Huberman Lab - How to Control Your Cortisol & Overcome Burnout
Episode Date: August 4, 2025In this episode, I explain cortisol and science-based protocols for properly setting your cortisol rhythm, which can significantly increase your daytime energy, focus, mood, and stress resilience, whi...le also improving your sleep quality. Most people mistakenly think cortisol is bad, and many assume their levels are too high, when in fact many health and performance challenges simply stem from a disrupted cortisol rhythm. Getting your cortisol rhythm right can be transformative for your health and performance. I outline behavioral, nutritional, and supplement-based strategies to raise or lower your cortisol levels at the appropriate times of day and night. I also provide specific protocols for overcoming burnout. If you’re dealing with stress, low energy, hormone or sleep challenges—or simply want to optimize these for the sake of your physical and mental health and performance—this episode offers science-backed protocols to help. Read the the episode show notes at hubermanlab.com. Thank you to our sponsors AG1: https://drinkag1.com/huberman Carbon: https://joincarbon.com/huberman BetterHelp: https://betterhelp.com/huberman David: https://davidprotein.com/huberman LMNT: https://drinklmnt.com/huberman Timestamps (00:00) Cortisol (1:29) Stress, Tool: Daily Cortisol Rhythm (3:16) Cortisol & Directing Energy, Glucose, Adrenals (6:39) Sponsors: Carbon & BetterHelp (10:14) Daily Cortisol Phases & Rhythm, Waking Up & Cortisol (17:55) Cortisol Release & Regulation, Hypothalamic-Pituitary-Adrenal (HPA) Axis (24:57) Rapid & Delayed Stress Response, HPA Axis (28:42) Bright Light & Cortisol Release, Tool: Increase Morning Cortisol & Sunlight (36:58) Sponsors: AG1 & David (39:48) Viewing Bright Light & Mood, Depression, Seasonal Affective Disorder (SAD) (41:44) Increase Morning Cortisol, Tools: Hydration, Delaying Caffeine Intake (49:30) Exercise, Entrainment Cues & Cortisol Rhythm, Tool: Boost Energy & Exercise Schedule (57:52) Does Deliberate Cold Exposure Increase Cortisol?, Energy & Mood (1:01:19) Sponsor: LMNT (1:02:51) Increase Morning Cortisol & Nutrition, Grapefruit, Black Licorice (1:11:34) Afternoon & Evening Cortisol Rhythms, Sunlight, Screens (1:14:30) Lower Evening Cortisol, Tools: Dim Lights, Light Color (1:20:54) Lower Evening Cortisol, Tools: Caffeine Timing; Stress Response & Exhales; Starchy Carbohydrates (1:30:42) Low-Carb Diets & Cortisol, Metabolic Syndrome (1:35:30) Evening Exercise & Cortisol, Tool: Spike Your Morning Cortisol (1:44:32) Supplements to Reduce Cortisol, Ashwagandha, Apigenin, Magnesium (1:50:57) Burnout, Cushing's & Addison's, 2 Burnout Patterns (1:55:23) Early-Phase Burnout, Tools: NSDR/Yoga Nidra, Boost Morning Cortisol, Caffeine (2:01:35) Late-Phase Burnout, Tools: Reduce Evening Cortisol (2:08:02) Age, Male vs Females, Lifespan, Cancer; Menopause; Brain Health (2:13:41) Zero-Cost Support, YouTube, Spotify & Apple Follow & Reviews, Sponsors, YouTube Feedback, Protocols Book, Social Media, Neural Network Newsletter Disclaimer & Disclosures Learn more about your ad choices. Visit megaphone.fm/adchoices
Transcript
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Welcome to the Huberman Lab Podcast,
where we discuss science
and science-based tools for everyday life.
I'm Andrew Huberman, and I'm a professor of neurobiology
and ophthalmology at Stanford School of Medicine.
Today, we're discussing cortisol,
in particular, how to control your cortisol
in order to avoid burnout,
or should you already be feeling burnt out,
how to overcome burnout.
Now it's hard for me to overemphasize
just how important cortisol is.
In fact, in the late stages of preparing for this episode,
it dawned on me that if ever there were an episode
of the Huberman Lab podcast that people could benefit from
in terms of their health and wellbeing,
this would be that episode.
And I say that because as you'll soon learn, cortisol, the biology of it, how it impacts your mood,
your sleep, your immune system,
your overall feelings of wellbeing,
not just in the moment, but over the long term,
and your ability to control cortisol
at different portions of the day and night
makes it one of the most, if not the most powerful levers
for your health and wellbeing.
So I'm very excited to get into the material for today's discussion about cortisol, makes it one of the most, if not the most powerful levers for your health and wellbeing.
So I'm very excited to get into the material
for today's discussion about cortisol,
how to control it, and how to avoid and overcome burnout.
Before we begin, I'd like to emphasize that this podcast
is separate from my teaching and research roles at Stanford.
It is, however, part of my desire and effort
to bring zero cost to consumer information about science
and science-related tools to the general public.
In keeping with that theme, today's episode does include sponsors.
Okay, let's discuss cortisol.
Now I believe that most people have heard of cortisol and most everyone that hears the
word cortisol hears it somewhere nearby the word stress.
And it makes sense why you would hear about cortisol in that context because indeed cortisol
is a hormone that's made and released in response to stress.
Now, the problem with thinking about cortisol
simply as a stress hormone
is that it's doing a lot of other things,
unrelated to stress,
that are super important and positive for you.
However, it all depends
on how high your cortisol levels are and when.
So during today's discussion,
there's going to be a very prominent theme,
which is your cortisol rhythm,
or more particularly your 24 hour,
so-called circadian rhythm in cortisol.
And here's the important first thing to remember.
You want your cortisol high early in the day,
shortly after waking.
And you want your cortisol low in the hours
right before sleep and in the first hours of sleep.
If you remember nothing else from this episode,
please remember that,
because if you get those two things correct,
everything else in terms of health and wellness
and performance,
all of that will be reinforced
by getting your cortisol rhythm correct.
So today I will explain how to get
your cortisol rhythm correct.
I will also explain what stress does to cortisol
in the short term, which turns out to be good for you.
And in the long term, if you're dealing with long bouts
of stress associated with what eventually becomes burnout.
So it's also important for me to point out
that if you're already feeling wired and tired
and burnt out, if you don't have energy in the morning
or if you somehow have low energy all day
but then at night you can't sleep,
this is very typical of burnout,
or if you have morning anxiety,
literally all of that can be resolved,
perhaps not entirely, but mostly,
and in some cases entirely,
by fixing your cortisol rhythm.
Okay, so to understand and control your cortisol,
the first thing you really need to know
is that cortisol, again, is not a stress hormone per se,
rather cortisol is involved in deploying
and directing energy to tissues that need it most.
Okay, I'll say that again.
Cortisol is not a stress hormone per se.
Cortisol should be thought of as a hormone
that causes the deployment of energy into the body
and helps direct that energy to particular tissues,
especially your brain,
in order to deal with, yes, stressors,
but all sorts of other things that demand your energy.
So the way to think about cortisol
is that it causes the release of glucose,
blood sugar, into the bloodstream.
And it does that by controlling energy release
from the liver and from the muscles.
And it literally can cause the release of glucose
from individual neurons, nerve cells in the brain.
But cortisol is not made in the brain.
Cortisol is made in your adrenal glands.
And of course the adrenals are associated with adrenaline,
also called epinephrine.
Those are the same thing, by the way,
epinephrine and adrenaline.
And your adrenals will release epinephrine,
AKA adrenaline, in response to a stressor very quickly.
Your adrenals can also release cortisol
in response to a stressor,
but it needs to make that cortisol first
and then release it.
So cortisol acts on a slightly slower timescale
to deal with stress.
And as I mentioned before,
cortisol isn't just about stress.
Cortisol is also about generating energy
to deal with pretty much anything that requires energy.
So when you need energy to deal with stress,
to deal with getting out of bed in the morning,
to deal with a hard school task, work task,
relationship task, drive your kids to school, whatever,
cortisol needs to be released, okay?
This is a very different mental framework
around cortisol than we're used to hearing.
We normally hear elevated cortisol,
I'm releasing cortisol, my cortisol is too high.
You need cortisol released in order to get glucose,
blood sugar into the bloodstream.
Now, cortisol is unique compared to say adrenaline
or norepinephrine because cortisol
is what's called lipophilic.
Meaning because cell membranes are lipid, fat,
and cortisol is lipophilic,
it can move through cell membranes.
And what that means in the functional context,
what it means for you,
is that cortisol is released from the adrenals,
circulates in the blood, just like adrenaline would,
but unlike adrenaline,
it can cross the blood brain barrier,
and it really likes to do that
because there are a lot of receptors
for cortisol in the brain.
In particular, in a region of the brain
called the hippocampus, which is involved in memory.
Now we'll come back to the hippocampus later
because the hippocampus is vital
for understanding what happens
during situations of chronic stress
and why cortisol can be dysregulated
under conditions of chronic stress.
But for the time being,
let's go back to thinking about cortisol
simply as a mode of releasing glucose
into the bloodstream.
Cortisol releases glucose into the bloodstream.
Much of that glucose is going to be directed
toward brain energy so that neurons, nerve cells can use it
to think and to deal with whatever happens
to be confronting you during your day, good or bad,
stressful or non-stressful.
So one of my biggest wishes for today is that you,
and hopefully the rest of the world,
will eventually come to adopt the understanding
that cortisol is not a stress hormone.
Yes, cortisol is involved in stress,
but cortisol's main job is to deploy energy.
It's an energy producing hormone,
in particular, a brain energy producing hormone.
I'd like to take a quick break
and acknowledge one of our sponsors, Carbon.
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Okay, so just a couple of minutes ago,
we were talking about how cortisol needs to be high
in the morning shortly after to be high in the morning, shortly after waking
and low in the nighttime and certainly while you're asleep
except for, as it turns out, in the final hours of sleep,
you actually want your cortisol rising.
So we need to take a step back and ask,
why is cortisol released?
When is it released?
How is it released?
Because understanding that gives us control
over cortisol at any time of day or night.
So rather than just list off a bunch of things
that you can do to increase your cortisol
or decrease your cortisol, which I'd love to do frankly,
but the problem with that is if I do that,
it doesn't take into account that your levels of cortisol
are constantly changing across the 24 hour cycle.
So if you don't understand
that endogenous 24 hour rhythm
in cortisol, not just knowing that it's high in the morning
and lower at night, if you don't understand
how that's regulated, you won't know which protocols,
which tools to apply when.
But if you can understand how that rhythm is generated
and how cortisol is released in response
to short-term events like stress,
but also the desire or need to exercise,
the desire or need to focus, the desire or need to focus.
If you can understand those things,
how cortisol is released in the short term
and across the 24 hour cycle,
how it literally regulates itself,
then you will have immense control over cortisol
across the 24 hour cycle from day to day
and from moment to moment.
Okay, cortisol is a corticosteroid hormone.
Yes, it's a steroid hormone,
just like testosterone's a steroid hormone,
just like estrogen's a steroid hormone.
Steroid hormones are derived from the molecule cholesterol.
And there are a bunch of biochemical steps
that take you from cholesterol to cortisol,
or from cholesterol to testosterone,
or from cholesterol to estrogen.
Scientists have long known that cortisol
is not at the same level throughout the 24 hour day.
In fact, there's a quite classic study now
that examined the 24 hour pattern
of the episodic secretion of cortisol in normal subjects.
And what they found is that there are essentially
four phases of cortisol levels.
I'll just read off what these different phases are.
Phase one is a six hour period
of what they called a minimal secretory activity,
meaning when cortisol is not released very much,
that starts four hours before
and continues until two hours after lights out for sleep.
Okay, starts four hours before
and continues until two hours after
you turn your lights out to go to sleep.
The second phase of cortisol
in which the levels are quite different
than in the first phase is a three hour period
which they called the preliminary
nocturnal secretory episode,
but we can simply call the third to fifth hour of sleep.
So when you're third to fifth hour of sleep,
you have a second phase.
And this phase they call
the preliminary nocturnal secretory episode.
And this is when cortisol is slightly starting to rise,
just a little bit.
In the first phase, cortisol is very, very low,
or ideally you want cortisol very low.
So this is under normal, healthy conditions
in that first phase, the four hours before until the two hours after lights out, cortisol is going to be very low. So this is under normal healthy conditions in that first phase, the four hours before
until the two hours after lights out,
cortisol is going to be very low and it's going to stay low.
And then in the second phase,
it's going to slightly rise
into the third and fifth hour of sleep.
Then in phase three,
which here is listed as a four hour period,
but the exact duration is going to vary,
you have what's called the main secretory phase of cortisol.
This is when cortisol is increasing very, very fast.
And this occurs, believe it or not,
during the sixth, seventh, and eighth hour of sleep.
Now, you might say, I only sleep six hours,
so do I get that fast rise in cortisol?
Guess what?
You don't.
If you sleep seven hours,
you only get a portion of that fast rise in cortisol.
If you sleep eight hours, you get the full duration. And if you sleep seven hours, you only get a portion of that fast rising cortisol. If you sleep eight hours, you get the full duration.
And if you sleep nine hours,
yes, your cortisol will continue to rise.
So the idea here is that in the very final hours of sleep,
your cortisol is starting to rise quickly.
This is the time of sleep that correlates with when REM sleep,
rapid eye movement sleep is most abundant.
Okay, so in the early part of your sleep night, slow movement sleep, is most abundant. Okay, so in the early part of your sleep night,
slow wave deep sleep is most abundant.
This is when growth hormone is released.
This is when your metabolism tends to be very low.
Think about it, metabolism low means low requirement
for blood glucose, and it's associated
with low cortisol levels.
Starting to make sense.
In the last portion of sleep, the final, say two to three,
or if you sleep nine hours, four hours of sleep,
you have rising levels in cortisol.
We know that's associated with REM sleep,
rapid eye movement sleep.
And we know that REM sleep is a time
of robust brain activity that even is greater
than what occurs during wakeful states.
What do you need for robust brain activity?
You need energy.
Where's that energy coming from?
Blood glucose.
How is that blood glucose deployed?
Because cortisol causes its deployment.
Okay, starting to make sense now.
And then there's a fourth phase of secretory,
what they called secretory activity of cortisol,
which is after you wake up. Start which is after you wake up,
starts right after you wake up.
And I'm going to add another little subphase to this,
not to complicate it,
but because it's a very powerful time each day,
which is the first hour after waking.
From the moment you open your eyes
and you decide to get out of bed,
doesn't matter if it's because of an alarm clock
or it's because you just naturally woke up,
that first hour is a very special hour
because it's a time in which you can further amplify
the increase in cortisol.
After that first hour, or certainly after about 90 minutes,
you don't have that opportunity again until the next morning.
There are things you can do to reduce your cortisol
or to slow its decline into the afternoon and evening,
but that first hour after waking is critical.
Okay, so to step back now, what do we have?
Let's talk about this in real world terms.
In the hours right before falling asleep
and in the first hours of sleep,
your cortisol is very low, ideally.
This is the ideal case scenario for health,
for your mental health, for your physical health,
for performance.
Then cortisol starts to rise on its own.
You're not doing anything to make it rise.
It starts to rise in particular,
as you transition from the middle of the night
toward the end of your sleep night.
And then just before waking,
your cortisol is sharply rising,
steep, steep slope of increase.
And then as you wake up, boom,
you have this hour long or so opportunity
to further increase your cortisol.
And you definitely want to increase your cortisol further
during that first hour.
And then about three, four hours later,
so for most people that would be late morning
or around noon time,
your cortisol levels are slowly going to start to decline.
However, if they decline too slowly, that's bad.
If they decline too sharply, that's also bad.
So the picture I'm trying to draw for you here
is you want a really sharp spike in cortisol
as you arise in the morning.
And then you want that to taper off somewhat gradually.
So not too steeply, not too gradually into the afternoon
such that by three, four hours or so before sleep,
your cortisol levels are low, low, low, low, low
and continuing to fall lower
before they start up again the next morning
in anticipation of you waking up.
And if you haven't already caught onto this yet,
you literally wake up because of a rise in cortisol.
It's called the cortisol awakening response,
or CAR, C-A-R, cortisol awakening response.
The importance of cortisol for waking up
and for feeling alert early in the day
cannot be overstated.
This is the anchor point at which you have control
over your cortisol levels.
And if you do things right in that first hour
or 90 minutes of the day,
you're going to set yourself up
for an overall healthy pattern of cortisol release
at night as well.
Okay, so stay with me here as we get into a bit of mechanism
as to how this cortisol rhythm is generated.
Because if you can understand that,
it gives you immense control.
Okay, so let's talk about how cortisol is generated
and how it self-regulates itself.
So cortisol again is made and released from the adrenals,
to be specific from a particular middle layer
of your adrenals where a particular category of cells
that make cortisol reside.
Those cells need the instruction
to make and release cortisol.
And that instruction comes in the form of a hormone.
So the whole story starts up in the brain
in an area of the so-called hypothalamus.
Hypothalamus is a little structure.
It's actually quite small,
but the size of about two small marbles
sitting above the roof of your mouth.
And they sit next to this thing that we call a ventricle,
which is where the cerebrospinal fluid circulates.
Now this turns out to be important
because the cerebrospinal fluid gives the brain
or the neurons there information
about the chemistry of the body.
It gives the neurons their information
about what's in the bloodstream too,
because the area there allows blood vessels
to get closer to the neurons and expose the neurons
to more of what's going on in terms of the body chemistry
than neurons located more deeply in the brain.
So it's nice that the neurons
that we're going to talk about now reside
in an area of the hypothalamus
called the paraventricular nucleus.
Para means near, ventricular means ventricle.
So paraventricular, near the ventricle
where they can access information
about the body's chemistry.
So there are neurons that reside in the so-called PVN,
paraventricular nucleus,
and they extend processes into the pituitary gland.
The pituitary gland is a little stalk
that has a couple of different lobes, okay?
They literally look like little lobes.
It looks like if you took a couple cloves of garlic
and you held onto their stalks next to if you took a couple cloves of garlic and you held onto their stocks next to one another,
those two cloves of garlic,
a big stock and a slightly smaller stock,
it's kind of what the pituitary looks like.
And the pituitary actually extends out of the brain.
And the neurons in the paraventricular nucleus
release a hormone called
corticotropin-releasing hormone, or CRH.
Corticotropin-releasing hormone
acts on neurons in the anterior pituitary in that front piece of garlic
and causes the cells there to release a hormone called ACTH,
adrenocorticotropin hormone.
Okay, I know there's a lot of nomenclature here
but you should know the facts.
ACTH is then released into the bloodstream
and it travels down to the adrenals
and it stimulates the release of cortisol.
In fact, by binding to something called
the melanocortin receptor,
which doesn't seem important for the moment,
but later when I tell you why people
who have chronically elevated cortisol
get what's called hyperpigmentation,
they get some pigmentation on their face
that's kind of blotchy, right?
This is a symptom of something called Cushing syndrome,
which is elevated cortisol. It will make sense, melanocortin, okay? This is a symptom of something called Cushing syndrome, which is elevated cortisol.
It will make sense, melanocortin.
Okay, it's involved in pigmentation.
The melanocortin receptor sits in that middle layer
of the adrenals and ACTH binds to it,
causing the synthesis and release of cortisol.
Okay, then cortisol in response to stress, yes,
but also in response to anytime we need
to get our energy going, our brain energy, our focus,
or as you learned a few moments ago,
anytime we need to wake up in the morning, right?
Anytime we need to get out of bed,
that requires energy, right?
In fact, the transition from sleep to wakefulness
is one of the biggest requirements for an energy surge,
which is why you have the cortisol awakening response.
So cortisol is going to be released into the bloodstream.
It's going to cause the deployment of blood glucose,
the breakdown of amino acids and other fuels
in muscle, in liver, in particular glycogen in the liver.
That's going to be released into the bloodstream.
And here's the thing,
as cortisol is released into the bloodstream,
the neurons in the brain
that caused the release of CRH,
corticotropin releasing hormone,
have access to how much cortisol is in the bloodstream.
How?
Well, they are paraventricular.
Blood vessels and capillaries
are also lining the ventricles.
So those cells in the paraventricular nucleus
have a sort of thermometer, if you will.
They're kind of like a thermostat paying attention
to just how high levels of cortisol are in the bloodstream.
So when levels of cortisol in the bloodstream
are very low, those cells in the paraventricular nucleus
release more CRH to stimulate the release of ACTH,
to go to the adrenals, to cause the stimulation
and release of more cortisol, to go to the adrenals, to cause the stimulation and release of more cortisol,
driving levels of cortisol up.
And by the way, cortisol has a relatively long half-life,
so it tends to accumulate in the bloodstream.
So as levels of cortisol tend to go up,
let's think about that last phase of sleep,
maybe two or three hours before you wake up,
cortisol is going up, up, up, up, up, up.
What ends up happening eventually is that the cells
in the paraventricular nucleus of the hypothalamus
that release CRH hit a point where they realize
at a biochemical level, that is,
they realize based on receptor saturation
and some other mechanisms internal to the cells,
ah, cortisol levels are really, really high right now.
Let's shut down the release
of corticotropin releasing hormone, which causes a shut down the release of corticotropin
releasing hormone, which causes a shutdown
of the release of ACTH, which causes a shutdown
of the synthesis and release of cortisol from the adrenals.
So this is what we call a negative feedback loop.
And by the way, this is the same way that testosterone works.
In many ways, it's the same way that estrogen works,
although estrogen subject to a bit more regulation as well.
When levels of the hormone cortisol reach a certain point,
a certain threshold, it shuts down its own production
by turning off the signals
that would cause more of it to be produced.
Okay, so there's a negative feedback loop.
Now that means that cortisol,
after reaching a certain high level in the morning,
will eventually start to drop off
and those levels will continue to drop off.
And should we encounter a need for a lot of brain energy?
So it could be a really focused conversation.
It could be an exam.
It could be you're playing out of soccer
or you're going to the gym and you need a bunch of energy.
You have to rally your mind and your motivation to do that.
Yeah, you'll get an increase in cortisol.
But that little increase in cortisol is like a bump
of cortisol that rides on that already dropping
endogenous rhythm in cortisol.
So by now it's probably dawning on you
that as those levels of cortisol get lower and lower
into the late afternoon and evening, et cetera,
those cells in the brain that release CRH
are now registering at a biochemical level,
at a cellular level,
that the levels of cortisol are very low.
And so eventually those levels get low enough
that those cells in the paraventricular nucleus go,
oh, cortisol levels are really, really low.
They're not zero, but they're really low.
Let's start releasing corticotropin releasing hormone,
which stimulates ACTH, which stimulates the adrenals.
And that's why cortisol starts to rise again late in sleep
and into the next morning.
Does it make sense?
Hopefully that makes sense.
Cortisol is regulating its own production
so that it doesn't get too high or too low.
And it does that through a negative feedback loop
involving these cells in the hypothalamus.
So what I just described was something called the HPA axis,
hypothalamic H, pituitary P, adrenal axis, okay?
So the HPA axis is important for synthesis of cortisol
to generate this 24-hour so-called circadian rhythm.
It's also important for the synthesis of cortisol
in response to stress, both short-term and long-term.
And I'm going to get back to stress a little bit more later,
but let's just for a moment, think about that HPA axis
and two things about stress that you can kind of put up
on the shelf that will be helpful later
as we get into our discussion
about short-term and chronic stress.
Stress activates the HPA axis,
but as you know, stress is a very fast response,
meaning when you encounter a stressor,
your heart rate goes up, your blood pressure goes up,
your eyes widen, literally your pupils widen
and your eyes widen, and all sorts of things happen
in terms of your levels of alertness and attention.
That very rapid response occurs
also because of the HPA axis,
but because of the release of adrenaline,
epinephrine and norepinephrine from your adrenals
and also from areas in your brain.
That's a very fascinating, it happens within milliseconds.
If not milliseconds, certainly within seconds.
Just think about if you're walking down the street
in a city and a car kind of veers onto the sidewalk
and you have to jump out of the way,
you made the reaction without even basically
having to think about it. You get out of the way and your made the reaction without even basically having to think about it.
You get out of the way and your heart rates up,
everything's happening all at once.
You're in a completely different state than you were
just a few seconds prior even.
That's all happening fast because of adrenaline
and norepinephrine.
Cortisol, yes, will be deployed in response
to that sort of stressor,
but cortisol needs to be synthesized and then released,
and then it causes the release of glucose.
And that's going to take some time.
In fact, it takes about 10 minutes.
So it turns out that can explain a lot of why stress
tends to come on very quickly and last rather long
relative to the stressor, to the thing,
like the car that veered up onto the sidewalk.
You probably had that experience
where something happens that's very stressful,
then the stressor is resolved, right?
The car didn't hit you, it didn't kill you, thank goodness.
Didn't run over your leg, didn't break your leg,
thank goodness.
But you turn to your friend, you're like,
oh my goodness, that was a close call.
And guess what?
About five, 10 minutes later,
you're still kind of stressed about it.
Something stressful happened,
something real, as we say, happened.
And it's hard to just kind of get back to baseline again.
And that's because that wave of cortisol
comes on a little bit later and it lasts longer.
It has a much longer half-life
than does adrenaline or norepinephrine.
So the stress response has this fast aspect to it
that's generated through the HPA axis
and through again, release of hormones
such as norepinephrine in the brain.
Those two things happen in parallel.
By the way, that happens because adrenaline is released
from the adrenals very quickly to cause changes in the body,
but adrenaline can't cross the blood brain barrier.
And when you need a very fast reaction
in order to deal with a stressor,
you can't really wait for that hormone to cross
from the bloodstream into the brain.
So you release norepinephrine from a site in the brain
very quickly as well in parallel
with that release of adrenaline.
So those two things happen in parallel.
Boom, you deal with the stressor.
Hopefully that stressor is resolved,
didn't injure you or worse,
but then that wave of synthesis
and release of cortisol occurs, blood glucose is elevated.
And so it takes a while for stress to come down again.
All of that is mediated through the HPA,
hypothalamic pituitary adrenal axis,
as is the generation of that 24 hour rhythm in cortisol,
where cortisol slowly rises and then goes back down into the evening
and nighttime and so on, okay?
Now that's the first way that cortisol
is synthesized and released.
But there's a second way that turns out to be very important
and it involves a structure called
the suprachiasmatic nucleus or SCN.
The suprachiasmatic nucleus
is your brain's central circadian pacemaker.
It's the set of neurons also above the roof of your mouth,
also in the hypothalamus,
that basically orchestrates all the activities
of all the organs and cells in your body
like an orchestra conductor.
Makes sure that your gut cells are active at a certain time,
that you're hungry at certain times,
you're not hungry at others,
regulates pretty much everything, including cortisol.
And the SCN can control the HPA axis
when it's active, when it's less active,
by virtue of connections that run through,
if you really want to know the names for you,
aficionados, through the dorsal medial hypothalamus
and then to the paraventricular nucleus.
Okay, that's all fine and good.
It just means that the HPA axis
is subject to immediate control over stressors or other things
that require our attention.
Again, it doesn't have to be stress,
could be positive things.
As well, the HPA axis is under the control of the SCN,
circadian timing, which is what generates that
high in the morning, low in the afternoon,
and evening rhythm.
All of that subject to negative feedback,
controls itself, making sure levels don't get too high
or too low for too long.
But there's a second pathway,
a parallel pathway as we call it,
that is separate from the HPA control
over the synthesis and release of cortisol.
And this one originates also in the SCN,
the suprachiasmatic nucleus,
and is relayed through a couple of different synapses,
a couple of different junctions,
and eventually runs through a nerve pathway
that for you aficionados is called the splanchonic nerve.
All right, kind of cool name, splanchonic nerve
that can cause the release of cortisol,
or I should say the synthesis and release of cortisol
in response to times when you want cortisol
to be especially high for a while.
Okay, so this is different than the requirement for stress.
You might think, you know, we want cortisol
to be high in response to stressors.
No, your brain and body are really smart.
They're really, really smart.
When you encounter a stressor,
you deploy just as much cortisol
as your body thinks you might need
in order to resolve that stressor,
and probably not a whole lot more.
And because cortisol lasts a while, as we just discussed,
it gives you an opportunity to have more brain energy,
bodily energy to resolve that stressor.
But your brain and body sort of know at a biological level
that you don't want cortisol too high for too long.
That's why you have the negative feedback loop.
However, there's a beautiful mechanism,
which is this second parallel pathway from the SCN
that allows you to control the amount of cortisol
that you release and boost it even further
for a long period of time.
Now, when would you want that to occur?
You think like, why would I want that to occur?
Maybe in response to a chronic stressor,
a very long stressor.
Well, actually you wouldn't want that to happen
because if cortisol is elevated for too long
at the wrong times of day or night,
you run into all sorts of issues related
to immune system suppression,
to dysregulation of metabolic function.
And this is where we start to hear about some
of the more common negative aspects
of chronically elevated cortisol,
like accumulation of body fat around the midsection,
the so-called moon face,
literally the rounding of the face
and the accumulation of fat in the face.
There's usually an accompanying loss of fat in the neck
and accumulation of fat around the belly.
Nobody wants this, right?
Some things like hyperpigmentation and things like that.
All right?
But there is a time of day when everyone would benefit
from having higher levels of cortisol,
not just for a few moments or minutes,
but for several hours.
And that's the first hour or two,
or two and a half or three after waking.
So while there's this 24 hour rhythm in cortisol,
where cortisol is elevated in the morning,
there's this unique opportunity
of about an hour to two hours,
maybe three immediately after waking,
when your SCN can activate this parallel pathway
down to your adrenals to cause the release of more cortisol
and elevate your morning energy, alertness, mood, and so on.
Now, you might be saying, wait, this is kind of confusing.
The SCN controls the 24-hour rhythm,
but it's also controlling the faster release of cortisol
during this kind of one unique window
immediately after waking.
It's kind of confusing, right?
The SCN is involved in both things.
Ah, well, the SCN has access to one particular feature
of your external world, of your environment,
that no other structure in the hypothalamus has access to.
And that's the presence or absence of light.
The retina, the light sensing tissue at the back
of your eye contains a bunch of different neurons
that sense light, convert it into electrical signals
and hand those electrical signals off
to a certain class of cells called
the retinal ganglion cells.
Retinal ganglion cells project into the brain
to allow you to see things, colors, shapes, motion, et cetera.
However, there's a specialized subset
of those retinal ganglion cells
called the intrinsically photosensitive melanopsin
retinal ganglion cells that respond in particular
to very bright light or more accurately to transitions
between dimmer environments and brighter environments
that last a long period of time.
Like for instance, when you go from your eyes closed
in sleep to your eyes opening when awake.
Those neurons project directly
to the suprachiasmatic nucleus.
In other words, your SCN has unique access to information
about when the levels of overall luminance
in your environment change dramatically,
such as upon waking.
So here's where I'm going to suggest a protocol.
And you've heard this protocol before, I know.
The protocol is to get bright light, ideally from sunlight
into your eyes within the first hour of waking,
ideally within the first 30 minutes.
Ideally it's from sunlight.
So you would go outside, take your sunglasses off.
Eyeglasses and contacts are fine,
even if they have UV protection in them.
Look in the direction of the sun,
blink as needed to protect your eyes.
Yes, you can do this on cloudy days.
In fact, it's more important to do on cloudy days
because cloudy days tend to be dimmer overall.
And this is a unique opportunity
to boost your cortisol levels in that first hour of the day.
If you don't have access to sunlight for whatever reason,
travel, you live in a cave, time of year, weather, whatever,
you could use a 10,000 lux artificial light.
These are available online for usually about $100 or so.
These are very useful tools.
Some of them are portable.
If you're going to do that,
I still highly recommend that you get outside
and get some sunlight in your eyes as soon as you can
once the sun is out.
But for you very early risers that wake up
before the sun is out,
this is so, so key.
And I know I've been talking about this for years
on this podcast and elsewhere.
And I know I've just been hitting this like,
banging on the same drum over and over again,
but that additional surge in cortisol
that can occur only in that first one
to say two or three hours of the day,
that's a very special time
because it's not just about the elevated mood focus
and alertness that you're going to achieve during that time
by virtue of getting bright light in your eyes.
It's also the case, and please hear this.
I want to highlight bold, underline this for you.
It's also the case that the higher that first peak
in cortisol is early in the day,
the better you're setting yourself up
for low levels of cortisol later in the evening
and at night, which will allow you to fall asleep easily,
to stay asleep easily.
And now you know why.
The reason why is that negative feedback regulation
of cortisol.
Think about it.
If cortisol gets too high,
the system shuts down the release of more cortisol.
And what you've done by viewing bright light
as soon as possible after waking
is to amplify your levels of cortisol,
which then are going to trigger that negative feedback loop
and going to cause cortisol to gradually decline
from the late morning,
perhaps starting around 10 AM, 11 noon,
depending on when you woke up, of course,
dropping, dropping, dropping into the afternoon.
So you have plenty of energy into your early afternoon,
late afternoon, but by evening and nighttime,
your cortisol levels are low.
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Now we're going to talk about some other things
that you can do to boost your morning cortisol
in a meaningful way.
However, before I do that,
I have to say that this viewing morning sunlight thing
or bright light from a 10,000 lux artificial source,
the increase in cortisol that it provides
and therefore the increase in energy and mood
and focus, et cetera, is very significant.
It's been shown to quickly increase cortisol levels
by up to 50%, five, zero percent.
And in fact, it's clinically significant.
People who live in areas of the world
where during winter,
there's very little availability of sunlight
and just rely on artificial indoor lights
often suffer from what's called
seasonal affective disorder.
The protocol I just described
is exactly the same protocol that they have used successfully
to offset seasonal depression.
Now I realized that most of you listening to this
don't live in areas of the world too close to the poles.
So no doubt you get more sunlight available to you
during the winter than you do if you were to say,
live in Scandinavia or down at the South Pole.
However, these days, most people are not taking advantage
of those early hours of the day to get outside
and get bright light from sunlight
or from a 10,000 lux artificial source.
In fact, most people just look at their phone
or flip on a few indoor artificial lights.
And that is not going to be sufficient
to boost your cortisol levels the way you need to
in order to achieve the kind of elevation
and mood focus and alertness.
And that can offset things like not just seasonal depression
but mild depression, malaise, lack of daytime energy,
and on and on.
So this thing about viewing bright light early
in the morning, it's a real thing from the standpoint
of the mechanism is understood,
the ideal timing is understood,
the magnitude of the impact on cortisol is very significant.
These are big effects,
and it's clinically significant with respect to mood,
meaning you're going to feel more energized,
you're going to feel better.
Okay, so now that you understand
that getting your cortisol high upon waking
is the right thing to do.
This is what you want.
Let's talk about some of the other things you can do
besides viewing bright light
in order to increase your morning cortisol.
But keep in the back of your mind
that viewing bright light is the foundation.
Okay, so you wake up in the morning
and as quickly as you can,
you get bright light into your eyes.
What else should you do to boost your cortisol?
Well, there are a number of things that you can do
and that you should do every single day.
Most of them are pretty easy
and many of them can be combined.
One of those is hydration.
Now of all the protocols in the realm of mental health,
physical health and performance, I think the most underrated one, believe it or not, is hydration. Now of all the protocols in the realm of mental health, physical health and performance,
I think the most underrated one,
believe it or not, is hydration.
When you look at the literature on hydration
and the effects of even mild dehydration,
what you find is that cognitive function, physical function,
basically cellular function and organ function generally,
all suffer when you're even mildly dehydrated.
So it's very important that you hydrate
first thing in the morning.
For me, that 16 to 32 ounces of water
with some electrolytes in it.
For you, it might just be water, whatever.
The interesting thing is that one of the major effects
of proper hydration is to increase levels of alertness.
And the way it does it is by acting on the adrenals,
both epinephrine, adrenaline, and cortisol release.
And we're not talking about big spikes in cortisol
related to drinking water.
We're talking about modest increases
in the levels of pulsatile as it's called,
release of cortisol due to hydration.
So hydrating first thing in the morning,
also a terrific idea.
You can do this while you get your bright light outside
or while you get your bright light
from a 10,000 lux artificial source.
Hydrate first thing in the morning.
It's going to increase your levels of energy then
and throughout the morning and into the afternoon.
Again, highly underrated protocol in part,
because it takes a lot, a lot of dehydration
before we realize that we're dehydrated.
When you wake up in the morning, you use the restroom,
you're probably mildly dehydrated.
Get yourself hydrated first thing in the morning.
Your cortisol levels will thank you.
Your levels of energy will thank you.
Now, if you're like me, you also hydrate with caffeine.
Okay, now the discussion around caffeine and cortisol
can be a little bit confused by the sort of discrepancies
in the literature as to yes, caffeine increases cortisol
or some studies that show no,
caffeine doesn't increase cortisol,
but it might extend the life of cortisol.
Here's the big picture on caffeine and cortisol,
at least the meaningful one.
If you're a chronic caffeine user,
meaning you drink caffeine every day
or you've consumed caffeine every day
for the previous five days,
which is the typical framework in one of these studies,
and then you drink caffeine,
100 milligrams, 200 milligrams, 300 milligrams,
even an energy drink that includes caffeine
and some other things,
the increase in cortisol that you're going to experience
is probably not that significant,
unless it's a massively elevated dose of caffeine for you.
However, if you're somebody who's not caffeine adapted,
you're not drinking caffeine every day,
you haven't had it for the last five days,
then yes, you will experience a significant increase
in cortisol levels.
So you have to ask yourself, are you a chronic caffeine user?
Are you an occasional caffeine user?
Or do you not use caffeine?
If you're somebody who avoids caffeine
because it makes you anxious or you just don't like it,
then by all means, don't drink caffeine
just to spike your cortisol.
It will be very effective in spiking your cortisol,
but I can't really encourage you to drink caffeine
if you don't want to.
If however, you're somebody who regularly drinks caffeine,
you now know that it's not going to boost
your cortisol levels that much, maybe a little bit,
depending on how much you drink.
If it's a typical amount for you,
meaning your caffeine adapted to that amount of caffeine,
probably not much cortisol increase
will come from drinking that amount.
However, it will prolong the duration
of cortisol's effectiveness in your bloodstream.
And this has to do with a number of different pathways.
But the point being, if you have your caffeine,
say 30 minutes after waking,
or five minutes after waking,
or 90 minutes after waking,
well, it's probably not going to boost
your cortisol levels that much
if you're already viewing bright sunlight,
you're hydrating, we'll talk about exercise
and some other things in a moment. But if you're already viewing bright sunlight, you're hydrating, we'll talk about exercise and some other things in a moment.
But if you're drinking that caffeine
shortly after waking up or shortly close
to when you get that big cortisol spike,
it's going to make the down slope
of that cortisol spike a bit more gradual.
Or if you're drinking caffeine throughout the morning,
a lot more gradual.
So let me present two scenarios
in which you can use caffeine
to improve your levels of move, focus and alertness
by way of the cortisol pathway.
And here I'm only speaking to people
who habitually use caffeine.
So you're drinking caffeine every morning.
The first group is one that I commonly encounter.
These are people that say,
well, I don't care what I hear out there.
I want my coffee or I want my yerba mate,
which is my preferred source of caffeine,
first thing in the morning, right?
Ideally even before water.
Well, there I'd say, please drink water first,
but even if you're not going to,
sure, go ahead and drink your caffeine.
Drink that caffeine,
it's not going to boost your cortisol that much,
but make sure you're doing a bunch of other things.
Bright light viewing,
talk about exercise in a moment, et cetera.
Do a bunch of other things to make sure
that morning cortisol spike is really, really high because that's what you want.
Now, there's a second group of people that say,
hey, I want my caffeine first thing in the morning
or I'm drinking my caffeine first thing in the morning,
but then I'm crashing really hard in the late morning,
crashing really hard in the afternoon.
And it's not because I'm not sleeping well at night.
It's like something's happening.
This is where the recommendation
that I've been making for some years now
of delaying your caffeine
by anywhere from 60 to 90 minutes comes about.
You now know that caffeine for a habitual user
is not going to increase your cortisol levels that much.
However, you also now know that drinking caffeine
will extend the life of cortisol somewhat.
So the logic here is if you drink your caffeine
not immediately after waking,
but let's say an hour after waking
or 90 minutes after waking,
it's going to flatten out a bit,
the down slope of that cortisol
as you transition from late morning
into the early afternoon.
A lot of reason why people crash in the afternoon,
they get that extreme fatigue, typically after lunch.
Yes, it can be due to eating too much at lunch.
Yes, it can be due to eating too many starchy carbohydrates
or sugars at lunch.
It can be due to lack of sleep.
But assuming that you're doing all the things right
and you're still experiencing that crash in the afternoon,
there's a good chance that it's because
your morning cortisol peak, high enough or no,
is coming down too fast.
And in order to make it more gradual,
you simply shift your caffeine intake a little bit later
so that that diminishing caffeine level
that it starts to occur around 10 a.m., 11 a.m.,
of course, all of this relates to exactly when you wake up,
but that dropping level in caffeine isn't a steep cliff,
it's a little bit more gradual.
And I can't tell you how many thousands of people
have contacted me and said,
oh my goodness, I can't believe it.
Simply by pushing out my caffeine intake
by 60 minutes or even 30 minutes,
or in some cases, 90 minutes after waking,
I've been able to not experience that crash in energy
in the afternoon.
And they generally thank me for this.
Indeed, most all of them are writing to me
to thank me for this.
For those of you that absolutely love your caffeine
first thing in the morning,
you want your caffeine first thing in the morning
and you just refuse to delay it, fine.
I never ever said that you couldn't do that.
In fact, you can do whatever you want.
I'm simply giving you an opportunity
to extend the life of that morning cortisol pulse.
Caffeine's a great way to do that.
And for those of you that don't consume caffeine regularly,
but like to use it as an occasional tool,
like if you need to stay up late, for instance,
or only under conditions in which you really,
really need to wake up quickly.
Well, in that case,
it's actually going to be a pretty terrific tool
because you will indeed achieve a big increase
in cortisol energy and alertness,
which for the rest of us habitual caffeine users,
where you're seeking every day, we're drinking our caffeine
and it's harder and harder to get.
That's just the nature of caffeine tolerance.
Okay, let's talk about exercise
and its effects on cortisol.
In many ways, exercises effects on cortisol
are similar to those of caffeine.
And I say that because it really depends
on how regularly you perform a particular type of exercise.
Now studies of the effects of exercise on cortisol
are complicated by the fact that sometimes they looked
at people who are regular exercisers.
Let's say they were runners.
They look at the effects of running on cortisol
or they were resistance trainers. Okay, so they do weightlifting and then they look at the effects of running on cortisol, or they were resistance trainers, okay?
So they do weightlifting,
and then they look at the effects
of weightlifting on cortisol.
They look before, during, and after, this kind of thing.
They look as a function of frequency of training.
All of that's been done.
However, some labs have also explored the effects of, say,
runners who take up resistance training,
or people who are non-exercisers
who suddenly start resistance training or running.
When I looked at all of that literature,
you come away with a picture where,
just like with caffeine,
if you are accustomed to exercising in a particular way
and at a particular time of day,
the elevation in cortisol that you experience
from that workout is going to be less
than if it's a completely novel scenario,
both in terms of time and the type of workout.
In other words, if you're like me and you like to exercise
within the first three hours of the day,
and you exercise in the first three hours of the day,
doing either resistance training or cardiovascular exercise,
because I'll do both on separate days, but I'll do both.
Neither of those is particularly novel to me.
And I do those at the intensity that is familiar to me,
which for me is moderate to high intensity.
Well, the increase in cortisol that one experiences
is not that great.
You get big increases in other things
like the catecholamines, dopamine epinephrine
and norepinephrine.
And yes, you do get some increase in cortisol,
in particular in the late stages,
meaning late in the first hour of exercise,
typically my resistance training sessions
don't span longer than 90 minutes.
That includes the warmup and the cool down.
So after about 70 minutes of resistance training
with real effort, close to failure or to failure,
you know, this kind of thing,
cortisol levels are way up and they'll stay up
for a short while, meaning an hour or so after exercise
and then they'll come back down,
especially if you're doing things
to deliberately bring them down,
including eating a meal laden with carbohydrates
which will help bring those cortisol levels down.
But if for instance, somebody who's never resistance trained
or who's primarily an endurance athlete
starts resistance training in that way,
the literature points to the fact
that they will experience
much higher cortisol levels and those cortisol levels
will be sustained over many more hours.
The same thing could be said for endurance exercise
or for high intensity interval training.
I don't want to complicate things too much
by spelling out each of the different scenarios.
I will provide a link to it,
what I consider a really nice paper.
It's just one of the several pointing to this,
but the title of the paper is Endocrine Responses
of the Stress System to Different Types of Exercise.
And they looked at single bout endurance,
regular endurance, single bout high intensity exercise,
regular high intensity exercise,
single bout resistance, regular resistance.
So they went through not all,
but many of the permutations that are possible
and spell out what are the effects
on cortisol, what are the effects on the catecholamines,
norepinephrine and epinephrine in this case,
what are the effects on inflammatory cytokines?
We sometimes forget this,
but inflammatory cytokines are a healthy byproduct
of exercise because those trigger the adaptations
in your immune system and other tissues to adapt,
to get stronger, including your immune system.
And they also looked at growth hormone.
It was kind of interesting
because where you find big increases in cortisol,
you also see big increases in growth hormone
in response to exercise.
Meaning when the exercise is novel,
either because it's a new form of exercise
or because the intensity is novel.
So we can take a step back and say, with certainty, exercise increases cortisol.
However, if the form of exercise
and the timing is very familiar to you,
the amount of cortisol,
and in particular the duration of cortisol increase,
is not going to be that significant
as compared to if it's a completely novel form
or timing of exercise.
Now, is the increase in cortisol
that's achieved with your,
let's call them your regular workouts, right?
Typically, if you run or you lift weights
or you do some sort of interval training,
if you're doing any number or just one of those things,
is the amount of cortisol increase that you experience
going to be significant in terms of helping you anchor
that cortisol cycle so that cortisol is higher
in the morning and lower in the afternoon and evening?
The answer is yes.
Exercise of a type that's familiar to you,
of an intensity that's familiar to you,
may not significantly increase your cortisol levels
as compared to a form of exercise that's completely novel.
However, exercise provides a very strong
what's called entrainment cue.
Entrainment cues are cues of things that we do.
These could be meals, it could be light exposure,
it could be exercise, it could be all sorts of things,
even social engagement that feed back onto the SCN,
the suprachiasmatic nucleus,
and reinforce the timing of the cortisol release
that the SCN causes.
So there are these beautiful interactions
between exercise, the SCN, and cortisol release that when we exercise
at roughly the same period of time each day,
it doesn't have to be right on the minute,
but within the same two or three hour window each day.
And since like most people,
you're probably not exercising every single day,
perhaps three days a week, four days a week,
ideally five or six days a week.
When you do that, pretty soon you get a cortisol increase simply in response
to the timing rolling around in a very Pavlovian way,
even if you don't exercise.
Now you have to keep exercising to maintain that.
But the key here is that when you exercise
in the same two to three hour window each day,
or at least three days a week,
ideally four, five, six days per week,
I do think it's important to have
at least one complete rest day.
When you do that, that big peak in cortisol
that's endogenously generated by your SCN,
that's just internally generated
without doing anything else,
it gets anchored to that stage of the day
in a very solid way as compared to people
who don't exercise early in the day.
So the point here is that you exercise,
sure to increase your cortisol,
but probably for a bunch of other reasons
more than you do to increase your cortisol.
But getting your cortisol rhythm correct
is absolutely essential.
In fact, it's going to give you
the anticipatory energy for exercise.
In fact, you can try this.
It's remarkable.
If you exercise at the same time of day for say four to five,
maybe six days per week, you just do that for a week.
And it doesn't have to be, again,
exactly at the same time you start,
exactly the same time you stop, plus or minus 30 minutes.
What you'll find is that in the hour leading
into that exercise, you will start to experience
an increase in energy.
And it's not just psychological.
There's an anticipatory rise in cortisol
that's governed by the SCN
and this process that we call entrainment,
which is anticipation.
It's kind of like a Pavlovian response,
but it's on a longer time scale.
Well, regardless of time scale, it's a very real thing.
So if you're somebody who doesn't seem to have much energy,
much get up and go in the morning,
and you're getting your bright light,
you're getting your hydration,, you're getting your hydration,
maybe you're even drinking caffeine,
you're doing all of that
and you're still feeling kind of sluggish,
exercising for three or four days,
not necessarily in a row,
feel free to introduce a rest day as needed,
but doing that across the course of a week
for four to six days will lead you into a second week,
a third week, et cetera, provided you keep it up,
where you're going to have more energy
heading into the exercise, therefore more energy to exercise.
It's just going to be a positive feedback loop
on your cortisol levels.
This is a very robust effect.
And in fact, it's so robust that you can observe it in mice.
You can observe it in dogs.
Your dog knows when it's time for a walk,
even if you don't say walk.
It has internal endogenous cues that, you know, between the hours of whatever, 7 and 9 a.m., it's time for a walk, even if you don't say walk. It has internal endogenous cues that,
between the hours of whatever, seven to nine a.m.,
it's time for a walk,
and it will start to experience a surge in energy.
You are the exact same way.
These are hardwired, very long established systems
in our brain and body,
and you can absolutely give yourself more energy
to do the things that require energy
by exercising at roughly the same time.
Again, within the same three hour window
is probably the broadest,
but even better would be in the same two hour window
each day.
And if you miss a day, no big deal.
You'll just have more energy during that time
to devote to other things.
Okay, what about deliberate cold exposure?
Cold showers, cold plunges, this kind of thing.
You all know that deliberate cold exposure wakes you up.
Okay.
Despite it being somewhat controversial
in other domains like metabolism,
deliberate cold exposure definitely wakes you up.
And it wakes you up very fast.
And it does that because it causes the release
of epinephrine and norepinephrine.
And then you get this long arc of dopamine release.
This is one of the major reasons, if not the major reason,
why people who start
deliberate cold exposure continue to do it, right?
If for no other reason, it wakes people up,
makes them feel good for many hours afterwards.
Now I know many people are averse to the cold,
they really don't like it.
And frankly, if you don't like it,
you don't have to do it.
But it absolutely causes an increase in the catecholamines,
dopamine, epinephrine and norepinephrine.
And the long lasting effects on dopamine are quite striking,
meaning there are very few other things that can cause
that long, slow release of dopamine
to the levels that it does,
which changes mood alertness, et cetera,
for many hours after.
Now, the big question for sake of this discussion is,
does deliberate cold exposure cause the release of cortisol?
And just like with exercise, just like with caffeine,
the real question that we have to ask ourselves is
how novel, how unfamiliar is that deliberate cold exposure?
Because while the perfect experiment
has never really been done,
if you amass the literature on this,
what you find is that if you put people
into very cold water or even just cold for them,
uncomfortably cold for them water,
yes, they'll increase more cortisol.
Yes, they'll release cortisol into their bloodstream.
However, if they do this habitually,
then the increases in cortisol are not meaningful.
They're not statistically significant.
So that actually leads to two important takeaways.
The first one is,
if you want to use deliberate cold exposure
as a way to increase cortisol, great, do that.
But probably don't do it more than say,
one or two times per week.
Otherwise it will lose its effectiveness for that purpose.
It will still be very effective for all the other reasons
that deliberate cold exposure has been purported
to be effective,
including increased release of catecholamines.
So the takeaway here is very straightforward.
If you want to boost your cortisol levels
using deliberate cold exposure,
cold shower, ice plunge, whatever it is,
you can do that,
but it needs to be occasional deliberate cold exposure,
probably not more than twice per week.
Otherwise, you're not going to get
a significant increase in cortisol
as a consequence of that deliberate cold exposure.
However, if you're somebody who likes doing
deliberate cold exposure,
keep in mind that it's not going to chronically elevate
your cortisol.
This is advantageous for a number of reasons.
First of all, it will, yes,
continue to elevate your levels of dopamine,
norepinephrine and epinephrine for increased mood and energy.
That effect persists.
As far as we know, that effect never saturates.
But if you're somebody who's concerned
about elevating your cortisol too much,
you're concerned about chronic elevation of cortisol.
And I hear a lot about this in the circles around,
you know, important differences between men's fitness
and health and women's fitness and health,
and maybe that deliberate cold exposure is good for men
and not for women,
there's really no evidence to support that.
In fact, the evidence points
in exactly the opposite direction,
which is that when people, men or women,
do deliberate cold exposure regularly,
more than twice per week,
then the impact on cortisol is not significant,
and yet they still can benefit
by getting those increases
in dopamine epinephrine and norepinephrine.
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Okay, let's talk about some of the other things
that you can do to increase your morning cortisol levels.
If you're starting to get the picture
that cortisol is something that you want high early
in the day and that you want tapering off later into the day, great, then you're getting to get the picture that cortisol is something that you want high early in the day and that you want tapering off
later into the day, great.
Then you're getting the picture correctly.
In fact, one way to think about it is that cortisol
is kind of like a wave that starts on its own,
but for which you can increase the height of that wave
and catch that wave early in the day and into the afternoon.
If you imagine it that way,
then you're probably saying,
what other things can I do besides viewing light,
besides hydration, besides caffeine, besides exercise?
And probably part of the reason you're asking
is that not all of us are able to do all of those things
every single day.
I do acknowledge that.
So the larger the toolkit of things that you can use
to increase your morning cortisol peak,
the more flexibility you have
when trying to come up
with those when traveling, when especially busy
and so on and so forth.
So if we take a step back and ask ourselves
what sorts of chemical compounds out there
can help us increase our cortisol levels,
we come up with some pretty interesting answers.
And no, we're not going to talk about supplements.
It is true that certain supplements like yohimbine,
like L-tyrosine can have a modest effect
in increasing cortisol,
but we're not going to emphasize those.
We're actually going to emphasize
two naturally occurring foods
that have a significant impact on cortisol levels,
both the amount of cortisol that you're capable
of releasing early in the day
and the duration for which that cortisol lasts.
The first one is of all things, grapefruit.
Yes, grapefruit.
Here I'm talking about the whole fruit,
could be pink grapefruit, could be not pink grapefruit,
yellow grapefruit, could be grapefruit juice.
And before I get into the mechanism and the protocol,
I should emphasize that the effects of grapefruit
on cortisol are not trivial, they're significant.
So if you eat a grapefruit or you drink a, I don't know,
six to eight ounces of grapefruit juice,
it's going to have a meaningful impact
on how long the cortisol that's already
in your bloodstream lasts.
The way it does that is grapefruit contains compounds
that inhibit the enzymes that break down cortisol.
In particular, compounds in grapefruit inhibit the action
of an enzyme called CYP3A4 and maybe A5 as well.
And that enzyme is responsible in large part
for breaking down cortisol.
It's not the only way that cortisol is broken down,
but it's one of the major ways.
And grapefruit has a significant impact
in inhibiting the enzyme that breaks down cortisol.
So believe it or not,
many studies have been done in humans, men and women,
and the net takeaway is the same in every case.
If you were to eat a grapefruit,
you're going to extend the life of cortisol
in your bloodstream by anywhere from 25 to 50%.
Right?
That's significant.
And it has actually been shown to be clinically significant.
And the reason I say clinically significant in this case
is that indeed there are some people
that need to deliberately elevate their cortisol
using medication.
Those people typically are instructed not to eat grapefruit
or drink grapefruit juice,
because then they're not going to get as clear a picture
on how a given dose of their medication
is impacting their cortisol.
Likewise, people who have chronically elevated cortisol
are told not to eat grapefruit or drink grapefruit juice
because it can further
elevate their cortisol.
However, most people who don't have things like Cushing's disease or Addison's don't
have to worry about this.
And most people, probably you, are interested in having a lot more energy get up and go
early in the day.
And you now know that elevating your morning cortisol is one way to do that.
And many of you, presumably, don't always have time to exercise or you don't always have time
to get morning light.
I know it sounds outrageous, but every once in a while
you can't get sunlight or bright light into your eyes.
Well, you might be thinking about ways
that you could increase your cortisol
under those conditions.
Well, eating a grapefruit would do that
or drinking some grapefruit juice.
And of course you can eat a grapefruit
or drink some grapefruit juice in combination with all the other things
that we've discussed.
In fact, there are compounds in grapefruit juice
that will also extend the effectiveness of caffeine.
So this effect of grapefruit on the various enzymes
that break down things like caffeine and cortisol
is a meaningful impact.
It's not a trivial one.
And so while it might seem kind of silly to say,
oh yeah, eat grapefruit to increase your morning energy.
It's actually a real thing that's separable
from the effects of grapefruit on say blood sugar
that comes from the fructose in grapefruit,
that comes from the vitamins and minerals
and other things in grapefruit.
There's a real and meaningful impact of grapefruit
on the cortisol breakdown pathway.
So if you're interested in boosting your morning cortisol,
simply eat a grapefruit in the morning.
I've started doing that late morning.
I typically eat my first meal of the day
somewhere around 10, 30, 11 a.m.
It sort of varies from day to day.
I don't typically eat first thing upon waking.
I do drink caffeine first thing upon waking
if I'm going to exercise.
Most other days I delay my caffeine a bit.
In any case, in the last few weeks,
as I've been researching this episode,
I've started consuming one pink grapefruit,
which I personally find delicious,
late morning
before my first meal.
And indeed I notice a tangible increase in energy
both late morning and into the early afternoon.
Yes, perhaps some of that is placebo effect
because I anticipated this effect of grapefruit,
but the data in the literature
and the mechanistic pathway is very clear.
Grapefruit extends the life of cortisol.
The other food that can increase cortisol is licorice,
in particular black licorice.
We're not talking about red licorice,
we're talking about black licorice.
You might be thinking, what is this?
Are we like getting into the realm
of like really alternative medicine?
No, all you have to do is look at the list of things
that people who are trying to reduce their cortisol
or who are taking medications to increase
or decrease cortisol for a disease state
are told not to eat.
And you get an insight into just how powerful licorice is,
or I should say things within licorice,
or for increasing cortisol levels.
What I'm talking about here is a compound called glycerisin.
Glycerisin is in black licorice,
and glycerisin has been shown to have very big effects
on increasing cortisol.
So much so that if you are going to experiment with licorice
or glycerisin that comes from licorice root,
you need to actually be pretty careful
to not boost your cortisol levels too much.
Start with the lowest possible dose of licorice root,
if you're going to use it in capsule form,
if you're going to eat black licorice,
a lot of people like black licorice,
a lot of people are averse to black licorice,
it's kind of a individual thing.
If you're going to do that,
you're going to need to be cautious
about not spiking your cortisol too much,
especially if you're eating it later in the day.
We're not to late day cortisol control just yet,
but licorice significantly boosts your cortisol levels.
And it does so by inhibiting the enzyme
11 beta hydroxy steroid dehydrogenase,
or 11 beta HSD for short.
This is the enzyme that's involved
in the conversion of cortisol to cortisone.
So cortisol, when released into the blood,
eventually is broken down into a bunch of other things.
And in order to keep the cortisol active,
and here we didn't get into a discussion about cortisol,
either being bound or free, okay?
The free form is the one that is active
and can impact tissues, just like free testosterone
can impact tissues as opposed to bound testosterone.
Because it's also a steroid hormone,
cortisol goes through some of the same regulation.
The important point here is that licorice can be used
to potently increase cortisol,
not just the duration of cortisol's impact,
but also apparently the release of cortisol.
Now the data on that are a little bit mixed.
Some people would even argue that licorice can increase
the synthesis of cortisol,
but there there's even less data.
The data are very clear, however, that glycerisin,
which is prominently found in black licorice,
you are going to increase the amount of cortisol
circulating in your bloodstream.
So if you're having a really difficult time
boosting your cortisol in the morning,
despite doing all the other things that I'm describing,
or let's just say there's a day in which you can't exercise,
you don't have access to bright light.
You can't do all the things that you would need to
in order to boost cortisol, but you want to,
maybe that's the day that you try a small amount
of licorice root or a small amount of black licorice.
One very important point,
licorice has a potent enough effect on cortisol
and cortisol has a potent enough effect on blood pressure
that if you suffer from hypertension or high blood pressure
or if you are pregnant or breastfeeding,
you absolutely do not want to eat black licorice.
I don't know whether or not this is commonly told
to women who are pregnant or breastfeeding,
but when I looked in the literature,
this was a repeated theme.
Women who are pregnant or breastfeeding,
people with elevated blood pressures
should not be consuming black licorice.
The glycerin is potentially hazardous for them
or the fetus.
So I say that in part to inform you about licorice
and its effects on cortisol,
but also that you be mindful that licorice has a potent
effect on the cortisol pathways.
Okay, so we've talked about how to control your cortisol
in the morning for more energy, focus, alertness, et cetera, all day long.
However, your endogenous rhythm of cortisol dictates, right?
You don't have control over this.
It dictates that your cortisol is going to start to fall
somewhere around noon, maybe 11 a.m., maybe noon,
maybe 1 p.m.
Remember, it all depends on when you woke up
because waking up is actually what triggers
that big inflection in cortisol early in the day.
But as your cortisol starts to fall
into the early afternoon, late afternoon and so on,
you may notice something which is,
you can experience stress.
Sure, if you have a stress event,
you'll get a spike in cortisol and it will come back down.
But if you've ever been outside
during the middle of the day,
got some sunlight in your eyes,
maybe sitting with your eyes closed,
maybe even relaxing in the sun,
you'd probably say getting bright light in my eyes,
getting sunlight in the afternoon keeps me calm.
If anything, it makes me mellower.
It doesn't tend to wake me up.
But remember, it was only in the first hour or so
after waking up in the morning
that bright light causes this big inflection
in your cortisol and contributes to
more energy. In the afternoon, that system is gated, it's shut down. This is what's referred
to as the circadian dead zone in circadian biology. You can't actually shift your biological clock
with light at that time, which doesn't mean that getting sunlight on your skin or in your eyes
isn't a good thing. It indeed is a good thing.
Of course, you want to guard yourself
against too much UV exposure by wearing clothing
or perhaps a mineral-based sunscreen, et cetera.
But getting sunlight in the middle of the day
can be a terrific thing for your mood.
There are great studies showing
that it can enhance hormone production,
including testosterone and estrogen, feelings of wellbeing.
But indeed, getting sunlight and other forms of bright light in your eyes and on your skin in the afternoon tends to make you, feelings of wellbeing. But indeed getting sunlight and other forms of bright light
in your eyes and on your skin in the afternoon
tends to make you feel kind of relaxed.
And that's because that positive feedback loop
that the SCN can trigger,
whereby light increases your cortisol
is completely shut down from the hours of about noontime
or so until about five or six in the evening.
Now I say until about five or six in the evening. Now I say until about five or six in the evening,
because in the evening,
cortisol is going even lower, lower, lower,
but then something happens.
The gate, the opportunity for light
to start triggering increases in cortisol opens.
And as you'll soon learn, not only does it open,
but it's extra sensitive.
Put differently, in the evening past sundown,
so this will be different, different times of year,
different locations on earth,
but about two hours after sundown or so,
any bright light from an artificial source,
especially short wavelength light of the type
that comes from LEDs and computer screens and phones,
that sort of thing, can cause big increases in cortisol.
And that of course provides a perfect segue for us
to talk about the things that you should do in the evening
and at night to make sure that your cortisol is low
and dropping further still.
Okay, so let's talk about the things to do in the evening
and at night in order to quote unquote,
optimize your cortisol levels.
And when I say optimize,
of course there's no optimal exact level.
There's no optimal level for one exact time.
Everyone's on slightly different schedules.
I tend to go to sleep somewhere
between 10 PM and midnight most nights.
Sometimes it's 930, sometimes I'll stay up past midnight.
It happens every once in a while.
You may go to bed at eight.
You may go to bed at 1 AM.
The point here is that we're focused now
on the portion of your endogenous
naturally generated cortisol rhythm
that occurs in the hours before bedtime
when your goal is to get to sleep and get terrific sleep.
And what that requires is that your cortisol is low
and continuing to go lower.
So there are various things that you should do
in the afternoon and evening and nighttime
to make sure that pattern occurs.
The first has to do with lighting.
As I just described in the evening,
about two hours after sundown is really when this phase
of your cortisol cycle begins,
where not much light is required
in order to create big increases in cortisol,
which is the exact opposite of what you want
in the evening and at night.
You want your cortisol going down, not up.
So how do you control your lighting
in order to ensure that pattern occurs?
There are several ways.
First of all, you just dim the indoor lights, right?
Dim them as much as possible, especially overhead lights.
The neurons in your eye that send information
about overall luminance,
how bright it is in your environment,
they're all over your eye,
but they reside primarily in the lower two thirds
of your eyes because their role is to view
the upper visual field.
And that's how that circuit is arranged.
So if you have to have lights on
in your indoor environment at night, which most people do,
you should dim as many lights as you can,
turn off as many overhead lights as you can.
Table lamps are better than overhead lights
and floor lights are better than table lamps.
Most people aren't going to install floor lights.
But if you find that you're having trouble mellowing out
and getting to sleep,
and there isn't some other reason for that,
like you drank a bunch of caffeine at 8 PM or 6 PM,
then dimming the lights is going to be a terrific idea.
Now the wavelength, the color of those lights
can also have a big impact.
As I mentioned before,
you want to avoid short wavelength light exposure.
So this would be your white LED lights,
blue lights, green lights.
If you can, all right,
and there are various ways you can do this.
You could purchase a red light bulb.
I'm not talking about red light therapy,
but there are various sources of red lights
that you can install.
They're very inexpensive. Again, it's not red light therapy. but there are various sources of red lights that you can install. They're very inexpensive.
Again, it's not red light therapy.
It's just restricted such that I'm only getting long
wavelength light in my eyes.
Why?
Well, there are a number of papers showing that
if we restrict our visual exposure to medium
and long wavelength light in the evenings and at night,
it does not have nearly as much impact
on increasing cortisol.
Now, if it's very, very bright,
we're talking like bursting bright red lights,
it can increase cortisol even in the evening.
But if it's relatively bright to dim red light
or amber colored light of the sort that you would get
with an incandescent bulb, as opposed to an LED bulb,
that's going to keep cortisol low.
And the effect of these lighting changes is not trivial.
These are meaningful protocols
that will actually help keep your cortisol low,
help keep you calm and mellow.
And of course you should dim the screen
on your phone and your computer.
There's actually a way if you have an Apple phone
that you can very easily program in a triple click shortcut
so that your screen turns red.
We can provide an instruction of how to do that
in the show note captions.
It takes about two minutes to do. I have this on all my phone devices so we can triple an instruction of how to do that in the show note captions. It takes about two minutes to do.
I have this on all my phone devices
so it can triple click on the side
and then it brings your phone screen
from its standard luminance to basically a red screen.
So it cuts out all the short wavelength light.
And of course, if you're interested in using glasses
that restrict short wavelength light,
as some of you probably know,
I worked in collaboration with Roca glasses
to develop what we call the wind down glasses.
They're not just blue blockers.
They don't just cut out the blue wavelengths
of the visual spectrum.
They cut out all the short wavelength light
that can stimulate the cells that can increase cortisol
and so on and so forth.
So the glasses are convenient
because oftentimes you don't have control
over your indoor lighting environment, right?
If you're out to dinner or you're in a hotel,
you didn't bring a red light bulb, this kind of thing.
You go into the bathroom, you know,
what are you going to do there if the red light bulb
is in the bedroom and this kind of thing.
So you could use those, you could use the red light bulb,
certainly dim all the lights that you can.
This makes a meaningful and powerful contribution
to keeping your cortisol levels low.
It will also prevent you from reducing levels of melatonin,
which is the hormone that makes you sleepy at night.
So as cortisol is going down,
melatonin is going up in the evening and at night.
And that's what you want.
You want cortisol as low as possible.
You want melatonin as high as possible.
Keep in mind that bright light,
especially short wavelength bright lights,
so blues, greens, et cetera,
the type that comes from white light from screens,
unless you do something to alter that light,
is going to be a potent stimulus for increasing cortisol
and for decreasing melatonin.
And here I should remind you that you know exactly why
even moderately bright light,
that short wavelength light in the evening
is so effective at increasing cortisol.
Because cortisol levels are so low,
that negative feedback loop, right?
Your hypothalamus is registering the levels of cortisol
in your system in the evening, and they're very, very low.
So it is primed to make more cortisol if it needs to.
This again is an ancient mechanism
by which your brain has learned how to control levels
of cortisol in your bloodstream
so that they're never too high or too low.
And presumably this creates an adaptive advantage whereby,
you know, if you got into some sort of trouble
in the evening and needed to escape a predator
or whatever, maybe you need to stay up all night
in order to search for food
because food had been scarce in the previous days,
you could do that, right?
Your cortisol levels are very low
and you can stimulate them to increase very easily.
Put differently, it's very easy to stress at night.
It's very easy to create increases in cortisol
because your endogenous,
your circadian levels of cortisol are so low.
So you have to be very careful not to trigger yourself
to not create these inflections in cortisol.
If you're somebody who's noticed that in the evening
you tend to be a bit more reactive,
that things that you see online
or different conversations you might have by text
or thoughts within your head
tend to make you more anxious later in the day.
Well, that's probably because you're experiencing
these sharp inflections in cortisol
relative to your already low, appropriately low,
I should say levels of baseline cortisol
at those times of evening and night.
There are a few other things you should do
to keep your cortisol low.
And then I'll talk about some of the things
that you can do to proactively keep your cortisol low.
Meaning the to do's not just the don'ts.
A couple of other do nots are things like ingesting caffeine.
This is kind of an obvious one, right?
I tend to drink a lot of caffeine early in the day
for reasons you now understand.
You may drink your caffeine early in the day as well,
perhaps in the early afternoon.
If you're having trouble falling
and staying asleep throughout the night,
maybe just waking up once in the middle of the night
to use the bathroom, which is fine.
But if you're finding that you're waking up
multiple times during the night,
or you're not waking up feeling fully rested,
you should really explore how late in the day
you're continuing to consume caffeine.
I recommend a cutoff of about 2 p.m.
Now I'm very caffeine tolerant,
so for some people noon might be the cutoff,
for other people 4 p.m. might be that cutoff.
But in general, because most people go to sleep sometime
between 9.30 p.m. and 11.30 p.m.
it's a good idea to cut your caffeine intake off
somewhere around 2.30 or 3 p.m. at the very latest
so that you can fall and stay asleep easily.
Remember caffeine is not necessarily increasing
your cortisol that much if you're a chronic caffeine user,
but it's extending the life of cortisol
so that that cortisol curve,
that level of cortisol in your bloodstream
is gonna come down more slowly
if you're drinking caffeine in the late afternoon.
The other one is of course to limit your stress.
Now I've done entire episodes about stress
and stress is a multifaceted thing.
We can't always limit our stress.
Life, I should say even a good life includes stress,
short-term stress, long-term stress.
And we'll talk more
about chronic long-term stress in a little bit.
We're certainly going to talk about burnout
and the different types of burnout
that can result from different kinds of stress.
But here's the key point about limiting your stress.
The best things you can do for stress
involve controlling your stress response in real time.
Okay, I'm a big fan of meditation.
I'm a big fan of getting great sleep every night.
I'm a big fan of vacations.
However, when stress hits,
we don't often have the opportunity to take a vacation,
get a massage, do meditation.
If you do, great, but most people don't have that level
of control over their life in the moment.
So having tools that you can deploy
to deal with stress in real time
and bring your levels of what we call
sympathetic autonomic nervous system activity,
which is just nerd speak for stress down,
is going to be very useful.
And the best tool that I'm aware of
that's backed by terrific science,
not just from my lab,
I have been involved in some of the science,
but from other laboratories as well.
And the body of research on this is ever expanding.
And it all points in the same direction,
which is that exhale emphasized breathing
slows your heart rate down
through a process called respiratory sinus arrhythmia.
And exhale emphasized breathing engages the diaphragm,
which helps balance levels of carbon dioxide and oxygen
in your bloodstream and brain
in ways that bring your levels of stress down
all very quickly.
In fact, and I know some of you have heard this before,
the fastest way to calm down in real time
is going to be the so-called physiological sigh,
which is just a big, deep inhale through your nose,
then a second sharp inhale
to try and maximally inflate your lungs,
and then a long exhale until your lungs are empty.
And that long exhale should be done through your mouth.
Even though I've demonstrated this many times before,
I'm going to demonstrate it again,
for those of you that haven't seen it, it goes like this.
(*inhales deeply*)
(*exhales deeply*)
(*exhales deeply*)
All right.
Can feel my heart rate go down. You can probably even just hear it in my voice.
The timbre of the voice
and your levels of autonomic activation
are very closely linked.
We all know this because when people are really stressed,
they sound stressed.
And when they're relaxed, they sound more down here.
Okay.
It's really key that the first inhale be a big,
long, deliberate inhale through your nose.
It's really key that the second inhale
be also through your nose,
even though it's a sharp little inhale
where you're not sneaking much air in,
it causes maximal inflation
of all the little sacks in your lungs.
And then that allows you to maximally offload carbon dioxide
when you do that long to lungs empty exhale.
The whole thing, as you just saw,
probably takes about 30, 40 seconds, maybe a minute maximum.
And it is the fastest and most effective way
to calm yourself down in real time.
So if you're experiencing stress,
especially in the evening and nighttime hours,
do one to three physiological size.
If you can't remember to do that because you're so stressed,
just do some emphasized exhale breathing.
Just think about dumping your air through your mouth
until your lungs are empty
and then do a physiological sigh or two.
I can't overemphasize just how powerful this tool is.
There have been now recordings
of what's going on in the brain.
People have looked at what's happening
with carbon dioxide and oxygen ratios.
Your heart rate slows down.
There are a bunch of things that all contribute
to shifting your autonomic nervous system
from a more sympathetic activated mode
to parasympathetic so-called rest and digest mode.
And it happens very, very quickly.
So use breathing as a way to deal with stress in the evening.
Again, it's a potent technique.
And it's one that then puts you into the mental frame
of being able to do the other things that you need to do
in order to keep your cortisol low.
Like make sure that the lights are dim,
to make sure that you're not engaging
in any kind of texting or online activity late at night
that's going to further exacerbate your stress.
The diabolical thing about stress
is that when we are more stressed,
when our sympathetic nervous system is activated, we tend to do more things that make us more
stressed. This has to do with some of the adaptive nature of stress, why it's wired into us in the
way that it is. But what I can tell you is if you can bring your levels of autonomic activation down,
calm yourself down, you have a lot more agency and control to direct your behavior and even to
direct your thinking,
the patterns of internal dialogue,
and then you can navigate your nighttime and evening
much more effectively, even if you are facing a night
where you know you're going to get less sleep, right?
The thoughts about,
oh, what would have been if I can't fall asleep
and then tomorrow?
All of that can be dealt with
if you just bring your levels of autonomic activation down.
So the breathing tool plus dimming the lights
is going to be very effective for doing that.
The other thing that you can do
to bring your cortisol levels down in the evening
and at nighttime is to consume some starchy carbohydrates.
Now, I know I've talked a lot before
about how most people should probably not eat
for the two hours before they go to sleep
or ideally even the three hours before they go to sleep.
I'm going to be real honest with you.
I find it hard to fall asleep when I'm really hungry.
So if it means having a small snack an hour
or even 30 minutes before bed, I'll sometimes do that.
But ideally you're not eating anything
for about two hours before you go to sleep.
However, if you just have such gnawing hunger
that you can't fall asleep,
then you're going to have to eat something closer
to bedtime, right?
I think we should give ourselves permission
to strike a balance between not having gnawing hunger
that prevents us from sleeping
and also not eating too close to bedtime,
which can impair the quality of your sleep.
And indeed it can also impair the release of growth hormone
in the first hours of sleep.
So what I recommend is eating in the evening
and at nighttime, I usually eat dinner somewhere around,
ideally for me, it would be 6.30 to 8.30,
somewhere in there I'm flexible with these things,
depending on my schedule, depending on the day.
But if I'm going to eat dinner somewhere around 7.30 PM,
I try to get some starchy carbohydrates in that meal.
I tend to eat pretty moderate to low carb
throughout the day.
And then in the evening for my last meal,
which again comes around 7.30 PM for me, 7 PM,
I make sure that I have some starches.
I have some rice or I have some potatoes or yams
or I like clean starches.
So I tend to focus on those things,
maybe some homemade pasta,
whatever you're eating for starches.
What you'll find is that eating starches in the evening
will help keep your cortisol low.
And guess what?
It's absolutely obvious why that would be.
Also guess what?
You know why, you know the mechanism.
Remember, cortisol's main job is not to deal with stress.
It does that, but it's to deploy blood glucose
so that you can deal, yes, with stress,
but with all sorts of things in your schedule.
Anything that requires energy and activity
and certainly energy of the brain,
but also energy of the body.
So when you hear that there are quote unquote comfort foods,
those foods tend to be things
that are very carbohydrate laden
because those increase your blood glucose.
And when your blood glucose levels are elevated,
cortisol is not as readily released. I'm going to say that again, when your blood glucose levels are elevated, cortisol is not as readily released.
I'm going to say that again,
when your blood glucose levels are elevated,
your cortisol levels tend to stay low as well
because it's not as readily released.
So there's a reason why people find that carbohydrates
kind of calm them down, that they're comfort foods
and that they relax them.
It's because they don't directly suppress cortisol,
but they act through the blood sugar regulation mechanisms
that feed back to the hypothalamus
to control release of cortisol.
There are a couple of steps there in between,
but think about it, the hypothalamus,
this structure over the roof of your mouth
that contains the neurons that can trigger the release
of more cortisol or suppress its release,
they're in a position,
because remember they're paraventricular,
and they have access to what's going
on in the bloodstream to register levels of blood glucose.
And so when blood glucose levels are elevated
and I'm not talking about extra high or, you know
pathologically high, I'm talking about, you know
after you have some pasta or you have a bowl of rice
or you have some oatmeal or whatever your favorite
starchy carbohydrate is, the probability that you're going
to release cortisol is going to be reduced. And the probability that you're going to release cortisol is going to be reduced.
And the probability that you're going to continue
to make cortisol at high levels is going to be reduced.
So in the evening, or at least for your last meal of the day,
having some starches, if that's within your nutritional plan
is a good idea if your goal is to keep cortisol low.
And guess what?
Your goal should be to keep cortisol low
because you want to be relaxed in the evening
and be able to sleep easily.
Now this opens up a broader conversation
about what nutrition does in its different forms,
high carb, low carb, et cetera, to cortisol.
Here's a key takeaway, and I'm going to keep this very brief
because in a future episode,
we could really go down the rabbit hole
of how different diets impact different hormones,
including cortisol.
But the big takeaway here is they've done studies
that explore low carbohydrate diets
versus more typical carbohydrate diets.
When I say low versus typical,
the general contour of these across studies
is something like this.
What they call low carb means fewer than 30% of calories
coming from carbohydrate.
So here's the key takeaway.
If somebody goes on a low carbohydrate diet
and they've not been on a low carbohydrate diet,
so fewer than 30% of daily calories from carbohydrates,
maybe even lower.
So it could be, you know, 5%, could be 20%,
but relatively low carbohydrates,
for the first three weeks that they're on that diet,
you see a significant, it's not an enormous,
but you see a statistically significant increase
in cortisol.
And it matches the normal endogenous pattern that they already, which frankly everybody expresses,
which is higher in the morning, lower in the afternoon and evening. So it's not like the
the endogenous pattern is thrown off. It's just that curve has kind of shifted up a bit
at various points, not every point. However, after about three weeks on that low carbohydrate diet,
it normalizes.
It comes back to their original level.
Now there's a lot of opportunity for speculation in there.
Like we could say, wait, after three weeks,
the people on the low carb diet,
their cortisol levels came back down.
Does that mean that their blood glucose levels went up?
That doesn't appear to be the reason.
There could be some other compensatory mechanisms.
But the basic takeaway here is,
if you're on a low carbohydrate diet already
and that's working for you,
you're able to sleep at night just fine.
And I think that's probably the key thing
that you should be asking yourself.
If you're on a low carbohydrate diet, how's your sleep?
If your sleep is great, terrific.
If it's not, maybe you want to explore
introducing some starchy carbohydrates
to your last meal of the day, see how that goes.
In any case, if you're on a low carbohydrate diet
and you're sleeping fine,
I wouldn't worry about its net impact on your cortisol
because the studies I just described point to the fact
that it's not chronically long-term
increasing your cortisol.
If you're somebody who's moving
from a higher carbohydrate diet
to a lower carbohydrate diet,
and you're noticing that you're, I don't know,
feeling a bit more stressed, higher levels of sympathetic autonomic, I don't know, feeling a bit more stress,
higher levels of sympathetic autonomic arousal,
you're feeling a little more activated.
Keep in mind, if you're still in the first three weeks
of that transition, that's to be expected.
Your cortisol levels are shifted upward a bit.
See how you feel in the fourth and fifth week,
and then assess if it's right for you.
Again, the relationship between starchy carbohydrates,
glucose increases, and the relationship between cortisol,
being a mobilizer of glucose, makes it all very, very clear
as to why there's this relationship
between carbohydrate intake and cortisol.
They're in a kind of a reciprocal relationship.
Now, the one caveat to that is,
indeed, if you are dealing with metabolic syndrome,
like you are insulin insensitive
because you've been ingesting too many calories
or too many carbohydrates,
in particular too many simple sugars, et cetera,
all the things that can start to lead
to insulin insensitivity
where you start cranking out more and more glucose
because your insulin isn't doing such a good job
of getting that glucose to your cells,
what we call insulin insensitivity.
Nowadays people refer to as metabolic syndrome,
although that's a much bigger theme.
Well, then keep in mind that your cortisol levels
will go up as you have less ability
to use the glucose that you're making.
And guess what?
That makes perfect sense
because as you can't use the glucose that you're making,
it doesn't matter if your blood glucose levels are high
because that hypothalamus,
it also needs to respond to glucose
in an insulin dependent way.
It needs to actually be able to use
those high levels of glucose.
So again, the relationship between glucose
and insulin sensitivity and cortisol,
all jibes perfectly well when we think about mechanisms.
And the reason I'm going into all of this
is so that you can have a thoughtful look
at your nutrition.
What are you eating?
What percentage of it comes from starchy carbohydrates?
How are those distributed across the day? When are you stressed?. What are you eating? What percentage of it comes from starchy carbohydrates? How are those distributed across the day?
When are you stressed?
How stressed are you?
Are you just having a really light dinner
and you're feeling like kind of anxious at night?
Are you got bright lights on?
Just as for controlling your cortisol in the morning,
you want to stack various things,
bright light, exposure, caffeine, hydration, exercise,
et cetera.
In the evening, in order to get your cortisol levels right,
in order to be able to fall and stay deeply asleep,
you want to also stack these various things.
No one's perfect about all of them.
And if you can't control one of them,
let's say you're under the bright lights at night
because you're working late or you're at a concert,
fine, that's life.
You know, it's just kind of what a good life is.
I don't think optimizing means not living
or going to a concert, you know, this kind of thing,
or being in a restaurant.
You need to live and enjoy your life.
But then maybe you do a few other things to be able
to try and bring your cortisol levels down that evening.
Things that are easily accessible
and that are going to allow you to achieve what you want,
which is to get a great night's sleep.
Let's take a moment and talk about exercise late in the day.
And when I say late in the day,
I mean, anytime after sundown, right?
I think by now you already are realizing
that the kind of ideal situation,
regardless of whether or not you wake up later in the day
or you wake up at 5 a.m. or you're like Jocko,
you wake up at 4.30 a.m.
and you get into your exercise right away.
The ideal situation for your cortisol rhythm
would be to exercise early in the day.
You know, I realize not everyone is an early riser.
So when they hear that, they think,
oh, I don't want to exercise early in the day,
or I can't.
I'm not saying you necessarily have to exercise
right as you wake up.
But when you are thinking about your cortisol rhythm,
the ideal pattern of exercise and cortisol release
would be where you exercise early in the day
after sunlight exposure or under bright light exposure.
We talked about all that before, but let's face it.
Some people can't exercise early in the day,
and certainly not every day.
We have schedules, we have constraints
and it's very important that we get our resistance training
and it's very important that we get our cardiovascular
exercise on a regular basis.
So if you're somebody who prefers to exercise at noontime
or 1 p.m. or 2 p.m. or 3 p.m., great.
You already know based on what we described
about the endogenous pattern of cortisol release
that that's a time of day when it's really hard
to trigger a positive feedback loop on cortisol.
So if you have a really grueling, hard, intense workout
at 2 p.m. and before that you drink an energy drink
or a big cup of coffee, or if you're me,
some yerba mate plus a big cup of coffee,
maybe an alpha GPC every once in a while,
I'll do that and then hit the gym really hard in the early afternoon.
I prefer to do that in the morning.
And I don't always take all those things before I work out.
Only before resistance training do I drink caffeine usually.
And only before really hard workouts
do I do things besides drink caffeine.
I'll do caffeine and Alpha GPC
and in some cases a lot of caffeine.
But I get it.
Some of you like to work out in the afternoon
and actually look at the data on resistance training
and athletic performance.
The bulk of it points to the fact that performance
at those activities, strength,
it tends to be greater in the afternoon
as opposed to the morning for most people.
But the basic takeaway is train when you can,
train when it's available to you.
But you don't want to spike your cortisol
too late in the day so that it disrupts your sleep.
So the good news is that if you train resistance training
or cardiovascular exercise,
doesn't matter a combination of the two,
if that's what you're doing,
if you end up doing that in the early afternoon
or even as late as sundown,
you're probably going to be okay.
Your cortisol rhythm is still going to continue to drop.
Your endogenous cortisol rhythm is going to continue
to drop into the late evening and nighttime hours
and you'll be allowed to sleep.
Yes, you will have to do certain things
to ensure that happens.
I would suggest eating some starchy carbohydrates,
especially after a hard resistance training workout
that comes later in the day.
A hard, that is a moderate to high intensity exercise session
has been shown to triple or quadruple your cortisol levels
when it comes later in the day or in the evening.
And remember, that's a time when your basal,
your endogenous cortisol levels are very, very low.
So you get this big inflection in cortisol
from the workout.
So if you're going to work out much later in the day,
like you're getting off work at five or 6 p.m. or 7 p.m.
I've had phases of my life when this was the case for me.
And I still want to get my gym workout in
and it's bright lights in the gym.
I wasn't somebody who wore sunglasses in the gym.
Sorry, back then we didn't have the wind down glasses.
I wish I had had them.
They would be great for a gym workout,
but I will caution you.
Those glasses do make it hard to see certain boundaries
between objects and you always want to prioritize safety
over everything else.
So if you're in a gym, bright lights,
working out at five or 6 p.m., you do your hard workout.
When you walk out of there,
your cortisol levels are ratcheted way up.
This is just the reality and there are good data on this.
Now that's not necessarily a problem,
but your goal is to fall asleep that night.
So it would be very wise to certainly get some quality
protein, but also some starchy carbohydrate,
probably some fruit or something else to really get your
glycogen stores replenished again.
But you're also going to want to do some long exhale
breathing, maybe just take two or three minutes and do some
long exhale breathing after your workout in your car,
before you drive home or when you get home, you want to take a hot shower.
Great if you can sit in the sauna,
then take a warm shower, kind of a neutral shower,
not a cold shower that's going to like blast
your stress levels up.
Take a nice mellow shower.
You just want to do some things
to bring your cortisol levels down,
increase the levels of that
parasympathetic autonomic activity.
Long exhale breathing, starchy carbohydrates,
dim the lights, hot showers, great.
Sauna if you have access to it.
Take everything down a notch and then certainly,
certainly don't stimulate your nervous system
with bright light of any kind, right?
Red light, dim light, wind down glasses,
all that's going to help you.
But don't get on your phone or computer
right before getting into bed
because you've already spiked your cortisol
from that workout and your basal cortisol levels are low.
And so it's a perfect time to send yourself
into later hours of the night
when your cortisol is way too high.
And the big problem there is not only will it disrupt
your nighttime sleep, but it also disrupts
your next morning cortisol levels.
I'm going to remind you how that happens in a moment.
But before we do that,
I'm going to remind you of this really terrific study
that we discussed at the beginning of this episode was,
I'll repeat the title again,
24 hour pattern of the episodic secretion of cortisol
in normal subjects.
And remember, there's this phase one,
they've referred to it as,
a six hour period of minimal secretory activity.
That means extremely low levels of cortisol being released
that spans from four hours before
and two hours after lights out.
Four hours before and two hours after going to sleep.
That's when you want your cortisol lowest.
So if you're working out in the late evening
and closer to sleep,
you're going to need to do a number of things
to really try and offset any increases in cortisol.
It's so critical that you get this phase one correct.
And the reason is, if your cortisol is spiked then,
even if you do a bunch of things to be able to fall asleep,
you're going to blunt your next morning cortisol.
And you know why that would be the case.
Think about it.
The whole rhythm in cortisol is generated
by this negative feedback loop,
where cortisol levels get too high,
your hypothalamus suppresses the creation of more cortisol.
So if at night when your cortisol is supposed to be
especially low, you spike your cortisol
and it stays up too long,
you don't do things to bring it down after a workout
or you drank too much caffeine before that workout
and then you really are up late
and the whole thing starts to span into the hours
that you really should be sleeping.
What's going to happen?
What's going to happen is the next morning,
your cortisol levels are going to be suppressed
because your hypothalamus is seeing levels of cortisol
that are far too high, much higher than normal.
And so the next morning, you're going to feel sluggish.
You're going to have a hard time waking up.
You're going to have a really hard time focusing.
You're going to feel like you're in a fog.
And most people deal with this by what?
By drinking more caffeine,
which on its own is not a terribly bad thing, right?
It's going to prolong the release of cortisol,
but it's not going to spike the increase in cortisol.
So if you screw up and you train too late
and you drank caffeine before
and you don't have the opportunity to dim the lights,
you're not doing your long exhale breathing
and you have this, you know,
you basically are eating into the hours
that you should be sleeping
or you spike your cortisol some other way,
you get into an argument before sleep
or you're up late because you're dealing with some stress.
Guess what?
The next morning,
especially if you've had a shortened night of sleep,
especially if you had stress the night before of any kind,
you want to take an extra effort
to spike your cortisol levels.
You're going to need to try and boost your cortisol levels
even higher through bright light, hydration,
maybe not exercising again
if you already trained the night before,
maybe cold shower.
You're really going to want to do all the things you can
to try and spike your cortisol
so that at least the next day and the next night,
your cortisol levels are back on track.
So many people get this wrong.
And for years, I got this wrong.
I would occasionally work out in the morning,
then I'd work out in the evening.
And then I noticed that my schedule
just was getting tougher and tougher to adhere to
because some mornings I was dragging,
other mornings I was dragging,
other mornings I was feeling great
because I got to bed early the night before.
The whole thing was kind of a mess.
If I had only understood that if I were to have some stress
the night before going to sleep,
anytime in that first secretory phase, as it's referred to,
the four hours before and the two hours after sleep,
any stress that eats into that period,
whether it's exercise caused or psychologically caused,
excuse me, whatever, needed to be offset
by spiking my morning cortisol more
using the various tools that I've described.
So you now understand the global rhythm in cortisol,
higher in the morning, and you want to amplify that.
Lower in the afternoon and evening,
dropping in the early afternoon,
later afternoon and evening,
and then ideally staying low at nighttime
so that they can come back up again in the morning.
So if you're exercising late in the day,
that's when you can do it, that's when you like to do it,
great, but do things to bring your cortisol levels
back down.
Okay, let's talk about compounds, AKA supplements
that one can take to reduce their cortisol
since your goal is to reduce your cortisol
in the evening and at night. There are many supplements that have been purported to reduce their cortisol since your goal is to reduce your cortisol in the evening and at night.
There are many supplements that have been purported
to reduce cortisol.
These include things like ashwagandha, apigenin,
which we'll discuss, things like phosphatidylserine,
even rhodiola.
There are a long list of things
that have been purported to reduce cortisol.
However, there's a short list of things
that have been shown to do that relatively potently
and to act pretty quickly
and that are generally available out there.
The most commonly discussed one
in the context of reducing cortisol is ashwagandha.
Now, if you look at the literature on ashwagandha,
you will see that indeed it can be effective
in reducing cortisol levels
by anywhere from about 11% to 29%.
And there may be studies that fall outside those margins,
but if you look at the best studies,
that's really what it points to.
Now, here's a key thing.
You already know that you want your cortisol levels
relatively high to high early in the morning
and through the mid morning
and dropping into the early afternoon.
And you want them low in the late afternoon and at night.
So if you're going to experiment with ashwagandha
as a means to reduce your cortisol levels,
and you're going to take ashwagandha at the dosages
that significantly decrease cortisol levels,
which would be dosages somewhere between 300 milligrams
and it's been explored all the way up to 900 milligrams,
but typically I would recommend if you're going to explore
ashwagandha that you would explore lower dosages
somewhere in the neighborhood of 300 milligrams
at least to start, right?
You always want to look for the minimal effective dose
that you restrict your intake of ashwagandha
to the late afternoon and evening and nighttime hours
to keep your cortisol levels low
and that you avoid taking dosages of ashwagandha
certainly as high as 300 milligrams anytime early in the day.
In fact, if you're going to take ashwagandha
and it is contained in various compound blends
like AG1 and other things, but at very low levels,
low milligram count, that's going to be fine
early in the day.
Anything less than say 50 or a hundred milligrams
early in the day, not going to have a significant impact
on cortisol, but taken later in the day
in order to reduce your levels of cortisol,
300 milligrams, 600 milligrams, that really should just be restricted to later in the day in order to reduce your levels of cortisol, 300 milligrams, 600 milligrams,
that really should just be restricted to later in the day
for obvious reasons,
or at least they should be obvious to you now.
So, as I mentioned, there are data pointing to the fact
that ashwagandha can reduce cortisol levels
by a significant degree.
You still need to do,
and ideally you are already doing all the various things
to reduce your cortisol levels
before you even take ashwagandha or experiment with it.
I always recommend that you do the behavioral things first
and then decide whether or not you need supplementation
in order to further increase in effect
like lowering cortisol in the evening and at night.
So dimming the lights, not drinking too much caffeine.
If you're exercising,
bring your levels of autonomic arousal down.
All the things I just talked about a moment ago,
you have to be doing those things.
It's not going to be sufficient
to just take 300 to 600 milligrams of ashwagandha
and keep your cortisol levels low.
If you're blasting your eyes with bright light,
you're under a lot of stress at night.
But because it can produce a significant reduction
in cortisol, it can augment your overall program
for trying to keep cortisol low
in the evening and at night.
The other compound that some of you might be interested in
for reducing cortisol levels,
again, in the evening and at night, is apigenin.
Apigenin is found in chamomile tea.
Chamomile tea is long known to be a sort of relaxing agent,
but apigenin comes from chamomile.
You can take apigenin as a concentrated capsule, right?
I do that.
It's actually in the sleep stack that I've taken for years
and that I don't recommend
in the sense that everyone has to take it.
But I've talked about apigenin before
in the context of the so-called Huberman Lab sleep stack,
which is a stack of apigenin, magnesium, threonate,
which by the way is interchangeable
with bisglycinate for sleep,
but threonine is going to be better
for a variety of reasons.
So Apigenin, magnesium, threonine, and theanine
is the so-called Huberman Lab Sleep Stack
that has worked exceptionally well for me.
I've taken it for many years.
Apigenin, because it works on both the GABA pathway
and some chloride channel pathways
has been shown to decrease cortisol.
Now it's not as big an effect on reducing cortisol
as is ashwagandha at dosages of 300 milligrams or more,
but I take 50 milligrams of Apigenin capsule form
every night before I go to sleep.
I've been doing that for well over eight years now,
and will continue to,
because I find it's very helpful for my sleep.
And here's a great opportunity for me to also say
that there's evidence that MAG3 and 8
can indirectly activate pathways
that might further help suppress cortisol.
So it makes sense why the sleep stack
would include Apigenin,
why Apigenin can be useful for sleep
is reducing cortisol.
Again, the four hours before sleep
and the two hours after sleep are this key time
for keeping cortisol low.
The logic I'm using is that Apigenin is useful
for enough things related to sleep and reducing cortisol
that it makes sense to keep in my evening routine.
I do take ashwagandha at a dosage of 300 milligrams.
I take it of course in the evening and at night.
If you're going to do anything to reduce your cortisol
in the evening and at night,
the best timing for that is going to be
some time after dinner, right?
I'm not going to say it's always 30 minutes before sleep
or 60 minutes before sleep.
I tend to take Apigenin and Magnesium 3-8
about 30 to 60 minutes before I want to fall asleep.
But the Ashwagandha can come pretty much at any time
in the evening with dinner or after dinner, frankly.
Its effects are known to last many hours.
And that's the time when you want your cortisol lowest.
I want to reiterate,
supplementation should never be the first line of attack
when you're trying to adjust some biological mechanism
or some health metric.
I mean, there are cases
where people need prescription medication for that.
I do think when it comes to supplementation
that you not only get the best effects,
but you understand whether something's working for you
at a given dosage, if it's worth your money in time, etc.
Only once you're doing all the behavioral things right.
I can't emphasize this enough.
Unless you're getting your behavioral steps correct,
supplementation just doesn't make a whole lot of sense.
That said, rational supplementation
with things like ashwagandha and apigenin,
maybe magnesium threonate as well.
They make sense from a mechanistic level.
There are decent enough studies in humans
to support their use for reducing cortisol.
And if you're somebody who's really trying
to optimize your cortisol patterns across the 24 hour cycle,
I do think they can be a useful tool,
which is why I take them.
Okay, let's talk about burnout.
A lot of people will say, I'm burnt out.
I'm just like exhausted or I'm wired and tired,
which is frankly the worst kind of burnout
because it's kind of thing where you're like still going
but you're exhausted.
Burnout is a real thing.
Okay, burnout reflects a number of different processes
in the brain and body.
But the one thing it doesn't reflect
is that your adrenals are gone
or that they can't secrete adrenaline
or that they can't secrete cortisol.
Yes, there are certain medical conditions
like Cushing's or Addison's.
Cushing's is hyper-elevated cortisol.
Addison's is basically adrenal insufficiency, okay?
It's an autoimmune condition
where your adrenals literally can't release cortisol
and adrenaline.
But most people out there who are feeling burnt out
are not dealing with Addison's, okay?
Most people out there who are feeling burnt out
are not dealing with Cushing's.
If you think you're dealing with Cushing's,
if you're dealing with like really rounded face,
accumulation of body fat around your midsection,
you're feeling super stressed in the morning
and other times of day,
I mean, you really feel like you're suffering
from what might be hyper elevated cortisol levels.
Please see a doctor, ideally an endocrinologist.
There are great treatments for this
that involves suppressing cortisol using medication
at certain times of day.
There's a test called the dexamethasone suppression test
where you take a drug that mimics cortisol late at night.
You see if it suppresses your cortisol the next morning.
There are all sorts of things that you can do
to assess whether or not you actually have Cushing's
or you actually have Addison's.
And those need to be dealt with with a medical doctor.
However, most people out there
who are struggling with burnout
do not suffer from either of those conditions.
So does that mean burnout isn't real
or that we can't deal with it?
No, burnout is very real.
However, most people don't understand burnout
or they try and go about treating burnout
in exactly the wrong way.
And here's the reason for that.
There are really two patterns of burnout.
And this has been explored in the literature
through the lens of trying to understand
when cortisol is elevated and when it's lower
across the 24 hour cycle and people that are saying,
I'm burnt out,
I'm wired and tired, I'm suffering from brain fog,
I'm getting sick all the time, I'm just exhausted.
Or I just, I feel like I'm just can't keep up with life.
Now there can be a lot of reasons for those statements,
psychological and otherwise,
it's never just physical or just psychological.
Of course, the two things intersect.
But here's the good news.
Those two forms of burnout,
you can figure out which one you have news. Those two forms of burnout, you can figure out which one you have.
And those two forms of burnout,
each have different approaches that they require
in order to fix them.
So let's talk about the first pattern of burnout,
which is when people are waking up feeling super stressed,
they're waking up with anxiety, ideally after some sleep,
but maybe it's after just, you know,
three, four hours of sleep,
like they can't fall back asleep
and they're feeling just completely activated
first thing in the morning,
maybe far too early in the morning.
And then maybe they maintain that level of stress
and activation into the early afternoon.
Maybe they don't,
but more typically they crash in the afternoon.
They're just feeling exhausted by the afternoon
and they're just staring at the computer screen
or just feeling like they're in a fog,
they're forgetting things.
That's one very typical pattern of burnout.
The other pattern of burnout is when people are feeling
like they're waking up and they're just really sluggish.
They don't have energy.
They've got brain fog.
They're drinking caffeine, they're hydrating,
they're trying to do all the things.
And they're just like, they don't even have the energy
to do them.
And they just can't get into gear.
They have no get up and go.
But then when evening rolls around, they can't slow down.
They can't calm their mind.
They can't fall asleep.
They're tired, but they're wired.
Okay.
As you can see,
those are two very distinct patterns of stress, of burnout.
And as you can imagine,
they require perhaps the same steps or different steps,
but certainly at different times
in order to resolve that burnout, in order to fix it.
You now know what those steps are.
But first you have to ask yourself, if you're burnt out,
which pattern are you suffering from?
Now, I know a number of you are going to shout out,
I'm suffering from both of them.
I'm like exhausted all day and morning.
Okay, we could easily create a third category of burnout
whereby you're just exhausted all the time,
morning, day and night.
But if you're really exhausted at night,
why aren't you falling asleep?
Probably because your mind is racing and you're too stressed,
you're falling asleep and then you're waking up
after a couple of hours.
So you'd fit probably more into the second pattern
of burnout, late phase burnout, as opposed to early phase burnout.
So just to get clear on our terms,
the first pattern of burnout is super stressed
in the morning, exhausted in the afternoon,
evening and at night.
Second pattern of burnout,
stressed at night, exhausted in the morning.
You are now armed with the various tools
to be able to correct either pattern of burnout.
If you're waking up with a ton of stress,
maybe even a few hours before you should be waking up
or want to wake up
in order to get your full complement of sleep,
you need to do something to try and bring down
or to reduce the angle on that rising cortisol first thing in the morning.
Because almost certainly your cortisol
is just rising too fast.
Remember your cortisol is supposed to start rising
a couple of hours before you wake up.
It's not supposed to be what we call a square wave function,
like go from flat to vertical, okay?
Here's what you should do.
If you're waking up with a ton of stress,
you're not sleeping enough,
I highly recommend that you use a practice
I've talked about before in this podcast,
which is non-sleep deep rest, AKA yoga nidra.
Some people call it yoga nidra.
I call it non-sleep deep rest.
There are some differences between the two.
Not trying to take anything away
from the practice of yoga nidra,
but basically non-sleep deep rest, AKA yoga nidra involves doing some long exhale breathing
for reasons that you now know slows your heart rate down.
It involves deliberately relaxing your body.
It also involves you learning how to deliberately engage
your parasympathetic nervous system.
Now, some people will do NSDR or yoga nidra
first thing in the morning when they wake up
to avoid too much stress and they'll fall back asleep.
NSDR, non-sleep deep rest.
The idea with yoga nidra and NSDR is that
you don't fall back asleep, that you stay awake
but you completely and progressively
increase your relaxation in your body.
However, if you fall back asleep, great.
Just make sure you set an alarm
if you're going to do NSDR, yoga nidra
first thing in the morning
so that you don't oversleep and, you know,
miss a work appointment or something like that.
But there are great data now showing that NSDR
and yoga nidra done regularly for durations
of anywhere from 10 minutes.
Actually the study I'm going to be referring to in a moment
actually used 11 minutes.
Okay, so anywhere from 11 minutes to 30 minutes
can significantly reduce cortisol levels.
So this is good, right?
Even though we've been talking this whole episode about
you want your cortisol high in the morning,
we're referring to a pattern of burnout
where your cortisol is rising too fast in the morning.
Doing NSDR can help adjust that slope
so that it's not so steep.
In fact, if you're somebody who wakes up
and feels anxiety right away,
even if you don't think you have this pattern of burnout,
I highly recommend doing a 10 minute
or even a 20 minute or 30 minute NSDR.
It's available at completely zero cost.
You don't have to sign up for anything.
I'll provide links to this in the show note captions.
There are several, some read by me.
These are in pure audio form or combined audio video form.
You don't need to watch them, but we have them on YouTube.
We have them on Spotify. we have them on Spotify,
we have them in Apple format,
we have in a bunch of different formats.
And I also provide links to some of the ones
that are read by other people whose NSDRs are very effective
and that I personally use, such as Kelly Boyes and others
who have recorded NSDRs of different durations.
It's an extremely powerful tool
for reducing your cortisol levels.
But in addition to that, it's a very powerful tool
for you to be able to self-direct your own activation of that parasympathetic nervous system,
to self-direct your own relaxation at a time when your system is by default driving you in the exact
opposite direction. So if you're somebody suffering from this first type of burnout, I highly recommend
you start implementing an NSDR practice, especially if you wake up in the middle of the night,
you wake up really early in the morning
and you can't just naturally fall back asleep.
Okay, so ideally you're doing NSDR
right as you wake up in the morning.
Ideally you do it for 30 minutes,
but most people probably won't have the time for that.
So maybe you do 20, maybe you do 10.
Again, we have zero cost scripts for all of those,
10, 20 and 30 minute long.
You wake up.
The first thing you should do is hydrate.
Well, use the restroom if you need to, then hydrate.
You might say, wait, hydration,
it's going to raise my cortisol more.
Trust me, hydrate.
Also get bright light in your eyes.
This is going to help adjust the timing
of your maximal cortisol peak.
In circadian nerd speak, it's called the acrophase.
Believe it or not, they call the peak of your cortisol peak on the 24 hour's called the acrophase. Believe it or not, they call the peak
of your cortisol peak on the 24 hour cycle, the acrophase.
They need to give it a name.
So your acrophase is going to be timed correctly
to when you're waking up, not before waking up.
Okay, so we're doing one thing, NSDR, Yoganidra,
to try and keep your brain and body
in a more sleep-like state.
And now we're going to do another thing
right after you wake up to try and make the peak in your cortisol,
your acrophase, after that.
Okay, so we're trying to shift that peak out a little bit
by hydrating and by getting bright light in your eyes,
ideally from sunlight, if not sunlight,
10,000 lux artificial light, as we discussed earlier.
Here's the thing that you don't want to do.
You don't want to ingest caffeine right away.
If you recall the reason for suggesting
that some people push their caffeine intake out
60 to 90 minutes after waking
is because caffeine will extend the duration
over which cortisol is available.
And if you drink caffeine first thing in the morning,
yes, that will happen,
but the drop in cortisol that occurs late morning
and early afternoon is going to be very, very sharp.
And you want to make that a little bit flatter.
Now, a little bit later, we're going to talk about
how a flattening of the cortisol curve is a bad thing,
but here we're just trying to make it a little bit flatter
by shifting your caffeine intake out a little bit.
Not only will this help you get through the afternoon
with more energy, and by the way, ingesting it 60 to 90
minutes later than you normally would after waking
is not going to disrupt your sleep at night,
but it's going to make sure that you have enough energy
to get through the afternoon.
And it's also going to make sure that that morning cortisol
peak isn't too high and too long too early.
Okay, so we're just trying to shift that peak out
a little bit, and then we're trying to make that drop in cortisol a little bit longer.
This might seem like subtle details,
but these subtle adjustments in these behaviors
can have a significant impact on how much energy you feel
and how distributed that energy is across the day
in ways that are going to benefit you.
Okay, so now let's talk about the second pattern of burnout.
The second pattern of burnout
is the one where people are waking up tired,
they're dragging through the morning,
despite presumably drinking a lot of caffeine,
they can't get into gear,
they have brain fog in the afternoon,
or maybe they really start to feel like they're awake
at two o'clock in the afternoon,
and they have trouble falling asleep at night,
often from stress and exhaustion.
So it's not like they're hyper functional at night,
getting a ton done.
That would be, I should mention,
the kind of night owl pattern.
I don't want to be disparaging of or discourage night owls.
If you're naturally a night owl and that works for you,
it works with your work, it works with your schooling,
works with your relationships, great.
Okay, I'm not a night owl,
but some percentage of people are night owls.
There's a chronotype, a genetic wiring
that makes certain people night owls.
But real classic night owls,
when they follow a night owl schedule,
their cortisol rhythm is exactly the same
as everyone else's.
It's just shifted a few hours later.
Okay, so it's not like the contour
of their cortisol rhythm looks any different.
It's just shifted later.
And night owls, typically, if their life allows for it,
like being night owls.
With type two burnout, I'm not talking about that.
I'm talking about people that at one point in their life
felt pretty good waking up at, you know,
between six and eight AM in the morning,
which is when most people wake up in the morning.
I'm talking about people who would like to go to sleep
by 10 or 11 PM, but they're not able to do that.
I'm talking about people here, again,
that have trouble getting into gear early in the day,
and then come nighttime, their levels of energy
and certain mental ruminations and, you know,
just their stress levels are just really high,
even if they're exhausted.
If this is you, you really need to start thinking
about the six hours before you would like to fall asleep
and the two hours afterwards.
How do you do that?
Well, I already talked about all the things
you should avoid doing in the evening,
avoiding bright light, et cetera.
By the way, if you are in the long days of summer and spring
and the sun is going down and you know, 730 or 830,
that's fine.
In fact, we now know that if you view sunlight
late in the day, provided the sun is out,
which is the only way you can view sunlight
as far as I know,
viewing that sunlight will actually adjust the sensitivity
of your retina a little bit,
such that bright light from artificial sources
won't have quite as much of a detrimental effect
at suppressing melatonin at night
when you're indoors under artificial lights.
You still want to dim them late at night,
but by all means, if there's a beautiful sunset out,
take a sunset walk, walk in the direction of the sun,
look at the sunlight, blink as needed to protect your eyes,
but see those beautiful sunsets.
You'll notice that throughout today's episode,
I've not focused on specific clock times.
I've given ranges.
Most people wake up here.
Most people go to sleep here.
I've given ranges because of course,
day length changes across the year,
especially if you're living closer to the poles.
So if you're somebody who's suffering from type two burnout
and it's 730 at night and the sun's still out,
by all means, go for a nice relaxing walk.
That's going to be part of your regimen
for bringing down your levels of autonomic activation,
for reducing your cortisol.
By all means, also avoid caffeine.
By all means, also avoid stress.
And when you get indoors,
by all means do everything you can to dim the lights,
to bring your levels of stress down.
Take five minutes.
I know it sounds like a lot, but just five minutes
and do a physiological sigh of the sort
that I described before, double inhale, long exhale,
and just repeat that for about three to five minutes.
I ran a clinical trial with my colleague, David Spiegel,
at Stanford a few years ago where we had people do that.
And what we found is it not only calms them
in those five minutes, not only reduces heart rate,
increases heart rate variability,
which is a signature by the way of self-calming.
It also improves sleep, it improved mood
at times outside of that five minutes.
It's a very powerful tool.
And again, five minutes is barely anything,
but if you take that time,
you're going to benefit from that,
certainly in the time that you're doing it
and in the hours after with the ease of being able
to fall asleep, but also the next day.
So much of recovering from burnout,
especially type two burnout is about getting your nighttime
cortisol low so that your morning cortisol levels
can be elevated again and that you can have that energy
in the morning, which then sets in motion
the proper overall cortisol rhythm.
If you're starting to sense a repeating theme,
indeed it's because your cortisol rhythm is repeating
and you got that peak that ideally comes in the morning.
And then you have that trough,
what in nerd speak we call the nadir, right?
And the peak is the acrophase.
Scientists are, I don't know,
I don't know if they're just making up names for fun
or they just, they need this.
Peak and acrophase are the same thing.
Nadir or trough in cortisol is coming late at night.
And as you fall asleep and into the early hours of sleep,
having that pattern and having those peaks and the trough
aligned to the right time of your schedule for you,
for what you need to do in life, for your kids,
for your job, for school, for athletics, et cetera, is so critical
and it's absolutely under your control.
And I see so many areas of health and wellness,
so many areas where people are trying to troubleshoot illness
like they're getting sick all the time
or they're dealing with an autoimmune issue
or they're dealing with metabolic issues
and things of that sort.
And so many times it seems that what's happened
is this cortisol curve has just shifted too late
or it's being spiked in the afternoon
or it's being spiked at night.
And yes, we could talk about all the reasons why
with modern electronics and technology,
we're biasing ourselves towards these patterns
of late shifted cortisol and disrupted cortisol rhythms.
But look, technology is not going anywhere.
What is here to stay is your ability
to engage with those technologies
and to do the proper things like exercise
and eating, et cetera, and self-calming
at the appropriate times of your schedule
so that you can get your cortisol rhythms back in check.
And I promise you, if you do that,
you're going to see an outsized positive effect
on everything, mood, focus, alertness, sleep,
which then of course feeds back on elevated mood, focus, alertness, sleep, which then of course feeds back on elevated mood,
focus, alertness and sleep.
The early part of your day, the middle of your day
and the end of your day and night are linked.
What are they linked by?
Your cortisol rhythms.
How do you control those cortisol rhythms?
By grabbing a hold of the time of day
in which they're most challenging
and starting to do as many things as you possibly can
to bring your cortisol up,
if that's what's needed early in the day,
or down, which is what's needed late in the day.
Wherever your main pain point is
along the 24 hour day and night,
that's where you should focus your efforts first.
And from there, you can start making adjustments
in the other protocols
in order to get things exactly right for you.
It's possible, but start where you're experiencing
the most pain first.
In fact, so much of what we see out there
in the discussions around health and challenges with health,
whether or not it's chronic stress,
or whether or not it's challenges as we age
in getting great sleep and having energy,
if you look at the literature,
it almost always comes back to cortisol,
maybe not as the only problem,
but as a key role in those problems
and a key path to fix them.
In fact, there's a beautiful paper
that compared male and female differences
in cortisol secretion patterns.
And they look pretty much similar up until about age 40.
Actually, what you find is that women
have slightly lower basal levels of cortisol
if you look at any one time point along the 24 hour rhythm,
up until about age 40.
Then what happens is as men and women get older
from about 40 out to 70,
they look across a pretty broad range of ages.
What you find is that the morning peak in cortisol
tends to come down a little bit.
In fact, the acrophase,
that peak tends to be a bit more rounded
as opposed to peaked,
which means that the drop in cortisol
in the early afternoon and evening is actually
more gradual. It's flattening. And a flattening of the cortisol curve has been shown in other
studies to actually predict lower lifespan, certainly in response to health challenges
like cancer. And here's the good news, practices which adjust stress down in the afternoon in
those people combating cancer actually predicted survivability. In other words, the bigger the peak,
the more rapid the decline in cortisol into the afternoon
and the lower it stayed at night,
the longer people lived and the more successful people were
in overcoming diseases such as cancer.
Now, I'm not saying that's the only thing
that allowed them to do that,
but it makes perfect sense based on everything we know
about the interactions between cortisol
and the immune system, between stress and survivability,
between longevity and between the production
of all sorts of things that relate to glucose metabolism,
dopamine, et cetera, and so on.
Another interesting point is that as women transition
from perimenopause to menopause,
so of course this is correlated with aging,
but the exact age that it occurs differs between women,
but it's roughly between the ages of late 30s
to early 50s, depending on the person.
There's also a characteristic flattening out
of the cortisol rhythm into the afternoon.
That's the way it's described in the literature
across all these different situations, menopause, aging,
when people are combating a chronic illness and so forth,
is this flattening of the afternoon cortisol curve.
What this speaks to again,
is the critical importance of high morning cortisol.
You want to emphasize that.
Yes, you want to get enough sleep,
but you want high morning cortisol.
You want to get out and into your day.
If that day for you starts at 4 a.m. okay.
If it starts at five, six, seven, eight a.m. okay.
We're not talking about the exact time you wake up,
but you want to get enough sleep prior to that.
For most people, it's going to be six to eight hours.
There are you rare ones out there
that can get by on four to five hours,
but the data really points to the fact
that most people should get six to eight hours,
maybe nine or maybe more if you're a kid
and you're developing or you're combating an illness
or something, but six to eight hours,
when you wake up, spike that cortisol
using the tools we described,
then make sure that cortisol doesn't come down
far too fast, right?
You don't want a vertical drop in it.
This isn't like a roller coaster
at one of these theme parks.
It's like basically a vertical drop.
You want a relatively steep drop
and you want that cortisol coming down,
down, down, down, down, down into the afternoon
such that by late afternoon and evening, it's's down and then you want to keep it down.
You want to do things to stay calm.
It doesn't mean that you can't go out and have a good time.
Doesn't mean that you can't have a dinner party
and engage in that.
You can do those things, but those aren't stressful things.
Keep your stress levels down.
Keep your cortisol levels down.
Certainly as you transition into sleep,
if you can master this pattern for just three to four days,
you're going to notice a significant improvement
in your overall wellbeing,
every metric of wellbeing, energy focus, et cetera,
sleep quality, and on and on.
And in fact, we didn't go into it today,
but there is a vast literature that shows
that if you get your cortisol rhythm right,
it improves your cognition.
There's also a vast literature showing
that if your cortisol is disrupted
in a way that your cortisol is too high in the afternoon,
your cognition suffers.
There's actually a known reason for this.
I can't help but sneak this in,
which is that your hippocampus,
this brain area that's involved in learning and memory,
is chock-a-block full of cortisol receptors.
And what happens is if your cortisol is elevated
at the wrong times for too long,
you actually get degeneration of these neurons
in the hippocampus.
It's a bad situation for two reasons.
One, cognition and memory suffer.
The other reason is that the hippocampus itself
is involved in contextual control over the cortisol cycle.
Meaning the hippocampus is vital for you to be able
to interpret when something is merely arousing,
exciting versus stressful.
And so as that structure degenerates,
you can't remember as many things,
which itself is stressful,
but also your ability to regulate stress is reduced.
There are literally hundreds of studies on this
from animals and in humans.
So getting your cortisol rhythm correct
and controlling it is going to serve you immensely well.
Having the cortisol pattern of high in the morning,
low in the afternoon and at night
is the cortisol pattern you want,
which means that everything that we've talked about today
in terms of protocols,
whether or not they are behavioral involving exercise,
whether or not they're involving nutrition,
whether or not they're evolving supplementation whether or not they're evolving supplementation.
Although I should say for supplementation,
I recommend that kids not use supplements
to control cortisol.
I should say if you're 18 or younger,
you should be really cautious
about using supplements of any kind.
There are a few like creatine,
which may be okay or some whey protein
if your parents decide it's okay,
talk to your parents, kids.
But certainly if you're 18 or older,
all the things that we've talked about today
are applicable for getting your cortisol rhythm right.
Thank you for joining for today's discussion
about cortisol, how to regulate it
for sake of overcoming burnout,
and just generally for improving your health
and navigating life more effectively
by controlling your cortisol rhythms.
If you're learning from and or enjoying this podcast,
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For those of you that haven't heard,
I have a new book coming out.
It's my very first book.
It's entitled, protocols,
an operating manual for the human body.
This is a book that I've been working on
for more than five years,
and that's based on more than 30 years
of research and experience.
And it covers protocols for everything from sleep,
to exercise, to stress control,
protocols related to focus and motivation.
And of course I provide the scientific substantiation
for the protocols that are included.
The book is now available by presale at protocolsbook.com.
There you can find links to various vendors.
You can pick the one that you like best.
Again, the book is called Protocols,
an operating manual for the human body.
And if you're not already following me on social media,
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Again, it's Huberman Lab on all social media platforms.
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Thank you once again for joining me for today's discussion,
all about cortisol.
And last, but certainly not least,
thank you for your interest in science.