Cortisol, a hormone released by the adrenal glands, follows a natural diurnal rhythm, peaking in the early morning and tapering through the afternoon and evening. This test captures four saliva samples over a 24-hour period, providing a clear profile of free, biologically active cortisol and its circadian pattern.
Out-of-range cortisol levels can disrupt the sleep/wake cycle, weaken immune function, and contribute to cardiovascular, metabolic, and mental health disorders. Salivary testing offers a noninvasive, practical method for evaluating HPA axis function, chronic stress, and cortisol dysregulation in patients with suspected endocrine or stress-related conditions.
This test is often used in subsequent endocrine testing, including:
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