Stress is one of the most potent contributors to autoimmune and chronic disease. While it’s important to address sources of stress in your life, whether they are psychological, dietary, chemical, or personal — we can never be completely free of stress. However, we can support the body’s stress-management systems to better manage autoimmune, chronic inflammatory, and neurological disorders.
When we think of stress, we tend to think of obvious external factors such as a bad job, screaming kids, and rush hour traffic. However, a great deal of stress also comes from invisible and internal factors such as:
- Emotional conflict
- Blood sugar imbalances
- Chronic pain
- A diet high in sugar and starches
- Food intolerances
- Autoimmunity
- Systemic inflammation
- Exposure to environmental toxins
Understanding the stress response
Although entire books have been written about stress, it helps to know even a little bit about what is called the “stress response.”
When our bodies experience stress (whether an argument or a sprained ankle), the adrenal glands produce hormones that help our body cope. This is commonly called the “fight or flight” response; your hormones adrenaline and cortisol skyrocket, and you suddenly have the energy to run from that saber-toothed tiger.
This fight or flight state can do some damage to body and brain tissues, but in a normal setting, once the stressor is gone (i.e., the tiger goes away), your body returns to a resting state commonly called the “rest and digest” state where damage can be healed. In our ancestors’ lives, the alternation between the fight or flight and rest and digest states was such that the damage was not permanent.
In our modern lives, however, this fight or flight state has become chronic due to our constant exposure to stress; the net effect is that the body is constantly in reaction, and it doesn’t have the chance to recuperate properly.
This constant state of high cortisol damages tissues in the body and brain and is linked to:
- Depression
- Insomnia
- Increased belly fat
- Insulin resistance and diabetes
- High blood pressure
- Low energy
- Suppressed immunity
- Heart problems
- More health issues
Supporting the body during chronic stress
Clearly, reducing or removing stress factors is a priority. For many, this takes a diet and lifestyle overhaul, which can do wonders for health — and has saved lives. But not all stressors can be removed, so in order to heal, we are left needing ways to support the body’s ongoing stress response.
Classic stress support techniques such as daily exercise, meditation, yoga, laughter, and socializing are all important.
Managing diet in order to balance blood sugar is also a critical tool in stress management.
While incorporating the above strategies into your healing protocol, another reliable tool is to support the stress response with adrenal adaptogens and phosphatidylserine. Although both support the adrenal glands, they have also been shown to support brain health and neurotransmitter activity.
Adrenal adaptogens to support stress response
Adrenal adaptogens are plant compounds that aid in the adaptation of physiological stress responses. They help normalize the hypothalamus-adrenal-pituitary (HPA) axis during times of stress, improving communication between the brain and the adrenal glands and affecting how well the brain communicates with the thyroid.
Adaptogens help adrenals that are both over active and under active. The most important adaptogens for the adrenals include panax ginseng, Siberian ginseng, ashwagandha, holy basil leaf extract, rhodiola, boerhaavia diffusa, and pantethine and B vitamins. They are more effective in synergy with each other.
Panax ginseng is also known as Korean ginseng and is one of the most recognized stress adaptogens. Panax ginseng has the ability to improve stamina, energy, and physical performance. The compounds in Panax ginseng improve the hypothalamus-pituitary-adrenal (HPA) feedback loop as well as reduce the suppression caused by cortisone on the immune system.
Siberian ginseng, also known as eleutherococcus senticosus, is an adaptogen. Studies demonstrate that Siberian ginseng enhances work output under stressful conditions, improves mental and physical responses, and optimizes HPA axis performance under stress.
Ashwagandha is also known as withania somnifera and Indian ginseng. It is a popular herbal adaptogen in Ayurvedic medicine. It has adaptogen-like glucocorticoid activity which makes it so helpful in adrenal stress syndromes. Studies have found that ashwagandha has similar adaptogenic activity to panax ginseng. It also has the ability to counteract some of the adverse physical responses to stress such as changes in blood sugar management.
Holy basil leaf extract is an adaptogen that supports an increased sense of well-being. Studies have shown that holy basil prevents the increase of plasma level of cortisol induced exposure to both chronic and acute stress, antagonized histamine, supports normal blood sugar levels, modulates HPA activity, increases physical endurance, has immunomodulatory activities, and enhances gastric mucosal strength.
Rhodiola is an adaptogenic plant that has demonstrated central nervous system enhancement, and anti-depressant, anti-carcinogenic, and cardioprotective properties. Rhodiola has also been shown to enhance cognitive function and reduce mental fatigue, as well as support immune function.
Boerhaavia diffusa (Punarnava) has the ability to support both adrenal over and under activation. In stressful conditions it has demonstrated the ability to buffer the elevations of serum cortisol and prevent the suppression of the immune system that takes place with elevated cortisol. Boerhaavia diffusa has also demonstrated the ability to improve cortisol levels with end stage adrenal exhaustion.
Pantethine (B5) and B vitamins
Pantethine, and B vitamins in general, are vital cofactors in the manufacturing of adrenal hormones. Pantethine has been shown to tone down excess release of cortisol in times of stress, and enhance the function of cortisol. People in adrenal stress tend to have a greater loss of B vitamins.
Phosphatidylserine to support stress response
Phosphatidylserine is a compound that makes up cell membranes and is a major nutrient for the brain. It is necessary for cell-to-cell communication, activating cell receptors, and allowing nutrients to come into cells and waste products to exit.
Phosphatidylserine doesn’t address the adrenal glands directly, but it helps lower cortisol and also supports the area of the brain involved in stress pathways.
Making phosphatidylserine is a difficult and demanding process for the body, requiring nutrients in which people are commonly deficient.
However, supplementing with phosphatidylserine has been shown to be effective in supporting the stress response. The problem is that phosphatidylserine is very expensive, and in order to be effective, eight or more capsules a day are required.
The good new is phosphatidylserine is now available in a transdermal cream, which allows for hundreds of milligrams to be delivered into the bloodstream, bypassing the digestive tract. This method makes it easily available for active response in the bloodstream, eliminating the need to take large quantities of expensive pills.
- Liposomal cream that delivers 2,000 mg a day of phosphatidylserine
Transdermal supplementation of phosphatidylserine has been shown to:
- Enhance cellular metabolism and communication
- Normalize cortisol levels
- Protect cells from oxidative damage
- Decrease anxiety and depression
- Improve mood and motivation
- Enhance memory and cognition
- Dampen the influence of stress on the brain
Can you recommend a product of PS cream?
Apex Energetics makes a good one. It’s a practitioner brand, available through practitioners only. If your practitioner doesn’t have an account, or doesn’t want to get one, you can try getting it via Acupuncture Atlanta – just requires a brief online consult (I believe it’s no extra charge).
Apex Energetics makes a good one. It’s a practitioner brand, available through practitioners only. If your practitioner doesn’t have an account, or doesn’t want to get one, you can try getting it via Acupuncture Atlanta – just requires a brief online consult (I believe it’s no extra charge).
Do you have a supplement with all these wonderful herbs that were suggested for adrenals etc.
Dawn;
Sorry, but as a rule Dr. Kharrazian does not recommend specific supplement brands. The two main reasons are:
1. Every individual has unique sensitivities to ingredients, and every brand varies, so it needs to be up to them to determine which brands work for them. No across-the-board recommendation is going to be appropriate for everyone.
2. Supplement companies periodically change their active and/or inactive ingredients without notice (a good reason
to stay on top of label reading for the ones you do use).
For all the botanicals and other supplements he mentions, he recommends finding a high-quality brand and checking the label to make sure it’s free of common reactive items such as gluten, wheat, corn, and soy, and also free of any fillers you might be individually sensitive to. For example, some brands (even top-end ones) use rice for a filler, but a lot of patients on the AIP
avoid it. Sometimes finding your preferred products can take some searching, but it’s worth the effort. Then it’s necessary over time to monitor label and ingredient changes to make sure nothing is added that disagrees with you.
More on that and on choosing supplements with safe ingredients here: (https://drknews.com/supplement-ingredients-safe/).
Can PS be used for low cortisol?
It’s typically used for high cortisol (it’s known to lower cortisol) but it might offer some benefits and I hear Dr. Kharrazian has not seen it negatively affect people with low cortisol. However as with everything, you need to pay attention and do your own trial and error.
The only lipsomal phoshatydylserine product i can find is the apex brand, however it doesn’t state the amount of Ps it delivers. Is that the only company that makes a transdermal PS?
Hi Vickie;
There are likely other companies who make a transdermal product, but I’m sorry to tell you I have no idea who they might be. If you try a thorough web search perhaps you’ll have some luck.
Hello Susan!
Phosphatidylserine is made out of soy. Is still ok to use it when following the autoimmune diet? Or should I just try it and see what is the outcome?
Hi Antti;
Good question. Sometimes the benefits of a remedy are worth the risk of reactivity, but that’s a choice you have to make for yourself based on how the suspect substance might make you feel. In your shoes, I’d try to get testing to see if I’m reactive, and go from there. Personally, I’m highly soy reactive so I avoid all of it and try to do the best I can with other options. Sorry I can’t give you a more definitive answer!
Some brands are made from sunflower lecithin rather than soy. e.g., Seeking Health.
Hi,
“Liposomal cream that delivers 2,000 mg a day of phosphatidylserine“
Where can i buy it from,plsss?And how shall i take it?before the bedtime?
Thank you
Hi Monica,
The liposomal creams that contains phosphatidylserine are AdrenaCalm and AdrenaStim by Apex Energetics. One is more calming, one is more stimulating, and the use depends on the needs of the patient. Apex is a practitioner brand, ie: you have to get it via a practitioner you see. If yours doesn’t have an account with Apex, you could ask them to consider starting one. Dr. Kharrazian formulates for Apex (he does not own or run the company) and uses their products for his patients much of the time.
I’m not sure if there are other companies who mimic the product, but it could be worth a web search.
I hope this helps,
Can adaptogens help increase low cortisol levels as result of tapering off dexamethason?
Hi Rikke,
I’m sorry, but tapering off pharma meds isn’t something we can advise on. In your shoes I’d take this up with a practitioner trained in functional medicine who can see you personally and determine your needs based on your individual underlying factors..
Hi, how about the low cortisol – how can we boost it and help the adrenals get back on track again? Thank you!
Hi Micah,
Your question is one we hear a lot from readers. There are numerous factors that contribute to chronically low cortisol; some are listed in this article in the first bullet list. For many patients, chronically low cortisol is the stage that happens after high cortisol patterns – and if you are at that point, it can take longer to unravel than the stages that come before it, but the protocols are very similar in many ways.
We can’t give you instructions here, so I’d encourage you to talk to a functional medicine practitioner who can help you look for underlying issues. It may take some lab testing, or a complete health history and exam to root out all the factors that are taxing your endocrine system. The Kharrazian Institute has a practitioner locator here: (https://kharrazianinstitute.com/ki-practitioner-locator/).
Also, you have very good timing: The Adrenal Solutions online summit started yesterday (2/1/21) and Dr. Kharrazian is one of the guest speakers. You can sign up to watch for free here: (bit.ly/DrkAdrenalSolutions21). His talk is on “Blood Sugar Regulation and Adrenal Dysfunction: Intermittent fasting, brain injury, and female hormones” but I also encourage you to peruse the other talks. I think you may find a great deal of help there.
Hello, does stress increase the blood sugar ?
yes it can, you can find quite a few articles on this online