Chronic Fatigue...Why Don't I Feel Well?
From: Drrind.com 2009

Are you often tired or worn down? Do you have trouble sleeping? Do you have
problems with your weight? Do you feel as though you’re cold all the time, and can’t
warm up? Do you have dry skin? Do you sometimes have difficulty remembering
things? If the answer is 'yes' to any of the above and you’re thinking it’s just something
you have to live with, think again.

While all of the above seem like nothing more than day-to-day annoyances, in reality all
are symptoms of low metabolic energy. The best way to eliminate these symptoms –
and restore metabolic energy – is to correct the underlying problem.

What causes low metabolic energy? The most common cause is poor thyroid and/or
adrenal function. Another very common cause is hormonal imbalance – especially low
progesterone or estrogen dominance in women or low testosterone in men. Restoring
metabolic energy helps the body help itself, letting the self repair mechanisms function
well again and restore health.

What Causes Low Metabolic Energy?

Every process that goes on inside our bodies requires energy – specifically, metabolic
energy. When the body doesn’t have enough energy to function properly, each
component of the body will malfunction in its own unique way. For example, if the brain
has too little energy, thought processes such as memory and focus become impaired.

The body needs energy to keep itself warm – a low body temperature, therefore,
usually accompanies low metabolic energy. (For more examples see the above
symptoms list.) In our cells, ready to use energy is in the form of ATP (adenosine
triphosphate) molecules. The body converts fats, sugars, etc. into ATP that is then used
for energy. However, there are other factors involved that can affect how well our body
can make this conversion from those fats and sugars into the ATP molecules.

The thyroid gland, located at the base of the neck, makes the hormone T4 (thyroxine).
T4 converts to T3 (triiodothyronine) and RT3 (reverse T3). The T3 turns on the ATP
(energy) making machinery inside each living cell while the RT3 slows it down.
Production of these thyroid hormones is controlled by TSH (Thyroid Stimulating
Hormone), which is released by the pituitary gland in the brain. The pituitary takes its
orders from the hypothalamus (also part of the brain). The adrenal glands, located on
top of each kidney, help the body deal with stress.

If the metabolic activity is excessive, the adrenals perceive this as a stress. In response
to this stress, the hypothalamus will signal the pituitary to produce less TSH, thus
producing decreased T4 and thyroid activity.

Based on the above explanation, some of the contributors to low metabolic energy are:

* The thyroid gland can not make enough T4 (hypothyroidism).
* The adrenal glands are too weak to handle the stress of the body’s normal metabolic
energy and force a down-regulation of energy production.
* The enzymes (cellular machinery) which make ATP may be held back due to chemical
interference such as toxins, lack of needed ingredients (vitamins or minerals), or
breakdown due to auto-immune disease or old viral damage.
* Hormonal imbalance such as growth hormone, testosterone, estrogen, or
progesterone.
* Severe caloric restriction.

When one or a combination of these factors is in place the symptoms of low metabolic
energy – such as fatigue, weight issues, memory loss, cold hands, dry skin – may start to
appear.

Diagnosing Metabolic Energy Problems

To restore energy to a healthy level, the causative problem(s) must be corrected. Toxic
exposure, nutritional deficiencies, food allergies (e.g., to wheat), viral, and auto-
immune damage are all, to some degree, universal. If severe enough, any one of these
(or a combination of several lesser ones) can overwhelm the body’s metabolic
mechanisms and become the cause of the problem. However, these are not as common
as the low metabolism caused by adrenal and/or thyroid dysfunction.

How do I know if it is low adrenal or thyroid?

If poor thyroid function is the only cause, we typically see a reddish complexion,
thinning of the outer eyebrows, easy weight gain, depression, sluggishness, excessive
sleep, high blood pressure, and a decreased ability to fight infection.

Conversely, if poor adrenal function is the only cause, we typically see pallor, full
eyebrows, difficulty gaining weight (if the problem is severe), difficulty losing weight (if
the problem is moderate), anxiety, exaggerated startle reflex, insomnia and un-
refreshing sleep, low blood pressure, allergies and auto-immune problems.
Most
people have a mixture of poor thyroid and poor adrenal function rather
than purely one or the other, and therefore a mixture of symptoms.


They are very useful feedback tools for proper diagnosis and treatment of low
metabolic energy. (taken from drrind.com)

* Metabolic Scorecard™: A method for looking at symptoms to provide guidance on
whether there are adrenal, thyroid, or a mixture of problems.

* Metabolic Temperature Graph™: A method for measuring and interpreting daily
temperatures to gain insight into metabolic energy issues associated with both adrenal
and thyroid function.

A great thyroid test that you can do at home is a temperature test. Keep a
thermometer beside your bed. When you awaken in the morning, before
moving around (yes, even before you make a trip to the bathroom), tuck
the thermometer snugly in your armpit and keep it in place for 15
minutes. Keep as still as possible. Then, remove the thermometer, take a
reading, and write down the results.

Follow this procedure for three days, then determine an average reading
by adding all three readings together and dividing by three. If you're
average temperature is below 97.5 degrees F., in all probability you are
suffering from subclinical hypothyroidism.


* Thyroid Scale™: A method of evaluating thyroid lab data (TSH, Free T4, and Free T3)
relating them to optimal values as well as each other. This provides a clearer picture of
what is going on as opposed to the old, 'your lab values are all normal', answer. Then
look at the
Thyroid Scale Matrix

* Estrogen Dominance Questionnaire: A method of looking at symptoms to determine if
an estrogen / progesterone imbalance might be causing metabolic problems.


Of course, these tests are  not to be used to replace any needed medical tests or
attention to problems that you may have.
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