Extra Cortisol Marker
Updated over a week ago

Test Details

Lab Company: Precision Analytical
​Sample Type: Saliva
​Collection Location: At Home

This test is an add-on to the DUTCH Plus, DUTCH CAR, or DUTCH Cycle Mapping Plus. Your practitioner will tell you the timing for this test.


Key Details

  • ⏰ Your healthcare practitioner will tell you when during the day to collect this sample.

  • πŸ’€ Collect your sample on a day in which you did not have significant sleep disturbances.

  • ❌ You must avoid certain beverages and activities before and during the collection period.

  • πŸ’Š If you are taking hormones, consult the information below and your healthcare provider to discuss collection timing.

  • 🧊 Freeze all samples within 12 hours of collection. Keep your saliva samples frozen until you ship them.

  • πŸ“¦ Samples should be shipped to the lab as soon as possible after sample collection.


Preparation & Timing

  • Collect your sample on a day in which you did not have significant sleep disturbances.

  • If you are taking:

    • Oral Hydrocortisone: Please review the video instructions HERE.

    • Glucocorticoids, check with your healthcare provider regarding when you should collect your samples.

Day before sample collection

  • DO NOT use hydrocortisone cream.

    • This applies to both the patient and anyone else in the household.

  • DO NOT exercise.

  • DO NOT drink caffeine or alcohol the night before sample collection.

Day of sample collection

  • DO NOT floss your teeth until all samples have been collected.

  • Avoid the following activities for 1 hour before sample collection.

    • Eating

    • Drinking

    • Brushing your teeth


Collection Instructions

  1. Your practitioner will tell you when during the day to collect your sample.

  2. Remove the tube cap.

  3. Place the cotton swab from the collection device in your mouth.

    1. Touch the swab as little as possible with your hands.

  4. Leave the swab in your mouth until fully saturated.

    1. DO NOT leave it in longer than 5 minutes.

    2. TIP: Lightly chewing on the swab may help stimulate saliva flow.

  5. Once the swab is saturated, place the swab back into the same tube as you found it.

    1. DO NOT remove the inner tube.

    2. DO NOT spit into the tube.

  6. Complete all information on the tube label.

  7. Freeze the saliva sample until ready to ship.

  8. After you have completed the first collection,

    1. Set a timer for the second and third collections.

    2. Move to a well-lit location.

  9. COMPLETE THE TEST REQUISITION FORM.

    1. Instructions on how to fill out your requisition can be found HERE.

    2. Failure to complete and send the test requisition form may result in a sample recollection.

  10. Place the completed requisition form and saliva samples into the test kit box to ship back to the lab.


Requisition & Payment

  • Your kit has been prepaid. You DO NOT need to pay anything extra.

  • You must complete your requisition form and send it back with your samples. Failure to complete and send the test requisition form may result in a sample recollection.

    • Since you pre-paid for your tests, you do not need to fill in the payment information on this form.


Shipping

  • Please ship your samples as soon as possible after collection.

    • If you have to wait to ship your samples, please keep all samples in the freezer until you are ready to ship.

  • To prepare your samples for shipping,

    • Place the frozen saliva tubes into the test kit box.

    • Place the test kit box into the provided UPS envelope.

    • Place the completed requisition form into the provided UPS envelope.

    • Seal the envelope.

  • Make a note of the tracking number so that you can track your sample back to the lab.


Results

  • Results should be released to your provider 7-10 business days after samples are received at the lab. Rupa Health cannot guarantee processing time.


More Resources


Questions?

Reach out to Rupa Health via the chat in your patient portal.

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