Signs of High Cortisol refer to the constellation of clinical symptoms and objective physiological findings that collectively indicate chronic hypercortisolemia, or persistently elevated levels of the stress hormone cortisol. These manifestations often include central weight gain, difficulty sleeping, persistent fatigue, and measurable metabolic disturbances like hyperglycemia and hypertension. Recognizing these signs is the first clinical step toward diagnosing Hypothalamic-Pituitary-Adrenal axis dysfunction. The presence of multiple signs suggests a significant physiological burden.
Origin
This diagnostic concept is derived from the classic presentation of Cushing’s syndrome, a condition of extreme cortisol excess, scaled down to the more common, subclinical manifestations of chronic stress. The term provides a practical framework for linking patient-reported symptoms to underlying endocrine pathology. It is a core element of functional and preventative medicine diagnostics, allowing for early intervention.
Mechanism
The physiological basis for these signs is the systemic catabolic and metabolic effects of excessive glucocorticoid action on peripheral tissues. Cortisol promotes gluconeogenesis, leading to elevated blood glucose, and increases the breakdown of muscle and collagen, causing thin skin and muscle wasting. Furthermore, its mineralocorticoid-like effects can contribute to fluid retention and elevated blood pressure, creating a broad spectrum of recognizable clinical signs.
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