adrenal testing

[Brucergoldberg]

I just noticed that on the quest lab slip there is a saliva cortisol test   (  lab code 10291 )   i always dismissed this as hocus pokus,  but now quest has it on their lab slip?    

[Brucergoldberg]

WOW!   I'm amazed.     i already have my test quest kit and ready to do battle.!

[goolarra]

From what I've heard, the saliva test is not only trusted by many doctors, but actually considered the most accurate cortisol test out there (the 24-hour variety).  However, as with everything else, there are some doctors who just have to have blood!  LOL

[Brucergoldberg]

so in other words, you are saying that the salivary cortisol test is trusted?

[Red_Star]

"Salivary cortisol--an alternative to serum cortisol determinations in dynamic function tests. Clin Chem Lab Med. 1998 Apr;36(4):215-22....

"Plasma adreno-corticotrophic hormone correlated significantly with the cortisol concentrations determined 15 minutes later in serum (r = 0.54-0.64) and in saliva (r = 0.76-0.85). The more pronounced cortisol response in saliva than in serum and its closer correlation with adreno-corticotrophic hormone offer advantages over serum cortisol, suggesting salivary cortisol measurement may be used as an alternative parameter in dynamic endocrine test."

[Brucergoldberg]

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