Adrenal Fatigue (HPA Axis Dysfunction)

Adrenal fatigue, more accurately termed HPA (hypothalamic-pituitary-adrenal) axis dysfunction, occurs when chronic stress leads to dysregulated cortisol production. This can manifest as either elevated or depleted cortisol levels at inappropriate times, causing fatigue, sleep disturbances, immune dysfunction, and metabolic issues. Functional medicine addresses the stressors and supports the HPA axis to restore healthy cortisol rhythms.

Common symptoms

• Persistent fatigue, especially morning fatigue
• Difficulty waking up despite adequate sleep
• Energy crashes in afternoon
• Difficulty handling stress
• Cravings for salt and sugar
• Reliance on caffeine for energy
• Weakened immune system and frequent infections
• Brain fog and poor concentration
• Low blood pressure and dizziness upon standing
• Difficulty losing weight

HPA Axis Evaluation

We assess cortisol patterns throughout the day to identify dysregulation and evaluate contributing factors.