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Cortisol Elevation Timing

Meaning

The precise chronometric measurement of when the daily peak of the stress hormone cortisol occurs relative to an individual’s sleep-wake cycle, a critical component of the Hypothalamic-Pituitary-Adrenal (HPA) axis rhythm. Normally, cortisol levels exhibit a sharp rise shortly after waking, known as the Cortisol Awakening Response (CAR), followed by a gradual decline throughout the day. Aberrant timing, such as a delayed or premature peak, is a sensitive clinical indicator of HPA axis dysregulation.