Using a Multi-faceted Approach to Reverse Adrenal Exhaustion: A Case Study

When a 33-year-old lawyer named “Jill” came to see me, she wanted a second opinion about a recent diagnosis of Hashimoto's thyroiditis.

If you’ve been following my patient case studies, then you know that Hashimoto’s is intimately tied to digestive function. I’ve written extensively about this topic since starting my own practice (see below):

Besides her new autoimmune diagnosis, “Jill” also had chronic lower extremity swelling and pain, heavy menses with iron deficiency anemia, weekly headaches, hemorrhoids, and acne for the past 10 years.

“Jill” often was in a frequent state of anxiety and having poor energy. 

After determining “Jill” had long-standing severe leaky gut with a high level of inflammation and dysregulation of her nervous system, we began a gut healing protocol.  Through dietary changes and supplements, “Jill”’s digestive symptoms resolved after one month and her energy level began to increase. “Jill” coincidentally noticed her facial skin was less oily. 

Yet, her progress was incomplete. 

“Jill” had become disconnected by what her acute and chronic stressors were. This led to frequent bouts of leg swelling,anxiety spikes, and inability for her digestive system to begin repairing even when “Jill” was relaxing.  We soon learned “Jill’s” biggest fear stemmed from her father suddenly dying of cancer at the young age of 55.   

“Jill’s” stress was essentially overriding her body’s ability to heal.  It was preventing repair of long-standing damage to her leaky gut.  

In order for “Jill” to see how stress was wreaking havoc on her body, she decided to get a Thermography scan done at Advanced Health.

The thermogram results showed:

What can you do for a patient whose all-day excess cortisol production leads to excessive wear-and-tear of the body?

It takes a multi-faceted approach.   

The thermogram report helped “Jill” realize her damaged nervous system had been sending constant stress signals throughout her body.  It had eventually led to organs not functioning properly and gradually becoming damaged. “Jill’s” severe adrenal fatigue was killing her.

At this point, we had “Jill” see osteopath Julie Duggan and yoga therapist Elaine Oyang for additional assistance.  “Jill’s” experienced a tremendous decrease in her pain.  Since we were still hitting a wall, “Jill” began microcirculation therapy every day at home for one month.  It dramatically helped decrease “Jill’s” leg swelling and stress. She finally began to feel more energy and able to begin dealing with getting rid of the deeply rooted emotional stressors which had been weighing “Jill” down for many years.    

For “Jill,” many critical shifts in diet, medication, and ways of living were necessary to first understand the root cause of her adrenal exhaustion. By stopping the chronic harm “Jill” was subconsciously causing and instead invest in better supporting cellular health and the parasympathic nervous system, “Jill” finally began to feel consistently better.  She began to move away from deeply rooted fears and instead developed the strength to finally leave her dissatisfied job, move to her dream home, and start trying to have a family with her supportive husband.  

Dr. Bhandari and the Advanced Health Team Are Here to Support Your Health.

Our expert team of integrative holistic practitioners work with patients suffering from chronic health concern.  We help our patients reverse disease by better understanding how the body optimally functions and providing personalized treatment plan.  To learn more and book an appointment, contact Advanced Health or call 1-415-506-9393.

Payal Bhandari M.D. Dr. Payal Bhandari M.D. Dr. Payal Bhandari M.D. is one of U.S.'s top leading integrative functional medical physicians and the founder of San Francisco' top ranked medical center, SF Advanced Health. Her well-experienced holistic healthcare team collaborates together to deliver whole-person personalized care and combines the best in Western and Eastern medicine. By being an expert of cell function, Dr. Bhandari defines the root cause of illness and is able to subside any disease within weeks to months. She specializes in cancer prevention and reversal, digestive & autoimmune disorders. Dr. Bhandari received her Bachelor of Arts degree in biology in 1997 and Doctor of Medicine degree in 2001 from West Virginia University. She the completed her Family Medicine residency in 2004 from the University of Massachusetts and joined a family medicine practice in 2005 which was eventually nationally recognized as San Francisco’s 1st patient-centered medical home. To learn more, go to

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