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Apr 2017;18:23-30

Current research suggests that the most effective strategies for reducing chronic sympathetic activation, and enhancing vagal tone include: Consistent, high-quality sleep Regular aerobic exercise Slow diaphragmatic breathing (particularly with prolonged exhalation) Meditation and mindfulness practices These interventions have demonstrated benefits for autonomic balance and are often associated with increased heart rate variability (HRV), a commonly used marker of vagal activity