Loading...
All Diagnostics
Recommended TestingHormones
Adrenal Stress Index
Complete HPA axis assessment with cortisol, DHEA, and insulin
$200–$350
7–10 business days
The Adrenal Stress Index (ASI) combines 4-point cortisol rhythm testing with DHEA, insulin, and secretory IgA to provide a complete picture of your hypothalamic-pituitary-adrenal (HPA) axis function, metabolic health, and immune resilience.
This is the gold standard for assessing adrenal function and stress resilience. Beyond just cortisol, the ASI reveals how chronic stress is affecting your blood sugar regulation, immune function, and anabolic-to-catabolic hormone balance.
What It Measures
4-point cortisol curve (morning, noon, afternoon, evening)
DHEA (anabolic reserve hormone)
Cortisol-to-DHEA ratio (catabolic vs. anabolic balance)
Insulin (fasting and post-challenge)
Secretory IgA (mucosal immune function)
Total cortisol burden (sum of 4 points)
Why Gabriel Recommends It
The ASI is the most comprehensive adrenal assessment available. It reveals not just your cortisol rhythm but how stress is affecting your metabolic health (insulin), immune resilience (sIgA), and hormonal balance (DHEA). A patient with low DHEA and high insulin alongside disrupted cortisol is in a completely different physiological state than someone with normal DHEA and insulin — requiring very different interventions. Gabriel uses ASI data to design personalized adrenal restoration protocols addressing HPA axis dysfunction, blood sugar dysregulation, and immune support simultaneously.
What to Expect
Collect saliva samples at home at four times throughout one day, plus a fasting insulin challenge (optional with some panels). Simple collection process — spit into tubes. Mail in the prepaid envelope. Results arrive in 7–10 business days with comprehensive HPA axis analysis. Upload to Gabriel for complete adrenal restoration protocols.
How Gabriel Interprets This
Conventional practitioners read these results through a disease-focused lens — looking for what's broken. Gabriel reads them through a naturopathic lens — looking for what's out of balance and how to restore it. We see optimal ranges, not just "normal" ranges. We connect findings across all your diagnostics to reveal patterns that siloed specialists miss.
Related Conditions
Where to Get Tested
$200–$350
