Tired all day but unable to wind down at night, running on stress hormones instead of real energy — this pattern has a name, and it's testable.
What's commonly called "adrenal fatigue" is more accurately a dysregulation of the HPA axis — the communication loop between your brain and adrenal glands that controls cortisol. Chronic stress, poor sleep, and blood sugar swings can all push this system out of its normal rhythm.
Rather than adrenal glands simply "running out" of hormones, what typically happens is a disrupted cortisol pattern — too high at the wrong times, too low at others — which produces the wired-but-tired feeling so many patients describe.
We test cortisol at multiple points, alongside thyroid and blood sugar markers, to see your actual pattern — rather than guessing based on symptoms alone — then build a plan to support your stress response system.
Cortisol and metabolic testing to understand your specific pattern of dysregulation.
Explore Functional MedicineHormone support when cortisol dysregulation is affecting other hormone systems.
Explore Hormone Therapy""Adrenal fatigue" isn't quite the right term medically, but the pattern patients describe is real and testable — it's usually a cortisol rhythm that's out of sync, not glands that have stopped working. Once we see the actual pattern, we can build a real plan around it."
Often connected to adrenal fatigue: chronic fatigue, brain fog, and sleep issues. Finding the root cause of fatigue & brain fog →
What patients ask most before their first appointment.
Multi-point cortisol testing, and a real conversation with Dr. Abbott.