I am happy to report that we seem to have gotten a handle on this issue. During puberty a lot can change with hormones and this is often when an adrenal or thyroid problems shows up or gets worse. In our case it got a lot worse. Treating his thyroid with prescription desiccated thyroid and raising his adrenal support really helped a lot.
Something I’ve noted over the years is that you can’t really make a dent in reducing adrenal symptoms if there is a low thyroid condition that isn’t treated. Thankfully we found a practitioner willing to work with us in doing that.