Hormone Health Hub: Expert Insights on Testing, Balance & Better Living — HPA

By Dr. Tracy Tranchitella, ND (ZRT Laboratory) For anyone who has dealt with issues that are related to chronic fatigue has likely evaluated their hypothalamic–pituitary–adrenal (HPA) axis performance through a multi-point salivary test. The hormone Cortisol is measured in saliva when the samples are collected through predetermined intervals throughout a single day reveal one’s physiological resilience and metabolic reserve in response to daily stressors. HPA axis testing is a mainstay in the world of integrative, naturopathic, and functional medicine. For the past 2 years, the world has existed under the constant shadow of COVID-19. To say that we have been “stressed” is an...

The Cortisol Awakening Response (CAR) — the 50% surge in cortisol that occurs in the first 30 minutes after waking — is one of the most sensitive markers of HPA axis health. Discover how CAR differs from the standard diurnal cortisol curve, which conditions are linked to blunted or exaggerated CAR, and how three timed morning saliva samples can reveal adrenal function in ways a single cortisol test cannot.