Crash and Burn

Dr. Rev. Isabel Sharkar

Dr. Isabel Sharkar, NMD, is co-founder of Indigo Integrative Health Clinic in Washington, D.C., a thriving clinic that has been serving the local community in health restoration and body optimization for over a decade. Being in constant pursuit for truth and healing Dr. Isabel graduated in 2011 from Southwest College of Naturopathic Medicine as a Doctor of Naturopathic Medicine.

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By Caroline Hoeffgen, COO, BCHC, JD | Reviewed by Dr. Isabel Sharkar, NMD | May 2026

There are two triangle-shaped glands sitting on top of your kidneys, responsible for regulating your body’s response to stress by releasing cortisol. Cortisol is the main adrenal hormone used to manage stress. These glands receive a lot of abuse, due to the prevalent chronic stress we encounter every day. If you are reaching for your morning cup of coffee in order to function, hardly wake-up feeling refreshed regardless of how many hours you sleep and feel wired later during the day when it is time to sleep, you are likely experiencing adrenal fatigue.

Adrenal fatigue results when the adrenal glands undergo prolonged or intense stress, such as that experienced with running your own business, loss of a job, financial stress, divorce, loss of a loved one or an acute or chronic infection. The adrenal glands cannot adequately meet these high demands of stress, and cortisol becomes deregulated.

Normally, cortisol is highest in the morning and decreases throughout the day. During the initial period of stress, cortisol levels increase. However, with chronic stress, the adrenal glands can no longer produce adequate amounts of cortisol, resulting in adrenal burnout and extreme fatigue.

Other symptoms of adrenal fatigue include feeling rundown, overwhelmed and tired for no reason, increased susceptibility to infections, difficulty bouncing back from stress or illness, craving carbohydrates or sweet and salty foods, weight gain, midday fatigue and inability to fall asleep.

The goal in treating adrenal fatigue is to get your adrenals back in sync with your body’s normal rhythm. This requires a whole body approach that addresses the underlying cause of excess stress and unhealthy lifestyle habits. Start by balancing your blood sugar with your diet, avoid stimulants like caffeine, practice yoga and explore herbal adrenal adaptogens.

Medical Disclaimer

This content is provided by Indigo Integrative Health Clinic for educational purposes only. It does not constitute medical advice, a diagnosis, or a treatment recommendation, and does not establish a provider-patient relationship. Individual health conditions vary — information presented here may not apply to your specific situation. Always consult a qualified, licensed healthcare provider before making decisions about your health, medications, supplements, or treatment plan.

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