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Adrenal Fatigue Test – Diurnal cortisol and DHEA check– Verisana Lab
3 Reviews

Adrenal Fatigue Test

179.95$ FREE Shipping - Original Price 179.95$

SKU: VS.106 Category:

With the Adrenal Fatigue Test (Stress Balance Plus) we use 4 saliva samples taken at timed intervals throughout the day to measure:

1.) Diurnal cortisol (4x)
2.) DHEA (1x)

The cortisol hormone is important for our ability to cope with stress. In this hormone test, the ability of the body to withstand stress can be measured together with DHEA.

Availability: deliverable immediately
  • Details
  • Test measures
  • Symptoms
  • Sample collection guide
  • Reviews
Who should take the test?

We are all familiar with the sensation of constantly experiencing stress and tension. Regrettably, our body cannot distinguish between whether we are truly facing a life-threatening situation or just going about our daily lives. In both scenarios, the body generates an abundance of stress hormones, particularly cortisol and adrenaline.

Cortisol, alongside adrenaline, stands as one of the most critical stress hormones, primarily originating in the adrenal cortex. Typically, cortisol levels peak between six and eight in the morning, serving as a natural wake-up signal for the body. As the day progresses, cortisol levels gradually decline, allowing the body to ease into a state of relaxation in the evening. During the late-night hours, specifically between midnight and four in the morning, cortisol levels are usually at their lowest. If these levels are excessively elevated during this time, it may lead to sleep disturbances.

In addition to cortisol, this examination assesses DHEA levels. Both hormones are manufactured within the adrenal glands and play vital roles in various metabolic processes within the body. Since DHEA acts as an antagonist to cortisol, maintaining a healthy balance between these two hormones is of utmost importance.

The test analyzes the morning values of the following hormones:

– Diurnal Cortisol

Our Adrenal Fatigue Test helps you identify abnormalities in your stress hormones as accurately as possible by measuring your cortisol levels throughout the day. Besides, as cortisol and DHEA are parameters for the adrenal glands, this test is especially useful for people who are suffering from adrenal fatigue.

How does it work?

Once your order has been processed, you will be sent a sample collection kit. You collect your sample from the comfort of your own home and send it right back to our CLIA-certified partner laboratory. We analyze your sample and inform you that your results have been uploaded to your confidential account on our secure website.

What guidance will I get along with my results?

Following the completion of the analysis, you will receive a lab report that includes explanations for the analyzed markers and details on potential symptoms linked to imbalances. Additionally, we strongly advise that you discuss the results you receive from us with your healthcare provider or practitioner.

Moreover, additional information can be found on our website, particularly within various test categories, “health conditions,” and the Frequently Asked Questions (FAQs) section. If you have any further inquiries, please feel free to reach out to us by sending an email to

How is my privacy protected?

Samples for our tests are collected in the privacy of your own home. Both we and our partner laboratories (which may be contracted by us to conduct some or all analyses of your test) take customer privacy very seriously.

You will be the sole person with access to this information, and we guarantee that we will not disclose your information to any unauthorized third parties. Additionally, all samples will be disposed of after analysis. Both our Verisana portal for registering kits and receiving results as well as our CLIA-certified partner laboratories are fully HIPAA-compliant.

Test measures
For the Adrenal Fatigue Test we analyse:
  • DHEA (1x)
  • Cortisol (4x)
DHEA and Cortisol

Cortisol and DHEA originate from the adrenal glands. Cortisol, in addition to adrenaline, is a pivotal stress hormone that aids the body’s response to specific pressures. These stress hormones unleash stored energy reserves, gearing the body for “fight or flight” reactions. Cortisol release is also prompted during strenuous physical activity, competitive sports, challenging psychological or physical situations, and severe illnesses.

Both cortisol and DHEA assume crucial roles in various metabolic processes within the body. Cortisol, with its anti-inflammatory and anti-allergic properties, contributes to immune processes and plays a vital role in maintaining overall bodily health.

On the other hand, DHEA acts as a precursor to both female and male sex hormones. Its production decreases with age, starting around the age of 30, and a deficiency in DHEA can potentially lead to various health conditions.

It is responsible for:

  • Burning of body fat
  • Prevention of osteoporosis
  • Minimizing cancer and heart diseases
  • Strengthening the immune system
  • Slowing down the aging process
  • Positively influencing memory performance

However, it’s essential to note that both excessively low and excessively high levels of these hormones can lead to uncomfortable symptoms.

Chronic stress is widely recognized as detrimental to health, and stress is the primary trigger for elevated cortisol levels. When cortisol levels become excessively high, they can give rise to symptoms such as weakened immune function, depression, physical fatigue, metabolic irregularities, diabetes, obesity, and sleep disturbances. Elevated cortisol levels can indeed result in uncomfortable symptoms.

Conversely, abnormally low cortisol levels can also disrupt overall well-being. Cortisol plays a pivotal role not only in providing energy reserves but also in maintaining cardiovascular health, gastrointestinal well-being, immune system function, and brain processes. Similarly, DHEA, like cortisol, plays a crucial role. Insufficient DHEA levels are suspected to increase the risk of conditions such as Alzheimer’s disease, cancer, osteoporosis, depression, heart disease, and obesity. In women, elevated DHEA levels can lead to a deeper voice and increased body hair growth.

Symptoms the Adrenal Fatigue Test is suitable for:
  • Fatigue or feeling tired
  • Depression
  • Sleep disturbance
  • Lack of concentration
  • Weight gain
  • Increased appetite
  • Mental fatigue
Sample collection guide

Please read the following instructions in detail, before starting with the sample collection.


Please download the instructions here

  1. Lennart
    June 12, 2019

    Sent my samples on Monday and received the results within a week. Results showed my adrenal glands aren’t working the way they’re supposed to, so I’m seeing a specialist now.

  2. MIK80211
    March 22, 2018

    Instructions are really easy to follow. Results came fairly fast, with a detailed letter. Very happy with this product.

  3. Ricarda
    January 2, 2018

    I had a lot of questions like which test to choose and how to collect the samples (even though the instructions were very detailed, I was a little unsure). The customer service was very kind and took the time to explain everything to me wihout being annoyyed (which I had before with other companies…). Thank you for that.

Only logged in customers who have purchased this product may leave a review.

Any Questions?

Here are some of the most frequently asked questions regarding this test. Your question is missing? Please contact us at:

Who can benefit from the Adrenal Fatigue Test?

This test is particularly useful for individuals experiencing symptoms of adrenal fatigue or those looking to understand how their body responds to stress. It helps identify abnormalities in stress hormones and adrenal gland function.

What is the difference to the Daily Cortisol Test?

The Adrenal Fatigue Test also measures DHEA. Both hormones are produced in the adrenal glands and since DHEA is an antagonist to cortisol, both hormones should be in a healthy ratio. Low DHEA levels are suspected of increasing the risk of diseases such as Alzheimer's, cancer, osteoporosis, depression, heart disease and obesity.

Why is it useful to measure hormone levels throughout the day?

Our hormone production changes throughout the day. The values ​​of the different times of day are particularly important in case of constant exhaustion or sleep disorders. The cortisol level for example drops during the day, so that the body can slowly come to rest in the evening. If this is not the case and the "internal clock" of our adrenal glands is off, this can lead to difficulty falling asleep.

Can you explain how cortisol levels change during the day?

Cortisol levels typically peak between 6 AM and 8 AM, acting as a natural wake-up signal. Throughout the day, cortisol levels gradually decrease, allowing the body to relax in the evening. Elevated cortisol levels during the late-night hours (between midnight and 4 AM) may lead to sleep disturbances.

How does maintaining a healthy cortisol-DHEA balance impact health?

Maintaining a balanced ratio between cortisol and DHEA is essential for overall well-being. Imbalances can lead to various health issues, making it crucial to assess and address these hormone levels.

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