Sleep and Stress Test
$249
Sleep and Stress Test
$249

Measure Critical Hormones For Healthy Sleep

This at-home test evaluates fluctuations of three vital hormones needed for a restful night's sleep and can help you determine why you’ve been struggling with sleep lately.
Measures
Critical Sleep & Stress Hormones
Collection Method
Urine
Sleep and Stress Test
$249
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What's Measured
How it Works
box-in-hand Once you order, the test materials are delivered to your doorstep.
barcode Enter the barcode included with your kit at EverlyWell.com.
box-in-mail Complete simple urine sample collection and return via pre-paid shipping label.
review-results An independent board-certified physician will review your results.
receive-results Once verified, you’ll receive your results on our secure platform within days.
What's Included
Detailed directions to guide you
Help along the way if you need it
Biohazard bag for returning your sample
Collapsible cup for urine collection
Urine cards for collecting your sample
Your Results
Easy to Understand
Gain meaningful insights about your health with easy-to-understand test results. Download and share with your healthcare provider, family, or friends. We also provide you with additional resources and helpful tips along the way.
Personalized
View a personalized report of each marker tested as well as detailed information about what your results mean for you.
Actionable
Take action on your health and wellness. Use your report to help guide your next steps. Set up a discussion with a healthcare professional to go over your results further.
Why Everlywell

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Dive Deeper

If you're having trouble sleeping or managing your stress and think that it could be affecting you physically, this is the perfect test for you.

Many times, stress from our demanding modern lifestyles have significant impact on our sleep schedules, which can turn into a vicious self-sustaining cycle. In some instances, it takes objective data to show you or someone close to you that there are risks associated with elevated stress and lack of sleep. Reducing stress and increasing sleep can improve your quality of life, eliminate numerous negative symptoms and reduce the likelihood of long-term health risks.

More than 60 million Americans suffer from some degree of sleep deprivation or insomnia, and over 70% of us feel we suffer from too much stress. High stress and poor sleep are considered major obstacles to feeling well and performing at our best and may be risk factors for heart disease, diabetes, and many other diseases.

By identifying abnormalities in your sleep and stress hormones you can work to reduce your stress, improve your sleep, and live a healthier life.

This panels measures your levels of Cortisol, Cortisone, Melatonin, and Creatinine at 4 points in your day - morning, afternoon, evening, and night.

Your test results will tell whether or not the levels of these four markers are low, normal, or high at each critical point in your day. Elevations or deficiencies in any of these markers can point to lifestyle improvements you can make to help improve your sleep and stress levels.

This test panel does not evaluate Obstructive Sleep Apnea, which is a serious medical condition. If you suspect you have Obstructive Sleep Apnea, see your health care provider for testing options.

EverlyWell can provide suggestions for sleep habit and lifestyle changes to improve overall health and wellness, including how to better manage stress.

Now put down your electronic device (after buying one of our kits of course) and get some well-deserved sleep. No need to make a doctor's or lab appointment, because our kits come right to you. What a dream!

This at-home sleep and stress hormone test lets you check hormones⁠—like melatonin and cortisol⁠—that are tightly connected to your body’s sleep cycle and stress response.

  • The body’s levels of cortisol (stress hormone) and melatonin (sleep hormone) normally follow a regular, 24-hour rhythm or pattern. Melatonin eases you into sleep—and helps you stay asleep—while cortisol helps maintain your energy level and keeps you awake.
  • Cortisol is normally at its highest level in the morning, which helps you wake up from sleep. Cortisol levels then gradually drop as the day goes by. (If you’re a shift worker and you sleep during the day, cortisol levels will usually be at their highest whenever you normally get your day started—even if that’s the middle of the night.)
  • Melatonin normally follows an opposite pattern, with its levels reaching a peak about 3 hours before you wake up. High melatonin levels throughout the night help you stay asleep. Melatonin levels then normally fall in the morning and afternoon, and begin climbing again in the evening to get your body ready for sleep.

This daily⁠—or “circadian”⁠—rhythm of cortisol and melatonin acts like a “clock” that helps keep your body on a consistent schedule of when you’re asleep and when you’re awake. This schedule allows your body to carry out the right activities—like burning sugar to provide energy—at the right time of the day or night.

But if your cortisol and/or melatonin levels aren’t following the normal rhythm, this “clock” will stop working—and many of your body’s activities won’t happen when they should. As a result, you might experience things like depression or a disordered metabolism—which can lead to type II diabetes.

The EverlyWell Sleep and Stress Test checks hormone levels at 4 different points in the day, giving you a comprehensive view into your own body’s daily rhythm of cortisol and melatonin. This may help you discover:


  • If your sleep-wake “clock” is working well—and where the problem might be
  • What parts of the day are especially stressful for you
  • If you are experiencing chronic stress
  • Why you haven’t been getting restful sleep (for example, high evening cortisol levels can decrease sleep quality at night)

Common symptoms of elevated stress and sleep deprivation:

  • Depression
  • Anxiety
  • Can't get to sleep or stay asleep
  • Frequent or early waking
  • Morning or evening fatigue
  • Feeling “tired but wired”
  • High stress
  • Irritability / impaired performance
  • Hunger / sugar cravings
  • Weight gain

Cortisol regulates how much sugar (glucose) and fat gets stored in your body and how much is released to use for fuel. That’s why a cortisol imbalance can lead to changes in weight, energy, and other symptoms.

Cortisol is also your body’s main stress hormone. When you’re stressed, your adrenal glands release a burst of cortisol, sending blood flow into your muscles and increasing your blood sugar⁠—giving you a boost of energy. But lots of stress for a prolonged amount of time can lead to chronically elevated cortisol levels. This may increase your risk of health issues including:

  • Sleep problems
  • Anxiety
  • Depression
  • Digestive problems
  • Headaches
  • Heart disease
  • Increased weight
  • Difficulty remembering

Cortisol testing can be useful because it can help you see if your cortisol levels are too high (or too low)—potentially causing symptoms—so you can discuss possible next steps with your healthcare provider.


How is cortisol measured?

Urine, saliva, and blood are all widely used for measuring cortisol.

Cortisol urine test - The kidneys filter cortisol out of your bloodstream and into urine, making it possible to test cortisol levels with urine samples. This kind of test measures free cortisol⁠—or cortisol that isn’t attached to proteins. (A portion of cortisol circulating in the bloodstream is bound to proteins, while the rest is unbound⁠—or free.) For that reason, this type of test is also known as a urinary-free cortisol test. The EverlyWell at-home Sleep and Stress Test is urinary free cortisol test.

Because it’s easy to collect urine samples at different times throughout the day, urinary free cortisol tests are useful for checking how your cortisol levels change over a 24-hour period, which can help provide insight into sleep problems, stressors, and more.

In addition, urinary free cortisol tests are often used for disease monitoring in patients with Cushing's syndrome⁠—a condition in which the adrenal gland makes too much cortisol.

Cortisol saliva test - Saliva measures cortisol because cortisol circulating in the bloodstream can enter saliva through a biochemical process called diffusion. Cortisol saliva tests measure the body’s amount of free cortisol. Late-night salivary cortisol⁠—measurement of cortisol in a saliva sample collected late at night, often around midnight⁠—is a reliable way to screen for Cushing’s syndrome.

Cortisol blood test - Cortisol circulates in the bloodstream, so a blood sample can be used to determine cortisol levels. Some blood tests measure free cortisol, while others measure total cortisol. (Total cortisol levels include both free and bound cortisol). Blood total cortisol tests are helpful for diagnosing various conditions, such as adrenal insufficiency in patients with critical illnesses like severe pneumonia and respiratory distress syndrome.


Check cortisol levels at home with the EverlyWell Sleep and Stress Test

The EverlyWell test comes with everything you need to collect a urine sample from home and send it to a lab (a prepaid shipping label is included within the kit). You’ll get your test results quickly⁠—just days after your sample arrives at the lab⁠—and you can view your results in day on our secure, online platform.


How is this test different from a cortisol saliva test?

The EverlyWell Sleep and Stress Test uses urine samples⁠—instead of saliva⁠—for measuring cortisol levels. Urine samples are easy to collect, so the EverlyWell test is a convenient way to measure your cortisol levels at different times of the day.

Is there a home cortisol test?

The EverlyWell Sleep and Stress Test lets you check how your cortisol (and melatonin) levels change over a 24-hour period⁠—from the comfort and convenience of your home.


How to test your cortisol levels at home with the EverlyWell Sleep and Stress Test

(1) Order the EverlyWell test online.

(2) Once it arrives, register your kit online using the unique ID that comes inside your kit.

(3) Follow the sample collection instructions inside the kit.

(4) Place your sample inside the return bag included within the kit. Then, put the bag back inside the kit box.

(5) Send the box back in the return envelope using the prepaid shipping label provided.

(6) After the lab tests your sample, check your results on our secure, online platform.

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