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ZRT Laboratory

Saliva 4-Point Cortisol + Dried Urine GCMS Hormone Metabolites

ZRT Laboratory

Sample type: Saliva, Urine

Requires fasting: No

At home test


Details

This panel assesses urinary hormone metabolites, including estrogen, progesterone and androgen metabolites, alongside a saliva 4-point diurnal cortisol.


  • 4-Hydroxyestrone
  • Cortisol Evening
  • Cortisol Night
  • Cortisol Noon
  • Estriol
  • Etiocholanolone
  • 16-Hydroxyestrone
  • 5a-Dihydrotestosterone
  • Epi-Testosterone
  • Androsterone
  • Testosterone
  • Dehydroepiandrosterone, Urine
  • Estradiol, Urine
  • Estrone, Urine
  • Tetrahydrocortisone
  • Allopregnanolone
  • 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-hydroxyestrone (2-oh-e1)
  • Creatinine (Urine)
  • Bisphenol A
  • Cortisol Morning
  • Corticosterone
  • Androstenedione, Urine
  • Allopregnanediol
  • Deoxycorticosterone, Urine
  • Pregnanediol
  • Tetrahydrocortisol
  • Total Cortisol
  • Total Cortisone
  • 20a-Dihydroprogesterone
  • 3a-Dihydroprogesterone
  • 5a,3a-Androstanediol

Estimated days for results: Results should arrive 8-10 business days after the lab receives samples.


8–10 business days


  • Hormones
  • Adrenals and stress

Before You Start
  • 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 Puerto Rico, or New York

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