Same Blood Sample, Different Results: Why Cortisol Levels Can Vary Between Tests
When two cortisol tests are conducted from the same blood sample and yield significantly different results—one low and the other within the normal range—it can be both surprising and concerning. Ideally, the same sample should produce consistent results across multiple tests. However, in practice, certain technical and procedural factors can introduce variability. Here’s a closer look at the reasons why cortisol levels might appear low in one test and normal in a subsequent one. 1. Sample Degradation and Delayed Processing Cortisol, like many hormones, is sensitive to handling and storage conditions. If a blood sample isn’t processed quickly or stored under optimal conditions, cortisol levels may degrade over time, potentially leading to falsely low results. Time Before Testing : Cortisol is relatively stable when samples are kept frozen, but it can degrade if stored at room temperature or even in a refrigerator for extended periods. If the first test was performed immediately after c...