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Cortisol
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Cortisol is the body's main glucocorticoid, meaning the most important hormone in that family of steroids. It is made in the zona fasciculata of the adrenal cortex, which is the outer layer of the adrenal glands. And it is made from cholesterol.
It is not produced on its own: there is a chain of command called the hypothalamic-pituitary-adrenal axis. The hypothalamus, in the brain, releases a hormone called CRH; CRH tells the anterior pituitary, the front part of the gland hanging below the brain, to release ACTH; and ACTH tells the adrenal cortex to make cortisol. And cortisol itself inhibits the secretion of those two hormones, CRH and ACTH: it is as if, on its way out, it slowly turned off the tap it came from.
It also keeps a schedule. Its secretion follows a diurnal rhythm, the rhythm of day and night: it starts to rise during the last hours of sleep, reaches its highest point around the time of waking and drops through the day until it hits its lowest point at night. It is a tide that starts rising before you open your eyes.
In brief
Cortisol is the main glucocorticoid, a steroid that the zona fasciculata of the adrenal cortex synthesizes from cholesterol.
The hypothalamic-pituitary-adrenal axis governs it: CRH from the hypothalamus prompts the anterior pituitary to release ACTH, ACTH prompts cortisol release, and cortisol inhibits the secretion of both.
Its secretion follows a diurnal rhythm: it rises during the last hours of sleep, peaks near the time of waking and falls to its lowest point at night.
It is a tide that starts rising before you open your eyes.
Sources (1)
- National Center for Biotechnology Information, StatPearls PublishingPhysiology, Cortisol, StatPearlsPublished
This page explains the topic in general terms; it does not tell anyone what treatment to follow.
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