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ZRT Laboratory

Saliva LCMS Hormones 7 with 4-Point Cortisol + Dried Urine LCMS Neurotransmitters

ZRT Laboratory

Sample type: Saliva, Urine

Requires fasting: No

At home test


Details

This panel combines urinary neurotransmitters with salivary sex hormones and diurnal 4-point cortisol. It may be useful when evaluating mental health challenges, especially when a hormonal component is suspected.


  • Cortisol Evening
  • Cortisol Night
  • Cortisol Noon
  • Gamma-aminobutyric acid
  • Tyrosine
  • Taurine
  • Tryptophan
  • Histidine
  • Glycine
  • Glutamine
  • 5-Hydroxyindoleacetic Acid
  • Estriol
  • Vanillylmandelic Acid
  • Kynurenic Acid
  • Homovanillic Acid
  • Xanthurenic Acid
  • Testosterone
  • Serotonin
  • Kynurenine
  • Glutamate
  • Histamine
  • Tyramine
  • Normetanephrine
  • Dehydroepiandrosterone Sulfate
  • 3,4-dihydroxyphenylacetic acid (dopac)
  • Creatinine (Urine)
  • Cortisol Morning
  • Estradiol, Saliva
  • Estrone, Saliva
  • Progesterone, Saliva
  • 3-Hydroxykynurenine
  • Dopamine, Urine
  • Epinephrine
  • N-Methylhistamine
  • Norepinephrine
  • Palmitoylethanolamide

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


8–10 business days


  • Hormones
  • Neurological
  • Adrenals and stress

Before You Start
  • Read the provided test collection instructions carefully.
  • Watch the test collection video.
  • If you are a man, child, or non-menstruating woman, you can collect your sample at any time.
  • If you are a menstruating woman,
    • Regular cycles: Collect on Day 19, 20, or 21 of your cycle (where Day 1 is the first day of your period).
    • Irregular cycles: Collect 5 days before your period starts.
    • Unpredictable cycles: Collect any non-bleeding day.
  • 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
  • Avoid the following foods.
    • Bananas
    • Pineapples
    • Avocados
    • Nuts
    • Nut butter
    • Alcohol
    • Nicotine
    • Protein powder
    • Protein shakes
  • 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 an hour before each urine collection.
  • Avoid the following activities on the day of sample collection until you have collected sample 2.
    • Eating
    • Drinking anything but water
    • Taking medications
    • Taking supplements
    • Taking vitamins
  • Avoid the following activities for at least 2 hours before each saliva collection.
    • Eating
    • Drinking anything but water
    • Brushing your teeth
  • 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

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