Optimal Result:
6 - 12.5 Rate.
Cortisol Clearance Rate (CCR) is a ratio on the DUTCH test that reflects how fast your body is clearing and metabolizing cortisol.
Higher CCR (fast clearance): More metabolites compared to free cortisol/cortisone → your body is clearing cortisol quickly.
Lower CCR (slow clearance): Fewer metabolites compared to free cortisol/cortisone → your body is clearing cortisol more slowly.
Context for symptoms: A fast CCR can make free cortisol look low even when production is high, while a slow CCR can leave more free cortisol circulating, sometimes feeling like “high cortisol.” Both patterns can affect energy, sleep, mood, weight, and stress resilience.
Actionable insight: CCR integrates free and metabolized cortisol data to give a fuller picture of HPA axis activity and liver/kidney metabolism than free cortisol alone.
Treatment guidance: Knowing whether cortisol clearance is fast or slow helps clinicians tailor next steps, such as supporting thyroid or liver function, adjusting sleep/stress timing, or considering further testing.
DUTCH displays CCR as a slider/ratio:
High ratio = fast clearance (metabolites high compared to free cortisol).
Low ratio = slow clearance (metabolites low compared to free cortisol).
Each report has its own interpretation bands (slow ↔ fast). Always use the range from your report.
Fast CCR (high ratio): Cortisol is cleared quickly, free cortisol may look flat/low. Contributors can include higher metabolic rate, larger body size/BMI, and increased reductase enzyme activity.
Slow CCR (low ratio): Cortisol is cleared slowly, so free cortisol may run higher. Common contributors include low thyroid function and reduced liver metabolism.
Balanced CCR (mid-range): Free and metabolized values align, and emphasis shifts to daily rhythm (e.g., morning surge, nighttime decline) and symptom context.
Thyroid function: Hypothyroidism can slow CCR; correcting thyroid often normalizes clearance.
Liver & kidney metabolism: Enzyme activity (5α/5β-reductase) directly influences clearance speed.
Body size & BMI: Higher BMI is often linked to faster cortisol clearance patterns.
Medications & stimulants: Caffeine, alcohol, certain drugs, or chronic sleep loss may shift CCR.
Collection & testing method: DUTCH uses validated dried urine assays; results are platform-specific—compare only within the same lab.
24-hour Free Cortisol / Cortisone: Reflect daily available cortisol and circadian curve.
Metabolized Cortisol (THF + THE): Indicates total cortisol processed through liver and kidney.
Cortisol Awakening Response (CAR): Adds timing context by measuring the morning cortisol surge.
Don’t interpret CCR alone—always check it alongside free cortisol, metabolized cortisol, and CAR.
Map CCR patterns to your symptoms (e.g., “low cortisol” fatigue may actually be fast clearance, while “wired-tired” insomnia may link to slow clearance).
Discuss thyroid health, liver/kidney function, BMI, stimulant use, sleep quality, and medications with your clinician if CCR is very high or low.
Re-test on the same platform after treatment changes to track trends instead of relying on a single result.
Is CCR the same as metabolized cortisol?
No. Metabolized cortisol is part of the CCR equation. CCR is a ratio comparing metabolites to free cortisol/cortisone, reflecting clearance speed.
Can a fast CCR make my free cortisol look low?
Yes. Clearance can be so quick that free cortisol appears low, even when total production is robust.
What does a slow CCR mean?
It suggests cortisol is clearing more slowly, often linked to thyroid or liver function issues, and can leave free cortisol running higher.
Is dried urine accurate for this testing?
Yes. When collected properly, dried urine is validated for measuring cortisol and its metabolites. Always follow collection instructions carefully.
An elevated Cortisol Clearance Rate (CCR) ratio indicates that your body is metabolizing and clearing cortisol more quickly than average. In this pattern, cortisol is rapidly processed by the liver and kidneys into metabolites (THF + THE), so lab results may show higher metabolized cortisol alongside lower free cortisol levels. This means total cortisol production can be robust, yet the amount of active, circulating free cortisol available to your tissues may look “low” or flat.
Clinically, a fast CCR can help explain why someone with “low cortisol” on tests still produces a normal or high overall output. Contributing factors may include a higher metabolic rate, larger body size/BMI, increased reductase enzyme activity, chronic stress load, or certain lifestyle influences such as stimulant use.
While not harmful on its own, an elevated CCR can influence how your body feels and responds—for example, you may experience low energy, poor stress resilience, difficulty maintaining stable sleep, or slower recovery despite adequate hormone production. This makes CCR a valuable context marker: it distinguishes between true underproduction of cortisol and fast clearance that simply lowers circulating levels.
For the most accurate picture, CCR should always be interpreted alongside free cortisol, metabolized cortisol, daily rhythm (CAR), and clinical context. If clearance is unusually fast, your clinician might explore thyroid health, metabolic function, lifestyle factors, or nutrient/liver support to help optimize balance.
Import lab results from multiple providers, track changes over time, customize your reference ranges, and get clear explanations for each result. Everything is stored securely, exportable in one organized file, and shareable with your doctor—or anyone you choose.
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A low Cortisol Clearance Rate (CCR) ratio indicates that your body is clearing cortisol more slowly than average. In this pattern, fewer cortisol metabolites are produced relative to the levels of free cortisol and cortisone measured over the day. As a result, free cortisol remains higher in the bloodstream for longer, which can “feel” like high cortisol exposure to your tissues—even when total hormone output is normal or moderately increased.
Slow clearance can be influenced by several factors, including low thyroid function, reduced liver or kidney metabolism, lower enzyme activity, certain medications, or metabolic conditions that affect hormone breakdown. Clinically, a low CCR is often seen in people with hypothyroidism or sluggish metabolic processing.
Experiencing slow cortisol clearance can contribute to symptoms such as insomnia, feeling “wired but tired,” anxiety, irritability, weight gain, or persistent stress sensitivity. It’s important to note that high free cortisol resulting from slow clearance might not reflect excessive hormone production, but rather prolonged circulation due to reduced breakdown.
Because CCR is just one piece of the hormonal puzzle, results should be interpreted in combination with your full DUTCH report, related markers (like free and metabolized cortisol), and clinical guidance. If CCR is low, clinicians often review thyroid health, liver function, medication effects, and lifestyle habits to help support healthy cortisol metabolism and achieve better symptom control.
Laboratories
We accept reports from any lab, so you can easily collect and organize all your health information in one secure spot.
Pricing Table
Choose the plan that fits you — and turn scattered lab reports into clear insights you can finally use.
Pick a plan that fits you — and turn scattered lab reports into clarity.
Personal plans
Professional plan
$15/ month
Access your lab reports, explanations, and tracking tools.
$250/ once
Pay once, access everything—no monthly fees, no limits.
Professional plan
$45/ month
Designed for professionals managing their clients' lab reports
About membership
Import Lab Results from Any Source
Easily upload lab results from any provider, whether it's a hospital, independent lab, or home testing service. We support PDFs, scanned documents, and JPEGs from patient portals. No need to log in to multiple platforms — everything is centralized in one secure space.
Easily upload lab results from any provider — we support PDFs, scans, and images. Keep all your reports organized in one secure place.
See Your Health Timeline
Every lab result is automatically organized on a chronological timeline, giving you a complete picture of your health journey. Whether you're tracking a condition, managing treatments, or staying proactive, the timeline helps you and your doctor understand how things progress over time.
Every lab result is automatically organized on a chronological timeline, giving you a complete picture of your health journey.
Understand What Your Results Mean
Whether it's a blood test, GI panel, urinalysis, or something else, lab reports measure numerous biomarkers that reveal what's happening inside your body. Our extensive database covers over 10,000 biomarkers, providing clear, simple explanations of what each result means and how you can take action—no matter your membership level. Say goodbye to confusion and get the insights you need to better understand your health.
Our database covers over 10,000 biomarkers with clear, simple explanations—so you can finally understand your results and what to do next.
Enter Your Lab Reports Yourself — Always Free
Enter Your Lab Reports — Always Free
If you'd like to handle inputting your health data into your account, you can do so with our easy-to-use data entry forms. Our user-friendly form is designed to guide you through the quick and easy submission process, making it simple to keep track of your health metrics. This is available to both Complete plan and Unlimited plan members.
Our user-friendly form guides you through a quick, simple submission process, making it easy to enter your health metrics.
Add your results anytime with our easy entry form. It's quick, guided, and helps you stay organized — free for all members.
Visualize Your Results
View your lab data through easy-to-read graphs and tables. Quickly spot patterns, track changes, and compare results across different dates — all without digging through multiple reports. You can also select and compare graphs of specific biomarkers side-by-side to better understand how they relate and change over time.
See your lab reports in clear graphs and tables. Spot patterns, track changes, and compare results over time — all in one place.
Export Your Complete Lab History in a Single File
Export Your Complete Lab History
After collecting lab results from different providers, you can download your entire history combined into a single file. Choose from PDF, Excel, or CSV formats to easily review, share, or get a second opinion—no more juggling multiple reports.
After collecting lab results from different providers, you can download your entire history combined into a single file.
Comprehensive Data Entry Service for Your Reports
Data Entry Service for Your Reports
Our inclusive service handles the data entry for your lab reports. Just submit your information and we'll take care of the rest. Complete plan members receive one report entered for free, then $15 per report after that. Unlimited plan members receive ten report entries for free, then $15 per report after that.
Our inclusive service handles the data entry for your lab reports. Just submit your information and we'll take care of the rest.
Securely Share With Anyone You Trust
Whether you're working with a doctor, nutritionist, caregiver, or wellness coach, you can securely share your complete lab history by sending an invite link to anyone you trust. You have full control over who sees your information and for how long, ensuring your privacy and peace of mind at every step.
Share your full lab history with your doctor, nutritionist, or coach using a secure invite link.
Discover
I have been using Healthmatters.io since 2021. I travel all over the world and use different doctors and health facilities. This site has allowed me to consolidate all my various test results over 14 years in one place. And every doctor that I show this to has been impressed. Because with any health professional I talk to, I can pull up historical results in seconds. It is invaluable. Even going back to the same doctor, they usually do not have the historical results from their facility in a graph format. That has been very helpful.
Anthony
Unlimited Plan Member since 2021
What fantastic service and great, easy-to-follow layouts! I love your website; it makes it so helpful to see patterns in my health data. It's truly a pleasure to use. I only wish the NHS was as organized and quick as Healthmatters.io. You've set a new standard for health tracking!
Karin
Advanced Plan Member since 2020
As a PRO member and medical practitioner, Healthmatters.io has been an invaluable tool for tracking my clients' data. The layout is intuitive, making it easy to monitor trends and spot patterns over time. The ability to customize reports and charts helps me present information clearly to my clients, improving communication and outcomes. It's streamlined my workflow, saving me time and providing insights at a glance. Highly recommended for any practitioner looking for a comprehensive and user-friendly solution to track patient labs!
Paul
Healthmatters Pro Member since 2024
Healthmatters is a personal health dashboard that helps you organize and understand your lab results. It collects and displays your medical test data from any lab in one secure, easy-to-use platform.
With a Healthmatters account, you can:
Professionals can also analyze client data more efficiently and save time managing lab reports.
Healthmatters.io personal account provides in-depth research on 4000+ biomarkers, including information and suggestions for test panels such as, but not limited to:
You can combine all test reports inside your Healthmatters account and keep them in one place. It gives you an excellent overview of all your health data. Once you retest, you can add new results and compare them.
If you are still determining whether Healthmatters support your lab results, the rule is that if you can test it, you can upload it to Healthmatters.
While we work with many popular labs, we welcome reports from lots of other places too.
It's as simple as this: if you can get a test done, you can upload it to Healthmatters and we can interpret results from any lab out there. If laboratories can analyze it, we can interpret it.
If you're on the hunt for a specific biomarker, contact us and we'll add it to our database. Anything from blood, urine, saliva, or stool can be uploaded, understood, and tracked with your Healthmatters account.
The Complete Plan ($15/month) is perfect for individuals who want ongoing access to their health data. It includes unlimited lab imports, visual tracking, custom ranges, result explanations, full account exports, and secure sharing — all with a simple monthly subscription. You can cancel anytime and restart your plan whenever you're ready — your data will still be there waiting for you. You can also upgrade to the Unlimited Plan at any time, with the cost prorated based on what you've already paid.
The Unlimited Plan ($250 one-time) is also designed for individuals but offers lifetime access with no ongoing subscription. You'll get all the same features as the Complete Plan, plus a larger initial data entry allowance (10 reports), making it a great choice if you prefer a one-time payment and long-term use without monthly fees.
In short:
There are two ways to add your test reports to your Healthmatters account. One option is to input the data using the data entry forms. The other method is to utilize our "Data entry service."
Our data entry forms offer an easy, fast, and free way for you to input the reports yourself. Self-entry allows you to add an unlimited number of reports at no cost. We make the self-entry process user-friendly, providing dozens of templates that pre-populate the most popular laboratory panels and offering instant feedback on entered values.
For those who prefer assistance, we offer a "Data entry service" to help you input your data. Simply attach an image or file of your lab test results, and a qualified team member from our data entry team will add the results for you.
We support various file types, including PDFs, JPGs, or Excel. This service is particularly useful if you have many reports to upload or if you're too busy to handle the data entry yourself.
Our Data Entry Service is for when you don't want to manually type in your lab results yourself. You simply upload your report (PDF, image, or screenshot), and our trained team enters the information into your Healthmatters account for you — accurately and neatly organized, ready to view in graphs, tables, and timelines.
The $15 per report covers the time and care it takes for a real person to review your file, make sure each result is entered correctly, and double-check for accuracy. This ensures your health data is precise and easy to work with — without you having to spend the time doing it yourself.
Prefer to do it yourself? You can always use our free self-entry tool to add results manually — it just takes a bit more time and attention.
For users on the Complete monthly plan, the first report is entered free of charge, and each additional report incurs a fee of $15.
Unlimited account holders enjoy the entry of ten reports without charge. Subsequent reports are subject to a $15 fee per report.
Additionally, users on the Complete plan can upgrade to a yearly subscription from the account settings. The annual subscription includes a data entry service for five reports.
All professional accounts allow you to import and onboard an unlimited number of clients and their lab results. The distinction between professional plans lies solely in the data entry service.
The Pro Monthly Plus plan is priced at $75 per month and includes a data entry service for five reports each month. Additional reports can be self-entered at no extra cost or, if preferred, you can use our data entry service for an additional fee of $15 per report.
The Pro Monthly plan is priced at $45 per month and does not include a data entry service. Self-entry is free for an unlimited number of reports, and you can opt for the data entry service at a fee of $15 per report.
You also have the option to upgrade to higher monthly or to annual plans, which come with substantial discounts. All upgrades can be done directly from your account.
Simply log in and navigate to your account settings to cancel your subscription. Scroll down to locate the 'Cancel' button at the bottom of the page. Ensure you cancel at least one day before the renewal date to prevent any charges. Once cancellation is requested, the subscription remains active until the conclusion of the current billing cycle.
Our goal has been to make your Healthmatters account as intuitive as possible.
We've crafted multiple ways for you to navigate your data, whether you're glancing at a single report or delving into your historical test reports.
1. Graph View:Dive into a visual journey with our biomarker graphs, showcasing over 40 data points. Combining years of results unveils trends, empowering you to make informed decisions. Our visualization tools make it a breeze to compare and understand changes over time, even if your results are from different labs. A search function and filters simplify the exploration of extensive data, allowing you to focus on what needs attention.
2. All Tests ViewExplore neatly organized reports on a timeline, highlighting crucial details like dates, critical results, and lab/panel names. Each report opens up to reveal in-depth descriptions and additional recommendations for each biomarker. The history of previous results is just a click away, and you can download a comprehensive report for deeper insights. Color-coded and user-friendly, it's designed for easy reading, understanding, and navigation.
3. Table View:For a holistic view of all biomarkers side by side, our table view is your go-to. Results are neatly displayed in a categorized and dated table, ideal for those with an extensive test history. Utilize sorting, filters, and color-coding to enhance your analysis and gain extra insights.
Yes, you can download your information anytime. We offer two easy ways to export your lab data:
This makes it simple to save, back up, or share your health data whenever you need.
Yes, you can print your report. To do so, navigate to "All tests" and open the report you wish to print. You'll find a print button in the right corner of the report. Click on it, and your browser's print window will open. If you prefer to print in a bigger typeface, adjust the scale using the print window settings.
Yes, you can! We highly recommend activating Two-Factor Authentication (2FA) for your account. To do so, please navigate to the "Profile and Security" section of your account, where you will find instructions for activating 2FA.
Yes, you can. When entering values for the biomarker, you will see an "Edit Range" button. Click this button, and you'll have the option to enter a custom range.
A personal account is all about keeping your own lab test results in check. It's just for you and your personal use.
The professional account is designed for health professionals who wish to track and organize their clients' laboratory results.
To learn more about Healthmatters Pro, please refer to the professional page.
At HealthMatters, we're committed to maintaining the security and confidentiality of your personal information. We've put industry-leading security standards in place to help protect against the loss, misuse, or alteration of the information under our control. We use procedural, physical, and electronic security methods designed to prevent unauthorized people from getting access to this information. Our internal code of conduct adds additional privacy protection. All data is backed up multiple times a day and encrypted using SSL certificates. See our Privacy Policy for more details.
