Rachael Ray – What Happened?

Many people are aware that Rachael Ray has been struggling with weight and other health issues. She is best known as a celebrity chef and daytime talk show host. She is 48 years old and is having symptoms suggestive of the onset of menopause.

Evidently she has gone to numerous doctors seeking relief of her issues. These issues include, in addition to excess weight, night sweats and migraines.

In reality, Rachael Ray is a classic example of what is wrong with our medical system. I do not know this woman, but I have had many patients with her identical issues. The tragedy is that she is not complicated. However, to doctors who have never been trained to treat the underlying cause of illness, I can see where she would represent an enigma to them.

People are not aware that doctors receive very limited information about hormones during their training. Surprisingly, this is especially true of gynecologists. And this is in spite of the fact that every system in the body is controlled by hormones. So let me address how one might approach a person with Ms. Ray’s concerns.

When dealing with excess weight, night sweats, and “migraines,” my first thought would be that there is an issue with excess adrenaline. Ms. Ray is definitely a creative type person, and creative people are the one’s with the most adrenaline. Interestingly, excess adrenaline is probably the number one cause of weight gain, a fact that is totally unrecognized. It is also a frequent cause of night sweats and hot flashes. In addition, I suspect that the migraine headaches that she complains of are not actually migraines. It is likely that she has occipital neuritis, a condition which can cause excruciating headaches that often radiate into the back of the eye. They arise from the occipital nerve sheath located at the base of the skull on either side, and are caused by muscle tension surrounding the sheath created by excess adrenaline.

I realize that for most people it would be counterintuitive to think of adrenaline as a cause of weight gain. Obviously, an explanation is in order. Consider this, the body releases excess adrenaline basically for one of two reasons. The first reason is when there is danger. Most people are aware that adrenaline is the fight-or-flight hormone. However, this is a short-lived phenomenon, because danger usually lasts a short time. The second reason is to raise sugar levels for the brain by a process called gluconeogenesis.

The brain uses more sugar per weight than any other tissue in the body. When sugar levels drop in the brain, the brain falls asleep (i.e. hypoglycemia). Some people get hypoglycemic after eating, because food in the mouth stimulates insulin release, some people get sleepy between 3-4 pm when insulin levels peak, and some people get sleepy in a car – either as a driver or as a passenger. Hypoglycemia always stimulates the release of adrenaline in order to raise sugar levels back up.

Adrenaline released at night causes people to toss and turn, or have RLS, or grind their teeth or tense their jaw, or get up to urinate. It also creates stress. The body responds to stress by releasing cortisol to deal with the stress. The first thing cortisol does is to raise sugar levels to help with stress using a process called glycogenolysis. So now there are two hormones raising sugar levels, both stimulating the release of insulin which puts any sugar not burned up into fat cells for storage as fat. It does not matter if you eat sugar or if the body makes sugar, if it is not burned up it is turned into fat.

Obviously, Rachel Ray is not the only celebrity prone to weight gain, etc., from excess adrenaline. Oprah Winfrey is another extremely creative person who has had weight issues. Those of you who know me are aware that I specialize in dealing with issues caused by excess adrenaline. My book called “Adrenaline Dominance” provides all the information needed to control adrenaline naturally and quickly, and my website has an excellent progesterone cream with the exact strength required to block adrenaline.

My website is http://www.plattwellness.com and the cream is called PlattPro 5%.



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The Healthcare Dilemma

We have a new president elect who has promised to make America great again. Not an easy task when it involves undoing eight years of policies that have had the tendency to undo our prior leadership in the global community.

He has committed himself to making the undoing of The Affordable Care Act (i.e. ObamaCare) one of his first priorities. Certainly a daunting task when you think about it because you have millions of people receiving health insurance who have pre-existing medical conditions who would be considered uninsurable without it. And there are millions of people with low incomes who have been able to have their children taken care of. Do you take these people off the rolls of the presently insured?

But then again you have 20% of the population who are shouldering the costs for the other 80% of people on this program with the added burden of continually rising costs. So how does one go about deep-sixing this program, salvaging the benefits that it has provided, and at the same time ease the financial burden of the minority

For those of you who know me or have read my books, you are aware that I try to approach problems from the cause and to avoid the use of Band-Aids. Well the thing is, ObamaCare is a huge, unworkable Band-Aid. However, there is, to my way of thinking, a solution to this situation that I feel might be workable. It would allow those with pre-existing illnesses to have insurance, it would provide low or no-cost insurance to those families in need, and it would ease the burden of those paying for the present program.

So let us talk about the elephant in the room that people may not be aware of, namely, health insurance companies. A large number of people are oblivious to the insidious effect that health insurance companies have on the cost of every aspect of medical   care – the price of drugs, the cost of procedures, how much doctors get paid, the cost of medical supplies, etc. The system has learned that the prices have to be terribly inflated because the system is aware that they will only be receiving a fraction of what is billed. Allow me to provide a small example. I used to draw blood from patients and a lab would pick up the samples every day. Since no insurance company was involved, they gave me special rates. The cost for thyroid tests designated as a T4,free or a T3,free were $5 apiece. The price to someone walking into the lab or the charge to insurance companies was $175 apiece. The insurance company would get some adjustment, of course, the person without insurance might have to pay the whole amount. But right away you can appreciate the added cost due to insurance companies.

To take advantage of the tremendous savings that can be obtained by eliminating insurance companies brings up the concept of ‘the single payer initiative’ – a situation whereby the individual states take over the job of providing health insurance. The state would negotiate directly with providers to determine costs, and with the elimination of the middleman (insurance companies) enough savings could be realized to possibly continue with many of the benefits realized with Obamacare but that were financially unsustainable. California had the opportunity to institute this program about 20 years ago, but the voters turned it down due to a huge campaign put on by insurance companies to defeat this bill. 

I think the time has come to look at this again. Keep in mind: Insurance happens


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Mass Killings: The Elephant in the Room

I will not belabor the multiple issues blamed for the repeated pre-planned killings throughout this country and the rest of the world. I actually think that there are multiple causes, and the elimination of one or even two causative factors will not eliminate the ultimate tragic results.

If guns were eliminated, bombs would be used, water supplies poisoned, or other horrific acts would be foisted on various groups. 

However, there is one unifying factor that is present in every one of the domestic and foreign terrorists, and that universal factor is anger. Anger can be an extremely powerful emotion as is clearly identified by a person with road rage. The latest mass killer appeared to have a homophobic rage. He also had all the classic symptoms of someone with ADHD, which was clearly manifested by his aggressive and abusive behavior during his childhood.

ADHD is always caused by excessive amounts of adrenaline, and adrenaline is a known cause of anger. Adrenaline is the most common cause of anxiety, and internalization of anger is an extremely common cause of depression. Perhaps this is the reason that just about every mass murderer has been on psychoactive drugs at the time of their rampage. And, of course, you can include these toxic drugs as a possible cause of homicidal rages.

When people have excess adrenaline, there is no question that it does not take a lot to set them off. People in law enforcement and the military often have high levels to begin with, which is often beneficial in terms of their line of work…after all, it is the “fight-or-flight”hormone. But it can readily explain some of the downside occurrences that can occur with  an extremely powerful hormone that is hard to control once it is released.

On the positive side, adrenaline is a hormone that can often be easily controlled naturally. I have written a book called “Adrenaline Dominance”. It explains why people are releasing excessive amounts of this hormone, even though they are not in danger. It talks about all the conditions related to excess adrenaline that are often felt to be incurable. And, of course, it shows how to lower levels of this hormone quickly and effectively – road rage can be eliminated in 24 hours.

In a different world that was open to treating the causation of illness, there could be ways of treating children with ADHD by lowering levels of adrenaline, rather than giving them stimulants that actually increase adrenaline levels in order to numb their brains. Of course, the side effect of sudden death caused by these drugs is not a concern  (except maybe in Canada where they took Adderal off the market because too many children died). Of course we live in a country where prescription drugs are the third leading cause of death so that a certain number of children deaths are acceptable).

At the same time, a questionnaire could be devised to give to all people wishing to immigrate to the US. This questionnaire could actually screen those people who may have issues with excess adrenaline allowing them to be vetted more carefully.



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[I published this post one year ago in deference to October being Breast Cancer Awareness Month. Since nothing has changed, I feel the message is important enough to bear repeating. The unfortunate situation is that all things pink, including ribbons, has come to symbolize a complete lack of interest in achieving a better approach to breast cancer. The Susan Komen foundation is a farce, and the hundreds of millions of dollars her organization has received has done absolutely nothing to improve women’s ability to deal with breast cancer.]

October is Breast Cancer Awareness Month.  There is no debate about the fact that women should be aware of breast cancer since it is approaching epidemic proportions. At the turn of the last century, the incidence of breast cancer was about 1 in every 94 women. It is now 1 in every 8 women.

The problem with devoting a month to breast cancer awareness, is that it emphasizes the wrong approach to this problem. Would it not make more sense to promote a different concept and proclaim this month as Breast Cancer Prevention Month. Oh wait a minute, I forgot, they do not allow preventive medicine in this country. This statement is not made lightly. If you consider that there has been no decrease in the incidence of cancer, heart attacks, diabetes, obesity, etc., in this country over the last 60 years, it  is fairly safe to say we are not preventing disease. The one program in place that is touted as America’s answer to preventive medicine is the annual promotion of flu shots. The problem here is that flu shots do not prevent the flu and are more likely to cause it.

Women running around with  pink ribbons promoting breast cancer awareness are likely to recommend mammograms as part of the awareness program.  However, we all know that mammograms do not prevent breast cancer, and, as many people realize, the radiation actually increases a woman’s chances of getting breast cancer.

Obviously, the most valid and worthwhile approach to breast cancer is to prevent it in the first place. However, it is not difficult to embrace the idea that breast cancer is an extremely lucrative proposition to the medical community, especially if you include the cost of breast biopsies, surgery, hospitalization, chemotherapy, radiation, anesthesia, post-op care, reconstructive surgery, cat scans, MRIs, blood tests, plus I am sure many other modalities. I am not suggesting that breast cancer is good for the business of medicine, I will leave that idea for the reader to decide.

Once breast cancer has spread, perhaps the only chance for survival is to take a natural, alternative approach. Radiation and chemotherapy destroy the immune system, probably insuring an ultimate demise. In addition, Tamoxifen, the most commonly used drug to prevent recurrence of breast cancer, causes two different types of uterine cancers. The only known cause of uterine cancer is estrogen. I am waiting for someone to explain to me how Tamoxifen can prevent breast cancer.

There are actually two very easy and effective modalities that women can incorporate to prevent almost 100% of breast cancers – which I will get to in a bit, I promise. But first, the question has to be asked, what accounts for this tremendous upsurge in the incidence of breast cancer. The answer is that much of it can be attributed to the omnipresence of the hormone called estrogen. Estrogen is a known carcinogenic agent, and is known to cause at least six different cancers in women.

At the same time that women have been exposed to higher amounts of estrogen, there is now a worldwide epidemic of low progesterone levels, which is the hormone that protects women from estrogen.

In this regard, is it possible that the widespread use of BC pills can be blamed on the higher incidence of breast cancer? It is not so much that they contain estrogen and often a synthetic progestogen that is also known to cause breast cancer, but more importantly they prevent a woman from ovulating. It is during ovulation that a woman releases a hormone called progesterone, which protects women from getting estrogen-induced cancers.

In addition, estrogen is the most commonly replaced hormone after the menopause, a fact that is actually scary. Women often subject themselves to incredibly high doses of estradiol, the strongest estrogen, in the form of pellets inserted beneath the skin. The only need for this would be if a woman is trying to get pregnant – not a likely scenario after the menopause. And it is extremely rare that these pellet pushers ever protect women with the right type of progesterone.

In addition, you have to add into the equation that estrogen is used in chickens and cattle to fatten them. I have always found this fact interesting because it is illegal to inject anything that is a known carcinogenic agent into an animal that will be used for human consumption . Is it possible that economics has a greater priority than human health? And don’t forget BPA and estrogen in plastics.

As I alluded to before, there are two things a woman can do to prevent breast cancer (and many other cancers, as well). The first is to utilize at least a 5% progesterone cream and the second is to supplement with high-dose vitamin D3 – at least 10,000 IU per day of a powdered preparation, not a gelcap. You will also need to take about 180 mcg of vitamin K2 to prevent vitamin D3 from putting calcium into blood vessels. You can get all these products on my website: http://www.plattwellness.com. Those women wondering what to do about the menopause, please read my book “The Miracle of Bio-identical Hormones”.

And for those people who do wish to prevent the flu, please note that vitamin D3 in that strength prevents every flu there is, and every dementia as well.

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The “New” Morning Sickness Pill

Many people probably remember thalidomide which was a popular sleeping pill prescribed for pregnant women starting in the 1940’s because it was touted to help with morning sickness. It was eventually removed from the market after it had resulted in thousands of babies being born with skeletal abnormalities such as only having hands  without arms attached to their shoulders (a condition called focomyelia).

In 1956, a drug was introduced called Bendectin, and again used for morning sickness. It was a combination of two drugs, doxylamine and pyridoxine. Unfortunately, this drug resulted in many, if not more, of the same side effects as thalidomide. It should have been removed by the FDA, but they allowed it to be marketed until it was voluntarily recalled by its manufacturer, Merrell Pharmaceuticals, in 1983. It seems that the multiple law suits involved with this drug ate into their profits in a large way.

Two years ago, the FDA, who is supposed to be concerned about patient safety, allowed a Canadian drug company called Duchesnay, to have their drug called Diclegis  approved for treating morning sickness. This drug has exactly the same formula as Bendectin. They got away with re-introducing it because the FDA never took it off the market like they should have.

Not surprisingly, Kim Kardashian was brought in to market this toxic drug. The problem with this multimillion dollar campaign is that she failed to mention the potential side effects, so that the ads featuring Kardashian were pulled for the time being. Frankly, it would appear that considering the history of this drug, any doctor prescribing Diclegis is putting themselves on the same level of knowledge displayed by Kim Kardashian.

So what should women do to eliminate morning sickness? Those of you who have followed my blogs realize that my approach to conditions is to treat the underlying cause. Well the underlying cause of morning sickness during the first trimester is always estrogen. So would it not make sense to block the effects of estrogen? This is achieved with the use of a natural bio-identical progesterone cream – a hormone that not only will eliminate morning sickness, but at the same time is extremely beneficial and healthful to the fetus.

While on the subject of morning sickness, please be aware that there are some women who vomit throughout their entire pregnancy – a condition called hyperemesis gravidarum. Interestingly, it is only found in women with creative minds. It is caused by excess adrenaline, and creative people have the most adrenaline. This situation is also treated by progesterone, in conjunction with a meal plan to lower adrenaline.

I strongly recommend that women who do have this problem read my latest book called “Adrenaline Dominance”. Not just for their own benefit, but also for the benefit of their offspring who will likely have the same hormonal challenges.

For those women who are looking for a therapeutic strength of progesterone, you can order Platt Pro 5% from my website. It provides 50 mg per pump, the strongest progesterone cream available without a prescription. It can also be found in a number of health food stores under the name Pro Max 5%. My website is: http://www.plattwellness.com.

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Hormonal Weight Loss

Hormones control every system in the body. Therefore, it stands to reason that they would have a strong influence on weight problems. Along these lines, I will discuss a number of hormones with regard to how they influence weight.

This topic is important, because if the underlying cause of why the body is producing fat is not dealt with then it will always be a problem. Those people who diet and exercise and still fail to lose weight can be well-assured that they are dealing with a hormone issue. Those people who are successful in losing weight and then experience a return of everything they lost plus even more, are also dealing with a hormonal cause.

So which hormones are a concern? I am only going to list the ones that have the most influence on creating fat, and leave the more esoteric ones for a future discussion. The hormone that I feel might be the number one culprit for creating fat I will leave for last. And surprisingly, I have never read anything in the medical literature that mentions this hormone with regard to the causation of fat.

The initial hormones that I shall mention are as follows: thyroid, estrogen, insulin, and cortisol. Afterwards, I will discuss the hormone that I feel is the main contributor to fat formation.

The thyroid controls metabolism in every cell of the body. It is easy to appreciate that a low-functioning thyroid can have a major influence on weight. Unfortunately, we are dealing with a medical system that has little interest in people being healthy. Most doctors have never been trained as to the causation of illness, and especially have almost no knowledge of hormones that control all systems. Instead of sitting down with a patient and talking with them to assess the status of how their hormones are functioning, they rely solely at looking at blood test results. This might work if they knew exactly which tests to order, and just as importantly, how to interpret the results. In this regard, it is important to understand that you can never go wrong treating a patient, but you can go wrong depending on a lab test to determine how you treat a patient. For example, if a person has a low body temperature (97 or less) in the morning, dry skin with cracked heels, poor nails, sluggishness, a weight problem, an elevated cholesterol, etc., you do not need a blood test to determine if they are low in thyroid. The benefit of a thyroid test in this situation is to give you a good idea of which type of thyroid  to replace (T4, or T3, or both) and how much. However, many, if not most, doctors primarily gauge thyroid function by looking at the TSH (thyroid stimulating hormone) level. They will often wait until it becomes abnormal before they will decide to treat. What they fail to realize is that any time the pituitary is putting out TSH it is saying the body needs thyroid. On the other hand, if the level is low, doctors automatically assume that there is no need for thyroid replacement, even if the free T4 level and free T3 level is low. Most doctors are unaware that there is a condition called secondary hypothyroidism that is caused by insufficient TSH production. A low thyroid puts on fat all over the body.

A few words about estrogen, my least favorite hormone. Estrogen is a lipogenic (fat-creating) hormone. It causes PCOS, fibroids, endometriosis, gall bladder disease, asthma, and six different cancers in women. Progesterone cream helps to block estrogen, and can relieve cramps, PMS, breast tenderness, and can eliminate migraine headaches caused by estrogen in about 3-4 minutes. However, if excess estrogen is a problem, supplements such as I-3-C (indole-3-carbinol) or DIM (diindole mutase) can be used to lower estradiol levels. Most commonly estrogen puts on fat and cellulite around the hips, thighs, and buttocks.

Insulin is another hormone that has the tendency to create fat. The body primarily utilizes insulin to put sugar into cells where it is used to provide energy. However, if more sugar is present than the body needs for energy, insulin puts this extra sugar into fat cells where it is converted into fat for storage. Then the insulin sits outside the fat cells to prevent its release since it is a fat-storing hormone. Insulin is not a happy hormone. Not only does it create fat, but it also contributes to the cause of type II diabetes and its complications, and possibly the number one cause of hypertension. It causes hypoglycemia (low blood sugars), which is why people get sleepy between 3-4 pm when insulin levels peak, and why some people get sleepy after eating, and why some people get sleepy while driving. Progesterone helps to block insulin, prevents hypoglycemia, and helps to control weight and blood pressure, especially when it is used before meals and at bedtime. Insulin is the only hormone that puts on fat around the middle.

Many people are aware that cortisol is another hormone that can cause weight issues. It is considered an anti-stress hormone, in other words it is released from the adrenal glands when the body is under stress. The reason that it causes weight issues is that it responds to stress by raising sugar levels through a process called glycogenolysis. The sugar than stimulates the release of insulin which we know is going to contribute to fat formation. Just like insulin, cortisol is not a happy hormone. Not only does it contribute to weight gain, but it can cause osteoporosis, brain damage, thyroid dysfunction, cataracts, and speed up hardening of the arteries. People who have been diagnosed with a condition called “adrenal fatigue” should be aware that this condition does not exist and should avoid being placed on cortisol. For more information about this, read my blog called “Adrenal Fatigue – Or Is It?”. Or read my book called “Adrenaline Dominance”. Cortisol will lead to fat around the middle by stimulating insulin production.

We are now at the point where I will discuss what I feel is the main hormone that creates fat. I should also mention that high levels of this hormone can also aid in the burning of fat. The hormone that I am referring to is adrenaline, the “fight-or-flight” hormone. Years ago, the only time the body released excess adrenaline was in times of danger. As soon as the danger passed, usually in a few minutes, the levels went down. Nowadays, people are often releasing adrenaline all day and all night, but they are not in danger. Instead, the body is releasing adrenaline primarily to raise sugar levels for the brain – the part of the body that utilizes the most sugar. When sugar is used up in the brain, the brain falls asleep (hypoglycemia). This, of course, can be a concern if it happens when someone is driving. From a survival standpoint, the body always wants to insure that the brain has enough fuel. If someone is relying on adrenaline to provide the fuel the brain requires, they must understand that they have no control over the amount of sugar the body will produce via a process called gluconeogenesis. This is a process whereby protein is converted into sugar. Do not underestimate the amount of sugar that can be produced by this process. When people are lying in bed at night tossing or turning, or grinding their teeth, or getting up at 2:30 am to urinate, or have RLS – they are experiencing symptoms of excess adrenaline, which is being released to increase sugar levels. If the body does not burn up this sugar, all the extra sugar will be stored in their fat cells as fat. In other words, they are gaining weight while they are sleeping. It does not matter if people eat foods that are high in sugar, or if the body creates sugar via adrenaline, either way insulin will be produced and will put all the extra sugar into the fat cells. People under stress during the day, or those with anger issues, or tap their knees, or get irritable or shaky when avoiding meals, or have an urge to urinate, or feel anxiety, or have trouble focusing, or have symptoms of IBS or fibromyalgia, are all feeling the effects of adrenaline that is continuously raising sugar levels. It should also be mentioned that adrenaline is the main stimulant to the release of cortisol, exacerbating the weight gain caused by adrenaline.  At the same time, the body recognizes that excess adrenaline will create a situation where the person will not tolerate normal levels of thyroid since they are both stimulants. This is why cortisol prevents the conversion of T4 into T3 which is the active thyroid hormone. It also causes T3 to convert to reverse T3, an inactive hormone. This effect on the thyroid also contributes to weight gain and is caused by the release of adrenaline. For information on how to control adrenaline naturally, I would strongly recommend reading my book “Adrenaline Dominance”. It is available on Amazon or from my website: http://www.plattwellness.com.

I have mentioned the importance of using progesterone to help control weight. It does this by blocking insulin and adrenaline. However, in order to block adrenaline, a 5% (50 mg per pump) strength is required. For those interested, I have had a maximal strength progesterone cream formulated that is available on my website  called PlattPro 5%.  It is also available in health food stores under the name ProMax 5%.

Posted in Excessive Adrenaline, Hormonal Balance and Wellness, Weight | Tagged , , ,

Adrenal Fatigue – Or Is It?

[The following is another chapter borrowed from my latest book: Adrenaline Dominance]

Adrenal fatigue is a diagnosis used mostly in alternative medicine, usually among naturopathic physicians. The diagnosis is based on the theory that the adrenal gland, if under functioning, can fail to produce sufficient quantities of cortisol. Treatment often involves prescribing cortisol in addition to addressing diet, timing of eating, and amount of rest.

I have two concerns about this diagnosis and its treatment. First, adrenal fatigue may actually be adrenaline dominance, a condition of adrenal over functioning rather than under functioning. Second, prescribing cortisol for a condition possibly already associated with a high cortisol level may have unintended consequences. Cortisol, if given inappropriately, can produce unwanted weight gain by raising sugar and insulin levels. It can also cause osteoporosis, cataracts, stomach ulcers, muscle wasting, and brain damage.

Naturopathic physician James Wilson, in his book, Adrenal Fatigue: The 21st Century Stress Syndrome, published in 2001, gives a list of symptoms suggesting adrenal fatigue. These include:

  • Fatigue unrelieved by sleep
  • Difficulty falling asleep and staying asleep
  • Decreased ability to handle stress
  • Depression
  • Increased PMS in women
  • Increased symptoms when meals are skipped
  • Problems focusing, with memory lapses
  • Decreased tolerance, easily irritated
  • Low energy between 3 and 4 p.m.
  • Difficulty staying on task
  • Being easily startled, which causes palpitations
  • Anxiety attacks
  • Hypoglycemia
  • Weight gain

Excess adrenaline can cause or contribute to every one of these symptoms. So is adrenal fatigue a condition related to too little cortisol or too much adrenaline? The distinction is important, since the treatments for the two conditions differ.

Usually, symptoms related to excess adrenaline can be largely relieved within 24 hours. Problems related to adrenal fatigue are more complex, since adrenal insufficiency can take months to correct.

I suspect that one of the sources of confusion between adrenaline dominance and adrenal fatigue is that a low level of salivary cortisol is often considered an indicator of adrenal fatigue. However, I have observed that patients with low cortisol levels in saliva often have high cortisol levels in the blood. An elevated cortisol in a morning blood sample almost always goes along with high adrenaline. In fact, I consider a high morning cortisol blood level to be the best indicator of high adrenaline. (In my view, any cortisol level greater than 11.5 might actually be considered elevated.)

I believe that this significant discrepancy between high cortisol levels in the blood versus low levels in the saliva is related to the tendency of adrenaline to constrict blood vessels. For example, the most common cause of cold hands and cold feet is excess adrenaline, not low thyroid. Vasoconstriction of blood vessels in the eye can cause glaucoma (which is often treated with beta-blocker eye drops), and vasoconstriction of the vestibular artery in the neck can cause tinnitus in the ears. Similarly, vasoconstriction of salivary gland blood vessels could possibly restrict blood flow to that area, resulting in low cortisol levels in the salivary glands themselves (as well as a dry mouth, which is commonly found in people with anxiety – a symptom caused only by excess adrenaline).

For these reasons, it might make more sense to treat patients initially as if they have adrenaline dominance, rather than starting them on cortisol, a powerful hormone that they may not need. The fact that excess adrenaline responds so quickly to the protocol presented in this book can be used as a diagnostic tool. If the patient’s symptoms are caused by adrenaline dominance, the symptoms should disappear or at least improve within 24 hours. If the symptoms do not improve within 24 hours, then the possibility of adrenal fatigue can be considered.

Cortef, the drug most commonly used to treat adrenal fatigue, raises the cortisol level. Patients often feel better after they have started on Cortef. This may be because Cortef also raises the blood sugar level, which can decrease the body’s need to put out adrenaline. It can also act as an antidepressant. Thus Cortef can appear to be helping, whereas it may actually be making things worse.

A word of caution: If a morning blood cortisol test shows that the patient’s cortisol level is below normal, and if the person’s DHEA-S (dehydroepiandrosterone-sulfate, a hormone produced by the adrenal gland) level is also extremely low, the patient should probably be referred to an endocrinologist for treatment of possible Addison’s disease—a true condition of “adrenal fatigue.”


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