Episode 167. Stress Less, Weigh Less: All About Cortisol
Back on Track: Achieving Healthy Weight LossSeptember 23, 2024
167
11:0015.85 MB

Episode 167. Stress Less, Weigh Less: All About Cortisol

Could stress be the hidden culprit behind your weight loss struggles?

In this episode, I discussed the role of cortisol, the stress hormone, and its impact on weight loss. Cortisol, produced by the adrenal glands, is essential for managing stress but can hinder weight loss when chronically elevated. When stressed, cortisol triggers an increase in blood sugar, fuels muscles for action, and plays a role in fat distribution—particularly around the abdomen. 

Furthermore, high cortisol levels over time can lead to weight gain, insulin resistance, weakened immune response, and sleep disturbances. I offer practical strategies to balance cortisol, including stress management, regular moderate exercise, adequate sleep, and a healthy diet. Also, I emphasize the importance of mindfulness, reducing caffeine and alcohol intake, and engaging in positive social interactions to keep cortisol levels in check and support weight loss goals.

Tune in to learn how to balance your cortisol levels and take control of your weight loss journey with practical tips and strategies!

 

Episode Highlights:

  • Ways to balance insulin

  • About cortisol

  • Functions of cortisol in our body

  • Causes of chronically high cortisol

  • Effects of chronic high cortisol

  • Balancing cortisol levels 

Connect with Dr. Alicia Shelly:

About Dr. Alicia Shelly

Dr. Alicia Shelly was raised in Atlanta, GA. She received her Doctorate of Medicine from Case Western Reserve University School of Medicine in Cleveland, OH. Dr. Shelly has been practicing Primary Care and Obesity medicine since 2014. In 2017, she became a Diplomat of the American Board of Obesity Medicine. She is the lead physician at the Wellstar Medical Center Douglasville. She started a weekly podcast & Youtube channel entitled Back on Track: Achieving Healthy Weight loss, where she discusses how to get on track and stay on track with your weight loss journey. She has spoken for numerous local and national organizations, including the Obesity Medicine Association, and the Georgia Chapter of the American Society of Metabolic and Bariatric Surgeons. She has been featured on CNN, Fox 5 News, Bruce St. James Radio show, Upscale magazine, and Shape.com. She was named an honoree of the 2021 Atlanta Business Chronicle's 40 under 40 award. She also is a collaborating author for the, “Made for More: Physician Entrepreneurs who Live Life and Practice Medicine on their own terms''.

 

Resources:

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[00:00:00] Welcome back to the Back on Track Achieving Healthy Weight Loss, where I help you get on track

[00:00:06] and stay on track with your weight loss journey. I'm your host, Dr. Alicia Shelly, so let's get started!

[00:00:27] Welcome to the Back on Track, Achieving Healthy Weight Loss podcast. I'm your host, Dr. Alicia Shelly.

[00:00:34] Now, if you tuned in last week, we discussed how to balance your hormones for weight loss

[00:00:40] in regards to the insulin because we talked about how important insulin was to the body and not only

[00:00:47] does it regulate blood sugar levels, but also if it's too high, it can actually lead to fat

[00:00:54] deposits. It can prevent fat breakdown which makes it harder for people to lose weight.

[00:01:01] And we talked about waste and brew or balance out that hormone by eating a balanced diet,

[00:01:07] which is a low carb diet choosing more complex carbs, limiting our alcohol,

[00:01:14] increasing our exercise and then of course getting a good nice rest. But this week, we're going to

[00:01:20] focus on cortisol, the stress hormone. Now, we don't talk a lot about cortisol and so I'm so glad

[00:01:28] to kind of maybe spend a little bit more time discussing cortisol and how it can impede your weight loss

[00:01:36] and how we can balance it out. Now, cortisol is a steroid hormone produced by the adrenal glands,

[00:01:43] which is located on top of the kidneys and we have two kidneys right in left. When majority

[00:01:48] people do, I know some people aren't, I don't have it. And cortisol is often referred to as the

[00:01:54] stress hormone because it's released in response to stress but it also plays a vital role in many

[00:02:01] other bodily functions. I mean, we'll talk about this coming up, but it can also affect other hormones

[00:02:06] and run the body. So it is actually a very important hormone that we need to discuss. Now,

[00:02:13] when we talk about that stress hormone, cortisol is part of the body's fight or flight response.

[00:02:20] When you experience stress, whether it's physical, emotional or psychological,

[00:02:26] cortisol is released to help your body deal with the stressor. A good example is if you see a bear,

[00:02:33] you most likely will turn around and run the other direction. And what happens is that when you

[00:02:40] actually see that bear, your brain perceives a threat and it triggers the release of cortisol

[00:02:46] from the adrenal glands to spike in the body as you run our fly away. And when cortisol is increased,

[00:02:53] it actually increases the amount of glucose or sugar in the bloodstream, which basically provides

[00:02:59] more energy for the muscles to start running in the opposite direction. And it releases this glucose

[00:03:05] by signaling the liver to release glucose into the bloodstream. Also, it can convert protein into glucose

[00:03:13] or blood sugar. Now, the muscles have the fuel that it needs to was, again, run away from the bear.

[00:03:20] But cortisol also has some other functions as well. It influences how the body metabolizes

[00:03:26] proteins, fats, and carbohydrate. Like I mentioned before, it can help convert proteins into glucose,

[00:03:33] which ensures a steady supply of energy, especially during times the stress or low food intake.

[00:03:39] Also, it can help control your fat distribution, meaning that chronic high levels of cortisol

[00:03:45] can promote fat storage, especially in our abdominal area, which is very, very frustrating for people.

[00:03:54] Also, cortisol can have an anti-inflammatory effect, which is useful in controlling the immune

[00:04:00] response and preventing the body from overreacting distress or infection. So, in lower levels,

[00:04:07] cortisol can bring down that immune response and prevent the body from overreacting or becoming an

[00:04:13] anti-inflammatory. However, when they have prolonged high levels of cortisol, it can suppress the

[00:04:21] immune system. It can make it harder for your body to fight infections or to heal properly,

[00:04:27] which is important because if you're sick, you want to get better, but if you have really high

[00:04:32] chronic levels, then it can do the opposite of what you wanted to do.

[00:04:37] cortisol can also help regulate blood pressure by influencing how the blood vessels contract

[00:04:44] and respond and how the body responds to sodium, which helps maintain your heart,

[00:04:51] as stability during stress. So, when you're running, although your heart is beating fast,

[00:04:56] the blood vessels are responding appropriately during a fight or fight moment or stressful moment.

[00:05:03] Also, cortisol can affect your sleep, wake cycle, call your circadian rhythm.

[00:05:09] Now, cortisol levels are typically the highest in early morning, which is around 6 to 8 a.m.

[00:05:14] And then it gradually decreases throughout the day reaching its lowest levels at night.

[00:05:20] Now, in the morning you have a cortisol spike known as the cortisol awakening response.

[00:05:26] This helps you to wake up, feel alert by boosting your energy and stimulating

[00:05:30] production of glucose or blood sugar. And the lowest levels I can mention are in the evening,

[00:05:36] which allows your body to wind down and prepare for rest. And support the release of Melatonin,

[00:05:42] a horn on that helps you with improving your sleep, or inducing sleep and going to sleep.

[00:05:47] Now, how can you develop chronically high levels of cortisol? Well, it can be emotional or

[00:05:54] psychological stress, like anxiety, work stress, relationship stress, financial stress, burnout,

[00:06:02] also it can be physical stress, like chronic illnesses, infections, or even pain.

[00:06:07] Also, if you have a poor sleep packet, that too can increase your cortisol levels. And an unhealthy

[00:06:14] diet that's high in high sugar or even processed foods. And let's not forget the caffeine,

[00:06:21] frequent caffeine can cause chronic high levels of cortisol. And if you have deficiencies in

[00:06:27] vitamins or nutrients such as magnesium, b-vitomins, vitamin C, which help regulate stress response,

[00:06:34] they can contribute to abnormal cortisol levels. And excessive alcohol consumption and recreational

[00:06:42] drives can interfere with the body's ability to regulate cortisol and stress hormones.

[00:06:48] While alcohol may initially lower stress, like you feel like, whoa, it feels better.

[00:06:53] It's long term use can contribute to cortisol and balance. In certain medical conditions such as

[00:07:04] so what happens to your body if you have chronic cortisol levels? Well, like I mentioned,

[00:07:10] cortisol can cause back deposits, especially around her abdomen and can lead to weight gain.

[00:07:16] Also, it can lead to insulin resistance, which increases the risk of type 2 diabetes and some

[00:07:22] people. Also, it reduces your immune system, which makes the body more susceptible to infections.

[00:07:30] So for certain infections like shingles or you may find that if you're more stressed,

[00:07:36] pretend to catch an upper respiratory infection and that happens because of your suppressed

[00:07:41] immune system. Also, sleep disturbances when your cortisol levels are constantly high and you don't

[00:07:48] see that rhythm that you normally see, it throws off your circadian rhythm. And it can lead to

[00:07:59] cortisol can lead to high blood pressure and increase the risk of heart disease. And then, of course,

[00:08:06] move disorders such as anxiety, depression, irritability, cortisol can lead to that. And chronic

[00:08:12] stress can negatively impact your brain function, particularly in areas related to memory,

[00:08:18] learning, emotional regulation. And of course, it can be associated with brain frog, anxiety,

[00:08:24] and depression. So how can you balance your cortisol levels? Like, what can we do about this?

[00:08:30] Especially because they're now more important. Well, number one stress management,

[00:08:34] it's important to find the things that are triggering your stress and incorporate mindfulness

[00:08:40] practices. You can do prayer, meditation, yoga, deep breathing just to help the body to manage stress

[00:08:47] more effective. Also, exercising moderately such as regular physical activity, low impact

[00:08:54] exercise is like yoga, walking, can lower cortisol, avoid overtrend because sometimes at

[00:09:00] overtrend and can increase your cortisol levels and make it harder to lose weight as well.

[00:09:06] Also, prioritize your sleep aim for seven to nine hours of quality of sleep each night

[00:09:11] to support your hormonal balance. And of course, eating it healthy diet, focusing on whole,

[00:09:18] nutrient foods and reduce sugar and processed foods include foods that are high in magnesium

[00:09:23] and antioxidants Omega 3 which support your stress reduction, limit your caffeine and alcohol

[00:09:31] because too much caffeine and alcohol can lead to higher cortisol levels when consumed.

[00:09:37] It acts as so important to cut back on that and then having positive social interactions,

[00:09:43] spending time with people who support you and love you and can help reduce your stress and lower

[00:09:49] your cortisol levels. So in conclusion, cortisol is a vital hormone and when it's chronically

[00:09:57] high, it can lead to weight gain, it can lead to stress, it can lead to sleep disturbance,

[00:10:03] high blood pressure, a suppressed immune system, it can lead to so many things. And so by having

[00:10:10] a plan for stress management, exercising moderately, prioritizing sleep and having a healthy diet,

[00:10:17] these are ways that we can help balance out our cortisol. So then number one, we avoid the

[00:10:23] chronically high levels and we can reduce weight gain and help with weight loss. So I hope this is

[00:10:30] help stay tuned for next week as we continue to talk about hormones and how they affect your weight

[00:10:36] loss journey. I'm your host again Dr. Lisa Shelley, thank you again for joining us on the

[00:10:42] back on track achieving healthy weight loss podcast. If you liked this episode, please share with

[00:10:47] others like and subscribe and don't forget to leave a five-star repeat. It will see you next time.