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What Causes What
Biology & endocrinology

Cortisol

nmol/L

The main glucocorticoid of the HPA axis. It rises with threat, metabolic load, sleep loss, and social evaluation.

Calling it the stress hormone oversimplifies. It indexes HPA activation under social-evaluative threat, sleep loss, illness, and circadian phase. In the dual-hormone hypothesis it is the brake: high cortisol is proposed to block or reverse testosterone's link to status-seeking.

Also called glucocorticoid, HPA.

Connected relationships

MECHANISM? CONDITIONAL

Observational · Moderate

Cortisol→Leadership effectiveness

Higher Cortisol moves Leadership effectiveness only in some conditions. Read the mechanism.

High cortisol is the condition under which 'high T = leader' fails. The internet quote drops this term.

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MECHANISM− DECREASES

Randomized trial · Contested

Ashwagandha→Cortisol

Higher Ashwagandha decreases Cortisol.

Choudhary 2017 found that 300 mg of ashwagandha root extract twice a day for eight weeks lowered morning serum cortisol versus placebo in 52 overweight adults under chronic stress (13.41 versus 15.44 μg per deciliter at week 8, P=0.0132). Cortisol was a secondary endpoint in a weight-and-craving trial.

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SMOKE? CONDITIONAL

Observational · Low

Job strain→Cortisol

Higher Job strain moves Cortisol only in some conditions. Read the mechanism.

Hair cortisol ran higher with effort-reward imbalance among 81 high-workload workers, and morning saliva ran 21.7 percent higher in 48 high-strain teachers, but Karasek job strain tracked a lower diurnal cortisol area in 254 matched MESA adults. Nobody assigned the job.

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MECHANISM− DECREASES

Randomized trial · High confidence

Sleep duration and regularity→Cortisol

Higher Sleep duration and regularity decreases Cortisol.

Six 4-hour nights raised evening cortisol in eleven young men. Four nights of 5-to-9-hour beds in eighty-eight adolescents did not move evening or morning saliva cortisol.

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Cases

Sources