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Does stress itself cause poor health, or does stress cause high blood pressure and unhealthy habits, which cause poor health?

title. I feel like you always hear stuff to the liking of "high stress leads to poor health," but I am kind of wondering exactly why this occurs.

For instance, it's said that stress can cause:

  • Aches and pains.
  • Chest pain or a feeling like your heart is racing.
  • Exhaustion or trouble sleeping.
  • Headaches, dizziness or shaking.
  • High blood pressure.
  • Muscle tension or jaw clenching.
  • Stomach or digestive problems.
  • Trouble having sex.
  • Weak immune system.

Imagine, hypothetically, that I were to have a high stress life, but still had good sleep, low blood pressure, and a slow heart rate, while also staying away from unhealthy habits like drinking or addiction.

Would my health still be worse than a person who lives an equivalent, but less stressful life than me?

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