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Free Cortisol

Meaning

Free Cortisol represents the biologically active, unbound fraction of the total circulating cortisol hormone in the bloodstream. Only this small, non-protein-bound portion is capable of diffusing across cell membranes to interact with glucocorticoid receptors and exert its physiological effects. Clinical assessment of free cortisol, often measured in saliva or urine, provides a more accurate reflection of an individual’s true hormonal exposure and tissue-level activity than total cortisol measurements.