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Additionally, for women concerned about hormonal effects of the herb, the ashwagandha used in this study was found to boost testosterone levels only in men but not in women.84 Lifestyle and Care Practices for Stress and Cortisol Management Stress and cortisol management are also highly dependent on what our own physical and mental input and efforts, so I have a few recommendations I make to any patient struggling to remain resilient: Consider mindfulness, breathwork, and nature exposure to lower cortisol : Mindfulness-based stress reduction (MBSR) has been shown to lower symptoms of anxiety, depression, and stress in what you could call a dose-dependent manner