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doi: 10.1016/0003-2697(90)90546-l

However, regular exposure to stress and constantly high cortisol levels in the bloodstream can cause hyperarousal, which leads to insomnia

For instance, galanin, a neuropeptide involved in numerous neurobiological functions, promotes glucocorticoid secretion from the adrenal cortex by stimulating the HPA axis [103, 110, 111]

This might result in anxiety, racing thoughts, poor sleep, or increased blood pressure

Crowell, M

The management of very low-calorie ketogenic diet in obesity outpatient clinic: a practical guide
