Adrenal Health

Dear Dr. Meletis, I took Klonopin® for 20 years until October 2003 and am now drug free for four-plus years. It took a real toll on my system and I’m having trouble getting back to homeostasis. A year ago I had a Salivary Hormone Test and it showed my cortisol levels as 1.3 at 5 a.m., 1.6 at 11 a.m., 0.5 at 5 p.m., and 0.2 at 11 p.m. DHEA was 201 at 5 a.m. and 45.9 at 5 p.m. Clearly, my adrenals are exhausted, but I have not had much success and have suffered with little sleep, etc., for over four years. What would you recommend as a supplement regimen to aid in my healing in addition to my continued efforts at managing my daily stress levels? Thank you so much for your time and attention to my inquiry. Mr. H.

Dear Mr. H., It sounds like you have made great overall progress through your diligence and commitment to pursue wellness. There are some general approaches for adrenal support. The most simple include the use of a B-complex (such as Extension B-Plex) and Vitamin C, with the addition of a product such as either Rhodiola or AdaptaPhase® I. When DHEA levels are low, the use of a small dose of DHEA and/or 7-Keto DHEA are a common consideration. Looking for the underlying source of the adrenal dysfunction is important. I note that you attribute some of the effects from Klonopin use. It is absolutely essential that you seek and achieve 8 hours of restorative sleep. If you happen to snore, it is critical that you explore the possibility that you may have sleep apnea that is contributory to your slow adrenal recovery. Trying an approach similar to the above items for 2 to 3 months, and then retesting your cortisol and DHEA levels by taking a Salivary Hormone Test (Adrenal Function Panel) would be a strong consideration. Working closely with your personal healthcare provider is always important. Sincerely, Chris D. Meletis, ND