colitis in Oct of 2012. I attributed all my ailments to this every since, as I didn’t want the surgery that would leave me with “the bag”.
    On Jan 31st this year I was diagnosed with perforated diverticulitis. After making every attempt to avoid surgery on Mar 25th an emergent surgery was performed which has left me with a temp ostomy.
    My last CT was done on June 2nd to attempt to find out why I continue to have no energy, must use sleeping pills, being lightheaded etc…the GI Dr’s office called to tell me there was a “tumor” on my left adrenal gland and this explains why I still feel so bad. They also told me to go to my pcp to get a referral to a endocrinologist and to insist on a biopsy.
    It just happened that I had an appt with my surgeon the following day who informed me the “nodule” had been found in my 2012 CT (first i heard of it) but he didn’t have the current CT report so not sure if any change. He did say I should go to a urologist for further testing but a biopsy was not needed. I should say it is small only 1 and a half centimeters.
    I am uncertain of what is in my best interest. I have 2 qualified Dr’s telling me two different things.
    When my GI first told me this was the cause of my issues I was so happy to have an answer, then my surgeon said basically the opposite which was quite a let down.
    I go to my pcp in 3 days and have no idea which direction she should send me in.
    Some added info….while dealing with my own medical issues since 2012 I lost my mom on my wedding anniversary on September 4th 2014 and then lost my dad on August 14th 2015.
    Sorry this is so long, basically I need some help to help myself.
    I can have resection surgery next Mar or Apr but I must be healthy enough. At this point it takes a focused effort to get out of bed and attempt to get through the day.
    I’m not a lazy person. I want to go back to my job that I worked hard at to become a supervisor, I want the energy to work in my garden my supportive kids planted for me, to be the fun grandma who goes fishing etc…I also want to say I am not 90 , I am 50 years young.
    Do you think this “nodule /tumor” on my left adrenal gland is comprising my quality of life and if so how do I move forward with my medical care?

    • Dr.Lam says:

      That question is outside my area of expetise to answer. However, regardless of which path you take, supporting the adrenals can often be helpful , and if you have not started, it is good to fortify your body right away. If done properly, there is benefit and no harm and your body is well prepared. Do be careful as with your history, a proper program is key. Try not to self navigate if you dont have experience.

      Dr Lam

  • Stephanie Wilson says:

    I have literally about 90% of these symptoms. Do you work on hormones, thyroid,this or what first???
    Currently on thyroid meds, progesterone and
    Numerous vitamins and supplements with very little help!!!

    • Dr.Lam says:

      We need to work on all components, but prioritized properly, because everything needs to be done at the right time and right way for the body to recover properly. Many people use multiple compounds and fail for good reasons. Click 7 Adrenal Fatigue Recovery Mistakes for more information.

      Dr Lam

  • Robert says:

    i have several of these symptoms and about 2 months ago developed the POTS symptoms….heat intolerance….sometimes dizziness if i stand too long….sometime chest pains but e.r says my heart is fine….im really trying to understand how when the pain comes right where my heart is beating ohh and by the way i feel heart palps hmm 24 7….its rarely beating not like a drum….really is seems like overreactive nervous system….right now i just take a good multi vitamin from GNC 50 n older that supports energy brain n heart health its a good one in my eyes also some side vitamins on the side like b12 meth form,and magnesium….and i take a few herbs 3 of them “holy basil,ashwaganda,rhodila rosea”……and try not to do much but rest n take it easy im under the impression ill either get worse or slowly better overtime i have no clue……started n january when my mother passed away then the uncontrolled panic attacks and seems like i have so much adrenaline since ridiculous ive done lots of reading online i think im just gonna leave it at a couple calming herbs good multi vitamin with b vitamins in it and trying to eat well n sleep well idk if much else to do!!

    • Robert says:

      and ive also read so many reasons to why my adrenals are like this….personally i believe its from mother passing because 2 weeks later i started havin problems….that regular docs cant really help but a endocrinologist did test me and my 24 hr cortisol urine came back abnormal but she says i passed the suppression test so she doesnt believe tumor just stress….i hope she isnt wrong smh……i dont even feel stressed anymore as i did in january but i think it takes time i honestly dont kno anymore….ive had so many tests done normal blood x rays its crazy thyroid but i dont think they did the t3 tho….i just know i have high cortisol…..the only thing now is im makin a dental appointment to take care of sum bad teeth in the back ive had for along time trying to rule out anything else and thats the only thing i can think of….when i do go next week i did mention not to use anything with norphinephine i dont think that will be a good idea!!!

      • Robert says:

        one MORE thing i read on this list…..electrolyte imbalance regardless of normal test WUT THE HECK….well how are we suppose to know if we really have a imbalance if the tests are normal thats like the people who have thyroid issues and their test are normal that ive read online…..thats nonsense how do you approach things like this seems impossible!!!

  • lynn marie says:

    I just woke up from another night of bad dreams and heart palpitations. I was finally diagnosed with adrenal fatigue by a bio identical hormone replacement doctor a few months ago with saliva tests after nearly a year of bouncing from doctor to doctor, wearing heart monitors, sleep studies, etc, etc. I am better but still have trouble especially with night time nightmares and heart palpitations. I also enjoy a sport that is stressful and now when I do it I get rapid pulse and an anxiety attack! I am on cortisol in the morning and a cream to lower it at night. I have cut a lot of junk out of my diet and am a high normal BMI. Without a soda I get very tired in the afternoon and my blood pressure gets so low I have to have a soda to perk me back up. I have anxiety and it has made me a bit agoraphobic. Or afraid to travel or get out of my routine. Any suggestions on how I can take my recovery to the next level would be so appreciated.

    • Dr.Lam says:

      We do see a clinical picture like what you are experiencing when the underlying root problem has not be resolved. patching and modulating cortisol with external hormones can only go so far, and while there may be temporary benefit, the overall healing process is incomplete, and deep seated root problem masked. That is why you continue to be troubled and this usually will continue to get worse, leading to potentially more and more hormones in time to come, but ultimately, fails. so it is a warning sign for you to look deeper. The root issues has to be explored, and the only way is by detailed history. ONce the root is exposed and dealt with, you will embark on true complete recovery. BHRT has its limitations. This article may help. Click Adrenal Fatigue & Hormone Therapy for more information.

      Dr Lam

  • jennifer anderson says:

    hi dr. Lam,
    read the list, I have had or have 90% of the symptoms. hashimotos and raised ANA often at 1:640 are the only tests that indicate something is off. seeing a psych and a shrug is what I’ve been getting from my Drs. lately. I’m pretty desperate honestly. along with synthroid, I take adderall ( brain fog, confusion ) cymbalta (joint pain) and neurontin (migraines) could these drugs worsen the exhaustion?
    thank you so much for this site.

  • Ashly says:

    After wondering why I crave salt so much I searched it and came to your site and realized I have almost all of the symptoms listed(now at least i know where they are coming from) but I also have nausea a lot for no apparent reason. Is that a sign of adrenal fatigue as well?

    • Dr.Lam says:

      feeling nauseated is not a common symptom of AFS, though for some people it can happen and it points to underlying issues that need to be explored further.

  • Gayle says:

    I’ve been diagnosed with Addison’s Disease and they never talked to me about how many of my symptoms were attributed to My adrenal insufficiency . I was surprised how many symptoms I have. Thank you.

    • Dr.Lam says:

      Addison’s Disease ( adrenal insufficiency) is different from AFS and requires life long steroid therapy. Sometimes it can be “borderline” and the differentiation becomes blurry. You should talk to your doctor to make sure .

  • Lori Burgan says:

    I have many of the symptoms listed. I also have pain on right side in kidney area, I heard that this could also be symptom. Is this true?

    • Dr.Lam says:

      there is no direct somatic type nerve innervation to the adrenals. Some people complain of a dull ache discomfort to the area around the kidneys when under stress.

      Dr Lam

  • Adriana LaMarchina says:

    Hello Dr. Lam and thank you for your site. I had unilateral adrenalectomy after tumor was spotted on adrenal gland. It was never really known if it was a functioning tumor but I was very sick, no energy, pain issues, not sleeping, etc, so the adrenalectomy was done in 2003. I still have problems and have 75% of the symptoms of adrenal fatigue. Am not under any real medical care for lack of insurance but am struggling just to live my life with no energy, constant pain, depression, nausea, moderate hair loss, irregular periods, insomnia, heart palps, bouts of horrible gastritis, etc. Any suggestions are greatly appreciated. Do I just need to find another endocrinologist and take steroids as I’ve done a couple of times in the past? Not sure how much it helped long term.

  • Deb says:

    Dr Lam…I’ve been having problems ever since my thyroid went overactive in 1985. It became normal within the year. Then, in 2003 it became overactive again. That is when the issues began to mount. I was on Tapazole for 5 years and decided to get off of it in 2008. The Dr. wanted me to nuke my thyroid. I said no thanks. My thyroid was within “normal” lab limits but still the issues persist. An osteopath and a neurologist I had seen both think there is an issue with my adrenals, however, the labs (epinephrine, norepinephrine, dopamine) are always within normal limits. A saliva test showd low cortisol from the afternoon on, which coincides with bouts of sleepiness. Would test results for the neurotransmitters be out of whack if my adrenals are not functioning properly. I happen to agree with these two Dr.’s, but I am just looking for concrete proof before I begin any adrenal support. What are the best tests for adrenal activity?? I am wondering if the whole thyroid issue might have been adrenals to begin with as I never had a sweet tooth, never ate chocolate or cared for soda until my thyroid went overactive.

    • Dr.Lam says:

      Neurotransmitter test are not very accurate when AFS is present and having normal values are normal for that setting. Saliva test are not very good either. there are many reasons for low cortisol in the afternoon. The best is detailed history. You have to wait 20-30 years at least for “concrete proof” . Adrenal support , given your overactive thryoid and normal, needs to be very careful and avoid compounds that potentially may be stimuating including hormones, glandular and herbs.

      Click Adrenals & Thyroid Connection for more information.

      Dr Lam

  • Kristin says:

    Dr. Lam, I’m a Type 1 Diabetic who has had quadruple bypass surgery 3 years ago. I have many of these symptoms but there is one thing that I have that is not listed. I almost consistently have a headache and my BP is low. Could this be the cause of my headaches?

  • Gretchen says:

    I have probably 85% of your symptoms due to my father being hospitalized for over a year and doctors that are uncaring idiots (I worked in allopathic medicine for 34 yrs). There is one symptom I have that you did not mention, and that is the inability to get my heart rate to increase under exertion (weight lifting or cardio). I have been an athlete for years (bodybuilder) and this is making my training impossible. Is this also a sign of adrenal fatigue?

    • Dr.Lam says:

      that is not common, and it may reflect underlying issues which need to be explored by detailed history assuming that there is no structure problems with your heart.

      Dr Lam

  • Sofie says:

    I can relate to almost every symptom listed here! How is that no conventional doctors can see the correlations here??

  • Raphaela Sorkin says:

    Hello Dr. Lam. My daughter and me we both have adrenal fatigue. She is 23 years old. It’s horrible the way she feels all the time. Every single symptom you have listen she has. Please help. What can buy, what kind of medicine to get some kind of help.

    • Dr.Lam says:

      Your first step towards recovery is to get educated more. Read Adrenal Exhaustion for more information. you can self navigate , and my article and my book will be an excellent resource for you to get started to read. Remember that everyone is different, so what may work for you may not work for your daughter. There is no harm to try, and if you dont get better, then you need to seek further professional help or call our office. I do not suggest you blindly take supplements because it can make you worse.

      Dr Lam

  • carmel says:

    would love to hear from others about this, have been having these problems for a while, very stressful and you feel out of control as well as ill – perhaps we can help and support each other. pleaes write to me at ry chh mo at a ol dot c o m without the spaces. thanks.

  • Zachiry Mulshivet says:

    Wow, there are many intimidating symptoms that one can have. How many symptoms should i be showing before I concern myself with Adrenal fatigue ?

    • Dr.Lam says:

      The symptoms list is very comprehensive to factor in all kinds of people. Most people have 5-20. The lower the number, the less concerning unless it is very intense. Some people only have insomnia,or heart palpitation and get better when the adrenals are healed.

      Dr Lam.

  • Brandon says:

    Oh and my temperature is lower than usual it has been around 97.7 my usual is 98.6

  • Brandon says:

    With this can muscle twitching and mood changes be a symptom?.. Also i find that when i exercise (not strenuous) my body temp drops significantly lower than before i started!

  • Emily says:

    Can there be any other reason for my excessive dry skin other then AF?

  • Leanne Pratt says:

    Hi Dr Lam, I notice you mention tiniitus as a side effect of adrenal fatigue. I have stage 3-4 adrenal fatigue, slowly on the mend. But one of my biggest issues is tinnitus – it is worse when I have bad fatigue, brain fog days, and also lessens when I am having good days. Can you explain why adrenal fatigue sufferers get this tinnitus – I cant seem to find any explanation for it in any readings. Many thanks 🙂

    • Newsletter says:

      I wish I can fully explain the matter of tinnitis in a setting of AFS but I cannot. What I can tell you is that clinically we see that quite often. It is often associated not only with fatigue also associated with accompanying sympathetic overtone and with glandular and herbal use. We think it has something to do with norepinpehrine overload triggered as a result during Stage 3 Adrenal Fatigue referred to as Adrenal Exhaustion Read Adrenal Exhaustion for more information.
      Sometimes it can be quite severe. Most of the time, it gets better as the adrenals are put on the right course and recovers. Sometimes it get worse and usually if you trace it deep enough, there are some hints. Because it is not common, most practitioners will miss it unless on the lookout and on alert. Unfortunately, by the time most clients have this problem, they are on a battery of supplements and meds that can mask the underlying root cause. The key is to slowly clean up the body and trace it to the root and fix the root cause as tinnitus is a symptom and not the cause. It can be done, but does take time, patience, and some trial and error even in the best of hands.

      Dr Lam

  • Bruce says:

    What a great article! I find many of these very interesting but would like to know more on each topic, particularly “Joint pain of unknown origin”, “Muscle Loss”, and “Fibromylagia”. Can you point me in the right direction?

  • Laura says:

    Thank you very much for your time and consideration regarding my question about my 16 year old son with AFS. I will mostly concentrate efforts toward healing with foods and limit supplementation.
    Thank you,

  • Anonymous says:

    Thank you for your insights and knowledge. My 16 year old son was diagnosed with AFS by our homeopathic Doctor. She put him on a four week elimination diet with no sugar, wheat, rice, corn, soy, or dairy , and just to eat green vegetables , meat and berries. She also has him taking 42 herbal supplements a day as well as d3 drops. He has been resisting taking the supplements. Do you think the elimination diet will help without all the supplements she is prescribing? He also suffers from anxiety and low motivation or confidence. Thank you!

    • Newsletter says:

      Teenagers have a very different set of problems and challenges when it comes to AFS. Read my article on this very subject here to start. I personally do not believe that supplementation for young people should be the major focus for recovery because their body is usually strong and more is not necessarily better as it take a lot of energy to process these nutrients. Some selected and target ones are ok. Do be careful of over supplementation. Anxiety and low motivation often is a sign of underlying imbalances that tend to reduce as adrenal heals, but you should check with your doctor. Avoid drugs unless no choice.

      Dr Lam.

  • Jamal Lurken says:

    Thank you Dr. Lam for taking your time to educate those who seek this information. I’ve battled with adrenal fatigue for over 15 years. Im worried that my children might have to go through the same issues, how can i prevent this from happening to them ?

    • Newsletter says:

      Thanks for your kind words. We do see a high prevalence of parent-child connection. Many kids starts to show some adrenal fatigue in early teens, but we see some as early as 8 years old, sad to say. First you dont want to jump to conclusion because sometimes kids get tired from overactivity. But if you notice a trend developing, then see you regular doctor first to make sure all is well. If nothing else comes up, you can first eliminate corn, diary, wheat and go gluten free and soda free. Most kids do get better with just that. If not, then a more detail history is needed. Our experience is that even if kids have AFS, they rebound very fast and can resume normal activities provided that you allow the body to heal with natural compounds titrated right for the body and very importantly, avoid stimulants. Supplement may be helpful but not always and we try not to use them as the body self heals in young people and we dont want to put the body on any dependency issue by propping them up.
      Hope this helps

      Dr Lam