Stress impacts adrenal function and may cause fatigue, cognitive impairment, anxiety, and depression. Burnout syndrome is a result of stress and has been receiving more attention as its impact in the medical field has been increasing. In a systematic review of 182 studies, the total estimated rate of burnout among physicians was as high 67.0%. While physicians consistently have higher rates of burnout and stress than the general population, the prevalence of stress in the general population has been increasing as well. In 2020, stress prevalence in response to the global pandemic was cited at 29.6% according to a systematic review and meta-analysis of five studies. 

Consistent or prolonged stress to the point of burnout negatively contributes to overall health. Risk of chronic fatigue, cardiovascular disease, and mortality all increase with chronic stress.  Stigma around seeking help may prevent some people from reaching out at earlier stages. When surveyed, medical residents most commonly were concerned about negative consequences with their career if they took a medical leave.  Actively looking for signs of stress, alleviating them, and preventing further adrenal damage are essential to assisting patients through hard times. Supporting adrenal gland function or modulating stress response through other physiological mechanisms is an important aspect of integrative care for this patient population.  Promotes regulation of mood, appetite, memory, focus, energy levels and sleep, while improving stress resilience, supporting resistance to stress and fatigue, and support blood sugar balance.

The products presented in the protocol below reflect research findings demonstrating the efficacy of herbs and supplements that might be used to support adrenal function and alleviate stress.