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ACTH test for individuals experiencing chronic stress, fatigue, and adrenal imbalance symptoms

Blood Test for Stress and Fatigue - ACTH Hormone Check

ACTH, Roche Elecsys

Google
3,138 reviews
  • Measures hormone controlling stress response
  • Checks how well adrenal glands work
  • Tests pituitary hormone for adrenal function
First results as soon as overnight*

90 day happiness guarantee

We stand behind our service

Prescription & fees included

Go directly to the lab, no extra fees

Easy to understand results

With friendly doctor's notes & guidance

Fast & convenient

Lab visit as quick as 10 mins in & out

90 day happiness guarantee

We stand behind our service

Prescription & fees included

Go directly to the lab, no extra fees

Easy to understand results

With friendly doctor's notes & guidance

Fast & convenient

Lab visit as quick as 10 mins in & out

What's this test for?

This test is ideal if you're experiencing symptoms like chronic fatigue, unexplained weight changes, muscle weakness, or difficulty managing stress. It helps identify whether your adrenal glands are producing the right amount of stress hormones, which can affect your energy levels, mood, and overall ability to cope with daily challenges. Many people use this test when they suspect their symptoms are related to adrenal or pituitary hormone imbalances but want concrete answers.

How should I prepare for this test?

This test must be collected between 7-10 AM, as ACTH levels naturally fluctuate throughout the day and are highest in the morning. Make sure to schedule your blood draw within this time window for accurate results. Your doctor may also advise you to avoid certain medications or supplements before testing, so check with them if you're taking any prescriptions.

What's included in this test?

This test measures ACTH (Adrenocorticotropic Hormone), which is produced by your pituitary gland to signal your adrenal glands to make cortisol, the body's main stress hormone. ACTH levels help identify whether fatigue, weight changes, or stress symptoms are caused by problems with your pituitary gland, adrenal glands, or both. This test is particularly useful for diagnosing conditions like Cushing's disease, Addison's disease, or other hormone imbalances affecting your stress response and energy.

What happens after I get my results?
You'll receive detailed doctor notes in simple language explaining what your ACTH levels mean for your stress response, energy, and adrenal health. These notes include personalized recommendations like stress management techniques, lifestyle adjustments, or whether you should follow up with an endocrinologist. You'll also get the standard lab report and can track your ACTH levels over time using our trends feature to see how your interventions are working.
Who should consider getting this test?
This test is ideal for anyone experiencing persistent fatigue, unexplained weight gain or loss, muscle weakness, or changes in skin appearance like darkening or stretch marks. It's also important for people suspected of having adrenal insufficiency, Cushing's syndrome, or pituitary disorders. If you're already being treated for adrenal conditions, this test helps monitor whether your treatment is working effectively.
What symptoms indicate I may need this test?
Common symptoms that may indicate the need for ACTH testing include extreme tiredness that doesn't improve with rest, unexplained weight changes, muscle weakness, low blood pressure, dizziness, or unusual skin darkening. You might also experience mood changes, difficulty concentrating, or changes in appetite. If you're dealing with chronic stress that feels overwhelming or physical symptoms that suggest hormone imbalance, this test can provide valuable insights.
How can I naturally support my adrenal health?
Supporting adrenal health starts with managing stress through techniques like meditation, deep breathing, or yoga. Prioritizing 7-9 hours of quality sleep each night is essential, as is eating regular, balanced meals with adequate protein and healthy fats. Reduce caffeine and sugar intake, which can stress your adrenal glands, and incorporate gentle exercise like walking or swimming rather than intense workouts if you're fatigued.
What is ACTH and why does it matter?
ACTH is a hormone made by your pituitary gland that tells your adrenal glands to produce cortisol, which helps your body respond to stress, maintain blood pressure, and regulate metabolism. When ACTH levels are too high or too low, it can signal problems with either your pituitary or adrenal glands. Understanding your ACTH levels helps doctors pinpoint the source of symptoms like fatigue, weight changes, or difficulty managing stress.
What does high ACTH mean?
High ACTH levels usually mean your pituitary gland is working overtime to stimulate your adrenal glands. This can happen if your adrenal glands aren't making enough cortisol (adrenal insufficiency or Addison's disease), or rarely, if you have a pituitary tumor producing excess ACTH (Cushing's disease). Your doctor will interpret high ACTH alongside cortisol levels and other tests to determine the underlying cause.
What does low ACTH mean?
Low ACTH levels may indicate that your pituitary gland isn't producing enough hormone to stimulate your adrenal glands properly, which can lead to secondary adrenal insufficiency. It can also occur if your adrenal glands are overactive and producing too much cortisol on their own (like with adrenal tumors), causing your pituitary to shut down ACTH production. Low ACTH requires follow-up testing and evaluation by an endocrinologist.
How often should I retest my ACTH levels?
If you're being diagnosed for an adrenal or pituitary condition, your doctor may retest ACTH levels after a few weeks or months once treatment begins. If you're already being treated for adrenal insufficiency or Cushing's syndrome, ACTH is typically monitored every 3-6 months to ensure your treatment is working effectively. For ongoing monitoring, your endocrinologist will determine the right testing schedule based on your symptoms and response to treatment.
How’s this work?
Getting your blood test with us is easy, private & backed by the power of science.

Long story short:
  1. In the test options, use the filters or search box to narrow your choices and find the test you want.
  2. If you need a hand navigating through options, text our super friendly support team at 754-799-7833, and we'll provide tailored suggestions to help you find the ideal test.
  3. Once your order is placed, we’ll create your doctor’s lab order remotely, without any need for you to make a trip to a doctor in person or to talk to the doctor. Expect to receive your doctor’s lab order right in your inbox. It will also be in your patient portal if you need to find it later. We’ll also include instructions regarding fasting and other requirements for your test. Your patient portal will be auto-created hassle-free during checkout.
  4. If this is your first time ordering, you'll be prompted to create a password for instant login access to your patient portal. It's a quick way to conveniently access your orders and results whenever you want.
  5. When you’re ready, visit one of our 4,000 locations. Just bring your ID – no printing or faxing of your lab order is needed, as your order and details will already be in the lab system.
  6. Note that most lab locations don’t accept walk-ins, so it’s best to book an appointment in advance. Don’t worry – we’ll provide detailed instructions along the way.
  7. You’ll get your results via email & SMS and dive into understanding your body better. Yup, that easy!
  8. If you have any questions, please text us at 754-799-7833 or email [email protected] and we'll gladly help you.
How do I know which test to get?
In the test options, find the test you want. If you’re not sure which test to get, we can lend a hand in finding the right option.

Just text or call us at 754-799-7833, email us at [email protected], and we'll gladly help you. We've got your back and reply quickly.
Is it possible to make changes to my lab order if I made a mistake with the name, date of birth, or any other details?
Absolutely! We totally understand that errors can happen. No worries, we're here to help you.

Just reach out to us via text at 754-799-7833 or shoot us an email at [email protected]. Remember to include your order number and let us know the correct information you’d like to update. Our awesome team will jump right in and make sure everything is sorted out and accurate for you.

There are no changes necessary if your address is wrong on the requisition though. We don’t mail anything out.

Our lab requires an address to be listed to generate an order.
Do you accept health insurance?
Only HSA & FSA is accepted.

Our services are strictly self-pay and cannot be submitted to your health insurance provider except for Health Savings Accounts or Flexible Savings Accounts.

This policy applies to all insurance companies, including federal health insurance programs like Medicare.

If you have any questions, please text us at 754-799-7833 or email [email protected].
Can I cancel my order?
Yes.

We get it – sometimes your needs change.

As long as your samples haven’t been collected yet, we’re happy to help you cancel your order.

If you have any further questions, please text us at 754-799-7833 or email [email protected].

You can read more about our cancellation policy here.
How can I find a lab location near me?
During the ordering process, you’ll be able to select a specific lab near you, with no strings attached! You can switch it up later easily and visit any of our authorized locations as long as it’s the same lab company you selected your test for (Quest Diagnostics or Labcorp).

Before you proceed with your order, feel free to browse through all our lab locations here. This will give you the peace of mind of knowing that there's a lab nearby your home, office or your favorite gym.

If you have any questions, please text us at 754-799-7833 or email [email protected] and we'll gladly help you.

Here’s why 1,000,000+ customers chose us for affordable hassle-free private blood testing.

You get clinical lab reports & simplified health insights.
Save time & gas, go straight to the lab. Our doctors cover the rest.
Results start landing the next day after your lab visit.*
We don’t sell or share your data. Your time & privacy matter.
US-licensed doctors have your back if things get unclear.
No hidden fees, nice discounts for regular checkups.
Save a trip to the doctor, go directly to the lab
Instant orders, results often overnight*
Results explained in simple language
Reviewed by US licensed doctors
Fast & confidential, we never sell or share your data
No insurance needed, transparent pricing
Demo results
ACTH (Adrenocorticotropic Hormone) 52 pg/mL
Demo results
Low Optimal 10 - 46 High
52 pg/mL

What this means

Your ACTH levels are slightly elevated, which may indicate your pituitary gland is working harder to stimulate your adrenal glands. This can happen when your body is under chronic stress or if your adrenal glands aren't responding optimally, potentially contributing to fatigue, difficulty managing stress, or other hormone-related symptoms.

* Regular blood test results (e.g., CBC) typically start arriving the next business day after sample collection. More complex tests, such as hormone panels, may take up to 10–15 business days due to their complexity.
Here’s how easy it is to get blood work done on your terms
Choose a checkup
Order your test Save a trip to the doctor. Your results will come with clear, friendly explanations. Takes 2 minutes
Book a lab
Book an appointment Visit any of our 4,000 nearby lab locations to have your samples collected. Book or walk-in
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Get results Receive a clear, easy-to-digest health report by email & SMS within a few business days. Get answers, fast

Blood Test for Stress and Fatigue - ACTH Hormone Check

Google
3,138 reviews
  • Measures hormone controlling stress response
  • Checks how well adrenal glands work
  • Tests pituitary hormone for adrenal function

1,000,000+ blood tests later, here's what our customers say

Google reviews 3138 reviews Next
Still got questions? Text our super-cool support team at 754-799-7833 to get help finding your ideal checkup.