But then there are the patients who wind up in my office: the ones whose hormone levels are ideal, who faithfully take their meds, and who still have hot flashes, night sweats, or heart palpitations. These women inevitably come in and ask for higher doses or a change in meds. I’m happy to oblige, but after two or three tries, I want to address the elephant in the room: It’s not the hormones they think that are causing the problems. Instead of an issue with their female hormones like estrogen and progesterone, it’s a dysfunction in their stress hormones—likely caused by adrenal fatigue. So what’s a woman to do? Well, first, I recommend finding yourself a good functional medicine provider to help you find the best course of treatment.The overall goal is supporting your adrenals so that they can properly function and not be stressed. While you are waiting for your appointment, I recommend the following: Overwhelmed? Don’t be. Pick one thing, get comfortable with it, and add in another when you’re ready. Don’t get impatient, either. (It stresses your adrenals!). If you’ve been out of balance for a while, it’s going to take a while to get back into balance! Through her struggles with mold and metal toxicity, Celiac disease, and a variety of other health issues, Trubow has developed a deep sense of compassion for what her patients are facing. When she’s not helping patients in her practice (5 Journeys) you can find Trubow alongside her husband and their four kids, creating a beautiful ecosystem in our yard that provides nourishment to both our body and soul. She also co-authored the book Dirty Girl: Ditch the Toxins, Look Great, and Feel Freaking Amazing!