Extreme hot flashes and night sweats, insomnia (you go to bed but three hours later you are wide awake), environmental sensitivities, hypoglycemia, poor concentration, low energy, dizziness upon rising, irritability, nervousness or anxiety, shortness of breath, knee problems, muscle twitching, heart palpitations, sensitivity to light, digestive problems or cravings for salt, sugar, junk food or coffee.

To test your adrenal gland function, rest for five minutes and then take your blood pressure. Stand up and immediately take another blood pressure reading. If the reading is lower when you are standing than when you are resting, you can suspect decreased adrenal gland function.

Sustained periods of high stress lead to chronic elevation of the stress hormone cortisol, which research now links to bone loss, compromised immune function, chronic fatigue, exhaustion, fat accumulation, infertility and memory loss. During menopause, the workload of the adrenals also increases as these glands are a primary source of sex hormones, including estrogen.

For women, particularly those who come home from a full-time job to care for their families, cortisol remains elevated in the evening when it naturally should subside to allow the onset of sleep.

• Breathing is a powerful de-stressing tool. Several times per day, breathe in through your nose and fill your lungs with air until your abdomen rises. Then slowly exhale from your mouth until your lungs are empty. Repeat this five times.
• Get eight hours of sleep every night and try to sleep until 7:30 in the morning. Just say “no” when you have too much to accomplish in one day.
• Share the household workload with family.
• Eat 7 to 10 half-cup servings of fruits and vegetables every day.
• Get help in dealing with grief. The loss of a loved one, a divorce, or the loss of a job all produce grief. Immune suppression is the result when grief is not dealt with.
• Carpe diem – seize the day – and live it to the fullest. Don’t worry so much about tomorrow.
• Believe in yourself. Negative self-talk and continually doubting your abilities hamper your body’s ability to heal.
• See the beauty around you. Smell the flowers, watch the sunset and listen to the wind. Love your family and friends and be forgiving.
• Be good to yourself. Most of us are our own worst enemies. We focus on our weaknesses and minimize our strengths. Wake up each day and tell yourself you are a good and useful person.
• Do the things you have always wanted to do. Learn to water ski, sing in a choir, write a book, tell stories to your grandchildren, walk, garden – whatever makes you happy.
• Seek your spiritual side. This does not have to be religious, although those with strong religious beliefs generally live at peace and feel protected. Most of us believe in something greater than ourselves, a spiritual power that offers solace and helps us find the quiet place within.