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.
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
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?
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
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 →- How much fat should I eat for hormone health?
- Is HRT enough to lose weight in menopause?
- What blood tests should I ask my doctor for after 40?
- Why are my lab results normal when I feel awful?
- Can strength training help with insulin resistance?
- Do I need intermittent fasting to reverse insulin resistance?
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 →
1 hr 1 minEarly Perimenopause Signs Women Over 40 Should Know
With Dr. Jolene Brighten
36 minHow Does Sleep Affect Fat Loss and Muscle After 40?
Episode 196 · Oct 7, 2024
1 hr 0 minWhy Manifestation Isn't Working for You and What Helps
With Candace Tranter
Free Body Transformation Assessment
Your hormones changed. Your plan didn't.
Fat storage, energy, sleep and cravings all shift after 40. We'll build your nutrition and training around the body you have today, alongside the care you get from your doctor.
- Built for women over 40
- Nutrition that supports your energy
- Strength training to protect muscle
21,800+ women transformed