Whether lowering cortisol can improve gut health is not yet firmly established by evidence. Mechanistically, chronic high cortisol – often from stress – can impair the gut barrier, increase intestinal permeability („leaky gut“), and alter the microbiome composition. Cortisol also promotes inflammation, which may worsen conditions like irritable bowel syndrome (IBS) or inflammatory bowel disease (IBD). However, most data come from animal models or small human studies; large randomized controlled trials are lacking. The evidence is therefore mechanistic/unclear. Practically, stress reduction, adequate sleep, and regular exercise can lower cortisol and also benefit gut health, but a causal link is not proven. Specific „cortisol-lowering“ supplements (e.g., ashwagandha, phosphatidylserine) should be viewed with caution, as their gut effects are insufficiently studied. Direct-to-consumer cortisol tests (like those from MyBody-X) provide only a rough snapshot and are not a substitute for clinical evaluation. Bottom line: Lowering cortisol may theoretically support gut health, but the evidence is weak. Lifestyle changes remain the safest bet.
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