Adrenal fatigue

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Adrenal fatigue or hypoadrenia is a pseudo-scientific term used by alternative medicine providers to suggest that the adrenal glands are exhausted and unable to produce adequate quantities of hormones, primarily cortisol, due to chronic stress or infections. [1] There is no scientific basis for the existence of adrenal fatigue, and the term should not be confused with a number of actual forms of adrenal dysfunction such as adrenal insufficiency or Addison's disease. [1] [2]

Contents

Definition

Neither the condition nor the symptoms have any stable or recognized definition. [3]

History

The term "adrenal fatigue" was invented in 1998 by chiropractor James Wilson and applied to a collection of mostly non-specific symptoms. [1] [3]

Lack of evidence

A systematic review found no evidence for the condition, supporting the consensus among mainstream endocrinologists that it is a myth. [4] There is no evidence supporting the concept of adrenal fatigue, and it is not a valid diagnosis recognized by the scientific or medical communities. [1] [2]

Tests

Blood or salivary testing is sometimes offered, but there is no evidence that adrenal fatigue exists and it cannot be tested for. [1] [3] [5]

Diagnosis

Adrenal fatigue is not an accepted medical diagnosis. [6]

Dietary supplements

The concept of adrenal fatigue has given rise to an industry of dietary supplements marketed to treat the supposed condition. These supplements are largely unregulated in the U.S., are ineffective, costly, and in some cases may be dangerous. [3] [5]

See also

Related Research Articles

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References

  1. 1 2 3 4 5 Shah, Rachna; Greenberger, Paul A. (2012-05-01). "Chapter 29: Unproved and controversial methods and theories in allergy‐immunology". Allergy and Asthma Proceedings. 33 (3): 100–102. doi:10.2500/aap.2012.33.3562. ISSN   1088-5412. PMID   22794702. There is no scientific basis for the existence of this disorder and no conclusive method for diagnosis
  2. 1 2 Whitbourne, Kathryn (February 7, 2021). "Adrenal Fatigue: Is It Real?". WebMD. Metcalf, Eric. Retrieved 2014-03-19.
  3. 1 2 3 4 Gavura, Scott (October 28, 2010). "Fatigued by a Fake Disease". Science-Based Medicine . Retrieved March 12, 2015.
  4. Cadegiani, Flavio A.; Kater, Claudio E. (24 August 2016). "Adrenal fatigue does not exist: a systematic review". BMC Endocrine Disorders. 16 (1): 48. doi: 10.1186/s12902-016-0128-4 . ISSN   1472-6823. PMC   4997656 . PMID   27557747.
  5. 1 2 Ross, Ian L.; Jones, Jay; Blockman, Marc (2018-08-28). "We are tired of 'adrenal fatigue'". South African Medical Journal. 108 (9): 724–725. doi: 10.7196/SAMJ.2018.v108i9.13292 . ISSN   2078-5135. PMID   30182895. S2CID   52155559.
  6. https://www.mayoclinic.org/diseases-conditions/addisons-disease/expert-answers/adrenal-fatigue/faq-20057906