Come alimentazione e stile di vita influenzano serotonina, cortisolo e benessere mentale
on June 18, 2026

How diet and lifestyle affect serotonin, cortisol, and mental well-being

The brain does not live in isolation: emotions, metabolism and the internal environment

For many years, mental well-being has been interpreted almost exclusively through the functioning of brain neurotransmitters. Anxiety, mental fatigue, mood changes or loss of motivation were often attributed mainly to imbalances in serotonin, dopamine or noradrenaline.

Today, the picture has become more complex.

Modern knowledge in the fields of neurobiology, nutrition and psychoneuroendocrinoimmunology (PNEI) shows that the brain functions within a complex network in which diet, gut microbiota, immune system, sleep-wake rhythm, physical activity and stress management contribute to determining psychological well-being.

Among the main players in this balance are serotonin and cortisol.

Serotonin: much more than the so-called “happiness hormone”

Serotonin is a neurotransmitter involved in the regulation of:

mood
sleep quality
appetite
motivation
pain sensitivity
cognitive processes
eating behavior

It is important to remember that serotonin is not simply “taken in” with food.

Its synthesis depends on the availability of tryptophan, an essential amino acid obtained through diet.

The main dietary sources of tryptophan include:

eggs
fish
legumes
soy
nuts
dairy
whole grains

Serotonin production also depends on the presence of metabolic cofactors, including:

vitamin B6
folates
vitamin B12
magnesium
iron

A monotonous or unbalanced diet can reduce the efficiency of these processes.

The gut produces serotonin: what does this really mean

One of the most interesting discoveries in recent years concerns the role of the gut.

About 90% of the body's serotonin is produced by enterochromaffin cells in the gut.

This fact is often interpreted in a simplistic way.

Gut serotonin does not enter the brain directly by crossing the blood-brain barrier.

However, the gut microbiota can indirectly influence the nervous system through:

tryptophan metabolism

production of short-chain fatty acids

activation of the vagus nerve

immune regulation

modulation of systemic inflammation

For this reason, diet and gut health are now considered important components of mental well-being.

Cortisol: when the stress hormone stops being useful

Cortisol is produced by the adrenal glands and is essential for:

regulating energy and blood sugar
promoting adaptation to stress
coordinating the immune response
maintaining the circadian rhythm

The problem is not cortisol itself.

The problem arises when stress becomes chronic.

Excessive activation of the hypothalamus-pituitary-adrenal axis can be associated with:

insomnia

agitation

reduced concentration

mood changes

increased perception of fatigue

increased emotional hunger

In the long term, elevated cortisol levels can alter tryptophan metabolism, reducing its availability for the synthesis of serotonin and melatonin.

Diet and stress: the role of low-grade inflammation

Modern diet can contribute to creating a biological environment conducive to maintaining stress.

An excess of:

refined sugars

ultra-processed foods

sugary drinks

highly processed fats

can be associated with chronic low-grade inflammation.

This state has been studied in relation to:

changes in neuroplasticity

microglia activation

reduced insulin sensitivity

increased vulnerability to stress

Conversely, dietary patterns rich in plant-based and minimally processed foods have been associated with better indicators of mental health.

Nutrients involved in neurochemical well-being

Proteins and amino acids

Adequate protein intake provides the precursors for numerous neurotransmitters.

Tryptophan → serotonin

Phenylalanine and tyrosine → dopamine and noradrenaline

Omega-3

Omega-3 fatty acids are structural components of neuronal membranes.

They have been studied for their role in:

supporting neuroplasticity

inflammatory modulation

cognitive well-being

The main dietary sources include oily fish, oilseeds and nuts.

Magnesium

Magnesium participates in hundreds of enzymatic reactions.

It has been studied for its involvement in stress regulation and nervous system physiology.

The main sources are:

whole grains

legumes

nuts

cocoa

green vegetables

B vitamins

B vitamins contribute to the metabolic processes involved in energy production and neurotransmitter synthesis.

Physical activity changes the brain

Regular physical activity is one of the non-pharmacological interventions with the strongest evidence.

Exercise helps to:

modulate cortisol

improve insulin sensitivity

increase neurotrophic factors such as BDNF

promote sleep

improve mood

Even moderate activity performed regularly shows benefits.

Sleep, light and biological rhythms

Sleeping little or irregularly alters:

cortisol secretion

glucose metabolism

microbiota activity

emotional regulation

Exposure to natural light in the morning and maintaining regular hours helps synchronize circadian rhythms.

Phytotherapy and integrated approaches: what the research says

Several phytocomplexes have been studied to support mental well-being.

Those of greatest scientific interest include:

saffron

lavender

bacopa

St. John's wort

It is important to remember that plant extracts do not replace medical treatments and that some substances, such as St. John's wort, can interact with numerous medications.

The role of emotions and lifestyle

Mental well-being does not arise from a single food or a single neurotransmitter.

Social relationships, stress management, quality of rest, diet and movement build the biological context in which the brain works every day.

Mental health is the result of a dynamic balance.

Conclusions

Serotonin and cortisol represent two central nodes in the physiology of adaptation.

Through diet, physical activity, sleep quality and gut care, we can influence many of the biological systems involved in mental well-being.

The goal is not to pursue a single miracle nutrient, but to build an environment conducive to the body's resilience.

Bibliography

Firth J et al. The effects of dietary improvement on symptoms of depression and anxiety: meta-analysis of randomized controlled trials. Psychosom Med. 2019.

Jacka FN et al. A randomised controlled trial of dietary improvement for adults with major depression (SMILES trial). BMC Med. 2017.

Marx W et al. Diet and depression: exploring biological mechanisms. Mol Psychiatry. 2021.

Cryan JF, O’Riordan KJ et al. The microbiota–gut–brain axis. Physiol Rev. 2019.

Clarke G et al. Gut microbiota and the serotonergic system. Int J Neuropsychopharmacol. 2013.

Calder PC. Omega-3 fatty acids and inflammatory processes. Nutrients. 2017.

Miller AH, Raison CL. The role of inflammation in depression. Nat Rev Immunol. 2016.

Donelli D et al. Effects of lavender on anxiety: systematic review and meta-analysis. Phytomedicine. 2019.

Lopresti AL, Drummond PD. Saffron and mood disorders. Hum Psychopharmacol. 2014.

Edited by Nico Martini