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

Stress is something nearly all of us experience — in fact, 55% of Americans report feeling stressed daily, and the majority cite work or school as the primary cause. Among U.S. employees, a staggering 83% experience work-related stress, while students, from middle school to college, are increasingly feeling the pressure too. A significant number of college students even consider dropping out due to emotional strain.

Discover how saliva and blood cortisol testing reveal adrenal function and help diagnose stress-related hormone imbalances like fatigue, anxiety, and burnout.

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...

Saliva hormone testing is one of the most accurate and convenient ways to measure bioavailable hormones — the fraction that is actually active in your body's tissues. Unlike standard blood tests, which measure total hormone levels including protein-bound fractions that cells cannot use, saliva testing captures only the free, unbound hormones that drive real physiological effects. This guide explains how saliva testing works, which hormones it measures, why it is clinically superior for monitoring hormone therapy, and how to choose the right test for your health goals.

Perimenopause is far more than a collection of symptoms to manage — it is a critical window of opportunity to protect long-term cardiovascular, skeletal, and cognitive health. The hormonal fluctuations of this transition are directly linked to cardiovascular risk, making proactive action during perimenopause one of the most important investments a woman can make in her future health. This article outlines a practical three-step perimenopausal game plan covering hormone replacement, resistance training, and time-restricted eating — grounded in current research and designed to build the physiological reserves needed for a healthy postmenopause.