
Adrenal Saliva Test with CAR
Why it Matters
Chronic stress is one of the most significant root causes with burnout, chronic fatigue, thyroid dysfunction and autoimmune conditions, yet standard tests often fail to capture its full impact.
The Adrenal Stress Test is a non-invasive saliva test that measures cortisol patterns throughout the day, including the Cortisol Awakening Response (CAR)—a crucial marker of how well your body responds to daily stress.
At Goode Health, we see how long-term stress can dysregulate the HPA axis (hypothalamic-pituitary-adrenal axis), leading to symptoms such as energy crashes, brain fog, poor sleep, anxiety, and hormonal imbalances.
This test provides a clear picture of adrenal function, helping us determine whether your body is in a state of high stress, burnout, or adrenal fatigue. With these insights, we can create a personalised strategy to restore resilience, regulate cortisol levels, and support your recovery.
Markers
Cortisol Awakening Response (CAR) – Measures how cortisol rises in the first 30–60 minutes after waking, a key indicator of stress resilience.
Diurnal Cortisol Rhythm – Assesses cortisol levels throughout the day to identify patterns of dysregulation (e.g., high evening cortisol disrupting sleep or low morning cortisol causing fatigue).
DHEA (Dehydroepiandrosterone) – Evaluates adrenal reserve and balance between stress and recovery.
Cortisol/DHEA Ratio – Helps assess chronic stress impact and potential progression to adrenal burnout.
Secretory IgA (sIgA) – Indicates immune function within the gut and mucosal barrier, often suppressed by chronic stress
Who should consider this test
✔ Burnout & Chronic Fatigue – Persistent exhaustion, energy crashes, or feeling ‘tired but wired’.
✔ Thyroid Dysfunction – Adrenal imbalances often contribute to hypothyroidism, Hashimoto’s, and difficulty regulating thyroid hormones.
✔ Autoimmune Conditions – Chronic stress plays a key role in triggering and exacerbating autoimmunity.
✔ Sleep Issues – Difficulty falling asleep, waking up frequently, or feeling unrefreshed in the morning.
✔ Mood & Mental Health Challenges – Anxiety, irritability, or low mood linked to dysregulated cortisol.
✔ Weight Changes & Metabolic Issues – Unexplained weight gain, difficulty losing weight, or blood sugar imbalances.
✔ Chronic Stress & Overwhelm – A history of prolonged stress that may be impacting health, energy, and resilience.
Price £135