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Blood Testing

Cortisol saliva test

Cortisol is a steroid hormone made by the adrenal glands that helps regulate circadian rhythm, glucose metabolism and the stress response. A Cortisol saliva test measures free (biologically active) cortisol in saliva, often across multiple timepoints to assess the daily cortisol pattern. High Cortisol levels may be seen with sleep disruption, chronic physiological stress, hypercortisolism (including Cushing syndrome) or some medicines, while low levels can suggest adrenal insufficiency or HPA axis suppression. This matters because cortisol dysregulation can relate to fatigue, poor recovery, mood changes and metabolic health. Results are best interpreted alongside DHEA-S and relevant thyroid and glucose markers to clarify underlying drivers.

Cortisol is available in Vively's Full Body Health Check. Book your blood test now for only $374 per test.
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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—whether too high or too low—can gradually undermine metabolic health, sleep quality, emotional balance, and resilience. Tracking trends through a saliva cortisol test gives insight into how well your body is adapting to life stress, lifestyle load, and recovery over time.

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)

What we measure

 70+ biomarkers analysed, each one tells you something specific about how your body is functioning right now, not just whether you're "sick" or "not sick"

Understand markers linked to healthy aging

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

  • Biological Age
  • Speed of Aging

Understand how your body regulates energy

Review glucose, insulin and lipid markers associated with metabolic balance.

  • Fasting Glucose
  • Fasting Insulin
  • Haemoglobin A1c (HbA1c) IFCC mmol/m
  • Haemoglobin A1c (HbA1c) NGSP/DCCT %
  • HOMA-IR
  • Uric Acid/HDL-C (UHR)
  • TyG index
  • Sodium/Potassium Ratio
  • hs-CRP / HDL Ratio

See how your blood supports oxygen and energy

Key blood indicators like hemoglobin, inflammation, and oxygen transport for overall health.

  • Mean Cell Volume (MCV)
  • Red Blood Cell (RBC) Count
  • Haemoglobin
  • Haematocrit
  • Red cell distribution width (RDW)
  • Mean Cell Haemoglobin (MCH)
  • Mean Cell Haemoglobin Concentration (MCHC)
  • Platelet count

Review advanced cardiovascular risk markers

Analyse lipid balance and related markers linked to long-term heart and vascular wellbeing.

  • Total Cholesterol
  • LDL Cholesterol
  • HDL Cholesterol
  • Non-HDL Cholesterol
  • Cholesterol Ratio
  • Triglycerides
  • Cholesterol/HDL Ratio
  • Total Cholesterol/HDL Ratio
  • LDL/HDL Ratio
  • Triglyceride/HDL Cholesterol (Molar Ratio)
  • Non-HDL Cholesterol/Total Cholesterol (Mass Ratio)
  • Atherogenic Index of Plasma (AIP)

See how your immune system is functioning

Review white blood cell markers that reflect immune activity and response.

  • White Blood Cell (WBC) Count
  • Neutrophils
  • Lymphocytes
  • Eosinophils
  • Basophils
  • Neutrophil-to-Lymphocyte Ratio
  • Neutrophil-to-HDL Cholesterol Ratio (NHR)
  • Platelet/Lymphocyte Ratio
  • Monocytes

Identify markers linked to systemic inflammation

Assess signals associated with inflammatory balance and overall physiological stress.

  • High-Sensitivity C-Reactive Protein (hs-CRP)
  • CRP/Albumin Ratio (CAR)
  • Systemic Inflammation Index (SII)

Monitor markers related to kidney function

Review indicators that reflect how efficiently your kidneys filter and regulate fluids.

  • Chloride
  • Bicarbonate
  • Sodium
  • Potassium
  • Urea
  • Creatinine
  • BUN/Creatinine Ratio
  • Estimated Glomerular Filtration Rate (eGFR)
  • Anion Gap

Assess markers connected to liver health

Understand enzymes and related markers linked to metabolic processing and detoxification pathways.

  • Alkaline Phosphatase
  • Bilirubin
  • Aspartate aminotransferase (AST)
  • Gamma-glutamyl Transferase (GGT)
  • Alanine Aminotransferase (ALT)
  • Globulin
  • Total Protein
  • NAFLD FIB-4
  • Albumin/Globulin Ratio
  • Albumin

Check your thyroid function

Helps identify thyroid issues linked to energy, mood and weight.

  • Thyroid Stimulating Hormone (TSH)

Check key nutrient levels that support daily function

Assess essential vitamins and minerals linked to energy production, recovery and overall wellbeing.

  • Iron
  • Phosphate
  • Magnesium
  • Transferrin
  • Ferritin
  • Transferrin saturation
  • TIBC
  • Vitamin B9
  • Vitamin D
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What a standard check often leaves out

Your GP isn't the problem. The current health system isn't built for optimal health.

Vively
Standard GP check
Markers analysed
70+ markers
10-15 markers
Optimal ranges included
Biological age
Results reviewed with on-demand practitioner support
Personalised plan built around your results
Ongoing retesting and health trends reporting
How it works

Just 3 simple steps to get started

If needed, we'll recommend further testing to investigate potential issues based on your results

01

Take the test

One simple test to understand where your health stands. Visit one of 4,000 collection centres across Australia at your earliest convenience and take one easy blood draw.
02

Review your results

Meet with a registered health professional to identify what looks fine, what’s worth watching, and what (if anything) needs attention. If nothing needs changing, we’ll tell you that too.
03

Stay confident as life changes

After your baseline, Vively continues as ongoing guidance — helping you stay on track, adjust when something changes, and re-test every 3 months to see progress over time.
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Practitioner support

  • Test reviews and guidance from a registered nurse trained in optimal health
  • Dietitian support for nutrition and lifestyle changes
  • Plan updates whenever your results change

Ongoing monitoring

  • A full Baseline available every 3 months
  • See every marker trend over time
  • Programs matched to your results

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  • Unlimited AI health intelligence
  • Food tracking and wearables integrations
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