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Comparison · hormone optimization

DHEA-S vs AM Cortisol

DHEA-S reflects chronic, slow-pool adrenal output. AM cortisol reflects acute, diurnal-peak adrenal output. The cortisol-to-DHEA ratio captures stress-axis imbalance better than either alone.

Reviewed by Dr. Laura PurdyMay 29, 2026
Attribute
DHEA-S
AM Cortisol
Time scale
Chronic / weeks
Acute / hours
Diurnal variation
Minimal
Large — must be drawn 7–9 AM
Stress marker
Reserve
Demand
Ratio
Used together as cortisol/DHEA-S
Same ratio
Decisional weight
Chronic axis state
Acute axis state
Choose DHEA-S

DHEA-S is decisive for chronic adrenal reserve, age-related decline, and longitudinal stress trend.

Choose AM Cortisol

AM cortisol is decisive for diurnal axis status — must be drawn at the morning peak.

Educational. Final pathway selection is provider-reviewed via synchronous video consultation against your biomarkers, history, and goals.

Frequently asked

Can a single cortisol replace a diurnal pattern?

No — for adrenal dysfunction the 4-point diurnal cortisol pattern is preferred.

Is DHEA-S the same as DHEA?

DHEA-S is the sulfated, longer-half-life form and is the standard reference marker.

Next step

Take the optimization assessment.

The adaptive assessment maps your symptoms, history, and goals to candidate pathways — and routes you into provider review.

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