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Stress, Cortisol, and Oxidative Burden Chronic psychological stress elevates cortisol and other stress hormones, which increase oxidative stress through multiple mechanisms including promotion of inflammatory cytokine production, impairment of antioxidant enzyme function, increased metabolic rate and oxygen consumption, and disruption of sleep and other restorative processes

The authors are DSPs who are autistic, deaf, members of the LGBTQ+ community, people of color, immigrants and new Americans, living in rural America, living with mental health challenges, caregivers, and supporting people of differing religious beliefs

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