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Cortisol, Serum Concentration

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

This test measures the amount of cortisol, a natural steroid hormone produced by your adrenal glands, in your blood serum. Cortisol plays a key role in managing stress responses, metabolism, and immune function.

Quick summary

["Cortisol helps regulate how your body responds to stress and supports normal bodily functions."]

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

Key facts at a glance

LOINC
15044-1
Short code
Cortis F SerPl-sCnc
Synonyms
Cortis F 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

Why Might This Test Be Ordered?

Your healthcare provider may order a cortisol test to diagnose or monitor conditions such as adrenal gland disorders (like Cushing’s syndrome or Addison’s disease), evaluate stress responses, or check for hormonal imbalances. It may also be used in cases of suspected pituitary issues or to assess long-term cortisol levels in chronic stress scenarios.

What to Expect Before the Test

No special preparation is usually needed, but if your test involves timing (e.g., early morning cortisol), your provider may instruct you to take it first thing in the morning. Avoid smoking, caffeine, or strenuous activity for a few hours before testing to ensure accurate results.

What Happens During the Test?

A blood sample will be drawn from a vein in your arm by a healthcare professional. The blood is then sent to a lab for analysis. The test typically takes a few minutes, and you may feel slight discomfort or bruising at the injection site.

What Are Possible Results?

Results are interpreted by your healthcare provider based on your medical history, symptoms, and other tests. Abnormally high or low cortisol levels may indicate underlying health conditions that require further evaluation.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Cortisol levels can provide critical insights into adrenal function, stress tolerance, and metabolic health. Elevated cortisol may suggest conditions like Cushing’s syndrome, while persistently low levels could indicate Addison’s disease or pituitary dysfunction. Monitoring cortisol trends over time helps tailor treatment plans for chronic stress or hormonal disorders.

Short name

Serum Cortisol

Frequently asked questions

How Often Should I Get This Test?
The frequency depends on your medical condition and treatment plan. Your healthcare provider will determine how often you need retesting, whether it’s annually, every few months, or as needed for ongoing management.
What If My Results Are Outside the Expected Range?
If your results are abnormal, your healthcare provider will discuss potential causes and next steps, which may include additional tests, lifestyle adjustments, or treatment modifications to address the imbalance.
Can Cortisol Levels Change Based on My Diet or Activity?
Yes, cortisol levels can be influenced by diet (e.g., high sugar or caffeine intake), stress, sleep patterns, and physical activity. Avoiding these factors for a few hours before testing helps ensure accurate results.
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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