If cortisol is in range and diet is adequate, muscle synthesis should occur; otherwise, chronic inflammation or inflammatory cytokines/prostaglandins are likely causes.

“if your cortisol is a Baseline is it in range and you're eating a decent diet you should be synthesizing muscle if you're not the only other explanation is there's chronic inflammation going on somewhere um or something else producing these inflammatory cytokines or the prostaglandins and whatnot”