Posted 1/11/2021 10:50 AM (GMT -7)
This is a complex issue, and there's some controversy even among functional medicine folks about adrenal fatigue, and whether it's a useful term. You could have adrenal glands that have something actually wrong with them, the signals that tell your adrenal glands what to do could be weak or just not getting through, or you could have 100% fine adrenal gland output and function, with fatigue caused by other things. Many of us with so much systemic dysfunction have HPA axis dysfunction, meaning all the hormone systems are out-of-balance to some degree, since they are all related. I can go on and on about HPA axis dysfunction.
I know your question is what to take, and I will get to that, but the first line of treatment is stuff to do, and cannot be skipped: clean diet, no stimulants, move your body, sleep well, and genuinely address and reduce stress. Genuinely. Address. Stress. The rest won't work if these things aren't done.
Then people add adaptogenic herbs - rhodiola, licorice, holy basil, ashwagandha, eleuthero, etc. Which one works best for you is a matter of trial and error. For example, some people take holy basil to help them sleep, but a drop of it had me anxious and wired for 24 hours. So you might have to experiment.
If your reproductive hormones are off, then try chaste tree. If your progesterone is low, then try topical progesterone cream. If your testosterone is low (according to testing - don't guess!) then try DHEA.
If you're still struggling, then try an adrenal glandular supplement, like Dr. Wilson's Adrenal Rebuilder.
If you have an adrenal crash, in the sense that mainstream medicine would recognize, then you might be given steroids, which aren't a great idea for anyone with an infection. It's best to avoid that, if possible.
Fatigue, lack of stamina, and post-exertional malaise are so terribly frustrating and limiting. I hope you find the pieces of the puzzle that you need very soon!