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Condition and Nutrition Assessment Table
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Adrenal Stress Plus - Saliva
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Overview
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Clinician Info
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CPT Codes
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Kit Instructions
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Sample Reports
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Interpretive Guide
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References
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Adrenal Stress Plus Testing


Metametrix Adrenal Stress Plus Profile features:
- Simple, timed salivary specimen collections.
- The Adrenal Stress Plus Profile includes sIgA and AGA for the most complete assessment.
- The Adrenal Stress Profile is an economical alternative, especially for follow-up testing.
The Adrenal Stress Plus Profile also measures sIgA and AGA. During a high stress situation, levels of sIgA decrease. Secretory IgA protects the gut from pathogenic material. Chronic cortisol elevation may be associated with high antigliadin antibodies (gliadin is a protein component found in wheat) due to intestinal hyperpermeability.
When the Adrenal Stress Profile indicates an inappropriate hormonal stress response, it is necessary to consider stress reduction through diet and lifestyle modification, and nutritional supplementation to support adrenal gland activity and enhance the restoration of the physical barrier in the gut.
An increased cortisol level, a decreased DHEA-S level, or a decrease in the DHEA-S cortisol ratio is an indication of a chronically stressful physical or mental condition.
Stress is a major underlying cause of many chronic illnesses, from Chronic Fatigue Syndrome to food and environmental allergy. A stressful lifestyle can lead to consistently high levels of cortisol and low levels of DHEA (dehydoepiandosterone), which can be damaging to the brain and other tissues. Cortisol elevation also impacts immune responses, such as secretory IgA (sIgA) and antigliadin antibody (AGA) production. The Adrenal Stress Plus Profile is a measure of an individual’s response to stress. It is also an important tool for pointing to adrenal imbalances that may be impacting a patient’s health.
The adrenocortical hormones, cortisol and DHEA, are steroids that affect carbohydrate, protein, and lipid metabolism. They also serve as modulators of thyroid function and help the body manage stress. When levels of DHEA and cortisol change, it may indicate significant variations in adrenal function that can impact an individual’s energy levels, emotions, and even disease resistance.
Secretion of cortisol, regulated by the sleep-wake cycle, is characterized by a steep increase in the early morning, followed by a gradual tapering off until late evening. Stress causes elevated cortisol levels, which continue as long as the stressor is present. Stress also overrides negative feedback of cortisol in the Hypothalamus-Pituitary-Adrenocortex (HPA) axis. Prolonged stress, causing increased secretion of cortisol, may over time lead to hypertrophy of the adrenal cortex.
Among other functions, DHEA serves as a metabolic intermediate in the pathway for synthesis of testosterone, estrone, and estradiol in the adrenal glands, ovaries, and testes. Since DHEA in plasma has a very short half-life, most of circulating DHEA is in the sulfate form (DHEA-S). DHEA-S provides a ready source of DHEA for the production of estrogens and androgens.
The Adrenal Stress Profiles from Metametrix use a non-invasive salivary procedure to monitor the activity of the adrenal cortex and its ability to react to stress. The procedure monitors the circadian variation of cortisol and DHEA-S levels. An increased cortisol level, a decreased DHEA-S level, or a decrease in the DHEA-S/cortisol ratio is an indication of a chronically stressful physical or mental condition.
Gliadin Sensitivity Profile
To assess gluten sensitivity, this profile offers a simple, salivary collection measuring anti-gliadin antibody (AGA) and secretory immunoglobulin A (sIgA). AGA measures the body's response to gluten while SIgA defends against antigenic and infectious attacks at the mucosal surfaces. To order a collection kit, click here.
| Test name: |
0043 - Adrenal Stress Plus (sIgA & Antigliadin Antibody)*
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| Description: |
The Adrenal Stress Profile uses a non-invasive salivary procedure
to monitor the activity of the adrenal cortex and its ability to react to stress. The procedure monitors the circadian variation of the cortisol and DHEA-S levels. An increased cortisol level, a decreased DHEA-S level, or a decrease in the DHEA-S/cortisol ratio is an indication of a stressful physical or mental condition. Also measured in the Adrenal Stress Plus Profile are secretory IgA and antigliadin antibodies. Secretory IgA protects the gut from pathogenic material. During a high stress situation, levels of secretory IgA decrease. Thus, chronic cortisol elevation may be associated with high antigliadin antibodies due to intestinal hyperpermeability. Gliadin is a protein component found in wheat. When the adrenal stress profile indicates an inappropriate hormonal stress response, it is necessary to consider stress reduction along with diet, exercise, and nutritional supplementation to support adrenal gland activity. This will enhance the restoration of the physical barrier in the gut.
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| Method: |
EIA |
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| Turnaround time: |
5-10 days, 8 days average |
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Analytes:
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Cortisol (4 timed measurements) DHEAs (2 timed measurements, averaged) Secretory IgA Antigliadin IgA
*Not available in New York
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Profile 0043 – Adrenal Stress Plus |
| 82530 |
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Cortisol |
| 82627 |
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DHEA-S |
| 83516 x2 |
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Immunoassay, NES: |
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Secretory IgA, salivary |
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Antigliadin IgA |
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Profile 0072 – Gliadin Sensitivity Profile |
| 83516 |
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Salivary Secretory IgA |
| 83516 |
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Salivary Antigliadin IgA |
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ReferencesAdrenal Stress Plus
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The influence of parent-infant cosleeping, nursing, and childcare on cortisol and SIgA immunity in a sample of british children.
Waynforth D. Dev Psychobiol. 2007 Aug 6;49(6):640-648.
Salivary immunoglobulin A response at rest and after exercise following a 48 h period of fluid and/or energy restriction.
Oliver SJ, Laing SJ, Wilson S, Bilzon JL, Walters R, Walsh NP. Br J Nutr. 2007 Jun;97(6):1109-16. Epub 2007 Mar 7.
Salivary sIgA and cortisol: markers for functional dependence in older adults.
Lawrence HP, Fillery ED, Matear DW, Paterson L, Hawkins RJ, Locker D. Spec Care Dentist. 2005 Sep-Oct;25(5):242-52.
Serum and salivary antigliadin antibodies and serum IgA anti-endomysium antibodies as a screening test for coeliac disease.
Rujner J, Socha J, Barra E, Gregorek H, Madaliński K, Woźniewicz B, Giera B. Acta Paediatr. 1996 Jul;85(7):814-7.
The influence of alexithymia in stress on secretory IgA and cortisol in saliva .
Lin S, Zhao SF, Yan FH. Shanghai Kou Qiang Yi Xue. 2005 Dec;14(6):561-4.
Discovering of mucosal immunity.
Czyzewska A, Majkowska-Skrobek G. Pol Merkur Lekarski. 2005 Oct;19(112):580-3.
Effects of competition, exercise, and mental stress on secretory immunity.
Ring C, Carroll D, Hoving J, Ormerod J, Harrison LK, Drayson M. J Sports Sci. 2005 May;23(5):501-8.
Stressful life events of dental students and salivary immunoglobulin A.
Ng V, Koh D, Mok B, Lim LP, Yang Y, Chia SE. Int J Immunopathol Pharmacol. 2004 May-Aug;17(2 Suppl):49-56.
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