Frequently Asked Questions

Hormone Testing FAQs

How can I test my hormones?
Why should I test hormones in saliva instead of blood?

The testing of hormones through saliva is more accurate than blood (also called serum) tests to determine true hormone levels. Hormones in blood are bound to proteins, which means that they are not readily available for the cells and body to use. Free, unbound hormones are available to the body to use but have not yet been taken up by the cells. When we measure hormones through saliva or urine, we are seeing the unbound hormone levels.

Why did my doctor test my hormones in blood if it less accurate?

Most conventional doctors operate within very formulaic standard protocols that have been taught in medical school for years. Therefore when new, more progressive information becomes available it is not adopted into practice for a very long time. Furthermore, when it comes to women’s hormones, all too frequently the depth of knowledge and understanding is lacking and most women do not feel heard or that their issues are addressed appropriately. The mainstream body of medical knowledge continues to be male-oriented so it perpetuates this model.

What hormones are tested in the Naturkur Wellness Home test kit?

We test the main sex hormones, estrogen, progesterone, testosterone, and DHEA. We also test the hormones of your sleep-wake cycle or circadian rhythm, AM and PM cortisol and melatonin. Finally, we calculate your progesterone to estrogen ratio. The full picture allows us to assess what stage adrenal fatigue you are in and what hormones are high or low so we can customize a solution specific to you.

What if my results come back normal?

In 14 years of practice as a women’s hormone specialist, Dr. Crawford has never seen a perfect hormone test result. Since stress causes hormone imbalances in women and all women experience at least some degree of stress, it is nearly impossible to have balanced hormones unless you have already been through the Crawford Hormone Revitalization Method. If you have any symptoms at all such as fatigue, anxiety, depression, sleep issues, weight gain or difficulty losing weight, low libido, brain fog, chronic pain, etc., you have a hormone imbalance guaranteed. Keep in mind, there may be other health issues going on as well that need to be addressed.

Saliva Collection FAQs

What day of the month should I test my hormones

Men can collect on any day of the month.

Women with:

  • No menstrual cycles can collect any day.
  • Normal menstrual cycles should collect on day 19, 20 or 21 (counting the 1st day of bleeding as day 1)
  • Irregular, unpredictable menstrual cycles can collect any day when there is no bleeding.
  • Some kind of cycle regularity but not at the typical lengths : Long cycles – collect on day 19-21 or from day 19 to 4-5 days before the period is expected. For example, collection can be done anytime between day 19 to day 30, if the cycle is 35 days. Short cycles – collection should be done 2-3 days before the bleeding starts. For example, sample should be collected on day 12, if someone has a 14 day cycle.
What if my cycle is not regular, when should I test?

Irregular, unpredictable menstrual use your best guess to collect during the second half of your cycle if possible. For example, not right after your period cut closer to your next period. Absent periods can collect on any day.

What if I am taking any herbal supplements/vitamins- Will those have any effect on the hormone levels?

If you are taking ANY hormones, supplements, and/or vitamins, then please make sure to mention those on the test requisition form.

Vitamins do not have an effect on hormone levels.

Some of the products, which are available over-the-counter are known to affect hormone test results. Those include progesterone, pregnenolone, hydrocortisone (cortisol), DHEA, 7-Keto-DHEA( can cause falsely elevated levels of DHEA and testosterone). Please stop taking 7-Keto-DHEA 3 days before sample collection.

If you are using the topical hormones, you may continue to use those but DO NOT apply to your face or neck areas for 3 days before sample collection. For applying to other areas, please rub hormones (wrist to wrist) without using fingers for at least 2 days before sample collection.

When should I collect my sample if I am taking hormones?

Please continue taking your hormones and there is no need to stop your hormone therapy. Just follow the directions below for sample collection, in case of different hormone types.

Topical Hormones (Cream or Gel) DO NOT APPLY ANY TOPICAL HORMONES THROUGHOUT THE DAY OF SAMPLE COLLECTION. Collect sample 12-24 hours AFTER the last dose.

Sublingual Hormones or Troches

(Dissolved under Tongue)


Oral Hormones (Pills) If taking Progesterone: Collect saliva 6-10 hours AFTER the last dose. For all other hormones: Collect saliva 12-24 hours AFTER the last dose.

Injections and Pellets

Transdermal Patches

Cortisol Supplementation

The recommended dosage interval is mid regimen.

Collect saliva 1 -2 days AFTER applying the patch.

CONSULT WITH YOUR PROVIDER for instructions if you are taking cortisol supplementation for adrenal support. When testing cortisol (for baseline adrenal function), STOP USING CORTISOL CONTAINING PRODUCTS 5 DAYS PRIOR TO SALIVA COLLECTION.

Topical hormones (Cream or Gel), please note:
  • Do NOT apply any hormone creams or gels with bare hands or fingers for at least two days before sample collection. You may use latex gloves, syringe or an applicator. You do not have to stop applying the hormone.
  • Do not apply any hormone creams or gels to exposed parts of your body. Make sure to apply the hormone to areas covered by any clothing to prevent transfer of hormones to other people or any household items.
  • Make sure to clean your hands by washing thoroughly with soap and water after hormone use.
  • Touching any contaminated surfaces around (door knobs, counter-tops, door bell, faucets etc.) can result in false high test results for hormones.
When should I collect my sample if I am taking oral contraceptives?
  • Sample collection timing does not matter when you are taking oral contraceptives to suppress ovarian hormone levels. You should wait for your withdrawal bleeding if you plan to stop taking the oral contraceptives and collect sample on day 19-21 of your next cycle.

What should I do if I am not well? Should I still collect my sample?
  • Please do not collect sample during your sickness, if you are testing for your baseline hormone levels.

How do I collect my saliva sample in the tubes provided in the test kit?
  • As you wake up in the morning, collect your saliva sample within the first 30 minutes and make sure that you collect the sample BEFORE any other daily routine activities like brushing your teeth, eating, drinking, exercising or taking any medications and/or hormones. Please make sure to read the sample collection instructions provided in your test kit.

Do I need to fill the saliva tubes completely?
  • Please make sure that all tubes should be at least ½ full (preferably ¾ full) excluding bubbles.
Do I need to collect saliva in both tubes provided in the test kit?
  • Yes, both tubes need to be filled at least ½ and preferably ⅔ excluding bubbles. Two tubes are required to test cortisol and melatonin two times a day.
What do I do if I have a dry mouth and have problems collecting saliva sample?
  • If you are having difficulty collecting saliva, we have a few recommendations:

    Close your mouth and imagine eating a wedge of lemon or your favorite food. Tilt your head forward and with your tongue, push the saliva down into the collection tube. Continue until the tube is filled at least half with saliva (not the bubbles). Try to pool the saliva in your mouth before spitting in the tube to avoid bubbles. Tapping the tube on a hard surface can help remove the bubbles. Drinking extra water the night before sample collection helps produce more saliva. Smelling a lemon helps produce more saliva. If you still have difficulty collecting enough saliva, you can store the tube in a refrigerator and collect saliva at the same time the next day.

I brushed my teeth and had my breakfast and then started collecting my saliva. Should I start over again?
  • You will have to collect the sample again the next morning. Please make sure to collect your sample BEFORE eating, drinking or brushing your teeth. 

    You will need to thoroughly rinse your tube out with hot water (no soap) and allow to air dry (do not dry with a cloth or paper towel) before collecting again.

Can I exercise before saliva collection for cortisol (adrenal function)?
  • Any aggressive physical activity, including exercise, has an effect on the cortisol levels and is therefore not recommended if you are testing your normal cortisol levels.
What should I do if I lost my saliva requisition form?

Hormone Balancing Q & A

What is hormonal imbalance?
Hormones are the chemical messengers of your body. They are primarily produced in the endocrine glands, which includes your adrenal gland and thyroid. These hormones travel throughout the body and regulate many major processes of your body, including metabolism and reproduction.

An imbalance in the production of hormones can affect every major system of your body and, in turn, cause symptoms that may easily be misdiagnosed or misunderstood. Evaluating for hormonal imbalance can often unlock the root causes of many complex health conditions, such as weight gain, acne, anxiety, premenstrual syndrome (PMS), and infertility.

What are symptoms of hormone imbalance?

Because hormones are responsible for so many processes of the body, imbalance can create a wide range of symptoms, including:

  • Weight gain or inability to lose weight
  • Anxiety and depression
  • Mood swings
  • Irregular periods
  • Sexual dysfunction or low libido
  • Sleep problems
  • Brain fog or inability to focus
  • Hot flashes
  • Chronic pain
  • Gastrointestinal problems
  • Infertility
  • Polycystic ovary syndrome (PCOS)
  • Hair loss or unwanted hair
  • Fatigue and exhaustion
  • Headaches

Your specific set of symptoms depends on which hormones are out of balance and how your body responds to that imbalance.

What causes hormonal imbalance?

There are a number of possible causes of hormone imbalance. These cause may include:

  • Thyroid or adrenal gland damage
  • Nutritional imbalance or deficiencies
  • Toxins
  • Chronic or acute stress
  • Synthetic or prolonged hormone use
  • Autoimmune conditions
  • Medications

As part of your initial consultation, you will have a comprehensive health assessment to help get a clear picture of the underlying causes of your symptoms. Once these underlying causes are understood, your treatment plan can be tailored to your specific needs.

How is hormone imbalance treated?

At Naturkur Wellness Center, they use a holistic, naturopathic approach to balancing your hormones. First, they evaluate the thyroid, adrenal, and other hormone levels in your blood.

Then, they formulate a plan to treat any imbalance they identify. Using an integrated approach to hormone balancing, they use a variety of methods to correct hormone levels, including:

  • Dietary and lifestyle changes
  • Nutritional counseling
  • Health coaching
  • Massage therapy
  • Acupuncture and reflexology
  • Weight loss plans
  • Bioidentical hormone replacement therapy
  • Nutritional supplements
  • Detoxification treatments

The Naturkur Wellness Center team has over 20 years of experience in identifying and treating hormone imbalance to help you achieve your optimal level of health.

Weight Loss Q & A

What causes weight gain?

Obesity is a severe problem in the United States, and recent estimates suggest that by 2030, half of all Americans will be obese, though most people believe they should lose weight or be within a healthy weight range.

Weight gain isn’t as simple as how much you eat, though that is important. The primary underlying cause of weight gain is a damaged metabolism, which can be caused by numerous factors, including:

  • Hormone imbalance
  • Insulin resistance
  • Elevated, chronic stress levels
  • Poor sleep quality or habits
  • Toxic exposure
  • Poor nutritional habits
  • Inadequate levels or types of exercise

These factors damage your ability to lose weight effectively, despite your best efforts at low-calorie diets or other weight loss plans.

What is the naturopathic approach to weight loss?

The naturopathic approach to weight loss appreciates that your causes for weight gain and weight loss resistance are specific to you. At Naturkur Wellness, you begin with a FREE Metabolic and Hormone Assessment, which helps us gain a comprehensive view of your health.

Based on the assessment of your health, we create a treatment plan that may include:

  • Hormone-balancing treatments
  • Bioidentical hormone replacement
  • Botanical medicines
  • Diet and nutritional therapy
  • Detoxification treatments
  • Naturkur Wellness professional supplements
  • Health coaching, education, and counseling

Goals of naturopathic weight loss are to heal your metabolism, correct hormone imbalance, and treat the underlying causes that make you weight loss-resistant.

How can weight loss improve other health conditions?

Healthy weight loss is known to help improve many health conditions brought on by obesity and which progress more rapidly when your metabolism is damaged.

Type 2 diabetes is caused by insulin resistance or the body’s inability to keep up with the needed amounts of insulin to manage your metabolism. With healthy weight loss and a focus on healing your metabolism, you can improve and/or reverse your symptoms.

Other conditions that may be improved or reversed with healthy weight loss include:

  • Heart disease
  • Elevated cholesterol
  • Anxiety or depression
  • Elevated or high blood pressure
  • Sleep apnea
  • Arthritis and joint pain
  • Fibromyalgia and chronic pain

At Naturkur Wellness, we create transformational health programs that equip you for not only losing weight, but also for reaching your optimal level of health in every area.

Not sure where to get started? Book a Free Consultation to get your most frustrating health issue resolved right now.

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Email : info@naturkurwellness.com
Phone : 206.762.4823
Fax : 206.458.6007