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Corticosteroid Saliva Mass Concentration (24-hour)

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

This test measures the amount of cortisol, a natural steroid hormone, in your saliva over a 24-hour period. Cortisol helps regulate metabolism, immune response, and stress reactions.

Quick summary

["Helps assess long-term cortisol levels for conditions like adrenal insufficiency or Cushing’s syndrome."]

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

Key facts at a glance

LOINC
51495-0
Short code
Cortis BS Sal-mCnc
Synonyms
Cortis BS Sal-mCnc
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

Why This Test Is Done

Doctors may order this test if you have symptoms like fatigue, weight changes, or mood swings that suggest hormonal imbalances. It’s also used to monitor conditions like Cushing’s syndrome or adrenal gland disorders. Sometimes, it helps diagnose whether your body is producing too much or too little cortisol over time.

What to Expect Before the Test

No special preparation is needed. You’ll collect saliva samples throughout the day in a provided container. Simply spit into the container at regular intervals (e.g., every few hours) and return it to your lab or doctor’s office by the end of the day.

What Happens During the Test

The collected saliva samples are sent to a lab for analysis. The lab measures the total cortisol present in each sample over the 24-hour period. Results are compared to expected ranges to identify any abnormalities.

What the Results Mean

Low or consistently low cortisol levels may indicate adrenal insufficiency (e.g., Addison’s disease), while high levels could suggest Cushing’s syndrome or other hypercortisolism conditions. Your doctor will interpret results in the context of your symptoms and medical history.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

24-Hour Saliva Cortisol

Frequently asked questions

How often should I take the saliva samples?
Follow your doctor’s instructions for timing. Typically, you’ll collect samples every 2–4 hours throughout the day, including overnight, to capture natural cortisol fluctuations.
Can I take medications or use products that might affect cortisol levels?
Avoid certain medications (e.g., steroids, birth control pills) and products like caffeine, nicotine, or alcohol for 24 hours before testing, as they can influence cortisol levels. Always check with your doctor first.
Will I need to fast before this test?
No fasting is required. Unlike blood tests, saliva cortisol measures natural hormone levels without dietary restrictions.
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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