• Document: INSIDER S GUIDE ADRENAL STRESS INDEX PROTOCOLS By Ron Grisanti, D.C. & Dicken Weatherby, N.D.
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Functional Medicine University’s Functional Diagnostic Medicine Training Program INSIDER’S GUIDE ADRENAL STRESS INDEX PROTOCOLS By Ron Grisanti, D.C. & Dicken Weatherby, N.D. http://www.FunctionalMedicineUniversity.com Limits of Liability & Disclaimer of Warranty We have designed this book to provide information in regard to the subject matter covered. It is made available with the understanding that the authors are not liable for the misconception or misuse of information provided. The purpose of this book is to educate. It is not meant to be a comprehensive source for the topic covered, and is not intended as a substitute for medical diagnosis or treatment, or intended as a substitute for medical counseling. Information contained in this book should not be construed as a claim or representation that any treatment, process or interpretation mentioned constitutes a cure, palliative, or ameliorative. The information covered is intended to supplement the practitioner’s knowledge of their patient. It should be considered as adjunctive support to other diagnostic medical procedures. This material contains elements protected under International and Federal Copyright laws and treaties. Any unauthorized reprint or use of this material is prohibited Functional Diagnostic Medicine Training Program Page 1 of 14 Insider’s Guide - Adrenal Stress Index Interpretation © Sequoia Education Systems, Inc Adrenal Stress Testing Protocols Key Points to Remember: • Elevated 8:00 am cortisol levels are suggestive of a hyper-stimulated adrenal gland engaged in glucose counter-regulation during sleep. Nocturnal hypoglycemia. • Depressed 8:00 am cortisol levels are suggestive of adrenal hypofunction. • Elevated Noon and 4:00 pm cortisol levels are suggestive of a tendency towards hypoglycemia. • Depressed 4:00 pm cortisol levels are suggestive of a hypofunctional gland with poor glucose counterregulation and an afternoon performance slump. • Elevated 11:00-12:00 midnight cortisol levels are indicative of hypothalamic- pituitary hyperactivity, insensivity to negative feedback, or endogenous biological depression. • Low DHEA is a normal finding in children below age of 14 and DHEA augmentation is NOT recommended. • If augmenting with DHEA and thyroid medication, closely monitor the patient and reduce thyroid medication accordingly. • Cortisol augmentation is contraindicated in diabetic or pre-diabetic patients. • Licorice will not suffice when cortisol levels are less than 5 nM. • Pregnenolone augmentation is necessary when cortisol burden is very depressed <23 or the daily burden of cortisol is >85 Functional Diagnostic Medicine Training Program Page 2 of 14 Insider’s Guide - Adrenal Stress Index Interpretation © Sequoia Education Systems, Inc Adrenal Recovery Protocol Adrenal fatigue can be reversed. It may take 6 months to 2 years for the recovery process to take place. The following are some of the important steps: 1. Removal of the stressors. This is the most important step. Identify endogenous and exogenous sources of stress. For instance active, subclinical or latent gliadin (from grains) intolerance is a powerful exogenous source of inflammatory stress on the adrenal axis. Other exogenous sources of stress include environmental toxins, toxic emotions (marital, family, relationship, or financial problems), molds, viruses, GI infections, oral infections. These should all be taken into account when seeking to identify the underlying cause or contributing factor to a patient’s symptom complex. Endogenous sources of stress include by-products of oxidative stress, dysbiosis, side effects of prescriptive medications, mal- absorption. 2. Sleep. It is important to go to sleep by 10 p.m. because physical repair takes place between 10 p.m. and 2 a.m. when the adrenals work their hardest to repair the body. We should also try to sleep in until 8:30 a.m. or 9:00 a.m. if possible. A good night sleep is therefore mandatory. Without a good sleep, our bodies cannot regenerate itself to deal with stressors the next day. We should also rest in a completely dark room to maximize melatonin production. If your patients have a tendency to wake up at 2 a.m. to 3 a.m. and find they are unable to fall back to sleep, that is a sign of excessive stre

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