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Adrenal Fatigue Testing can help us understand the Root Causes behind many chronic health problems.  Problems like Chronic fatigue, Brain fog, Hormone imbalances, Blood sugar problems, Sleep disorders, Allergies, Thyroid disease, Autoimmunity, and Chronic inflammation can all be attributed by problems with the adrenal glands. 

Price: $795 (testing and Consult)

Time: 1-3 weeks


No. This test is done at home and comes with prepaid shipping materials and everything you need to ensure proper delivery to the lab.

Web results are posted within 7-14 business days. Our office will notify you when test results have been reported.

Yes. The kit comes with easy to follow instructions


Yes. Dr Hagmeyer will review the test result with you. Each test comes with a post-test review/explanation.

One we have placed the order for the test we are unable to issue a refund.


What happens when the adrenal glands stop producing hormones efficiently? Every bodily function is affected, and as adrenal hormone levels ebb and flow abnormally, even the normal “get-up-and-go” you get from them disappears.

Studies indicate that adrenal fatigue symptoms include:

  • Autoimmune conditions
  • Chronic fatigue (always feeling tired)
  • Brain fog
  • Hair loss
  • Hormone imbalance
  • Weakened stress response
  • Insulin resistance
  • Lightheadedness
  • Decreased sex drive/libido
  • Moodiness and irritability
  • Depression
  • Muscle or bone loss
  • Skin ailments
  • Sleep disturbances/sleep apnea
  • Weight gain
  • Sweet and salty food cravings
  • Loss of appetite

A personalized treatment program and cost of treatment plan can be recommended after your test results have been reviewed.

Order Your Personalized Adrenal Stress Test Profile which includes:

  • Comprehensive Adrenal Fatigue Test
  • One on one consult with Dr. Hagmeyer to discuss Test Results
  • Recommendations for a Treatment plan and cost of treatment if necessary

Adrenal Testing & Consult Overview

Saliva Testing Is The Best Way To Assess Adrenal Gland Function

Your Nerve system is extremely sensitive to prolonged bouts of stress. Adrenal testing can help us identify problems within Cortisol output. The human adrenal glands do not secrete steroid hormones at a constant level throughout the day.

The hormones are actually released in a cycle, with the highest value in the morning and the lowest value at night when functioning properly. This 24-hour cycle is called the circadian rhythm and is depicted below.


adrenal stress test
Figure 1. An abnormal adrenal rhythm can influence many functions of the body, some of which are described below.

Energy Production

Abnormal adrenal function can alter the ability of cells to produce energy for the activities of daily life. People who have a hard time rising in the morning, or who suffer from low energy throughout the day, often have abnormal adrenal rhythms and poor blood sugar regulation. The maintenance of a stable blood sugar level depends on food choice, lifestyle, adrenal function and insulin activity. The Adrenal Stress Index™ panel measures stress hormones and insulin, to help ferret out the causes of fatigue, cravings and obesity.

Muscle and Joint Function

Abnormal adrenal rhythms are known to compromise tissue healing. Reduced tissue repair and increased tissue breakdown can lead to muscle and joint wasting with chronic pain.

Bone Health

The adrenal rhythm determines how well we build bone. If the night and morning cortisol levels are elevated, our bones do not rebuild well, and we are more prone to osteoporosis. Stress is the enemy of the bones. In postmenopausal women, the effect of stress worsens due to female hormone imbalances.

Immune Health

Various immune cells (white blood cells) cycle in and out of the spleen and bone marrow. The immune system trafficking follows the cortisol cycle. If the cycle is disrupted, especially at night, then the immune system is adversely affected.

Short- and long-term stress is known to suppress the immune response in the lungs, throat, urinary tract and intestines. With reduction in the surface antibody (called secretory IgA), the resistance to infection is reduced and allergic reactions are believed to increase.

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Sleep Quality

The ability to enter REM sleep cycles and experience regenerative sleep is interrupted by high cortisol values at night and in the morning. Chronic lack of REM sleep can reduce a person’s mental vitality, vigor and induce depression.

Skin Regeneration

Human skin regenerates mostly during the night. With higher night cortisol values, less skin regeneration takes place. Therefore a normal cortisol rhythm is essential for optimal skin health.

Thyroid Function

The level of cortisol at the cell level controls thyroid hormone production. Often, hypothyroid symptoms such as fatigue and low body temperature are due to an adrenal maladaptation.

Grain Intolerance and Stress Response

Approximately 12-18% of the U.S. population suffers from a genetic intolerance to grains, such as wheat, rye or barley contained in cereals, breads and pasta. A high incidence occurs in people with Celtic, Nordic, non-caucasian and Mediterranean ethnicity. The gut becomes inflamed within 30 minutes after consuming grains, and this can lead to an adrenal stress response, increased cortisol and reduced DHEA.

Chronic Fatigue Syndrome (CFS)

A common HPA axis defect in CFS is impaired corticotrophin release. As a result, low cortisol and eventual adrenal atrophy may be observed. Depleted adrenals with flat rhythms are often seen on the ASI™ panel. Simultaneous use of several therapies can help improve the debilitating effects of CFS.

Glycemic Dysregulation (Blood Sugar Imbalances)

Chronic hypoglycemia can impair normal adrenal function by repetitive overstimulation of cortisol production. Recurring exposure to high cortisol will impair insulin activity, and invariably lead to insulin resistance and beta-cell exhaustion (diabetes).

The ASI™ panel investigates the insulin-cortisol relationship under real-life conditions to allow targeted and meaningful interventions.

This panel is useful in the following clinical situations:

  • Weight gain and obesity,
  • High or Low Cholesterol
  • Hypoglycemia or High Blood sugar
  • Early diabetes
  • Emotional disturbances.
  • Brain Fog
  • Confusion and Memory problems.

Allergies/Autoimmune Disorders

More than fifty years ago, it was discovered that patients with environmentally triggered allergies and autoimmune diseases dramatically benefited when given cortisol for other purposes. More recently, German researchers reported that disruption of the adrenal axis and cytokine relationships lead to predisposition and aggravation of autoimmune diseases. The findings of the ASI™ help identify patients with autoimmune diseases and adrenal problems who can benefit from cortisol supplements.


Several recent publications report a hyperactive HPA axis in depressed patients. Elevated midnight salivary cortisol is now considered one of the best tests in diagnosing endogenous depression. Other anomalies in cortisol rhythm usually accompany the midnight elevation.

On the other hand, cortisol elevations and rhythm disruptions throughout the day are typical of attention deficit disorders (ADD). The anomalous cortisol findings in depression and ADD can be diagnosed successfully with the ASI™. Subsequent interventions to rectify the time-specific cortisol elevations (during the day or night) are usually effective when applied under proper supervision.

Could a saliva stress test benefit you and what are the advantages? Adrenal Testing 12

  • The test is non-invasive
  • Saliva is collected 4 times in 1 day in the privacy of your home
  • Your saliva is collected under real life conditions
  • There is no special preparation
  • There are no stressful blood draws nor gallon sized urine containers to carry around for 24 hours like some other tests require
  • Saliva is more accurate: a number of borderline adrenal conditions are often times missed due to lack of sensitivity with blood and urine testing
  • The Adrenal Stress Saliva test is more accurate because samples are taken within 1 circadian cycle ( test is done over the course of the same day) and the more definitive free fraction is measured

This is an in-depth test and options for a resulting action plan are expanded by 400%-500% over serum and urine test results. The kit is completed in the convenience of your home and then mailed postal free to the lab. Lab results are sent to our office and then e-mailed (and mailed by request) to you upon receipt. Please allow a minimum of 14 business days for receipt of test results.  A FREE 20 minute phone appointment test interpretation is included.

Abnormal adrenal rhythm can influence:

  • Energy Production
  • Bone Health
  • Immune System Health
  • Sleep Quality
  • Skin Regeneration
  • Thyroid Function
  • Muscle and Joint Function

Are you a candidate for the Saliva Adrenal Stress Test?

If you suffer from any of the following symptoms, you may benefit from this test.

  • Chronic stress and related health problems
  • Lack of vitality and energy
  • Muscle and joint pain
  • Hypoglycemia
  • Migraine headaches
  • Osteoporosis
  • Sleep disturbances
  • Poor memory
  • Alcohol intolerance
  • Stress maladaptation
  • Low sex drive
  • Low body temperature

The Adrenal Stress Index can explain excessive feelings of tiredness and an inability to cope and is a helpful tool for how to approach the reduction of craving for excessive calories and to help you build and maintain muscle mass.  The Adrenal Stress Index reveals both the strength of the immune system and ability to digest wheat type grains safely.

What’s in the Box The ONLY complete test and among the most valuable test you may ever do!

  • 4 x Cortisol helps evaluate stress response
  • DHEA helps determine stress adaptation
  • 17-OH Progesterone helps determine adrenal reserve

Order your Saliva Adrenal Stress Assessment Test Kit today and take the guess work out of what may be causing you to feel the way you do!

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Get Tested and consult with Dr Hagmeyer

The Adrenal Stress Test can be helpful for patients with;

  • Chronic stress and stress-related health conditions
  • Fatigue or lack of energy
  • Muscle and joint pain or weakness
  • Blood sugar dysregulation
  • Osteopenia or osteoporosis
  • Insomnia, sleep disturbances or difficulty waking
  • Poor memory or difficulty retaining information
  • Irritability or mood swings
  • Changes in skin integrity, easy bruising or excessive stretch marks
  • Frequent or chronic infections
  • Hypertension
  • Increased waist-to-hip ratio or abdominal obesity
  • Anxiety or depression

The Most Comprehensive Way Of Measuring Adrenal Function Is Not a Blood test.

Due to the complexity of adrenal fatigue, traditional blood test are not the most accurate way to evaluate adrenal gland performance. There are several reasons for this.

#1- Steroid hormones (Cortisol, DHEA) in the bloodstream are 95-99% bound to carrier proteins, and in this form are unavailable to target tissues. Saliva testing measures the amount of hormone available to target tissues – the bioavailable amount. For this reason, saliva testing better relates to specific symptoms of excess or deficiency and is a good option for monitoring hormone therapy.

#2 The other reason saliva outperforms blood testing is that the cortisol rhythm is unable to be measured in a single blood test.