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.
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
Royal College of Pathologists of Australasia. (2024). Cortisol – RCPA Manual.
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.
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)
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.
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.
Everything below is included from day one. Cancel anytime.
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
All-in-one mobile app
Unlimited AI health intelligence
Food tracking and wearables integrations
Cycle tracking, journal, and insights
Member pricing on additional tests
FAQs
Does this include a blood test?
Yes. As part of your Baseline, we arrange your blood test referral and you visit a collection centre. The $99 covers the health check itself: the 70+ biomarker analysis, biological age, derived markers, and the 1:1 results review with a registered health professional.
How do I take the blood test in Australia?
After booking, you’ll receive a referral that you can take to one of over 4,000 accredited collection centres across Australia, including Laverty, Abbott, Australian Clinical Labs, 4cyte and many more. View a map of all the collection centres here.
Visit at a time that suits you — a professional will take your sample safely and efficiently, usually within minutes. Results are typically received back within 3 business days, but it may occaissionally take longer from time to time.
What if I just want the Baseline and don't want a membership?
The Baseline Health Check is part of the Vively membership because the real value comes from what happens after your results.
Your blood test helps uncover what may be affecting your energy, metabolism, sleep, weight, hormones, inflammation and long-term health. But results alone can be hard to interpret or act on. With membership, you get your results explained, a personalised plan, access to expert support, and follow-up testing every 3 months so you can track whether your health is actually improving.
You can cancel anytime, but we recommend staying for at least 3-4 months so you can complete your first test, follow your plan, and see measurable progress on your next Baseline.
Can't I just ask my GP to order these tests?
In practice, most GPs don't order a 70+ marker panel in one visit, don't calculate biological age or derived markers, and don't have time to sit with you and walk through the results through an optimal health framework, and how they relate to your diet and lifestyle. That's the gap Vively fills.
What happens after my Baseline?
If something is flagged, your practitioner will design a personalised plan built around your results, with ongoing support from your nurse and dietitian to help you take action. This includes recommendations for diet, lifestyle, supplementation and more in-depth testing if needed.
What if nothing's wrong?
Most members have results that could benefit from being improved. If your Baseline comes back all in range, we'll give you that reassurance and its up to you whether you want to keep tracking your health over time. Our membership can be canceled at anytime.
How long does it take?
Most members go from sign-up to results review in 1 week.
Are all markers included for every person?
Not always. Your pathology request is reviewed by a doctor, who determines which tests are clinically appropriate based on your age, sex, health history, symptoms, risk factors and relevant clinical guidelines. This means some markers may not be included in every person’s blood test. In some cases, a marker may be removed if it is not clinically indicated, not appropriate for your situation, or not supported by the reviewing doctor.
Vively provides a comprehensive preventative health assessment, but your final pathology request is always subject to medical review. If a marker you were expecting wasn't included, contact our team and we'll do our best to arrange it for you.
How does the 100% Money Back Guarantee work?
If you purchase our $99 Baseline Intro Offer and every biomarker in your results is within the stated laboratory reference ranges, you can claim your $99 back within 14 days of receiving your results. View our T&Cs for more info.
What happens to my data?
At Vively we take our data security very seriously. All of your data is 256 bit SSL/TLS encrypted. Access to your medical records are encrypted with the industry standard AES-256 encryption algorithm to protect your data at all times. You can read more about this in our privacy policy.Only our health professionals and authorised staff will have access to view your medical records. Data can be stored on third party servers, but it’s always encrypted.
How often do I get retested?
The testing cadence depends on the program your results match you to, though most cycles run around 90 days. Baseline health checks are included in your membership (maximum of 4 per year).
Vively is a general wellness platform and does not provide medical advice, diagnosis, or treatment. Any information, insights or guidance offered through our app, website, programs, or coaches is for educational and informational purposes only and should not be considered a substitute for professional medical advice or care. Always consult a qualified healthcare provider before making any health-related decisions.
We acknowledge the Traditional Custodians of the lands where we live and work, the Gadigal of the Eora Nation. We pay our respects to their Elders past and present.