Fatigue can have many causes, including sleep problems, anemia, medication effects, mood conditions and endocrine disorders. It cannot be diagnosed from a checklist or attributed to stress alone.
Adrenal fatigue is not an established medical diagnosis. It is different from adrenal insufficiency, which is a recognized condition requiring appropriate evaluation and treatment.
A clinician can review the pattern of symptoms, medical history and medications, then decide whether testing or referral is appropriate. Do not self-treat with hormones, stimulants or supplements based on an assumed deficiency.
Rest, nutrition and activity may form part of a care plan but do not replace evaluation of unexplained or persistent symptoms. Seek prompt care for severe weakness, fainting, chest pain or shortness of breath.