Hormones · nmol/L

Cortisol (morning)

A low/high level indicates an adrenal disorder; the morning sample is important.

Ranges we useESE / Endocrine Society
RatingRange
Talk to a doctorbelow 150 nmol/L
Worth improving150 – 300 nmol/L
Good300 – 540 nmol/L
Worth improving540 nmol/L and above

This marker also has 2 age- or sex-specific range sets in the app — the table shows the general one.

Source: ESE / Endocrine Society · Diagnosis and Therapy of Glucocorticoid-induced Adrenal Insufficiency (joint ESE/ES guideline) · 2024 · open

Why it matters

A low/high level indicates an adrenal disorder; the morning sample is important.

If it’s low

Low morning cortisol may indicate adrenal insufficiency — severe fatigue, low blood pressure, weight loss, nausea; urgent in a crisis.

If it’s high

High morning cortisol can accompany stress or a disease with cortisol excess (Cushing) — weight gain (trunk), high blood pressure/sugar, thinning skin.

What to do

Measure cortisol in the morning (~8 h). On its own it is not a lifestyle marker; an abnormality needs targeted hormonal work-up. Stress management helps with a mild, situational rise.

Read together with

Fasting glucose · Sodium · Potassium

Part of the guide: Hormones →

Articles about this marker

This content is for information only and is not a substitute for medical advice. Talk to your doctor about your results.

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