Adrenal Fatigue

What is Adrenal Fatigue?

Adrenal Fatigue refers to a state in which the adrenal glands — the small glands that sit above your kidneys and help regulate stress hormones like cortisol — become overextended and under responsive due to chronic stress. When the body is exposed to long periods of emotional, physical, or physiological stress, the adrenal system can struggle to keep up.

 

Over time, this causes your stress-response system to become dysregulated, leading to symptoms like exhaustion, poor sleep, mood swings, brain fog, inflammation, and difficulty recovering from even small stressors. Many patients describe adrenal fatigue as feeling like their battery will not recharge — no matter how much they rest.

 

At First Call DPC, we take adrenal fatigue seriously because it is often a sign that the body is trying to communicate something important: you’ve been running in survival mode for too long. True healing requires restoring balance, not simply pushing through.

What Causes Adrenal Fatigue?

Adrenal Fatigue can develop when the body is exposed to stress faster than it can recover from it. Common contributors include:

Chronic emotional stress

High-pressure work environments

Long-term caregiving or burnout

Sleep deprivation or irregular sleep cycles

Chronic illness or inflammatory conditions

Blood sugar instability or poor nutrition

Overtraining or intense exercise without recovery

Major life transitions or unresolved trauma

Your adrenal glands are not “failing” — they are responding to overload. Functional and modern medicine understand adrenal fatigue as a dysregulation of the HPA axis (hypothalamus-pituitary-adrenal system), which controls how the body perceives and responds to stress.

When this system is disrupted, cortisol rhythms become imbalanced — too high, too low, or unstable. This disrupts everything from metabolism and immune function to hormone balance and emotional health.

What Symptoms Will I Experience With Adrenal Fatigue?

Adrenal fatigue symptoms often come on gradually and may be easy to dismiss at first. Over time, they become harder to ignore.

Common signs include:

Persistent fatigue that rest does not fix

Feeling “tired but wired” — especially at night

Brain fog or difficulty concentrating

Trouble waking up in the morning

Mid-afternoon energy crashes

Cravings for salt, sugar, or caffeine

Low mood, overwhelm, or irritability

Decreased resilience to stress

Low motivation or loss of drive

Poor immune function (frequent illness)

Reduced libido

Lightheadedness when standing

Increased inflammation or pain sensitivity

Sleep disruption — difficulty falling or staying asleep

Many patients say things like:

  • “I just don’t feel like myself anymore.”
  • “Small things feel overwhelming.”
  • “I used to handle stress better. Now everything drains me.”

These are hallmark signs that your body needs restoration — not more pushing.

What Should I Try at Home Before Seeing a Provider for Adrenal Fatigue?

Some supportive steps you can begin at home include:

Prioritize Sleep Routines

Aim for consistent sleep and wake times. Protect your evenings from screens and stimulation.

Stabilize Blood Sugar

Eat balanced meals regularly — prioritize protein, healthy fats, and fiber. Avoid skipping meals.

Reduce Stimulants

Try slowly decreasing caffeine intake, especially later in the day. Caffeine forces your adrenal system to “push harder.”

Practice Nervous System Regulation

Even 5–10 minutes of deep breathing, walking, or grounding daily supports cortisol rhythms.

Light Morning Sun Exposure

Supports circadian alignment, mood, and adrenal recovery.

If you’ve tried these and still feel depleted — that is your signal to seek structured clinical support. You don’t need to navigate this alone.

Best Treatment Options for Adrenal Fatigue

At First Call DPC, treatment focuses on restoring balance to the stress-response system while supporting the body’s natural repair mechanisms. Treatment options may include:

Comprehensive nutritional support for metabolic and immune stability

Adaptogenic herbs that help regulate cortisol rhythms

Targeted vitamin and mineral repletion (especially magnesium, B vitamins, electrolytes)

Peptide therapy to support cellular repair and nervous system resilience

Hormone optimization if stress has affected thyroid or reproductive hormones

Sleep rhythm recalibration strategies and supplementation

Lifestyle redesign for sustainable energy, not temporary bursts

Mind-body therapies to calm the nervous system

Treatment is personalized — because adrenal fatigue never looks exactly the same in two people.

Our Process for Treating Adrenal Fatigue

Our approach is collaborative, comprehensive, and proactive:

Deep Conversation About Your Symptoms & History

We take the time to understand your stress patterns, energy cycles, sleep, and lifestyle.

Thorough Lab Evaluation

We look at cortisol rhythms, thyroid function, inflammation markers, nutrient status, metabolic balance, and hormone levels.

Root-Cause Interpretation

We connect the dots — not just “your labs are fine,” but why you feel the way you feel.

Personalized Treatment Plan

We design a plan that addresses your energy, resilience, stress tolerance, and recovery capacity.

Direct Ongoing Support

Unlike rushed traditional care, you stay connected to us — so you’re supported while you heal.

This is partnership-based medicine — thoughtful, supportive, and focused on steady, meaningful progress.