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ZRT Laboratory

Saliva Cortisol Awakening Response

ZRT Laboratory

Sample type: Saliva

Requires fasting: No

At home test


Details

The Saliva Cortisol Awakening Response panel uses a six-point saliva collection to analyze cortisol patterns and assess adrenal hormone/HPA axis dysfunction.


  • Cortisol Evening
  • Cortisol Night
  • Cortisol Noon
  • Cortisol Morning - AM60
  • Cortisol Morning - AM30
  • Cortisol Waking
  • Dehydroepiandrosterone Sulfate

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 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
  • Avoid the following activities for at least 2 hours before each collection.
    • Eating
    • Drinking anything but water
    • Brushing your teeth
  • Collect your first saliva sample IMMEDIATELY upon waking.
  • You will collect SIX saliva samples throughout the day.

State restrictions:

Patient can't order this test if they are located in Puerto Rico, or New York

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