Health&Wellness Magazine July 2014 | Page 14

14 & July 2014 | Read this issue and more at www.healthandwellnessmagazine.net | Adrenal Insufficiency By Dana Sizemore President Kennedy is noted for many accomplishments during his presidency. He is also remembered as one of the most vibrant, handsome and healthy of all the American presidents. The truth about JFK, however, is that he was actually quite ill. He had a secret illness, known as Addison’s disease (a type of adrenal insufficiency), which he kept from the public. His signature sun-kissed tan could have been a symptom of this disease. Adrenal insufficiency is a term used to describe an endocrine condition in which the adrenal glands do not produce enough of the chemical messengers that help our bodies function properly. These messengers are known as hormones and they are vital to our health and wellness. The adrenal glands are small and they rest at the top of each kidney. They produce the hormones cortisol, aldosterone and dehydroepiandrosterone. Cortisol affects almost every organ and tissue in the body. The primary task of cortisol is to help the body respond to stress, such as surgery, trauma or a serious infection. It helps control the body’s use of proteins, carbohydrates and fats, as well as maintain blood pressure and cardiovascular function. Finally, it controls the body’s inflammatory, or immune, response. Aldosterone helps the body regulate the amount of salt and water in the body. This is the primary way the body regulates blood pressure. If aldosterone is too low, the kidneys do not know how to keep the salt and water levels in balance. The result is a drop in blood pressure. Dehydroepiandrosterone (DHEA) leads to the production of the male and female sex hormones, androgen and estrogen. Adrenal insufficiency is categorized as either primary or secondary. Primary adrenal insufficiency, the type that affected President Kennedy, is more commonly known as Addison’s disease. It is a result of a problem with the adrenal glands themselves. Seventy percent of Addison’s cases are caused by an autoimmune disease, in which the body’s immune system mistakenly attacks its own adrenal glands. Primary adrenal insufficiency can also be caused by an infection – namely tuberculosis. Secondary adrenal insufficiency indicates a problem with the pituitary gland. The pituitary gland is located at the bottom of the brain and is known as a “master gland.” It is given this name because it sends signals to tell other glands what to do. The pituitary produces a hormone known as ACTH (adrenocorticotropic hormone). In a situation where the body may be under significant amounts of stress, the pituitary will produce ACTH. The AC [