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HPA-Axis Diagnostics · Saliva-Based

Adrenal Stress Profile
Your stress hormone pattern.

Measures cortisol and DHEA four times throughout the day via saliva. Maps how your adrenal glands handle stress and reveals exhaustion invisible in standard blood tests.

Order Adrenal Stress Profile — 2 100 kr

The test kit is shipped to your home. Includes 2 months access to meet mario.

Exhaustion ME/CFS Sleep Problems Anxiety Autoimmunity Weight Gain
SalivaSpecimen type
4Daily measurements
HomeCollection — kit shipped
14–21Days turnaround
Global Constraint Rule

Why HPA-axis function must be measured

Cortisol is the body's primary stress hormone response and HPA-axis dysregulation is a central mechanism in chronic fatigue, sleep disorders and autoimmune conditions. Serum cortisol — measured at a single point in time — provides no clinical information about the diurnal rhythm.

Salivary cortisol measured four times throughout the day reveals the actual cortisol pattern: is the morning peak insufficient? Are evening levels too high? Is DHEA suppressed? These questions cannot be answered by a standard blood test.

GCR — The HPA axis in the constraint hierarchy

Adrenal exhaustion undermines all downstream protocols — supplements, immunotherapy and hormones are absorbed inconsistently when the cortisol rhythm is disrupted. HPA-axis status determines the sequence of interventions in the GCR hierarchy.

GCR Protocol · Three diagnostic layers

Adrenal Stress Profile is always interpreted in context with NutrEval and WGS

1
NutrEval identifies the specific nutritional deficiencies — vitamin C, B5, magnesium, adaptogenic cofactors — that drive HPA-axis dysfunction. The adrenal glands are the most nutrient-demanding glands in the body.
2
Adrenal Stress Profile maps the cortisol and DHEA pattern throughout the day. Four measurement points provide the clinically meaningful diurnal rhythm that a single blood test can never deliver.
3
WGS genomic analysis reveals genetic variants in CYP21A2 and other adrenal-related genes — explaining why cortisol metabolism is structurally impaired, not merely functionally fatigued.
What It Measures

Four clinical measurement domains

Domain 01 · Morning

Morning Cortisol

The Cortisol Awakening Response (CAR) is measured upon waking. An insufficient morning peak indicates impaired HPA-axis activation capacity — one of the earliest signs of adrenal fatigue and ME/CFS.

Domain 02 · Daytime Rhythm

Daytime Cortisol

Cortisol levels at noon and afternoon map the midpoint of the diurnal rhythm. Elevated daytime cortisol indicates chronic stress burden. Low daytime cortisol with symptoms confirms HPA-axis exhaustion.

Domain 03 · Evening

Evening Cortisol

The evening value measures recovery capacity and the hormonal substrate of sleep quality. Elevated evening cortisol — cortisol that does not decline sufficiently — is the most common hormonal cause of insomnia and early morning waking.

Domain 04 · DHEA

DHEA — Adrenal Reserve

DHEA-S is measured as a marker of the adrenal glands' anabolic capacity and vitality reserve. Low DHEA relative to cortisol — a high catabolic/anabolic ratio — indicates impaired resilience and accelerated biological ageing.

Sample Report

What your results look like

The Adrenal Stress Profile report shows your cortisol and DHEA pattern graphically throughout the day, compared against clinical reference curves for healthy and fatigued populations.

Adrenal Stress Profile sample report — cortisol and DHEA diurnal rhythm

Four clinical domains

  • 01 Morning Cortisol — awakening response and HPA-axis activation
  • 02 Daytime Cortisol — diurnal variation and stress burden
  • 03 Evening Cortisol — recovery capacity and sleep quality
  • 04 DHEA — adrenal reserve and anabolic/catabolic balance
GCR Protocol

How we work with Adrenal Stress findings

The HPA-axis diurnal rhythm is the starting point for an adrenal recovery protocol that addresses the specific pattern of cortisol dysfunction with objective measurement data.

01
Clinical Consultation & GCR Prioritisation
45-minute review of symptom profile, stress history and sleep patterns. The GCR framework determines whether Adrenal Stress Profile is the primary investigation or whether parallel analyses are indicated. Fatigue and sleep disorders always warrant HPA-axis investigation.
GCR AssessmentHistory
02
Sample Collection & Laboratory Analysis
The kit is shipped to your home. Saliva samples are collected four times: upon waking, at noon, in the afternoon and at bedtime. The samples are sent directly to Genova's laboratory. Turnaround 14–21 days.
Home test4 samplesCLIA-certified
03
Multi-Layer Analysis & Interpretation
The cortisol and DHEA profile is interpreted by Dr Mario Anthis in context with NutrEval and WGS data. Elevated evening cortisol is cross-referenced against magnesium status and ashwagandha indication (NutrEval). Low DHEA is linked to genetic adrenal variants (WGS).
Multi-layer analysisGCR hierarchyPrioritisation
04
Targeted Adrenal Intervention
Based on the cortisol and DHEA profile, a targeted adrenal recovery protocol is designed: adaptogens (ashwagandha, rhodiola) for specific cortisol patterns, magnesium for elevated evening cortisol, DHEA support for reduced adrenal reserve, sleep protocol based on the cortisol diurnal rhythm. Follow-up after 3–6 months.
Targeted treatment3–6 monthsFollow-up
Why MediBalans

What sets us apart

01

The HPA axis is never interpreted in isolation

At MediBalans, the cortisol and DHEA profile is cross-referenced with NutrEval nutrient status and WGS genomic data. It is the combination that reveals whether adrenal dysfunction is primary or secondary to nutritional deficiency and genetic factors.

02

Official Genova Distributor

MediBalans is Genova's official Swedish distributor with a direct laboratory relationship and full access to all Genova panels.

03

We sell no supplements

MediBalans sells no supplements. All recommendations — adaptogens, magnesium, DHEA — are based exclusively on what the cortisol and DHEA measurements show.

Frequently Asked Questions

Questions about Adrenal Stress Profile

The Adrenal Stress Profile is a saliva-based test that measures cortisol and DHEA-S four times throughout the day — upon waking, at noon, in the late afternoon and at bedtime. It maps the diurnal rhythm of the HPA-axis (hypothalamus-pituitary-adrenal) and reveals dysfunction patterns that a single blood test cannot detect. The test differentiates between hypercortisolism (too high), hypocortisolism (adrenal fatigue) and dysregulated patterns (elevated at the wrong time of day).

Serum cortisol measured at a single time point gives a static value without diurnal context. HPA-axis function is assessed clinically via the diurnal rhythm pattern — not via a single value. Cortisol normally varies 10-fold throughout the day. Salivary cortisol at four time points provides the clinically meaningful diurnal curve and reveals whether the morning peak is insufficient, whether evening levels are too high, or whether the diurnal rhythm is inverted.

The kit is shipped home with four saliva collection tubes and detailed instructions. Samples are collected upon waking (immediately on waking, before eating or drinking), at noon, in the late afternoon and at bedtime. Each sample requires 1–2 ml of saliva. All samples are refrigerated and sent together to the laboratory.

The Adrenal Stress Profile is indicated for chronic fatigue, ME/CFS, insomnia, early morning waking, anxiety, low stress tolerance, recurrent infections, unexplained weight gain and autoimmune conditions — all conditions where HPA-axis dysregulation may be an underlying or contributing factor. It is particularly valuable when standard blood tests have returned normal results.

Related tests

Often combined with Adrenal Stress Profile

How does the Adrenal Stress Profile compare to other cortisol tests?

A fact-based comparison.

MediBalans / Adrenal Stress GetTested / Female hormone test Holistic Cortisol test Standard blood test
Cortisol data points4 during the day + CAR1 (morning)7 during the day1 (random)
DHEASeparate test
DHEA/Cortisol ratio
Cortisol Awakening Response (CAR)
Diurnal rhythm (curve) Full curveMorning value only Full curve
LaboratoryGenova, CLIA-cert., USAUnknownISO15189Regional lab
Physician interpretation Always includedVia referral
PriceSEK 2,100Included in package ~SEK 1,500~SEK 1,200SEK 0–200

A single morning cortisol measurement tells you nothing about the diurnal rhythm. It is the curve — how cortisol rises, peaks and declines through the day — that reveals whether the HPA axis is functioning normally.

Next Step

Map your
stress hormone pattern.

The Adrenal Stress Profile is interpreted by Dr Mario Anthis in context with your NutrEval and WGS findings. Book a consultation to determine which combination of tests is indicated for your specific presentation.

Order Adrenal Stress Profile — 2 100 kr Book Consultation

The test kit is shipped to your home. Includes 2 months access to meet mario.

meet mario