You can be training hard, eating well, and still not feel like yourself. Low energy, low drive, and progress in the gym that just stopped. One of the most common things I see in men who come in with low testosterone symptoms is that the root problem isn’t testosterone at all. It’s stress. Cortisol and testosterone are closely connected, and when cortisol is chronically high, testosterone tends to drop.

What Is Cortisol?

Cortisol is your main stress hormone, made by your adrenal glands. It is not the enemy! It helps wake you up in the morning, gets energy to your muscles when you need it, and keeps inflammation in check.

In a healthy system, cortisol is highest shortly after you wake up, gradually falls throughout the day, and is lowest at night so you can sleep. The problems start when cortisol stays elevated for too long or spikes at a time of day when it should be low.

How Cortisol Lowers Testosterone

Your body prioritizes survival over everything else. When it senses stress, it shifts resources toward getting through the threat and away from things like building muscle, recovery, and reproduction.

Cortisol lowers testosterone in two main ways. First, it turns down the signals from your brain that tell your testes to make testosterone. Second, it directly reduces testosterone production in the testes themselves. In the short term this is normal and harmless. Your body was built to handle a stressful event and then recover. The issue is that when you never get a break, your testosterone doesn’t have time to recover.

Where the Stress Is Coming From

Your body doesn’t care where stress comes from. A deadline at work, a hard training block, and a bad night of sleep all go into the same bucket. Some of the biggest contributors I see:

  • Poor sleep. In one study, healthy young men who slept 5 hours a night for one week had a 10 to 15% drop in daytime testosterone. Most of your testosterone is produced while you sleep, so cutting sleep short cuts production.
  • Training without recovering. Hard training is a stressor. If you don’t recover from it, you’re adding stress, not building fitness. I cover this more in Overtraining vs. Under-Recovery.
  • Not eating enough. Under-eating is one of the most overlooked stressors, especially for guys trying to stay lean. Your body needs enough protein and healthy fats to make hormones in the first place.
  • Work, money, and relationships. Mental stress raises cortisol the same way physical stress does. You are able to tolerate more of this stress if everything else is working better.
  • Too much caffeine or alcohol. Caffeine raises cortisol, and alcohol wrecks sleep quality. A few cups of coffee each day is typically fine, but if you need energy drinks or pre-workout to keep going, then something isn’t working optimally.
  • Hidden stressors. Gut issues, chronic inflammation, immune system imbalances, and blood sugar swings all put a load on your system that you may not even notice.

Signs Stress Might Be Affecting Your Testosterone

Some of the most common signs I see:

  • Feeling tired all day but wired at night (wired and tired)
  • Waking up between 1 and 4 a.m. and struggling to fall back asleep
  • Needing caffeine to function
  • A plateau in the gym, where strength or muscle gains have stalled
  • Gaining fat around your midsection
  • Low libido or motivation
  • Getting sick more often
  • Irritability or feeling on edge

How to Lower Cortisol and Support Testosterone Naturally

Fix your sleep. Aim for 7 to 9 hours on a consistent schedule. Keep your room dark and cool, and put your phone away before bed.

Eat enough. Don’t skip meals, and get enough protein and healthy fats throughout the day. If you’re waking up in the middle of the night, not eating enough during the day is one of the most common causes.

Train smart. Not every session needs to be max effort. Match your training to how well you’re recovering, and don’t be afraid to add easy days or walks. Try working at a weight and rep range where you could do 2 to 3 more reps with good form for 3 to 4 weeks in between your max effort weeks.

Get morning sunlight. Light exposure soon after waking helps set your cortisol rhythm so it’s high in the morning and low at night.

Watch your caffeine and alcohol. Avoid energy drinks and pre-workouts, and limit alcohol, especially close to bedtime. Try limiting caffeine intake to before noon, especially if you are having trouble sleeping.

Give your nervous system a break. Time outside, slow breathing, or anything that actually helps you slow down and relax. It doesn’t have to be complicated.

Can’t Reduce Your Stress? Build Your Stress Tolerance

Most advice about cortisol comes down to “reduce your stress.” That’s great if you can, but a lot of the men I work with can’t. You might run a business, work long shifts, have a newborn at home, or be in a job that’s demanding no matter what you do. You can’t just quit your life to lower your cortisol.

The good news is that stress is only half the equation. The other half is how much stress your body can handle before it starts breaking down. Think of it like a bucket. Every stressor adds water. You can’t always turn off the faucet, but you can build a bigger bucket and empty it more often.

Fix the stressors you can control. Your body doesn’t know the difference between stress from your job and stress from a gut issue, blood sugar swings, or a nutrient deficiency. If your body is constantly dealing with hidden stressors, you have less room for the ones you can’t avoid. This is a big part of what I do with patients: finding and correcting the stressors you may not even feel, so your body has more capacity left over for everything else.

Feed your stress response. Your body uses more nutrients when you’re under stress, especially protein, magnesium, B vitamins, vitamin C, and vitamin E. Eating regular meals with enough protein and fat also keeps your blood sugar stable, so your body isn’t releasing extra cortisol just to keep you running between meals. Some people also find adaptogenic herbs such as Ashwagandha, Tulsi (Holy Basil), or Rhodiola to be beneficial in improving stress tolerance.

Use exercise to train your stress response. Exercise is a stressor, but it’s a controlled one. When it’s dosed right, it teaches your body to handle stress and recover from it. Building a solid aerobic base with cardio at a heart rate below 80% of your max HR, like walking/jogging or easy cycling, is one of the best ways to improve how well you bounce back. The key is training at a level you can actually recover from. To estimate your aerobic heart rate the MAF formula of 180 minus your age.

Build in small recovery windows. If you can’t take stress away, give your body chances to come down from it. A short walk after lunch, a few minutes of slow breathing between meetings, or a set routine to wind down after work all help your nervous system shift out of “go” mode. These don’t need to be long. They need to be consistent.

Why Testing Matters

If you’ve addressed the basics and still feel off, it’s worth looking deeper. Salivary testing can show your cortisol pattern throughout the day along with your free testosterone, the testosterone your body is actually using. Combined with Applied Kinesiology, this helps me find what’s driving the problem instead of guessing.

The Bottom Line

If stress is what’s suppressing your testosterone, TRT treats the number on your lab report but not the reason it’s low. Getting your cortisol back in check is often the first and most important step toward getting your energy, drive, and performance back.

Want the Full Picture?

This is one piece of a bigger approach to testosterone, energy, and performance. See how it all fits together, and what natural options look like before you consider TRT.

Or book a free 15-minute consult with Dr. Watts.

Find a Systems Health Care practitioner here.

Find an ICAK doc here.

I am a chiropractor with extensive training in functional medicine and exercise science. I have a passion for truly natural and holistic healthcare. I utilize dietary and nutritional therapies, movement therapies, as well as manual therapies to help the body heal and prevent future illness and injury.

Learn more about the technique I use: Systems Health Care


Comments

Leave a Reply

Dr. Zachary Watts, DC: Functional Medicine, Applied Kinesiology
Dr. Zachary Watts, DC: Functional Medicine, Applied Kinesiology
Google star 1Google star 2Google star 3Google star 4Google star 5
17 Google reviews
Posted on Google Google
Claire Gallagher profile picture
Claire Gallagher
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
I traveled from New Orleans to Chapel Hill to see Dr. Watts at the recommendation of a good friend, and the trip was more than worth it. Dr. Watts has truly been a game-changer for me. For over three years, I struggled with a range of unexplained health issues—digestive problems, cycle irregularities, autoimmune concerns, joint aches and pains, and more. Dr. Watts was able to identify several underlying factors and begin addressing them right away. I experienced significant improvement within just a few days, and my health has continued to improve steadily since returning home. After years of doctors shrugging their shoulders or prescribing medications to mask symptoms, I am incredibly grateful to finally have real answers and a clear path forward. As a dancer, I’ve also noticed tremendous improvements in my balance and sense of groundedness—something I didn’t even realize could be connected. I genuinely believe that being under Dr. Watts’ care will dramatically improve my quality of life. If you’re searching for relief, clarity, compassion, and long-term, solution-oriented treatment, I cannot recommend Dr. Watts highly enough.
Posted on Google Google
Sarah Williams profile picture
Sarah Williams
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Dr. Watts has been transformative for both mine and my daughter's health. I went to him with a variety of seemingly unconnected ailments that had been causing me issues since as far back as high school, including chronic low back and hip problems. At the first visit he fixed 90% of the back and hip pain. After a few more visits my hip and pain pain is fully gone. I literally did not remember what it felt like not to have hip pain all the time. He has also addressed a host of other issues including a thyroid issue, unbalanced hormones, and vertigo. I had seen many doctors and specialists over the years for these issues to no avail. I cannot recommend Dr. Watts highly enough.
Posted on Google Google
Jason Kristof profile picture
Jason Kristof
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Dr. Watts is a fantastic practitioner! I hobbled into his office barely able to walk, and he fixed both my foot and my knee. He takes time to truly understand your issues and addresses each with attentiveness and care. I believe that without Dr. Watts I would still be in pain today! If you have had issues that other doctors have not been able to fix, I would highly suggest to make an appointment with Dr. Watts!
Posted on Google Google
Zach McKeel profile picture
Zach McKeel
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
I’m 32 years old and I have had a chronic GI symptoms dating back to 2017, and acid reflux for the last 20 years. Over the last two years, I was in constant discomfort, sometimes chronic pain. I had already been stuck in the cycle of conventional medical doctors that could not identify any real problems they could fix. They would only give common diagnosis like acid reflux, GERD, and gastroenteritis and prescribed medicine to mask symptoms, which none of them successfully did. I ultimately gave them up and turned to functional medicine. But even that journey started 4 years ago and didn’t get me very far. I was anxious. I wasn’t performing well at work or as a father. I wasn’t sleeping well and I was drinking a lot before bed on weeknights and weekends. A friend of mine recommended Dr. Gangemi’s office. After my first visit with Dr. Watts, I left with a plan and a genuine hope for healing I haven’t had in 8 years. Zach listened intently, and was very thorough in getting to the root cause of what was happening in my body. He answered any and all questions honestly and professionally. Six weeks and four visits later, I am experiencing improvements that are changing my life. I’m incredibly grateful for Dr. Watts and everyone on their team. I would recommend them to anyone for any health concern.
Posted on Google Google
Allison Crooker profile picture
Allison Crooker
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
I love working with Dr. Watts. He is both a knowledgeable kinesiologist and a great listener. I came to him with a persistent physical issue which he worked on from it's root cause out. Through a regimen of supplements and kinesthetic adjustments, I no longer suffer from that physical issue! I am thankful to have Dr. Watts as the lead of my healthcare team.
Posted on Google Google
Kathleen Lee profile picture
Kathleen Lee
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
I have been doing my own research and biohacking for over 15 years. There were a few things I could not pin point. I’ve tried several different doctors across multiple fields (standard and natural) and wasted a lot of time and money with several and others leading me back in circles starting over. I found Dr. Watts because I’m a barefoot runner (have been since I was a kid) and I wanted to run a marathon. Not knowing how his office could actually help me with my few items I was trying to pin point I decided to give it a shot. Very glad I did. Not only has Dr. Watts helped me in health issues and with running my first marathon but he is also open to a lot of questions and ideas I have. Others will shut you down as soon as you mention something that goes against what the norm is and Dr. Watts is far from that. Muscle testing is a game changer because everyone is different and you cannot blanket everyone into the same fixes. It’s specific to you alone. BUT you also need someone who knows what they are doing and constantly tests themselves to make sure there is no bias to best help the patient. I travel several hours one way to see Dr. Watts. His office is filled with open minded people who genuinely care. I wish I found Dr. Watts earlier it would have saved me a lot of time, frustration and money. Thank you Dr. Watts and everyone at Systems Health Care!!!
Posted on Google Google
Talya Tacosa O’Dea profile picture
Talya Tacosa O’Dea
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Dr. Watts is fantastic! My family and I drive 6 hours round-trip to see Dr. Watts and it is absolutely worth it. He has completely changed our lives within just a few months. He found and cured the hidden cause of a difficult condition my 6 year old daughter had, helped me get off of a medication that I had been trying to stop for nearly 6 years, cured chronic issues I struggled with, helped me manage my grief after the loss of a loved one, and more. He has “nailed-it” with each and every issue I have brought to him. Thanks to Dr. Watts, my family's health is now thriving and we are so grateful. I don’t question any of his health and lifestyle recommendations because I completely trust him. My family and I will be patients of Dr. Watt’s for life.
Posted on Google Google
Casey O'Dea profile picture
Casey O'Dea
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
I went to Dr. Watts with an issue that my doctors had told me would take minimally 3 months to even START to see any improvement, and probably closer to 6 months to reach any level of full recovery. After the first 3 appointments with Dr. Watts I was already back on my feet - and with 2 months I was fully recovered, a full month before I was supposed to even start seeing any improvement at all. Dr. Watts dialed in on what would actually heal and correct the issues, as opposed to just masking symptoms. Today I'm not only fully recovered ahead of schedule, but over all I feel better now than I did before. I'll be a lifelong patient of Dr. Watts.
Posted on Google Google
Melissa profile picture
Melissa
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
I can't say enough about Dr. Watts. The first thing I will say is that he cares. Not just about what he does, but he cares about the person sitting in front of him. I was so tired of being in front of other Doctors and feeling like I barely got time, and didn't feel heard. I highly recommend Dr. Watts. It the first morning I woke up a little more rested and in hardly any pain :)
Verified by Trustindex
Trustindex verified badge is the Universal Symbol of Trust. Only the greatest companies can get the verified badge who has a review score above 4.5, based on customer reviews over the past 12 months. Read more