Archives for August 2019

Burnout: Part 4: Resolving the Controversy

Hello again: Thanks for staying tuned for Part 4, as this subject is important and lends an understanding as to how chronic health conditions evolve and what to do about them…so this newsletter is a bit longer than usual. If you have not read this link, please do so to understand the issues, it is not that long and is pretty good: Read more

Burnout Part 3: Diagnosis Tips

Hello once again everyone: So now we go into the lab tests to diagnose adrenal status, but before we do, we need to cover the two primary types of adrenal problems. Rarely, are the adrenal glands over active. This is called Cushing’s Disease and is suspected when you have high cortisol and blood pressure unresponsive to medication and other physical signs, such as a round or moon shaped face that you did not have before. Lab tests that confirm high cortisol then lead to the next step, which is undertaken with an endocrinologist to establish the possible cause. One possible cause is an adrenal or pituitary adenoma, and imaging studies may be ordered along with other lab tests to find out if this is a primary (an adrenal tumor) or secondary issue (a pituitary tumor). Mild increases of cortisol seen on blood and/or saliva tests without moon face or blood pressure concerns raise the ... Read more

Burnout: Part 2: Bye-Bye Health

Hello again: Here we continue the discussion about burnout, which is essentially our bodies response to prolonged and elevated stress. Whenever stress of ANY kind hits us, our brain signals our adrenal glands to pour out adrenalin and cortisol. Adrenalin gives us the energy rush to overcome the stress, and cortisol supports the stress response through multiple functions:

  • Increases blood glucose by decreasing insulin release,
  • Promotes gluconeogenesis by liver,
  • Increases protein and lipid synthesis for energy,
  • Acts with glucagon and epinephrine to produce a greater response,
  • Anti-inflammatory effects.
That is great, unless the stress response becomes turned on too much and for too long, which is when we have the negative effects of stress hormones such as:
  • Weight gain mainly in the face, chest ... Read more

Is Burnout Real?

Hello again everyone: Most of us at some point in our lives, have felt burnt out. This is usually from chronic stress that is usually a combination of different types of stresses. These may include work and/or emotional and mental stress, biochemical stress and physical stress. Examples might be: working 50 to 70 hours per week; stressful work situations including how well we get along with our boss or co-workers; poor eating habits; recurrent illnesses; nutrient depletion and imbalances; poor sleep; lack of appropriate exercise; frustration in not achieving our purpose; relationship issues; substance abuse such as sugar and/or alcohol or food; medications; etc. Burn out is real, and now the medical profession has even given the condition it’s own diagnostic code: Z73.0 – Burn-out state of vital exhaustion Symptoms include: extreme fatigue; anxiety; insomnia; weariness; loss ... Read more