Luckily, there are a number of ways to manage and overcome chronic stress, lower cortisol levels, reverse damage done to the brain, and improve your sense of wellbeing. This article includes the best foods, nutrients, herbs and supplements that reduce cortisol; as well as the best lifestyle habits, therapies and practices that reduce cortisol., Investigations: Renal function, Liver function tests. Paired Serum osmolality and Urine osmolality and urine Na+, K+ before starting intravenous fluids. Cortisol (9am level). Thyroid function tests. Review drug charts and stop any contributing medications (see table 2.4). Review fluid charts. Abbreviated mental test score (AMTS), assess volume , investigation of SIAD Review medications and exposures. Check early AM cortisol level to exclude adrenal insufficiency (if this hasn't been checked). Imaging to exclude malignancy (e.g., CT scan head/chest/abdomen/pelvis). (37851876), There's a fair bit of discussion on adrenal insufficiency or low adrenal levels being a reason for difficulty reducing prednisone. I wonder how many of us take beta blockers (Metoprolol in my case) for blood pressure control? They reduce the production of adrenaline, the precursor to the production of cortisone, the inflammation regulator. How does that medication affect our ability to get the , Wondering how to fix cortisol imbalance? Once you identify your issue, these tips can help rebalance your levels., Learning how to balance cortisol levels with healthy lifestyle choices and appropriate medical care can help you feel like yourself again..