By Dr. Jillian Finker

Cortisol, often called the stress hormone, plays a vital role in our body's response to stress. However, when cortisol levels remain elevated over time, it can lead to a host of health challenges. Various factors, from external stressors like a long commute to internal imbalances such as low blood sugar, can push cortisol into an unhealthy range.

It’s important to recognize the signs of high cortisol and confirm them through proper testing. A combination of bloodwork and a 24-hour comprehensive urine panel can provide a full picture. Interestingly, some symptoms commonly linked to high cortisol might also appear in cases of low cortisol. Since the human body is complex and doesn’t always follow textbook rules, testing is key to understanding your unique hormonal health.

Here are six common signs that your cortisol levels may be too high:

1. Unrelenting Fatigue

If you feel completely drained despite getting a full night’s sleep, your cortisol levels may be elevated. This type of fatigue often leads to dependency on stimulants like coffee—first thing in the morning and again in the afternoon—to make it through the day.

2. Unexpected Weight Gain

Gaining weight without significant changes to your diet or exercise routine, particularly around the abdomen, could be a sign of high cortisol. This hormone can promote fat storage, especially in the midsection, as part of the body’s stress response.

3. Sleep and Mood Disruptions

Cortisol naturally peaks in the morning to help you wake up and decreases at night to prepare your body for rest. If your cortisol levels remain high throughout the day, you might feel wired but tired—exhausted during the day yet unable to sleep at night. High cortisol can also amplify stress, leading to irritability or difficulty staying calm.

4. Frequent Illness

If you find yourself getting sick easily or catching every cold that comes your way, high cortisol may be impacting your immune system. Elevated cortisol suppresses immune function, making you more susceptible to illnesses.

5. Intense Sugar Cravings

Do you reach for candy or a sweet treat after meals? Persistent sugar cravings could indicate that your adrenal glands are overworked. Cortisol affects blood sugar regulation, and high levels can leave you reaching for quick energy sources.

6. Brain Fog

Struggling with focus, memory or mental clarity? Brain fog is a common symptom of adrenal dysfunction. When your cortisol levels are out of balance, the tiny adrenal glands above your kidneys can’t function optimally, impacting cognitive performance.

What Can You Do About High Cortisol?

If these signs sound familiar, the first step is to confirm your cortisol levels with the appropriate tests. Once you have a clear understanding of your hormonal health, you can work on strategies to bring your cortisol back into balance.

• Lifestyle Adjustments: Regular exercise, meditation and deep-breathing exercises can help reduce stress and regulate cortisol production.

• Balanced Nutrition: Incorporate nutrient-dense foods that stabilize blood sugar, such as complex carbohydrates, lean proteins, healthy fats, and plenty of vegetables. Avoid excess caffeine and sugar, which can exacerbate cortisol imbalances.

• Sleep Hygiene: Prioritize sleep by maintaining a consistent bedtime routine, limiting screen time before bed, and creating a relaxing sleep environment.

• Professional Support: Work with a healthcare provider to develop a personalized plan that may include supplements, dietary changes, or stress management techniques.

High cortisol levels can significantly affect your health, but the good news is that these imbalances are often reversible with the right approach. By identifying and addressing the root cause of your symptoms, you can restore balance and support your body’s ability to handle stress naturally. Listen to your body, get tested, and take proactive steps toward a healthier, more vibrant life.

To learn more or schedule a consultation, visit DrFinker.com or call 516-765-3272.