About 80% of my patients need to start with cortisol, but there are exceptions. Some have normal cortisol levels, while others have other hormone issues. It's great that we have access to different labs for testing, but not all doctors understand its value. For cortisol, saliva testing is preferred over blood because it measures free cortisol. A diurnal cortisol test is even more detailed, measuring cortisol at four points throughout the day.

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