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Why is it necessary to use the term "adrenal" when there is no measurable evidence of adrenal dysfunction; when the diagnosis can be made whether the cortisol is normal, low, or high; when hydrocortisone supplementation has been shown to make no difference to the course of chronic fatigue when trials are controlled; and when the herbal treatments make no measurable difference to adrenal function? Why do so many in the holistic health community insist on using the words and terms of physiology to describe conditions and concepts that have no relation to what doctors and scientists refer to when they describe and measure normal and abnormal adrenal function? At best it leads to confusion and reduces the chance of understanding between patients and physicians. At worst it leaves the holistic practitioners open to accusations of fraud and pretension to science. Why not use terms distinct from those that scientists and endocrinologists use, since there is so little overlap and relation between the two? Is not honesty in naming the foundation of mutual understanding and honesty of interaction and healing?