April 11, 2025 • 16 mins
Unlock the secrets to managing cortisol imbalances and reclaiming your health with insights from Damaris Murray Grossman, an integrated family nurse practitioner. Have you ever wondered why you feel so fatigued despite getting enough sleep? This episode sheds light on the often-misunderstood concept of "adrenal fatigue" and dives into the stages of the General Adaptive Syndrome. Discover how persistent stress can throw your body into chaos, leading to inflammation and concentration issues. Damaris guides us through the physiological changes our bodies undergo, explaining the alarming effects of prolonged stress and the critical role of lifestyle choices in maintaining hormonal balance.
By listening, you'll gain a deeper understanding of the connection between mental exhaustion and physical well-being. Explore why a personalized, whole-body approach is essential for effective stress management and long-term health. Damaris emphasizes the importance of recognizing your individual energy levels—whether they're soaring high or scraping the floor—to customize strategies that truly work for you. Through thoughtful discussion, you're encouraged to reflect on how stress affects your own health and the steps you can take towards a balanced and fulfilling life. Reach out for guidance and embark on a journey to wellness with expert advice tailored just for you.
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Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:02):
Hi, how are you?
This is Damaris Murray Grossman, an integrated family nurse
practitioner, and I'm talkingtoday about like cortisol stages
.
I've talked about this beforebut I'm really kind of getting
diving into the more nittygritty of it.
You'll hear adrenal fatigue.
That, technically, is not theright medical term.
Think of it like you're eithertoo high, too low and these
(00:25):
different stages are kind ofwhere your body needs Now
cortisol, just like stressors itis, and life.
We all need some of thesetriggers to work, to function.
Now the problem is is when theybecome altered or imbalanced.
So what does that mean?
Let's talk about it.
So I don't say adrenal fatiguebecause, like I said, that's not
(00:47):
necessarily a proper medicalterm, but it's saying that kind
of the adrenals which do producecortisol may be having an
irregularity, either too high,too low or complex.
So the stressors within thebody may be coming up and we're
not able to deal with it becausewe might be in a stage that has
(01:11):
caused us so much allostaticstress in the mind or life that
it's just on high, high, high.
So imagine that stress levelhad a small bucket, you were
able to just kind of deal withstuff, maybe just relax or go
for a walk.
But then when the stressorspile up, pile up, pile up and
your body is still inflamed orit is still sick, or immune
(01:33):
system when it goes up, up, up,then you become depleted.
And also there's some thingswhen your body doesn't have
enough to work with, then itfinds itself low, and actually
low cortisol is worse than high.
There's two different extrememedical terms, one's Cushing's
and one's Addison's, butmajority of the time most
(01:57):
patients don't have that.
So it's kind of like when Italk about celiac disease, most
patients do not have that, avery small percentage, but I'm
more in this sense of workingwith clients that always range
in kind of that in that middle,oh, I'm still not feeling.
Well, that's where it is, Um,and it's like not necessarily a
red flag, cause you're not, youknow, in the ER, but it's still
(02:20):
a problem and it's stillaffecting you.
And so what usually changes orwhat's part of that?
Hormones, age, what you putinto your body, the environment,
you know those are all going toplay, you know lifestyle stuff
and management.
So let's talk about the stagesand this is called like a
general adaptive stage syndrome,or the three parts of cortisol.
(02:42):
You would consider it kind ofthe.
Initially you might be justnormal.
You know, every day everythingis kind of going well, but then
you've got an alarm stage.
The alarm stage is what wewould use when um fight or
flight.
So consider it like oh okay, Ineed a little bit of adrenaline
because, um, I have to payattention, there's a car, one in
front of me, I have to stop.
Um, someone is, you know,coming at you.
(03:03):
You have to pay attention.
There's a car in front of me, Ihave to stop.
Someone is, you know, coming atyou.
You have to, you know, be awareYou're running, you need some
adrenaline.
So in those scenarios, yourheart rate is racing, you're out
, you can elevate a bloodpressure, heightened alertness,
you have more energy and it'sthere to, you know, help with
the immediate stressors.
Um, the thing is is that we endup being way high, we end up
(03:30):
having those stressors a littlebit too much and um, our
cortisol levels stays too high.
Um, one indicator we also useis a DHEA Um and that's another
way of kind of determining whereour um cortisol levels are
depleting.
Now it stays normal, in thiscase, sometimes an alarm stage.
(03:54):
The thing is, what you have toworry about is is the person
able to trigger off or are theyalways staying in that fight or
flight scenario?
Because if you're doing that,what happens is your body is
more about breathing in yourheart, which is like it wants to
stay alive, and less about restand digest, which is going to
the bathroom, getting throughthe day.
(04:14):
That's why a lot of GI issueswhere people are like I'm
constipated or I have diarrheabecause they are in such a
heightened state whether it'sdepression or anxiety and their
body is not, it's triggered offbecause the cortisol levels are
off, because their body isinflamed or autoimmune systems
off in some manner.
Obviously a little bit moretechnical than that, but that is
(04:38):
, it's triggered because youknow our brain health, our body
health, is not in tune, it's notin line, and then you know it's
not balanced.
So how do you get it back to?
So that's one area.
The next stage from that isresistance stage.
So they call that um.
It's when the stress in thebody enters resistance stage.
You're just about trying toadapt, so we call it adapt stage
(05:00):
.
Now this is a stage where yourbody is trying to get over the
stressors.
Now you're hoping that happens,but in this time the person is
starting to become fatigued.
So sometimes theyovercompensate for the stressors
in life.
So this is like hence someone'slike, oh, I've got it, I've got
it all situated, you know.
Um, you know, started off Rosie.
(05:22):
The second stage was an alarmstage but then you were like,
okay, I'm, I'm overall gettingthere, but I'm able to pass, you
know.
So I look kind of all right.
The resistance stage is oh, mygoodness, I'm running, running,
running.
I'm going to look at my watch.
I got to do this.
I've got multitasking kind offeeling, um, and things are not
in where you want them to be.
(05:43):
The next part of that kind ofreally is you start to become
fatigued or poor circulationconcentration.
This is that early, like I'mwired but I'm tired.
This is not fully depletedcortisol.
This is starting still highcortisol, high to low, starts to
dip down and you're alsonoticing the three o'clock dip,
(06:06):
three o'clock in the morning,starting to raise a little bit
and your patterns are juststarting to go off.
The purpose of this is tryingto help you, like, get through
long-term stressors.
But if this is not going wellin that stage, you're going to
have a hard time recovering.
So this is still kind of inthat high cortisol level and how
(06:29):
do we kind of get through that?
So in another podcast I will,in discussion I will talk about
how to and what to use indifferent stages of this types
of cortisol stressors.
And, like I said, you know it'snot that all of them are bad.
They're used for a reason.
It's just a matter of where doyou lie and we all do lie
depending upon what's going onage, time, environment, things
(06:52):
of that nature and what you'reputting in your body.
Now, the most concerning stageis actually exhaustion stage and
you know it's like that's theone when you're like done.
Now, um, cushing syndrome wouldbe the one that's like
completely done.
You know that's or a severe.
I mean Addison's disease iswhen it's completely bad, when
you have very low cortisol.
(07:12):
Cushing's is when you have veryhigh cortisol.
Most of the time thosescenarios are very, very rare,
but patients are really prettyclose to low, low cortisol when
they work themselves, workthemselves.
So, uh, an exhausted personusually has I mean not always,
(07:34):
but I usually feel like they'rethe high achiever very skinny,
always working, always doing,never stopping, never sleeping,
never doing anything, and thenthey're just done and then those
get to the point where theycrash and their body's just on
and on and on.
The um ones that are depressedand slow moving.
They're usually overweight,having problems in um, you know,
(07:56):
concentration and stuff.
They're more in that likemiddle Um.
They're not really like I said,they're not in the extremes and
they're not in the ER, butthey're still pretty sick and I
think it can't be overlooked.
So that's, you know, it's superimportant to still see that.
So when people come to see methey want to get a cortisol test
.
When they come to see me, theywant to talk about why their
(08:18):
hormones are off, what else isgoing on, and then how can I
help them through, whateverstage they're in.
And you know there's a lot ofways to do that and it's some of
it is undoing and some of it isdoing, depending upon what
stage you're in.
And I think that's superimportant to understand that,
because I think what it is is um, some people think that they're
doing the right stuff and theymay not be, and some people may
(08:41):
be doing things overdoing it.
So just depends.
But in the exhaustion stage thisis kind of the most concerning,
usually because the body iscompletely burned out, you're in
fatigue, you're weak in immunesystem.
So this is a time when usuallyit's either going to be a
heightened instead of actually alow immune system you're
actually like hyper vigilantimmune system.
(09:02):
So this is when you actuallyyour body starts attacking
itself.
That could be Hashimoto's, thatcould there's a lot of
different.
You know scenarios that mightcome up.
That could be a psoriasis, aneczema, a brain issue, an
inflammatory issue.
There's many things that couldcome into play here, usually
hormone imbalances, chronicfatigue, metabolic issues and,
you know, depression.
(09:22):
So then it gets worse and worse.
So it's just like the idea isyou're trying to stop it before
it gets worse or identifying it.
So I say manage.
You know, nothing is about sosure, it's always cured, but
it's a management.
So that's kind of the andsupportive therapies, as always,
will be um lifestyle management.
So, above anything in umholistic medicine and teaching,
(09:45):
it's about looking at your sleep.
What are you doing for yourstressors?
What can you do for yourself?
There's meditation.
There's many forms ofmeditation.
I talk many years on this onmeditation, mindfulness, and
that it's effective in makingchanges in your practice.
And how do you do that?
(10:05):
You know, whether it's movementmeditation, whether it's
sitting, drawing, coloring,whatever that is, it's important
Regular physical activity,walking, balanced nutrition and
preventing yourself to get tothat exhaustive stage.
That's pretty challenging forthose, but it's important.
It's really important, becausewhat will happen is then you
(10:26):
will drop and you will be in thehospital and you will not be
able to.
It will take you a very longtime to improve.
Um, adaptogens are always mybenefit, my go-tos.
Um, there's blends that I loveum for this.
Uh, of course, I love um.
Radiolash, vaganda, holy basil,b complexes, omega-3s and
(10:50):
magnesium.
Uh, depending upon the stagethat you're in is depending upon
the stage and um, what I wouldgive you.
So it just depends upon thatand where we're at.
So, like I said, in the stagesof these is all depending upon
what's going on In your alarmstage.
You might be acute, but I don'twant you to get too chronic.
(11:11):
Most of the time, though, Iwill tell you, most people that
do come see me are usuallyalready in the chronic stage of
stress and they're just tryingto figure out how in the heck do
they get out of it, and thehardest part is they don't know
the tools to do that.
Sometimes some of it's verysimple, but sometimes people
think that oh my gosh, I'm, am Idoing the right stuff?
And usually it's just there,they just don't know.
(11:32):
So it's just kind of gettingthe tools and interventions for
that.
So one major ones that ofcourse I love, um, yoga,
meditation, mindfulness,breathing exercises.
You can see them on my podcast,on, I mean, on my, my YouTube
channel, and you know I havemindful coloring books online,
different ways of reducing yourstress levels, breathing work,
(11:53):
aromatherapy, integrativetherapies and if you're local to
me, there's an acupuncturistand massage therapist so you can
always see someone throughthere with us and then come in
as a client.
Nutrition is always going to bea power on no matter anything I
talk about, it will always benutrition, nutrition, nutrition,
because what you put in yourbody is going to be an important
part.
Now, environmental toxins andthings that are in your
(12:16):
environment will be hard to getrid of.
You know I live in thetri-state area and it is
honestly a toxic.
You know amount of things andit is pretty difficult to get
away from some of those things.
But how do I um help myself?
I use an air purifier in thehouse.
We have, you know, filters inthe water.
We use filtered water.
We're doing a lot more as asmuch organic as possible.
(12:38):
You know, and, and you know,taking off our shoes, cleaning
up and keeping the, the toxinsas much away in our life as we
can, um, so, overall, these arejust ways you know the nutrient
foods working on your gut.
Biome Now for that.
That comes down to, like I said, when you're in that severe
(12:58):
fight or flight, you'reunfortunately may not have as
much of a good microbiome atthat time and your body is just
not considering it as important,shall we say.
You know it's not going.
Hey, let me do some work here.
It just kind of doesn't reallywant to.
So, um, there we're in any kindof healing, um, microbiome, uh,
(13:19):
you know, things to help healthe gut and help bring back
itself to a balance.
Um, and you know, gettingyourself into a better sleep
cycle is, you know, uh, very,very important supplements as
needed, and then working towardssome hormonal imbalances,
because we really don't want youin that exhausted phase.
Like I said, I don'tnecessarily call it adrenal
(13:39):
phase, I just call it adrenalfatigue, I call it more of just
exhausted.
You know your body is almost atthe point of depletion and it's
.
It's a pretty scary timebecause that's when you get
really, really sick and how canyou get yourself to a better
point?
You know, like I said, somepeople may not consider it as
important, but it is actuallyvery important.
Your body, physically, when ithas manifested to a mental
(14:01):
exhaustion, it will then,because of the body's stressors
in life, will then become very,very sick.
So you know the key points here.
Really, it's just trying tounderstand each person, so it
has to be somewhat personalizedand a really whole body approach
and the best way to learnmanagement and long term
approach for you and what wayare you like high energy, low
(14:24):
energy, middle point and seewhat that is for you.
If you have any other questions, reach out to me and I would be
glad to help you.
Have a great rest of your day.
Bye.
Hi, how are you?
This is Damaris Murray Grossman, an integrated family nurse
practitioner, and I'm talkingtoday about like cortisol stages
.
I've talked about this beforebut I'm really kind of getting
diving into the more nittygritty of it.
You'll hear adrenal fatigue.
That, technically, is not theright medical term.
Think of it like you're eithertoo high, too low and these
(00:25):
different stages are kind ofwhere your body needs Now
cortisol, just like stressors itis, and life.
We all need some of thesetriggers to work, to function.
Now the problem is is when theybecome altered or imbalanced.
So what does that mean?
Let's talk about it.
So I don't say adrenal fatiguebecause, like I said, that's not
(00:47):
necessarily a proper medicalterm, but it's saying that kind
of the adrenals which do producecortisol may be having an
irregularity, either too high,too low or complex.
So the stressors within thebody may be coming up and we're
not able to deal with it becausewe might be in a stage that has
(01:11):
caused us so much allostaticstress in the mind or life that
it's just on high, high, high.
So imagine that stress levelhad a small bucket, you were
able to just kind of deal withstuff, maybe just relax or go
for a walk.
But then when the stressorspile up, pile up, pile up and
your body is still inflamed orit is still sick, or immune
(01:33):
system when it goes up, up, up,then you become depleted.
And also there's some thingswhen your body doesn't have
enough to work with, then itfinds itself low, and actually
low cortisol is worse than high.
There's two different extrememedical terms, one's Cushing's
and one's Addison's, butmajority of the time most
(01:57):
patients don't have that.
So it's kind of like when Italk about celiac disease, most
patients do not have that, avery small percentage, but I'm
more in this sense of workingwith clients that always range
in kind of that in that middle,oh, I'm still not feeling.
Well, that's where it is, Um,and it's like not necessarily a
red flag, cause you're not, youknow, in the ER, but it's still
(02:20):
a problem and it's stillaffecting you.
And so what usually changes orwhat's part of that?
Hormones, age, what you putinto your body, the environment,
you know those are all going toplay, you know lifestyle stuff
and management.
So let's talk about the stagesand this is called like a
general adaptive stage syndrome,or the three parts of cortisol.
(02:42):
You would consider it kind ofthe.
Initially you might be justnormal.
You know, every day everythingis kind of going well, but then
you've got an alarm stage.
The alarm stage is what wewould use when um fight or
flight.
So consider it like oh okay, Ineed a little bit of adrenaline
because, um, I have to payattention, there's a car, one in
front of me, I have to stop.
Um, someone is, you know,coming at you.
(03:03):
You have to pay attention.
There's a car in front of me, Ihave to stop.
Someone is, you know, coming atyou.
You have to, you know, be awareYou're running, you need some
adrenaline.
So in those scenarios, yourheart rate is racing, you're out
, you can elevate a bloodpressure, heightened alertness,
you have more energy and it'sthere to, you know, help with
the immediate stressors.
Um, the thing is is that we endup being way high, we end up
(03:30):
having those stressors a littlebit too much and um, our
cortisol levels stays too high.
Um, one indicator we also useis a DHEA Um and that's another
way of kind of determining whereour um cortisol levels are
depleting.
Now it stays normal, in thiscase, sometimes an alarm stage.
(03:54):
The thing is, what you have toworry about is is the person
able to trigger off or are theyalways staying in that fight or
flight scenario?
Because if you're doing that,what happens is your body is
more about breathing in yourheart, which is like it wants to
stay alive, and less about restand digest, which is going to
the bathroom, getting throughthe day.
(04:14):
That's why a lot of GI issueswhere people are like I'm
constipated or I have diarrheabecause they are in such a
heightened state whether it'sdepression or anxiety and their
body is not, it's triggered offbecause the cortisol levels are
off, because their body isinflamed or autoimmune systems
off in some manner.
Obviously a little bit moretechnical than that, but that is
(04:38):
, it's triggered because youknow our brain health, our body
health, is not in tune, it's notin line, and then you know it's
not balanced.
So how do you get it back to?
So that's one area.
The next stage from that isresistance stage.
So they call that um.
It's when the stress in thebody enters resistance stage.
You're just about trying toadapt, so we call it adapt stage
(05:00):
.
Now this is a stage where yourbody is trying to get over the
stressors.
Now you're hoping that happens,but in this time the person is
starting to become fatigued.
So sometimes theyovercompensate for the stressors
in life.
So this is like hence someone'slike, oh, I've got it, I've got
it all situated, you know.
Um, you know, started off Rosie.
(05:22):
The second stage was an alarmstage but then you were like,
okay, I'm, I'm overall gettingthere, but I'm able to pass, you
know.
So I look kind of all right.
The resistance stage is oh, mygoodness, I'm running, running,
running.
I'm going to look at my watch.
I got to do this.
I've got multitasking kind offeeling, um, and things are not
in where you want them to be.
(05:43):
The next part of that kind ofreally is you start to become
fatigued or poor circulationconcentration.
This is that early, like I'mwired but I'm tired.
This is not fully depletedcortisol.
This is starting still highcortisol, high to low, starts to
dip down and you're alsonoticing the three o'clock dip,
(06:06):
three o'clock in the morning,starting to raise a little bit
and your patterns are juststarting to go off.
The purpose of this is tryingto help you, like, get through
long-term stressors.
But if this is not going wellin that stage, you're going to
have a hard time recovering.
So this is still kind of inthat high cortisol level and how
(06:29):
do we kind of get through that?
So in another podcast I will,in discussion I will talk about
how to and what to use indifferent stages of this types
of cortisol stressors.
And, like I said, you know it'snot that all of them are bad.
They're used for a reason.
It's just a matter of where doyou lie and we all do lie
depending upon what's going onage, time, environment, things
(06:52):
of that nature and what you'reputting in your body.
Now, the most concerning stageis actually exhaustion stage and
you know it's like that's theone when you're like done.
Now, um, cushing syndrome wouldbe the one that's like
completely done.
You know that's or a severe.
I mean Addison's disease iswhen it's completely bad, when
you have very low cortisol.
(07:12):
Cushing's is when you have veryhigh cortisol.
Most of the time thosescenarios are very, very rare,
but patients are really prettyclose to low, low cortisol when
they work themselves, workthemselves.
So, uh, an exhausted personusually has I mean not always,
(07:34):
but I usually feel like they'rethe high achiever very skinny,
always working, always doing,never stopping, never sleeping,
never doing anything, and thenthey're just done and then those
get to the point where theycrash and their body's just on
and on and on.
The um ones that are depressedand slow moving.
They're usually overweight,having problems in um, you know,
(07:56):
concentration and stuff.
They're more in that likemiddle Um.
They're not really like I said,they're not in the extremes and
they're not in the ER, butthey're still pretty sick and I
think it can't be overlooked.
So that's, you know, it's superimportant to still see that.
So when people come to see methey want to get a cortisol test
.
When they come to see me, theywant to talk about why their
(08:18):
hormones are off, what else isgoing on, and then how can I
help them through, whateverstage they're in.
And you know there's a lot ofways to do that and it's some of
it is undoing and some of it isdoing, depending upon what
stage you're in.
And I think that's superimportant to understand that,
because I think what it is is um, some people think that they're
doing the right stuff and theymay not be, and some people may
(08:41):
be doing things overdoing it.
So just depends.
But in the exhaustion stage thisis kind of the most concerning,
usually because the body iscompletely burned out, you're in
fatigue, you're weak in immunesystem.
So this is a time when usuallyit's either going to be a
heightened instead of actually alow immune system you're
actually like hyper vigilantimmune system.
(09:02):
So this is when you actuallyyour body starts attacking
itself.
That could be Hashimoto's, thatcould there's a lot of
different.
You know scenarios that mightcome up.
That could be a psoriasis, aneczema, a brain issue, an
inflammatory issue.
There's many things that couldcome into play here, usually
hormone imbalances, chronicfatigue, metabolic issues and,
you know, depression.
(09:22):
So then it gets worse and worse.
So it's just like the idea isyou're trying to stop it before
it gets worse or identifying it.
So I say manage.
You know, nothing is about sosure, it's always cured, but
it's a management.
So that's kind of the andsupportive therapies, as always,
will be um lifestyle management.
So, above anything in umholistic medicine and teaching,
(09:45):
it's about looking at your sleep.
What are you doing for yourstressors?
What can you do for yourself?
There's meditation.
There's many forms ofmeditation.
I talk many years on this onmeditation, mindfulness, and
that it's effective in makingchanges in your practice.
And how do you do that?
(10:05):
You know, whether it's movementmeditation, whether it's
sitting, drawing, coloring,whatever that is, it's important
Regular physical activity,walking, balanced nutrition and
preventing yourself to get tothat exhaustive stage.
That's pretty challenging forthose, but it's important.
It's really important, becausewhat will happen is then you
(10:26):
will drop and you will be in thehospital and you will not be
able to.
It will take you a very longtime to improve.
Um, adaptogens are always mybenefit, my go-tos.
Um, there's blends that I loveum for this.
Uh, of course, I love um.
Radiolash, vaganda, holy basil,b complexes, omega-3s and
(10:50):
magnesium.
Uh, depending upon the stagethat you're in is depending upon
the stage and um, what I wouldgive you.
So it just depends upon thatand where we're at.
So, like I said, in the stagesof these is all depending upon
what's going on In your alarmstage.
You might be acute, but I don'twant you to get too chronic.
(11:11):
Most of the time, though, Iwill tell you, most people that
do come see me are usuallyalready in the chronic stage of
stress and they're just tryingto figure out how in the heck do
they get out of it, and thehardest part is they don't know
the tools to do that.
Sometimes some of it's verysimple, but sometimes people
think that oh my gosh, I'm, am Idoing the right stuff?
And usually it's just there,they just don't know.
(11:32):
So it's just kind of gettingthe tools and interventions for
that.
So one major ones that ofcourse I love, um, yoga,
meditation, mindfulness,breathing exercises.
You can see them on my podcast,on, I mean, on my, my YouTube
channel, and you know I havemindful coloring books online,
different ways of reducing yourstress levels, breathing work,
(11:53):
aromatherapy, integrativetherapies and if you're local to
me, there's an acupuncturistand massage therapist so you can
always see someone throughthere with us and then come in
as a client.
Nutrition is always going to bea power on no matter anything I
talk about, it will always benutrition, nutrition, nutrition,
because what you put in yourbody is going to be an important
part.
Now, environmental toxins andthings that are in your
(12:16):
environment will be hard to getrid of.
You know I live in thetri-state area and it is
honestly a toxic.
You know amount of things andit is pretty difficult to get
away from some of those things.
But how do I um help myself?
I use an air purifier in thehouse.
We have, you know, filters inthe water.
We use filtered water.
We're doing a lot more as asmuch organic as possible.
(12:38):
You know, and, and you know,taking off our shoes, cleaning
up and keeping the, the toxinsas much away in our life as we
can, um, so, overall, these arejust ways you know the nutrient
foods working on your gut.
Biome Now for that.
That comes down to, like I said, when you're in that severe
(12:58):
fight or flight, you'reunfortunately may not have as
much of a good microbiome atthat time and your body is just
not considering it as important,shall we say.
You know it's not going.
Hey, let me do some work here.
It just kind of doesn't reallywant to.
So, um, there we're in any kindof healing, um, microbiome, uh,
(13:19):
you know, things to help healthe gut and help bring back
itself to a balance.
Um, and you know, gettingyourself into a better sleep
cycle is, you know, uh, very,very important supplements as
needed, and then working towardssome hormonal imbalances,
because we really don't want youin that exhausted phase.
Like I said, I don'tnecessarily call it adrenal
(13:39):
phase, I just call it adrenalfatigue, I call it more of just
exhausted.
You know your body is almost atthe point of depletion and it's
.
It's a pretty scary timebecause that's when you get
really, really sick and how canyou get yourself to a better
point?
You know, like I said, somepeople may not consider it as
important, but it is actuallyvery important.
Your body, physically, when ithas manifested to a mental
(14:01):
exhaustion, it will then,because of the body's stressors
in life, will then become very,very sick.
So you know the key points here.
Really, it's just trying tounderstand each person, so it
has to be somewhat personalizedand a really whole body approach
and the best way to learnmanagement and long term
approach for you and what wayare you like high energy, low
(14:24):
energy, middle point and seewhat that is for you.
If you have any other questions, reach out to me and I would be
glad to help you.
Have a great rest of your day.
Bye.
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