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In this episode of Thyroid Strong, Dr. Emily Kiberd dives into one of the most overlooked pieces of the Hashimoto’s puzzle—adrenal function.
If you wake up exhausted, crash mid-day, or find yourself wired at night and unable to sleep, your adrenals may be at the root of it.
Dr. Emily breaks down how your adrenal glands—those two small but powerful glands above your kidneys—regulate your stress response, blood sugar, inflammation, and energy levels. When cortisol and DHEA become imbalanced, it can directly affect thyroid hormone conversion, slow metabolism, increase inflammation, and worsen autoimmune flare-ups.
You’ll learn how to test your adrenal function properly, what lab clues point to dysfunction, and the exact strategies Dr. Emily uses with her 1:1 clients to help women rebuild energy, improve sleep, and finally feel like themselves again.
If your thyroid labs look “fine” but you still feel awful, this episode will help you uncover the deeper layers of your healing journey.
What You’ll Learn in This Episode:
- What your adrenal glands actually do—and why they matter for thyroid health
- How cortisol, DHEA, aldosterone, and adrenaline impact your energy and mood
- Common signs of adrenal dysfunction in women with Hashimoto’s
- The right way to test cortisol levels (and why a single blood draw isn’t enough)
- How high cortisol blocks T4 to T3 conversion and raises reverse T3
- Why eating breakfast within the first hour of waking is critical for hormone balance
- The “adrenal–thyroid–immune trifecta” and how stress drives flare-ups
- Simple steps to support your adrenals through nutrition, exercise, and nervous system regulation
Highlights:
00:37 Understanding Adrenal Function
01:03 Hormones Produced by Adrenals
02:04 Adrenal Dysfunction Symptoms
02:34 Testing Adrenal Function
04:27 Cortisol and Its Impact on Thyroid
06:13 Adrenal Dysfunction and Gut Health
08:50 Managing Adrenal Dysfunction
10:58 How To Get Support
Links & Resources
Apply for 1:1 Root Cause Functional Medicine Coaching
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