One Woman's Addiction To Marathon Training

Last year, I had a consultation with a 27-year-old woman named Allison. She's a marathoner who's been suffering from what I call "Athletic Fatigue."
I'd been treating Allison off and on over the last two years for a series of problems, including Hip pain, back pain, and plantar fasciitis (foot pain). Lately she'd been getting injured more frequently, and complaining that she was having trouble sticking to her training schedule.
Here's how she described her problem:
"I feel like crap. I'm tired a lot and pretty grouchy at work. I'm training for Chicago (the Chicago Marathon) and it's not going well. And my stomach's been bothering me. I know you do adrenal testing, and I wanted to see if I could do that. My race is in two weeks, so can we do it after that?"
I agreed. Allison got through her race, but she was not happy with her time. She said she didn't feel like herself and was absolutely exhausted for three days after the race. She came to pick up her test kit, and she looked drained.
"Why don't you take a few weeks off from training until we can see what's going on with you?" I suggested.
Allison agreed. I gave her […]

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