MUSM Clinical Faculty Development Series
1. Describe the physiological mechanism (the HPA axis / "pregnenolone steal" framework) by which chronic stress prioritizes cortisol production over repair and reproductive hormone synthesis. 2. Recognize the clinical consequences of chronic cortisol elevation and insufficient sleep (metabolic dysregulation, cardiovascular risk, immunosuppression, and impaired cognitive performance) as they relate to common presentations. 3. Identify evidence-based … Continued