All Tests
/
Blood Testing
/
Cortisol
Blood Testing

Cortisol

Cortisol, produced by the adrenal glands, helps regulate energy, metabolism, immune balance, and the body’s response to daily stressors. In Australia, morning cortisol levels typically range from about 185 to 624 nmol/L.

Tracking cortisol over time shows how well your body adapts to stress and recovery. Keeping levels balanced supports steady energy, sleep quality, and long-term metabolic health.

Cortisol is available in Vively's Metabolic Essentials Test. Book your blood test now for only $199 per test.
Book My TestOrder My CGM

What is cortisol?

Cortisol is a glucocorticoid hormone produced by the adrenal glands. It follows a circadian rhythm, peaking in the morning to help with waking, then declining across the day. It regulates many systems including energy allocation, metabolism, inflammation control and the stress response.

Why does it matter for long-term health and wellbeing?

Because cortisol interfaces with energy balance, appetite, inflammation and recovery systems, persistent dysregulation (too high or too low) can gradually undermine metabolic health, sleep quality, emotional balance and resilience. By understanding your cortisol trend, you gain foresight into how your body is adapting (or not) to life stress, lifestyle load and recovery.

What’s an optimal level of cortisol?

What influences cortisol levels?

Key factors include sleep timing and quality, stress exposure (mental or physical), circadian rhythm entrainment, diet (especially carbohydrate and caffeine patterns), exercise timing and intensity, light exposure (morning bright light in particular), and recovery habits (rest, relaxation, downtime). Environmental and seasonal factors can also shift cortisol patterns (for example, sunrise timing shifts and seasonal variation in cortisol have been observed in Australian populations).

What does it mean if cortisol is outside the optimal range?

  • Above optimal / high side: may suggest your body is under chronic load or in a heightened stress state — potentially pushing metabolic systems, appetite regulation and sleep into imbalance.
  • Below optimal / low side: may indicate a system under strain or exhaustion, with reduced capacity to respond adaptively to daily challenges.

Either way, an out-of-range result is not a diagnosis but a signal — a launch point for deeper insight and lifestyle tuning (and discussion with your clinician, if needed).

How can I support healthy cortisol levels?

You can help your cortisol balance by: keeping a consistent sleep–wake schedule, prioritising morning bright light (natural daylight), moderating caffeine or stimulants (especially later in the day), using stress-modulating practices (e.g. mindfulness, breathing, gentle movement), spacing exercise appropriately, ensuring periods of recovery and rest, optimising nutrition (balanced macronutrients, stabilised blood sugar), and avoiding overtraining or excessive load without recovery. Tracking over time helps you see which levers move your cortisol in the right direction.

This information is provided for general health and wellness purposes only and does not replace medical advice.

References

  1. Royal College of Pathologists of Australasia. (2024). Cortisol – RCPA Manual.
  2. Hadlow, N., Brown, S., Wardrop, R., & Henley, D. (2014). The effects of season, daylight saving and time of sunrise on serum cortisol in a large population. Chronobiology International, 31(2), 243–251.
  3. Hadlow, N., et al. (2018). Where in the world? Latitude, longitude and season contribute to the complex coordinates determining cortisol levels. Clinical Endocrinology (Australia populations)
  4. Austin Pathology. (2024). Clinical Trials / Reference Ranges. (6am–10am cortisol: 185–624 nmol/L)
Comprehensive test

Discover 50+ biomarkers
that shape your health

Take the test
Biological Age
1 marker

Biological age

A reflection of how your body is aging at the cellular level, linked to age risks and longevity.
Red Blood Cell (RBC) Count
Haemoglobin
Haematocrit
Mean Cell Volume (MCV)
Mean Cell Haemoglobin (MCH)
Mean Cell Haemoglobin Concentration (MCHC)
Red Cell Distribution Width (RDW)
Platelet Count
8 markers

Blood health

Key blood indicators like hemoglobin, inflammation, and oxygen transport for overall health.
Cholesterol Ratio
HDL Cholesterol
LDL Cholesterol
Non-HDL Cholesterol
Total Cholesterol
Triglycerides
6 markers

Heart health

Assesses cardiovascular health through cholesterol, lipids, and heart-related risk markers.
Cortisol
Dehydroepiandrosterone Sulfate (DHEA-S)
Free Thyroxine (T4)
Free Triiodothyronine (T3)
Thyroid stimulating hormone (TSH)
5 markers

Hormone balance

Evaluates hormone levels that impact energy, sleep, mood, and metabolism.
White Blood Cell (WBC) Count
Neutrophils
Lymphocytes
Monocytes
Eosinophils
Basophils
6 markers

Immune system

Measures immune activity and inflammatory responses to assess body defenses.
High-Sensitivity C-Reactive Protein (hs-CRP)
1 marker

Inflammation status

Tracks signs of chronic or acute inflammation that may affect long-term disease risk.
Bicarbonate
Chloride
Creatinine
Potassium
Sodium
Urea
Uric acid
Anion Gap
Estimated Glomerular Filtration Rate (EGFR)
9 markers

Kidney function

Assesses kidney health through creatinine and other markers of blood filtration.
Alanine Aminotransferase
Albumin
Alkaline Phosphatase
Aspartate aminotransferase (AST)
Bilirubin
Gamma-glutamyl Transferase (GGT)
Globulin
Total Protein
8 markers

Liver health

Measures liver enzymes and proteins responsible for detoxification and metabolic health.
Fasting Glucose
Fasting Insulin
Haemoglobin A1c (HbA1c) IFCC mmol/m
Haemoglobin A1c (HbA1c) NGSP/DCCT %
HOMA-IR score
5 markers

Metabolic health

Evaluates energy processing with glucose, HbA1c, insulin, and related biomarkers.
Magnesium
1 marker

Vitamins & minerals

Analyzes essential nutrients that support immunity, energy, and overall wellbeing.
Creatine Kinase
1 marker

Muscle strength

Assesses biomarkers related to muscle performance, function, and recovery.
Biological Age
1 marker

Biological age

A reflection of how your body is aging at the cellular level, linked to age risks and longevity.
Red Blood Cell (RBC) Count
Haemoglobin
Haematocrit
Mean Cell Volume (MCV)
Mean Cell Haemoglobin (MCH)
Mean Cell Haemoglobin Concentration (MCHC)
Red Cell Distribution Width (RDW)
Platelet Count
8 markers

Blood health

Key blood indicators like hemoglobin, inflammation, and oxygen transport for overall health.
Cholesterol Ratio
HDL Cholesterol
LDL Cholesterol
Non-HDL Cholesterol
Total Cholesterol
Triglycerides
6 markers

Heart health

Assesses cardiovascular health through cholesterol, lipids, and heart-related risk markers.
Cortisol
Dehydroepiandrosterone Sulfate (DHEA-S)
Free Thyroxine (T4)
Free Triiodothyronine (T3)
Thyroid stimulating hormone (TSH)
5 markers

Hormone balance

Evaluates hormone levels that impact energy, sleep, mood, and metabolism.
White Blood Cell (WBC) Count
Neutrophils
Lymphocytes
Monocytes
Eosinophils
Basophils
6 markers

Immune system

Measures immune activity and inflammatory responses to assess body defenses.
High-Sensitivity C-Reactive Protein (hs-CRP)
1 marker

Inflammation status

Tracks signs of chronic or acute inflammation that may affect long-term disease risk.
Bicarbonate
Chloride
Creatinine
Potassium
Sodium
Urea
Uric acid
Anion Gap
Estimated Glomerular Filtration Rate (EGFR)
9 markers

Kidney function

Assesses kidney health through creatinine and other markers of blood filtration.
Alanine Aminotransferase
Albumin
Alkaline Phosphatase
Aspartate aminotransferase (AST)
Bilirubin
Gamma-glutamyl Transferase (GGT)
Globulin
Total Protein
8 markers

Liver health

Measures liver enzymes and proteins responsible for detoxification and metabolic health.
Fasting Glucose
Fasting Insulin
Haemoglobin A1c (HbA1c) IFCC mmol/m
Haemoglobin A1c (HbA1c) NGSP/DCCT %
HOMA-IR score
5 markers

Metabolic health

Evaluates energy processing with glucose, HbA1c, insulin, and related biomarkers.
Magnesium
1 marker

Vitamins & minerals

Analyzes essential nutrients that support immunity, energy, and overall wellbeing.
Creatine Kinase
1 marker

Muscle strength

Assesses biomarkers related to muscle performance, function, and recovery.
Biological Age
1 marker

Biological age

A reflection of how your body is aging at the cellular level, linked to age risks and longevity.
How it works

Get a clearer picture of your health and weight

01

Schedule your test

Visit one of 4,000 collection centres across Australia at your earliest convenience and take one blood draw
02

Get your results

Review your 50+ biomarkers in the Vively app and get a full breakdown, including your Biological Age and Speed of Ageing.
03

Take control of your health

Track and improve your health through the app, with expert 1:1 support available with dietitian coaches to guide healthy changes
FAQ

Got Questions? We’ve Got Answers

What's included in the blood test?
How is this different from getting a blood test at my GP?
What is the Vively membership?
Why do you test these specific biomarkers?
What happens to my data?