The purpose of this test is to:
The Cortisol – 8 AM Test measures the level of cortisol in the blood, typically collected around 8:00 AM, when cortisol levels are normally at their highest. Cortisol is a steroid hormone produced by the adrenal glands and plays a vital role in regulating metabolism, blood sugar levels, blood pressure, immune response, and the body's response to physical and emotional stress.
Healthcare providers commonly recommend the Cortisol – 8 AM Test for individuals with symptoms such as persistent fatigue, unexplained weight gain or weight loss, muscle weakness, high or low blood pressure, dizziness, skin darkening, easy bruising, mood changes, excessive hair growth, or abnormal blood sugar levels. The test is particularly useful in evaluating disorders affecting the adrenal glands and pituitary gland.
Furthermore, the Cortisol – 8 AM Test helps diagnose conditions such as Addison's disease (adrenal insufficiency), Cushing's syndrome, pituitary disorders, and other conditions affecting cortisol production. Low morning cortisol levels may suggest adrenal insufficiency, hypopituitarism, or long-term corticosteroid use, while high morning cortisol levels may be associated with Cushing's syndrome, severe stress, obesity, uncontrolled diabetes, acute illness, or certain medications. Since cortisol levels naturally fluctuate throughout the day, collecting the sample at the recommended morning time is important for accurate interpretation.
The Cortisol – 8 AM Test is often performed alongside Adrenocorticotropic Hormone (ACTH), 24-Hour Urine Free Cortisol, Late-Night Salivary Cortisol, Dexamethasone Suppression Test, Electrolyte Panel, Blood Glucose, and CT or MRI of the adrenal or pituitary glands to provide a comprehensive evaluation of adrenal and pituitary function.
The Cortisol – 8 AM Test measures the morning cortisol level in the blood. It helps evaluate adrenal gland function, diagnose Addison's disease, Cushing's syndrome, and other disorders affecting cortisol production.
The blood sample should be collected around 8:00 AM, as cortisol levels are naturally highest at this time. Inform your healthcare provider about any steroid medications, oral contraceptives, or other medicines you are taking, as they may affect the results. Follow any specific instructions given by your healthcare provider.
Low morning cortisol levels may indicate adrenal insufficiency (Addison's disease), pituitary disorders, or suppression from long-term steroid therapy, while high morning cortisol levels may suggest Cushing's syndrome, severe stress, acute illness, obesity, or certain medications. Your healthcare provider will interpret the results together with your symptoms, medical history, and additional hormone tests to determine the underlying cause and recommend appropriate management.