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Blood Testing for Acute Stress

Acute stress disrupts neuroendocrine and metabolic balance. Blood testing clarifies your body’s stress response by measuring Cortisol and Glucose. Superpower offers both in-clinic and at-home testing, with home collection available in New York and California, delivering timely insights into hypothalamic–pituitary–adrenal activity and glycemic dynamics.

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What are Acute Stress biomarkers

Acute stress biomarkers are fast‑changing signals in your blood that rise within minutes when you face threat, effort, pain, or acute illness. They reflect the body’s immediate “alarm” response and show how intensely it mobilizes energy, sharpens attention, and primes the heart and circulation. Testing these markers gives an objective snapshot of your fight‑or‑flight activation and stress hormone surge, helping quantify the timing and magnitude of the response and how quickly it settles afterward. Key players come from two linked systems: nerve‑driven messengers from the sympathetic arm—adrenaline and noradrenaline (epinephrine, norepinephrine) released by the adrenal medulla and sympathetic nerves—and the brain–pituitary–adrenal pathway—ACTH from the pituitary driving cortisol from the adrenal cortex (hypothalamic‑pituitary‑adrenal axis). Additional readouts include copeptin (a stable proxy for vasopressin/AVP that mirrors circulatory stress), prolactin, neuropeptide Y, and early immune signals such as interleukin‑6 (IL‑6). Together, these biomarkers translate your body’s rapid stress signaling into measurable data, enabling clear tracking of acute stress load and recovery in real time.

Why is blood testing for Acute Stress important?

  • Understand how acute stress raises cortisol and blood sugar in your body today.
  • Spot cortisol spikes that drive anxiety, insomnia, cravings, and glucose surges.
  • Flag low morning cortisol that explains fatigue, dizziness, and low blood pressure.
  • Detect stress-related glucose rises that unmask prediabetes or diabetes risk.
  • Track trends over time to see recovery from stress or persistent dysregulation.
  • Guide care plans for steroids, sleep, stress reduction, and metabolic risk.
  • Protect fertility and pregnancy by identifying cortisol–glucose patterns impairing ovulation and raising gestational risks.
  • Best interpreted with time-of-day, fasting status, A1c, steroid use, and your symptoms.

What insights will I get?

Acute stress blood testing provides a window into how your body responds to immediate challenges, revealing the resilience and adaptability of key systems like energy metabolism, cardiovascular function, cognition, and immunity. At Superpower, we focus on two core biomarkers—cortisol and glucose—to assess your body’s acute stress response.

Cortisol is a hormone produced by the adrenal glands in response to stress signals from the brain. It helps mobilize energy by increasing glucose availability, supporting alertness, and modulating immune activity. Glucose, the main sugar in your blood, rises quickly during acute stress as cortisol and other hormones signal the liver to release stored energy. Together, these biomarkers reflect how efficiently your body can mount a rapid, coordinated response to stress.

Healthy cortisol and glucose levels during acute stress indicate that your body can maintain stability—what physiologists call homeostasis—under pressure. This balance supports clear thinking, stable mood, and effective immune defense. If these markers are too high or too low, it may signal that your stress response system is overactive, underactive, or struggling to recover, which can affect overall system health.

Interpretation of acute stress biomarkers depends on several factors. Age, time of day, recent illness, pregnancy, and certain medications can all influence cortisol and glucose levels. Laboratory methods and timing of sample collection also affect results, so context is essential for accurate understanding.

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Frequently Asked Questions About

What is Acute Stress blood testing?

It’s a snapshot of how your stress-response systems are firing right now. Superpower tests your blood for cortisol and glucose. Cortisol reflects activation of the hypothalamic–pituitary–adrenal (HPA) axis; glucose shows how fight-or-flight signals mobilize fuel. Together, they indicate the intensity and metabolic cost of acute stress on your body.

Why should I get Acute Stress blood testing?

To confirm whether your symptoms match a measurable stress response and to gauge its impact on metabolism. Elevated cortisol and stress-related glucose changes can strain immunity, blood pressure, and energy balance. Results can also uncover unexpected patterns, like stress hyperglycemia or cortisol suppression from medications, that may need medical attention.

Can I get a blood test at home?

Yes. With Superpower, our team member can organise a blood draw in your home.

How often should I test?

For acute concerns, get a baseline and repeat during high-stress periods to compare. If tracking recovery or patterns, recheck every 1–3 months until stable, then as needed. If you have diabetes, adrenal disorders, or are on steroids, your clinician may set a different cadence.

What can affect biomarker levels?

Time of day strongly affects cortisol (highest early morning, lowest at night). Recent food intake, sleep loss, illness, pain, exercise, caffeine, nicotine, and alcohol can shift cortisol and glucose. Medications matter: glucocorticoids, estrogen therapies, diabetes drugs, beta-agonists/beta-blockers, and some anticonvulsants. Pregnancy and acute surgery/trauma also raise stress markers. Lab timing and posture before draw can subtly influence results.

Are there any preparations needed before the blood test for Cortisol, Glucose?

Aim for a morning draw (around 7–9 a.m.) and fast 8–12 hours for glucose unless told otherwise. Avoid strenuous exercise, caffeine, nicotine, and alcohol the evening before and morning of the test. Take prescribed meds as directed; do not stop steroids without medical advice. Tell us about biotin supplements and hormone therapies, which can affect some assays.

Can lifestyle changes affect my biomarker levels?

Yes. Consistent sleep, regular physical activity, balanced meals, and effective stress reduction can blunt cortisol spikes and stabilize glucose. Alcohol, excess caffeine, tobacco, sleep deprivation, and erratic eating typically push these markers in the wrong direction.

How do I interpret my results?

Use reference ranges and time-of-day context. High cortisol with elevated glucose suggests an active stress response or steroid exposure; isolated high cortisol may reflect timing or acute stress; unexpectedly low cortisol can reflect suppression from steroids or adrenal disease. Single values are limited—trends across tests are more informative. Discuss unexpected patterns with a clinician.

How it works

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Get a comprehensive blood draw at one of our 3,000+ partner labs or from the comfort of your own home.

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Superpower tests more than 
100+ biomarkers & common symptoms

Developed by world-class medical professionals

Supported by the world’s top longevity clinicians and MDs.

Dr Anant Vinjamoori

Superpower Chief Longevity Officer, Harvard MD & MBA

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Dr Leigh Erin Connealy

Clinician & Founder of The Centre for New Medicine

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Dr Abe Malkin

Founder & Medical Director of Concierge MD

Dr Robert Lufkin

UCLA Medical Professor, NYT Bestselling Author

membership

$17

/month
Billed annually at $199
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Superpower
Membership

Your membership includes one comprehensive blood draw each year, covering 100+ biomarkers in a single collection
One appointment, one draw for your annual panel.
100+ labs tested per year
A personalized plan that evolves with you
Get your biological age and track your health over a lifetime
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17
/month
billed annually
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