Are you stressed out all the time? Chronic stress could be throwing your cortisol levels off their natural pattern. Learn how to recognize the signs of high cortisol and how to lower cortisol levels naturally.
Cortisol is one of the main hormones your adrenal glands produce. It’s known as the stress hormone because the adrenal glands release it at certain times of the day and when you’re experiencing physical and emotional stress. Cortisol increases your heart rate, blood pressure, blood sugar, and breathing rate to give you a natural energy boost to take on whatever stressor is coming your way.
That’s good in the short term. However chronic stress can lead to high cortisol levels, which can have a serious impact on health.
Understanding cortisol and stress
Cortisol is crucial for the entire body. “Known as the ‘stress hormone,’ it helps regulate metabolism, influences blood sugar levels, supports the immune response, controls inflammation, and affects the sleep-wake cycle,” says Resham Uttamchandani, MD, a double board-certified physician and founder of Doctor U.
Cortisol helps you get up and get going first thing in the morning. This is when cortisol should naturally be its highest. Cortisol should decrease throughout the day until we experience our lowest level before sleeping.
However, your cortisol level can jump if you encounter stress. “Cortisol is a fascinating hormone that’s incredibly adaptive, designed to help us respond to what we perceive as threatening situations,” says Samantha Bickham, LMHC, owner and primary therapist at Calming Tides Counseling, LLC.
When your body senses that it’s in a high-stress situation, it releases cortisol, which elevates your heart rate, increases blood pressure, and gives you an overall energy boost. At the same time, the high levels of cortisol in your blood signal the body to halt nonessential processes, such as digestion, it can focus on the threat at hand.
“It activates our defenses, allowing us to quickly react and protect ourselves without overthinking,” Bickham says. “In short bursts, cortisol is completely healthy and a normal response to stress.”
But problems can arise when stress is constant and regularly interrupts your usual bodily functions. Long-term elevated cortisol has been associated with high blood pressure, Type 2 diabetes, obesity, and osteoporosis.
It may also impact fertility. One study of more than 400 people assigned female at birth who were trying to get pregnant found that those with the highest levels of alpha-amylase—an enzyme that marks stress—were 29 percent less likely to conceive after a year of trying.
Chronically elevated cortisol can also play a role in mental health, often presenting in people with anxiety and depression. Reducing cortisol levels may improve symptoms of these mental health conditions. Dysregulated cortisol can also interfere with your ability to form memories.
High cortisol from chronic stress can even lead to cortisol dysfunction over time. “Cells become less responsive to cortisol, or disrupt the hypothalamic-pituitary-adrenal axis, changing cortisol’s natural rhythm,” Dr. Uttamchandani says. “Eventually, chronic stress can even result in low cortisol production, as the body becomes less able to produce cortisol effectively under constant demand.”
Signs of high cortisol
Since cortisol affects so many areas of our body’s functioning, the symptoms of high cortisol can look different for everyone. And they may even present differently at different times. The following are a few of the most common symptoms to look out for.

Brain fog or cognitive issues
Blood sugar problems and insulin resistance
Disrupted sleep
Increased inflammation
Weakened immune system
Weight gain and increased abdominal fat