Fatigue blog updated 3-24-13

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Drs. Dino Pappas and Marie Tholl-Pappas discuss the causes and remedies to chronic fatigue, a medical condition which plagues a great many Americans today.

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Fatigue blog updated 3-24-13

  1. 1. FATIGUEDr. Marie Tholl-Pappas Dr. Dino Pappas
  2. 2. Adrenal Fatigue “Bible” • Scope of the Problem – “It is estimated that 80% of adult Americans suffer some level of adrenal fatigue at some time during their life, yet it remains one of the most under-diagnosed illnesses in the US.” – James Wilson, ND, DC, PhD (Adrenal Fatigue Expert) • Patient Friendly Text on the Topic
  3. 3. Key Organs That Respond To Stress
  4. 4. General Adaptation Syndrome • Phase 1 = Acute Stress • Phase 2 =Coping, Resistance & Adaptation • Phase 3 = Exhaustion (body can’t cope) – Fatigue Sets In – Open Window Theory • An open window for chronic disease (Diabetes, Fibromyalgia, Chronic Fatigue Syndrome, Thyroid Disease, Cancer, Etc.)
  5. 5. The Importance of Kidney & Adrenal Hormone Balance• Role of Kidney & Adrenal Hormones (Cortisol, Steroid Hormones & Epinephrine) – Control swelling & inflammation – Treat allergy symptoms – Cancer treatment & prevention – Assist with infection management – Immune & Auto-immune Disorders – Affect use & storage of carbs, proteins & fats – Assist with blood sugar regulation – Blood pressure regulation – Electrolyte Balance – Anti-oxidant function – Assist with sex hormone production (ex: menopausal women) – Sex Drive – Performance (Athletic, Academic, Recreational, Etc.)
  6. 6. Overwhelmed Stress Response
  7. 7. End Result of Chronic Stress = Disease • Other Conditions – PMS – Severe Menopause Symptoms – Insomnia – Frequent Infections – Hypoglycemia – Alcoholism
  8. 8. Signs & Symptoms of Adrenal Fatigue• Difficulty getting up in the • Mild depression morning • Increased PMS• Fatigue not relieved by sleep • Increased symptoms with• Craving salty foods, sugary skipped meals foods or stimulants (caffeine) • Less focused thoughts• Lack of energy • Hard time remembering things• Increased effort to do every day • Decreased tolerance tasks • Don’t wake up till 10:00 AM or• Decreased sex drive later• Decreased ability to handle stress • Afternoon (after lunch) “blues”• Increased time to recover from • Feel better after evening meal illness, injury or trauma • Decreased productivity – *** Key Tip Off: Chronic • Light headed when getting up respiratory infections with a longer recovery period ***
  9. 9. Steps to Identification & Recovery• Step 1: Adrenal • Step 3: Lab Testing (As Fatigue Questionnaire Needed) http://www.canhealyourself.com/adrenaltest.pdf Testing – Saliva Hormone• Step 2: – Urinalysis Comprehensive Exam – Blood Work – Physical • Step 4: Formulate a – Orthopedic Treatment Plan – Neurological • Step 5: Implement Specific – Special Tests (Postural Recommendations Blood Pressure & Pupil Contraction) • Step 6: Re-evaluate
  10. 10. Step 3: Laboratory Testing As Needed• Saliva Hormone Testing – Can be used to measure cortisol, steroid & sex hormones – Best single lab test for adrenal fatigue – Indicative of the actual hormone in the cell where reactions take place & not the bloodstream – Easy to perform & Non-invasive – Can be used to test & retest – Recommended at least 4 Tubes (Morning, Noon, Afternoon & Night) • Date & time of collection are written on all tubes & kept in a journal • More tubes may be used to measure “lows” & “highs”
  11. 11. Saliva cortisollevels are lowin the morningand high atnight. Thisperson hastrouble wakingup, is just finein the middle ofthe day andcan’t sleep atnight.
  12. 12. Saliva cortisol levelsare just fine in themorning, fine in theafternoon and high atnight. This patienthas trouble fallingasleep at night.
  13. 13. Saliva cortisollevels are fine inthe morning, dipmiddle of the dayand return tonormal at night.This patient hasthe afternoonblues.
  14. 14. Saliva cortisol levelsare low in themorning, low middleof the day and normalat night. This patienthas trouble getting up,has the afternoonblues, low energy inthe evening and goesto sleep exhausted.
  15. 15. Questions• Contact Info – 9442 W. 179th Street – Tinley Park, IL 60487 – Office: 708-532-CFIM (2346) – Email: • Office: thecfim@gmail.com • Dr. Marie: marie.tholldc@gmail.com • Dr. Dino: drdinopappas@gmail.com

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