Is Cortisol control really necessary?

Is Cortisol control really necessary?

  • Absolutely if you want to keep mucle

    Votes: 26 72.2%
  • No - It is a Jedi mind trick

    Votes: 10 27.8%

  • Total voters
    36
  • Poll closed .
NasD

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Most people incorporate some kind of cortisol control in post cycle therapy and in cutting cycles. In researching I came across an article that would seem to contradict the norm here, especially with regards to experienced lifters, which is what I assume most folks here are. So is cortisol control really necessary?


By now you must have heard thousands of times how cortisol (C) is catabolic and will break down all your hard-earned muscle. You might even be using various drugs or supplements to suppress cortisol release in the hopes that perhaps this will help you to get bigger or stronger. Now, on the surface it appears to make sense for you to want to suppress C, after all it is catabolic. There is one little catch though: Without C many important metabolic reactions become impaired. The result: Muscle weakness and in severe cases death. So, the trick is to train hard enough to stimulate muscle growth without sending your C levels through the roof. Normal, healthy ranges of C are what we want, not levels suppressed so far down that we can’t even measure them.

What Is Cortisol?

Cortisol, or hydrocortisone, is a member of a family of hormones collectively referred to as glucocorticoids. Glucocorticoids get their name from their ability to increase blood glucose levels. While there are other glucocorticoids, C is the key player in healthy individuals. Let’s say you are lifting weights or stressed out from an argument. Both of these examples are types of stress. Stress can be physical, mental, or emotional. Stress stimulates your central nervous system (the brain and spinal cord). In turn, nerve cells, in a region of the brain referred to as the hypothalamus, get excited. They release a protein called corticotropin-releasing-factor or CRF. Now CRF in turn stimulates the anterior pituitary (a gland in the brain) to secrete adrenocorticotropic hormone or ACTH. ACTH then stimulates the adrenal cortex to produce C. Cortisol now goes to work by helping to raise your blood glucose levels. It travels in the body either bound to a protein or unbound in a “free” state. While different proteins can bind C, only one (corticosteroid binding globulin) prevents C from working in the body. The rest of the C in your body is active, meaning it can raise blood sugar, breakdown muscle, decrease inflammation, and control the immune system.

When C levels get too high, the cells that produce the CRF and ACTH become inhibited and less C is produced. This process is referred to as negative feedback inhibition and this is how the body monitors and controls C levels. Normal ranges vary considerably throughout the day with peak concentrations (280-720 nmol/l) reached between 7 AM and 9 AM. By 9 PM to 12 AM levels are considerably lower (60-340 nmol/l). Practically speaking does this have any significance for bodybuilders and strength athletes? A review of a the literature tells us that training in the morning versus training much later in the day will not make a difference as far as our C responses to exercise. What does make a difference however, is consistency. By lifting weights on a consistent basis, over time the body interprets this as less of a stress and produces less C as a result. This of course is assuming you are not over-training.

Functions of Cortisol

So now that we know what C is, and where it comes from, what does it do? Let’s start with a basic fact: Cortisol is essential for life and is catabolic to all cells in the body except liver cells. Catabolic refers to the ability to breakdown large molecules into smaller molecules. This applies to you in the following fashion: Let’s say you just got done with your two-hour leg workout. Cortisol levels will be elevated because you trained a large amount of muscle mass very intensely and for a fairly long time. The amount of muscle mass, intensity of exercise and the duration of exercise are factors that help to stimulate C production and release. Cortisol can now cause muscle proteins to be broken down into amino acids. These amino acids can travel to your liver or to the damaged muscle fibers in your quadriceps. In the liver, amino acids can be reassembled into new proteins, converted into glucose or converted into fatty acids. In the quadriceps, the amino acids can be reassembled into proteins that will help to repair the damaged muscle fibers. An interesting side effect of lifting weights is that it is antagonistic to glucocorticoid induced muscle atrophy. Exactly why this occurs is not clear, but suffice it to say that, as you gain experience with lifting weights, C is less likely to break down that muscle you worked so hard for.

Another function of C — that most people are usually glad to hear about — is that it breaks down fat. Fat cells around the body are referred to as adipose tissue. Cortisol helps the fat stored in adipose tissue, called triglycerides, to be broken down into smaller molecules, namely glycerol and three fatty acids. The glycerol and fatty acids can now enter the blood and be used as energy sources by other tissues in the body. The importance of this is seen during starvation where C levels are substantially elevated. The practical significance of this for the bodybuilder is that severely restricting calories will elevate your C levels to in order to breakdown fat and muscle for energy. On a side not it should also be pointed out that low calorie diet also lower your testosterone. Imagine having suppressed testosterone levels and elevated C levels. That is exactly the opposite of what we want to build muscle.

What else does C do? For the record, C also helps to: maintain blood pressure and proper renal (kidney) function; reduce swelling and speed up tissue repair; modulate perception and emotion; play a permissive role in the development of fetal organs; and directly effect bone and connective tissue growth in children. So while we may not want C levels higher than normal, we also don’t want them lower than normal either. Our bodies use C for a variety of functions and by forcing it below normal through the use of drugs or supplements, these same functions can be impaired in the body.

While C breaking down fat is a good thing, you don’t want to lose your hard-earned muscle with the fat. It is true that C inhibits protein synthesis (making new proteins) and can stimulate proteolysis (breaking down proteins) in your muscles, but remember the literature suggests that lowering C won’t help you build muscle any faster because C appears to break down certain proteins preferentially. This means it does not break down functional proteins of muscle or nerve cells. It has also been shown that damaged tissues can use the newly acquired amino acids from the labile proteins to synthesize new proteins for tissue repair. In addition it takes a back seat to insulin and exercise. This means that eating and training intelligently not only help you look and feel better, but they counteract the catabolic effects of C.

Acute Effects of Exercise on Cortisol Response

As briefly mentioned earlier, after a workout, C levels can be elevated for up to several hours. Factors that can influence C release are the intensity of the exercise, the amount of muscle mass being trained, the length of the workout and calorie levels in your diet. It is normal for C to be released during and after a workout. At this point you may wonder, “Is this is good or bad?” Let’s say you just did a heavy chest workout. Damaged muscle cells (fibers) in your chest and assisting muscle groups send out chemical signals. These signals attract special white blood cells called neutrophils. Neutrophils travel to the injured fibers and start breaking them down. In addition, specialized compartments inside of the injured muscle cells called lysosomes rupture and release proteolytic enzymes. These are proteins that will break down your hard-earned muscle. The combination of the neutrophils and enzymes degrading your muscle contribute to the muscle soreness you feel a day or two after training. Cortisol helps to reduce the accumulation of neutrophils and stabilize the lysosome compartments so that they don’t rupture. Now remember when we mentioned that C stimulates amino acid release into the blood? Well these amino acids can be used to repair the injured muscle fibers. Therefore, dramatically reducing C after a workout may increase muscle soreness and delay muscle recovery.

Chronic Effects of Exercise on Cortisol Responses

What happens to your C responses after you have been lifting for several months? In a trained lifter the typical C response is lower than an untrained lifter. This holds true for runners as well. In addition, C levels after exercise return to their normal levels quicker. The benefits of this are that you get the same protective Effects of C against muscle soreness, with less protein breakdown. This assumes of course that you are not over-trained. In over-trained athletes resting C levels can actually remain increased. This can pose a problem because excessive C levels are associated with a variety of health disorders. The best thing for you to do is take a break from training and not try to artificially suppress your C levels. If you artificially suppress C, in an attempt to mask your over-trained state, you can unwillingly create other health problems with the adrenal glands that will take months to correct.
 
NasD

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Negative Effects of Cortisol Elevation/Suppression

One problem with C is that really high levels do cause muscle wasting. However this is seen only in trauma/burn/injury/disease patients — not people lifting weights. In healthy people, excess C is not enough to cause excessive muscle protein breakdown after a single workout. Another point is that C deficient people don’t synthesize more protein than normal people. In athletes C levels can be used as markers of training status. One reason for this is that chronically elevated levels are associated with impaired performance. So the catch is: How do you prevent C levels from being high all the time, without disturbing the important functions that C is involved in? In order to answer this question let’s take a look at what happens when you chronically suppress C (<60 nmol/l). You dramatically diminish your ability to produce glucose. It may not be noticeable during the first few sets, but as the workout continues you find yourself fatiguing easily. If there is enough glucose and other nutrients available, your muscles will be weak and you loose weight due to impaired fat metabolism. This means that C helps to maintain functional properties of your hard-earned muscle. This can be due to affects on the nerve cells that stimulate your muscle cells to contract or due to direct action on the muscle cells themselves, at this point it is not clear. What is clear however is, that without C, muscle starts to atrophy. Yes, and with too much C muscle can atrophy as well. Keep in mind though that these similar results are due to very different reasons.

If getting weaker and thinner is not a turnoff for you then how about this: Low blood pressure, low blood volume, low blood sodium, low blood potassium, an increased propensity towards an autoimmune disease, anemia, anorexia, fatigue and increased pigmentation, are all possible symptoms of excessive C suppression. In addition you would most likely have to take a bunch of other drugs to help you train and recover and what about the side effects of these drugs?

You may have heard that C suppresses growth. This is only partially true. Growth suppression (either preventing or decreasing height and weight) only occurs when C levels are 2-3 times greater than normal. Normal levels will not prevent you from adding on muscle. With that in mind let’s take a look at some different methods of suppressing C to see if they are actually worth considering. First off, what is your training program like? If your resting pulse is higher than normal, your resting temperature is slightly elevated, your hands shake slightly, and there is some type of sleep disturbance (either too much or too little sleep), then you may be over-training. Is this a big deal? Well in over-trained endurance athletes, resting plasma C levels were increased by almost 48%. While these guys didn’t lift weights they still serve as a valuable example to monitor progress and recovery while training. Now let’s take a look at sleep. Sleep has been shown to inhibit ACTH and C especially during the early stages. Remember that ACTH stimulates C. If ACTH levels decrease than C levels will also decrease in normal people. Getting a good night’s rest is important and taking a nap may be a good idea as well in the quest for size and strength.

Carbohydrates

With all the hype on low fat and ketogenic-type diets in order to lower insulin levels, other hormones are being overlooked. The big C is one of them. Low carb and ketogenic diets elevate the cortisol response to exercise. The exact reason that this occurs has not been proven. Since insulin inhibits cortisol, one thought is that with a lower carbohydrate diet, insulin levels may be decreased. This would lead to less inhibition of cortisol, so cortisol levels go up. For you low carbers out there, rethink your strategy about carbohydrates. Cortisol levels are generally highest about an hour after we wake up and during and after exercise. One option that we have used with athletes following a low carb diet is to drink glucose containing beverages during the workout and immediately after the workout. Research has shown that this will help to decrease C levels and may even make the workout seem easier. If you’re not following a low carb diet, then eat some carbs with breakfast as soon as you wake up in the morning. This is another way to keep cortisol in check.

Glutamine

For some time it’s been known that high cortisol levels break down muscle proteins resulting in the release of glutamine into the blood. The problem is that the C levels of the subjects in these studies were much higher than any of us have and the glutamine was administered to the subjects by an i.v. tube. The GC levels are not realistic of a hard training individual and who infuses glutamine? This fact led researchers to try glutamine supplementation during periods of trauma or stress to see if it could prevent muscle protein break down. When glutamine was given to hip replacement patients, it counteracted cortisol and prevented the decrease in protein synthesis. Research has shown that glutamine counteracts the effects of cortisol and can maintain muscle under a variety of conditions. Glutamine has potential as an anti-cortisol agent and many bodybuilders swear by it. No research on effective glutamine dosages for athletes is available yet, but anecdotal reports range from 5 to 40 grams per day. More experienced athletes may need greater dosages to notice an effect. Another point is that glutamine does not lower C it only attenuates some of the effects of high levels of C. So if you were over-trained and start taking glutamine, sure it may possibly prevent muscle atrophy but the C is still high in your blood. Long term this can cause other problems.

Acetyl-L-Carnitine (ALC)

Acetyl-L-carnitine is a supplement that is derived from the amino acid L-carnitine. It has received quite a bit of attention because it improves cognitive function for certain groups and slows down the progression of Alzheimer’s disease. It does this by mimicking certain neurotransmitters in the brain. Athletes have known about this for some time and have used it as a pre-workout ergogenic aid, even though there isn’t direct research evidence that this will work. When 1-2 grams of ALC are given initially, cortisol levels increase. When taken chronically, ALC lowers cortisol levels. This has only been studied in Alzheimer’s patients and the exact mechanisms are not known. Athletes report using this supplement in dosages from 2 grams per day or more and claim that it lowers cortisol and elevates testosterone. While this has yet to be proven directly by researchers, studies have shown that it elevates luteinizing hormone (LH) in female rats. LH stimulates testosterone in men so it would seem logical that if ALC can also stimulate LH in men, it would increase their testosterone levels. Research confirms that ALC elevates testosterone in male mice. Perhaps athletes are ahead of researchers on this one.

Phosphatidylserine (PS)

Phosphatidylserine (PS) is a phospholipid. It’s a special type of fatty acid that contains a phosphate and a serine group. As a matter of fact, it is the same phospholipid that resides in our cell membranes, the outer lining of our cells. This imparts certain properties to the membranes that may allow for improved cognitive function and decreased stress. PS from cow brain and from soybean have been shown to decrease cortisol. This effect is the same regardless if you ride a bike or lift weights. These studies used about 800 mg per day. Since long-term data and higher dosages have yet to be studied, it is best to use this type of supplement only during periods of high stress and only for 2-3 weeks. Research and anecdotal reports agree that users experience a decreased perception of stress. This is like going in the gym and banging out ten sets of heavy squats and then telling your buddies, ’It was no big deal.’ The problem is that most of these studies dealt with previously untrained individuals. The blunting effects of PS may in fact be obscured by normal training adaptations that occurs with chronic exercise. Dr Fahey tested the effects of PS on certain endocrine responses of resistance trained men. 400 mg taken twice a day lowered C levels. This is the most recent direct evidence of the effects of PS on C for people. It seems that doses of less than 600-800 mg oer day are unlikely to affect C levels.

Stress Reducing Herbs

With the current herbal mania going on, we just had to throw something in here about the “au natural” stuff. Numerous herbs have been reported to decrease stress or at least the perception of stress. Unfortunately, most studies administering herbs to reduce stress did not measure C. In some cases C levels were increased and the researchers stated this was good, while in other cases C was lowered and researchers concluded this was good. Confusing? You bet it is. Rather than go over all the differences, we’ll just focus on one particular study. Plant extracts containing beta sitosterol decreased C in runners participating in a marathon. This study was chosen because it tested the product under real world conditions. Beta sitosterol is a common supplement found in saw palmetto and other herbs. It can be used as a short-term recovery aid during periods of high stress. Since concentrations of this vary, it is best to follow the label directions. This and other phytosterols will receive a great deal of attention by researchers in the future. Don’t be surprised if a future version of this article has many more sections devoted to phytosterols alone.

Other Options

What about anabolic-androgenic steroids (AAS), ascorbic acid (vitamin C)? All of these agents have been reported to inhibit glucocorticoid (GC) activity in the body. AAS are antagonistic to GC. It is thought that this may occur by AAS interfering with GC inside of the cell. So C still gets into the cell but it doesn’t degrade any proteins. This has not been proven though. Studies using AAS users showed no increases in C even though strength (and therefore intensity) levels were increasing. This may be real world evidence of the GC suppressive/antagonistic effects of AAS. As they are illegal without a prescription this is not a wise route to consider.

While there is a relationship between ascorbic acid (vitamin C or VC) and cortisol, it can be both antagonistic and/or synergistic. Simply stated, VC can be used by the body to make cortisol. At low levels (less than a gram), VC may actually increase cortisol levels in the blood. At higher levels (greater than 3 grams) Vitamin C may suppress cortisol production. This is difficult to interpret because there may be rebound effects later. So you take your VC and C goes down, but then as you excrete the VC out, C levels come back higher than before. Recent evidence that VC can lower C levels is based off of research on older women. More direct evidence in athletes indicates that acutely VC will not lower C levels.

Does massage really help you recover after exercise?

If it does help, then how does it work and what does this have to do with C? Researchers examined the effects of massage on muscle soreness, creatine kinase (an enzyme that serves as a marker for muscle damage), neutrophil (white blood cells that can break down muscle) count and C levels. The same type of exercise was performed by two different groups. One group received a carefully controlled and well described massage while the other group just received a light rub with lotion. The massage group reported much lower levels of muscle soreness 24-96 hours after exercise. The massage group had lower creatine kinase levels and a lower neutrophil count. Their C levels decreased at a slower rate postexercise. The current thinking is that the massage stimulated a slight stress response resulting in a slower rate of C decrease. This in turn decreased neutrophil accumulation which decreased muscle breakdown after exercise resulting in reduced muscle soreness. Now before you run out and get a massage, keep in mind that it most likely needs to be done vigorously by someone that knows what they are doing, and within a two hour window after exercise. If you wait too long a vigorous massage may actually increase muscle soreness, so timing is an important factor.

The Final Word

After reading this article you should come away with the following points: Cortisol is essential for life and resorting to an artificial means to lower C is really not necessary (or worth some of the risks). Studies are popping up regarding the effects of various supplements (e.g. vitamin C, glutamine, phosphatidylserine, acetyl-L-carnitine) on C levels. These agents may indeed affect how C is released or works in your body. Our point however, is why not consider the logical factors first (exercise, diet and sleep). If these factors are dealt with appropriately, there may not even be a need to take an agent to lower your C levels. Or from another perspective, if you keep C levels in a healthy range without supplements, would there be additional benefits at that point when you do use the supplements? And lastly if you take something and it does lower your C levels, is it helping you or only covering up a problem? That problem may prove to be more difficult to deal with later on.
 
crader

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For me it is. I have what I call stress fat under the muscle. It pushes my stomach out:(
 
Al Shades

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Depends on the person. If you tend towards having elevated cortisol levels, then obviously you'd benefit.
 
NasD

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If it depends on the person, how can you tell if you have elevated cortisol levels, blood tests?
 
celc5

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Most don't use cortisol control immediately post cycle because it is suppressed while ON. It takes a while for the cortisol pathway to rejuvenate (somewhere around 2 or 3 weeks). I believe we'd incorporate cort CONTROL in the same nature we incorporate estrogen CONTROL... both as opposed to elimination which will be detrimental as your article suggests. We supplement with the hopes of preventing the body from overcompensating after it detected a deficiency/imbalance. Finally, let's not forgot how terribly stressful the post cycle time frame is, which the article agrees would coincide with a strong cortisol response. (celc logic, which is of course, substantially less than fact)

I also suspect that you'd have to at least double dose the popular cort control supps to have detrimental effect under normal circumstances.

Edit: I dunno, maybe I'm wrong on that last point... I'll leave that one to the more educated.

Finally, some theories that article attempts to "debunk" are based on good science. I'll have my pasta please but still understand that CKD is quite successful when implemented properly. This makes me wonder if the author has an underlying agenda that escapes me while sifting quickly through his article.
 
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Jstrong20

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Using a product to control cort makes a very noticable diffrence in leaning out for me. Also seems to help keep strength up when cutting.
 
Travis

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Most don't use cortisol control immediately post cycle because it is suppressed while ON. It takes a while for the cortisol pathway to rejuvenate (somewhere around 2 or 3 weeks). I believe we'd incorporate cort CONTROL in the same nature we incorporate estrogen CONTROL... both as opposed to elimination which will be detrimental as your article suggests. We supplement with the hopes of preventing the body from overcompensating after it detected a deficiency/imbalance. Finally, let's not forgot how terribly stressful the post cycle time frame is, which the article agrees would coincide with a strong cortisol response. (celc logic, which is of course, substantially less than fact)

I also suspect that you'd have to at least double dose the popular cort control supps to have detrimental effect under normal circumstances.

Edit: I dunno, maybe I'm wrong on that last point... I'll leave that one to the more educated.

Finally, some theories that article attempts to "debunk" are based on good science. I'll have my pasta please but still understand that CKD is quite successful when implemented properly. This makes me wonder if the author has an underlying agenda that escapes me while sifting quickly through his article.
:goodpost: :goodpost: :goodpost: You are not wrong either.
 
milwood

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interesting article, and should be an interesting discussion...
 
preluda97

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Intense exercise training results in Muscle Glycongen depletion and Muscle Fiber Damage. By eating carbohydrates we can replenish glycongen levels. Eating protein along with the CHO will stimulate an anabolic environment for protein synthesis as long as it maintains a positive nitrogen balance. When Muscle Fiber damage is detected, the Posterior pituitary gland releases Adrenocorticotropic Hormone (ACTH) in this response to muscle fiber damage. ACTH Causes the release of corisol to help suppress inflammation and mobilize amino acids from muscle protein degradation. In relay to recovery, cortisol assists in fuel provision( amino acids via gluconeogenesis in the liver) and an increased level of cortisol may delay recovery.
 
Rodja

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While dieting, recomping, or during PCT, cort control is a great idea. It is also a good damage control plan for holidays or if you like to party (which I am guilty of).
 
MentalTwitch

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I think ive posted this 5 times on AM. I love Retain 2...cort control. It was the first time i actuall say results and liked them(leaning). It helped my waistline lean out alot. I stayed strong. I would say conttol or ridding of are different. I mean to go to low on Cort you would def notice. I see no issue as to lowering it a bit every 10-12 weeks.
 
NasD

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celc, preluda, et al, this is exactly what I was looking for in terms of info. I had read MANY articles about controlling cort when I ran across this one, which caused some questions. Thanks for the clarification.
 
CROWLER

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Using a product to control cort makes a very noticable diffrence in leaning out for me. Also seems to help keep strength up when cutting.

Which products?


CROWLER
 

Jstrong20

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Which products?


CROWLER
Lean extreme worked for me but I had to use a higher than recommended dose. If I remeber right I used 6 every day. I actualy want to try a topical 7 oxo product next. The only 3 I know of are abliterated, dermabolics makes one, and dermatherm. I'd like to try dermatherm but the price is steep.
 
Iron Warrior

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Cort control is very important for PCT. I like Lean Xtreme for Cort Control. I'm also pretty stressed out 7 months out of the year so it makes a bigger difference for me then it would for many others.
 
SteelEntity

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Great article, I agree that cort control for pct is a good thing, but I would not use it other then for that purpose only. I feel that the article fortifies that argument. I would def say that the negatives of cort control out weigh the positives based on that read.
 

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I think the of Adapagens like Relora, Holy Basil. Ashwaganda etc are good for overall health and maintenance of stress and cortisol management. But i also like the idea of doing 12 week on 4 week off cycles where you heavily suppress cortisol with products such as Retain 2, X-lean, Lean Extreme etc.
 
Al Shades

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If it depends on the person, how can you tell if you have elevated cortisol levels, blood tests?
I believe saliva testing is most reliable, and it's not hard to do, but you could also estimate your levels based on your mood and lifestyle. Go down the list of high cortisol symptoms and see if you have any.
 
NasD

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Saliva tests huh? I'll have to look into that. After reading the article my main concern regarding controlling cortisol was in PCT but it seems from all posts that the resounding answer is "yes" considering that cortisol levels are unusually high from what I understand. I would like to have the saliva test done though, just so that I know what my normal cortisol levels are.
 
Travis

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I believe saliva readings are reliable but you need to take a few readings throughout the day to get a good picture.

Also as an fyi, board sponsor Primordial Performance offers saliva test kits on their website. You can pick 3 hormones to test if I remember correctly (cortisol included).
 
Screwtape

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Are any supplements powerful enough to reduce cortisol low enough to cause Addison's-like symptoms, i.e; fatigue, muscle weakness, weight loss, vomiting, diarrhea, headache, joint and muscle pains. I have heard of bodybuilders suffering joint pain from using Cytadren (aminoglutethimide) to block cortisol, but have never heard of anyone having any problems with OTC supplements.
 

JDF

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I believe saliva testing is most reliable, and it's not hard to do, but you could also estimate your levels based on your mood and lifestyle. Go down the list of high cortisol symptoms and see if you have any.
I was considering a cort control product or an anti-E prodcut, where could i find a list that would show the syptoms and how i can evalute my lifestyle?
 

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