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Chronic stress for 6 months does not automatically cause endothelial dysfunction, especially when you are: • sleeping properly • eating a healthy diet • not smoking • not having diabetes, high BP, or obesity Endothelial dysfunction (problem with the inner lining of blood vessels) is usually caused by long-term issues like: • high blood pressure • diabetes • smoking • high cholesterol • inactivity • chronic inflammation Short-term or moderate stress alone is not enough to damage blood vessels permanently. What stress can do is: • increase adrenaline temporarily • raise heart rate • make you feel chest tightness or anxiety • cause mild BP fluctuations But these effects are temporary, not permanent damage. Your stress is real — but reversible Six months of mental stress can: • increase cortisol • cause headaches • create a feeling of “something is wrong” • cause body tension • cause stomach issues • disturb focus But it does not usually cause structural heart or artery damage in a healthy 27-year-old. Endothelial dysfunction develops over years, not months.

Chronic stress can contribute to endothelial dysfunction, but 6 months of stress alone usually does not cause permanent damage, especially if you are sleeping well, eating healthy, and have no other risks. What matters more are: high BP diabetes / high sugar high cholesterol smoking obesity lack of exercise ✅ What you can do: 30–40 min brisk walk most days Deep-breathing / meditation 10–15 min Keep BP, sugar, lipids checked ❗ Seek evaluation if you have: chest pain, breathlessness, high BP, dizziness, or family history of early heart disease. If you share your age, BP, lipid report, and symptoms, I can guide better.

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Yes, six months of chronic stress very likely caused at least mild-to-moderate endothelial dysfunction even with your good sleep and diet, because prolonged cortisol/adrenaline surges, sympathetic overdrive, and low-grade inflammation directly injure the vascular lining and impair nitric-oxide production. However, your excellent sleep (7–9 h) and healthy diet are already two of the strongest protective and restorative factors; adding 20–30 min of daily moderate exercise (brisk walking, cycling) and a consistent stress-reduction practice (meditation, yoga, deep breathing, therapy) can largely reverse the damage within weeks to months in most people. If you have other risk factors, a simple hs-CRP blood test or vascular function check with your doctor can confirm the degree and track improvement.