Stress and Cortisol Support (As Needed)
By Precision Bone Imaging
Product recommendations
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Protocol, KSM-66 Ashwagandha®, Stress and Sleep Support
Protocol for Life Balance
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1.00 capsule, once per day, ongoing.
Chronic cortisol reduction over weeks. The 2024 systematic review confirmed measurable serum cortisol reduction across 30–90 day trials at 300–600mg KSM-66
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Rhodiola
Thorne
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1 capsule, twice per day, ongoing.
Rhodiola Rosea 3% Rosavins (Thorne) Ashwagandha and rhodiola are complementary rather than redundant — they work on different aspects of the stress response at different times of day. Where ashwagandha is calming and works best taken in the evening to reduce baseline cortisol and support sleep, rhodiola is energizing and works best taken in the morning to modulate the acute stress response during the day. Standardized to 3% rosavins and 1% salidroside — the active compounds responsible for its adaptogenic effects — rhodiola specifically targets the adrenal response to acute cognitive and physical stressors. It reduces perceived stress and mental fatigue, improves stress resilience without blunting alertness, and has been shown to lower cortisol reactivity to stressors in clinical studies. For people whose cortisol dysregulation presents as daytime fatigue, cognitive overload, or the inability to recover between demands — rather than purely as nighttime sleeplessness — rhodiola addresses the pattern ashwagandha alone does not fully reach. Together they cover the full cortisol arc: daytime reactivity and nighttime baseline.
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Phosphatidylserine (formerly Iso-Phos)
Thorne
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1 capsule, twice per day, ongoing.
Phosphatidylserine is a phospholipid that is naturally concentrated in brain cell membranes — and it is one of the most directly studied compounds for cortisol blunting in the clinical literature. Multiple randomized controlled trials have shown that phosphatidylserine supplementation measurably reduces cortisol — specifically the cortisol response to physical and psychological stress — and supports the HPA axis feedback loop that tells the adrenal glands to stop producing cortisol once the stressor has passed. In people with chronic stress, that feedback loop becomes dysregulated — the off switch stops working efficiently and cortisol stays elevated long after the triggering event. Phosphatidylserine helps restore that regulation. For bone health, the most relevant application is evening cortisol — the elevation that delays sleep onset, disrupts sleep architecture, and keeps the skeletal system in a catabolic state through the hours when it should be rebuilding. Taken in the early evening, it works in the background, quieting the biological stress signal before it can compromise the night's bone-building window.
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Holy Basil
Gaia Herbs Pro
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1.00 capsule, twice per day, ongoing.
Holy basil — Ocimum sanctum, known in Ayurvedic medicine as tulsi — reduces cortisol through mechanisms that are distinct from the other adaptogens in this stack, making it additive rather than redundant. Its primary pathway is COX-2 inhibition — the same anti-inflammatory mechanism targeted by NSAIDs, but through a botanical compound rather than a pharmaceutical one. Chronic inflammation and chronic cortisol are bidirectional — each drives the other — and reducing the inflammatory signaling that feeds cortisol production addresses the stress response from a different entry point than HPA axis modulation alone. Holy basil also stabilizes blood glucose — and blood glucose instability is one of the most common and overlooked cortisol triggers in the bone health population. Every significant blood sugar drop activates a cortisol response as the body attempts to restore glucose levels. Stable blood sugar means fewer cortisol spikes throughout the day, lower cumulative cortisol exposure, and a quieter catabolic environment for the skeleton. It is the compound in this stack that works from below — addressing the metabolic triggers that feed the stress response rather than the stress response itself.
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Magnesium Glycinate
Thorne
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1 capsule, once per day, ongoing.
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L-Theanine, 400 mg
Pure Encapsulations
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1 capsule, once per day, ongoing.
in divided doses, between meals .
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Basic B Complex
Thorne
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1 capsule, once per day, ongoing.
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