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Adrenal Antibody Screen With Reflex TO Titer

Insights Insights

Your adrenal antibody screen appears to be normal. This is a positive finding, as it suggests that your body is not producing antibodies against your adrenal glands. Research shows that the presence of adrenal antibodies can be associated with certain autoimmune disorders such as Addison's disease or autoimmune adrenalitis. Since your test results are within the normal range, it's recommended that you continue to maintain a healthy lifestyle and regularly monitor your health. If you have any concerns or experience any symptoms related to your adrenal glands, it's important to discuss them with your healthcare provider for further evaluation.
Adrenal AB
good
NEGATIVE

Note: This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by FDA. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

ACTH

Insights Insights

Your ACTH, Plasma test came back normal. This means that your pituitary gland is producing the right amount of ACTH hormone, which is essential for proper adrenal gland function. Keep up with regular check-ups to ensure your hormone levels remain balanced.
ACTH, Plasma
good
Low Desirable 6 – 50 High
36 pg/mL

Note: Reference range applies only to specimens collected between 7am-10am.

CBC (Includes DIFF/PLT)

Insights Insights

All of your CBC (INCLUDES DIFF/PLT) results are within the normal range. This means that there are no apparent abnormalities in your blood count and no signs of infection or anemia. Keep up with regular check-ups to ensure your continued good health.
White Blood Cell Count
good
Low Desirable 3.8 – 10.8 High
6.1 Thousand/uL
Red Blood Cell Count
good
Low Desirable 3.80 – 5.10 High
4.41 Million/uL
Hemoglobin
good
Low Desirable 11.7 – 15.5 High
13.0 g/dL
Hematocrit
good
Low Desirable 35.0 – 45.0 High
39.0%
MCV
good
Low Desirable 80.0 – 100.0 High
88.4 fL
MCH
good
Low Desirable 27.0 – 33.0 High
29.5 pg
MCHC
good
Low Desirable 32.0 – 36.0 High
33.3 g/dL
RDW
good
Low Desirable 11.0 – 15.0 High
12.0%
Platelet Count
good
Low Desirable 140 – 400 High
295 Thousand/uL
MPV
good
Low Desirable 7.5 – 12.5 High
9.4 fL
Absolute Neutrophils
good
Low Desirable 1500 – 7800 High
3520 cells/uL
Absolute Lymphocytes
good
Low Desirable 850 – 3900 High
2098 cells/uL
Absolute Monocytes
good
Low Desirable 200 – 950 High
348 cells/uL
Absolute Eosinophils
good
Low Desirable 15 – 500 High
92 cells/uL
Absolute Basophils
good
Desirable < 200 High
43 cells/uL
Neutrophils
good
57.7%
Lymphocytes
good
34.4%
Monocytes
good
5.7%
Eosinophils
good
1.5%
Basophils
good
0.7%

Comprehensive Metabolic Panel

Insights Insights

Most of your values are within the normal range. This is a positive outcome, indicating that your overall metabolism and organ function are functioning well. However, there are a couple of findings that are worth discussing. Your Urea Nitrogen (BUN) and Creatinine levels are high. Although they are only slightly elevated, it's important to monitor them closely. High BUN and Creatinine levels may suggest reduced kidney function or dehydration. I recommend discussing these results with your healthcare provider to determine the underlying cause and develop an appropriate management plan. It's worth noting that your EGFR, which is a measure of kidney function, is within the normal range. This is reassuring and suggests that your kidneys are still able to filter waste products effectively. Overall, it's important to remember that blood test results need to be interpreted in the context of your overall health and medical history. Your healthcare provider will be able to provide a more comprehensive analysis and guide you further based on these results.
Urea Nitrogen (BUN)
high
Low Desirable 7 – 25 High
26 mg/dL
Creatinine
high
Low Desirable 0.60 – 1.26 High
1.34 mg/dL
AST
good
Low Desirable 10 – 40 High
21 U/L
Glucose
good
Low Desirable 65 – 99 High
87 mg/dL

Note: Fasting reference interval

EGFR
good
Low Desirable > 60
71 mL/min/1.73m2
BUN/Creatinine Ratio
good
Low Desirable 6 – 22 High
19 (calc)
Sodium
good
Low Desirable 135 – 146 High
139 mmol/L
Potassium
good
Low Desirable 3.5 – 5.3 High
4.2 mmol/L
Chloride
good
Low Desirable 98 – 110 High
105 mmol/L
Carbon Dioxide
good
Low Desirable 20 – 32 High
25 mmol/L
Calcium
good
Low Desirable 8.6 – 10.3 High
9.9 mg/dL
Protein, Total
good
Low Desirable 6.1 – 8.1 High
7.4 g/dL
Albumin
good
Low Desirable 3.6 – 5.1 High
5.0 g/dL
Globulin
good
Low Desirable 1.9 – 3.7 High
2.4 g/dL (calc)
Albumin/Globulin Ratio
good
Low Desirable 1.0 – 2.5 High
2.1 (calc)
Bilirubin, Total
good
Low Desirable 0.2 – 1.2 High
0.6 mg/dL
Alkaline Phosphatase
good
Low Desirable 36 – 130 High
59 U/L
ALT
good
Low Desirable 9 – 46 High
29 U/L

Cortisol

Insights Insights

Your cortisol levels are normal. Research shows that cortisol is a hormone that's released in response to stress and regulates blood pressure, blood sugar levels, and the immune system. High cortisol levels can indicate chronic stress, while low levels can be caused by conditions such as Addison's disease. It's recommended that you discuss any concerns about your cortisol levels with your healthcare provider.
Cortisol, Total
good
13.4 mcg/dL

Note: Reference Range: For 8 a.m.(7-9 a.m.) Specimen: 4.0-22.0 Reference Range: For 4 p.m.(3-5 p.m.) Specimen: 3.0-17.0 * Please interpret above results accordingly *

Magnesium

Insights Insights

Your magnesium levels are within the normal range. Magnesium is an essential mineral that plays a role in many bodily functions, including muscle and nerve function, blood sugar control, and bone health. Research shows that maintaining normal magnesium levels is important for overall health. Keep up with a balanced diet that includes magnesium-rich foods such as almonds, spinach, and avocado.
Magnesium
good
Low Desirable 1.5 – 2.5 High
2.2 mg/dL

Uric Acid

Insights Insights

Your uric acid levels are normal, which is a good sign. Research shows that elevated uric acid levels may be indicative of gout or kidney stones, so it's recommended that you maintain a healthy lifestyle to prevent these conditions from developing.
Uric Acid
good
Low Desirable 2.5 – 7.0 High
3.8 mg/dL

Note: Therapeutic target for gout patients: <6.0 mg/dL

Urinalysis

Insights Insights

Everything appears to be within the normal range. This is good news, as it indicates that there are no significant abnormalities or issues with your urinary system. It's important to note that normal ranges can vary depending on age and sex, and your results fall within the healthy range for a male of your age. A normal urinalysis suggests that there are no signs of infection, inflammation, or other underlying conditions affecting your urinary system. Your test results indicate that there are no bacteria, red or white blood cells, or leukocyte esterase present in your urine. Additionally, there are no signs of abnormalities in the levels of nitrite, occult blood, ketones, bilirubin, glucose, pH, specific gravity, appearance, color, protein, or hyaline cast. It's always encouraging to see normal results, as it suggests that your urinary system is functioning as it should. However, it's important to remember that a urinalysis is just one piece of the puzzle when it comes to assessing your overall health. If you have any concerns or symptoms, it's recommended that you discuss them with your healthcare provider for further evaluation and guidance. Keep up with your regular check-ups and screenings to ensure that you continue to maintain good health.
Bacteria
good
NONE SEEN /HPF
Squamous Epithelial Cells
good
Desirable < 5 High
NONE SEEN
/HPF
RBC
good
Desirable < 2 High
NONE SEEN
/HPF
WBC
good
Desirable < 5 High
NONE SEEN
/HPF
Leukocyte Esterase
good
NEGATIVE
Nitrite
good
NEGATIVE
Occult Blood
good
NEGATIVE
Ketones
good
NEGATIVE
Bilirubin
good
NEGATIVE
Glucose
good
NEGATIVE
PH
good
Low Desirable 5.0 – 8.0 High
5.5
Specific Gravity
good
Low Desirable 1.001 – 1.035 High
1.011
Appearance
good
CLEAR
Color
good
YELLOW
Protein
good
NEGATIVE
Hyaline CAST
good
NONE SEEN /LPF
Sample image
Sample report
Comprehensive adrenal and stress hormone test for fatigue and unexplained weight changes

Blood Test for Fatigue and Adrenal Function

Addison's Disease Screen (Basic)

Google
3,138 reviews
  • Pinpoint the cause of your fatigue
  • Reveal hidden adrenal issues effortlessly
  • Clarify unexplained weight loss or gain
$235 Example results
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 persistent fatigue, unexplained weight loss or gain, dizziness, low blood pressure, or darkening of the skin. It helps identify Addison's disease, a condition where your adrenal glands don't produce enough essential hormones like cortisol. Many people use this test when they have symptoms that suggest their body isn't managing stress and energy properly.

How should I prepare for this test?

Fasting: 12 hours

You should fast for 12 hours before your blood draw. The ACTH portion must be drawn between 7 AM and 10 AM for accurate results, as hormone levels vary throughout the day. If you're taking prednisone or prednisolone, discuss this with your doctor beforehand as these medications can interfere with cortisol testing. If you're on diuretics or certain other medications that affect uric acid, talk to your physician about temporarily stopping them before testing.

What's included in this test?

Acth, Plasma Cortisol, Total Magnesium Uric Acid

This comprehensive panel measures ACTH and cortisol levels to evaluate how well your adrenal glands are producing stress hormones, along with adrenal antibodies that can indicate autoimmune causes. It includes a complete metabolic profile to check electrolyte imbalances (sodium, potassium, chloride) commonly seen in adrenal insufficiency, a complete blood count to assess overall health, urinalysis to monitor kidney function, and additional markers like magnesium and uric acid. Together, these measurements provide a complete picture of adrenal function and help identify whether your symptoms are related to hormone deficiency.

What happens after I get my results?
You'll receive detailed doctor notes in simple language explaining what your adrenal hormone levels and related markers mean for your energy, stress response, and overall health. These notes include personalized recommendations like lifestyle adjustments, when to seek endocrinology care, or if hormone replacement therapy might be needed. You'll also get the standard lab report and can track your adrenal function over time using our trends feature to monitor how treatments or lifestyle changes are working.
When will I get my results?
You can expect to receive your results within 10 business days. Some tests in this panel may require confirmation testing if initial results are abnormal, which could extend the turnaround time. You'll be notified if additional testing is needed, and your comprehensive results will include all necessary follow-up information.
Who should consider getting this test?
This test is important for people experiencing chronic fatigue, weakness, weight loss, low blood pressure, or salt cravings that don't have an obvious cause. It's also valuable for those with darkening skin patches, frequent dizziness when standing, or a family history of autoimmune conditions. Anyone who has been told their symptoms might be stress-related but hasn't found relief should consider this comprehensive adrenal evaluation.
What symptoms indicate I may need this test?
Common symptoms include extreme and persistent fatigue that doesn't improve with rest, unintentional weight loss, muscle weakness, low blood pressure that causes dizziness, and increased skin pigmentation especially in skin folds. You might also experience salt cravings, nausea, digestive issues, irritability, or depression. These symptoms often develop gradually and worsen during times of physical stress or illness.
How can I naturally support my adrenal health?
Supporting adrenal health involves managing stress through practices like meditation, deep breathing, or gentle yoga. Prioritize 7-9 hours of quality sleep each night and maintain stable blood sugar by eating regular, balanced meals with adequate protein and healthy fats. Include foods rich in vitamin C, B vitamins, and magnesium like citrus fruits, leafy greens, nuts, and whole grains. However, if you have Addison's disease, natural approaches alone are not sufficient and hormone replacement therapy is necessary.
What is cortisol and why does it matter?
Cortisol is your body's main stress hormone, produced by your adrenal glands. It helps regulate your metabolism, blood sugar, blood pressure, immune response, and how your body responds to stress. When cortisol levels are too low, as in Addison's disease, your body can't properly manage stress, maintain energy, or regulate important functions like blood pressure and inflammation, leading to the fatigue and weakness people experience.
What does low cortisol mean?
Low cortisol levels can indicate that your adrenal glands aren't producing enough of this essential hormone, which is the hallmark of Addison's disease or adrenal insufficiency. This can cause persistent fatigue, weakness, weight loss, low blood pressure, and difficulty handling physical or emotional stress. Low cortisol is serious and typically requires medical treatment with hormone replacement therapy to prevent potentially dangerous complications during illness or stress.
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
Cortisol, Total 4.2 mcg/dL
Demo results
Low Optimal 6.0 - 18.0 High
4.2 mcg/dL

What this means

Your cortisol level is below the optimal range, which may indicate that your adrenal glands aren't producing enough of this essential stress hormone. Low cortisol can explain symptoms like persistent fatigue, weakness, difficulty handling stress, and low blood pressure. This finding warrants further evaluation to determine if adrenal insufficiency or Addison's disease may be present.

Recommended actions

Consult with an endocrinologist or healthcare provider about these results as soon as possible

Eat regular meals with adequate protein and salt to help maintain blood pressure and energy

Avoid extreme physical stress or fasting until you've discussed results with your doctor

Keep a symptom journal tracking fatigue, dizziness, and stress response to share with your provider

* 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
Choose a checkup
Get results Receive a clear, easy-to-digest health report by email & SMS within a few business days. Get answers, fast

Blood Test for Fatigue and Adrenal Function

Google
3,138 reviews
  • Pinpoint the cause of your fatigue
  • Reveal hidden adrenal issues effortlessly
  • Clarify unexplained weight loss or gain
$235 Example results

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

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Sean H.
1 year ago

Much love for private md labs. I am an athlete and bodybuilder. I diet hard and train hard so I like to get bloodwork done 4x a year to check my lipid...
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Amber M.
1 year ago

I am so impressed with my experience! I had 12 tests done and within seconds of paying, I already had my appointment scheduled with an awesome QR code...
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1 year ago

I was skeptical at first about scheduling labs online but this process was quick and easy. Best thing I liked was how you could custom tailor your lab...
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Still got questions? Text our super-cool support team at 754-799-7833 to get help finding your ideal checkup.