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Hormone Changes With Burnout
Collection of health news, health articles and useful medical information you can use in everyday life. I have heard him speak on several congresses before. He is always very thorough and extremely knowledgeable. I decided to use this topic as a separate blog. He said that burnout is common in teachers, soldiers, emergency room physicians who have to deal with life and death situations and firefighters.
In essence they burn out their hormones. In burnout several hormones are affected, with the cortisol axis being the main one low cortisol readings and flattening of the diurnal hormone curve , but at the same time other hormone glands are affected as well.
As a result endocrine glands age prematurely and symptoms of fatigue, exhaustion, gastrointestinal problems, anxiety, depression and aggressiveness develop. Holocaust survivors were found to have lower 24 hour cortisol levels. With burnout already the morning output of the adrenal glands is reduced. The health care provider must check prolactin levels , because if prolactin is not high, cortisol will work; however, if prolactin levels are high, cortisol will be ineffective and high prolactin levels have to be addressed first.
In suspected cases hormone laboratory tests give concrete answers about hormone deficiencies. In men growth hormone, melatonin, thyroid, testosterone, cortisol, DHEA and aldosterone have to be replaced to bring the hormone balance back to normal.
Instead of aldosterone a adrenal gland hormone fludrocortisone is used. In women missing hormones are replaced by bioidentical progesterone and estradiol, but small doses of testosterone are also required. Hertoghe discussed cortisol deficiency and its replacement at some length, as this is the main stress hormone that is deficient with burnout. Different treatment protocols for cortisol replacement are used as dosing varies for different degrees of burnout. Other hormones must also be replaced as necessary, possibly for a prolonged period of time, if not life long.
Supportive counseling sessions have been shown to elevate cortisol levels and several studies were discussed. A counsellor or psychiatrist will help to tone down increased brain activity and help regain the internal balance. Balanced hormones are necessary on a cellular level to regulate the metabolism of every cell in the body. Cortisol is placed on one side of the scales and is balanced by androgens DHEA , estrogens in women and testosterone in men, growth hormone and melatonin on the other side of the scales.
When fainting is part of the burnout, it is because of extremely low aldosterone from the adrenal glands. The best treatment for this is fludrocortisone, which will bring the blood pressure up and remove the hazardous symptom of fainting. Many physicians still use either T3 or T4, which is not physiological.
In addition there often can be moderately poor resistance to stress and joint aches arthralgias. When permanent fatigue is present it is time to measure sex hormone levels. If deficiencies are found in a woman, bioidentical estrogen Bi-Est is given transdermally from day 5 to 25 of the cycle, and progesterone transdermally from day 15 to 25 of her cycle.
Depending on how severe the hormone deficiency is hormone replacement doses in women range from 2. In this age of exaggerated sports activities a new entity of burnout, the sports fatigue has emerged. In the lab often an increase in the sex hormone-binding globulin SHBG can be measured, which leads to a lack of free testosterone.
In a study of Chinese over-trained soldiers there was a complete recovery from this sports fatigue with multi-vitamins and a liposomal testosterone gel. Restless, non-restorative sleep can be a symptom of melatonin deficiency and happens more often in people above the age of 50 as there is a natural hormone decline with age in the older generation. Treatment consists of replacement, which is easily achieved either with sublingual tablets mild: Oral melatonin doses are more problematical as there are average absorbers and poor absorbers.
For mild, moderate to severe symptoms of insomnia the dosages are for average absorbers 0. One should use the lowest effective dose of melatonin as it opposes cortisol and when melatonin is overused, adrenal gland weakness can be the result. An overpowering feeling of exhaustion can be due to growth hormone GH deficiency. This is diagnosed by taking insulin-like growth factor-1 IGF-1 levels. When these are low, daily subcutaneous injection of low-dose human growth hormone is given.
Depending on how severe growth hormone deficiency is, different GH doses are administered. The patient self-injects with an insulin injector. Mild GH deficiency requires 0. Hertoghe pointed out with the help of a publication where runners had developed overtraining syndrome that adrenaline deficiency can be part of burnout. Often this is associated with thyroid deficiencies in males and females or with estrogen deficiency in women. Treatment consists in rectifying the thyroid and sex hormone deficiencies estradiol and progesterone treatment in women.
This involves the removal of sugar and starch as both lower the levels of essential hormones. He specified that sweets, chocolate drinks, soft drinks, milk, bread, pasta, commercial mueslis and high temperature cooked meats need to disappear from the diet plan.
The consumption of animal protein is desirable, but the food should be cooked at low temperatures. Fresh vegetable and fruit consumption should be increased. I like to add that these foods are best consumed as organic foods. This requires a dark bedroom at night and day light exposure in the morning.
If your environment is noisy, you may require ear plugs to shut out the noise. In case of hormone deficiency, it may be necessary to replace missing melatonin, growth hormone, see hormones above especially progesterone in women , and oxytocin. The most common missing minerals and vitamins are iron, magnesium, folic acid, vitamin B12, vitamin E and others. Replacement of these along with the missing hormones is essential for normal cell function. In an attempt to add to our physical fitness we may overlook our limits and run into a burnout situation without noticing it.
Your medical care provider should think about multiple hormone and nutritional deficiencies that can be treated, although treatment can be multifaceted. If in doubt ask for a referral to an anti-aging physician.
What if you could eat your way to better health, or slow down the aging clock with a few simple lifestyle tips? Prostate Cancer Unmasked analyzes 9 different treatment varieties of prostate cancer and their year survival data. Treating symptoms does not cure the patient, but treating the cause of the illness will. Ray Explains it all. Schillings new book titled Medical Questions Answered.
Every question you always wanted to ask your doctor are answered. This site complies with the HONcode standard for trustworthy health information. Medical Articles by Dr. Ray Collection of health news, health articles and useful medical information you can use in everyday life. Hormone balance and symptoms of various deficiencies Cortisol is placed on one side of the scales and is balanced by androgens DHEA , estrogens in women and testosterone in men, growth hormone and melatonin on the other side of the scales.
Sports fatigue In this age of exaggerated sports activities a new entity of burnout, the sports fatigue has emerged. Sleep abnormalities Restless, non-restorative sleep can be a symptom of melatonin deficiency and happens more often in people above the age of 50 as there is a natural hormone decline with age in the older generation. Exhaustion An overpowering feeling of exhaustion can be due to growth hormone GH deficiency. Hormone Changes With Burnout.
About Ray Schilling Dr. Prostate Cancer Unmasked Prostate Cancer Unmasked analyzes 9 different treatment varieties of prostate cancer and their year survival data.
Healing Gone Wrong — Healing Done Right Treating symptoms does not cure the patient, but treating the cause of the illness will. Medical Question Answered In Dr. Certificates This site complies with the HONcode standard for trustworthy health information. Tags alzheimer's disease arthritis asthma bioidentical hormone replacement brain breast cancer cancer cardiovascular disease dementia depression diabetes exercise fish heart attack heart attacks heart disease high blood pressure hormones immune system inflammation insulin insulin resistance LDL cholesterol mediterranean diet menopause mercury mitochondria obesity omega-3 fatty acids osteoporosis progesterone prostate cancer smoking starchy foods stroke strokes sugar testosterone toxins type 2 diabetes vegetables vitamin C vitamin D3 weight loss wheat.
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