HOW DO I PREPARE FOR MY SALIVA CORTISOL TESTING?
THE DAY BEFORE YOU DECIDE TO DO THE SALIVA:
1) If you are a thyroid patient, take any thyroid medications as normal, the day before.
2) It is important to drink a lot of fluids, this helps with saliva production the next day. It is also important to avoid caffeinated drinks the day before as they contribute to dehydration.
THE DAY OF THE SALIVA COLLECTION:
1) Wash your hands before testing, to avoid mixing anything from your hands to your kit.
2) Do not eat, drink, brush your teeth prior to your first collection of the day, or within 2 hours prior to collecting saliva the other three times. (You can have a sip of water only, then wait 5 minutes)
3) ZRT recommends letting saliva pool in your mouth. Patients have also reported things like sniffing a cut lemon, a pickle, etc.
4) It’s not uncommon to take 20 minutes minimum to fill each vial halfway, not including the bubbles.
** Have patience and keep going until you fill the vial to the line that indicates full.
AFTER EACH VIAL OF SALIVA IS COLLECTED:
1) Remember to close the vials tightly.
2) Place all vials in provided plastic bag(s)—some might have a little white absorbent paper inside which you leave in there. (In the summer/hotter months it is important to keep samples cold after collection and during shipping, we recommend you freeze each sample and ship with dry ice, overnight. We’ve found this is the safest way to ship during these times.)
SHIPPING:
Verify that all paperwork/requisition forms are filled out entirely, place completed paperwork and frozen vials in provided test kit box. Place the test kit box, with paperwork and vials, in the shipping package provided. Affix the provided pre-paid label! (If you are shipping overnight during summer months, you will have to purchase your own expedited shipping.)
SUPPLEMENT AND MEDICATION NOTE:
Certain supplements can prevent us from seeing our adrenals natural state. ZRT recommends you discontinue the following before testing:
* 5-HTP (serotonin precursor)
* Adrenal glandular
* Adrenal Cortex
* Ashwagandha
* Asthma supplements (over the counter)
* Astragalus
* Caffeine (from your coffee, tea or certain sodas, for example)
* Cold supplements (over the counter with ephedrine and pseudoephedrine)
* Cordyceps
* DHEA in higher amounts (it’s recommended to be off all DHEA for at least 3 days, says ZRT)
* Flonase
* GABA
* Holy Basil
* Insect bite sprays or creams that contain hydrocortisone
* Jujube
* Kava Kava
* Licorice Root
* Maca
* Magnolia root extract
* Melatonin
* P5P–the active form of B6 (could lower cortisol in some)
* Paba
* Pregnenolone
* Progesterone (in high doses, can raise cortisol)
* Rhodiola
* Phosphatidyl serine (PS)
* Relora
* Schizandra Berry
* Siberian Ginseng (Eleuthero)
* Theanine
* Valerian
* Zinc
Certain Prescription Medications, can prevent us from seeing our adrenals natural state. You may or may not be able to discontinue the following before testing. Please consult your doctor for more information:
* HC (Hydrocortisone like Cortef and other brands)
* Prednisone or Prednisolone
* Medrol (aka Methylprednisone)
* Florinef
* Anti-depressants (whether Tricyclic or SSRI)
* Anti-anxiety meds, aka Benzodiazepines or Benzo (Xanax is an example)
* Antibiotics
* Blood Pressure medications like Spironolactone (Aldactone and CaroSpir)
* Clomid (Clomiphene)
* ADHD meds (Adderall for example)
* Beta Blockers (Lopressor or Toprol XL, Atenolol or Tenormin, Labetalol like Normodyne and Trandate)
* Asthma prescription meds or sprays
* Sleeping Pills (such as Lunesta, Ambien)
* Pain killers for arthritis
* Pain killers for Migraines (aka Imitrex)
* Compounded Progesterone
* Lyrica/Gabapentin

