Persistent fatigue
Trouble sleeping or staying asleep
Weight gain, especially around the abdomen
Increased appetite or cravings for sugary, salty, or fatty foods
Mood changes such as anxiety, irritability, or depression
Brain fog or difficulty concentrating
High blood pressure
Frequent headaches
Muscle weakness
Easy bruising
Slow wound healing
Acne or oily skin
Irregular menstrual periods
Reduced sex drive
Frequent infections
Elevated blood sugar
Feeling stressed or “wired” most of the time
Facial rounding or puffiness
Thinning skin
Increased body hair in some cases
Confirmed by medical testing such as saliva, blood, or urine cortisol tests