Test Details
Lab Company: Genova Diagnostics
Sample Type: Saliva
Collection Location: At Home
The Adrenocortex Stress Profile (ASP) measures hormones involved in a patient's natural circadian rhythm to evaluate stress and resiliency of the hypothalamic-pituitary-adrenal (HPA) axis. These instructions are for the ASP-only test. Instructions for ASP with CAR can be found here.
Key Details
Sample collection is strictly timed.
All samples must be collected on the same day.
If you are taking certain medications (see list below), please consult your healthcare provider prior to collecting your samples.
For 1 hour prior to each collection, do not eat or drink anything.
Samples should be frozen for a minimum of 2 hours prior to shipping.
Ship samples via FedEx as soon as possible.
Rupa Health recommends shipping Monday - Thursday only to avoid shipment delays.
Preparation & Timing
Sample collection must follow the collection schedule exactly.
Consider waking at 6 am on the day of collection.
If you are taking the following medications, please consult your healthcare provider prior to the test:
Ketoconazole
Clomiphene
Phenytoin
Steroids
DHEA supplementation.
Do not change or discontinue medications unless instructed by your healthcare provider.
For 1 hour prior to EACH collection, do not
Eat
Drink anything except water
Apply lip balm and lipstick
Please remove any lip balm or lipstick you may be wearing.
If you have difficulty producing enough saliva during the test, try these methods to quickly produce saliva:
Rinse your mouth with water and spit out completely.
Press the tip of your tongue to the roof of your mouth against your teeth.
Think of sour foods.
Yawn.
Collection Instructions
Collection Schedule
Collection Number | Time | Tube Color | Example |
1 | Between 7:00 am and 9:00 am | WHITE | collect 8:00 am - 8:05 am |
2 | Between 11:00 am and 1:00 pm | WHITE | collect 11:30 am - 11:35 am |
3 | Between 3:00 pm and 5:00 pm | WHITE | collect 4:00 pm - 4:05 pm |
4 | Between 10:00 pm and 12:00 am | WHITE | collect 10:15 pm - 10:20 pm |
Collection Instructions
FOR EACH COLLECTION, fill the correct tube (see schedule above) with saliva to the designated level.
You should finish the collection within 5 minutes of starting.
Your sample should not contain bubbles or mucus.
Replace the cap tightly.
Write the following information on a label. Attach the label to the collection tube.
Your first and last name - Please ensure that the name on the label matches the name on your Rupa order EXACTLY. If it does not match, you may need to recollect your samples.
Date of birth
The time you started the collection
The time you stopped the collection
Freeze the tube immediately.
Samples should be frozen a minimum of 2 hours prior to shipping.
Keep samples frozen until ready to ship.
Repeat steps 1-4 for each of the four collections.
Complete the test registration (instructions HERE).
When you are ready to ship the samples, place the frozen samples in the biohazard bag.
Place the biohazard bag into the clamshell container.
Place the clamshell container and completed activation card into the provided, prepaid mailing envelope.
Requisition & Payment
Your kit has been prepaid. You DO NOT need to pay anything extra.
Instructions on how to fill out your test registration can be found HERE.
Since you pre-paid for your tests, you do not need to fill in the payment information on this form.
Shipping
Samples should be frozen for at least 2 hours prior to shipping.
Ship samples as soon as possible.
Rupa Health recommends shipping Monday - Thursday only to avoid shipment delays.
To prepare your samples for shipping,
Place the collection tubes in the biohazard bag.
Place the biohazard bag into the clamshell container.
Place the clamshell container into the provided, prepaid mailing envelope.
Place the completed activation card into the provided, prepaid mailing envelope
Make a note of the tracking number so that you can track your samples back to the lab.
Ship your samples via FedEx.
You can take your samples to the nearest FedEx location.
DO NOT place your samples in a drop box.
You can schedule a pickup by calling FedEx at 1-800-463-3339 or visiting www.fedex.com.
Results
Results should be released to your provider 7-21 days after samples are received at the lab. We cannot guarantee processing time.
Your provider will notify you when your results are in and schedule a follow-up appointment for you to review them together.
More Resources
Test Information
Collection Instructions
Other Information
Questions?
For general questions, email Rupa Health at support@rupahealth.com. For test-specific questions, contact Genova Diagnostics by calling 1-800-522-4762 or chatting with support.