Results & Labs

Chronic stressT3 · 63MOD
Vitality reserve44MOD
Stress burden58MOD
Stress-age+4 yrMOD

Cortisol diurnal rhythm

Salivary · 5-point · patient curve vs. normal envelope

CAR -23% · bluntedWake+30mNoon18:0022:00
CAR -23% · bluntedDiurnal slope normalSampling nmol/L

Blunted awakening response — CAR -22.8% (healthy 36.1–113).

Reference-range plots

Most recent panel · 12 Mar 2026 — each marker on its normal band, with the previous value beside it

4 out of range
currentpreviousnormal range
Cortisol rhythm
Cortisol awakening response
Ref 50–120 %
-22.816
↓ Lownoise
Cortisol (evening)
Ref 0.3–3 nmol/L
2.953
Normalnoise
Cortisol (night)
Ref 0.3–1.4 nmol/L
1.27
Normalnoise
Diurnal cortisol slope
Ref -1.12–-0.24 nmol/L/h
-0.427
Normalnoise
Cortisol output
Cortisol AUC (ground)
Ref 32–113 nmol·h/L
58.9
Normalnoise
Cortisol (awakening)
Ref 5–17.1 nmol/L
7.997
Normalnoise
Cortisol (noon)
Ref 1.9–5.2 nmol/L
4.61
Normalsignal
Anabolic balance
DHEA
Ref 0.53–2.44 nmol/L
0.739
Normalnoise
Cortisol : DHEA
Ref 5–6 ratio
10.8
↑ Highnoise
Sympathetic drive
VMA
Ref 1.04–2.2 mmol/mol
1.046
Normalnoise
MHPG
Ref 0.52–1.13 mmol/mol
0.559
Normalsignal
Adrenaline
Ref 0.76–4.23 µmol/mol
3.457
Normalnoise
Noradrenaline
Ref 11.1–28 µmol/mol
21.2
Normalnoise
Noradrenaline : adrenaline
Ref 3–7 ratio
6.132
Normalnoise
Dopaminergic tone
Dopamine
Ref 108–244 µmol/mol
97.2
↓ Lownoise
DOPAC
Ref 0.7–4 mg/g
1.187
Normalnoise
HVA : VMA
Ref 0.23–2.83 ratio
1.998
Normalnoise
Homovanillic acid
Ref 1.44–3.17 mmol/mol
2.089
Normalnoise
Serotonergic tone
5-HIAA
Ref 1–3.3 mmol/mol
1.081
Normalnoise
5-HIAA : serotonin
Ref 0.03–0.08 ratio
0.02
↓ Lownoise
Dopamine : serotonin
Ref 1.5–3.5 ratio
1.77
Normalnoise
Serotonin
Ref 38–89 µmol/mol
54.9
Normalnoise

Interpretation · stress-response axes

What the panel points to, grouped by axis

Cortisol rhythmBorderline
Cortisol awakening response -22.816 ↓Cortisol (evening) 2.953Cortisol (night) 1.27Diurnal cortisol slope -0.427

Out of range: Cortisol awakening response (low). Interpret alongside the clinical picture.

Cortisol outputWithin range
Cortisol AUC (ground) 58.9Cortisol (awakening) 7.997Cortisol (noon) 4.61

All markers within their reference range.

Anabolic balanceBorderline
DHEA 0.739Cortisol : DHEA 10.8 ↑

Out of range: Cortisol : DHEA (high). Interpret alongside the clinical picture.

Sympathetic driveWithin range
VMA 1.046MHPG 0.559Adrenaline 3.457Noradrenaline 21.2Noradrenaline : adrenaline 6.132

All markers within their reference range.

Dopaminergic toneBorderline
Dopamine 97.2 ↓DOPAC 1.187HVA : VMA 1.998Homovanillic acid 2.089

Out of range: Dopamine (low). Interpret alongside the clinical picture.

Serotonergic toneBorderline
5-HIAA 1.0815-HIAA : serotonin 0.02 ↓Dopamine : serotonin 1.77Serotonin 54.9

Out of range: 5-HIAA : serotonin (low). Interpret alongside the clinical picture.

Reproductive & hormonal context

Sex-aware interpretation of stress hormones

A consented cycle-phase instance is applied to the reference ranges below. The phase value is not displayed on this surface.

A consented cycle-phase instance is accounted for in the cortisol and DHEA-S interpretation.

Stress-hormone reference ranges shift across the menstrual cycle; Sorcova adjusts for phase where applicable.

Full panel

Abnormal first

22 markers
MarkerValueRangeFlagΔ vs prev
Cortisol awakening response · CAR-22.816 %50–120↓ Low-4.43noise
Cortisol : DHEA · COR/DHEA10.8 ratio5–6↑ High+2.52noise
Dopamine · DOP97.2 µmol/mol108–244↓ Low-9noise
5-HIAA : serotonin · 5HIAA/SER0.02 ratio0.03–0.08↓ Low0noise
Cortisol (evening) · m42.953 nmol/L0.3–3Normal+0.07noise
Cortisol (night) · m51.27 nmol/L0.3–1.4Normal-0.21noise
Diurnal cortisol slope · DCS-0.427 nmol/L/h-1.12–-0.24Normal-0.13noise
Cortisol AUC (ground) · AUCg58.9 nmol·h/L32–113Normal+9.7noise
Cortisol (awakening) · m17.997 nmol/L5–17.1Normal+1.52noise
Cortisol (noon) · m34.61 nmol/L1.9–5.2Normal+1.37signal
DHEA · DHEA0.739 nmol/L0.53–2.44Normal-0.04noise
VMA · VMA1.046 mmol/mol1.04–2.2Normal+0.11noise
MHPG · MHPG0.559 mmol/mol0.52–1.13Normal+0.17signal
Adrenaline · EPI3.457 µmol/mol0.76–4.23Normal+0.45noise
Noradrenaline · NOR21.2 µmol/mol11.1–28Normal+1.2noise
Noradrenaline : adrenaline · NOR/EPI6.132 ratio3–7Normal-0.53noise
DOPAC · DOPAC1.187 mg/g0.7–4Normal-0.22noise
HVA : VMA · HVA/VMA1.998 ratio0.23–2.83Normal+0.1noise
Homovanillic acid · HVA2.089 mmol/mol1.44–3.17Normal+0.32noise
5-HIAA · 5HIAA1.081 mmol/mol1–3.3Normal-0.15noise
Dopamine : serotonin · DA/SER1.77 ratio1.5–3.5Normal-0.33noise
Serotonin · SER54.9 µmol/mol38–89Normal+4.2noise

Panel history

Past panels · by category & date

Morning cortisol612 nmol/L↑ high
DHEA-S3.1 µmol/L↓ low
Cortisol : DHEA ratioelevated↑ high
Diurnal slopeblunted↓ low

Panels are grouped by category and dated to when they were drawn. The most recent panel drives the plots above.