Adrenal Stress

Successfully diagnose and treat adrenal stress with a personalized, root-cause approach.

Addressing Adrenal Stress

Adrenal stress is a complex and frequently overlooked condition that can significantly affect your energy, vitality, and overall well-being. It often manifests as fatigue, dizziness upon standing, difficulty managing stress, and other vague but persistent symptoms. These symptoms stem from prolonged exposure to stressors—whether physical, emotional, or environmental—that overwork your adrenal glands and elevate cortisol levels for extended periods. While conventional medicine primarily recognizes rare adrenal disorders like Cushing’s Disease or Syndrome, many individuals live with undiagnosed adrenal stress due to chronic metabolic strain and disrupted hormonal signaling.

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Diagnosing adrenal stress can be challenging, largely because its symptoms overlap with other chronic conditions, and traditional testing methods often fail to uncover the root causes. Many patients are misdiagnosed or treated symptomatically without recognizing underlying contributors such as nutritional deficiencies, stealth infections, metabolic imbalances, sex hormone imbalances, poor sleep-wake cycle habits, environmental toxin exposure, or undiagnosed thyroid imbalances. As a result, you may continue to experience debilitating symptoms without finding lasting relief.
At Michael Rothman MD, we take a functional, metabolically directed approach to diagnosing and treating adrenal stress. By investigating the underlying factors contributing to your impaired homeostatic control system—such as poor sleep, autonomic nervous system dysfunction, environmental exposures, and hormonal imbalances—we create personalized treatment plans that target your unique health challenges. This comprehensive methodology enables us to address the true root causes of your condition and help restore your long-term well-being.

Ready to Take Control of Your Health?

If you are experiencing symptoms of adrenal stress and are seeking effective, metabolically directed treatments, contact us online or call (732) 268-7663 for a consultation.

What are the Symptoms of Adrenal Stress?

Adrenal stress can present in a wide variety of ways, affecting everything from your energy levels to your hormonal balance and cognitive clarity. The symptoms often vary between individuals but typically stem from stress induced abnormal cortisol production and metabolic imbalances.

Common symptoms of adrenal stress include:

  • Fatigue: Ongoing exhaustion that persists regardless of rest or sleep.
  • Difficulty Handling Stress: Feeling emotionally overwhelmed or anxious, even in routine situations.
  • Dizziness Upon Standing: A feeling of lightheadedness or dizziness when you rise from a seated or lying down position.
  • Low Vitality: Decreased energy, motivation, and general enthusiasm for daily life.
  • High Blood Pressure and/or Blood Sugar: Changes in your blood pressure and blood sugar levels.
  • Muscle Wasting and Osteoporosis: Weakened muscles and bones.
  • Constipation and Digestive Issues: Poor gut motility and impaired metabolism.
  • Mood Changes: Depression or psychiatric illnesses such as anxiety.
  • Cognitive Decline: Brain fog, memory problems, and even signs of early dementia.
  • Related Comorbidities: Thyroid dysfunction and sex hormone dysfunction.
If you are experiencing a multitude of seemingly unrelated symptoms, adrenal stress could be part of the underlying cause. A holistic, metabolically directed treatment approach is essential to identify and correct these dysfunctions and help restore your quality of life.
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Our Functional and Metabolic Medicine Approach to Adrenal Stress

At Michael Rothman MD, we understand the significant impact that stress overload and metabolic imbalances have on your overall well-being. Our approach to treating adrenal stress involves a comprehensive, metabolically directed method to identify and address the root causes of your symptoms, such as gut dysbiosis, food intolerances, nutritional and metabolic imbalances environmental exposures, stealth infections and autonomic dysfunction.

Learn More About Our Metabolic
Approach To Adrenal Stress

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Why Choose Functional and Metabolic Medicine for Adrenal Stress?

Adrenal stress is a multifaceted condition that often goes unrecognized or untreated in conventional medical settings. Many approaches focus solely on managing symptoms or reducing cortisol levels, without addressing the deeper dysfunctions affecting your adrenal glands and metabolic system. This symptom-based model fails to provide long-term relief for patients dealing with fatigue, emotional instability, and impaired resilience to stress.

Adrenal Stress, image of a doctor sitting at a desk with a pen in his right hand talking to a female patient wearing a white blouse.
At Michael Rothman MD, we take a functional and metabolic medicine approach that prioritizes identifying and correcting the root causes of your adrenal stress. We examine the interaction between your genetics, environment, lifestyle, and hormonal balance to uncover the unique stressors affecting your adrenal function. Our diagnostics are designed to evaluate not just your cortisol output, but also your autonomic nervous system, thyroid health, environmental exposures, and gut function—all of which contribute to your overall stress response.
By creating personalized treatment plans that target your individual health challenges, we provide a deeper, more comprehensive level of care. Our goal is not only to alleviate your symptoms but to restore balance to your entire system, helping you reclaim your energy, resilience, and well-being over the long term.

Ready to Take Control of Your Health?

If you are experiencing symptoms of adrenal stress and are seeking effective, metabolically directed treatments, contact us online or call (732) 268-7663 for a consultation.

Meet Dr. Michael Rothman: Holistic Health and Metabolic Medicine Expert

Dr. Michael Rothman is a Functional and Metabolic Medicine Specialist with over two decades of holistic practice. Drawing on his personal experience with Crohn’s disease, he is passionate about utilizing metabolically directed functional medicine to address complex health conditions, like adrenal stress. Dr. Rothman’s comprehensive method considers dietary habits, genetic predispositions, and environmental factors to identify and treat the metabolic imbalances at the root of health issues.

Certified by the National Board of Medical Examiners and the New Jersey State Board of Medical Examiners, he also holds board certifications in Internal Medicine and previously in Emergency Medicine. His unique approach integrates knowledge from nutrition, biochemistry, physiology, and physics, alongside extensive training in environmental illness, medical acupuncture, naturopathy, Reiki, qigong, and oriental martial arts. Patients can expect a thorough, individualized approach aimed at restoring and maintaining lasting well-being.

Adrenal Stress, image of Michael Rothman, MD wearing a white button down shirt and a stethoscope around his neck.

Frequently Asked Questions

Is adrenal fatigue the same as adrenal stress?

The term adrenal fatigue is often used in popular health conversations, but it is not officially recognized in conventional medicine. What many people call adrenal fatigue is more accurately described as adrenal stress—a condition in which your adrenal glands are overworked due to chronic physical, emotional, or environmental stressors. Rather than “fatiguing” completely, your adrenal glands continue producing stress hormones like cortisol, sometimes excessively or erratically, leading to a breakdown in your body’s ability to maintain balance. At Michael Rothman MD, we use the term adrenal stress to reflect the measurable disruptions in your hormonal and metabolic systems.

How does adrenal stress affect hormone levels like cortisol?

Under prolonged stress, your adrenal glands may produce excessive amounts of cortisol—a key stress hormone. Over time, this chronic elevation can interfere with your body’s hormonal rhythms, disrupt sleep, suppress immune function, and contribute to imbalances in other hormones such as thyroid and sex hormones. Eventually, your cortisol production may become dysregulated, leading to both high and low levels throughout the day. This impaired rhythm impacts your energy levels, mood, and metabolism, and requires a functional and metabolic approach to restore your hormonal harmony.

Can adrenal stress make me gain weight or feel tired all the time?
Yes. Chronic adrenal stress often leads to persistent fatigue, even after rest, and can contribute to weight gain—especially around your abdomen. Elevated cortisol levels can raise your blood sugar levels, trigger cravings for sugar and refined carbohydrates while also promoting fat storage and muscle breakdown. As your metabolism becomes less efficient, your body’s ability to convert food into energy diminishes, leaving you feeling drained and more likely to gain weight. These changes are your body’s way of adapting to prolonged stress but are reversible with targeted care.
What’s the difference between adrenal stress and chronic fatigue syndrome?

While adrenal stress and chronic fatigue syndrome (CFS) share overlapping symptoms such as extreme tiredness and poor stress tolerance, they are distinct conditions. Adrenal stress is typically driven by chronic overactivation of your stress response and elevated cortisol, whereas CFS is often associated with immune dysfunction, stealth infections, or post-viral syndromes. However, adrenal stress can be a contributing factor to CFS. At Michael Rothman MD, we perform detailed metabolic and functional testing to determine the root causes of your fatigue and identify whether adrenal dysfunction is part of the picture.

How long does it take to recover from adrenal stress?
Recovery from adrenal stress varies depending on the severity of your condition, how long you’ve been dealing with it, and your body’s ability to heal. Some individuals notice improvements within a few weeks of making targeted changes, while others may require several months of metabolic therapy and lifestyle support. Because adrenal stress is a multifactorial condition, addressing all contributing factors—such as poor sleep, toxic exposures, and nutritional deficiencies—is key to long-term healing. With consistent support and personalized care, you can restore your energy, resilience, and metabolic balance.
Can adrenal stress impact mental health, like anxiety or depression?
Absolutely. Adrenal stress can play a significant role in the development of psychiatric illnesses such as anxiety and depression. Cortisol and other adrenal hormones influence neurotransmitter activity, thyroid function and nervous system regulation. Chronic elevations or fluctuations in cortisol can disrupt your brain’s ability to maintain emotional stability and cognitive clarity. Many people with adrenal stress report mood swings, low motivation, poor concentration, and a general sense of mental fatigue. Addressing the root causes of adrenal stress can support emotional health and improve mental well-being.
What lifestyle changes help reverse adrenal stress naturally?
Reversing adrenal stress starts with identifying and minimizing the sources of chronic stress in your life. Some of the most effective lifestyle changes include improving your sleep hygiene, practicing daily stress management techniques like deep breathing or gentle movement, and stabilizing your blood sugar through a nutrient-dense, low-sugar diet. Reducing exposure to environmental toxins and EMFs, getting regular sunlight, and ensuring adequate intake of natural salts and minerals are also helpful. At Michael Rothman MD, we customize lifestyle recommendations based on your unique needs and diagnostic findings.
Can I self-diagnose adrenal stress at home?
While you may recognize many symptoms associated with adrenal stress—like fatigue, poor stress tolerance, or blood sugar swings—self-diagnosis is not recommended. Many of these symptoms can mimic or overlap with other serious health conditions. Accurate diagnosis requires comprehensive testing to evaluate your hormonal rhythms, autonomic nervous system function, nutritional status, and environmental exposures. At Michael Rothman MD, we use a metabolically directed diagnostic process to uncover the root causes of your symptoms and develop a plan that’s truly tailored to your needs.
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