Cortisol Myths

As a naturopathic doctor, I often hear cortisol talked about like a comic book villain, always wreaking havoc and stealing our health. But cortisol is far more complex than that. It’s a vital hormone that helps us survive and adapt to challenges. The real issue lies not in cortisol itself, but in the common misconceptions that surround it. Here are five of the most persistent myths I hear in my practice.

The first myth: cortisol is simply bad. In truth, it’s essential for life, regulating blood sugar, pressure, inflammation, and energy. Problems arise when cortisol is chronically high or low, often due to long-term stress or health conditions. It’s often blamed for abdominal weight gain because cortisol receptors are dense in visceral fat, promoting midsection storage. This metabolically active fat can contribute to further imbalances. The issue isn’t cortisol, but what throws it out of balance, often a sign your body is constantly alarmed or struggling for equilibrium.

Another common myth: high cortisol always means you’re just too stressed. While emotional stress elevates cortisol, it’s not the only cause. Sleep deprivation, blood sugar instability, chronic infections, overtraining, and inflammation can all increase levels. I’ve seen patients doing everything right, eating well, exercising, meditating, still have elevated cortisol due to physical, not necessarily emotional, stress.

The third myth: low cortisol only occurs in serious diseases like Addison’s. While Addison’s is a rare autoimmune condition where adrenal glands stop producing cortisol, many experience functional low cortisol. This often develops after long periods of stress, when the body downregulates production to protect itself. People frequently wake up tired, feel flat in the afternoon, and get a second wind at night. Their quality of life suffers. Adaptogens like Rhodiola and Ginseng are helpful, regulating the stress response. Licorice root also supports cortisol by extending its availability. Naturopathic strategies also focus on optimizing sleep, gentle movement, and nutrient-dense dietary support to restore adrenal balance.

 

Another misconception: cortisol can be tested accurately at any time of day. In reality, cortisol follows a daily rhythm, highest in the morning and lowest at night. A single random blood test isn’t useful. Comprehensive testing, using saliva or urine samples taken at several points, reveals healthy, blunted, or reversed patterns, often aligning with how people feel and guiding treatment.

 

Lastly, there’s the belief that relaxing more is all you need to fix cortisol issues. While calming practices like meditation and deep breathing are valuable, they’re only part of the picture. Cortisol regulation also depends on sleep quality, stable blood sugar, digestive health, and inflammation control. Natural medicines can also jump start the healing process. A comprehensive approach works best for this complex hormone.

Cortisol is not the enemy. It’s a survival tool our bodies rely on, especially in times of change. By understanding how it truly works, we can better support our energy, focus, mood, and long-term health.

Dr. Deidre Macdonald is a naturopathic physician who has practiced in Courtenay since 1997. Contact at 250 897-0235 or via www.getwellhere.com

Gas is No Laughing Matter

While twelve-year-old boys may revel in the sound of their own gas, those plagued by excess gas will find that it is nothing to laugh about.  Excessive burping, bloating and flatulence bring distress and discomfort to more people than would like to admit it.  Despite the significant problem gas can cause, patients are often told something to the effect of, “Well, you have Irritable Bowel Syndrome, and you’re just going to have to live with it.”  I prefer to find and treat the underlying issues which cause gastrointestinal unrest.

Digestive dysfunction on a number of levels can contribute to excess gas.  Some people lack adequate stomach acid, or take acid-blocking medication for acid reflux.  Indigestion and gas problems can occur due to improper break down of food.  Further down, inadequate flow of digestive enzymes or bile can cause food to sit and ferment into gasses.  Constipation, diabetes, parasites, helicobactor pylori, multiple sclerosis and other medical conditions can cause excess gas.

Gas results from the production of gas by intestinal bacteria when they digest sugars and other carbohydrates.  Imbalances in the bacterial lining of the intestines, called the microbiome, can be a significant source of gas and bloating, as well as Irritable Bowel Syndrome.  Immune issues, poor diet, c-sections, antibiotics and acid-blocking drugs can alter the microbiome .  In Small Intestine Bacterial Overgrowth, also known as SIBO, excess gas is a key symptom. Also, a common yeast called Candida albicans can proliferate  to a level that can cause excess fermentation, leading to gas and other symptoms.

Some people’s gas is attributable to food allergies which can be determined with the help of a naturopathic physician.  Celiac disease, or intolerance to lactose, fructose or artificial sweeteners can each result in gas and bloating.  It also probably comes as no surprise that beer and other carbonated beverages have the same affect. Lastly, as any vegetarian knows, beans can cause gas, along with the cabbage family vegetables.

In short, don’t let gas get you down.  It is often a symptom of an underlying disorder which can often respond well to proper treatment.  Anyone who says otherwise, quite frankly, is full of hot air.