Corticosteroid Saliva Mass Concentration (24-hour)
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.
["Helps assess long-term cortisol levels for conditions like adrenal insufficiency or Cushing’s syndrome."]
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?
Can I take medications or use products that might affect cortisol levels?
Will I need to fast before this test?
Sources
- 1
- 2Lab Tests OnlineSource
- 3
Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
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