Naperville Chronic Fatigue Center| Dr Hagmeyer Explains This New Test and How It Could Help You

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The Adrenal Stress Test, What it Reveals and HOW this test is CRITICAL In Restoring Adrenal and Thyroid Health by Dr. Richard Hagmeyer D.C

Many people with thyroid conditions have compromised adrenal glands and vice versa.  Despite this, most endocrinologists and other types of medical doctors don’t even evaluate the adrenal glands.  This is true even when the patient’s case history indicates they have an obvious problem with their adrenals.

When I suspect that one of my patients has an adrenal gland problem, I will recommend what’s called an Adrenal Stress Index (ASI) test.  This test requires the patient to obtain four different saliva samples at different points throughout the day, and it will help to reveal the health of the adrenal glands, and thus determine if additional adrenal support is indicated for those who are following a natural thyroid treatment protocol.

adrenal stress index

Of course the main reason why most endocrinologists and other medical doctors don’t evaluate the adrenal glands of their patients is because they don’t know how to effectively treat adrenal problems.  Most will just recommend prescription drugs for such a condition, while some will completely dismiss the symptoms, thinking that it’s all in the patient’s head.  Fortunately this blaming of patients isn’t as common as it was in the past, as more and more conventional medical doctors are realizing that adrenal fatigue is a real condition, even if they aren’t sure how to treat it.

A Breakdown of The Adrenal Stress Index Test

Let’s take a look at what the ASI test measures:

Cortisol Levels:  This is the primary hormone most holistic doctors will look at, as this test will measure four different cortisol levels throughout the day to determine if you have a proper circadian pattern.  Normally the cortisol levels should be at the highest levels in the morning, and then decrease throughout the day.  This pattern will help to give you the energy you need throughout the day, and the lower cortisol levels at night will allow you to fall asleep.

People with weak adrenal glands commonly have low cortisol levels in the morning and low DHEA levels.  While some people may think they don’t have an adrenal problem, the low cortisol levels on this test confirms the stressed gland and the need for Adrenal restoration therapy.  If the necessary steps to correct Adrenal Dysfunction are NOT taken, the condition will get worse, and most likely develop into “full blown”adrenal fatigue.

However, some people also have high cortisol levels.  This is considered an urgent situation, as high cortisol levels will put the body into a state of catabolism, which will break down the body, break down bone, and tear down the gut mucosa, cause insomnia, weekend immune system, depression and relentless fatigue. Someone who has high cortisol levels will need to follow a completely different protocol than someone who has low cortisol levels.

Plus, one can’t just rely on symptoms alone to determine whether the cortisol levels are high or low.  So for example, just because someone experiences fatigue throughout the day doesn’t mean they will have low cortisol levels.  The only real way of knowing whether someone has high or low cortisol levels is through proper testing.

Here is a breakdown of what’s tested and how it can shed light on your unique biochemistry and physiology.

DHEA/DHEA-S: DHEA is manufactured by the adrenal glands, and plays an important role in immunity and in the stress response.  DHEAS is the sulfated version of DHEA.  If someone deals with chronic stress on a regular basis, this will also weaken the adrenal glands, and chances are these hormone levels will be low.

17-OH Progesterone:A steroid hormone produced during the synthesis of glucocorticoids and sex steroids.  This hormone is mainly produced in the adrenal glands, and when someone has weak adrenals these hormone levels will also be low.

Gliadin AB:This measures your sensitivity to gluten, which many people are allergic to.  Consuming gluten when you’re allergic to it can cause a lot of problems, not only with the digestive system, but also with adrenal health.  However, it’s important to keep in mind that this test can give false results for someone who has a compromised immune system, which of course is the case with Graves’ Disease and Hashimoto’s Thyroiditis.

Secretory IgA: An antibody found in the saliva that plays an important role in immunity. Low values can indicate a problem with your immune system, which is common with people who have weakened adrenal glands.

How Can You Tell If You Need An Adrenal Test Index Test?

A consultation and a complete detailed case history will help determine if you have problems with your adrenal glands and whether or not you are good candidate for this type of testing. Some of the more common symptoms include a feeling of exhaustion, sugar cravings, sleep disturbances, hormone imbalances, night flashes, Thyroid Problems, autoimmune conditions. There many other symptoms one might have but this is a short list.  Assuming you have at least some of these symptoms, there is a good chance you will need this test.


There is not a day that goes by where I don’t have a patient consult our office who has been to a well meaning doctor or naturopath and without testing has been put on adrenal supplementation. This can be DANGEROUS. As I mentioned earlier, you can’t rely on symptoms alone.

While I don’t recommend self-treating adrenal fatigue, you can take some basic steps to help restore your health.  You will find lots of information on this site alone and I highly encourage you to view through many of the articles that have been written. If you follow the factors of health I’ve spoken about in the past, then this will have a dramatic improvement on your adrenal health and your overall health as well.

Here’s the bottom line, the Adrenal Stress Index test is a valuable test that can be used to determine whether someone has a problem with their adrenal glands and to what extent.  Receiving this test can help provide the information a person needs to restore their health back to normal through a natural Adrenal or Natural Thyroid treatment protocol. If you suspect that you have adrenal fatigue and want to receive the ASI test, then you should consult our office today and set up a consultation.

We offer Free Phone consultations Monday through Thursday.

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