Get Better
Adrenal Fatigue Treatment
Your recovery journey starts here.
While we describe a step by step plan, in reality Adrenal Fatigue is the result of an ongoing cycle and it develops over time. The best way to start getting better is by interrupting and reversing this cycle.
The recovery plan has three phases. Within each phase, we include testing, nutritional, supplementation and lifestyle recommendations.
The more closely you follow this guidance the quicker you will start feeling better and be ready to progress to the next phase.
Please do not stop taking any medication you need and always follow guidance from your doctor.
Recovery Plan
Escape the Adrenal Fatigue roller coaster
Restore your natural strength
Thrive on
sustainable energy
Phase 1: Balance (2-3 weeks)
First, turn off the alarm.
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The plan starts by escaping the sugar and caffeine roller coaster and by starting to remove toxins.
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Often when you have Adrenal Fatigue you rely on caffeine or sugar to get you through the day.
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Adrenaline and refined sugar are not sustainable sources of energy though, and the ensuing crash requires you having even more the next day. The cycle continues and worsens your Adrenal Fatigue.
Nutrition
Step 1
Drink Filtered Water
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Boiling water can be too much of a hassle. Bottled water would be too expensive and the plastic waste not very green.
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We think a water filter is a good investment. There is no need to pay for an expensive brand.
Step 2
Morning cleanse
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Have a large glass of filtered water when you wake up in the morning. Re-hydrating after a long night is important to clear toxins from the body.
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Add half a tablespoon of sodium bicarbonate (you can buy it cheaply in any supermarket).
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Sodium bicarbonate is one of the few alkalizing foods which are easily accessible. It will help you normalize your body acidity level for the rest of the day and help manage acidosis.
Step 3
Cut caffeine
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Stop drinking coffee or any other high caffeine drinks as they directly stimulate your adrenals. Caffeine also inflames your digestive tract and aggravates acidosis.
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If you have a caffeine habit, such as drinking coffee through the work day, we know cutting down can be difficult. Start by reducing the number of drinks per day until you get to only one. Then make sure you only have it in the morning but after breakfast. Towards the end of the two to three week period aim to be having no caffeine at all and continue to cut down caffeine for the remainder of the plan.
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This could be hard if your Adrenal Fatigue means you are not getting a restful sleep and you need to show up at work, take care of your family or deal with other responsibilities. Persevere and you will notice the need for caffeine to be alert and feel awake will decrease over time.
Step 4
Abstain from alcohol
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Alcohol is especially bad for Adrenal Fatigue as it stimulates your adrenals glands directly, it dehydrates you and makes you lose important water soluble nutrients such as B-vitamins, it impacts the quality of your sleep, and as it is a highly refined carbohydrate, it messes with your sugar balance and feeds the bad gut bacteria and yeasts.
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Gradually reduce your alcohol intake during Phase 1. The aim is to have no alcohol after your second week and for the remainder of the plan. Let those close to you know about your plan as it will make it easier to decline the drink offer after a long week at work. If necessary, come up with a narrative to avoid social pressure (such as having a dry month).
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This is a temporary measure and you will be able to reintroduce alcohol and caffeine at your discretion later in the plan. But for now you need to let the adrenals heal.
Supplements
Step 5
Magnesium
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We start supplementation with Magnesium, one of the key minerals in treating Adrenal Fatigue.
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Magnesium is required for cellular energy production, it calms the digestive system, strengthens bones, promotes healthy blood pressure and has relaxation effects which improve sleep quality.
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There are supplements with different forms of magnesium depending on which other molecules Magnesium is bound to. The two main forms to focus on for this stage are:
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Magnesium Glycinate, containing Glycine, which is a non-essential amino acid that enhances Magnesium's calming effects.
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Magnesium Malate, containing Malic Acid, which is important for cellular energy production.
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Phase 2: Recover (6-8 weeks)
Now that your body is off survival mode and in a calmer state, we are ready to jump into the main part of the plan.
Phase 2: Recover includes a number of health tests, introduces important nutritional and lifestyle changes, and adds new supplements.
Health Tests
We recommend doing the following four health tests to identify nutritional deficiencies and potential sources of inflammation and adrenal triggers.
We know the costs can add up with these tests, especially if not covered by your health insurance, so do them in the following order over time as your budget allows.
Step 1
Blood works
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Get a full blood test. Include major vitamins and minerals, hormone levels such as cortisol and testosterone (for men), glucose, and other major biomarkers.
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Some major cases of fatigue will be explained by an insufficiency which will show in blood tests, such as anemia (low iron) or low testosterone. Solving these will take you a long way, but we still recommend completing the plan to cover all other grounds.
Step 2
Gut Flora
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A gut test analyzes a fecal sample to identify the quantity and variety of microorganism in your gut. Recent scientific advancements allow the use of DNA sequencing which is more precise and allows for the identification of a broader range of microorganisms. Ensure your test of choice provides information about bacteria, as well fungi, viruses, parasites and other digestive biomarkers.
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Most likely your result will show some level of dysbiosis. If you also have any other parasites or even intestinal worms, then addressing those through specialist medicine will be another major leap forward in your journey.
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Rebalancing your gut from dysbiosis should be based on your specific gut flora, and should inform which probiotics (live microorganism) you should take to fill in any gaps. Consuming more prebiotic foods over the long term is also important.
Step 3
Food Intolerances
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Most people have some level of intolerance or sensitivity to certain foods, such as gluten and lactose. Symptoms of food intolerance include getting bloated, experiencing digestive issues and feeling generally unwell after eating. Food intolerance, which relates to the digestive tract, is different to a food allergy, which relates to an immune reaction.
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Food intolerances can be identified through a sample based test (blood or hair), a skin pricking test, or an elimination diet. Tests evaluate antibody (IgE, IgG and IgA) reactions to exposure to certain foods. Elimination diets take a trial and error approach where all foods are removed and added back in a controlled manner to monitor reactions.
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IgE relates to an immune response and is connected to food allergies. IgG signals food particles have passed through the gut lining and are creating systemic inflammation, while IgA is connected to the digestive mucous membrane and relate to inflammation of the digestive tract. As a result, IgG and IgA reactions are the key antibodies to test for, and in general blood tests can be the most comprehensive.
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Some food sensitivities will be congenital (you are born with them). However, note that many of your existing food sensitivities will in fact be a result of your dysbiosis. Recall that gut flora help breakdown food. If your current gut flora composition limits your ability to digest a certain food, then the body would react negatively to its presence. As a result, the foods you are sensitive to might change over time as your dysbiosis improves.
Step 4
Mold
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Mold can affect your health in two main ways: mold spores can cause allergies and asthma, whereas mold toxins (mycotoxins) can cause a range of other symptoms.
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Mold toxins typically enter the body through the lungs and the digestive tract. Symptoms vary depending on the the type of mold and the level of exposure and can include amongst many others general fatigue, insomnia, and several neurological effects such as brain fog, dizziness and confusion. As a result, mold toxicity aggravates Adrenal Fatigue symptoms and adds yet another requirement on your adrenals, which are mobilized to help rebalance the body fight off the pathogens.
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Mold can be present indoors at homes (sometimes identified by a musky smell), in belongings and even in food (including moldy food and some coffee). The highest risk comes from mold growth in homes from water dampness which cannot be readily noticed.
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You can test for mold in two ways: test your environment (such as your home or place of work) for the presence of spores through traps or dust analysis, or you can test yourself (urine sample) for allergy markers. However, both methods are very limited. Environmental tests do not always manage to trap any or all of the relevant spores. Testing yourself typically focuses on allergic reactions which is only part of the issue, and can only be run on a reduced number of the many types of mold.
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As a result, the best line of defense against mold toxicity is to scan your environment and your food. Typically mold toxicity can be suspected via symptoms, which can be difficult given these can be related to other conditions. If you suspect mold exposure, search for local mold toxicity examiners. Ultimately you might need to move homes or work place.
Nutrition
There is a wealth of knowledge, diets and recipes online so we will not reinvent the wheel. There are also many different types of health diets, and analyzing the impact of each on Adrenal Fatigue is beyond the scope of this plan.
In general, there are three key steps we recommend you take to heal your gut and regain balance in your sugar levels.
Step 5
Natural cure for dysbiosis
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Introduce a daily morning shake which uses natural ingredients to kill off bad bacteria and parasites.
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Your daily morning shake should have these four ingredients: Papaya with seeds (usually a fourth of a small papaya), pineapple with heart (a fourth of a small pineapple), a few cloves (10 or so), and a handful of pumpkin seeds. These four ingredients are very effective natural anti parasitic ingredients and will help eliminate the bad gut microorganisms.
Step 6
Cut gluten
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Gluten is one of the favorite foods for bad bacteria and parasites. We recognize it can be hard to cut gluten given it is in many of the foods we are used to.
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The rule of thumb is to exclude anything with wheat such as bread and pasta and replace with gluten free carbohydrates such as rice and potatoes. As usual, unrefined and wholegrain forms are best. This is only necessary for the duration of the plan.
Step 7
Reduce refined sugars
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Sugars are the other favorite food for the bad bacteria and other microorganisms.
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Cut down on anything that is outright sweet including chocolates, fruit juices and deserts. Some non-sweet foods can also be high in hidden sugar, such as tomato sauces. If you want some sweet flavor have a small amount of your favorite fruit instead.
Supplements
Step 8
B-vitamins
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B-vitamins are extremely important in many metabolic processes, and some are directly involved with the manufacturing of adrenal hormones.
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We often do not consume enough B-vitamins through our diet. But even if we do, given B-vitamins are water soluble, we lose them by consuming diuretics such as caffeine and alcohol, or by requiring more than we consume when under sustained stress and inflammation. The result is that we are typically in significant deficit.
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Key B-vitamins include:
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B1 (Thiamine): B1 is important for cells to work efficiently, for adequate nerve and muscle function, cell energy production and processing of glucose.
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B2 (Riboflavin): B2 is important for mitochondria functioning, the part of cells which generate energy. It also strengthens the nervous system.
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B3 (Niacin): B3 increase the levels of HDL, the good cholesterol, and is an essential ingredient for the production of adrenal hormones.
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B5 (Pantothenic Acid): B5 is the most important B-vitamin for adrenal function, especially for cortisol, and reduces adrenal gland sensitivity. B5 is also important for carbohydrate processing and nervous system support.
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B6 (Pyridoxine): B6 is also important for the production of adrenal hormones and nerve functioning.
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B12 (Cyanocobalamin): B12 helps with nerve function, cell health, and the synthesis of adrenal hormones.
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We recommend having a high dosage B-complex during Phase 2: Recover. For ongoing B-vitamin supplementation, it is better to have more normal amounts as over the long term very high dosages can increase their risk of toxicity.
Step 9
Vitamin C
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The immunological benefits of Vitamin C are well known. Less well known is that Vitamin C is also necessary for the production of adrenal hormones, bone health, production of collagen, cellular reactions, and is a great antioxidant.
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We recommend having a high daily dose through Phase 2: Recover to support the adrenals and strengthen your immune system. Some Vitamin C supplements come with Zinc, which is also an important mineral. However, be mindful that copper is another crucial mineral involved in Adrenal Fatigue recovery. Zinc acts as the counterbalance to Copper, so excessive Zinc supplementation can reduce Copper in the body and hinder recovery.
Step 10
Iodine
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Iodine is required for optimal functioning of the endocrine system, which includes the adrenals. Low levels of Iodine can affect the ability of the adrenals to produce cortisol.
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Environmental toxins such as chlorine and fluorine, typically found in water, can also make it harder for the body to absorb Iodine. Iodine supplements are typically derived from sea kelp.
Step 11
Probiotics
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Rebuilding your gut flora includes removing foods which feed the bad microorganisms (covered in Phase 1: Balance), as well as adding good microorganisms through probiotics (live cultures) and having prebiotic foods, which help good microorganisms grow.
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There are many types of good bacteria and yeasts which symbiotically interact with your body on virtually every metabolic process, including food breakdown, nutrient absorption, fighting off infections and reducing digestive tract inflammation.
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Most probiotic supplements will focus on strains from the best known genera, such as:
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Lactobacillus: Strains of this family will appear on supplement labels starting with L. such as L. acidophilus. This is the type you find in fermented foods such as yogurts., and it helps with food and nutrient breakdown.
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Bifidobacterium: Strains of this family will appear on supplements starting with the letter B. This type helps with digestive tract inflammation, fighting off infections, and breaking down foods such as carbohydrates.
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Saccharomyces boulardii: A type of good yeast which helps the digestive process, helps manage all types of inflammation, as well as controls bacterial overgrowth.
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Lifestyle
Step 12
Exercise
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Exercise helps in many ways as we are often told, and it is true. It improves circulation and strength, and it even makes you feel better through endorphin release. However, too little or too much exercise can be detrimental as it can apply stress to your adrenals. In general, the key during Phase 2: Recover is to exercise consistently but in moderation.
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Equally, ensure you have a blend of the three main types of physical activity, anaerobic (weightlifting), aerobic (swimming, jogging) and flexibility (yoga, stretching). This balance will ensure you maximize and obtain well rounded health benefits without applying too much pressure on your adrenals.
Phase 3: Thrive (Ongoing)
Now that you have completed Phase 2: Recover, typical symptoms of Adrenal Fatigue should be improving. We now move on to the last phase of the plan. Try not to fall back to old habits so you do not lose the ground you have gained.
In Phase 3: Thrive, the aim is to get your body to operate optimally, enhance your mental focus, derive sustainable energy and solidify the resilience of your new balanced state.
Supplements
Step 1
Adaptogens and natural anti-inflammatories
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A number of root supplements are effective adaptogens and have anti-inflammatory properties.
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Adaptogens are natural herbal ingredients which help the body adapt and resist environmental stresses, as well as improve a number of metabolic process. They have been used since ancient times for their properties and modern research has confirmed their beneficial properties.
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Ashwagandha: Main benefits include helping to reduce stress and anxiety, help fight mood issues such as mild depression, and boost brain function. Importantly it also helps balance cortisol levels in the blood.
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Rhodiola: Increases energy naturally, improves mental capacity, reduces stress, boosts adrenal function and enhances sleep quality.
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Gingko Biloba: Improves heart health, blood circulation to organs, brain function, and it is an anti-oxidant and anti-inflammatory.
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Turmeric: Contains the active ingredient Curcumin which is an effective overall body anti-inflammatory.
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Step 2
Amino Acids
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L-Theanine: An amino acid which is most commonly found in tea leaves and plays an important role in maintaining the gains of Adrenal Fatigue recovery. It promotes calmness and helps reduce anxiety and stress without any sedative effects. It has also been associated with improved focus.
Lifestyle
While the recovery plan focuses on reducing physical stressors, it is also important to learn how to manage mental sources of stress. Here we offer tasters on some of them, but we encourage you to do additional research on how these could help you in your day to day life.
Step 3
Meditation
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There are many types of meditation. In essence, meditation aims to help create awareness about your thoughts and feelings, the ability to observe them without reacting, and generate a sense of calm understanding about yourself and your circumstances.
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Meditation often emphasizes deep and controlled breathing as a way to focus attention and letting go of any thoughts clouding awareness. These are both effective tools which mechanically relax the body and help manage the effects of stress on the mind.
Step 4
Sleep
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Checking your sleep hygiene will also be important to build on your gains so far. At the beginning of the process, it can be challenging to improve sleep quality as it is physiologically disrupted by nutrient deficiencies, adrenal hormone production at the wrong times, and symptoms such as anxiety.
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In Phase 3: Thrive, you can focus on creating a new sleep routine which focuses both on quantity and quality. There is ample literature about how to improve sleep quality, but some key pointers include daily exercise, avoid eating too close to bed time, wear earplugs for noise, wear a face mask or cover curtains to reduce light in the morning, block blue light from devices at night which discourage melatonin production, and if possible decrease your room temperature slightly to promote deeper sleep.
A note on supplements
Taking the right supplements will be very important in your recovery process. , However, you should ensure:
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Your supplements have the right blend of relevant ingredients
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In the right form (as some vitamins and minerals have the same name but come in different chemical forms)
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From an optimal source, as some branded ingredients have better research backing their claims and are more easily absorbed by the body (bioavailability)
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In at least the amounts which research has shown to be necessary to see any effect, but well below any toxicity thresholds
There are many different supplement blends and brands in the market. We searched far and wide and compared different supplements according to the factors above. We have included some recommended products where the program suggests taking supplements.
As it relates to Adrenal Fatigue recovery, you can split supplement ingredients into three types which will help your body:
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Cope with the symptoms
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Manufacture adrenal hormones (building blocks or precursors)
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Operate optimally again