Adrenal Fatigue: Diagnosis & Treatment

Your patient presents with chronic low energy. Adrenal fatigue is a possible diagnosis however, depression shares many of the same symptoms. How best to get to the truth? Adrenal Fatigue: Diagnosis and Treatment next on Nutramedica.

Adrenal fatigue theory suggests that prolonged exposure to stress could drain the adrenals leading to a low cortisol state. Adrenal depletion would cause brain fog, low energy, depressive mood, sweet cravings and lightheadedness. Many of these symptoms can also point to depression. How best to get to the truth?

Dr Philip Rouchotas, ND is a naturopathic doctor and frequent contributor to Nutramedica. With an area of focus that includes mental health he is uniquely qualified to shine a light on how to get to the truth about adrenal fatigue and depression.

Key Take-Aways


The Adrenal Fatigue Controversy
Adrenal fatigue is a controversial diagnosis. Dr Philip Rouchotas unpacks the controversy, revealing the difference between Addison’s disease and Adrenal Fatigue and why after 20 years in practice, he is convinced adrenal fatigue is more than just a theory.

Symptoms: Adrenal Fatigue vs Depression
Dr Rouchotas shares his protocols for differentiating between a patient who is suffering from chronic fatigue or depression - and one who has adrenal insufficiency or depletion. 

Underlying Causes Of Adrenal Fatigue
Adrenal fatigue is caused by chronic stress, either mental, emotional or physical. Dr Rouchotas explains why a detailed patient questionnaire is an important tool in diagnosing adrenal fatigue. 

Treatment of Adrenal Fatigue
After over 20 years treating adrenal fatigue, Dr Rouchotas shares his preferred treatments, including the adaptogens he has found to be most effective.

Key Quote  

“If you say “adrenal fatigue” to your medical doctor, they will laugh at you and tell you it doesn't exist. Yet clinically, this is very real. There's no ifs, ands or buts. 

There are tests you can do to help confirm the naturopathic diagnosis. If you quantify cortisol either in blood or saliva and you find it below normal range.

My approach is I never assume adrenal fatigue first. I always assume depression first..”

Dr Philip Rouchotas, ND



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