Let us look at how derangement of the NeuroEndoMetabolic stress response can progress.
How it kind of spreads and how to identify some of what these symptoms really mean.
Let’s discuss a typical presentation of NEM malfunction and clients that we talk to every day.
Jane is a 52-year-old female.
She presents with fatigue, and that’s her main complaint.
For the past few years, she’s been needing a cup of coffee every morning,
and in that cup of coffee she puts two tablespoons of sugar.
Though she loves sweets,
she gets hungry really quickly after even eating a high carbohydrate meal.
She’s also started to notice that she has gained some weight around the belly.
She’s now starting to crave some salty foods.
Sometimes certain foods don’t agree with her GI system.
Sometimes when she bends down to pick up something, she gets lightheaded and has to hold herself steady.
Does this sound like you or sound normal to you?
On the surface, it doesn’t sound like much,
but if you really understand the physiologies that we described earlier and tie it together,
this can actually represent the early part of the NeuroEndoMetabolic stress response and the early steps which is the activation.
Signs of increased metabolic demand are plentiful if you look at what’s described by Dr. Jeremy, the sugar craving.
That means the body’s requiring you to have more energy.
Why?
Because energy is required to overcome stress as far as the body’s concerned.
Number two, you have central weight gain especially the muffin top.
Why?
Because the adrenals are focused on retaining the weight in order to slow down and conserve energy,
and most of it goes to the central portion.
These are metabolically driven events. They are not very intense at first.
They’re subtle.
So, you don’t write them off because there’s already the body telling you there’s something wrong inside.
They often go unnoticed. The neuroendocrine circuit by the way-
we have been talking so far about the metabolic circuit as being activated.
Don’t forget the body is very smart.
While the metabolic circuit— the bioenergetic circuit is being activated,
the body also activates the neuroendocrine component but in a much lesser degree.
Symptoms can include a little blood pressure
instability, and mild electrolyte imbalances.
Craving of salt, things like that,
but they’re relatively mild.
It’s mostly predominant the metabolic early subtle signs.
Dr. Carrie let’s go on.
As Jane continued at her job, she found that she was getting a little more stressed at work.
She’s been having more nervousness and sometimes before she goes to bed at night,
she just feels her heart pounding really loudly at night.
Despite being very tired, she can’t fall asleep
and sometimes wakes up multiple times at night.
So, she decides to take some sleepy-time teas or some melatonin to help her get to bed.
Then she now goes through menopause which was actually very rough on her as she had hot flashes,
some dry skin, some vaginal dryness and itching.
She tries to get exercise because everyone knows it’s good for you,
but it really tires her out even easier.
So, she goes to see her doctors who try to run labs, and everything actually comes back normal.
It’s not only about Jane. Males also have the same problem.
Libido going down. Reduced exercise capacity.
Feeling drained at the end of the day.
Some inability to sleep.
Feeling a little bit down from time to time.
These also are subtle signs. What is that really saying here?
In terms of a NeuroEndoMetabolic stress response,
you are now stepping into the second phase of what is called overdrive.
As the stress continues unabated the neuroendocrine component—
remember there’s six- one side of the diagram which is the three circuits and the six-system components.
They become more activated. They become more in demand.
They are really going on full speed now, the neuroendocrine component.
So, the cardionomic circuit is working. They lead to nervousness for example.
Sometimes the heartbeat experience occasional palpitations. Sometimes you have little skipped beats here and there.
The neuroaffect circuit becomes more involved, leading to trouble sleeping because the body becomes more wired.
Even though you’re tired, you can fall asleep after a little while,
but then you tend to wake up, for example. Then the hormonal circuit becomes more of a problem.
In a female, it would be the OAT axis imbalances as well as menopause as well as fatigue,
and in the male will be reduced libido and exercise intolerance.
Together again you can see there’s a neuroendocrine component.
There is a metabolic component in the overdrive step which is the phase two then both are ongoing.
However, the important thing to note in this overdrive phase is the prominence of the neuroendocrine component
becomes more and more surfacing.
While the metabolic component still on the low end of things is kind of sleepy,
but it’s just starting to wake up.
Most of the symptoms where people complain of this overdrive phase consists of neuroendocrine symptoms.
Let’s continue and see how Jane goes on.
Now she has gone to multiple doctors and practitioners who have tried to put her on some medications,
some herbs, some glandulars and some vitamins.
She feels better for just a little bit and then her symptoms start to worsen again.
She has had multiple fatigue crashes especially after big work events or family events.
She has constant heart pounding.
Sleep is not improved even with over-the-counter sleep aids.
Her brain fog starts to settle in more and she has a really hard time concentrating.
She becomes even more sensitive to supplements, sometimes actually having the opposite reaction.
Such as, she was taking vitamin C and instead of it making her feel better,
it actually crashed her, and she was on the coach for a week.
She’s now unable to smell certain perfumes,
and she gets headaches from just even walking by someone who has really strong perfume.
Or even just filling up gas in a gas station she also gets headaches.
She’s also tried limiting her diet to gluten-free and dairy-free and yet still her GI symptoms are not improving.
This is not only limited to Jane.
In fact, I went through much of what you described with Jane.
This is no joke.
This is not funny because it is very debilitating.
I was in bed for weeks and couchbound but look at what is really going on physiologically.
If you look at the NeuroEndoMetabolic stress response, you’re now entering the exhaustion phase.
If stress is not well controlled and it continues to attack you,
then the entire NeuroEndoMetabolic response enters what we call the exhaustive phase.
This is after the activation and the overdrive.
In this exhaustion phase which is perhaps the most alarming
because it is the point that the velocity of the declining health enters its maximum speed.
Frequent crashes are very common. You will not be able, oftentimes, to go to work.
You can be couchbound.
Just getting up and walking around the block can be problematic.
So, this is very problematic,
and this is where most people finally decide to visit their healthcare professional which is a good thing.
However, this is also the beginning of one of the most dangerous parts of the journey because of well-intentioned heroic efforts that turned bad.
Not because the health professional is not well-intentioned, but because they don’t understand there are two components.
The tendency is to just focus on the neuroendocrine by propping up what we call the adrenal side,
without attention to the metabolic side.
So, crashes can become more debilitating.
It’s best both the neuroendocrine and the metabolic component problem surfaces and they will rise to the top.
Now the symptoms become so convoluted that most practitioners just give up.
I remember you had a lot of these symptoms when you were going through this, right?
That’s the biggest challenge is how to sort it out.
We are logical creatures.
We tend to try to figure out what is wrong, but when so many things are coming at you—
inability to sleep, feeling wired,
nauseated, feeling lightheaded—
and your doctor tells you everything is fine.
So, you’re just simply confused. That’s what happened to me.
From the neuroendocrine perspective,
the body enters the state of hormonal dysregulation beyond the HPA axis.
If it is a female like Jane, the OAT axis can become disturbed.
You might have irregular periods,
irritability, cramping,
hot flashes, cyclical symptoms may worsen.
Their thyroid issues may also not improve and might actually worsen despite medications.
Their fatigue now goes throughout the day.
Then you have the neuroendocrine derangements that also become more severe in the cardionomic and the neuroaffect symptoms…
like daily adrenal crashes.
Your heart gets pounding consistently throughout the day.
They bend down,
they pick up something, they get lightheaded.
They have nervousness or mood issues and inability to sleep despite using sleep aids.
Perhaps the most devastating part is the emotional because with this convolution of symptoms…
I was lucky because my wife, who’s a registered dietitian,
helped me to kind of decipher all this because she knows the biochemical reactions that go on,
but most people are not so fortunate.
Most healthcare providers are not in tune.
Most of the family members— despite their well intentions—have no idea.
They think it’s all in your mind, but actually it’s not.
That’s right.
That can be really tough on a person and actually increase more stress and worsen your condition as well.
It actually becomes a vicious cycle because when you have more stress that’s unresolved,
your mental state becomes confused.
You can become discouraged. You become frustrated and you become almost down.
The body then continues to get worse because when you have these negative emotions,
it actually compounds the problem and drives the NEM response into the last stage which is?
That’s right. It’s still in exhaustion.
From a metabolic perspective, the body can experience these kinds of symptoms
such as increasing food sensitivities.
You find yourself getting sick more often and you have a lowered immune system.
You have multiple chemical sensitivities.
You have paradoxical reactions to supplements and medications that should be helping you,
but they’re making you worse.
You’re really unable to handle detoxes, and your body just enters a catabolic state.
Now remember, even in this exhaustive phase,
it’s a continuum.
Some people are in the early part of the exhaustion.
Some people are in the middle. Some people are in the tail end.
The symptoms can range so much because not everybody has all the symptoms.
It really depends on how weak and which component and which system is imbalanced,
and that’s usually the first one to come out.