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11-Deoxycortisol, Serum or Plasma, Substance Concentration

Published: August 9, 2026Updated: August 16, 2026

This test measures the amount of 11-deoxycortisol, a hormone made by the adrenal glands, in your blood. It helps evaluate how well your body produces cortisol.

Quick summary

["An 11-deoxycortisol level helps your care team assess adrenal hormone production and screen for certain adrenal or pituitary conditions."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
57498-8
Short code
11DC 2D p Dex SerPl-sCnc
Synonyms
11DC 2D p Dex SerPl-sCnc
Category
hormone
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What Is 11-Deoxycortisol?

11-Deoxycortisol is a hormone produced by the adrenal glands as part of the pathway that makes cortisol. Cortisol is the body's main stress hormone and helps regulate blood sugar, blood pressure, and the immune response. Because 11-deoxycortisol is a precursor to cortisol, measuring it can show whether this hormone pathway is working as expected.

Why This Test Is Ordered

Your clinician may order this test if you have signs suggesting an adrenal or pituitary problem, such as high blood pressure, weakness, or unusual hormone levels. It is often used together with other hormone tests to look for conditions in which the adrenal glands make too much or too little of the precursor hormones involved in cortisol production.

How the Test Is Done

The test uses a blood sample, usually drawn from a vein in your arm. In some cases your clinician may ask you to collect the sample at a specific time of day or after a medication, because hormone levels can change throughout the day and with certain drugs. Follow the instructions you are given about timing and any medications to pause.

What the Results Mean

Results are interpreted along with your symptoms, other hormone tests, and sometimes imaging. Levels outside the expected range do not by themselves confirm a diagnosis; they point your care team toward further evaluation. Your clinician will explain what your specific result means in your situation.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

11-Deoxycortisol is a precursor in the adrenal steroid pathway and is used to assess cortisol production. Abnormal results can be seen in conditions affecting adrenal or pituitary function, including disorders of excess or deficient cortisol synthesis. Interpretation requires correlation with other hormone measurements, clinical findings, and sometimes dynamic testing or imaging, and should always be done by a qualified clinician.

Short name

11-Deoxycortisol

Frequently asked questions

Do I need to fast or change my medications before this test?
Not always. Requirements vary, and some medications can affect hormone levels. Ask your clinician or the laboratory for specific instructions about fasting, timing, and any medicines you should stop or continue.
Can a single result tell me whether I have an adrenal disorder?
Usually not. A single 11-deoxycortisol result is interpreted together with your symptoms and other tests. Your clinician may order additional testing to confirm or rule out a diagnosis.
Is this test the same as a cortisol test?
No. Cortisol and 11-deoxycortisol are different hormones in the same pathway. Your clinician may order both to get a fuller picture of how your adrenal glands are working.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy