Feeling exhausted and stressed all the time? No patience with the kids, the spouse, or the normal frustrations of life? Or maybe you're wired and tired and can't get to sleep until late at night. Noticing swelling in your fingers and ankles? Any of these signs could be due to adrenal fatigue. A life of constant demands with very little rest can put us into a state of sympathetic dominance meaning our fight-or-flight response is stuck "on" which leads to adrenal fatigue.