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Cortisol Rhythm Damping

Meaning

A physiological or clinically induced reduction in the normal, pronounced amplitude of the diurnal cortisol curve, specifically a blunting of the sharp morning peak and an elevated level in the evening. This flattening of the rhythm is often indicative of chronic stress adaptation or HPA axis dysregulation, rather than frank adrenal insufficiency. Clinically, damping is associated with fatigue, sleep disturbances, and altered immune function.