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Cortisol Clearance Rate (CCR)

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

Optimal range:   6 - 12.5 Rate

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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)

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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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Cortisol Profile, Evening

Saliva

Cortisol Awakening Response (CAR), NutriPATH

Optimal range:   1 - 8 nmol/L

The marker "Cortisol Profile, Evening" refers to the measurement of cortisol levels in the body during the evening hours, typically reflecting the end-of-day physiological status of an individual's hypothalamic-pituitary-adrenal (HPA) axis function. Cortisol is a glucocorticoid hormone produced by the adrenal cortex, playing a pivotal role in stress response, metabolism regulation, immune response modulation, and circadian rhythm maintenance. In a healthy individual, cortisol levels exhibit diurnal variation—peaking in the early morning shortly after awakening and declining throughout the day to reach its lowest level at night.

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Cortisol Profile, Midday

Saliva

Cortisol Awakening Response (CAR), NutriPATH

Optimal range:   4 - 14 nmol/L

The cortisol profile, particularly measurements taken at midday, provides significant insights into the diurnal pattern of cortisol secretion, which is critical for assessing adrenal gland function and the body's response to stress. Cortisol, a glucocorticoid hormone produced by the adrenal cortex, plays a pivotal role in glucose metabolism, immune response regulation, and stress response. The hypothalamic-pituitary-adrenal (HPA) axis governs its production, with cortisol levels exhibiting a diurnal rhythm—peaking in the early morning hours shortly after awakening and declining throughout the day to reach their lowest levels at night. Midday cortisol levels, therefore, offer a snapshot of the descending limb of this diurnal curve and can be indicative of alterations in HPA axis activity.

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Cortisol Profile, Total CAR

Saliva

Cortisol Awakening Response (CAR), NutriPATH

Optimal range:   19 - 81 nmol/L

The cortisol profile, specifically Total Cortisol Awakening Response (CAR), is a critical marker in the scientific understanding of stress response and adrenal function in humans. Cortisol, a glucocorticoid hormone produced by the adrenal cortex, plays a pivotal role in various physiological processes, including metabolism regulation, immune response modulation, and stress response. The Total CAR refers to the overall increase in cortisol concentration within the first 30 to 45 minutes after awakening. This response is a dynamic indicator of the hypothalamic-pituitary-adrenal (HPA) axis functionality, providing insights into an individual's stress reactivity and resilience.

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Cortisol Profile, Waking

Saliva

Cortisol Awakening Response (CAR), NutriPATH

Optimal range:   12 - 48 nmol/L

The Cortisol Profile, Waking marker refers to the pattern of cortisol secretion within the first hour after waking up. Cortisol is a glucocorticoid hormone produced by the adrenal cortex, playing a pivotal role in the human body's response to stress, metabolism regulation, immune response modulation, and maintenance of homeostasis. The waking cortisol profile is characterized by a sharp increase in cortisol levels upon awakening, known as the cortisol awakening response (CAR). This response is a part of the circadian rhythm of cortisol secretion, which generally follows a diurnal pattern, peaking in the early morning hours and gradually declining throughout the day to reach its lowest point at night.

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Cortisol Profile, Waking+30min

Saliva

Cortisol Awakening Response (CAR), NutriPATH

Optimal range:   12 - 48 nmol/L

The cortisol profile, specifically the measurement of cortisol levels at waking and again 30 minutes later, is a critical marker in the study of the hypothalamic-pituitary-adrenal (HPA) axis function and its response to stress. Cortisol, a glucocorticoid hormone produced by the adrenal cortex, plays a pivotal role in the body's response to stress, regulating a wide range of processes including metabolism, immune response, and the circadian rhythm. The typical pattern observed in healthy individuals is a peak in cortisol levels within the first 30 to 45 minutes after waking, known as the cortisol awakening response (CAR), followed by a gradual decline throughout the day, reaching its lowest levels at night. This diurnal variation is thought to be a result of the central circadian clock in the suprachiasmatic nucleus (SCN) of the hypothalamus, which modulates the secretion of corticotropin-releasing hormone (CRH) and subsequently adrenocorticotropic hormone (ACTH), leading to cortisol release.

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Cortisol Profile, Waking+60min

Saliva

Cortisol Awakening Response (CAR), NutriPATH

Optimal range:   12 - 48 nmol/L

The cortisol profile, particularly the "Cortisol Awakening Response (CAR)" measured at waking and 60 minutes thereafter, represents a critical biomarker in psychoneuroendocrinology, offering insights into the hypothalamic-pituitary-adrenal (HPA) axis functionality. This dynamic measure of cortisol secretion is pivotal for understanding an individual's stress response and adaptability. Upon awakening, cortisol levels sharply increase, peaking within the first 30 to 45 minutes, a phenomenon attributed to the anticipation of the upcoming day's challenges and activities. This surge, quantified by sampling salivary cortisol at waking and again 60 minutes later, encapsulates the reactivity of the HPA axis to natural circadian rhythms and psychosocial stressors.

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Cortisol Waking

Hormone & Urinary Metabolites Assessment Profile, Doctor's Data

Optimal range:   6 - 40 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 Waking (Pre-menopausal)

Hormone & Urinary Metabolites Assessment Profile, Doctor's Data

Optimal range:   5 - 47 ng/mgCreat

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Cortisol Waking+2hrs

Hormone & Urinary Metabolites Assessment Profile, Doctor's Data

Optimal range:   14 - 110 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 Waking+2hrs (Pre-menopausal)

Hormone & Urinary Metabolites Assessment Profile, Doctor's Data

Optimal range:   13 - 80 ng/mgCreat

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Cortisol – saliva

Saliva

Endocrinology

Optimal range:   1.5 - 9.6 ng/mL

Cortisol, often referred to as the "stress hormone," is a steroid hormone produced by the adrenal glands in response to signals from the hypothalamic-pituitary-adrenal (HPA) axis. It plays a vital role in regulating metabolism, immune responses, blood pressure, and the body's stress response. Measuring cortisol levels in saliva provides a non-invasive and accurate way to evaluate the body's cortisol production throughout the day.

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Cortisol, 30 minutes post-injection

Serum

ACTH (Cosyntropin) Stimulation Test – Adrenal Function and Cortisol Response

Optimal range:   18 - 100 ug/dL

Cortisol, 30 minutes post-injection is a key measurement taken during the ACTH (Cosyntropin) Stimulation Test to evaluate how well your adrenal glands respond to stimulation. It reflects the level of cortisol in the blood 30 minutes after an injection of synthetic ACTH, which normally prompts the adrenal glands to release cortisol. In healthy individuals, cortisol levels should rise significantly from baseline, typically reaching at least 18 µg/dL or higher. A normal increase suggests proper adrenal function, while a low or blunted response may indicate primary adrenal insufficiency (such as Addison’s disease), secondary adrenal insufficiency due to pituitary dysfunction, or adrenal suppression from corticosteroid use. This serum sample is collected using a standard blood draw 30 minutes after injection and is interpreted alongside baseline and 60-minute cortisol values to determine whether the hypothalamic-pituitary-adrenal (HPA) axis is functioning normally.

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