Cortisol Suppression Timing is the precise clinical practice of strategically influencing the natural circadian rhythm of cortisol to promote optimal hormonal balance and facilitate deep, restorative sleep. This intervention focuses on encouraging the appropriate decline of cortisol levels in the late evening, which is necessary for the transition to a parasympathetic, anabolic state. Inappropriate evening cortisol elevation is a common clinical sign of HPA axis dysregulation and chronic stress.
Origin
The concept is rooted in the established principles of the Hypothalamic-Pituitary-Adrenal (HPA) axis and chronobiology, which dictate the pulsatile, diurnal release pattern of the glucocorticoid hormone cortisol. Clinical application emphasizes that the timing of hormonal fluctuations is often as critical as the total hormone quantity for systemic health.
Mechanism
The mechanism involves using targeted behavioral, nutritional, or specific pharmacological agents at specific times to modulate the adrenal gland’s response to ACTH or directly inhibit cortisol synthesis or receptor binding in the evening. By suppressing cortisol at the correct circadian phase, the body is able to downregulate sympathetic tone, allowing for increased melatonin and growth hormone release, thereby enhancing nocturnal repair and metabolic recovery.
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