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Adrenal Fatigue

Adrenal Fatigue

Overview of Adrenal Fatigue  FAQ

Adrenal Fatigue Syndrome what is it and how do you treat it.

Mary Smith, age 52, Vice President at a major Bank, walked into our offices last year totally upset. She was petrified that her boss was going to fire her from her job and she desperately needed help.

She complained of being always tired with no energy to do any normal activity. By 5 pm at the end of the day she was totally exhausted, If there was any kind of problem at work she just could not cope with it.

Along with that she complained of dry skin, low blood sugar, and intense salt and sugar cravings.

Mary had already seen four different Doctors, nutritionists and self-treated with various supplements, but that did not work. She had actually gone to Walmart and tried over 10 types of supplements to see which one would do the miracle - instead it made her a supplement junkie.looking for the elusive fountain of energy.

Meantime she was going through adrenal crashes at random and began to have palpitations with low blood pressure and pain in her lower back, abdomen and legs.

By this time, Mary was in an exhausted emotional mess. Her regular doctor claimed she was clinically depressed and tried to put her under antidepressants. Mary pushed back on that idea.


As the next step, Mary began her journey on the internet desperately trying to find a solution. After weeks of research. it appeared to her that her issues were related to hormonal balancing issues. Perhaps a combination of her adrenals, thyroid and female hormones being out of balance were messing up her life.

Mary realized that she could not handle this herself and asked her doctor for a referral to a specialist. Her physician referred her to our practice and Dr. Rashmi Gulati MD, one of the best known physicians in the New York area for treating these kind of issues.

Dr. Gulati is a Board Certified Holistic Internal Medicine Practitioner, has over 20 years of medical experience and has hospital privileges at Mt. Sinai Hospital in Manhattan.

Mary's first visit with Dr. Gulati was over one hour long. The doctor spent a long time in consultation to get to the root cause of Mary's issues. This was followed by extensive blood, stool, Genetic DNA and urine testing.

Mary cam back to see the doctor for a followup visit one week later. Dr. Gulati then went through the test results, combined them with the conclusions from the medial consultation and gave Mary a complete customized new road map to recover her health.

Mary was amazed how Dr. Gulati diagnosed what was the real issue behind her tiredness and Mary finally knew how to control her life.


Mary's boss loved her new found energy and hard work; and she just got promoted to Senior Vice President at the Bank!

Plus she is not a supplement junkie anymore.


Does this case study sound like you?

Do you have the following symptoms

  • Menopause
  • Adrenal fatigue
  • Adrenal crisis
  • depression
  • anxiety
  • Lethargy
  • Mood disorder
  • lack of energy
  • stress
  • Exhaustion
  • Chronic illness
  • Chronic infections
  • Chronic pain
  • Depression
  • Excessive tiredness
  • Gluten intolerance
  • Malabsorption and poor digestion
  • Toxic exposure
  • Severe or chronic stress
  • Sleep deprivation
  • Excessive sugar in diet
  • Excessive salt intake

If it is, as the next step, please call Dr. Gulati's office at 1-212-794-8800 to make an appointment.

We look forward to being of help!

Above our kidneys sit a pair of glands called the adrenal glands, which secrete many hormones that help us cope with stress. They accomplish this through communications with the hypothalamus and the pituitary gland, both located in the brain, in a feedback system called the hypothalamic-pituitary-adrenal axis. It is the signaling between the adrenal glands and the brain that regulate a variety of bodily processes during threatening situations to help us react and escape if necessary. During this "fight-or-flight" response, some blood vessels are dilated while others are constricted, redirecting blood flow to the muscles. Nutrients that had been stored for energy may be released and burned so that the body can respond quickly. The heart rate increases and the reflexes become faster.

Clearly, all of these physiological changes would be ideal if the stress involved being cornered by a wild animal in the jungle. If the stress is that we have deadlines at work, financial worries, or concerns about our relationships, most of these responses are not necessary. Occasional stress is good, as its discomfort coaxes us to get things done. If the body remains in a perpetual state of stress, all these physiological responses can also deplete us, leading to physical, mental, and emotional exhaustion. Chronic stress can eventually shift our body into a perpetually imbalanced state where the adrenal gland is unable to keep up with the body's demands. This advanced complication of chronic stress is known as adrenal fatigue syndrome.

Symptoms of Adrenal Fatigue NYC

In addition to the "stress hormones" mentioned above, the adrenal glands produce a number of other hormones involved in other physiological functions. The glucocorticoids, for example, help direct metabolism and regulate blood sugar levels, which may become imbalanced if there is insufficient adrenal activity. Those with adrenal fatigue might find themselves more easily prone to "sugar crashes" or find themselves with intense salt or sugar cravings. Glucocorticoids also help control the immune response, modulating inflammation responses, so those with adrenal fatigue might also become more sensitive to infections, causing them to have to endure illnesses longer than usual. Low levels of mineralcorticoid hormones, which help balance the body's sodium and potassium levels, blood volume, and blood pressure, may also cause pronounced changes in dietary habits and overall energy levels. In women, the adrenal gland also produces testosterone, a reduction of which can cause lowered sex drive.

Secretion of cortisol, another adrenal hormone, normally fluctuates following a day/night cycle, stimulated by light/dark patterns noted by the brain. Cortisol levels are normally highest in the morning, decrease throughout the day, and reach their lowest point several hours into sleep. Cortisol helps the body bounce back from stress by returning it to a more normal, "resting physiological state, and plays a wide variety of functions in metabolism, immunity, memory, and also plays roles in making the body sensitive to other hormones, like epinephrine. Lowered levels of cortisol can cause a person to become dehydrated, fatigued, run down, and have difficulties thinking. A person will have significant difficulty getting out of bed in the mornings and feel their energy continue to decline throughout the day.

Risk Factors of Adrenal Fatigue

The lowered adrenal hormone secretion keeps a person's body in a perpetual state of stress, since it reduces the body's capacity to deal with any kind of stress. The fluctuations in blood sugar and metabolism, combined with becoming less active due to exhaustion, can lead to weight gain. Because of the reduced immunity, adrenal fatigue may also open the door for chronic infections, which can cause further medical complications related to the infections themselves. The high blood pressure associated with adrenal fatigue may also lead to numerous complications, including stroke, heart attack, and heart failure.

Begin Your Journey to Adrenal Fatigue Treatment with Patients Medical

Our job at Patients Medical is to listen, to connect the dots between a patient's medical history, symptoms, and their underlying causes. Patients Medical is a superb place for women and men to secure integrative and holistic health care from providers who give personalized care, partner with the patient to focus on the root cause of their illness, support their recovery, and help them maintain good health.

To make an appointment with one of our physicians, please call us at 1-212-794-8800. We look forward to hearing from you.

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