Adrenal Cocktails Myths, Benefits, and Risks

A Glass of Orange Juice with Orange Slices on a Yellow Background

Naturopathic specialists often recommend treatments like adrenal cocktails to support the adrenal glands and address “adrenal fatigue.” An adrenal cocktail typically includes orange juice, coconut water, and sea salt

What Are the Adrenal Glands?

The adrenal glands are small, triangular-shaped organs located on top of your kidneys. They have two parts: the cortex and the medulla. These parts secrete hormones like adrenaline and cortisol, which help regulate essential processes such as your sleep/wake cycle, inflammation, blood pressure, metabolism, and stress response.

The adrenal glands are part of the hypothalamic-pituitary-adrenal (HPA) axis, the body’s main stress response system. The adrenal glands produce hormones like cortisol in response to signals from the pituitary gland in the brain, which responds to signals sent from another part of the brain called the hypothalamus.

Health conditions, such as adrenal insufficiency and Cushing’s syndrome, can develop if the adrenal glands make too much or too little of certain hormones. These conditions require proper diagnosis and treatment from a healthcare provider.

Adrenal Fatigue vs. Adrenal Insufficiency

Adrenal fatigue refers to a theory suggesting that chronic stress can overwhelm the adrenal glands, leading to depleted adrenal functioning and symptoms like extreme fatigue and sleep issues. Although adrenal fatigue is often cited as a reason for these symptoms, it is not a recognized medical diagnosis and lacks standard criteria for diagnosis.

Conversely, adrenal insufficiency is a medical diagnosis with established standards for diagnosis and treatment. It is a rare condition in which the adrenal glands fail to produce sufficient hormones, such as cortisol, which are essential for life. Causes of adrenal insufficiency include diseases like Addison’s disease, autoimmune diseases, infections, and genetic disorders. If untreated, adrenal insufficiency can lead to life-threatening symptoms like seizures and coma. Treatment typically involves hormone replacement medication

A Glass of Orange Juice with Orange Slices on a Yellow Background

Benefits of an Adrenal Cocktail

Proponents of adrenal cocktails claim they help “balance” hormones like cortisol and increase energy levels. Most adrenal cocktail recipes include coconut water, citrus juice (e.g., lemon or orange juice), and salt. Some variations might also include ginger, coconut milk, and cream of tartar, which is high in potassium.

While some ingredients in adrenal cocktails offer health benefits, there is no evidence that these drinks specifically benefit adrenal gland health. Your body requires vitamins and minerals to function optimally, but the nutrients in adrenal cocktails are available in many other foods. Nutrients from any source are distributed throughout the body, not exclusively to the adrenal glands.

Adrenal cocktails will not cure symptoms related to high stress, insomnia, anxiety, or cold intolerance. These symptoms could indicate more severe health concerns like hypothyroidism or diabetes, which require medical diagnosis and treatment.

Risks of Adrenal Cocktails

For healthy individuals, drinking an adrenal cocktail poses little risk. Ingredients like citrus juice can be beneficial, but it is not necessary to include adrenal cocktails in your diet to maintain health. A balanced diet rich in fruits, vegetables, proteins like beans and fish, and healthy fats like nuts and avocados can provide all the necessary nutrients.

Impact on Blood Sugar

The juice and salt in adrenal cocktails could pose issues for people with high blood pressure or blood sugar. Despite claims that adrenal cocktails support healthy blood sugar, most recipes are high in carbohydrates and low in blood sugar-regulating nutrients like fiber and protein. For example, a common adrenal cocktail recipe with half a cup of orange juice, half a cup of coconut water, and a quarter teaspoon of sea salt contains about 20 grams of carbohydrates. Consuming this without protein or fiber can significantly impact blood sugar levels.

Impact on Blood Pressure

Though the salt content in adrenal cocktails is generally minimal, some people are “salt-sensitive” and may experience increased blood pressure from added salt. Most people already consume more salt than necessary, so adding more through adrenal cocktails is unnecessary and potentially harmful. Research indicates that chronic high salt intake can activate the HPA axis, leading to increased stress and negative effects on metabolic and cognitive health.

High Potassium Content

Some adrenal cocktail recipes include cream of tartar, which is high in potassium. While this is not a concern for most people, those with certain stages of kidney disease who need to limit potassium intake should avoid high-potassium foods and unnecessary use of ingredients like cream of tartar.

Who Should Use Adrenal Cocktails?

If you experience symptoms like extreme fatigue, weight gain, cold intolerance, and insomnia, it is crucial to consult a healthcare provider. Treating suspected adrenal fatigue with supplements or adrenal cocktails can delay proper diagnosis and treatment of underlying health conditions.

Adrenal cocktails are not harmful for most people but are unnecessary for health. Instead, focus on a nutrient-dense diet, ample restful sleep, physical activity, and stress-reducing activities.

Adrenal Cocktail Recipe

Most adrenal cocktail recipes follow this basic combination:

  • ½ cup orange juice
  • ½ cup coconut water
  • A pinch or quarter-teaspoon of sea salt

Some recipes also include additional ingredients like coconut cream, cream of tartar, lemon juice, ginger, and collagen. For better blood sugar regulation, consider enjoying an adrenal cocktail with fiber and protein to slow digestion


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