Skip to content

From 3 episodes

How can I tell if my stress hormones are out of balance?

Answered by Nikkiey Stott · Updated

The short answer

The show points to these signs: feeling wired and tired at bedtime, being easily startled, waking unrested or with headaches after a full night's sleep, blood sugar crashes and getting sick often. On Ep. 279, Dr. Jolene Brighten says cortisol can be checked with saliva or urine testing, like the DUTCH test, or with blood work.

Hear it answered

Tap play to start right where it's answered. It keeps playing while you browse.

  1. Dr. Jolene Brighten lists the signs your stress response is dysregulated

    Plays from 11:39 · Ep. 279: Early Perimenopause Signs Women Over 40 Should Know

  2. Nikkiey explains the flipped cortisol curve behind feeling tired and wired

    Plays from 13:37 · Ep. 196: How Does Sleep Affect Fat Loss and Muscle After 40?

  3. Candace Tranter on how your body signals a dysregulated nervous system

    Plays from 28:01 · Ep. 224: Why Manifestation Isn't Working for You and What Helps

  4. Dr. Brighten on the blood work and DUTCH testing she uses for cortisol

    Plays from 22:07 · Ep. 279: Early Perimenopause Signs Women Over 40 Should Know

The full answer

On Ep. 279, Dr. Jolene Brighten explains that the HPA axis is how your brain talks to your adrenal glands. She lists these signs of dysregulation:

  • Your body is exhausted at bedtime but your brain won't shut off (wired and tired)
  • You jolt or startle every time someone walks into a room
  • You wake with headaches, or feel unrested after eight hours
  • You ride a blood sugar roller coaster, since cortisol responds when blood sugar drops

On Ep. 196, Nikkiey explains the daily curve. Cortisol is supposed to be higher in the morning and dip before bed. Many women in the WarriorBabe community test with that curve flipped: low in the morning, which can show up as brain fog, low mood, low sex drive and waking sluggish, then high at night, which can cost you deep sleep and slow your results. Passing on what a doctor told their community, she adds that high cortisol can also start to affect your thyroid. Dr. Brighten notes that what people call low cortisol is often the result of high cortisol over a long period.

Candace Tranter, on Ep. 224, frames it through the nervous system. Anxiety, rising blood pressure, not sleeping and not eating are all ways your body tells you something is off.

These signs are clues, not a diagnosis. Dr. Brighten says testing can include salivary or urinary cortisol. She likes the DUTCH test because it shows the cortisol-to-cortisone ratio and how cortisol moves through the day. In blood work, she orders an ACTH and an 8 a.m. cortisol. If any of this sounds familiar, take your symptoms to your doctor and ask what testing makes sense for you. Feeling this way does not mean you're failing. It means your body is asking for a different plan.

From WarriorBabe's coaches (how we write our answers). For education, not medical advice: talk to your doctor about your own health.

Part of

Hormones & Hormone Health →

Women also ask

More questions →
  • Hormones & Hormone Health

    How can I balance my hormones naturally after 40?

    On The WarriorBabe Show, supporting your hormones after 40 starts with your routine, not willpower. That means consistent strength training, walking instead of punishing cardio, real recovery and lower stress, and eating enough, especially protein at every meal. The episodes frame this as supporting your body, not fixing a broken one. For symptoms or medications, work with your doctor.

    Read the answer →

  • Hormones & Hormone Health

    Why does libido drop in perimenopause?

    Libido drops in perimenopause for many reasons at once, not just hormones. On The WarriorBabe Show, Dr. Jolene Brighten points to swinging then falling estrogen, lower progesterone, poor sleep, histamine, pain with sex, insulin resistance, inflammation, stress, body image and relationship strain. Her message: you are not broken.

    Read the answer →

  • Hormones & Hormone Health

    Can stress stop me from losing belly fat?

    Yes, according to Nikkiey. On The WarriorBabe Show she explains that chronic stress keeps cortisol elevated, which she says increases fat storage around the midsection and drives cravings for comfort foods. Even with solid macros and training, a body stuck in survival mode can hold on to fat, so managing stress becomes part of the plan.

    Read the answer →

Watch or listen in full

More on this topic →

Free Body
Transformation Assessment

Apply now