The Adrenal Stress Profile is a specialized clinical laboratory test designed to evaluate the functional capacity of the hypothalamic-pituitary-adrenal (HPA) axis. This comprehensive assessment measures the levels of key adrenal hormones, predominantly cortisol and DHEA, across multiple time points throughout a day. It provides a detailed, dynamic view of the body’s stress response and diurnal rhythm. Clinicians use this profile to identify patterns of hormonal imbalance that may contribute to symptoms of exhaustion, sleep disturbance, and metabolic dysregulation.
Origin
This testing methodology arose from the clinical need to move beyond single-point serum measurements, recognizing that adrenal hormone activity follows a critical circadian rhythm. The ‘Adrenal’ component refers to the glands responsible for stress hormone production, while ‘Stress Profile’ highlights the test’s focus on the physiological response to chronic stress. It represents an evolution in endocrinology toward functional, time-sensitive hormonal assessment for comprehensive wellness.
Mechanism
Typically utilizing saliva or dried urine samples, the test quantifies cortisol and DHEA levels four or more times throughout a 24-hour period. This serial collection allows for the mapping of the crucial cortisol awakening response and the characteristic high-to-low diurnal curve. Deviations from the expected pattern, such as a flattened curve or consistently elevated levels, indicate HPA axis dysregulation. This data provides the clinical team with actionable information for targeted lifestyle and supplement interventions.
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