The Truth About Adrenal Fatigue with Dr. Joel Rosen. The Functional Gynecologist Podcast #54.

Hi, I'm Dr. Tabitha, the functional gynecologist. I'm a board certified, OB, GYN and functional medicine physician. I've embraced the world of functional medicine and wellness through my own personal health journey. And I'm super excited to share my wisdom and unique perspective as it pertains to women's health. So if you're struggling with hormone imbalance, weight gain, period issues, anxiety, insomnia, you name it, then you've come to the right place. I want to be your functional gynecologist. So welcome. Hi, ladies. So this week we are talking about adrenal fatigue. We're talking about all things related to your adrenal glands. So. So I just want to give you some background information, but essentially, if you are dealing with belly fat around your waist, which is, you know, a struggle for a lot of women, if you are feeling tired, you can't handle the things you used to handle, you know, everything you're doing isn't working anymore. You're just tired and putting on more weight, then you need to listen to this episode or watch it. Okay, so the adrenal glands are little teeny glands that sit up on top of your kidneys on either side, and they communicate with the brain. There's something called the HPA axis, the hypothalamic pituitary adrenal axis. And your brain has conversations with the adrenal glands all day long in order to mitigate little stressors, physical, mental, emotional, to help with your blood pressure with your fluid control. You know, do you need to put more fluid in your bloodstream? Do you need to pump your blood up more? It sets your salt and potassium and.

All of these things.

It also handles major stressors like adrenaline rush, all that kind of stuff. So your adrenal glands have a really big job. And they not only respond to your brain, but they also respond to, to what your thyroid is doing, what your ovaries are doing, and your sex hormones, they respond to what your immune system is doing. And in turn, those systems respond to what your adrenal glands do. And so we are a system of systems. It's all interconnected. There's conversations going on throughout your body at any given moment, and everything does affect everything else. So I don't want you to think that your arm isn't connected to your heart and your brain isn't connected to your gut or any of that. Like it's all connected and it all plays a role on each other. And what we understand about the adrenal glands now is so much More than we did even, like 30 years ago. So, unfortunately, what I learned in medical school about how the adrenal glands function was very basic and antiquated. So, so much research has been done since even I came out of medical school. And I'm not that old. So I will tell you that there is so much more to understand and to learn. And what I want you to know and understand is that there's a reason that you're feeling exhausted, that you can't handle the stress the way you used to, that you're feeling anxious, that you are, you know, gaining weight around your belly. There are reasons for it. You're not crazy. It's not all in your head. It's not just your thyroid or your estrogen. You know, those can be affected and play a role and vice versa, but it's a lot of times your adrenal glands. So today I'm going to talk to Dr. Joel Rosen. He is the founder of the truthaboutadrenalfatigue.com and he's an expert in repairing the broken stress response system and resetting the circadian rhythms in the body. So he's a chiropractic physician, a certified functional medicine practitioner, and he utilizes his undergraduate degrees of exercise physiology and psychology with his clients. So his practice is in Boca Raton, Florida. I told him I'm super jealous because I'm in Michigan and it's snowing. He coaches clients all over the world, so if you need him, he's there for you. He actually hosts his own podcast called you'd Adrenal Fix. You can check me out on that. Joel is passionate about impacting the practice of healthcare versus sick care and has made it his personal mission to educate doctors and patients alike on the truth about adrenal fatigue and how the impact of stressors impact more than the adrenals. We right up to the cellular level. Joel suffered his own adrenal fatigue, health concerns, and now he educates tens of thousands of people around the world. So I'm really excited that he's on the podcast today because this is a really important conversation, and I think it affects a lot of you and you might not even know it. So you might hear something today that's really eye opening, like, oh, my gosh, that's totally me. Or why didn't I know that? Or now I know what's going on. Let's figure this out. Let's fix it. So I hope that you either have a little spark, an inkling, or, you know, somebody who needs to Hear this and you share it with them. I hope it brings value to your life in some way. Because honestly, that's why I do this podcast. I do it for you. I do it because I know you guys need to hear this information that it's not being talked about at the regular doctor's office or if you bring it up, you're feeling like maybe, maybe you're crazy and it's poo pooed. But I promise you, there are physicians and practitioners out there who believe you and know that there's deeper rooted issues and we are going to help you get to the bottom of them. So today we're going to talk about what the heck is adrenal fatigue? What are the symptoms that would make you think you have it, how does it happen, and how do you go about fixing it? So, so this is a really good podcast, so stay tuned. Here we go. Well, welcome, Dr. Joel, to the Functional Gynecologist podcast.

Well, thank you.

I'm super excited about our conversation today because it's so important. I think there's so many women struggling with energy levels in general and there's this talk about adrenal fatigue and does it exist and what the heck is that and do I have it to unwrap all those questions today. And you are my guy, you are the expert. You have been doing this for quite a while, right?

Yeah. And nothing like learning from your own fatigue. So that kind of gave me my own as you know, heroes journey of being exhausted and burnt out and frustrated and not believed and doubted and just not being able to keep up with the demands of my life. So out of necessity, I've had to help myself get better so that now I can help other people as well.

Yeah, that's so awesome. So what is the most common presentation of so called adrenal fatigue?

Yeah, it's a great question and it's really good. It's a great question in terms of. That's probably the best way to quote, unquote, diagnose it is historically, if you're just not keeping up with your demands of life. If stressors have a. A non equal response in your body. So for example, something happens like maybe you have to brake very suddenly in traffic, but then you have an inappropriate stress response. So maybe you get a little short winded or your heart rate goes too much or your temperature fluctuates, or you stand up and you feel faint. Ish. Those are the autonomic things that happen in your body that you don't have control over when your Stress response is working effectively. You won't have those or it will be equal to the stress that brought it out. But then other things like libido, motivation drive, ability to respond to exercise, exercise tolerance, circadian rhythm, control. So you wake up in the morning, bounding out of bed, making sure that you're ready to take on the day, not crashing in the middle of the afternoon like so many people do. Or some people have it flip flop, Tabitha, where their energy is higher in the nighttime and lower in the daytime. Those are really good clues, historically speaking, that you're dealing with a stress based impact on your body. And many people will call it adrenal fatigue. But the truth about adrenal fatigue is it just goes so much deeper than that.

Yeah, well, I will tell you, I experienced one of those symptoms myself, and that was really eye opening for me. So I had been struggling, I had had no energy. You know, I had quit my life as an obstetrician. So I was finally getting sleep, but I was so burnt out that I remember getting out of bed one morning and I blacked out, was shaking violently. I thought I maybe had had a seizure, but it was just that my blood pressure was so low that I was not having that autonomic response you speak of, to facilitate an increase in blood pressure to get to my brain quick enough. And I passed out. I didn't realize it right away when it had happened. You know, I went to my conventional primary doctor and he was like, I don't know. I don't know what to tell you. It's a little scary. And then I finally sat back and I thought, I know what's going on. I'm a functional medicine doctor. This is adrenal fatigue at its prime. You know, like I have worn out my adrenal glands. They are not responding to my brain anymore.

And.

And I can't work my blood pressure, I can't handle my stressors, I can't make any energy. Like it was scary.

Yeah, yeah, absolutely. And they'll call it POTS syndrome. And I think when your body has lost its ability to regulate just the basics like temperature, pulse, blood pressure, heart rate, respiratory function, then I would imagine, Tabitha, you had burnt the candle at both ends for quite some time for that to actually happen.

Yeah, a good decade. Well, actually it was 15 years because you got a jam in residency in there. And I just burnt myself out. So I'm so glad that you're sharing this message with people because it's way more prevalent than we realize, right?

Yeah, absolutely. Especially after the year that we've had with all the stressors coming down the pike, I think what happens is that's the thing about stress is your body doesn't care if it's actually real and you have a physical stress or exposure to a chemical or a toxin. We very commonly think of stress as relationships or finances or jobs or children. But the main fact is that what we perceive to be stressful is going to have that same domino effect physiologically in your body. And given the perfect storm, if you will, of the stressors that we've experienced this year alone, it was already of an epidemic proportion. Before this year, just time conscious. The analogy I often use is having so many windows open up on your browser. That's kind of like our life. We have so many multitasking things that we do on a daily basis that we just don't have the bands with physiologically to deal with it.

Yeah, I think that's a great way to look at it. It's like the more windows you have open, the slower your computer is going to be.

Right.

Because it's doing all that background work. And when we are dealing with stress from the job, homeschooling, you know, shut down all this other stuff, we're worried about getting sick. Like, all of that work going on in our bodies and our brains just is overloading us. So that is what happens is we stop making the cortisol. We need to handle the stress. Right. But why, why isn't it just adrenal fatigue? Tell me kind of the definition of all that and what it really means.

Sure. So the initial paradigm from the Hans Selye, you have an alarm, then you have a resistance, and then you have an exhaustion phase. That's a very simple model. And it was good for maybe 30, 40 years ago. And then we got into, well, there's an HPA axis dysfunction where the, the H is the hypothalamus and it processes information from the environment and inside and outside of the body, because environment is inside the body and outside of the body. And then it sends a signal to the pituitary, which then sends a signal to the adrenals. And the adrenals make the stress hormones to deal with it. The main three things the adrenals do are help us regulate our fluid levels. They call them mineral corticoids and our electrolytes. It also helps us give us energy in terms of glucocorticoids, and then it also helps to reduce inflammation. And those are all things that we need in stressful times for sure, but it's even more naive, in my opinion, Tabitha, to think that all the stressors that our brain processes is only processed by the hypothalamus. It's not. It's processed by the limbic system, the front part of your brain, your reptilian part of your brain, your neocortex. All different parts of your brain that we now know that doesn't just send signals to the pituitary. And the pituitary isn't the only gland, if you will, that will send messages to release cortisol. Cortisol could be released in fat tissue or skin tissue. So the more we realize that what we know as our studies and our research continues to evolve, it's naive to think it's just the HPA axis. Even Hans Selye, when he studied this, he saw that your GI lining decreases in blood flow so you can get ulcers. He also saw that your pituitary, sorry, your thymus gland would get smaller, so there's some kind of immune response or the adrenals would shrink. So what we're seeing is that, and you know this very well, is that there's a lot of cross talk between your neuro, your immune system, your endocrine system, your GI system, your liver, your detox pathways. There are cells that communicate and when they have to communicate continually, and like I told you earlier, a supply and demand problem, when the demand is so high and the supply is so low, communication breaks down and then you cellular chaos and you aren't able to meet the stressors of your daily life. And then when it gets so deep that it impacts your autonomic nervous system, you're looking at a crisis. At this point, a small problem is like a cavity, but then the crisis is the root canal or the having to get that tooth removed. If you don't take care of it in the beginning, it's going to become a crisis. And you see this all the time with your demographic as it depending on where those weak links in the chain break will depend on how it manifests. Maybe someone has difficulty with having a child or keeping the pregnancy or having fibroids or having pcos or having whatever it is. Not to say that's all adrenal based, but it is all based in terms of the immune system, the brain, the endocrine system, your body's ability to make ATP at the cellular level and you have a demand and supply problem. And ultimately that's the truth about adrenal fatigue as I teach it.

Yeah, it's so true.

I mean we have to realize that it affects our immune system, it affects our gut. I mean it's simple as thinking of people know that when they've overdone it and are run down, they're more apt to get a cold.

Right.

I mean, we know this as human beings, yet we don' want to acknowledge it because that means we have to change our behaviors a lot of times. You know, for me, I definitely had to respect my sleep more and honor my body and start moving more regularly and you know, doing meditation, handling my mental stressors, you know, and I think that's the hard part is a lot of this fix, adrenal fix is lifestyle related, right?

Sure, for sure. It's the non shiny glittery object syndrome. You know, it's the basics and even things like gratitude and being, celebrating your life and things could always be worse. And also looking at just re acclimating to the earth like the sun. The sun and all its powers. And even if it's a little woo woo the sun and then when it's dark, we're not supposed to be up all night or getting exposed to blue lights or I call it like plugging in your refrigerator and keeping food available. I mean, we have to respect how our ancestral lineage and our millennia has programmed our body to be in concert with the earth. And the more we deviate from that, the more we continue to fatigue ourselves. So it would stand to reason that the recovery and all of that is like you said, is getting in contact with that again.

Yeah, I mean I think of just like two generations ago, our lives were so much slower and less stressful. We didn't have all this constant connection and communication and social media and EMFs roaming around the world. We didn't have all the toxic burden like my grandmother definitely did not deal with all the crap I deal with. And to think that we have only been like this for, you know, 50 plus years and we've existed for how many, you know, thousands in the other way, no wonder we can't handle it, you know, and I think that people feel shameful, like they aren't, aren't strong enough, they're weak because they can't handle the daily pressures of this life. And I just really want women to understand that we're not supposed to go, go, go from the minute we get up to the minute we go to bed. You know, we're not supposed to be up till 2am we're supposed to take time to process and breathe and relax. And I just don't think that's respected in our culture. Like, where do you even begin with your clients in that area?

Well, no, it's good points. And I say think about just the female cycle. And you think about the metaphor of the first half of building up and preparing, and then the second half is gestating or if not, breaking down. And our body does work that way. And I think it's important whether I work with women that want to get pregnant or not, or men that are exhausted and burnt out, is understanding those concepts first and foremost in terms of there needs to be a time of building and there needs to be a time of cleansing and breaking down. And when you have a tug of war, you can't pull on both sides at the same time and expect to have any really good movement, per se. So I think that the things that I start with is historically, like you said, what is it? What is it first and validating it. I think that's key because I know when I suffered with exhaustion and fatigue and I hadn't heard of this before, and I had gone to chiropractic college, I had a degree in psychology, I had a degree in exercise physiology. And I was exhausted and burnt out and I didn't even hear of this term adrenal fatigue. What is this? So that's where I had to learn, like I said earlier, for myself. But then I was ridiculed and then I was made to feel wrong. And you don't want that. When you're suffering, especially from a healthcare provider, you're looking for answers. So I think that's really key, is understanding that someone doesn't want to feel this way on purpose, for attention. Then also a good history is really key, Proper workup, for sure, because there's so many variables that impact the stress response. Infect mold, chemicals, toxins, metals, blood sugar imbalances, breakdown of gut function. There's a lot of things that you really need to hone in on to be able to see where the Achilles heel per se, is for that person and then come up with a customized recovery program around that, with a lot of it being like, you see and I see not the tens of thousands, let's say twenties of supplements that someone has. It's not like I can give you another supplement to add on to your 20 that you're already taking, that you've been missing out on. It's more, okay, let's simplify those. And hopefully I always tell people I like to have a net deficit of supplements. I recommend the ones you're taking minus six or seven of them, maybe keep these ones. But you're missing something over here. So customizing a recovery program around that. And then really the irony is the simple things that really make the, the difference for those people, if they're in toxic relationships or they have a really stressful job, or they have non supporting community or they've had a trauma psychologically, those are really big elephants in the room that I know you can't get rid of yesterday. You can't just say, okay, I'm going to get divorced or I'm going to leave my job. But it's our impression of those, it's our how we perceive those. And you don't pretend, but you have to raise the awareness of, okay, that's really contributing to me being exhausted and burnt out in some way, shape or form. I do have to address that. I can't sweep that under the rug any longer. So that's kind of the approach I would take. I mean, we also do a lot of genetic testing and that does come a lot more with a lot more sophistication. Where people may have detox challenges or immune signaling challenges, or neurotransmitter production or clearance challenges, or antioxidant inflammatory challenges, where these are the worst of the worst and they've been to 15, 20 different doctors and they're missing something. Then that's, I think that's, I won't say unfortunately, because it's what comes towards me now because I'm never at a lack for feeling like I know it all when I have clients that are coming with very difficult challenges. But that kind of like in a nutshell, to answer your question, how I would approach it, that's awesome.

I mean, just hearing that, you realize that a conventional doctor can't even begin to handle that because that's at least an hour long initial appointment, right? I mean, you have to dive into this person's entire life and figure out where are the weak links, what happened, what you know, caused the person to get to where they are today. And that is I think, why it's so hard for conventional doctors to even wrap their brain around this idea is how could they even begin to help? You know, I was in the conventional world, I had 15 minutes to talk to my patient and that's nothing. I mean, it's literally nothing. So I just want women to realize like there is help out there, there are people who have the time, they figured out different way of practicing medicine and they can help you get better. It just you have to find the right person. So don't give up just because one person says you're crazy or it's all in your head or it's just your thyroid or, you know, whatever. And I just. Women can't give up. That's all I can say, you know. So you mentioned the gut a little bit. Do you have one particular diet that you prescribe for everybody? Is it individualized?

Yeah, I mean, certainly there are some common concepts that can be applied to the entire spectrum, but as you know, no two snowflakes are the same, so to speak. In terms of the customization of a recovery program, I think the best way I would get into the dietary and give you solid information is that is sort of like tipping over a sacred cow in the sense that there has been told that you need to have small meals more frequently because if you have an adrenal based problem, a lot of people get shaky, lightheaded and jittery if they haven't had a meal and they need that, they feel like their quote unquote blood sugar is falling and they're hypoglycemic. I don't fall for that very often. I want it to be proved. I want them to either take their glucose in real time and a lot of people don't want to do that and they don't want to take their glucose to see like a glucometer, like a diabetic would, to actually see. And this is what I do with my coaching clients is, hey, when you get shaky, lightheaded or jittery, or you just got anxious or you're feeling really hungry, let's prove it to ourselves that physiologically that is happening and take your glucose in real time. So I would tip over that sacred cow, Tabitha, in terms of not just saying, okay, if you have an adrenal based problem and you feel you're hypoglycemic, that you need to have small meals more frequently, that's not to say, okay, I want you to go straight into an intermittent fast and go for a 12 hour, last meal, first meal type thing. But ultimately that metabolic flexibility means that we want to be able to teach your cells how to process different macronutri fuels a lot more effectively. And that's going to require us to stabilize your glucose. And glucose is going to be released when cortisol is released, because that's by nature what it does. So it's a complicated thing, let's put it that way. But what I do like is to simplify it, protein, carb and fat, so that you're not Getting too much of a carb in a meal. You know, you're not getting too much of a protein in a meal. You're getting some fat. Because the only two of those macronutrients that are essential essential are the proteins and the fats. So I think it's really important that we have a meal that's nourishing, that has really good micronutrients, good minerals in them. There are things like you alluded to earlier, your grandma would recognize, right? She would understand that's a food that they had in her day. It looks like the nature has produced that. So I think it's common sense, stuff like that. I do like the concept of potentially getting in time restricted eating window. So, like your last meal would be at say six. Then you don't have your first meal before six. I think that's doable. And then I think that a good healthy protein, carb and fat with each meal, depending on your specific nuances, your gut health, your genetic susceptibilities, your accessibility to foods, there's a lot of things that you could look into that. But I think that's a little longer an answer that I think you were expecting.

No, that's good. I think we need to realize that everybody's an individual. And, you know, my patients are always surprised that cortisol causes glucose to be produced from the liver and put into the bloodstream. And I say you can go down the path of diabetes and belly fat just by stress alone. Like, you don't have to have a terrible diet. And that's kind of shocking to them. Like, whoa, wait a second. What? I'm like, yep, every time you pump out the cortisol, the blood glucose follows, then the insulin, that's a fat storage hormone. And you're just creating this belly fat vicious cycle. And I think that's probably the one thing that gets women to go, okay, maybe I need to handle my stress a little bit. But that is way before the fatigue situation, right? Like you're saying, traditionally you have this arousal state, too much cortisol all the time. You stress, stress, stress. You're pumping out cortisol 24, 7. And then you get to the point where you don't make it anymore. And that's, that's the really dangerous part because that's harder to come back from, you know, once your adrenals are offline. So I would love for women to just nip it in the bud when they're still in the heightened stress, stress phase and they're starting to see the belly fat, they're starting to see their blood sugar rise, that type of thing. Like get it into check now, right?

Yeah, I mean that's a huge thing. And one thing I always will say, and the really good points on your part, is for women in those situations who are stressed out and are accumulating some of the belly fat and their hormones are in balance and they feel that they are hypoglycemic to learn the difference between physiological hunger and psychological craving. I think that's huge. And that's where the glucose meter can be. Really great tool because you're testing it in real time. Like a lot of people like you see will say, well, or when you ask them, when you first work them up, do you have a glucose problem? No, like my blood tests are always normal and albeit those are really broad ranges, you're also doing it from a 12 hour fast, right? I mean you're not doing it in real time. So I think it could be really helpful for women to start to see that their glucose levels, by golly, are not as low as they think they are. And if they're eating more dense fire logs, as I call them, that take longer to combust and hold a flame a lot better versus kindling in terms of that instant energy that they get from sugars or refined carbs to give them that quick little energy boost, they'll be able to have that radar on for them to realize they're making better improvements with their blood sugar. And ultimately the downstream impact that's going to have on weight, on hormone, on energy, on stress response, but you said it correctly, is not only get the physiological cravings difference or sorry, physiological hunger sifted out through versus the psychological craving, but realize when you are stressed, that is going to increase the blood sugar levels. And that's where if you're hungry at that time, it's been going on for a long enough time, that's created some resistance, some insulin resistance. So get your insulin tested. And that's probably frustrating too because I see that, that the ranges show like 3 to 24. So I have to be like higher than 24 to be deemed high on insulin. But anything higher than three from a functional medicine standpoint is like, okay, what's going on here? Do we have a stress response? Do we have an immune activation? Do we, you know what, what's going on? What do we have a dietary thing? But it should be on your radar that insulin is now start, especially 8, 12, 14, 16, stuff like that.

Yeah, I love that you look at all that and I have an online group, my renew you sisterhood. And we actually use a glucose and ketone meter to follow our numbers. And it's so eye opening for women. They love it. They can finally correlate how they're feeling with what their numbers show. And like you're saying, like so often and it's mismatched and they have some learning to do about what their body's telling them. And you know, they. I've heard so many women surprised, you know, blood glucose like 113 and that in the mornings and it's too high. And why is this happening? And we have to talk a lot about stress. And if you wake up stressed, where to go and life is chaotic, you're gonna shoot up that blood sugar.

Right.

So I love that you're doing the same thing as me. That's so cool. So you said you can't supplement your way out of adrenal fatigue. You know, it definitely helps get the adrenals functioning better. If you're using adaptogens and things like that. Do you have any go to supplements? I know it's not the answer. You have to do the lifestyle, you have to do the diet regimen. Right, right.

For sure. For sure. Well, no, it's a good point. People want things that are going to be effective now. Right. And adaptogens can certainly be that thing. And there's a lot of different things that are considered adaptogenic. Ashwagandha is one. But some people have a nightshade sense. I have a nightshade sensitivity. So ashwagandha is a nightshade. And that would create some kind of stress response. When the irony was I was taking it to help me with my stress response. But there are some really. Holy basil is a really good one. Or rhodiola. There's a lot of blends that you can get when you start getting into the glandulars, then you want to make sure that you're actually low adrenal function, because it's not really considered an adaptogenic at that point. Meaning adaptogenic means if you're low, it's going to bring it a little bit higher. If it's higher, it's going to bring it a little bit lower. But if you're taking a glandular, like an adrenal cortex glandular, that's going to help you pump out more cortisol and you are already sky high potentially, if you do proper testing. So you have to be aware of that. Licorice root is similar in that it slows down the Conversion or it increases the half life of cortisol. So it helps it stay around longer. But if it's already too much around, you don't want it to stay around longer. So you can get yourself into trouble if you just kind of go with what Mary goes with because she did really well with it and you will too. That's not always the case. Another good clinical pearl, Tabitha, is that if someone does poorly on an adaptogenic challenge, which would be an adaptogenic challenge, is because their stress response has gone upstream. It's deeper than just the adrenals. It's impacting you at a cellular level. So that's where we can say, well, more mitochondrial based nutri can be really, really good. Coq 10 I find is an awesome nutrient when it's taken in its levels, that it should be taken, say 400 to 800 milligrams if you're under a doctor or supervision. But the usual recommendation is 100mg, four to eight times less than you should be taking. There's a lot of other really good L Carnitine Coq 10 PQQ, Ala. There's a lot of really good mitochondrial based nutrients as well. But I'm going to come out of left field and one of the ones that I really like is a natural fermented B complex that's fully methylated. Because when we're stressed out, we use a lot of our B vitamins that help power our ATP production. And so I find that that can be really, really helpful as well. And again, stress response. Don't go looking for those shiny objects. Getting good quality light exposure during the day and then making sure that when it's starting to get dark out, that's a cue for you to put away your cell phone, start to dim your lights a little bit because that's what your body has been engineered to do.

Yeah, you're so right on. I mean, we need to respect our circadian rhythms. We need to wake with the sun, go to sleep, sleep with the dark, right? And we just don't do that anymore. And it's really hard for, you know, a lot of my patients, we live in Michigan. And so now it's dark when you wake up, it's dark when you come home at dinner time. And so it is confusing to your brain. And I think that, you know, causes some seasonal affective disorder that and our lack of vitamin D. So, you know, I love that you are focusing on like really make sure you're seeing the sunshine in the morning, you're getting that light in your eyes, you're stimulating your adrenal response. But then you gotta turn it off in the evening. And that's what we don't do very well. I think that we stay up, we watch tv, we stay on our phones, on our iPads, and we need to.

Kind of parent ourself and turn off our stuff, right?

Yeah, absolutely. Especially if we're watching news. That is stressful.

No, I don't let my patients watch the news. That's an order. Doctor's order.

No news.

You have to write a script for that. Right? That is toxic on the fridge.

Yeah, it's so toxic. Oh, my gosh. Well, I want you to tell my listeners about your podcast, your adrenaline fix. What do you guys talk about? That adrenal everything.

Yeah, well, you know, and I'm gonna have you on there so they'll make sure that they hear you on there. But what we do talk about is we use the play on words on fix and ultimately go deeper than just the adrenal. The adrenal story. We go into understanding almost everything we're talking about here. Autoimmunities as well. Thyroid issues, libido, having miscarriages, that will be a good topic. But ultimately how the stress response impacts you. And that's what's so amazing about how when I got into my own exhaustion and fatigue, how I realized, like, oh, my goodness, I can't believe this is more than just adrenaline. This is your life. This is. I mean, we're engineered to process stress and thrive in stress. That's what evolution is, is that we have external cues from the bot, from the environment, and the more favorable for life that happens in your body will get passed on, and the things that are less favorable, favorable won't get passed on. So we are engineered for that. But what's happening now is with the environment, and you alluded to earlier, it's just, it's expanding at such a crazy astronomical rate that it is ahead of our body's ability to adapt to these things. And then what used to become favorable in the, you know, a 50, 100, 150 years ago aren't favorable now. They really aren't in terms of keeping iron levels more elevated or clotting factors or other things that would have made us survive now is kind of like an Achilles heel now. So that's where the genetics come in. So we'll talk about genetics. And I'm sure your listeners and you are aware of mthfr. I go into a lot more than just mthf. A lot of people will throw the baby out with the bath water and say, okay, I'm not mthfr so I don't have to worry. And that's like, okay, well you have like an assembly line of 23,000 factory workers and just one of them is missing. So you're not worried about your widget at the end of the production line. It's like you should still be worried. I mean not worried, but you should still use that information to be able to help you. Because many times it's not even the genetic SNP itself, it's the environmental overlapping roadblock that causes those genes and enzymes to work slower as if it were a gene challenge. So we get into a lot of that too. Just as a sidetrack getting into some of the perfect storm people that we work with that are exhausted and burnt out and have seen so many different doctors, but then they have this blueprint that is, is even more set up as a challenge to deal with these stressors that you can really give people extra support when you know exactly where to support along that biochemistry roadmap, so to speak.

Yeah, yeah. Such important information. That's so awesome that you hit on all of that. So cool. Yeah. Everybody should check out your adrenal fix. I'll have the links in my show notes but I'm also going to have have the links for your website the truth about Adrenal Fatigue. Because they can go there and get all kinds of good free information and the self assessment and all that stuff, Right?

Exactly. Yep. Thank you so much. There's a, there's a training on there that we have. It's a free training and they can go on there and go through the five main things that I feel a lot of doctors don't look at when they have a person that is an adrenal fatigue based problem that they can look at. We talked a lot about them today, but yes, absolutely. Thank you so much.

Yeah, awesome.

And are you on social media?

Yeah, you gotta be at the. In this day. Right. So I'm Dr. Joel Rosen, I believe is my YouTube channel, Dr. Joel Rosen. And then Dr. Joel Rosen is Instagram. I think it's Dr. Joel Rosen and then Facebook. I have, have a couple groups. One's the Adrenal fatigue recovery Group. That's a page and then Dr. Joel's Truth about Adrenal Fatigue. So Dr. Joel Rosen and you'll whatever adrenal thing you see with that should, should help you find some of my social stuff.

Awesome. I will make sure I have all those links in my show notes. So that's awesome. Thank you so much for all this wisdom. I think it's gonna, you know, be a little bit eye open for some women and hopefully they can start getting some answers because now they know where to look. Right?

Yeah. Well, no, thank you so much for having me and being a light at the, you know, at the beginning of the tunnel, so to speak, for all the people that you help as well. And it's not easy to buck the trend and open yourself up to scrutiny when a lot of the colleagues are looking at you, you like, I can't believe you're telling me that the world is round. You know, how dare you? You know, but that's. That's how it's been historically is those early adopters are the ones that are thought of as crazy in the beginning, but then ultimately the wisdom catches up with them and. And then they start to see that, oh, they weren't so wrong in the first place. And thank you for, for heading the charge in that as well.

Well, yeah, my pleasure. I mean, I've always gone against the grain. I've never followed the. I've never stayed in line. So it's all good, you know, just trying to do what's best for the patients. And I love that you're doing that as well. So thank you so much for being on and hopefully we'll have you back again.

Okay.

Yep.

Thank you so much, Tabitha.

Take care.

All right.

Wasn't that a great episode? I hope you got something out of that. Maybe you figured out, like, hey, that's what's going on with me. I need to find a practitioner to get tested. And there's amazing testing that can be done to check your cortisol production. It checks it over a 24 hour time period. And my favorite is saliva testing. I find that to be the most accurate and representative of the cortisol production and utilization goals going on in your body. And so we have you do swabs four to six times in a 24 hour period. And then it gets plotted on a graph and we see are you in a normal, good pattern where you wake up, you make a little bit of cortisol that's called the cortisol awakening response. And you want to have that go up by a certain amount. It's like your body's natural caffeine. It gets you going for the day, gives you your energy that you need, and then it progressively comes down until bedtime. And you want it to be in a nice, certain pattern and range. And oftentimes I'll get patients whose cortisol testing comes back where they're sky high and they're making cortisol 24 hours non stop, even into the nighttime. And that can be very retelling of where we need to go to handle their insomnia and their other issues. Or maybe their pattern is flipped. They're, you know, not rising in the morning and then they're rising in the evening. Or the worst case scenario that we Talked about with Dr. Joel is the exhaustion phase where your cortisol is kind of flatlined and you just, your adrenal glands just are not producing cortisol. Anytime you feel have stressors and that makes it impossible to handle any stress. You're exhausted by it all, you're overwhelmed. And so the only way to really know is to be tested. Because like he had mentioned, you don't want to mess with, you know, the supplements. In case you're guessing wrong and you're on the opposite end of the spectrum. You could have the wrong response. And so I love testing for cortisol patterns because it gives you a good answer of where to start and where to intervene and how to get you back into balance. So definitely don't hesitate to contact me at PrivaMD center for Functional Medicine. I am on Facebook and Instagram, Instagram rtabitha Tabat H A3A's no eyes. Thanks, Mom. And I'm on YouTube, the Functional Gynecologist or Dr. Tabitha. So please hit me up, send me your questions, your comments. I'd love to hear from you. I'm here for you. I do this for you. So if you are getting value out of this, I would love for you hit the subscribe button. Five stars would be amazing. And more importantly, share this. Tell your friends, your family, your sisters, the chicks in your life, your daughters, like everybody, we need to band together. We need to lift each other up and help each other with our own struggles. And I promise you that women you know in your life are struggling silently. They're not sharing. And so this can be a way to be like, hey, have you heard this podcast? And you guys can start talking about things that need to be discussed. We need to be there for each other. We need to lift each other up. This is a sisterhood, not a competition. So thank you so much for your time. I feel super honored and blessed to be able to do this for you guys. And I want to know what else you want to hear, so send me your stuff. Stuff. I love getting shouted out on Instagram and Facebook. So good. So awesome. I want you to go have a kick ass week. Think about joining my renew you sisterhood come January 3rd. It's life changing. You're gonna finally get rid of that belly fat that you haven't been able to get rid of. Because I am going to teach you how to become a fat burner instead of a sugar burner. I know the secrets of why you are gaining that belly fat, why you're feeling so tired. And I know how to tap into it and restart your system. So I hope you'll join me for that program. I'm excited because it's coming at the perfect time. New Year's, right? We all have our New Year's resolutions. There's no better time to invest in yourself, in your health, in your life. You only get one body. You might as well love it and feel good in it. And you might as well make it do something for you, right? Do all the stuff you want it to do. So think of joining the program as an investment in yourself. And you will be so glad you did. It's so worth it. This sisterhood that you become a part of and the women that you meet and the French friends that you make. It's so incredible. Like, I just love our sisterhood. So please consider joining us come January 3rd. Okay? Go to my website, www.doctor Tabitha.com. renew you sisterhood. I'll have all the links in my show notes. All right. I expect you to be there. Do something for yourself. I'm serious. Do something for yourself. This year, 2020 sucked and you deserve better. So let's make 2021amazing. All right. Go have a kick ass week, ladies. Bye.