Take a Ride on the Cortisol Coaster

By Ava Sammarco

As medical professionals, we globally, no matter your letters of your experience or expertise all share a common ailment – stress. Let’s face it – our lack of intelligence is not the reason nor is it our inability to be diligent. Any division of the medical field, including nursing, is not the easiest of tasks to achieve. We all understand diet, exercise, self-care, meditative practices, and breathing. We teach all of our patients about these topics; knowledge in these areas is not where we fall short. So, why do so many healthcare professionals suffer from poor health, stress, irritability, restless sleep when we are exhausted, weight gain, and difficulty staying focused on our off days? The constant on switch of fight or flight.

Nurses tend to stay in this process regardless of what they are doing, it is how we are trained. The constant need for adrenaline becomes a habit. Habits don’t separate from you when you clock out. A laughable statement is we leave work at work. This is physically impossible because our fight or flight switch has a short and is mostly on.  Every single one of us has worked bedside care whether it was briefly or our chosen expertise, caring for others who are sick, dying, or about to die is on every RNs resume. 

So, what does all of this have to do with our endless cup of coffee, the mid-shift need for sugar, irritability we tend to have at some point in our day brief or long, and the craving for something to relax us when our shift is over? It’s a lack of a high peak in our cortisol levels.

Our body repairs while we sleep but something happens to people between 2 and 4 am, a huge increase in cortisol levels. Medical professionals do not have the highest high during this time period as other people do. That lack of a huge increase to provide a steady decline all day is a source of many of the symptoms we face daily. Ask yourself, “when was the last time you had a cortisol level drawn?” Unless you’re going to a lab at 5 am, you probably have not had a precise one.

There is, however, a simple solution. Add an adrenal cortex supplement to your diet before your feet ever hit the floor and again mid-morning, in addition to powder vitamin C to assist in the absorption. This regimen can provide a higher level to fall from during the day. This results in better sleep, decreased irritability, attentiveness, and fewer cravings for physical assistance in relaxation be it processed carbohydrates or alcohol.

As with any supplement, you should get baseline blood work. You should track your habits of eating times and food eaten for two weeks prior to the visit to help your physician understand your routine. Transparency is necessary to provide the best possible outcomes. If your physician is not willing or is unfamiliar with homeopathic medicine, there is a Florida-based company, happy to assist you. This will be an out-of-pocket expense for a consult but labs typically are covered through your insurance, Andregenoinx is a great resource and innovative leader. 

Let’s beat the burnout by treating the problem, not masking the symptoms.


Bio‐ Janell Khamvongsa, RN

I have explored many aspects of nursing. Emergency Room, Psychiatric, perioperative, currently SA nursing study with the desire to pursue fitness.

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Take a Ride on the Cortisol Coaster

As medical professionals, we globally, no matter your letters of your experience or expertise all share a common ailment – stress.

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