I have suffered from adrenal fatigue and the more chronic adrenal exhaustion... I could tell when it was happening, because I would make an enormous big deal out of smaller things... like doctors appointments for myself or my daughter, school meetings I had to go to, projects I needed to finish or parties we were throwing at the house. Before these events, I would have to work myself up into a total panic, like, the world is going to end if I don't do these things... and then I would be able to get through them running totally on adrenal energy (at this point, I was having lots of thyroid problems already, but the doctors weren't having any luck fixing them with prescriptions). I went through years like that, until I crashed... having little regular thyroid energy and nothing left in the adrenal tank either.
Since then, I've tried to eliminate most carbs (much easier said than done especially since I have a sweet tooth), I've taken lots of vitamins (four times daily), spent as much time as possible resting (sometimes I'm depressed... which is almost good, because it forces me to stop and rest). I've used natural progesterone creams (but sometimes worry... there is some evidence of them being cancer causing, but of course, the stuff I use (cream) is different from most trials they've done (pills, which aren't as effective, and don't work the same way)) and taken Iodine supplements. I tend to eat plenty of red meat (in smaller amounts) then would maybe be the best for a woman my age (40), but I'm iron deficit, too. I eat lots of fruits, veggies, nuts, yogurt. Lots of protein. Lots of spinach, dark greens, kale. I still eat dark chocolate a lot, because, really, what's the point of life without chocolate??? ;D Drink lots and lots and lots of water. And, over time, I have gotten better.
But, y'know, they never really tell you... I mean, you hear people say you have to take care of yourself... but no one ever says what happens if you don't take care of yourself. Well, my friends, this is what happens... first you use up and deregulate and exhaust your thyroid system, then you might switch over to using your adrenal system (like I did), then you fatigue the adrenals, and if you're like me (Irish and Polish, a.k.a. stubborn and stupid! (*joking* *joking* - love all Irish and Polish people... I love everyone, it's just a joke, okay??)) you completely exhaust your adrenal system, and then BAM! You're shit outta luck. It takes years of babying yourself, eating right, sunlight, vitamins, exercise to even get back to something approaching normal. Add in some fun mania and depression, constantly being triggered because of Complex PTSD, flashbacks, dissociation, lack of emotional support from the husband ... it's a fun life. Well... I've gotten a little crabby here, sorry. ;D I have lots of information on this if there are any particular questions. Seen lots of doctors about this, done lots of research. I'm not an expert... but I for one do believe in this stuff... many doctors will just laugh if you say you have adrenal fatigue. I don't, I take it seriously.