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Cortisol (OA)

Urine

NutriStat Basic Profile, US BioTek

Optimal range:   5 - 65 ng/mL

Cortisol is a stress hormone produced by the adrenal glands and is the primary agent used in our body’s flight or fight response to threatening stimuli.

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Cortisol (OA)

Organic Acids Metabolomic Mapping, NutriPATH

Optimal range:   166 - 507 nmol/L

Cortisol is a stress hormone produced by the adrenal glands and is the primary agent used in our body’s flight or fight response to threatening stimuli.

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Cortisol (Waking)

Cortisol Awakening Response + DHEA (Saliva), Genova Diagnostics

Optimal range:   0 - 0 nmol/L

Cortisol is a stress hormone produced by the adrenal glands and is the primary agent used in our body’s flight or fight response to threatening stimuli.

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Cortisol - ACTH (Cortrosyn) Stimulation Test

Blood

Endocrinology

Optimal range:   2.5 - 19.5 Units

This test it performed to help diagnose primary adrenal insufficiency (Addison disease) and to detect conditions affecting the pituitary gland (secondary adrenal insufficiency). The test is performed when your cortisol level is low and/or your healthcare provider suspects that your adrenal glands are not producing enough of the hormone cortisol or that the pituitary gland is not producing enough adrenocorticotropic hormone (ACTH).

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Cortisol - AM (Serum)

Serum

Endocrinology

Optimal range:   6.2 - 19.4 ug/dL , 171.03 - 535.17 nmol/L , 62.00 - 194.00 ng/mL

Cortisol is a stress hormone produced by the adrenal glands and is the primary agent used in our body’s flight or fight response to threatening stimuli.

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Cortisol A (Waking)

Daily Free Cortisol and Cortisone + Metabolites (Urine) - DUTCH, Precision Analytical (DUTCH)

Optimal range:   10 - 50 ng/mg

Cortisol is a hormone produced by the adrenal glands, which are located on top of the kidneys. It is normally released in response to events and circumstances such as waking up in the morning, exercising, and acute stress.

In the Dutch test there are 4 individual free cortisol readings that were measured at different times throughout one day:

- Cortisol A (Waking)

- Cortisol B (Morning)

- Cortisol C (Afternoon)

- Cortisol D (Night)

When you are looking at Cortisol A (Waking) it is essential to also look at Cortisol B (Morning). The difference between those 2 cortisol samples is called the cortisol awakening response (or CAR). 

An elevated CAR would mean that the difference between those 2 markers is really big.

Different possible reasons for an elevated CAR:

- an overactive HPA axis (=plays an important role in the stress response), ongoing job-related stress (anticipatory stress for the day)

- blood sugar dysregulation

- pain (i.e. waking with painful joints or a migraine), 

- and general depression (not Seasonal affective disorder/”winter depression”)

Neither the waking nor post-waking cortisol results correlated to Major Depressive Disorder, but the CAR calculation (the change between the first two samples) does. So this means that if your morning free cortisol reading spikes up high first thing in the morning, there is something to look at. Is there an overactivity to stress? Are you anticipating a stressful day at work? If your morning free cortisol levels are high, this can be due to stress or anticipating stress. 

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Cortisol AM30

Adrenal Function Profile (Labrix, Doctor's Data), Doctor's Data

Optimal range:   14 - 25 nmol/L

Cortisol is a stress hormone produced by the adrenal glands and is the primary agent used in our body’s flight or fight response to threatening stimuli.

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Cortisol Awakening Response, Percent Increase

Progesterone Metabolites (Urine) - DUTCH, Precision Analytical (DUTCH)

Optimal range:   50 - 150 %

Normally, cortisol levels rise within 10 to 30 minutes of waking to help boost energy levels and then drop throughout the day. This is known as the cortisol awakening response (CAR).

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Cortisol Awakening Response, Percent Increase

Saliva

One Day Hormone Check, Genova Diagnostics

Optimal range:   50 - 150 %

The "Cortisol Awakening Response, Percent Increase" (CAR) is a crucial marker measured in the 4300 Adrenocortex Stress Profile - Saliva test by Genova Diagnostics. This test assesses how your cortisol levels change shortly after you wake up in the morning. Cortisol is a hormone produced by the adrenal glands that plays a vital role in managing stress, maintaining energy levels, and regulating various body functions. Normally, cortisol levels rise sharply within the first 30 to 45 minutes after waking up, a phenomenon known as the cortisol awakening response. The CAR, expressed as a percent increase, helps to gauge the responsiveness of your adrenal glands and their ability to produce cortisol in response to the anticipation of the day's demands.

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Cortisol B (Morning)

Daily Free Cortisol and Cortisone + Metabolites (Urine) - DUTCH, Precision Analytical (DUTCH)

Optimal range:   30 - 130 ng/mg

This is the 2nd cortisol sample of the day. Usually measured 30 to 60 minutes after waking. 

Cortisol is a hormone produced by the adrenal glands, which are located on top of the kidneys. It is normally released in response to events and circumstances such as waking up in the morning, exercising, and acute stress.

In the Dutch test there are 4 individual free cortisol readings that were measured at different times throughout one day:

- Cortisol A (Waking)

- Cortisol B (Morning)

- Cortisol C (Afternoon)

- Cortisol D (Night)

When you are looking at Cortisol B (Morning) it is essential to also look at Cortisol A (Waking). The difference between those 2 cortisol samples is called the cortisol awakening response (or CAR)

An elevated CAR would mean that the difference between those 2 markers is really big.

Different possible reasons for an elevated CAR:

- an overactive HPA axis (=plays an important role in the stress response), ongoing job-related stress (anticipatory stress for the day)

- blood sugar dysregulation

- pain (i.e. waking with painful joints or a migraine), 

- and general depression (not Seasonal affective disorder/”winter depression”)

Neither the waking nor post-waking cortisol results correlated to Major Depressive Disorder, but the CAR calculation (the change between the first two samples) does. So this means that if your morning free cortisol reading spikes up high first thing in the morning, there is something to look at. Is there an overactivity to stress? Are you anticipating a stressful day at work? If your morning free cortisol levels are high, this can be due to stress or anticipating stress. 

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Cortisol Bedtime

Hormone & Urinary Metabolites Assessment Profile, Doctor's Data

Optimal range:   2 - 10 ng/mg Creat

Cortisol is the main glucocorticoid released from the adrenal gland in response to stress. High levels of cortisol have been reported in cases of Cushing’s disease, malnutrition, early life stress, hypothyroidism, depression, alcoholism, obesity, and critical illness. Additionally, exogenous exposure to glucocorticoids prior to testing may be a source of cortisol elevations.

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Cortisol Bedtime (Pre-menopausal)

Hormone & Urinary Metabolites Assessment Profile, Doctor's Data

Optimal range:   3 - 12 ng/mgCreat

The Cortisol Bedtime marker is a critical indicator in endocrinology, representing the level of cortisol in the body at bedtime. Cortisol, a hormone produced by the adrenal glands, is central to various physiological processes, including stress response, metabolism, and immune system regulation. In a healthy individual, cortisol levels exhibit a diurnal rhythm: they peak in the early morning and gradually decline throughout the day, reaching their lowest point at night. This natural rhythm is essential for numerous bodily functions, such as regulating the sleep-wake cycle, managing blood sugar levels, and maintaining overall energy balance.

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Cortisol C (Afternoon)

Daily Free Cortisol and Cortisone + Metabolites (Urine) - DUTCH, Precision Analytical (DUTCH)

Optimal range:   7 - 30 ng/mg

This is the 3rd cortisol sample of the day. Usually measured in the afternoon. 

Cortisol is a hormone produced by the adrenal glands, which are located on top of the kidneys. It is normally released in response to events and circumstances such as waking up in the morning, exercising, and acute stress.

In the Dutch test there are 4 individual free cortisol readings that were measured at different times throughout one day:

- Cortisol A (Waking)

- Cortisol B (Morning)

- Cortisol C (Afternoon)

- Cortisol D (Night)

LEARN MORE

Cortisol D (Night)

Daily Free Cortisol and Cortisone + Metabolites (Urine) - DUTCH, Precision Analytical (DUTCH)

Optimal range:   0 - 14 ng/mg

This is the 4th cortisol sample of the day (=evening/night).

Cortisol is a hormone produced by the adrenal glands, which are located on top of the kidneys. It is normally released in response to events and circumstances such as waking up in the morning, exercising, and acute stress.

In the Dutch test there are 4 individual free cortisol readings that were measured at different times throughout one day:

- Cortisol A (Waking)

- Cortisol B (Morning)

- Cortisol C (Afternoon)

- Cortisol D (Night)

LEARN MORE

Cortisol Dinnertime

Hormone & Urinary Metabolites Assessment Profile, Doctor's Data

Optimal range:   3 - 18 ng/mg Creat

Cortisol is the main glucocorticoid released from the adrenal gland in response to stress. High levels of cortisol have been reported in cases of Cushing’s disease, malnutrition, early life stress, hypothyroidism, depression, alcoholism, obesity, and critical illness. Additionally, exogenous exposure to glucocorticoids prior to testing may be a source of cortisol elevations.

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Cortisol Dinnertime (Pre-menopausal)

Hormone & Urinary Metabolites Assessment Profile, Doctor's Data

Optimal range:   5 - 27 ng/mgCreat

Cortisol, often referred to as the "stress hormone," plays a crucial role in various bodily functions, including metabolism, immune response, and the body's response to stress. The Cortisol Dinnertime marker, a specific measure of cortisol levels in the body during the evening, is an important indicator in understanding the body's endocrine function and stress response. Typically, cortisol levels follow a diurnal rhythm, peaking in the early morning shortly after waking and gradually declining throughout the day to reach their lowest point during the late evening or night. This pattern is essential for regulating various physiological processes, including the sleep-wake cycle, blood sugar levels, and energy metabolism.

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Cortisol Evening

Adrenal Function Profile (Labrix, Doctor's Data), Doctor's Data

Optimal range:   2 - 5 nmol/L

This is the 3rd cortisol sample of the day. Usually measured in the evening. 

Cortisol is a hormone produced by the adrenal glands, which are located on top of the kidneys. It is normally released in response to events and circumstances such as waking up in the morning, exercising, and acute stress.

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Cortisol Night

Adrenal Function Profile (Labrix, Doctor's Data), Doctor's Data

Optimal range:   1 - 4 nmol/L

This is the 4th cortisol sample of the day (=night).

Cortisol is a hormone produced by the adrenal glands, which are located on top of the kidneys. It is normally released in response to events and circumstances such as waking up in the morning, exercising, and acute stress.

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Cortisol Noon

Adrenal Function Profile (Labrix, Doctor's Data), Doctor's Data

Optimal range:   5 - 10 nmol/L

Cortisol is a stress hormone produced by the adrenal glands and is the primary agent used in our body’s flight or fight response to threatening stimuli.

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Cortisol Profile, Afternoon

Saliva

Cortisol Awakening Response (CAR), NutriPATH

Optimal range:   2 - 11 nmol/L

Cortisol, a glucocorticoid hormone synthesized from cholesterol in the adrenal cortex, plays a pivotal role in the human body's response to stress, metabolism regulation, immune response modulation, and maintenance of homeostasis. The "Cortisol Profile, Afternoon" specifically refers to the measurement of cortisol levels during the afternoon hours, a critical time point given cortisol's diurnal variation. Typically, cortisol levels peak in the early morning, shortly after waking, and decline throughout the day to reach their lowest levels at midnight. However, the afternoon cortisol levels are not merely an intermediate point in this daily cycle; they provide valuable insights into an individual's adrenal function and stress response.

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