Is Caffeine Causing Your Chronic Back Pain?

by Sarah TheHealthyHomeEconomist May 16, 2014
Chronic back pain triggered by caffeine

Is Your Morning Cup of Joe Having Unintended Consequences?

Back pain affects 9 out of 10 people at some point during their lives.  It is one of the most common reasons for people to miss work or visit the doctor to find relief.

Many cases of chronic back pain can be traced to structural problems with the spine such as scoliosis or, of course, injuries such as car accidents.

However, for many who suffer from chronic back pain, the reasons are less obvious and in some cases, downright baffling.

What if a simple habit like a daily cup or two of coffee or even that afternoon chocolate pick me up is causing your sore lower back?  Is this really possible?

Absolutely.

Caffeine stresses out the adrenal glands, round disk shaped organs only a few inches across which sit atop each kidney on the posterior side of the body which is, you guessed it, right in the area of the lower back.

Just a single caffeinated drink stimulates your adrenal glands which translates into the energy boost that is the primary reason folks consume caffeine in the first place.

While this little boost is not a problem for most people on occasion, it can rapidly lead to weakened adrenals over time when this hit of adrenaline is sought day in and day out or even several times a day if that morning cup of coffee is followed by a caffeinated soda or chocolate bar in the afternoon and an espresso after dinner.

What about those 5 hour energy shots at the grocery store?  I call them “chronic back pain in a bottle”.

How Caffeine Weakens the Adrenals and Leads to Chronic Back Pain

Here’s what happens as explained to me by a chiropractor friend.  Stressing out the adrenals all the time with an unchecked caffeine habit weakens not only the adrenal glands but the entire area around them which includes the lower back. Weak adrenals also suck vital nutrients away from the ligaments and tendons as keeping an important organ like the adrenals happy is more important that strong connective tissue.

The body is very good at sending nutrients to the area that needs them most.   Trouble is, the less vital areas that get shortchanged in favor of the adrenals – such as the ligaments and tendons – suffer and over time, the first ligaments to go are typically the ones that support the sacroiliac joint which supports the weight of the entire body.

Where is the sacroiliac joint?   In the low back/pelvic area of course!

Have you ever gone to the chiropractor to get an adjustment for a sore lower back only to find that by the time you got into the car to drive home, your back was out again?

This is what happens with weakened ligaments and tendons – chronic subluxations and folks who practically live at the chiropractor’s office.

Wouldn’t it be smarter to end the caffeine addiction once and for all, give your adrenals some relief, and strengthen those tendons and ligaments so your back doesn’t go out all the time anymore?

How to Determine if Chronic Back Pain is from Adrenal Burnout

If you suspect that adrenal burnout is causing your chronic back pain, here are some simple at home tests to determine if you are on the right track as described by Dr. L. Wilson MD:

  • First, take a fork and run it gently across the inside of your forearm.  Within about 10 seconds, the lines should turn red.  If the lines don’t turn red very readily, this can be a sign of weakened adrenal glands.
  • Another way to test your adrenals is to lay down on the floor for a few minutes and then get up very quickly. Does your blood pressure drop and do you feel lightheaded like you might even pass out?   This is another sign that your adrenals are struggling.
  • The final test is to take a flashlight and look in the mirror.  Shine the flashlight into one eye and notice if the pupil very quickly contracts as it should.  If not, adrenal weakness is a likely cause.

Strengthen the Adrenals to Help Resolve Chronic Back Pain

If you discover that you do in fact suffer from weak adrenals, getting off dependence on caffeine is one of the very best ways  to strengthen them and thereby indirectly reduce your chronic back pain.  Three other effective strategies are:

  • Adequate rest – get to bed no later than 10:30 if possible.  If you are a night owl like me, resolve to get to bed by 10:30pm at least  a few nights a week at a minimum.
  • Reduce dependence on grains and sugars in the diet.
  • Increase the amount of salt in the diet – not processed salt, also called sodium, but sea salt which is full of minerals and is very soothing and healing for the adrenals (click here for quality sources).  Ignore the low salt dogma which is dangerous to health and has no effect on hypertension anyway according to recent reports and salt your food to taste.

Getting off or at least reducing caffeine intake is one of the very best things anyone can do for a healthy back and/or to resolve chronic back pain issues

If you have chronic back pain that is baffling you as well as your doctors or you find yourself living at the chiropractor or acupuncturist’s office, the time may be right to take a look at these two little glands that may need some serious TLC.

Sarah, The Healthy Home Economist

Source:  Adrenal Burnout, Dr. L. Wilson MD

Picture Credit

 

Comments (109)

  1. I’ve been having chronic lower back pain for almost 10months now. I’ve visited physio, chiropractor, doctor and spent so much money on my back. I do have coffee 4 cups per day.

    Reply
  2. Pingback: Is Caffeine Causing Your Chronic Back Pain? | Chronic Back Pain

  3. This post has forced me to think again about taking caffeine regularly but I know a lot of people who are taking caffeine regularly but never had a problem with back pain!

    Reply
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  6. I drink coffee almost everyday, I absolutely love the taste. Thankfully I haven’t had any back pain yet but I know I should be cautious about what might happen in the future. I just did the tests above and I passed all of them, for now anyway. It seems everything I love causes trouble down the line.

    Reply
  7. I agree 100%. This was the cause of my lower left sided back pain for six years! Weak adrenals. It took me 3 years of eating a nutrient dense diet to resolve it. After healing my gut on GAPS and really focusing on eating cholesterol, sat fat (tallow, lard, butter, coconut oil) and unrefined salt, I now happily eat soaked grains and even my morning raw milk latte with absolutely NO back pain. In fact I’m 6 months pregnant and chasing around my three other kids and still NO back pain. I cannot say enough good things about how I feel eating this way, but it did take awhile. I wish everyone understood the foundational role that food plays in our health. It is so empowering! Thanks for spreading the word!
    Megan\’s last post: Nutrient Dense Blueberry Muffins

    Reply
  8. Pingback: Is Caffeine Causing Your Chronic Back Pain? » Nourishing News

  9. SteveandPaula Runyan via Facebook May 16, 2014 at 1:35 pm

    Often, its as simple as stretching the inner thighs, and, releasing the psoas muscle, located inside the front hip bone.

    Reply
  10. Genevieve Eskridge via Facebook May 16, 2014 at 1:26 pm

    “getting off caffeine is the one very best thing you can do for a healthy back”? where’s the evidence for that? or any of this. Your adrenals would refer pain to your thoracic spine, not you lower back. When anyone proposes one solution to a complex problem please question it. There are a myriad of things that cause back pain; posture, mechanics, trauma, age/sticking facets, disc protrusion, SI joint problems, hip mechanics, leg length discrepancies, hypermobility/hypomobility of the spine and supporting structures. The majority of lower back pain causes are mechanical. If it can not be reproduced/reduced mechanically then you can go look systemically and then there are a ton of things to rule out besides too much caffeine in your diet.

    Reply
    • She didn’t say it’s the ONLY cause of low back pain. I definitely agree that there is a correlation between low back pain and adrenal fatigue. As a nutritionist and the wife if a Chiropractor, we see chronic low back pain frequently coincide with adrenal fatigue. How do we know there is adrenal fatigue? We use functional tests like the ones Sarah mentioned. We also use chapman reflex points and if the patient has recently had a blood test, sodium and potassium levels will reveal adrenal dysfunction. These people respond very well to adrenal glandular supplements. Adrenal fatigue is a real issue for so many people. By taking measures to heal the adrenal glands one can certainly improve his or her quality of life.

      Reply
      • I suffered chronic back pain for so many years, ny doctor sent me to physical therapy (it didn’t help)
        One day I noticed I had no pain a all… it happen to be coincidentally with me giving up coffee for a week.
        After that I googleling the relation between caffeine and back pain…thats how I found this article.
        So far it is been a week without pain.

        Reply
  11. Dena Carr via Facebook May 16, 2014 at 12:56 pm

    Well, I know that coffee is not what causes mine, I don’t drink it and never will, can’t stand the smell of it.

    Reply
  12. Sharon Black via Facebook May 16, 2014 at 12:47 pm

    Yes, it was the culprit for me, and unfortunately, I love coffee. Coffee and back pain-free over here!

    Reply
  13. Meg Annan via Facebook March 8, 2014 at 5:48 pm

    Anyone have good replacements for morning coffee? I like a hot beverage and I’m not a fan of tea.

    Reply
  14. Glenda Pitcher via Facebook March 8, 2014 at 2:28 pm

    My husband drinks about a 3/4 bottle of Mountain Dew a day. Plus he smokes about a pack and a half a day. He is ALWAYS having lower back pain. Plus, part of his issues with his back is, he has a pinched nerve in the lumbar spine. The L4 and L5 nerves are being pinched. But, before they got pinched a couple of years ago, he had back issues. We will be celebrating our 25th wedding anniversary this coming May and ever since I have known him, he drinks pop all day and all night. He is addicted to caffeine so bad. I talked to him actually last week about this and his teeth is breaking. He has three molars that just broke a couple of weeks ago. The dentist said it is your age and to much pop. I hope he will listen to the dentist, because our dental bills will go through the roof.

    Reply
  15. Heather Jenks via Facebook March 8, 2014 at 2:21 pm

    Interesting that someone else commented that after going off caffeine, now when they have it they feel negative affects. This happened to me unintentionally. Caffeine never really had much effect on me most of my life, and I didn’t drink it regularly (what’s the point if it didn’t ‘do anything’ for me? lol) However, for a period of 2 years straight I was caffeine free (except for chocolate, but no beverages) with the pregnancy and nursing of each of my 3 kids (so 6 of the last 8 years). Now the couple times I have tried to drink caffeinated beverages I get lightheaded and feel weak (adrenal fatigue). Not planning on giving up my chocolate anytime soon, but definitely going to have the 6 cups per day of coffee hubby read this!

    Reply
  16. Yep, totally worked for me. I quit caffeine in December for a couple reasons, one of which was lower back and hip pain. I couldn’t get comfortable when I tried to sleep. By the end of January, I was sleeping like a rock. The mattress I thought was causing my pain is now the most comfortable bed I’ve ever owned. Best health decision I ever made!

    Reply
  17. Nicole Gallagher via Facebook March 8, 2014 at 12:36 pm

    Deborah Burkholder Gulley
    This is about caffeine but also adrenals and mentions the salt water thing I said. I read it right after I saw your page.

    Reply
  18. Ann Sands Stine via Facebook March 8, 2014 at 11:25 am

    I quit caffeine and all stimulants 6 days ago. Definitely suffering from adrenal fatigue! Great article.

    Reply
  19. Carrie Stutler Dunham via Facebook March 8, 2014 at 10:01 am

    Some of the best advice I received from my ND was to go off of caffeine! Now when I have it I suffer major adrenal fatigue!

    Reply
  20. Wow, yes. I recently went back briefly onto caffeine and felt temporarily great. Then the amped up feeling turned to irritation and stress and wham! Lower back went out the worst it’s been for years. I think my body is trying to tell me something. This time I will listen. I have read somewhere that caffeine causes the muscles involved in fight-or-flight response to tighten (the large muscles like the back, hamstrings etc). See also here: “Caffeine: Cup of Pain, Liquid Stress” http://bodytechnician.com/caffeine.html

    Reply
  21. I drink black decaf coffee hot in the morning with a breakfast, and with Ice black no sugar about 11 am and the rest of the day and lately I have been having terrible back pain, I am worried the decaf is doing this for me, because this back pain is new, so do you think I should stop drinking decaf, I felt to the three test and I am very worries.

    Reply
  22. Funny this actually.. I’ve actually found drinking a cup of coffee to be a useful way to RELIEVE several chronic pain issues I have. It works for Migraines, fibromyalgia and especially relevant to this article.. I have a slipped disk in my lower back that sometimes puts pressure on a nerve and causes me severe pain in my legs. A cup of coffee funny enough will usually cut the pain in half with no help from any other pain killer source.

    I will add however that I rarely if ever drink coffee or even heavy caffeine outside of this. The most caffeinated beverage I drink otherwise is the odd glass of iced tea. Was something a friend recommended who is a holistic nut and at least on this, she was bang on.

    Reply
    • Me too! No coffee everyday = headache, low back/hip pain, muscle cramps, crankiness, and heart palpitations. Coffee everyday = none of the above. Yes, coffee decreases my palpitations. My electrophysiology doc theorizes that the caffeine probably increases my heart rate just enough to prevent sinus bradycardia. 95% of my problematic arrythimic epidodes happen when my heart rate is too slow (at rest or when sleeping). When I am active (either daily routine or exercising), I have very few to no arrythmias. I can’t be continually active or go without sleep 24/7/365. So I have “prescribed” daily doses of caffeine (150-300mg/day) and an antiarrythmic med (to cover that 5%) have fixed me right up. Thankfully, I have a healthy heart and normal lipid panel, despite being a bit overweight and a not-so-perfect diet.. Yes, I can drink a cup of coffee at bedtime and sleep without difficulty. Crazy but true. Just shows how different our bodies are!!

      Reply
  23. What of the Bullet Proof coffee, from the Bullet Proof Executive.com? He is a paleo proponent and recommends his toxin-free coffee with grass fed butter and MTC oil as part of intermittent fasting or for the occasional drink.
    He is very science based in his approach and this really make me wonder??

    Reply
  24. I should also add that redbush tea is a really good hot drink alternative to tea and coffee. I love it with about 5ml of honey. It has no caffeine and it doesn’t irritate the bladder when you get a UTI.

    Reply
  25. Thanks for the post.

    Withdrawal definitely causes me at least five days of lower back and stomach pain as well as dull headaches. Not sure about back pain while consuming caffeine but now I am off it I will keep it under observation.

    Best tip I can give is to taper off caffeine by reducing coffee/tea/chocolate intake over at least seven days. No need to feel ill by stopping all of a sudden.

    Reply
  26. Pingback: Sarno, Back Pain and Coffee? | Critical MAS

  27. I have a slight scoliosis & pain in my lower right back. I drink a lot of coffee & failed all three of the adrenal tests above. Could the coffee aggravate my pain? I mean I’ve always had the scoliosis, could it be the coffee instead ?

    Reply
  28. I have broken my caffeine addiction several times in the past but I’ve always come back. I don’t remember having back pain in the past, but I’m in the middle of a detox right now – haven’t had any caffeine for 3 full days – and my back is hurting so bad I can hardly function, and I couldn’t sleep last night I was in so much pain. This article has given me the information I need to at least understand what’s happening with my body, but it still hurts like hell and I’m extremely cranky. I know that once I break this addiction, I will feel better and have more energy, so I’m looking forward to that, and I won’t be a SLAVE to caffeine anymore. Now if I can only make it stick this time!

    Reply
  29. Caffeine can cause acne and lower back pain. With yoga that would help to avoid back pain. Instead of jogging or running. Increase salt in your meal and avoid sweets that can increase back pain.
    Cynthia\’s last post: stretch marks on back

    Reply
  30. Everyone loves what you guys are up too. This kind of clever work and exposure! Keep up the superb works guys I’ve you guys to my personal blogroll.

    Reply
  31. Most things, taken in moderation, will not affect you significantly. My great-grandfather smoked cigarettes most his life and lived over 100. I don’t think he was the over-the-top type and he managed. (I am not condoning smoking tobacco or really anything) (vaporizers work wonders).

    What I am saying is do the research, (on your own) ask experts you trust, and draw up your own personal plan or conclusion on the matter.

    Reply
  32. thanks for this article on lower back pain. though i love caffein but i too was suspecting caffein for my naggging back pain.

    Reply
  33. Very good article. Not only does my lower back get out of alignment quickly so does my neck. Does that attribute to the weak ligaments and tendons in my neck? What are healthy alternatives to help get you going in the morning? Have you heard of Ribose?

    Reply
  34. Woa! I just did the 3 tests you listed and failed all of them. I only drink a cup of coffee on the weekend, with cream added, but I can stop. I’m not addicted to coffee. I do have a little chocolate occassionally, but not addicted to that anymore. I wonder if I should add sea salt to my glass of water? I’m already doing the other things you suggested, Sarah.

    Reply
    • Sarah, TheHealthyHomeEconomist

      Hi Linda, too many grains and sugars also strains the adrenals as does a stressful lifestyle in general. Even doing everything perfectly food-wise if we have a stress in our life such as an ailing parent or rebellious child, emotional stress drains the adrenals also. Be sure to breathe properly (I have blog on this) and exercise to help relieve any stress buildup. Hope that helps.
      Sarah, TheHealthyHomeEconomist\’s last post: Sulphur: The Forgotten Nutrient

      Reply
  35. @olivia, try removing hard to digest foods from the diet. Eating a lot of bread, other grain based foods and starches really slows down the digestion. Since digestion uses up the biggest chunk of our energy, if you eat only very easy to digest foods you will free up a lot of energy hopefully getting you off the need for a caffeine boost. Eating a lot of sugar makes folks really tired also after an initial boost. Another idea is to try to switch to green tea which is much lower in caffeine and try to gradually get off the coffee.

    Reply
  36. Olivia Backstrom via Facebook September 13, 2011 at 10:57 pm

    What do you recommend for a pregnant woman with a one year old to look after? I am asking in all seriousness. I know my adrenals are not at their peak. I am having back pain that although pregnancy related, I’m sure it is being exasperated by caffeine consumption. (I drink a very small amount each day- my cup is more than 2/3 whole milk) I find, though, that if I skip my morning coffee I am on the couch the rest of the day unable to function… and that is not possible with a toddler to take care of. So what would you recommend to replace coffee and yet still give me some kind of energy boost?

    Reply
  37. Angela Blazek Salinas via Facebook September 13, 2011 at 9:52 pm

    I was nearly incapacitated by a herniated lumbar disc. MRI showed a 15 mm protrusion of disc material causing severe sciatic nerve pain. I wondered at how my discs could be so weak and shallow at only age 33! It occurred to me after my MRI that I had really ramped up my coffee intake over the last year, drinking a whole pot a day by myself (half-caff). And since caffeine is a diuretic, I figured I was dehydrating my discs to the point of injury. I quit caffeine and have gotten steadily better over the last 4 months with no surgery! It had been worsening from January to May.

    Reply
  38. Hi Sarah

    Do you mean that chocalate (even the 100% raw organic chocalate) is bad for your adrenals. Do you not eat any cocoa either?

    Thank you

    Reply
  39. Hi,

    I have a really bad caffeine addiction and when I have tried to quit drinking coffee in the past, I suffered from the worst migraine headaches. Worse, now I am on a low-carb diet(and doing very well, down 30lbs in 3 months) and my cups of coffee have been easing my food cravings.
    Is there anything you could recommend to ease the transition from a 5-cup per day coffee habit to none at all?

    Reply
  40. @Jennifer, I take issue with those articles that say coffee is good for you. How can anything be good for you where you have withdrawal symptoms and possibly migraines when you come off it? Common sense dictates otherwise. I’d be interested to see who funded those suspicious studies. Could it be the coffee industry?

    Reply
  41. Great post!

    As a nutritional therapist, we do several tests to determine if the adrenals are compromised- one is the postural hypotension (the laying down and getting up quickly with dizziness and drop in BP) and the paradoxical pupillary reflex (light on the pupils test). We also check for inguinal ligament tenderness (as the sacro-iliac joint can be out of whack) and posterior ilium short leg (one leg shorter than another because of this SI issue). We also check a reflex point located near the bellybutton- where tenderness and nodulation indicate adrenal issues. I personally could never hold a chiropractic adjustment when I was in adrenal failure, and it was due to that loosey-goosey pelvis issue (caused by weak adrenals).

    The biggest thing I find in my practice is the relationship of adrenal stress and impaired blood sugar handling- too much sugar and carbs in the diet, but also impaired digestion/detox, stressing the liver so it can’t do it’s job in blood sugar handling AND the adrenals are not getting the nutrients they need (fats due to poor gallbladder function, minerals due to poor HCL status, or impaired fat absorption,etc). Removing the stressors of caffeine and sugars/starchy carbs from the diet does help (a lot), but supporting digestion can also be important….it’s all connected :) Other support can be needed as well- glandulars, support nutrients, etc- a diet change was not enough for me, and I find that more than 3/4 of my clients need some additional support too.
    Amy Love@Real Food Whole Health\’s last post: Are you ready for National Costume Swap Day?

    Reply
  42. Amber Moon via Facebook September 13, 2011 at 11:37 am

    I was hooked on coffee for years and it really messed up my blood sugar. I went cold turkey and was in pain for like 3 days..all I did was sleep most of the day. But it worked. I went to decaf for a real long time and now I can drink regular on the weekends and I am fine.

    Reply
  43. Kate @ Modern Alternative Mama September 13, 2011 at 11:20 am

    This is very interesting. My husband and I generally don’t consume caffeine (chocolate here and there, but no coffee or anything daily), but I suspect he has major adrenal issues. His back is always out, especially lower back, and the chiropractors don’t know why. He’s been seeing chiropractors for years and an accupuncturist/nutritionist for almost two years now, and we’ve seen a lot of progress this year, but still not quite right. We’ve been focusing on rest, FCLO, high quality sea salt, etc. for awhile but it takes time to heal.

    Also, salt is related to blood pressure, in that if you don’t have enough, your blood pressure can be dangerously low. I don’t know that the reverse (too much = high blood pressure) is true at all.
    Kate @ Modern Alternative Mama\’s last post: Green Valley Organics Review and GIVEAWAY!

    Reply
  44. I don’t drink it for the energy…I drink it with cream in it for the taste. I love it! But I have been drinking it every day for a while now, and I know it is one of my two major vices (sugar/chocolate is the other) that are hard habits to break! I may try giving up caffeine on the weekdays and just enjoying a cup with my breakfast on the weekends. I don’t know if I can give it up completely.

    Reply
  45. Jennifer Sara Jansky via Facebook September 13, 2011 at 11:13 am

    Wow, an article that says coffee is bad for you. That is amazing. Seems everywhere I look there are articles saying why you should drink it. I have never been a coffee drinker, smells good but taste awful.

    Reply
  46. Lee-ann M Harder via Facebook September 13, 2011 at 11:07 am

    I have noticed my dark circles under my eyes minimize when I am not drinking the Joe – I sleep better too. If only I could inhale the fumes and get the same energy I sometimes find in a cup of Joe. :))) I truly love the smell more than the taste……..

    Reply
  47. Thanks for a great post. I have been treated for lower back pain for about 4 years with regular chiropractic adjustments. I altered my diet about 1 year ago and my chiropractor started me on adrenal support supplements about 6 months ago. My lower back has been holding its adjustments well for the past 4 months. I didn’t know why until your post today.

    Karen

    Reply
  48. Hi Sarah,

    Thank you for another wonderful post. I know I have weakened adrenal glands. I did the flashlight test about a year ago and was floored at the inability for my pupils to remain constricted (my husband as well). I also get very lightheaded upon standing or sitting up from a laying position.

    I have been on the fence about quitting caffeine (16 oz. every morning). I saw something about caffeine as a cancer preventive, though I admit I know very little about that claim. Are you familiar with that?

    Renee

    Reply
  49. HI Sarah,
    As a chiropractor I can second that. In my experience, the long term effects of sub clinical adrenal insufficiency can affect all areas of a person’s health. There is a very accurate test for adrenal gland function. It is a saliva test for cortisol, one of the hormones secreted by the adrenal glands. Additionally the test shows the cortisol rhythm in a 24 hour period so that one can see if cortisol is too high or too low and at what time of day. It is simple, cheap and most alternative practitioners perform it. Once test results are in, very specific supplements can be recommended for specific times of the day. While I would certainly counsel patients on dietary changes to support the adrenals (sea salt and vitamin C), sometimes supplemental support is needed to facilitate healing. Great post!
    jill\’s last post: Fat Tuesday: September 13, 2011

    Reply
    • I agree w/Jill. 24 hour saliva tests are considered the gold standard for really diagnosing adrenal issues because there is a such a cortisol fluctuation in our bodies naturally throughout the day. I agree with dietary and lifestyle changes to assist the body in healing and building back a reserve in the adrenals. There are some people in which this is not enough and supplements are necessary to assist in that healing. I was one of those people and I am very thankful I had them. :)

      Reply
    • Thank you for sharing about the saliva cortisol test. Most doctors will insist that a blood test or even 24-hour urine collection will suffice. The truth is, I suffered from adrenal dysfunction and low cortisol for YEARS because I didn’t do the proper test. Another thing you can do is to take your body temperatures with a standard “mercury” thermometer for 5 days. Take it 3 hours after you awake, then repeat in 3 hours, and again in 3. Be sure to take them at the same time each day. Average your 3 daily temps and then compare them over 5 days. If the daily average fluctuates more than .2-.3 degrees, you have an adrenal problem. Other things that can cause adrenal dysfunction are undiagnosed (using useless TSH test or “thyroid panel”) or improperly treated (with T4-only synthetic medications like synthroid and levoxyl) thyroid disease, low iron or ferritin levels, and low aldosterone levels. These things should all be tested if you have an adrenal problem.
      M1ssDiagnosis\’s last post: 10 Things People in Wheelchairs Want You to Know

      Reply

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