
Saliva 4-Point Cortisol + Dried Urine GCMS Estrogen Hormone Metabolites
ZRT Laboratory
Sample type: Saliva, Urine
Requires fasting: No
At home test
Details
This panel assesses urinary estrogen metabolites alongside a saliva 4-point diurnal cortisol.
- 4-Hydroxyestrone
- Cortisol Evening
- Cortisol Night
- Cortisol Noon
- Estriol
- 16-Hydroxyestrone
- Estradiol, Urine
- Estrone, Urine
- 2-methoxyestrone (2-m-e1)
- 4-methoxyestrone (4-m-e1)
- 2-hydroxyestradiol (2-oh-e2)
- 4-hydroxyestradiol (4-oh-e2)
- 2-methoxyestradiol (2-m-e2)
- 4-methoxyestradiol (4-m-e2)
- 2-hydroxyesterone (2-oh-e1)
- Creatinine (Urine)
- Bisphenol A
- Cortisol Morning
Estimated days for results: Results should arrive 8-10 business days after the lab receives samples.
8–10 business days
Before You Start
3 Days Before Collection
2 Days Before Collection
1 Day Before Collection
Day of Collection
- Read the provided test collection instructions carefully.
- Watch the test collection video.
- You can collect your sample at any time.
- Talk to your healthcare provider before collection if you are taking troche or sublingual hormones or steriods.
- Collect your sample halfway between doses of these medications.
- Hormone patches
- Vaginal rings
- Hormone pellets
- Hormone injectables
3 Days Before Collection
- DO NOT use anti-aging/anti-wrinkle face creams.
- DO NOT use vaginal hormones.
- DO NOT take biotin/vitamin B7.
- DO NOT take 7-keto DHEA.
2 Days Before Collection
- Stop applying topical hormones with your bare hands. Use latex gloves, an applicator, or a hormone-loaded syringe.
- Stop applying topical hormones on your face, lips, and neck.
1 Day Before Collection
- If you use topical hormones, change your sheets, pillowcases, and hand towels the night before collection.
- DO NOT touch any surfaces that may be contaminated with topical hormones.
- Take any night oral or topical hormones at least 12 hours Before Collection.
Day of Collection
- DO NOT drink more than 8 oz of water in the hour before each urine collection.
- Avoid the following activities until you have collected your first urine sample.
- Eating
- Drinking
- Taking vitamins or supplements
- Taking medications, including morning hormone doses
- Avoid the following activities for at least 2 hours before each saliva collection.
- Eating
- Drinking anything but water
- Brushing your teeth
- Avoid taking evening hormone doses until you have collected all samples.
- Collect your first saliva sample within 30 minutes of waking.
State restrictions:
Patient can't order this test if they are located in Hawaii, Puerto Rico, New Jersey, New York, or Rhode Island




