Stress and Cortisol describes the integral physiological relationship where psychological or physical stressors trigger a rapid and sustained increase in the secretion of the glucocorticoid hormone cortisol from the adrenal cortex. Cortisol is the body’s primary stress hormone, mediating the necessary physiological adaptations to cope with the challenge, including mobilizing energy stores and suppressing non-essential functions. Chronic, unmanaged stress leads to sustained cortisol dysregulation, which negatively impacts metabolic, immune, and hormonal health.
Origin
This fundamental concept is derived from the pioneering work of Hans Selye on the General Adaptation Syndrome and is central to endocrinology and stress physiology. Cortisol itself is named for its origin in the adrenal cortex. The clinical focus is on the hypothalamic-pituitary-adrenal (HPA) axis, the main pathway governing this response.
Mechanism
A stressor activates the central nervous system, prompting the hypothalamus to release corticotropin-releasing hormone (CRH), which stimulates the pituitary to secrete adrenocorticotropic hormone (ACTH). ACTH then travels to the adrenal glands, stimulating the synthesis and release of cortisol. Cortisol’s main action is to increase gluconeogenesis and suppress inflammation, but chronic elevation leads to insulin resistance, visceral fat deposition, and a blunted diurnal rhythm, thereby undermining long-term wellness.
Specific lifestyle and diet changes can naturally improve the testosterone-to-estradiol ratio by reducing body fat and inhibiting the aromatase enzyme.
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