As his genes suggested, this client has chronic stress going by the metrics of his smartwatch. Waking up for long periods in the middle of the night, is another indicator that his cortisol levels were too high.
He was advised to do more aerobic exercise to help reduce stress. Meditation has been shown to help lower cortisol levels. Cold water exposure, for example during a morning shower can help with building resilience to stress. Doing a session in the sauna one to two times a week is another way to lower these stress figures.
Breathing exercises before any high pressure situation is proven way to lower blood pressure, which inevitably rises during these "fight or flight" situations.
Finally if there are any particularly stressful days, the herbal supplement Ashwagandha can lower cortisol significantly. It also can help lower blood glucose levels, something that increases with poor sleep and high stress.
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