what is cortisol how to lower cortisol level

What is Cortisol and How to Lower your Cortisol Levels

What is Cortisol?

Cortisol is a hormone produced by the adrenal glands, which are located above the kidneys. Often referred to as the “stress hormone,” cortisol plays a critical role in various bodily functions, including stress response, blood pressure regulation, maintenance of circadian rhythm, and reduction of inflammation. While cortisol is essential for maintaining health, prolonged elevated levels can lead to various health concerns. If you’re concerned about your cortisol levels and want to learn how to lower cortisol levels effectively, please read the information below.

The Role of Cortisol in the Body

Stress Response

When you encounter a stressful situation, your brain triggers the hypothalamic-pituitary-adrenal (HPA) axis. The hypothalamus, a part of your brain, sends signals to the pituitary gland, which then prompts the adrenal glands to produce cortisol. This hormone increases glucose availability in your bloodstream, providing your body with the necessary energy to respond to the stressor.

Cortisol also influences your autonomic nervous system, which includes the sympathetic nervous system (SNS) and the parasympathetic nervous system (PNS). During stress, the SNS activates the body’s “fight or flight” response, increasing heart rate, blood pressure, and respiration.

Inflammation

Inflammation is a protective response of the body against harmful stimuli such as infections, injuries, or toxins. Cortisol helps regulate inflammation by inhibiting the production of proteins that promote inflammation. This balancing act is crucial, as uncontrolled inflammation can lead to chronic diseases, whereas inadequate inflammation can result in prolonged infections and tissue damage.

Immune Function

Cortisol modulates the immune system by enhancing the activity of immune cells, such as monocytes and granulocytes. It helps balance the immune response to prevent excessive inflammation and autoimmunity while ensuring the body can effectively combat infections.

Blood Sugar Regulation

Cortisol plays a vital role in maintaining blood sugar levels. It stimulates gluconeogenesis in the liver, a process that produces glucose from non-carbohydrate sources. In muscle tissue, cortisol reduces glucose uptake, prompting the breakdown of proteins into amino acids for glucose production. Additionally, cortisol affects the pancreas by decreasing insulin production and increasing glucagon, a hormone that raises blood glucose levels.

Impact of Chronic high Cortisol Levels

Consistently high cortisol levels can have widespread effects on your health. Here are some areas impacted by chronic stress:

1. Cardiovascular Health

Prolonged high cortisol can lead to hypertension, increasing the risk of heart disease and stroke. The inflammation caused by chronic stress can also contribute to the development of atherosclerosis, a condition where arteries become narrowed and hardened.

2. Mental Health

Chronic stress can lead to mental health disorders such as anxiety, depression, and post-traumatic stress disorder (PTSD). High cortisol levels can affect neurotransmitter function and brain health, leading to mood disturbances and cognitive issues.

3. Immune System

Chronic stress reduces the number of lymphocytes, which are the white blood cells that help fight infections. A lower lymphocyte count makes you more vulnerable to viruses like the common cold and cold sores. This can lead to “stress-induced sickness,” where your immune system becomes weakened and less effective at combating infections and diseases..

4. Metabolic Health

Cortisol influences metabolism, and high levels can lead to weight gain, particularly in the abdominal area. This can increase the risk of metabolic syndrome, type 2 diabetes, and other metabolic disorders.

Symptoms of High Cortisol Levels

Chronically high cortisol levels can lead to a condition known as Cushing’s syndrome. This condition is characterized by a variety of symptoms:

  • Weight Gain: Noticeable in the face, abdomen, and chest, often with thinner limbs.
  • Elevated Blood Pressure: Persistent high blood pressure.
  • Mood Changes: Anxiety, depression, and rapid mood swings.
  • Skin Changes: Flushed face and sensitive skin.
  • Bone Weakness: Increased risk of fractures and osteoporosis.
  • Muscle Weakness: Especially in the arms and legs.

Symptoms of High Cortisol Levels in Female

In addition to the general symptoms of high cortisol, females may experience specific symptoms due to hormonal fluctuations:

  • Irregular Menstrual Cycles: Cortisol can disrupt the balance of reproductive hormones, leading to irregular or missed periods.
  • Increased Facial Hair: Higher cortisol levels can sometimes cause hirsutism, or excessive facial hair.
  • Fertility Issues: Prolonged high cortisol can affect ovulation, making it difficult to conceive.

What is Cortisol Belly?

Cortisol belly refers to the accumulation of fat around the abdomen due to high cortisol levels. This type of fat distribution is not just a cosmetic concern but is associated with an increased risk of cardiovascular disease, diabetes, and metabolic syndrome. Chronic stress leading to elevated cortisol levels can cause the body to store more fat in the abdominal area, a process influenced by cortisol’s role in fat metabolism and storage.

Cortisol Test

If you suspect that your cortisol levels are too high or too low, your doctor may recommend a cortisol test. This test measures the level of cortisol in your blood, urine, or saliva. It is usually performed in the morning when cortisol levels are at their peak. The results can help diagnose conditions such as Cushing’s syndrome or Addison’s disease and guide appropriate treatment.

How to Lower Cortisol Levels?

Typically, the brain and adrenal glands manage cortisol production effectively. When stress subsides, cortisol levels return to normal. However, chronic stress, certain medical conditions, and some medications can lead to consistently elevated cortisol levels. If you are experiencing high cortisol, here are some natural techniques to help lower it.

1. Reduce Stress Levels

Stress is a significant trigger for cortisol production. Lowering stress can often lead to a reduction in cortisol levels. Here are some strategies to help manage and reduce stress:

  • Setting Priorities: To minimize stress, identify stressors in your life and determine whether they are avoidable or unavoidable. For avoidable stressors, consider their importance and eliminate or delegate tasks that are not priorities.
  • Stress Management Techniques: Learn to cope better with unavoidable stress through mindfulness practices and self-help techniques. Mindfulness can include activities like meditation, deep-breathing exercises, and progressive muscle relaxation.
  • Mental Health Care: If stress stems from a mental health condition like anxiety, professional treatment can be beneficial. Speaking with a therapist can help you recognize and reframe anxious thoughts, replacing them with more balanced perspectives.

2. Try Relaxation Techniques

Relaxation techniques activate the body’s “relaxation response,” counteracting the stress response and reducing cortisol production.

  • Breathing Exercises: Deep, slow breathing can help calm your nervous system.
  • Guided Meditation: Listening to guided meditations can promote relaxation and reduce stress.
  • Walking Meditation: Combining physical activity with mindfulness can be very effective.
  • Yoga or Tai Chi: These practices combine movement, meditation, and breathing exercises.
  • Visualization: Imagining peaceful and calming scenarios can help reduce stress.

3. Adopt Healthy Lifestyle Habits

  • Adopt a Nutritious Diet. A balanced diet can help stabilize cortisol levels. Pay special attention to your sugar and caffeine intake.
    • Dietary Fibers: Include plenty of vegetables, fruits, beans, nuts, lentils, seeds, and whole grains in your diet.
    • Omega-3 Fatty Acids: Aim to eat more fish and seafood. Plant-based options include flax seeds, chia seeds, algae, and sea vegetables.
    • Aged, Fermented, and Cultured Foods: Foods like plain yogurt, kefir, kombucha, miso, tempeh, and apple-cider vinegar can support a healthy gut, which is linked to reduced stress levels.
    • Some studies also found that increasing dietary carbohydrate intake might help lower cortisol levels.
  • Limiting Caffeine Intake. Caffeine can interfere with sleep and increase cortisol production. Try to avoid consuming caffeine in the evening to ensure a good night’s sleep.
  • Ensuring Quality Sleep. Sleep deprivation can lead to elevated cortisol levels. Ensuring you get adequate sleep and maintaining a regular sleep-wake schedule can help keep cortisol levels in check.
  • Establishing a Consistent Bedtime Routine. A good bedtime routine can improve the quality and duration of your sleep.
    • Relaxing Activities: Engage in activities like bathing, stretching, reading, journaling, or meditating before bed.
    • Screen Time: Turn off screens at least an hour before bedtime to prevent disruptions in your sleep patterns.

4. Activities for Overall Wellness

  • Engaging in Enjoyable Hobbies. Hobbies can be both relaxing and rewarding, diverting your mind from stressors.
    • Gardening: A study found that gardening significantly reduced cortisol levels among veterans and improved their quality of life.
    • Other Hobbies: Drawing, painting, crafting, cooking, creative writing, and playing a musical instrument can also be stress-relieving.
  • Incorporating Physical Activity. Physical activity is beneficial for overall health and can improve mood. However, intense exercise can temporarily increase cortisol levels. For those with high cortisol, low- or moderate-impact exercise may be more suitable. Consult a doctor to determine the best type and amount of exercise for your circumstances.
  • Making Time for Laughter and Fun. Laughter has many therapeutic benefits. It can reduce cortisol, increase serotonin (which helps regulate mood), and improve social relationships. Make time for fun activities and enjoy moments that make you laugh.

5. Social and Environmental Factors

  • Building Strong Relationships. Stable, loving relationships with partners, friends, and family are vital for a happy and fulfilled life. They can help you get through stressful periods. Conversely, unhealthy relationships can cause significant stress. If conflicts arise regularly, working to resolve them can benefit everyone involved.
  • Owning a Pet. Pets can help lower cortisol levels. A study involving children undergoing stress tests found that having a pet dog present significantly reduced their perceived stress compared to those who were alone or with a parent.

6. Additional Considerations

  • Quit Smoking. Smoking can impact cortisol levels and sleep quality. A 2019 study found that smokers had higher cortisol levels and poorer sleep continuity compared to non-smokers.
  • Explore Supplement Options. If lifestyle changes are not sufficient to lower cortisol levels, consider speaking with a doctor about supplements.
    • Omega-3 Fatty Acids: A small study found that Omega-3 supplements reduced cortisol levels in nurses experiencing burnout.
    • Ashwagandha: This herb has been shown to reduce cortisol, particularly morning cortisol levels. However, it is not suitable for everyone, especially those with autoimmune conditions, thyroid disorders, or hormone-sensitive prostate cancer. It can also interact with certain medications and is not recommended during pregnancy or nursing.
    • Always consult a doctor before trying new supplements, especially if you are taking other medications.

Frequently Asked Questions (FAQs)

Does Ozempic Lower Cortisol Levels?

Ozempic (semaglutide) is mainly used for managing blood sugar and weight loss. While there isn’t direct evidence that Ozempic lowers cortisol, improving blood sugar and weight could help reduce stress, which might lower cortisol levels indirectly. It’s not prescribed specifically for cortisol management, so consult a doctor for advice on reducing cortisol.

High Cortisol and Low Testosterone: What’s the Connection?

High cortisol can lower testosterone because chronic stress leads to elevated cortisol, which suppresses testosterone production. This can cause symptoms like fatigue and reduced libido. Managing stress through exercise, sleep, and relaxation techniques may help balance both cortisol and testosterone levels.

Does CBD Lower Cortisol?

CBD (cannabidiol) is a non-psychoactive compound found in cannabis plants, known for its potential therapeutic effects. Some studies suggest that CBD may help reduce cortisol levels in the body, but more research is needed to draw definitive conclusions. CBD is believed to interact with the endocannabinoid system and may influence the hypothalamic-pituitary-adrenal (HPA) axis, which controls cortisol production.

Does Green Tea Lower Cortisol?

Green tea contains compounds like L-theanine and epigallocatechin gallate (EGCG), which may have an impact on stress levels. Some studies indicate that consuming green tea might help reduce stress and potentially lower cortisol levels. L-theanine, in particular, may promote relaxation and reduce stress, which could influence cortisol production. Several studies have explored green tea’s effects on stress and cortisol, with some showing positive results. Research suggests that drinking 3-5 cups per day may offer stress-relief benefits, though individual responses may vary.

Does DHEA Lower Cortisol?

DHEA (dehydroepiandrosterone) is a hormone produced by the adrenal glands and serves as a precursor to other hormones. Some research suggests that DHEA supplementation might help balance cortisol levels, particularly in individuals with elevated cortisol. DHEA may regulate the body’s stress response and help counterbalance the effects of cortisol. However, DHEA supplements can have side effects and may interact with certain medications, so it’s important to consult a healthcare provider before use.

Conclusion

Cortisol is an essential hormone that helps the body respond to stress, maintain blood pressure, regulate metabolism, and reduce inflammation. However, chronically high cortisol levels can lead to a range of health issues, from weight gain and mood changes to serious conditions like Cushing’s syndrome. By understanding the role of cortisol and implementing strategies to manage stress, you can maintain balanced cortisol levels and support overall health. Regular exercise, a healthy diet, adequate sleep, and strong social connections are key components in managing stress and keeping cortisol in check. If you experience symptoms of high cortisol, such as sudden weight gain, hypertension, or mood disturbances, consult a healthcare provider to evaluate your cortisol levels and discuss appropriate interventions.

Author

Dr Sobia Mohyuddin

MCPS, FCPS, MRCOG, Consultant Obstetrics & Gynaecology

Doctor Sobia Mohyuddin is a highly skilled and experienced Obstetrician and Gynecologist, with 25 years of training and experience in renowned, large institutions. She holds the position of Associate Professor and Fellow at the College of Physicians and Surgeons Pakistan. She is also a member of the Royal College of Obstetricians and Gynecologists (UK).