1 00:00:05,049 --> 00:00:07,769 Jen: Welcome to the So That's Why podcast, where we unpack the 2 00:00:07,769 --> 00:00:09,599 science behind everyday questions. 3 00:00:09,629 --> 00:00:10,229 I'm Jen. 4 00:00:10,459 --> 00:00:10,989 Chris: I'm Chris. 5 00:00:11,299 --> 00:00:11,959 Matt: And I'm Matt. 6 00:00:12,759 --> 00:00:13,129 Jen: Okay. 7 00:00:13,129 --> 00:00:17,619 So cortisol has suddenly become the hormone everyone wants to get rid of. 8 00:00:18,079 --> 00:00:22,879 But here's the thing worth saying at the start, it's one of the reasons you 9 00:00:22,879 --> 00:00:25,559 can get out of bed and function at all. 10 00:00:25,889 --> 00:00:28,199 So why do we need cortisol? 11 00:00:28,249 --> 00:00:31,989 Matt: Which is a great question, 'cause if I'm honest, the only thing 12 00:00:31,989 --> 00:00:36,199 I know about cortisol is that it is, like, the main stress hormone 13 00:00:36,589 --> 00:00:38,579 that I'm supposed to be lowering. 14 00:00:38,589 --> 00:00:38,619 Mm-hmm. 15 00:00:38,629 --> 00:00:38,959 Right? 16 00:00:39,369 --> 00:00:42,330 Um, I couldn't actually tell you what it's supposed to do though, to be fair. 17 00:00:42,919 --> 00:00:47,129 Chris: And that is the thing we want to clear up, because- Woo. 18 00:00:47,449 --> 00:00:50,829 Because far from it just being the enemy, as we're constantly told by, like, social 19 00:00:50,829 --> 00:00:55,409 media ads, cortisol is doing essential work for you all around the clock. 20 00:00:55,789 --> 00:00:58,389 Jen: It really is, and it's a bit humbling actually. 21 00:00:58,390 --> 00:01:02,269 So your body was handling this perfectly well before any of us 22 00:01:02,289 --> 00:01:04,319 learned the word or made it a baddie. 23 00:01:05,369 --> 00:01:05,839 Matt: A baddie. 24 00:01:05,859 --> 00:01:09,559 So now I'm mildly stressed about how stressed I've apparently 25 00:01:09,570 --> 00:01:12,680 been, I'm sensing, though that's probably not the fix. 26 00:01:13,390 --> 00:01:15,583 Chris: Well, hopefully our little chat today, Matt, will help you- … and 27 00:01:15,583 --> 00:01:16,289 take a bit of the pressure off. 28 00:01:16,750 --> 00:01:17,389 Yeah, hopefully. 29 00:01:17,869 --> 00:01:19,450 Um, so let's start with what it is. 30 00:01:19,900 --> 00:01:22,130 So cortisol is a glucocorticoid. 31 00:01:22,130 --> 00:01:23,030 Of course it 32 00:01:24,539 --> 00:01:24,849 Matt: is. 33 00:01:24,969 --> 00:01:25,299 Chris: Yep. 34 00:01:25,619 --> 00:01:25,890 Go on. 35 00:01:26,019 --> 00:01:26,420 What is it, Matt? 36 00:01:26,420 --> 00:01:26,509 Matt: Glucocorticoid. 37 00:01:26,769 --> 00:01:27,529 Corti- 38 00:01:28,119 --> 00:01:30,799 Chris: See, it's not that easy, is it? 39 00:01:31,329 --> 00:01:31,919 Matt: No, it's not. 40 00:01:31,919 --> 00:01:33,379 It's why you get all the posh words. 41 00:01:33,549 --> 00:01:38,159 Chris: Um, so a glucocorticoid i- it's a steroid hormone that your 42 00:01:38,169 --> 00:01:41,739 adrenal glands, the glands located at the top of your kidneys, produce, 43 00:01:41,779 --> 00:01:43,299 and they build it from cholesterol. 44 00:01:43,739 --> 00:01:48,159 And cortisol's day job is keeping your energy, your blood pressure, 45 00:01:48,459 --> 00:01:50,029 and your body clock in check. 46 00:01:50,570 --> 00:01:55,399 Jen: And its reach is actually enormous across the body. 47 00:01:55,399 --> 00:02:01,859 So nearly every tissue you own carries or has glucocorticoid receptors, which 48 00:02:01,909 --> 00:02:06,459 are the sites that cortisol locks onto to pass on instructions to the cell 49 00:02:07,773 --> 00:02:12,003 Matt: So it's not tucked away doing one small job then, it's talking to more 50 00:02:12,003 --> 00:02:14,553 or less all of me at the same time. 51 00:02:14,753 --> 00:02:15,573 Chris: It certainly is. 52 00:02:15,603 --> 00:02:19,773 And, um, because cortisol's fat soluble, it slips straight into your 53 00:02:19,773 --> 00:02:24,093 cells and into the nucleus, where it changes which genes are switched on. 54 00:02:24,533 --> 00:02:27,793 And the last part is called gene transcription, and it's why 55 00:02:28,363 --> 00:02:30,523 cortisol's effects reach so far. 56 00:02:31,163 --> 00:02:35,633 Jen: Which is really the answer to why getting it wrong matters so much. 57 00:02:35,633 --> 00:02:39,923 So when one thing touches every system, a problem anywhere 58 00:02:40,153 --> 00:02:42,053 tends to show up everywhere. 59 00:02:42,433 --> 00:02:42,883 Matt: Okay. 60 00:02:42,993 --> 00:02:48,423 So, uh, so who's then actually deciding how much of it I've 61 00:02:48,424 --> 00:02:50,383 got at any given moment? 62 00:02:50,713 --> 00:02:54,653 Chris: So the thing that decides this is called the HPA axis, which 63 00:02:54,653 --> 00:02:59,483 consists of your hypothalamus, your pituitary, and your adrenal glands. 64 00:03:00,003 --> 00:03:02,913 And the hypothalamus sends a signal called 65 00:03:03,133 --> 00:03:03,163 CRH 66 00:03:03,163 --> 00:03:03,613 Jen: Which is? 67 00:03:04,173 --> 00:03:04,913 Chris: I knew you'd do that. 68 00:03:05,273 --> 00:03:10,383 So CRH is the corticotropin-releasing hormone that tells the pituitary 69 00:03:10,403 --> 00:03:12,923 to send the signal ACTH. 70 00:03:13,223 --> 00:03:13,803 Jen: Which is? 71 00:03:14,093 --> 00:03:14,943 Chris: I knew you'd do that as well. 72 00:03:15,263 --> 00:03:21,983 So ACTH is the adrenocorticotropic hormone, and that ACTH tells the 73 00:03:22,353 --> 00:03:24,253 adrenals to release cortisol. 74 00:03:24,263 --> 00:03:25,523 Matt: Can I just say, well done. 75 00:03:25,533 --> 00:03:28,443 Jen: I feel like we need to pause and give Chris a moment of well 76 00:03:28,443 --> 00:03:30,413 done- There's no way I'm saying those letters … on explaining that science. 77 00:03:30,623 --> 00:03:30,793 Chris: Yeah. 78 00:03:30,903 --> 00:03:31,693 I'm, I'm sweating now. 79 00:03:31,803 --> 00:03:33,733 But let's be honest, my Scrabble score is through the 80 00:03:36,253 --> 00:03:36,383 Matt: roof at the moment. 81 00:03:36,383 --> 00:03:36,723 Well done. 82 00:03:36,723 --> 00:03:37,513 Yeah, yeah, yeah. 83 00:03:37,513 --> 00:03:39,793 And of course, if you're still listening, well done to you too if 84 00:03:39,793 --> 00:03:40,813 you're keeping up with all of this. 85 00:03:41,343 --> 00:03:43,233 Jen: Yeah, it's full-on science today. 86 00:03:44,283 --> 00:03:47,333 And the clever part of the whole system is that it's self-limiting. 87 00:03:47,333 --> 00:03:52,303 So once cortisol rises, it signals back up that chain and tells the top 88 00:03:52,323 --> 00:03:57,023 to, to slow down and ease off so the, the system keeps correcting itself. 89 00:03:57,173 --> 00:04:00,723 Matt: So in my language then, it's not a tap left running. 90 00:04:00,913 --> 00:04:04,293 It turns itself down once the messages seem to have landed. 91 00:04:04,683 --> 00:04:07,973 Chris: Yep, that's fair enough, and that restraint keeps it s- to a 92 00:04:07,973 --> 00:04:11,483 strict daily timetable rather than your tap trickling out nonstop. 93 00:04:11,963 --> 00:04:17,083 Jen: And that timetable is one of the most reliable rhythms in human biology. 94 00:04:17,083 --> 00:04:22,253 So cortisol is highest in the early morning and lowest amound around midnight. 95 00:04:22,513 --> 00:04:26,813 So in a sense, it clocks on before you do and clocks off at night. 96 00:04:27,023 --> 00:04:30,123 Matt: Which could explain a great deal, like when I ask my teenage 97 00:04:30,123 --> 00:04:33,497 daughter anything before 9:00 98 00:04:33,497 --> 00:04:33,527 Jen: in the morning. 99 00:04:33,527 --> 00:04:33,753 Oh, don't do that. 100 00:04:33,753 --> 00:04:34,323 Don't do that. 101 00:04:34,323 --> 00:04:34,623 Matt: Don't do what? 102 00:04:34,913 --> 00:04:36,063 Jen: Don't ask her before 9:00. 103 00:04:36,493 --> 00:04:36,743 Matt: I know. 104 00:04:36,773 --> 00:04:40,243 This is- … uh, I'm obviously not aware of the hormone situation. 105 00:04:40,243 --> 00:04:40,983 I don't- That's the problem 106 00:04:41,053 --> 00:04:42,823 … Chris: I don't dare ask my teenage daughter anything at all. 107 00:04:45,643 --> 00:04:45,723 Jen: Yeah. 108 00:04:45,733 --> 00:04:46,103 Ever. 109 00:04:46,393 --> 00:04:46,703 Matt: Ever. 110 00:04:48,213 --> 00:04:51,403 Jen: But there's a, there's a lovely extra layer, too, and this one's 111 00:04:51,403 --> 00:04:54,943 well-established, and it, you know, the Endocrine Society puts a name 112 00:04:54,943 --> 00:04:58,843 to it, which is the lovely layer, the cortisol awakening response. 113 00:04:59,613 --> 00:05:00,543 Matt: So that's what she needs. 114 00:05:00,543 --> 00:05:01,453 Jen: That's what she needs. 115 00:05:01,703 --> 00:05:06,273 So in the first half an hour after waking, cortisol jumps again between, 116 00:05:06,283 --> 00:05:11,353 somewhere between, like, 38 and 75% on top of the level it's already 117 00:05:11,353 --> 00:05:14,543 climbing to, in roughly 77% of people. 118 00:05:14,543 --> 00:05:16,893 Maybe your daughter's the other, other percentage. 119 00:05:16,893 --> 00:05:17,123 Chris: Maybe. 120 00:05:17,123 --> 00:05:17,543 I mean, no offense to my daughter in case she's listening- No 121 00:05:17,543 --> 00:05:19,143 which she won't. 122 00:05:19,163 --> 00:05:19,883 Jen: We love you. 123 00:05:19,893 --> 00:05:20,343 You're great. 124 00:05:20,893 --> 00:05:20,963 Chris: She won't be. 125 00:05:20,963 --> 00:05:24,537 She'll be on Snapchat or TokTik or whatever those- TokTik … TikTok or 126 00:05:24,537 --> 00:05:26,057 whatever, whatever these kids use. 127 00:05:26,057 --> 00:05:27,603 Jen: Check us out on TokTik. 128 00:05:27,603 --> 00:05:27,793 Chris: Yeah. 129 00:05:28,643 --> 00:05:31,083 Matt: And this is why Chris is in charge of all the technology 130 00:05:31,083 --> 00:05:32,903 here- Absolutely … at Vegetology. 131 00:05:33,543 --> 00:05:34,153 Chris: Uh, right. 132 00:05:34,153 --> 00:05:35,493 I've completely lost my train of thought. 133 00:05:35,813 --> 00:05:36,333 Um, but we- 134 00:05:36,333 --> 00:05:38,523 Jen: Talking about the cortisol awakening response. 135 00:05:38,603 --> 00:05:39,283 Chris: Yes, we were. 136 00:05:39,323 --> 00:05:43,003 And, um, so the current thinking on this is that it's anticipatory. 137 00:05:43,033 --> 00:05:47,483 So your brain is priming you for the day ahead, before the day's even started, 138 00:05:47,703 --> 00:05:52,663 which is why the jump is bigger before a workday, and it goes flat in burnout. 139 00:05:53,333 --> 00:05:57,303 Matt: So a rough can't face it morning then that we experience 140 00:05:57,303 --> 00:06:01,783 isn't being lazy, it's just the ramp-up running late perhaps. 141 00:06:02,053 --> 00:06:05,393 Jen: I've got to admit, I am quietly smug about being a morning person, 142 00:06:05,393 --> 00:06:09,363 but it turns out that it's just a healthy awakening response and 143 00:06:09,363 --> 00:06:11,783 nothing to do with virtue at all. 144 00:06:13,163 --> 00:06:13,643 Chris: What a surprise. 145 00:06:13,653 --> 00:06:14,313 Well, I take it. 146 00:06:14,323 --> 00:06:15,103 Take the smugness all you can, yeah. 147 00:06:17,113 --> 00:06:21,373 Um, so that morning rise isn't just a side effect of waking up. 148 00:06:21,483 --> 00:06:24,213 It's part of the signal that actually wakes you. 149 00:06:24,343 --> 00:06:28,563 So without it, the jump from asleep to properly alert would be way rougher. 150 00:06:29,184 --> 00:06:31,733 Matt: Okay, so the snooze button then is me arguing with my own 151 00:06:31,733 --> 00:06:34,753 biology, and it seems losing. 152 00:06:34,823 --> 00:06:35,213 Mm. 153 00:06:35,293 --> 00:06:36,273 Chris: Yeah, that's fair enough. 154 00:06:36,393 --> 00:06:40,703 And, um, while that rise in cortisol's happening, it's making sure your 155 00:06:40,703 --> 00:06:42,973 brain never runs short of fuel. 156 00:06:43,213 --> 00:06:47,003 So cortisol is telling the liver to release stored sugar to make… 157 00:06:47,163 --> 00:06:52,473 And also to make fresh sugar, which is gluconeogenesis, and to free up fats 158 00:06:52,473 --> 00:06:54,193 for energy, which is called lipolysis. 159 00:06:54,813 --> 00:06:59,003 Jen: And it deliberately holds some of the fuel back from your muscles, 160 00:06:59,063 --> 00:07:03,643 so your brain gets the first pick, which is part of why a morning, like 161 00:07:03,643 --> 00:07:08,733 a normal morning rise, leaves you feeling sharp and able to think. 162 00:07:08,763 --> 00:07:10,313 Maybe I'm missing it some days. 163 00:07:10,613 --> 00:07:12,733 Don't always feel sharp and able to think, but hey. 164 00:07:13,323 --> 00:07:16,793 Matt: Well, apparently the gap be- then between a clear morning and a foggy one is 165 00:07:16,823 --> 00:07:18,473 partly just this hormone doing its rounds. 166 00:07:18,523 --> 00:07:19,043 Mm. 167 00:07:19,113 --> 00:07:19,983 Chris: Yeah, largely. 168 00:07:20,163 --> 00:07:25,463 And, um, it also props up your blood pressure by making your vessels respond 169 00:07:25,703 --> 00:07:30,293 properly to adrenaline, and it helps lock in your memory of emotional moments, 170 00:07:30,293 --> 00:07:33,123 which happens in the hippocampus, which is the brain's memory hub. 171 00:07:33,213 --> 00:07:33,333 So 172 00:07:35,383 --> 00:07:35,545 Jen: it's doing loads of jobs here. 173 00:07:35,545 --> 00:07:35,561 Yeah. 174 00:07:35,561 --> 00:07:35,608 It's doing tons. 175 00:07:35,608 --> 00:07:39,333 But you know, on top of that, it's your body's main built-in anti-inflammatory. 176 00:07:39,533 --> 00:07:44,323 So it actually turns your immune response up when you're first injured 177 00:07:44,563 --> 00:07:49,163 or infected, and then it calms it back down so it doesn't like 178 00:07:49,213 --> 00:07:51,173 overshoot and cause harm of its own. 179 00:07:51,173 --> 00:07:52,574 It's really a clever system. 180 00:07:52,723 --> 00:07:54,173 Matt: It really is magical. 181 00:07:54,184 --> 00:07:58,684 And it's less of a on switch for inflammation and more of a thing deciding, 182 00:07:59,014 --> 00:08:00,903 uh, how loud it's allowed to get. 183 00:08:00,943 --> 00:08:01,413 Jen: Mm. 184 00:08:01,443 --> 00:08:04,894 Chris: Yeah, that's the job, and that's exactly why steroid medicines 185 00:08:04,894 --> 00:08:07,343 like, um, hydrocortisone exist. 186 00:08:07,725 --> 00:08:09,765 They're lab-made versions of that same hormone. 187 00:08:10,005 --> 00:08:12,005 They're borrowing that calming effect on purpose. 188 00:08:12,535 --> 00:08:16,715 Jen: So a huge amount of what makes you feel like a steady, functioning 189 00:08:16,715 --> 00:08:20,465 human, I can't say I always feel like a steady- … functioning human, but hey. 190 00:08:20,845 --> 00:08:21,095 So- 191 00:08:21,455 --> 00:08:23,325 Matt: I'm like, can I get this to put in someone's tea? 192 00:08:23,325 --> 00:08:23,855 I'm not saying who. 193 00:08:25,495 --> 00:08:28,125 Can, can we buy it to put, put in the cup of tea, please? 194 00:08:28,135 --> 00:08:31,985 Jen: So a huge amount of what makes me feel like a steady, functioning 195 00:08:31,985 --> 00:08:36,735 human is quiet, is cortisol just, like, quietly getting on with its work. 196 00:08:37,265 --> 00:08:37,665 Matt: Right. 197 00:08:37,665 --> 00:08:42,195 So, uh, if this is really useful and magical, like we've been 198 00:08:42,195 --> 00:08:45,835 talking about, where does its frightening reputation come from? 199 00:08:46,075 --> 00:08:46,425 Chris: Okay. 200 00:08:46,425 --> 00:08:51,595 So this all comes down to what happens when cortisol stays too high for too 201 00:08:51,595 --> 00:08:54,191 long Uh, which is really a problem. 202 00:08:54,941 --> 00:08:59,681 So over years, it can actually shrink the hippocampus and leave 203 00:08:59,681 --> 00:09:02,751 the amygdala, which is your brain's fear center, more reactive. 204 00:09:03,021 --> 00:09:05,601 Matt: Mm. And there's the cortisol belly idea, isn't there? 205 00:09:05,611 --> 00:09:09,311 The, the, the one that's sort of online everywhere. 206 00:09:09,911 --> 00:09:11,681 Is there anything real behind this? 207 00:09:11,731 --> 00:09:13,681 Chris: There is, and I'd say more than you expect. 208 00:09:13,741 --> 00:09:18,711 So the deep fat that ar- around your organs, which is known as visceral fat, 209 00:09:19,041 --> 00:09:23,721 carries far more of the glucocorticoid receptors than the fat under your skin. 210 00:09:24,241 --> 00:09:27,541 And high cortisol also drives insulin resistance, which 211 00:09:27,571 --> 00:09:28,981 results in storing even more fat. 212 00:09:29,441 --> 00:09:33,141 Jen: And it even nudges up your appetite for calorie-dense food, 213 00:09:33,201 --> 00:09:38,211 which can switch on brand-new fat cells, and I'm jumping on Chris's 214 00:09:38,211 --> 00:09:40,721 bandwagon, that is called adipogenesis. 215 00:09:42,031 --> 00:09:46,521 Um, and so it changes how much you store, not just where you store it. 216 00:09:46,621 --> 00:09:49,071 Chris: I think, can someone in the comments put what adipogenesis 217 00:09:49,091 --> 00:09:49,971 would get you on Scrabble? 218 00:09:49,971 --> 00:09:51,006 That's, that's probably a decent 219 00:09:51,006 --> 00:09:51,109 Jen: score. 220 00:09:51,109 --> 00:09:53,651 Oh, could you imagine a triple word score with that? 221 00:09:53,711 --> 00:09:53,741 I know. 222 00:09:53,871 --> 00:09:55,501 Matt: With your A-C-T-H. 223 00:09:55,571 --> 00:09:55,911 Chris: Yeah. 224 00:09:55,951 --> 00:09:58,311 Jen: You'd just need somebody else to have genesis, and then you could 225 00:09:58,311 --> 00:10:00,331 swoop in with your adipo and be like, 226 00:10:00,801 --> 00:10:00,811 " Chris: Oh." 227 00:10:00,811 --> 00:10:00,911 Yeah. 228 00:10:02,341 --> 00:10:04,521 There's always someone gets, like, xylophone anyway- Yeah, yeah … and, 229 00:10:04,521 --> 00:10:05,331 like, ruins it for everyone else. 230 00:10:05,491 --> 00:10:07,501 Matt: I'm never playing Scrabble with you two ever. 231 00:10:07,901 --> 00:10:09,451 It's just not gonna do. 232 00:10:09,451 --> 00:10:12,242 Um, so anyway, there's a real effect, isn't there, rather than 233 00:10:12,242 --> 00:10:15,931 a myth, I suppose, but it's the same story as the rest of this. 234 00:10:15,991 --> 00:10:20,321 It should settle when the rhythm does, and we shouldn't really need anything exotic. 235 00:10:20,591 --> 00:10:21,091 Jen: No. 236 00:10:21,101 --> 00:10:23,791 But, you know, with everything, there's also, like, clinical 237 00:10:23,791 --> 00:10:24,762 extremes, isn't there? 238 00:10:24,821 --> 00:10:26,771 So we've talked about what happens when it stays high. 239 00:10:27,131 --> 00:10:32,071 So you've got something called Cushing syndrome, where really high cortisol, 240 00:10:32,341 --> 00:10:37,131 it ends up doing things like thinning the skin, um, it wastes muscle, 241 00:10:37,181 --> 00:10:39,021 and it pushes up your blood sugars. 242 00:10:39,051 --> 00:10:42,981 But that's, like, the far end of the spectrum, and we're talking, you 243 00:10:42,981 --> 00:10:46,711 know, most of us, for most of us, we're talking about milder versions 244 00:10:46,711 --> 00:10:50,531 from, like, ordinary longterm stress, where it's just slightly raised. 245 00:10:50,641 --> 00:10:52,701 Matt: So, I mean, we're both, we're all inside the industry 246 00:10:52,701 --> 00:10:54,881 right now, and cortisol is having a real moment, isn't it? 247 00:10:54,981 --> 00:10:55,281 Yeah. 248 00:10:55,291 --> 00:10:55,601 It's, um- 249 00:10:55,621 --> 00:10:57,041 Jen: Holding hands with magnesium. 250 00:10:58,651 --> 00:11:00,831 Matt: It's just like what a beautiful couple they make. 251 00:11:00,841 --> 00:11:00,871 Mm-hmm. 252 00:11:01,271 --> 00:11:02,861 Um, get an invite to the wedding and everything. 253 00:11:03,121 --> 00:11:06,641 Uh, but it's, it is one of those things that's a word on everyone's lips. 254 00:11:06,651 --> 00:11:09,511 It's behind half the questions that we seem to be getting asked at the moment. 255 00:11:09,581 --> 00:11:10,001 Jen: Mm. 256 00:11:10,101 --> 00:11:14,041 Chris: It is, but this is where the science and the supplement aisles can 257 00:11:14,041 --> 00:11:17,611 start to part ways because a lot of the marketing messages that ride on the 258 00:11:17,611 --> 00:11:19,841 word cortisol don't actually stack up. 259 00:11:20,041 --> 00:11:20,211 Jen: They don't. 260 00:11:20,521 --> 00:11:20,541 You 261 00:11:20,541 --> 00:11:21,181 Matt: surprise me. 262 00:11:21,651 --> 00:11:21,731 Chris: Yeah. 263 00:11:23,841 --> 00:11:27,161 Jen: But there's also this idea, I mean, I'm targeted with ads about 264 00:11:27,161 --> 00:11:30,771 cortisol all the time on Instagram, and also you get targeted with ads 265 00:11:30,771 --> 00:11:36,091 about adrenal fatigue, and this is the notion that your glands get exhausted 266 00:11:36,121 --> 00:11:42,061 and simply stop making cortisol, but that isn't a recognized diagnosis, and 267 00:11:42,111 --> 00:11:44,021 evidence doesn't support it either. 268 00:11:44,551 --> 00:11:46,861 Chris: No, but the internet doesn't let science get in the way of a good 269 00:11:46,861 --> 00:11:47,691 marketing message- … sometimes, does it? 270 00:11:47,701 --> 00:11:48,471 Yeah. 271 00:11:48,951 --> 00:11:54,261 Uh, but what is real is, um, the HPA axis dysregulation, and this is where 272 00:11:54,301 --> 00:11:58,421 the signaling between the brain and the glands drifts out of its normal rhythm. 273 00:11:58,751 --> 00:12:02,531 So the glands aren't worn out, the timing's off, and that's a 274 00:12:02,531 --> 00:12:04,061 very different thing to put right. 275 00:12:04,061 --> 00:12:04,571 Jen: Yeah. 276 00:12:05,091 --> 00:12:08,821 Matt: Okay, so when someone asks me for an adrenal support pill, 277 00:12:08,821 --> 00:12:12,671 whatever one of those is- … the honest answer is, is not that. 278 00:12:12,671 --> 00:12:15,691 It, the, the, it's not really the problem to solve, right? 279 00:12:15,971 --> 00:12:15,991 Chris: Mm-hmm. 280 00:12:15,991 --> 00:12:17,691 I'd agree with that, and I'm just hoping our marketing colleagues 281 00:12:17,691 --> 00:12:20,821 aren't writing, "Yeah, adrenal support pill, that's for the next, next- 282 00:12:20,821 --> 00:12:21,321 research program." You heard it here first. 283 00:12:21,571 --> 00:12:21,731 Yeah. 284 00:12:22,591 --> 00:12:25,561 Um, my obligatory Captain Sensible moment here- 285 00:12:25,601 --> 00:12:26,361 Matt: Go for it, Captain 286 00:12:26,521 --> 00:12:29,211 Chris: Sensible … is that identifying and addressing a genuine 287 00:12:29,211 --> 00:12:33,021 cortisol problem is a blood test and a conversation for your doctor, 288 00:12:33,331 --> 00:12:35,111 not a hunch from an internet forum. 289 00:12:35,491 --> 00:12:37,991 And actually, do people still use internet forums or- I was about to say 290 00:12:38,041 --> 00:12:38,451 is that down there with Tictoc 291 00:12:41,901 --> 00:12:41,951 Jen: and- Yeah. 292 00:12:41,951 --> 00:12:42,075 … Snap, Crackle, and Pop, whatever it's called? 293 00:12:42,075 --> 00:12:43,441 There's, there's always an internet forum for everything, Chris. 294 00:12:43,441 --> 00:12:43,791 Oh, yeah. 295 00:12:43,791 --> 00:12:44,521 There is. 296 00:12:44,631 --> 00:12:44,871 Oh, yeah. 297 00:12:44,871 --> 00:12:46,441 Even if the comments are six years old, there's 298 00:12:48,241 --> 00:12:48,701 Chris: always an internet forum. 299 00:12:48,701 --> 00:12:48,721 That's good. 300 00:12:48,721 --> 00:12:49,471 I mean, I'm still using Windows XP. 301 00:12:49,701 --> 00:12:51,041 I, is that still- I, I don't know. 302 00:12:51,741 --> 00:12:53,211 Matt: Wow, yeah, I thought you were on Windows 95. 303 00:12:53,471 --> 00:12:53,911 You've gone up. 304 00:12:55,121 --> 00:12:59,081 Jen: So it's also worth saying that, you know, we talked about when cortisol 305 00:12:59,081 --> 00:13:03,731 is high, um, there's the opposite problem does exist as well, and that's 306 00:13:03,731 --> 00:13:07,571 called Addison's disease, where your adrenal glands can't make enough. 307 00:13:07,581 --> 00:13:12,611 Um, and because cortisol, you know, helps to maintain your blood pressure, 308 00:13:12,951 --> 00:13:17,051 that can be genuinely dangerous, which kinda proves that the goal 309 00:13:17,201 --> 00:13:19,491 was never to have zero cortisol. 310 00:13:19,761 --> 00:13:23,071 Matt: Yeah, so the, the very hormone then, half the internet seems to want 311 00:13:23,081 --> 00:13:27,121 gone, some people would actually give anything to be able to make more of it. 312 00:13:27,181 --> 00:13:30,821 Jen: Yeah, they would, because in short bursts, cortisol is clever 313 00:13:31,181 --> 00:13:35,051 about things like your immune system as well, which is obviously vital. 314 00:13:35,301 --> 00:13:38,671 So it shifts- Yeah … immune cells out into your skin, and 315 00:13:38,671 --> 00:13:42,361 you got ready in case there's, like, an injury or illness coming. 316 00:13:42,571 --> 00:13:43,471 Chris: Yeah, it's so true. 317 00:13:43,471 --> 00:13:46,491 And to come back to what we said earlier, the trouble only comes 318 00:13:46,551 --> 00:13:48,231 when cortisol never switches off. 319 00:13:48,591 --> 00:13:52,191 So when cortisol stays high, the immune cells stop responding to 320 00:13:52,191 --> 00:13:55,891 it properly, which is called, uh, glucocorticoid resistance. 321 00:13:56,211 --> 00:14:00,801 So you get more background inflammation and weaker defenses at the same time. 322 00:14:00,981 --> 00:14:02,371 That's when the problems really arise. 323 00:14:02,381 --> 00:14:02,391 Mm. 324 00:14:02,421 --> 00:14:05,091 Jen: Yeah, and it's the real paradox of chronic stress. 325 00:14:05,101 --> 00:14:07,761 So the hormone that should be calming inflammation, it kinda 326 00:14:07,791 --> 00:14:12,961 loses its grip, so you're inflamed and under-defended all at once. 327 00:14:12,971 --> 00:14:15,951 Matt: So run down, then, isn't just, like, a turn of phrase, is it? 328 00:14:15,951 --> 00:14:18,311 There's an actual mechanism, it seems, sitting behind this. 329 00:14:18,391 --> 00:14:18,851 Jen: Mm. 330 00:14:18,891 --> 00:14:19,741 Chris: Yeah, definitely. 331 00:14:20,081 --> 00:14:25,451 Um, and there's a third way it goes wrong that can be easy to miss as well, and this 332 00:14:25,451 --> 00:14:30,591 is where your total cortisol levels can look normal, but the rhythm flattens out. 333 00:14:30,671 --> 00:14:33,291 And what I mean by that is it could be high in the evening and 334 00:14:33,301 --> 00:14:36,631 low in the morning, which is that kind of tired but wired feeling. 335 00:14:36,661 --> 00:14:40,421 Matt: Mm. Yeah, that sorta shift work, jet-lagged, staring at the ceiling at 336 00:14:40,421 --> 00:14:41,731 2:00 in the morning version, right? 337 00:14:41,801 --> 00:14:42,211 Jen: Oh, yeah. 338 00:14:42,221 --> 00:14:42,781 Chris: It is. 339 00:14:42,831 --> 00:14:46,481 And, um, a flattened rhythm like that is one of the most consistent 340 00:14:46,491 --> 00:14:51,141 biological findings in depression, which is why sleep and routine get 341 00:14:51,151 --> 00:14:55,011 treated as real levers, not just nice ideas, when it comes to depression. 342 00:14:55,171 --> 00:14:55,451 Matt: Mm. 343 00:14:55,851 --> 00:15:01,381 Jen: But the genuinely good news is that the things which keeps the whole system 344 00:15:01,401 --> 00:15:04,981 healthy are ordinary and mostly free. 345 00:15:05,311 --> 00:15:09,843 Chris: They are, and it's sleep first by- Well, a very wide margin. 346 00:15:09,903 --> 00:15:14,033 So sleep, it's the single strongest regulator of the rhythm, and short sleep 347 00:15:14,053 --> 00:15:18,023 pushes cortisol up in the evening exactly when we want it to be falling away. 348 00:15:18,623 --> 00:15:22,393 Matt: So the most powerful fix, then, is a decent night's sleep, which is wonderful, 349 00:15:22,393 --> 00:15:26,603 I suppose, except, if I'm honest, it's the one thing I can't put into a bottle. 350 00:15:26,603 --> 00:15:28,163 Yet. 351 00:15:28,163 --> 00:15:28,763 Jen: Yet. 352 00:15:29,143 --> 00:15:29,193 Matt: Yeah. 353 00:15:30,093 --> 00:15:30,693 Everyone's trying. 354 00:15:31,683 --> 00:15:31,753 Jen: Yeah. 355 00:15:31,823 --> 00:15:33,543 But movement helps, too. 356 00:15:33,543 --> 00:15:38,353 So, but the intensity of the movement matters more than people think. 357 00:15:38,603 --> 00:15:42,833 So easy and moderate exercises nudges your baseline, your 358 00:15:42,833 --> 00:15:44,863 cortisol baseline, down over time. 359 00:15:44,863 --> 00:15:48,943 But a really, like a really hard gym session can cause 360 00:15:49,033 --> 00:15:51,313 a sharp spike on that day. 361 00:15:51,613 --> 00:15:52,323 Matt: Ah. 362 00:15:52,403 --> 00:16:00,193 So my ongoing case then for a gentle walk over a brutal workout has, in fact, just 363 00:16:00,203 --> 00:16:02,193 picked up some proper scientific backing. 364 00:16:03,013 --> 00:16:07,393 Chris: Although, to be fair- … the, uh, the hard session spike is short-lived 365 00:16:07,403 --> 00:16:08,883 if you're well-trained, like yourself. 366 00:16:08,923 --> 00:16:09,743 Matt: Oh, obviously, yeah. 367 00:16:09,743 --> 00:16:13,723 Chris: It's only the, it's the kind of constant over-training that 368 00:16:13,723 --> 00:16:15,833 keeps cortisol kind of stuck high. 369 00:16:16,173 --> 00:16:20,393 So gentle to moderate movement and consistent movement is a sweet spot. 370 00:16:20,403 --> 00:16:21,193 That, that's the truth. 371 00:16:21,623 --> 00:16:25,123 Jen: Which is probably a relief for anyone who dreads the gym. 372 00:16:25,443 --> 00:16:26,263 Matt: Yeah. 373 00:16:26,493 --> 00:16:29,983 But I do like the advice, you know, keep coming back to move a bit. 374 00:16:29,993 --> 00:16:30,693 Don't overdo it. 375 00:16:30,693 --> 00:16:31,633 Jen: Oh, don't overdo it. 376 00:16:31,633 --> 00:16:32,075 Don't 377 00:16:32,075 --> 00:16:32,958 Matt: overdo it. 378 00:16:32,958 --> 00:16:33,400 Don't 379 00:16:33,400 --> 00:16:33,842 Jen: overdo- 380 00:16:33,842 --> 00:16:35,493 Matt: don't, don't overdo it. 381 00:16:35,723 --> 00:16:39,793 Uh, rather than, you know, this, uh, this keep pushing, uh, through 382 00:16:39,793 --> 00:16:43,173 the, which is the sort of regime I normally abandon by week two. 383 00:16:43,833 --> 00:16:45,713 Chris: Yeah, a gentle walk and a nice sit-down, you know? 384 00:16:46,873 --> 00:16:48,633 You think that's a long way out. 385 00:16:48,843 --> 00:16:49,373 Cup of tea. 386 00:16:49,373 --> 00:16:50,181 Yeah, why not? 387 00:16:50,181 --> 00:16:50,773 Cup of tea, yeah. 388 00:16:50,773 --> 00:16:53,933 Uh, so jumping around to another point is, um, blood sugar. 389 00:16:54,233 --> 00:16:59,083 So blood sugar matters as well when it comes to cortisol because a sharp sugar 390 00:16:59,083 --> 00:17:03,493 crash, so a real dip in blood glucose, is one of the strongest triggers actually, 391 00:17:03,953 --> 00:17:05,893 um, that there is for a cortisol spike. 392 00:17:06,313 --> 00:17:11,613 So regular meals with a bit of protein help keep that steadier, and going easy 393 00:17:11,613 --> 00:17:15,933 on the old, um, afternoon big cup of coffee and the caffeine, and easing back 394 00:17:15,933 --> 00:17:20,923 on the late alcohol, they're both things that can help reduce that kind of evening 395 00:17:20,933 --> 00:17:22,203 dip and make sure it happens on time. 396 00:17:23,729 --> 00:17:24,539 Jen: That sounds fun. 397 00:17:24,549 --> 00:17:25,663 Yeah, I'm with 398 00:17:25,663 --> 00:17:26,209 Chris: this. 399 00:17:26,209 --> 00:17:28,689 Matt: I'm just thinking back to all the episodes that we've done, and it's 400 00:17:28,689 --> 00:17:29,929 like they're all saying the same thing. 401 00:17:29,929 --> 00:17:29,939 Yeah. 402 00:17:29,939 --> 00:17:29,949 Yeah. 403 00:17:29,949 --> 00:17:29,979 I'm the fun 404 00:17:30,929 --> 00:17:31,559 Chris: police, basically. 405 00:17:33,359 --> 00:17:33,709 Matt: That's you, 406 00:17:33,709 --> 00:17:33,999 Chris: Captain Sensible. 407 00:17:33,999 --> 00:17:35,929 Yeah, ditch the coffee, ditch the glass of wine. 408 00:17:36,079 --> 00:17:37,789 Uh, all I'll say, don't have it too late. 409 00:17:37,789 --> 00:17:38,199 Yeah. 410 00:17:38,199 --> 00:17:38,579 Jen: Yeah. 411 00:17:38,969 --> 00:17:40,889 In moderation, at the right time. 412 00:17:40,939 --> 00:17:41,949 Matt: The dose is the poison. 413 00:17:42,549 --> 00:17:42,919 Jen: But there's- All the 414 00:17:42,919 --> 00:17:43,439 Matt: cliches. 415 00:17:45,269 --> 00:17:49,699 Jen: There's also, um, calming practices, isn't there, that people are 416 00:17:49,699 --> 00:17:54,689 often quite cynical about, like slow breathing, meditation, but they've got 417 00:17:54,689 --> 00:17:56,929 some real evidence behind them as well. 418 00:17:57,139 --> 00:18:01,779 Matt: So, I, you know, me and my I'm too busy and perhaps wound up to meditate 419 00:18:01,799 --> 00:18:06,519 is really me being too stressed to do the thing that lowers the stress. 420 00:18:06,539 --> 00:18:07,039 Jen: Yeah. 421 00:18:07,099 --> 00:18:09,069 Chris: That is the unfortunate loop, I'm afraid. 422 00:18:09,169 --> 00:18:12,639 And, um, feeling connected and in control of your day matters more than 423 00:18:12,639 --> 00:18:16,279 people expect, actually, and 'cause it's tied to a steadier baseline. 424 00:18:17,559 --> 00:18:21,509 Jen: So another thing that's worth mentioning is supplements, and on 425 00:18:21,509 --> 00:18:25,689 an honest note, we, since we do sell some supplements, did you know that? 426 00:18:25,689 --> 00:18:25,991 We sell supplements. 427 00:18:25,991 --> 00:18:26,368 I, I, I did, yes. 428 00:18:26,368 --> 00:18:26,639 Thank you for 429 00:18:28,289 --> 00:18:28,997 Chris: pointing that out. 430 00:18:28,997 --> 00:18:29,234 Um- 431 00:18:29,234 --> 00:18:29,472 Jen: I, 432 00:18:29,472 --> 00:18:32,509 Chris: I was meant to wear my Vegetology T-shirt. 433 00:18:32,509 --> 00:18:32,623 Yeah. 434 00:18:32,623 --> 00:18:33,529 We're, we're not advertising products, but, you know. 435 00:18:33,529 --> 00:18:33,959 Matt: Yeah, yeah. 436 00:18:34,599 --> 00:18:38,249 Jen: Okay, so for cortisol specifically, though, the evidence is thin. 437 00:18:38,609 --> 00:18:44,869 Um, omega-3, that we sell, has a modest signal at best, and so we'd more 438 00:18:44,889 --> 00:18:50,309 steer you to, like, healthy sleep and routine first, and treat anything else 439 00:18:50,309 --> 00:18:52,909 as a minor extra, not the main event. 440 00:18:53,279 --> 00:18:56,809 Matt: Yeah, when you line it all up, cortisol is tangled into 441 00:18:56,809 --> 00:19:02,189 my sleep, my energy, my mood, and my appetite all at once. 442 00:19:02,259 --> 00:19:02,799 Jen: Mm. 443 00:19:03,169 --> 00:19:06,119 Chris: Which is exactly why you can't treat it in isolation. 444 00:19:06,119 --> 00:19:09,429 So cortisol isn't just something to push down, which is what we 445 00:19:09,499 --> 00:19:11,409 constantly see as the message. 446 00:19:11,769 --> 00:19:14,429 It's all about the timing that has to line up with everything else. 447 00:19:14,879 --> 00:19:17,679 Jen: And that flips the whole panic on its head, doesn't it? 448 00:19:17,699 --> 00:19:21,299 So you were never meant to have low cortisol, you're meant 449 00:19:21,309 --> 00:19:23,279 to have well-timed cortisol. 450 00:19:23,479 --> 00:19:24,889 Matt: Love that. 451 00:19:25,079 --> 00:19:26,159 Well-timed cortisol. 452 00:19:26,169 --> 00:19:29,759 So the goal changes completely, I think, when you understand that. 453 00:19:29,919 --> 00:19:30,289 Jen: Yeah. 454 00:19:30,819 --> 00:19:33,359 So why do we need cortisol? 455 00:19:33,779 --> 00:19:39,059 Because it fuels your brain, it holds up your blood pressure, it keeps your 456 00:19:39,059 --> 00:19:44,669 immune system in balance, and lifts you into the morning all on a daily rhythm. 457 00:19:44,669 --> 00:19:49,709 So the aim was never less of it, it's the right amount at the right time. 458 00:19:50,709 --> 00:19:55,249 Matt: And the way there isn't a detox or a gadget, which I appreciate is a 459 00:19:55,249 --> 00:19:56,819 bit of a shame to you gadget lovers. 460 00:19:56,879 --> 00:20:01,479 It's sleep, it's a bit of movement, it's regular meals, and people hanging 461 00:20:01,479 --> 00:20:04,239 around with people you actually like. 462 00:20:04,509 --> 00:20:04,679 Yeah, 463 00:20:05,349 --> 00:20:08,289 Chris: and get those things roughly right, and the body handles the rest beautifully. 464 00:20:08,329 --> 00:20:10,569 Although maybe the hanging around people you like, the body 465 00:20:10,629 --> 00:20:11,699 doesn't really have a say in 466 00:20:13,979 --> 00:20:14,299 Jen: that. 467 00:20:14,399 --> 00:20:19,279 Okay, so if that has cleared a few things up for you, follow or 468 00:20:19,299 --> 00:20:21,439 subscribe wherever you're listening. 469 00:20:21,649 --> 00:20:23,189 It genuinely helps us out. 470 00:20:23,739 --> 00:20:24,899 That's it for this week. 471 00:20:25,019 --> 00:20:28,729 Thanks so much for geeking out with us, but for now, that's it from me. 472 00:20:28,999 --> 00:20:29,699 Chris: That's it from me. 473 00:20:30,129 --> 00:20:31,699 Matt: And that's it from me. 474 00:20:31,909 --> 00:20:32,629 Jen: Bye for now