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.
Origin
The term “free” is a descriptive physiological term used in endocrinology to distinguish the unbound hormone from the much larger fraction that is bound to carrier proteins, primarily Cortisol-Binding Globulin (CBG) and albumin. This distinction is fundamental to understanding hormone bioavailability and action. Cortisol itself is named after its isolation from the adrenal cortex.
Mechanism
Cortisol is largely synthesized by the adrenal glands and then transported in the plasma, mostly bound to carrier proteins, which serve as a reservoir and prevent rapid metabolism. The small free fraction is the key to the hormone’s mechanism; it passively enters target cells to bind to the intracellular glucocorticoid receptor. This receptor-hormone complex then translocates to the nucleus to regulate gene transcription, mediating the hormone’s metabolic, immune, and stress-response functions.
Determining a wellness program's effect on cortisol involves mapping your daily hormonal rhythm to see if the program supports or strains your stress response system.
Dysregulated adrenal cortisol rhythms, especially high levels at night, directly disrupt the brain's ability to initiate and maintain restorative sleep.
DUTCH test results guide male hormonal optimization by revealing precise metabolic pathways, enabling targeted, individualized interventions for vitality.
The DUTCH test identifies imbalances in cortisol rhythm, sex hormone production, and their metabolic pathways, offering a comprehensive view of endocrine function.
The DUTCH Test comprehensively measures hormones and their metabolites in dried urine, offering deep insights into endocrine function for personalized wellness.
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