Back Clinic Adrenal Fatigue (AF) Chiropractic and Functional Medicine Team. The adrenal glands are the main control center for stress responses outside the nervous system. Your body has two adrenal glands, which are about the size of a walnut, located directly above the kidneys. They control your body’s responses by secreting cortisol, a hormone that helps your body cope with stress.
Properly functioning adrenal glands are a keystone to overall health and wellbeing. However, due to today’s high-stress society, this natural defense can easily become disrupted, allowing toxins to accumulate and do great damage to the body.
Excessive and chronic stress can overburden the adrenal glands, inhibiting hormone output and causing the body’s natural coping mechanisms to fail. As stress and fatigue advance, new symptoms and ailments associated with Adrenal Fatigue (AF) will emerge.
Early-stage symptoms include low blood pressure, insomnia, and lethargy; advanced-stage symptoms include anxiety, panic disorders, heart palpitations, low libido, medication hypersensitivity, and food sensitivities.
All of these symptoms can negatively affect your daily life. Eventually, as the NEM stress response fails, even the smallest bodily stresses can seem unbearable because your body’s natural coping mechanisms have been slowed and overloaded.
In many situations, stress or cortisol in the body allows the host to go into a “fight or flight” response that works together with the sympathetic nervous system. In its acute form, stress enables the individual to experience various symptoms quickly and doesn’t last very long. However, when there is residual stress still in the body over an extended period can cause havoc to the body and affect a person’s well-being is known as chronic stress. To that point, when the body is dealing with chronic stress, over time can become at risk of developing chronic disorders associated with chronic issues affecting the endocrine system. One of the endocrine disorders that correlate with chronic stress is Cushing syndrome. Today’s article examines Cushing syndrome, its symptoms, and ways to manage Cushing syndrome in the body. We refer patients to certified providers specializing in endocrinology treatments to aid individuals suffering from Cushing syndrome. We also guide our patients by referring them to our associated medical providers based on their examination when it’s appropriate. We find that education is the solution to asking our providers insightful questions. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer
Have you been experiencing abnormal weight gain around your midsection? What about feeling tired throughout the entire day? Or has your mood been changing all day? Many of these symptoms that you are experiencing could potentially make you at risk of developing Cushing syndrome. Cushing syndrome is an endocrine disorder that causes the brain’s anterior pituitary to produce excessive ACTH (adrenocorticotropic hormone), leading to excess cortisol release from the adrenal glands. In the endocrine system, cortisol is a hormone produced in the adrenal glands above the kidneys. These hormones help the body by:
Maintaining blood pressure
Regulates glucose levels
Reduces inflammation in the body
Converts food into energy
When the adrenal glands overproduce cortisol, it causes the body to be on high alert and can become a risk of developing chronic symptoms associated with Cushing syndrome. Studies reveal that Cushing’s disease (a condition where the pituitary glands overproduce ACTH and turn into cortisol) becomes associated with an increased risk of cardiovascular and metabolic disorders that overlaps chronic symptoms, thus affecting the body.
When the body is dealing with Cushing syndrome, studies reveal that chronic exposure to excess cortisol could potentially be involved with its associated comorbidities that contribute to decreasing a person’s quality of life. When a person has the signs of Cushing syndrome, the symptoms are unmistakable as the symptoms vary in different people. One of the prominent symptoms of Cushing’s syndrome is rapid weight gain along the face, abdomen, back of the neck, and chest. Some other symptoms associated with Cushing’s syndrome include:
High blood pressure
Purple/red stretch marks along the abdomen
Weak, thin muscles along the arms and legs
Excessive hair growth in some regions of the body
An Overview Of Cushing Syndrome-Video
Have you been experiencing rapid weight gain along your face, neck, and abdomen? What about feeling stressed constantly? Or have you noticed that your memory is declining? Many of these symptoms are associated with an endocrine disorder called Cushing syndrome. The video above explains what Cushing’s syndrome is, its causes and symptoms, and how to treat Cushing’s syndrome. Cushing syndrome is developed when the adrenal glands produce an excessive amount of cortisol in the body. When the body is suffering from too much cortisol caused by Cushing syndrome, one of the symptoms is bone fractures associated with Cushing syndrome. Studies reveal that the skeletal system is one of the common targets that cause glucocorticoids to attach themselves to the skeletal joints. To that point, Cushing syndrome causes structural and functional impairment to the skeletal system associated with morbidity and disability to many individuals. Fortunately, there are many ways to manage Cushing syndrome and lower cortisol levels in the body.
How To Manage Cushing Syndrome
Since stress/cortisol is beneficial and harmful to the body, it has a causal relationship with the organs and tissues in the body. The body needs cortisol to regulate the metabolism and functionality of the endocrine organs. Too much cortisol causes the development of Cushing syndrome, and fortunately, there are ways many individuals can manage this endocrine disorder while keeping an eye on their cortisol levels. Many individuals suffering from weight gain from Cushing syndrome should try to find an exercise regime that their primary physician recommends to lose weight and improve their muscle strength little by a little. Other ways that individuals can manage Cushing syndrome are by:
Eating nutritious foods that are anti-inflammatory and taking supplements that have calcium and vitamin D.
Meditation or yoga can help calm the mind, and taking deep breaths can help relax the body while lowering cortisol levels.
Incorporating massages and chiropractic care to alleviate muscle and joint pain caused by Cushing syndrome. Chiropractic care and massages can help loosen stiff muscles and support the joints to regain their range of motion in the body.
Slowly incorporating these lifestyle changes can lower cortisol levels and help prevent Cushing’s syndrome from progressing further in the body while helping the individual get back on their health journey.
The body needs cortisol or stress to get through stressful situations that a person is going through. Cortisol is a hormone formed from the adrenal glands that help regulate the body’s metabolism and provide the functionality to the organs and tissues. In its acute and chronic form, cortisol can range from mild to severe depending on the body’s situation. The body risks developing Cushing’s syndrome when the adrenal glands overproduce cortisol. Cushing syndrome is an endocrine disorder that causes an increased risk of metabolic disorders associated with chronic symptoms like weight gain around the face, neck, and abdomen. Luckily, there are ways to manage Cushing’s syndrome and lower cortisol levels by incorporating an exercise regime, eating anti-inflammatory foods filled with calcium and vitamin D, meditation to calm the mind, and incorporating deep breaths to lower cortisol levels. Utilizing these small changes can significantly impact the body while helping the individual better manage their cortisol levels.
Buliman, A, et al. “Cushing’s Disease: A Multidisciplinary Overview of the Clinical Features, Diagnosis, and Treatment.” Journal of Medicine and Life, Carol Davila University Press, 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC5152600/.
Faggiano, A, et al. “Spine Abnormalities and Damage in Patients Cured from Cushing’s Disease.” Pituitary, U.S. National Library of Medicine, Aug. 2001, pubmed.ncbi.nlm.nih.gov/12138988/.
Re-energize from a lack of energy and fatigue with Bio-chiropractic. Millions of individuals struggle to get through the day or night depending on work/school schedules because of deficient energy levels that result in fatigue. Unfortunately, many begin taking over the counter or prescription medication, drinking coffee or highly caffeinated/energy beverages, or taking days off to catch up on rest. There is a wide range of high-sugar and caffeine energy products to help with fatigue. But, research has shown how overconsumption of these products can contribute and/or cause:
High blood pressure
When a tired body takes in caffeinated energy, it is only for a temporary energy boost.
Energy products can mask the fatigue causation. This could be a disease, a type of condition, or an overlapping of causes.
The nervous system is the body’s life energy source. It is responsible for facilitating millions of functions that occur throughout the body every day. These include:
Shifts the spine out of alignment, placing added pressure on the delicate nerves in the neck and back.
The compression causes nerve interference that disrupts optimal nerve energy flow from reaching the organs. This leads to:
Bio-Chiropractic is a scientific and researched based form of musculoskeletal corrective care. It aims to unblock nerve interference through the proper realignment of the spine, returning it to its proper curvature. As a result, many individuals under chiropractic care report immediate relief from neck or back pain, along with a vibrant, energized feeling, and with time their overall health improves.
Body Composition Feedback
Malnutrition can be defined as a deficiency, excess, or imbalance in an individual’s intake of energy and nutrients. Protein-energy deficiency is a common form of malnutrition. It is a health condition that can have immediate/negative effects on body composition. This deficiency causes damage to skeletal muscle mass as the body progresses into starvation mode, breaking down its own protein stored in the muscles for fuel.
Micronutrient deficiency is a lack of nutrients like minerals and vitamins. These support important functions like cell regeneration, the immune system, and eyesight. Common examples are iron and/or calcium deficiencies. Micronutrient deficiency has the greatest impact on the body’s physiological functions/processes. They can occur at the same time that protein-energy deficiency is happening overlapping each other. Nutritional deficiencies can impact processes like:
Building and repairing muscle
Protein-energy deficiency has a more pronounced effect on body composition, as lowered protein intake can lead to increased losses in muscle mass.
Berkson, D L. “Osteoarthritis, chiropractic, and nutrition: osteoarthritis considered as a natural part of a three-stage subluxation complex: its reversibility: its relevance and treatability by chiropractic and nutritional correlates.” Medical hypotheses vol. 36,4 (1991): 356-67. doi:10.1016/0306-9877(91)90010-v
Jensen, Gordon L et al. “Recognizing malnutrition in adults: definitions and characteristics, screening, assessment, and team approach.” JPEN. Journal of parenteral and enteral nutrition vol. 37,6 (2013): 802-7. doi:10.1177/0148607113492338
Oakley, Paul A et al. “Restoring lumbar lordosis: a systematic review of controlled trials utilizing Chiropractic Bio Physics® (CBP®) non-surgical approach to increasing lumbar lordosis in the treatment of low back disorders.” Journal of physical therapy science vol. 32,9 (2020): 601-610. doi:10.1589/jpts.32.601
An examination of the cervical/neck region of the spine through chiropractic will help determine a thyroid diagnosis for individuals complaining of chronic fatigue. A thyroid dysfunction means going deeper into the body�s physiology and a thorough examination of the spine. Checking for subluxations in the cervical spine will reveal possible nerve blockage and any other contributing factors to a thyroid condition. Thyroid conditions tend to get overlooked because the symptoms are general. They range from:
These are cornerstones of a thyroid condition. Under-active thyroid and/or thyroid cancer can have an impact on everyday life regardless of the severity. However, these symptoms can signify numerous other conditions.
The Cervical Spine
The nerves connected to the thyroid gland can be traced down the spine to the last neck/cervical vertebrae, which is C7. A chiropractor will examine this region when individuals complain of fatigue, brain fog, or moodiness. Subluxation, translation, or disc deterioration at C7 could mean that the nerve signals and blood circulation to the thyroid are limited, interrupted, or completely blocked.
Linking cervical spine dysfunction to thyroid dysfunction
Spinal subluxations are not the full cause of thyroid dysfunction. A single vertebra might not show signs of movement, which means a chiropractor could have to look further into the spine. A chiropractic examination will search for problems that correlate with thyroid issues. For example, individuals with a cervical dysfunction could experience general nerve issues in this area. It could be a contributor to nerve signals not being delivered to the thyroid gland. Diagnosis of a root condition that has secondary effects on the gland is another way to qualify a thyroid condition.
Questions that will be asked by a chiropractor during an exam could consist of:
Is there a family history of hyper/hypothyroidism?
Is the individual under intense stress from work, home, etc?
Are there other symptoms that could be associated with thyroid dysfunction?
All details are necessary for connecting nerve interruption to thyroid conditions then factoring how spinal manipulation could alleviate symptoms.
Cervical Misalignment Treatment
Combining the evidence of:
Cervical spine dysfunction
Any further symptoms/details will help form a complete picture of a thyroid condition. If that condition is being tested or treated by a general physician, it may still benefit from a chiropractic adjustment. Physicians could recommend diet and medication to bring the thyroid back to proper function, and chiropractic can help improve the nerve function of the gland. This includes:
Re-opening pinched pathways
Restored blood flow to the region
Helping nerve signals fire transmit properly
We advocate for an incremental, customized approach to restore cervical spine curvature and optimal nerve health. We have worked with a variety of individuals experiencing chronic fatigue, mental fog, and moodiness, and have helped link these symptoms to thyroid dysfunction. If it seems that there is constant confusion or disorganized thought patterns, schedule an appointment with us today to learn more about our chiropractic approach.
Neck Pain Chiropractic Care
Dr. Alex Jimenez�s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
Arick, Christopher T. �Chiropractic Management of a Patient With Chronic Fatigue: A Case Report.��Journal of chiropractic medicine�vol. 15,4 (2016): 314-320. doi:10.1016/j.jcm.2016.08.006
The adrenal glands are small glands located on top of the kidneys, and they are essential for our everyday wellness because they create a variety of hormones, such as cortisol and sex hormones. In addition, the adrenal glands create hormones that control sugar and blood pressure, react to stress, and burn protein and fat. If these small glands don’t create enough of the essential hormones for our everyday wellness, it can ultimately cause various health issues. Adrenal fatigue is a health issue recognized by many healthcare professionals. However, there is no evidence to prove that the condition exists. Adrenal fatigue is characterized as a collection of non-specific symptoms. James Wilson, Ph.D., naturopath, and alternative healthcare professional, coined the term in 1998 when he first identified the condition as a collection of associated symptoms when the adrenal glands aren’t functioning accordingly. He also described that the condition is typically associated with severe stress and fatigue that doesn’t get better with sleep, followed by other health issues, such as bronchitis, flu, or pneumonia. In the following article, we will discuss how to improve adrenal fatigue with diet ultimately.
What is Adrenal Fatigue?
According to healthcare professionals, adrenal fatigue can commonly develop in people that have experienced mental, physical, or emotional stress for an extended period of time. However, as previously mentioned, there is currently no evidence to prove that the condition exists. Many doctors are also concerned that if a patient is told that they have this condition, it may ultimately cause them to miss another underlying source of their symptoms that probably also won’t be diagnosed and treated accordingly. However, there are a variety of other health issues that may affect the adrenal glands. Adrenal fatigue develops when the adrenal glands are overworked due to chronic stress. Many healthcare professionals believe that excessive, long-term stress causes these small glands to become fatigued and unable to keep up with the demands to produce enough hormones. All of the symptoms below are relatively generic; however, they could signal an underlying health issue. Many of the symptoms could also be due to a busy life and a lack of sleep and caffeine addiction, poor nutrition, or increased amounts of stress. The common symptoms associated with adrenal fatigue can include:
craving sugar and salt
abnormal weight loss
trouble getting to sleep and waking up
dependence on stimulants like caffeine
nonspecific digestive problems
What is Adrenal Insufficiency?
Adrenal insufficiency, commonly referred to as Addison’s disease, develops when the adrenal glands aren’t producing enough hormones we need for overall health. Adrenal fatigue is believed to be a mild type of adrenal insufficiency caused by severe stress over a long period of time. Adrenal insufficiency develops when the adrenal glands are damaged, causing them not to produce enough hormones, including cortisol and aldosterone. Cortisol regulates our stress response, while aldosterone regulates sodium and potassium. Symptoms associated with adrenal insufficiency can include:
headaches or head pain
loss of appetite
unexplained weight loss
loss of body hair
irregular menstruation in women
irritability and/or depression
low blood pressure
abdominal pain, nausea, and diarrhea
In more severe cases, when the adrenal glands aren’t producing enough of the necessary hormones due to adrenal insufficiency, you may experience:
low blood pressure
Understanding the Adrenal Fatigue Diet
As previously mentioned, adrenal fatigue is a health issue that occurs when the adrenal glands aren’t creating enough of the essential hormones we need for our everyday wellness. Fortunately, many healthcare professionals recommend following the adrenal fatigue diet to help improve symptoms ultimately. The adrenal fatigue diet is a nutritional treatment approach that helps improve adrenal fatigue. The adrenal fatigue diet can increase energy levels and control various bodily functions because it promotes healthier eating habits and lifestyle modifications. Following the adrenal fatigue diet can help promote:
proper adrenal gland function
increased nutrients in the body
balanced blood pressure
reduced stress levels
Moreover, the adrenal fatigue diet is similar to the most balanced diets recommended by healthcare professionals, including eating plenty of vegetables, high-protein foods, and whole grains. This nutritional treatment approach aims to naturally increase your energy levels for the body, not burn too many essential nutrients. The adrenal fatigue diet is still being tested. Healthcare professionals are still performing research studies on adrenal fatigue. However, it has been demonstrated that eating a proper diet, and lifestyle modifications can ultimately make you feel overall wellness.
Foods to Eat with Adrenal Fatigue
Following a balanced diet is the best way to regulate the essential functions of the human body and maintain overall wellness. Healthcare professionals recommend eating complex carbohydrates, proteins, and healthy fats. Also, eat plenty of vegetables to get the necessary amount of vitamins and minerals and eat foods that are high in vitamin C, B vitamins, and magnesium to support the adrenal glands. It’s also essential to stay hydrated. Dehydration can affect your stress levels and make the adrenal glands produce cortisol. Foods to eat on the adrenal fatigue diet can include:
leafy greens and colorful vegetables
healthy fats such as olive oil and coconut oil
sea salt (in moderation)
Foods to Avoid with Adrenal Fatigue
Although the adrenal fatigue diet also doesn’t require any major dietary restrictions that could harm your health, you should still talk with your healthcare professional before changing your eating habits. If you begin to experience any adverse symptoms or if the adrenal fatigue diet makes your condition worse, visit your healthcare professional immediately. Furthermore, if you decide to try following the adrenal fatigue diet, many healthcare professionals recommend limiting foods and drinks high in refined and processed sugars and fats. Several foods to avoid eating with adrenal fatigue can include:
refined white sugar
refined white flour
The adrenal glands are small glands found on top of each kidney. The outer region of the adrenal gland, known as the adrenal cortex, creates a variety of hormones, including cortisol and aldosterone. The inner region of the adrenal gland, known as the adrenal medulla, creates other hormones, such as adrenaline or epinephrine and norepinephrine. These essential hormones are necessary for a variety of functions in the human body, including: regulating sugar, salt, water, metabolism, and blood pressure, as well as regulating stress and inflammation, among other essential bodily functions. Adrenal fatigue can commonly develop in people that have experienced severe mental, physical, or emotional stress for an extended period of time. However, as previously mentioned above, there is currently not enough evidence to ultimately prove that the condition exists.– Dr. Alex Jimenez D.C., C.C.S.T. Insight
The adrenal glands are small glands located on top of the kidneys, and they are essential for our everyday wellness because they create a variety of hormones, such as cortisol and sex hormones. In addition, the adrenal glands create hormones that control sugar and blood pressure, react to stress, and burn protein and fat. If these small glands don’t create enough of the essential hormones for our everyday wellness, it can ultimately cause various health issues. Adrenal fatigue is a health issue recognized by many healthcare professionals; however, there is no evidence to prove that the condition exists. Instead, adrenal fatigue is characterized as a collection of non-specific symptoms. James Wilson, Ph.D., naturopath, and alternative healthcare professional, coined the term in 1998 when he first identified the condition as a collection of associated symptoms when the adrenal glands aren’t functioning accordingly. He also described that the condition is typically associated with severe stress and fatigue that doesn’t get better with sleep, followed by other health issues, such as bronchitis, flu, or pneumonia. In the article above, we will discuss how to improve adrenal fatigue with diet ultimately.
The scope of our information is limited to chiropractic, musculoskeletal, and nervous health issues or functional medicine articles, topics, and discussions. We use functional health protocols to treat injuries or disorders of the musculoskeletal system. Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.
Curated by Dr. Alex Jimenez References:
Newman, Tim. Adrenal Fatigue: Myths, Symptoms, Disorders, and Treatment. Medical News Today, MediLexicon International, 27 June 2018, www.medicalnewstoday.com/articles/245810.php#treatment.
[wp-embedder-pack width=”100%” height=”1050px” download=”all” download-text=”” attachment_id=”52657″ /] The following Neurotransmitter Assessment Form can be filled out and presented to Dr. Alex Jimenez. The following symptoms listed on this form are not intended to be utilized to diagnose any type of disease, condition, or other type of health issue.
Additional Topic Discussion: Chronic Pain
Sudden pain is a natural response of the nervous system which helps to demonstrate possible injury. By way of instance, pain signals travel from an injured region through the nerves and spinal cord to the brain. Pain is generally less severe as the injury heals. However, chronic pain is different than the average type of pain. The human body will continue sending pain signals to the brain with chronic pain, regardless of the injury has healed. Chronic pain can last for several weeks to even several years. Chronic pain can tremendously affect a patient’s mobility, reducing flexibility, strength, and endurance.
Neural Zoomer Plus for Neurological Disease
Dr. Alex Jimenez utilizes a series of tests to help evaluate neurological diseases. The Neural ZoomerTM Plus is an array of neurological autoantibodies which offers specific antibody-to-antigen recognition. The Vibrant Neural ZoomerTM Plus is designed to assess an individual’s reactivity to 48 neurological antigens with connections to various neurologically related diseases. The Vibrant Neural ZoomerTM Plus aims to reduce neurological conditions by empowering patients and physicians with a vital resource for early risk detection and an enhanced focus on personalized primary prevention.
Food Sensitivity for the IgG & IgA Immune Response
Dr. Alex Jimenez utilizes a series of tests to help evaluate health issues associated with various food sensitivities and intolerances. The Food Sensitivity ZoomerTM is an array of 180 commonly consumed food antigens that offers particular antibody-to-antigen recognition. This panel measures an individual’s IgG and IgA sensitivity to food antigens. Being able to test IgA antibodies provides additional information to foods that may be causing mucosal damage. Additionally, this test is ideal for patients who might be suffering from delayed reactions to certain foods. Finally, utilizing an antibody-based food sensitivity test can help prioritize the necessary foods to eliminate and create a customized diet plan around the patient’s specific needs.
Gut Zoomer for Small Intestinal Bacterial Overgrowth (SIBO)
Dr. Alex Jimenez utilizes a series of tests to help evaluate gut health associated with small intestinal bacterial overgrowth (SIBO). In addition, the Vibrant Gut ZoomerTM offers a report that includes dietary recommendations and other natural supplementation like prebiotics, probiotics, and polyphenols. The gut microbiome is mainly found in the large intestine. It has more than 1000 species of bacteria that play a fundamental role in the human body, from shaping the immune system and affecting the metabolism of nutrients to strengthening the intestinal mucosal barrier (gut-barrier). Therefore, it is essential to understand how the number of bacteria that symbiotically live in the human gastrointestinal (GI) tract influences gut health because imbalances in the gut microbiome may ultimately lead to gastrointestinal (GI) tract symptoms, skin conditions, autoimmune disorders, immune system imbalances, and multiple inflammatory disorders.
Formulas for Methylation Support
Modern Integrated Medicine
The National University of Health Sciences is an institution that offers a variety of rewarding professions to attendees. Students can practice their passion for helping other people achieve overall health and wellness through the institution’s mission. The National University of Health Sciences prepares students to become leaders at the forefront of modern integrated medicine, including chiropractic care. Students have an opportunity to gain unparalleled experience at the National University of Health Sciences to help restore the natural integrity of the patient and define the future of modern integrated medicine.
Trouble concentrating, mood swings, headaches, and fatigue could be a common occurrence in one’s day to day life.� These symptoms are commonly brushed off as lack of sleep but did you know these symptoms are also side effects of hormone imbalance?�
Hormone imbalance is fairly common and can be tested for and treated. One of the most accurate tests to date that checks for hormone imbalances is the D.U.T.C.H test.�
What Is It?
D.U.T.C.H is a type of hormone testing that stands for Dried Urine Test for Comprehensive Hormones. Dried urine samples make it possible for scientists to see a whole day of hormones and quantify aspects that are distinct. Unlike obtaining information from a blood draw, urine contains different components that provide scientists with a new line of insight.
What Is The Goal?
When it comes to a hormone imbalance, the adrenal glands may have a large impact. The adrenals are two small glands that sit on top of the kidneys. These small glands are responsible for producing vital hormones such as sex hormones and cortisol. These hormones help the body respond to stress along with other functions.�
With the turn around time being around 10 business days, individuals can gain control and receive the insight they may have been missing. �Precision Analytical (the founders of D.U.T.C.H) employs the most innovative instruments to achieve the best outcomes for patients. The main purpose is to create an understanding of what is currently going on in the patient’s body and allows the treatment to become more specific and targeted to the needs of the individual.
There are different D.U.T.C.H tests that may be completed depending on the patient’s needs. The three main tests are
Dutch Complete– This is a comprehensive assessment of sex and adrenal hormones and their metabolites. This test measures progesterone, androgen, estrogen metabolites, cortisol, cortisone, cortisol metabolites, creatine, DHEA-S.�
Dutch Plus– This test uses 5 -6 saliva samples as well as 4 urine samples to provide the up and down pattern of cortisol and cortisone throughout the day. This test adds salivary cortisol measurements of the cortisol awakening response (CAR) to the dutch complete to bring another important piece of the HPA axis into focus
Dutch Test Cycle Mapping– This test maps the progesterone and estrogen pattern throughout the menstrual cycle. It provides the full picture of a woman’s cycle to answer important questions for patients with month-long symptoms, infertility, and PCOS. This test is targeted to measure 9 estrogens and progesterone that are taken throughout the cycle to characterize the follicular, ovulatory, and luteal phases.�
How Does This Operate?
Precision Analyical, Inc. has found a way to utilize scientists who have extensive experience and coupled them with the most advanced analytical methods and instruments. This permits them to achieve the best outcomes when it comes to the D.U.T.C.H test.
One of the reasons that many practicing offices have started to utilize D.U.T.C.H evaluations is because they have an extremely simple sample collection. Patients will collect dried urine samples within a span of 24 hours. The urine samples offer results that are excellent because the collections provide the span of a patients entire day of hormones.�
For the D.U.T.C.H test, the patient will collect 4-5 urine samples throughout a 24 hour time period. Upon opening the kit, the patient will be faced with a folder. This folder includes step by step instructions as well as a pocket. Inside the pocket, the patient will find a requisition form, an envelope, and a small clear plastic bag containing the collection paper.�
Each sample will be completed on a separate collection sheet that is labeled with the time. Once the patient opens this bag, they will be able to unfold the first sample paper. The patient will obtain the initial sample at approximately 5pm ( dinnertime). Once the samples are taken, they are to be left open to dry for 24 hours. The second sample is to be taken around 10 pm (bedtime). This third sample depends upon each individual, but in the event, the patient awakens to urinate during the night, a sample is to be gathered. The next sample ought to be collected within 10 minutes of rising. It’s very important that the patient does not lay in bed after waking and they amass this sample within the 10 minute time period that is allotted. Once the patient has collected their morning sample upon rising, they should set an alarm for two hours, since this is when the final sample will be collected. As soon as all the samples have been collected and set out open to dry for 24 hours, the patient can fold them back up and fill out the information on the back of the card ( i.e first name, last name, date of collection, time, and day of cycle for women) and place them inside the clear plastic bag.�
From here, the patient can place the plastic bag full of their samples along with the requestion form in the envelope provided. Next, place 8 stamps in the correct corner, and send it off to the lab!�
For the D.U.T.C.H Plus test, individuals will collect dried urine samples as well as saliva samples. This is best so researchers can utilize information from both collection samples to measure the cortisol and cortisone markers as well. For this test, it is completed in a 24 hour time window with 4 dried urine samples and 5 or 6 (depending on the individual) salvia samples. This test may sound more complicated, but it has a fairly easy schedule that makes it just as simple as the D.U.T.C.H complete. The kit will include labeled urine and salvia collection methods along with easy to read instructions.�
When opening this test, the patient will find an instruction book, a requisition form, 4 collection sheets for the urine (labeled with the time) and 6 labeled tubes for the saliva. For all the urine samples, fill out the backside of the card as prompted (last name, first name, date, and time). Saturate the filter paper or urinate into a clean cup and dip the filter paper for 5 seconds. Once this step is completed, leave the sample open to dry for 24 hours.�
For the saliva samples, take out the appropriate tube for the time it is to be collected. Just as done with the urine, fill out the allotted area requesting last name, first time, sample date and time. The saliva tubes have a blue cap that needs to be removed. After this cap is removed, a long cotton swab will be visible. Take out the cotton swab but leave the small tube in the long tube. The patient will then take the cotton swab and leave it in their mouth until it is fully saturated. Once this is done, place the cotton swab back in the tube as it was found and place the blue cap back on. The small tube should stay intact. There is no need to spit in the tubes.�
The first sample will be salvia and urine. These samples are to be collected immediately upon waking (no brushing of the teeth). The next two samples will be saliva. These are to be taken 30 minutes and 60 minutes after waking. After these are completed, the patient may brush their teeth. The fourth sample will be collected 2-3 hours after waking and is urine only. The fifth and sixth samples will be urine and salvia. The patient will collect these around 4-5 pm (dinnertime) and again anywhere from 10pm-midnight (bedtime). Place all saliva tubes in the freezer until they are ready to be shipped.�
The seventh saliva sample is optional. This will be collected at the time the patient wakes throughout the night if they do so.�
After all the samples have been collected and urine has dried for 24 hours, fold up the urine samples and place them back in the small plastic bag in which they came. Then, take the frozen saliva samples out of the freezer and place them in the plastic bag they arrived in. From here, take the urine samples, the frozen saliva, and the requestion form and place them all back in the kit box. Place the kit box in the return envelope provided and return using the provided carrier.�
The D.U.T.C.H cycle mapping test is the most extensive test provided, with 25 urine samples needed. Due to the fact that this test is for cycle mapping, the collection time frame will be one entire cycle. To start, the patient will need to identify the type of cycle they have ( less than 24 days (normal) long (34 days or more) or no cycle). When the patient opens this kit, they will see an instruction book, 25 urine collection cards, a requestion form, a clear bag, and an envelope.
Day one of the patient’s cycle is the first day of full menstrual flow. The collections for this test will begin on the seventh day and the last four samples will be collected on the fourth day of the patient’s next menstrual cycle. Inside the instruction book, the patient will find an easy to use collection schedule to keep track of their samples.
The ideal time to collect samples throughout this test is upon waking. This will give the lab the most concentrated urine, making the results more conclusive. The patient will collect their sample every morning for day 7 through day 36. Once collected, the patient will leave the urine sample out to dry for 24 hours before putting it in the clear bag provided. It is important for the patient to write the date of the sample on the collection schedule included in the kit.�
The final four samples (22-25) are all to be collected on the same day. Sample 22 should be taken within 10 minutes of waking. Sample 23 is to be taken two hours after waking. Sample 24 should be collected at dinnertime and the patient should not have any fluids two hours before this sample. The final sample should be collected at the patient’s bedtime (approximately 10pm).�
Once the patient has collected all of the samples and let them dry for 24 hours, they are to be placed in the clear plastic bag that was provided in the kit. Next, the patient is to place the clear bag full of samples, the completely filled out collection schedule, and the requisition form in the envelope provided in the kit. Finally, place 8 stamps on the indicated corner and send it off to the lab!�
When sent to the lab as you can see above, these urine samples will be dry. Studies show that dried urine samples will give an accurate representation of the hormone and are stable for weeks. From here, the outcomes are gone over on a team call that includes the patient’s physician and clinicians at Precision Analytical. This helps to ensure that the treatment protocol is created specifically to fit the patients needs.��
Testing is now able to be done by using top of the line integrative techniques. There are numerous reasons and advantages for an individual to complete a hormone evaluation. These tests have the capability to help a patient understand their cycle, testosterone levels, estrogen levels, why they are tired upon waking, throughout there day, and much more.
Hormone imbalances can affect anyone. People tend to associate hormone imbalance with those who are aging, but in reality, it can affect anyone of any gender or age! It might seem like a hassle at first to compelete these tests, but in reality, they are very simple and provide a great deal of information! The symptoms are common and should be discussed with a healthcare practitioner. October is Chiropractor Health Month and our office can help if you are an individual who has these symptoms. Our office implements the D.U.T.C.H test, which allows us a hassle free and easy way to let us help you get back to feeling how you used to. – Kenna Vaughn, Senior Health Coach
The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions. We use functional health protocols to treat injuries or chronic disorders of the musculoskeletal system. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900 .
Chronic fatigue syndrome (CFS) is a condition that is not as straightforward as other illnesses. The symptoms can often mimic other states, including some that are pretty serious, so they must all be ruled out before a diagnosis of CFS can be determined.
This is usually not a quick process, so the patient is left dealing with troubling and often debilitating symptoms and no real answers for months or even years. By the time a patient receives a diagnosis of CFS, they are usually physically and emotionally exhausted.
It is found more often in women than men; women are four times more likely to get it. While anyone of any age can get CFS, it seems to be most common in people in their 40s and 50s. Researchers have found no evidence to suggest that CFS is contagious, but they believe there may be a genetic or familial link.
Complications that can come from CFS include depression, increased absence from work, lifestyle restrictions, and inability to carry out normal daily activities like caring for children, housekeeping, or wedding functions. It can cause significant social isolation and loneliness.
Chiropractic For Chronic Fatigue Syndrome
Many people have found that chiropractic for CFS helps reduce the pain that accompanies the condition and increases injury in some patients. The chiropractor uses spinal manipulation to treat the CFS patient, allowing many symptoms associated with the disease without invasive treatments or medication.
Many CFS patients report more energy, less pain or no pain, greater flexibility, increased mobility, and reduced inflammation of joints after just a few chiropractic adjustments. Often, the patient will be recommended to attend several sessions a week for spinal adjustments and counseling on supplements and diet. All these treatments work together to relieve the symptoms, strengthen the immune system, and help the patient feel more in control of their body and condition.
Whole Patient Treatment
One of the benefits of chiropractic treatment for CFS is that it treats the whole patient, not just the symptoms. A doctor of chiropractic may recommend various chiropractic services such as spinal adjustments. Still, they will also sit with the patient and discuss that patient’s diet, daily routine, and any medications or supplements they are taking.
The changes in diet, recommended supplements, and chiropractic treatments help the patient’s physical symptoms but also address the emotional ones, particularly depression and frustration. It is essential that patients with CFS know that there is someone who hears them, understands their difficulties, and wants to help them on every level, not just symptom control. Chiropractic care addresses all of these for optimal whole patient care.
Clinic News – Dr. Jimenez Takes A Look At Stress Management
If you have fatigue and mysterious pain in your joints, muscles, and ligaments that seems to come out of nowhere, you are not alone: many people throughout the world face such issues, which are often disabling. Thousands of people per year visit their doctor in hopes of isolating the cause of such pain; most of them have tried traditional and over-the-counter remedies for joint pain to no avail.
Joint pain can be caused by a variety of accidents or existing conditions: it can be the consequence of a fall, structural issues, twisted ligaments, pulled muscles, or an underlying inflammatory condition, among other possibilities. These obvious causes are easily diagnosed by conventional methods. However, pain can also appear spontaneously, with no apparent cause and clean medical workup, making the etiology uncertain. Such pain can be associated with Adrenal Fatigue.
For those who suffer from Adrenal Fatigue, some of this pain might be migratory. Migratory pain is a type of pain that moves throughout the body with no discernible pattern. One day you may feel pain in the right side of your body, but the next day you may feel it in the left side. All too often, this type of mobile pain of unknown origin comes with underlying symptoms of Adrenal Fatigue and does not usually respond to typical remedies for joint pain, baffling doctors and many other medical practitioners.
After telling your doctor about the pain you are experiencing, he or she will likely perform a variety of tests, perhaps including an x-ray scan. More often than not, the results may seem perfectly normal, and yet the pain persists. Your doctor may decide that you have fibromyalgia, however, your pain may actually be due to Adrenal Fatigue. In those with Adrenal Fatigue Syndrome (AFS), the body is in a state of tiredness caused by advanced and chronic stress. This stress strains the adrenal glands and�disrupts the NeuroEndoMetabolic (NEM) stress response, which is the body�s main mechanism of dealing with stress.
NEM & Remedies For Joint Pain
The NEM stress response is a complex system in which organs and bodily systems work together to protect the body from excessive stress. The system includes six types of stress responses: inflammatory, neuro-active, cardiac, hormonal, metabolic, and detoxifying. Together, these responses work to restore the body�s normal function during times of heavy stress. It is important that remedies for joint pain do not disrupt this complex system.
The�adrenal glands are the main control�center for stress responses outside the nervous system. Your body has two adrenal glands, which are about the size of a walnut, located directly above the kidneys. They control your body�s responses by secreting cortisol, a hormone that helps your body cope with stress. Properly functioning adrenal glands are a keystone to overall health and wellbeing. Due to today�s high-stress society, however, this natural defense can easily become disrupted, allowing toxins to accumulate and do great damage to the body. Excessive and chronic stress can overburden the adrenal glands, inhibiting hormone output and causing the body�s natural coping mechanisms to fail.
As stress and fatigue advance, new symptoms and ailments associated with Adrenal Fatigue will emerge. Early stage symptoms include low blood pressure, insomnia, and lethargy; advanced stage symptoms include anxiety, panic disorders, heart palpitations, low libido, hypersensitivities to medication, and food sensitivities. All of these symptoms can negatively affect your daily life. Eventually, as the NEM stress response fails, even the smallest bodily stresses can seem unbearable because your body�s natural coping mechanisms have been slowed and overloaded.
The Detoxification & Inflammation Circuits
The liver is�the body�s primary detoxification organ, aided by the extracellular matrix. A buildup of toxins and metabolites will therefore occur when the liver slows down to conserve energy. This is the body�s way of conserving the nutritional reserves it has left. As your body slows down, your liver becomes more sluggish and levels of toxins and metabolites increase, often leading to inflammation. These toxins accumulate and are not eliminated efficiently. This accumulation causes many other problems because the blood circulates these metabolites throughout the body constantly and rapidly, with a one-minute cycle.
Some of these metabolites can be quite toxic to the body. These metabolites may trigger inflammation, which in turn can trigger pain. Upon reaching the joints, these metabolites may become �stuck,� meaning they are slow to move through the joints and muscles. If your joints or muscles are already inflamed, the toxins and metabolites will further irritate the muscles, causing additional inflammation.
The Inflammation Circuit consists of the gut, microbiome, and immune system.�The gastrointestinal tract and microbiome�play an important role in breaking down and absorbing metabolites. If you are constantly eating unhealthy foods that your body can�t handle, you may trigger inflammatory responses. If you are constipated, and food is rotting in your intestines for long periods of time, then you are at higher risk of inflammation. This inflammation causes pain in random places because of the buildup of metabolites in the bloodstream. This also slows the immune system, because it has to deal with the extra toxins, compounding the inflammation.
If you experience migrating pain, this is an important clue that the cause of the pain may be metabolic, rather than structural (such as the strain of a ligament or muscle, which is usually more confined to a certain area). If you experience a dull to slightly severe pain of unknown origin that seems to migrate throughout the body and no one can seem to give you a direct answer as to the cause, you may be suffering from Adrenal Fatigue Syndrome. Consider metabolites, examine your stress levels, and investigate your diet, including supplements. In rare cases, some medications and supplements�even those often used as a remedies for joint pain�can trigger inflammation that is fundamentally caused by Adrenal Fatigue.�Pain medications may help temporarily, but they tend to hide the underlying condition, and can cause collateral damage. Remember, pain is a sign of an underlying problem. Suppressing or ignoring pain can cause long-term damage if the cause is not addressed.
Remedies For Joint Pain: Conclusion
Joint pain of unknown origin can cause a myriad of debilitating problems, including the additional stress of trying to find effective remedies for joint pain. It can be a scary and confusing time, especially when test results show no abnormalities and your doctor can�t figure out what�s wrong. It�s important to find and address the cause of the inflammation. If you experience other concurring symptoms similar to those of Adrenal Fatigue, find a practitioner who can support your NEM stress response. Proper restorative strategies will help your body cope with both the stress and the pain.
Chronic fatigue syndrome, a baffling disorder that affects an estimated 1 million Americans, has been strongly linked to imbalances in gut bacteria in a new study from Columbia University’s Mailman School of Public Health.
The researchers found abnormal levels of specific gut bacteria are found in people with the condition — formally known as myalgic encephalomyelitis/ chronic fatigue syndrome (ME/CFS), according to the study published in the journal Microbiome.
The findings offer new hope for an effective new way to diagnose and treat ME/CFS, a complex, sometimes-debilitating disorder that can interfere with activities of daily living.
Symptoms include extreme fatigue after exertion, muscle and joint pain, cognitive dysfunction, sleep disturbances, and orthostatic intolerance (light-headedness, dizziness, or fainting when standing upright).
Up to 90 percent of ME/CFS patients also have irritable bowel syndrome IBS, past research has shown. But the Columbia University study is among the first to disentangle microbiome imbalances in individuals with ME/CFS and IBS.
“Individuals with ME/CFS have a distinct mix of gut bacteria and related metabolic disturbances that may influence the severity of their disease,” says co-lead investigator Dr. Dorottya Nagy-Szakal.
The findings suggest sufferers may be able to ease their symptoms by incorporating certain probiotics — healthy bacteria — in their diets, to balance their gut bacteria.
To reach their conclusions, the researchers tracked 50 ME/CFS patients and 50 others without the condition. They tested subjects’ fecal samples for bacterial species, and blood samples for immune molecules.
The study’s key findings show that:
Levels of distinct intestinal bacterial species —Faecalibacterium, Roseburia, Dorea, Coprococcus, Clostridium, Ruminococcus, Coprobacillus — are strongly associated with ME/CFS.
The abundance of these species appears to be predictive of a ME/CFS diagnosis.
An abundance of Alistipes and low levels of Faecalibacterium are the top biomarkers of ME/CFS with IBS. Increased Bacteroides abundance and decreased Bacteroides vulgatus are the top biomarkers of ME/CFS without IBS.
The researchers also noted the severity of patients’ symptoms — such as pain and fatigue — correlated with the abundance of distinct bacterial types.
“Our analysis suggests that we may be able to subtype patients with ME/CFS by analyzing their fecal microbiome,” says co-lead investigator Dr. Brent L. Williams, Ph.D. “Subtyping may provide clues to understanding differences in manifestations of disease.”
The study also points toward a possible mechanism behind the development of ME/CFS.
“ME/CFS may involve a breakdown in the bidirectional communication between the brain and the gut mediated by bacteria, their metabolites, and the molecules they influence,” explains senior author Dr. W. Ian Lipkin.
“By identifying the specific bacteria involved, we are one step closer to more accurate diagnosis and targeted therapies.”
So far, researchers have not identified the cause of ME/CFS. Nor are there any standard diagnostic lab tests or federally-approved treatments for the condition. For reasons that are unclear, women are two to four more times likely than men to have ME/CFS.
Because MD/CFS is so variable, treatment focuses on individual symptom control. Conventional approaches include prescription medications to treat anxiety, depression, and insomnia; graded exercise, physical therapy, and psychological counseling including cognitive-behavioral therapy (CBT).
Adjunctive therapies to help manage pain and fatigue include:
Deep breathing exercises.
Muscle relaxation techniques.
Yoga or tai chi.
Preliminary but inconclusive research suggests that some natural remedies may be helpful for ME/CFS, according to the Mayo Clinic. These include:
Magnesium injected into the muscles of people with low red blood cell magnesium.
A combination supplement containing fish oil and evening primrose oil.
Adenine dinucleotide hydrate (NADH).
Although the new Columbia University study suggests that probiotic supplements may be helpful for ME/CFS, more research is needed, experts say.
A 2009 study of 39 ME/CFS patients, however, showed that the Lactobacillus casei strain Shirota (LcS) was associated with significantly reduced anxiety symptoms compared to placebo.
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