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Blood sugarAt home

Metabolism Test

Three hormones that influence weight, energy, and sleep, from a blood card and saliva collected at home: cortisol, total testosterone, and TSH.

Often checked for

Unexplained weight changeLow energy or fatigueSleep disturbanceFeeling stressedThinning hairA metabolism baseline
The Metabolism Test kit in hand at homeCollected at home
Blood + saliva
Made byEverlywell

What to expect

Timing can matter
Saliva cortisol depends on time of day. Follow the kit's collection timing.
Blood + saliva
Blood card and saliva tubes, at home.
Results in 10 to 14 days
Typical end to end, including mail time each way and time at the lab. You get a notification the moment they land, and your dashboard shows each number next to the lab’s reference range, in plain language.
Ships free to your door
Plain packaging, both ways. Mail your sample back in the prepaid mailer from any USPS mailbox. Ships to every state except New York.
Ask about this test

What do you want to know?

AI-generated. For information only, not medical advice or a diagnosis.

About this test

No single lab test measures sleep or stress, but a few numbers explain the tiredness that comes with them. Morning cortisol is the adrenal check, TSH shows thyroid pace, and ferritin, vitamin D, magnesium, and B12 cover the nutrient causes.

Cortisol is timed to the morning peak, and the rest need no timing. Cortisol does not measure stress itself; a normal set points attention back to sleep habits, apnea, and mood, which labs do not measure.

What’s in the box

Collection card and two lancets
A few drops of blood on the card, from a quick, shallow prick.
Two saliva tubes
Small tubes with a straw. Collect at the times on the card; cortisol changes across the day.
Alcohol pad, gauze and bandage
Clean the fingertip first, cover it after.
Prepaid return mailer
Addressed to the lab. Drop it in any USPS mailbox once everything is collected.
Instructions and kit ID
Register the ID online before you collect, so your results reach your account.

What it measures

Cortisol
The main stress hormone.
Total testosterone
All testosterone, bound and free.
TSH
The pituitary's signal to the thyroid.

Reading your result

Your report lists each marker next to the lab’s reference range, with plain-language context for what a value above or below that range can mean. Results are read together: one number outside its range is common, and a clinician weighs it alongside the others and how you feel.

Other at-home kits

Thyroid TestAt homeTSH, free T3, free T4, TPO from a finger prick$149

Or check it at a lab

The same markers from a blood draw, at any of 2,000+ lab locations.

How it works

01

Choose a test

Search by test, marker, or how you feel. Panels and at-home kits too.

02

A clinician reviews it

They sign the lab order when it is appropriate. If not, a full refund.

03

Visit a lab, or test at home

Walk into one of 2,000+ labs, or a kit ships to your door.

04

Results in your account

Beside the lab’s reference ranges. Yours to keep and share.

Lab Pass

Test often? One flat fee for every review.

Lab Pass replaces the $15 clinician review fee on each request with one membership: $15 a month or $150 a year, however many tests you order.

TSHAny test on the menu$40
Clinician reviewIncluded with Lab Pass$15$0
Real science, real answers

Clinical-grade, start to finish.

Every order is reviewed by a licensed clinician, and every test runs at a CLIA-certified laboratory.

CLIA-certified labs

Every available lab is certified under the Clinical Laboratory Improvement Amendments, meeting both state and federal standards with regular independent inspections.

Clinician-reviewed reports

Every result is reviewed by an independent, board-certified physician licensed in your state.

Rigorous quality assurance

Every lab we use runs regular internal quality checks, participates in proficiency testing, and complies with all federal and state lab regulations.

HIPAA-compliant, always

Your health data is encrypted at bank-grade standards. We never sell it, never share it without your consent.

Questions

Before you order.

The things people ask most. Anything else, our care team answers by phone, text, or email.

No. Tell us what you want tested, and a licensed clinician in your state reviews your order. When it’s appropriate, they sign a lab order that works at any of the listed locations for this test.

Everywhere lab tests are informational and don’t diagnose conditions on their own. Available to adults 18 and older; test availability varies by lab location. Talk with your care team about what your results mean for you. Orders are reviewed and, when appropriate, signed by a licensed clinician in your state. If a test isn’t approved, you receive a full refund. All testing is performed at CLIA-certified laboratories. Your results are private and protected. Everywhere is not for emergencies: if you think you may be having a medical emergency, call 911 or go to the nearest emergency room.

Know, now.

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