Thyroid Function Studies In The Nephrotic Syndrome
This is Dr. Lam, welcoming you to our discussion on Adrenal Fatigue Syndrome Stage 3C, also called the disequilibrium phase. As you know, there are four phases at stage 3 of adrenal exhaustion, and when you get to stage 3C, the body has already gone through 3A, which is characterized by HPA axis dysfunction, which has symptoms like hypoglycemia, low blood pressure, and the beginning of a catabolic state. As well as stage 3B, with the downstream hormonal axis, like the OAT axis, becoming dysfunctional. Here in stage 3C, we have gone.
Beyond that. In other words, the body has continued to be damaged to such a point that it’s lost its equilibrium. So, despite the previous symptoms, additional symptoms are going to be present here. So, in stage 3B, we see hyperthyroidism, low energy, estrogen dominance, irregular periods, as well as low libido, is quite common. But in stage 3C, things get even worse, and have more symptoms than that. Now, remember, most people in stage 3B, as well as stage 3C, are able to work a fulltime job most of the time. It depends.
On how things go. Now, the key to understanding stage 3C is here the body continues to weaken, which triggers a variety of reserve systems to spring into action to maintain the body’s homeostasis. Much of this alarm response is driven by the sympathetic nervous system on the SNS, but its chemical messenger, norepinephrine, and the adrenal medullary hormonal system, the AHS, which is chemical messenger, epinephrine. The SNS and AHS are collectively called the sympathoadrenal system, or the SAS. Now, this regulation of the chemical messengers, the norepinephrine and epinephrine of the SAS, is therefore the hallmark of this phase. Symptoms.
Common of stage 3C include anxiety attacks, heart palpitations, electrolyte imbalances, dizziness, severe insomnia, paradoxical and unusual reactions to medications and supplements. Crash, it can be frequent, with long, unusual recovery periods. Fatigue tends to be moderate to severe. A routine laboratory test continues to be negative. So, the body is in a desperate mode, and this is where you see most of the people that come in to see you, because they’ve already been exhausted by their regular, conventional doctors, they have been abandoned by their health practitioners, and they’ve been jumping around from doctor to doctor, and, usually.
With no avail, continued testing, even going to extensive neurotransmitter workup brain scans to rule out tumors, pituitary masses, hypothalamic dysfunctions, have all been negative, and their tolerance of supplements that was working before is now kind of starting to backfire, the medication’s starting to backfire, or it’s increasingly ever larger dose. Insomnia becomes a key problematic area, thyroid medications may have to be increased, steroids may have to be increased, and the person is wired and tired at the end. So, if you break down stage 3C, you can actually see a progression of early stage 3C, middle stage 3C, as well as.
Late stage 3C, and the later you go, the more you see epinephrinetype reactions, and the earlier it is the less epinephrine and the more norepinephrine. So, the person just comes in and says, I have occasional heart palpitations, I have a mild anxiety feeling, that’s not so bad. That is more of a norepinephrine or a sympathetic overtone. However, if your person comes in and says, Well, I have impending doom, I have a panic attack that’s fullblown, I have heart palpitations every time I stand up, I can hardly walk because I’m having.
Low blood pressure, that is more symptomatic of a higher level of sympathetic involvement, as well as, more importantly, the adrenal hormonal medullary system, or the epinephrine, component. So, if you break it down, you will be able to sense of where this person is at. Now, why is it important, is because as the adrenal recovery progresses, you’ll be able to see reversal will happen. The epinephrinetype effect will then start to tone down first, meaning the sense of impending doom, the panic attack, the dizziness will be the first thing.
To go away. Then, the heart palpitation may continue to persist, and it will be the second thing to go away. So, in other words, as the person recovers from Adrenal Fatigue, the epinephrine response will be the first one to resolve, and that is followed by the norepinephrine response as we progress further during the recovery period. It’s very interesting if you are able to track these clients from the stage that they are in, and how they advance forward, when they crash, and how they actually recover and get better, and usually it does.