We stand behind our service
Go directly to the lab, no extra fees
With friendly doctor's notes & guidance
Lab visit as quick as 10 mins in & out
We stand behind our service
Go directly to the lab, no extra fees
With friendly doctor's notes & guidance
Lab visit as quick as 10 mins in & out
This test is ideal if you're experiencing constant fatigue that doesn't improve with rest, feeling overwhelmed by stress, struggling to get out of bed in the morning, or noticing your energy crashes throughout the day. It helps identify hormone imbalances in your stress response system that may be causing these exhausting symptoms. Many people use this test when they feel burned out or suspect their body isn't handling stress well.
You'll need to fast for 12 hours before your blood draw, which means no food or drinks except water during that time. This test must be drawn between 7 AM and 10 AM because cortisol levels are highest in the morning. If you're taking biotin supplements, stop them at least 72 hours before testing. Note that this test is not recommended if you're taking prednisone or prednisolone medications.
This comprehensive panel evaluates your stress response system by measuring cortisol (your primary stress hormone), ACTH (which signals cortisol production), DHEA and DHEA-S (hormones that support energy and resilience), and a complete metabolic profile to assess how stress is affecting your overall health. Together, these measurements reveal whether chronic stress has depleted your hormone reserves, why you might feel constantly exhausted, and what's happening in your body when you feel overwhelmed or burned out.
What this means
Your morning cortisol is slightly below the optimal range, which may explain why you struggle to wake up feeling refreshed and energized. Low morning cortisol can contribute to persistent fatigue, difficulty getting started in the morning, and feeling like you need extra caffeine or stimulants to function.
Recommended actions
Prioritize consistent sleep and wake times, even on weekends, to support natural cortisol rhythms
Expose yourself to bright light within 30 minutes of waking to signal your body to produce cortisol
Eat a balanced breakfast with protein and healthy fats to stabilize blood sugar and energy
Consider adaptogenic herbs like rhodiola or ashwagandha after consulting with a healthcare provider
Retest in 3-6 months after implementing stress management and sleep improvements
Your 24/7 Personal Lab Guide
Quick questions: