Lifestyle-based Adrenal Dysfunction

Transcription

1 Assessing Adrenal Function Primary FDM Testing Glandular vs. Lifestyle Adrenal problems Glandular-based Adrenal Problems Lifestyle-based Adrenal Dysfunction 1

2 Causes of Adrenal Dysfunction Poor nutrition Stress Exposure to toxic chemicals Excessive exercise or no exercise Chronic pain Diagnosing g a lifestyle-based adrenal disorder 2

3 Signs and Symptoms of Adrenal Dysfunction Adrenal Hyperfunction immune function: allergies, infections Arteriosclerosis due to Hyperlipidemia Insomnia, headaches Reduced vitality Muscle wasting, osteoporosis PMS, hormonal problems Weight gain, especially around waist and face Adrenal Hypofunction Fatigue Headaches Joint and muscular pain Heart palpitations and low blood pressure Alcohol intolerance Poor memory and Ability to concentrate, anxiety PMS Hypoglycemia and CHO sensitivity P.E. Techniques 1. Ragland s Test for Postural Hypotension 2. Paradoxical Pupillary Reflex Test 3. Medial knee tenderness 4. Inguinal ligament tenderness 5. Sergent s Lines 3

4 Ragland s Test for Postural Hypotension Background Directions Excellent Ragland s Test Results 6-10 point in systolic BP upon standing Good Poor Failure Systolic pressure remains the same Systolic pressure drops 10 points or less Systolic pressure drops points Exhaustion Systolic pressure drops more than 20 points 4

5 Paradoxical Pupillary Response Test Background Directions Pupillary Test Results Excellent Good Pupil constricts and holds tight for 20 seconds without pulsing Pupil holds but pulses after 10 seconds Poor Pupil pulses & gradually enlarges over 10 seconds Failure Pupil pulses & rapidly enlarges over 5-10 seconds Exhaustion Pupil immediately becomes larger or fails to constrict 5

6 Adrenals: Reflex Testing Inguinal Ligament Tenderness Location: Unilateral tenderness on palpation Medial Knee Pain Location: Tenderness at insertion of sartorius at the pes anserine Sergent s White Line Functional Urinalysis and the Adrenals Urinary Chloride Ttest 6

7 In-Office Testing: Urine Chloride Background Directions Description of the test Test Results # of drops to get a color change Interpretation 1 6 drops Low Urinary chloride 7 8 drops Normal 9 or more drops High Urinary chloride 7

8 Clinical Implications Chloride/ > 8 drops Chloride 1 6d drops Adrenal hypofunction Adrenal stress Hypochlorhydria Electrolyte stress Kidney stress Oxidative stressincreased stress Alkaline mineral insufficiency increases free radical Oxidative stress activity Functional Blood Chemistry Analysis 8

9 Potassium & Adrenal Dysfunction Background Function of potassium Regulation Adrenal Dysfunction- Reference Ranges Lab Range Optimal Range Potassium mmol/l Sodium mmol/l

10 Potassium (K+) - Clinical Implications HIGH Adrenal hypofunction Dehydration Tissue destruction Metabolic acidosis LOW Adrenal stress Drug diuretics Benign essential hypertension DHEA Sulfate 10

11 DHEA Reference Ranges Normal reference range: Men: μg/dl Women: μg/dl Optimal reference range: Men: μg/dl Women: μg/dl Low DHEA Levels Mood disorders and Sexual dysfunction Coronary artery disease Osteoporosis M t b li d d i d i li Metabolic syndrome and increased insulin resistance 11

12 Summary 12