A disrupted cortisol pattern, such as a spike in the middle of the night and no rise upon waking, indicates accumulated stress and a need for recovery.

“my cortisol would spike in the middle of the night because you test you basically you do it when you um like before dinner before bed in the middle of the night if you get up in the middle of the night first thing when you wake up and a couple hours after that right so kind of test this like tracks your pattern and my middle of the night draw uh sample was the highest and then it went down from there it never went up when i woke up it just kept going down so now my new pattern is the way it's supposed to be but it's basically the bottom of the level like it's the bottom lowest level but it's in the right shape”