One of ZRT's most popular tests includes diurnal assessment of a patient's salivary cortisol levels. On the surface, these tests seem easy enough to interpret, but experienced clinicians know there can sometimes be pitfalls.
Patients testing cortisol in a clinical setting may take undisclosed medications, live under stressful conditions, have inflammation, genetic variations, tumors, and diseases. Sleuthing out the cause of cortisol elevations and depressions can be a real challenge.
To avoid unnecessary work-ups, there are a few areas to consider when interpreting a salivary cortisol test – Contamination, Suppression, and Comorbidities.