
It’s time to heal adrenal fatigue because chances are you’re dealing with it.(Or will at some point of your life.) It’s hard to believe, but adrenal fatigue is estimated to affect around 80 percent of people in the world. According to James Wilson (author of “Adrenal Fatigue: The 21st Century Stress Syndrome“), chronic stress and lifestyle affect the body’s ability to recuperate from physical, mental or emotional stress.
In fact, whether for a short time or a chronic condition, most people struggle with adrenal fatigue at some point in their lives. Symptoms include:
- body aches
- trouble concentrating
- racing thoughts
- moodiness and irritability
- always tired
- feeling overwhelmed
- hormone imbalance
- cravings for sweet and salty foods
These symptoms can be indicative of a few different disorders and are often overlooked by doctors, but more and more people are starting to realize that a combination of these could indicate the onset of adrenal fatigue, also known as adrenal insufficiency.
And if you have adrenal fatigue, it can also be a major cause of excess fat storage and low energy levels. So, let’s talk about exactly what your adrenal glands do and how you can overcome adrenal fatigue in three simple steps.
Your Amazing Adrenal Glands
Your adrenal glands are two thumb-sized organs that sit above your kidneys and are part of the endocrine system. Also known as the suprarenal glands, they’re involved in producing over 50 hormones that drive almost every bodily function, many of which are essential for life.
Hormones affect every function, organ and tissue in the body directly or indirectly. They react to each other as well as respond to conditions in the body in an intricate and highly sensitive balancing act. The adrenal glands work closely with the hypothalamus and the pituitary gland in a system known as the hypothalamus-pituitary-adrenal axis (HPA axis).
Adrenal glands play a huge role in stress response. Your brain registers a threat — whether it’s emotional, mental or physical. The adrenal medulla releases adrenaline hormones to help you react to the threat (the fight-or-flight response), rushing blood to your brain, heart and muscles. The adrenal cortex then releases corticosteroids to dampen processes like digestion, immune system response and other functions not necessary for immediate survival.
Your adrenal glands are responsible for balancing hormones, such as:
Glucocorticoids – hormones that balance your body’s blood sugar, help with energy and food metabolism, help your body bust stress, and manage your immune response (e.g., cortisol).
Mineralocorticoids – hormones that maintain healthy blood pressure, manage your blood hydration level, and keep your blood healthy by keeping salt and water in balance (e.g., aldosterone).
Sex hormones – estrogen and testosterone.
Adrenaline – hormones that affect your heart health, make sure that all parts of the body are getting blood and convert glycogen into glucose in your liver.
What Causes Adrenal Fatigue?
Adrenal fatigue is a condition where your body and adrenal glands can’t keep up with the tremendous amount of daily stress many people experience. Sometimes misunderstood as an autoimmune disorder, adrenal fatigue can mimic some precursors to other common illnesses and disease.
Wellness doctors and practitioners believe that an episode of acute stress or prolonged, chronic stress can cause adrenal glands to become overloaded and ineffective. They believe that adrenal fatigue can be caused by:
- Stressful experiences like death of loved one, divorce or surgery
- Exposure to environmental toxins and pollution
- Prolonged stress due to financial hardship, bad relationships or work environment, and other conditions that entail feelings of helplessness
- Negative thinking and emotional trauma
- Lack of sleep
- Poor diet and lack of exercise
Also, according to the Mayo Clinic, severe adrenal fatigue symptoms may actually be Addison’s disease.
Adrenal Fatigue Symptoms
What happens when the adrenal glands stop producing hormones efficiently? Every bodily function is affected, and as adrenal hormone levels shrink, even the normal “get-up-and-go” you get from them disappears. Adrenal fatigue symptoms include:
- Morning fatigue or trouble waking up
- Decreased libido
- Depression
- Muscle weakness
- Poor focus
- Bone loss
- Inflammation
- Increased allergies
- Difficulty sleeping
- Irritability
- Fatigue
- Cravings for sugar
- Hair loss
- Weight gain
- Muscle tension
- Inability to tolerate high-carb/potassium foods unless paired with fat and protein
If you’ve experienced any of these adrenal fatigue side effects, take heart, for there are now many natural ways to treat and support your adrenal system.
3 Steps to Heal Adrenal Fatigue
Treatment for adrenal fatigue involves reducing stress on your body and your mind, eliminating toxins, avoiding negative thinking, and replenishing your body with healthy food and positive thoughts.
1. Adrenal Fatigue Diet
In every case of adrenal recovery, diet is a huge factor. There are a number of foods that support adrenal function. They help replenish your adrenal energy so your system can come back to full health. But first you must start by removing any hard-to-digest foods and any toxins or chemicals in your environment.
The idea is to remove anything that taxes your adrenals. Foods to avoid include:
Caffeine: This can interfere with your sleep cycle and make it hard for your adrenals to recover. If you must drink coffee or a caffeinated beverage, then have a limited amount in the morning before noon.
Sugar and sweeteners: Includes avoiding high-fructose corn syrup and artificial sweeteners as well. Avoid sugary foods, cereals, candy, sweets, etc. Be aware that sugar is an additive in many breads, condiments and dressings. Try to avoid as much extra sugar as possible. Seek the benefits of raw honey or stevia as an alternative.
Processed and microwaved foods: First of all, the microwave has its own dangers, but additionally, most microwaveable foods have many preservatives and fillers that are hard to digest and wear out your body’s energy and digestion cycle. Try to buy food on the outer walls of your grocery store and prepare your own food whenever possible.
Hydrogenated oils: Vegetable oils like soybean, canola and corn oil are highly inflammatory and can lead to adrenal inflammation. Try to only use good fats such as coconut oil, olive oil, organic butter or ghee.
Next, you want to add nutrient-dense foods that are easy to digest and have healing qualities. Some of the top superfoods for adrenal health include:
- Coconut
- Olives
- Avocado
- Cruciferous vegetables (cauliflower, broccoli, Brussels sprouts, etc.)
- Fatty fish (e.g., wild-caught salmon)
- Chicken and turkey
- Nuts, such as walnuts and almonds
- Seeds, such as pumpkin, chia and flax
- Kelp and seaweed
- Celtic or Himalayan sea salt
These foods help overcome adrenal insufficiency because they’re nutrient-dense, low in sugar, and have healthy fat and fiber.
See also my healing diet for more food suggestions.
2. Adrenal Fatigue Supplements
Another big key to overcoming adrenal fatigue is taking the right supplements. I always recommend eating the right foods to heal your body.
However, due to soil depletion (from over-farmed and unhealthy farming practices), much of the fruits and vegetables don’t have the same amount of nutrition that they did even 50 years ago.
Thus, certain adrenal-boosting nutrients are needed to get your adrenal function back up, such as:
- Ashwagandha
- Holy basil
- Fish oil (EPA/DHA)
- Magnesium
- Vitamin B5
- Vitamin B12
- Vitamin C
- Vitamin D3
- Zinc
Taking these supplements in their whole-food form could greatly improve your symptoms of adrenal insufficiency.
3. Adrenal Fatigue Stress Reduction
The last and most important key to restoring your adrenal function is to heed your mind and stress needs. Pay attention to your body!
- Rest when you feel tired as much as possible.

- Sleep 8–10 hours a night.
- Avoid staying up late and stay on a regular sleep cycle — ideally, in bed before 10 p.m.
- Laugh and do something fun every day.
- Minimize work and relational stress.
- Eat on a regular food cycle, and reduce your caffeine and sugar addiction.
- Exercise (even moderate exercise and walking can help).
- Avoid negative people and self-talk.
- Take time for yourself (do something relaxing).
- Seek counsel or support for any traumatic experiences.
Let’s talk about “self-talk” for a minute. Our bodies are made to heal. However, the words we say have a great impact on our body and our ability to heal. Regardless of what diet and supplements you take, your environment is one of the most important components.
So, be kind to yourself. Try to avoid saying negative things about yourself and others. It’s important to choose to be around positive people and stay positive about yourself as well.

Adrenal Insufficiency Recovery Time
Recovery for adrenal fatigue can take a little while. After all, it took months, maybe years, to wear out your adrenals; so it takes a little time to build up their strength again. For full adrenal recovery, you can expect it to take:
- 6–9 months for minor adrenal fatigue
- 12–18 months for moderate fatigue
- Up to 24 months for severe adrenal fatigue
The best approach is to make solid changes to your lifestyle for lasting results. If you aim for a balanced lifestyle with a healthy level of sleep, exercise, fun and positive environment, then you are most likely to keep your adrenal system going strong!













I experienced severe weather last night where I live and tornados touched down everywhere. It was a very high adrenaline situation. Once we got the all clear and came out of the shelter and got settled I started feeling my legs tighten up and shooting pain in my lower back and down my legs then my arms started aching followed by every other inch of my body. I grew EXTREMELY tired and had to lay down. My voice went from normal or extremely groggy (like a tired smoker) . . . I assume I had an adrenaline crash. I’m still feeling the after effects this morning. . . soreness, fatigue etc. What can I do to prevent a crash like this from happening again? I already eat well and exercise regularly. I have had various AI diseases thrown at me but everything has been so conflicting over the years I don’t know what to believe. I changed my diet and lifestyle and noticed great results but still have issues from time to time. No medication any longer. . . I felt worse when I was on it.
I am taking your adrenal support tablets as directed…should I be adding Holy Basil etc even though it is in your tablets? Or is 2 tablets a day enough? I am trying to heal my adrenals Thanks
You shouldn’t need to add an additional supplement if you are taking the adrenal support supplement
What exercise do you recommend while healing from adrenal fatigue, especially when trying to lose weight?
What are your thoughts on low doses of Cortef for adrenal fatigue? Thanks!
Hi Dr. Axe,
I truly Appreciate your wealth of knowledge and your refreshing approach on wellness.
I resonate with your clear and concise communication style, simple yet strait forward, Thank U.
Gr8 info on adrenals in general, however looking 4 specific protocol for Extreme adrenal exhaustion, self diagnosed of course.
I believe its epidemic ; )
I was never a caffeine consumer as coffee makes me irritable and edgy and never needed it.
But now I cannot function without a stimulant. Coke cola was working short term but fizzled out, along with my precious minerals I learned, so no longer an option, thankfully!
I am in dire need of a reliable and effective stimulant that works with my body rather than against it, as my lifestyle and dietary changes although healthy still leave me depleted and drained of NRG.
My zippy D do-da disappeared long ago, and I could sleep all day and night with no recharge whatsoever.
How does one make cortisol?
Please advise on what you would suggest to provide NRG 2 function thru the day?
I realize I may also b low in iron and possibly B12, supplements are in my routine but take time to work and I need something for nrg today and everyday, not a quick fix, but an NRG assistant…….
would a B12 shot help me with quicker NRG?
A Coffee substitute more effective than green tea would be helpful…..
I heard licorice but not the candy kind, how does that work?
Thank U 4 sharing & caring,
looking forward to your response
Blessings ~
I feel my cortisol just collapsed….the well has run dry
Is there any hope to get cortisol pumping again???
Much
I would look at tips given in this article as well as these articles:
https://draxe.com/10-ways-balance-hormones-naturally/
https://draxe.com/ashwagandha-proven-to-heal-thyroid-and-adrenals/
Very helpful article, and I’m glad to see that the way I’ve started to eat is in line with what you suggest. One question, though: I experience extreme water retention whenever I eat coconut oil, butter, chia seeds, bone broth (from chicken) and some other whole foods generally considered healthy. Does this have anything to do with adrenal fatigue?
Hard to say. You may have a food sensitivity. I would focus on healing your gut
I read on your site elsewhere that adaptogens ensure lower cortisol. What do you recommend for someone who has low cortisol all day and night?
Make sure you are getting at least 8 hours of sleep each night, cut out sugars and grains of your diet, try using grapefruit essential oil, and try a licorice supplement.
I have Addison’s Disease (adrenal insufficiency) and have found several incorrect statements in this article. This article states that adrenal insufficiency is mistak8ngly thought to be caused by autoimmune disease but instead is caused by having a stressful lifestyle. Please note that the most common cause of adrenal insufficiency is autoimmune disease (check the Mayo Centre website). This article implies that extreme adrenal fatigue and adrenal insufficiency can be cured by lifestyle changes. Please note that there are no known cases of recovery from primary adrenal insufficiency and the treatment is lifelong steroids (again your own reference to the Mayo Centre should clarify this). Please also note that adrenal fatigue is not a recognised medical condition. Articles like this lead to misconceptions in the public that Addison’s Disease is caused by stress and cured by lifestyle changes. This is simply not backed by research or experiences of people with the autoimmune disease. Articles like this can contribute to people with Addison’s Disease stopping their medications and this leads to swift death for us.
I have had my thyroid removed and have heard a lot about supplements supporting Thyroid function. I take a levothyroxine pill (100 mg) once a day, blood test are normal range but have terrible days of just nodding off! The minute I sit down, especially at a computer I am nodding off, always have heavy eye lids. I need a caffeine pill (200 mg Mental Alertness/Wake up pill) to function out of that slump. I try really hard not to use them when doing desk work, but need for concentration. If I am moving around no problem, no need for them. I have gotten Dr. Axes B Vitamin supplement to see if that will help, I guess II have not been on long enough yet! I am really drained & need some idea of what to test for to get a handle on mixed up hormones or whatever is going on! I tested positive for gluten sensitivity (my mom has celiac sprue), so trying to stay away from all grains. Thanks Nadine
I would follow recommendations given in this article. Also check these out:
https://draxe.com/10-ways-balance-hormones-naturally/
https://draxe.com/gluten-sensitivity-diet/
I would cut out grains and gluten, sugars, fruits and dairy.
How much Holy Basil would you recommend daily? I have SEVERE adrenal fatigue! Also is there a brand that is best? TIA!!!
I personally use Terrain Holy Basil by Beyond Organic and do a tbsp of it each day!