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WHAT DOES A CORTISOL BLOOD TEST SHOW? UNDERSTANDING YOUR STRESS AND ENERGY HORMONE

THE AUTHOR: DR. ADAM STATEN

THE AUTHOR: DR. ADAM STATEN

Dr Adam Staten is a NHS GP and part of the Clinical Governance team here at One Day Tests. Dr. Staten trained at Cambridge University and King's College London. He has served as a Medical Officer in the British Army. Dr. Staten is a firm believer in educating people about common health problems to empower them to understand and manage their own health.

Cortisol is often called the body’s stress hormone, but it does far more than respond to pressure or anxiety. It helps control energy levels, metabolism, inflammation, and blood sugar. When your cortisol levels are too high or too low, it can affect everything from your mood and sleep to your ability to concentrate and maintain a healthy weight.


A cortisol blood test measures how much cortisol your body is producing and how well your adrenal and pituitary glands are functioning. It helps identify hormonal imbalances that could explain symptoms like fatigue, stress, or unexpected weight changes.


At One Day Tests, we offer cortisol blood testing to help you understand whether your hormone levels are in balance. With fast results and lab-reviewed reports, you can take steps toward better energy, focus, and wellbeing.


You can easily check your stress hormone levels with our cortisol blood test, offering fast, lab-reviewed results that show how your body is managing stress and adrenal function.

WHAT DOES A CORTISOL BLOOD TEST SHOW

A cortisol blood test shows how well your body regulates stress and energy. Cortisol is produced by the adrenal glands in response to signals from the brain, helping to manage metabolism, blood pressure, and immune function.


When cortisol levels are within the normal range, the body can handle daily stress, maintain stable energy, and keep inflammation under control. If levels are too high or too low, it can be a sign that the adrenal or pituitary glands are not functioning as they should.


High cortisol levels are often linked to long-term stress, Cushing’s syndrome, or side effects from steroid medications. Low cortisol may suggest adrenal insufficiency, sometimes caused by Addison’s disease or pituitary dysfunction. Both conditions can cause symptoms like tiredness, weakness, changes in appetite, and difficulty coping with stress.


Testing your cortisol levels provides important insight into how your body is managing pressure and recovery. By identifying imbalance early, you can make targeted lifestyle or medical changes before symptoms become more serious.

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WHY CORTISOL TESTING MATTERS

Cortisol affects nearly every system in the body, including metabolism, immune response, and mood regulation. When cortisol levels rise due to chronic stress, it can disrupt sleep, digestion, and weight balance. Low cortisol, on the other hand, can cause persistent tiredness, low blood pressure, and poor stress tolerance.


Testing is valuable for anyone experiencing ongoing fatigue, anxiety, or trouble recovering from stress. Understanding your cortisol levels can reveal whether these symptoms are linked to hormone imbalance rather than lifestyle alone.


At One Day Tests, our cortisol testing provides fast, reliable results, allowing you to take action sooner. By measuring your stress hormone levels, you can work with your healthcare provider to restore balance through diet, rest, or medical support if needed.

HOW A CORTISOL TEST WORKS

A cortisol blood test is straightforward and quick. Because cortisol levels fluctuate throughout the day, samples are usually taken twice, once in the morning and once in the afternoon. This helps identify whether your levels follow the normal daily rhythm, which typically peaks early in the morning and drops in the evening.


In some cases, doctors may recommend a saliva or urine test for a more complete picture of cortisol levels over time. Most blood test results are available within one or two days. At One Day Tests, samples are processed in UK-accredited laboratories, and results are reviewed by our labs who explain what your levels mean for your health.

WHAT HIGH CORTISOL LEVELS MEAN

High cortisol levels can be caused by several factors, including chronic stress, long-term use of steroid medication, or a condition known as Cushing’s syndrome. Elevated cortisol keeps your body in a constant state of alertness, which can lead to weight gain, high blood pressure, mood changes, and sleep disruption.


Persistent high cortisol can also weaken the immune system and increase the risk of type 2 diabetes. Testing helps distinguish between stress-related spikes and medical conditions that need further treatment.


If your results show elevated cortisol, your doctor may suggest additional hormone tests or review your medications to find the cause. At One Day Tests, you can also combine a cortisol test with other hormone panels to gain a fuller understanding of your overall balance.

WHAT LOW CORTISOL LEVELS MEAN

Low cortisol levels may indicate that your adrenal glands are not producing enough hormone. This can occur in Addison’s disease, which affects adrenal function, or in secondary adrenal insufficiency, caused by reduced stimulation from the pituitary gland.


Symptoms of low cortisol can include chronic fatigue, dizziness, muscle weakness, and weight loss. Some people may also experience low mood or salt cravings. Low cortisol can also occur after stopping long-term steroid treatment suddenly.


A cortisol test helps confirm whether your symptoms are related to adrenal fatigue or hormone imbalance. With One Day Tests, results are explained clearly by our labs so you can discuss next steps with confidence.

PREPARING FOR A CORTISOL BLOOD TEST

For accurate results, cortisol testing should be done in the morning, ideally between 7am and 10am. Avoid strenuous exercise, caffeine, and stressful situations before your test, as these can temporarily raise cortisol levels.


Certain medications, including steroids, birth control, and anti-seizure drugs, can affect cortisol readings. Always let your healthcare provider know which medicines you are taking. One Day Tests provides preparation guidance before your appointment so you know exactly how to get the most reliable results.

INTERPRETING CORTISOL TEST RESULTS

Typical morning cortisol levels range from around 10 to 20 micrograms per decilitre, with lower levels later in the day. However, reference ranges can vary slightly depending on the laboratory and testing method used.


If your results are higher or lower than normal, your doctor will interpret them in the context of your symptoms, lifestyle, and medical history. Stress, illness, and sleep patterns can all influence cortisol readings, so a single result may not tell the full story.


At One Day Tests, every cortisol test result includes a lab review and a clear explanation of what your levels mean, along with advice on whether follow-up testing or lifestyle changes are recommended.

CONCLUSION: CHECK YOUR CORTISOL, UNDERSTAND YOUR ENERGY

Cortisol plays a key role in managing stress, energy, and overall wellbeing. When it is out of balance, it can affect everything from sleep to mood and metabolism. A cortisol blood test helps you see whether your hormone levels are within a healthy range and provides valuable insight into how your body is responding to daily demands.


One Day Tests makes cortisol testing simple, fast, and accessible. With clinics across the UK and quick, lab-reviewed results, you can gain clarity about your health and take proactive steps toward restoring balance.

FREQUENTLY ASKED QUESTIONS

What is a normal cortisol level?

Normal morning cortisol levels are usually between 10 and 20 micrograms per decilitre, dropping to around 3 to 10 later in the day.

Do you need to fast for a cortisol test?

Fasting is not usually required, but avoiding caffeine and heavy exercise before your test can help ensure accurate results.

Can stress affect cortisol results?

Yes. Stress, anxiety, and lack of sleep can temporarily raise cortisol levels, which is why testing at the right time of day is important.

What happens if cortisol levels stay high?

Prolonged high cortisol can lead to fatigue, weight gain, high blood pressure, and a weakened immune system. Testing can help identify the cause.

How can I test my cortisol at home?

One Day Tests offers home testing kits and clinic appointments across the UK. Your sample is analysed in an accredited lab, and your results are reviewed by our labs for clarity and next steps.

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