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Vogue Article Details 11 Strategies to Reduce Cortisol During Perimenopause and Menopause

other · 2026-04-17

According to functional diagnostic nutrition practitioner Selina Rose, hormonal changes during perimenopause and menopause can lead to disruptions in cortisol regulation, heightening anxiety and sleep disturbances. Dr. Jody-Ann McLean adds that visceral fat may also generate cortisol, further complicating the situation. Experts suggest 11 approaches, such as maintaining balanced meals for blood sugar stability, having a high-protein breakfast, adhering to regular sleep patterns, and getting sunlight exposure. Engaging in strength training two to three times a week can lower cortisol levels, while increasing magnesium and potassium intake aids adrenal health. Adaptogenic herbs like ashwagandha may decrease cortisol by as much as 30%. Daily nature interactions and brief stress-relief sessions assist in cortisol metabolism, and clinical hypnosis can lessen hot flush occurrences, as recommended by The Menopause Society. A holistic focus is encouraged.

Key facts

  • Perimenopause and menopause hormonal changes increase cortisol reactivity and disrupt sleep.
  • Visceral abdominal fat in menopause can generate cortisol, creating a cycle of weight gain.
  • Stabilizing blood sugar with protein, fats, and fiber meals helps reduce cortisol spikes.
  • A high-protein breakfast within 90 minutes of waking stabilizes glucose and cortisol.
  • Consistent sleep schedules and morning light exposure regulate circadian rhythms and cortisol timing.
  • Strength training lowers cortisol, improves insulin sensitivity, and preserves muscle mass.
  • Magnesium and potassium intake supports adrenal function and reduces stress sensitivity.
  • Adaptogen ashwagandha may reduce cortisol by up to 30%; clinical hypnosis can alleviate symptoms.

Entities

Institutions

  • The Menopause Society
  • British Menopause Society
  • Vogue

Sources