Is there any lab test or other that one can do to see if they have adrenal fatigue/weakness?
Edit: I should add this comment of mine in response to Terrance. A quick google search tells me its related.
"I've had my cortisol tested and it was lower then normal in the morning and higher then normal at night. I actually will be pretty alert, sharp and feeling good if I stay awake from about 12:30 AM to 4:00 AM. Obviously the world doesn't work this way so I can't either. Any way to change this/does this flip mean anything?" If so, how does one fix this?
Edit 2: Does Alpha Lipoic acid help the adrenals at all? Im working with a Naturopath and this is all they put me on for adrenal fatigue. This naturopath is not the most organized so I really have to push on them to get things squared away.
Ragland's orthostatic hypotension test is a great screening tool. Have you blood pressure checked lying down, relaxed. Then recheck as you've moved from sitting to standing (immediately). Your adrenals should kick in and actually cause an increase in blood pressure. If it drops (or stays the same) you've likely adrenal fatigue.
You can, in fact, get a 12 hour saliva test for cortisol - which will show how your adrenals are functioning. You take one sample between 6:00 am and 8:00 am; another between 11:00 am and 1:00 pm; then between 4:00 pm and 5:00 pm; and the last one between 10:00 pm and midnight.
The test also measures your DHEA, Fasting Insulin, Progesterone, SIgA, and Gliadin (for Gluten sensitivity).
Saliva tests are much more reliable for testing adrenals than blood tests.
Diagnos-Techs, Inc.in Tukwila, WA. is one of many labs that do this is testing.
You will need a doctor or Naturopath to request the test, get the kit and instructions; and to interpret the results for you. It may cost $200 to $250 USD.
Yeah there is.... email firstname.lastname@example.org. If you are not based in the uk she can at least tell you the name of the test to ask for and who to go to get it. I send my personal training clients to her when we hit a wall with diet and exercise and see no results, regardless of increased effort and nutrition changes.
In my own investigation on the subject, i came up with what others have mentioned; the saliva tests: 1 x dhea-s & 4 x cortisol. Though it sounds like you have already done that one.
Two of the sites i found quite useful were; http://www.drrind.com/therapies/metabolic-symptoms-matrix & http://www.stopthethyroidmadness.com/adrenal-info/
The Dr Rind site has a comprehensive signs & symptoms chart. Both sites mention some self checks you can do. The pupil test (follow second link) is quick & easy, not sure how accurate though (i am no expert on the subject). & the Dr Rind sites describes completing a temperature graph.
my doc says to try phospatydle serine (SP?) once or twice a day to alter the cortisol wave. i will be trying this soon as i have similar saliva results, probably from working in the restaurant/nightclub industry for decades and adapting my circadian rhythm.. most PS supps are in 100mg dosages, so slowly ramp up until you feel an effect and continue experimenting from there. i would take it before your wired night time period in order to sleep at "normal hours".
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