Who is the DUTCH Testing for?
If you are experiencing symptoms like painful PMS, chronic fatigue, low libido, or just feeling “off,” it only makes matters worse trying to get answers from traditional medical tests. It can be even more frustrating to suffer from symptoms and receive no diagnosis because your bloodwork comes back “normal.”
DUTCH is dried urine test for comprehensive hormones. It offers an extensive profile of sex and adrenal hormones, along with their metabolites. And because it uses a four-point test (meaning four samples), it creates a weighted average of values throughout the day. Something was missed on the traditional one-point serum test. DUTCH testing is unique because it helps identify symptoms of hormonal imbalances by providing a complete picture of your hormone levels which cannot be seen in testing serum (blood) or saliva alone. If you haven’t already, check out this post, I wrote on DUTCH Hormone Testing!
The DUTCH Complete ($300) shows a comprehensive assessment of 20 sex hormone metabolite markers (2 Progesterone, 8 Androgen, and 10 Estrogen), 12 adrenal hormone metabolite markers (4 Cortisol, 4 Cortisone, 3 Cortisol Metabolites, 4 Creatinine, and DHEA-S), 6 Organic Acids, 8-OHdG, and Melatonin. All these markers are taken from a one-day, 4-spot urine collection.
The DUTCH Plus ($400) includes all the biomarkers of the DUTCH Complete (2 Progesterone, 8 Androgen, and 10 Estrogen, 3 Cortisol metabolites, 4 Creatinine, DHEA-S, 6 Organic Acids, 8-OHdG, and Melatonin markers taken from a one-day, 4-spot urine collection) but also adds 4 salivary measurements to assess the Cortisol Awakening Response (CAR) by adding 5-6 Free Cortisol and Cortisone points each, taken throughout the day. The CAR assessment collects salivary samples at the moment of waking and twice more, at 30 and 60 minutes after waking to bring another important piece of the HPA Axis into focus.
Even though some lab tests may show “normal” free cortisol levels throughout the day, it does not always mean everything is functioning properly. Testing free cortisol is helpful at understanding the circadian rhythm and answers questions such as “Why am I tired?” “Why can’t I sleep?” “Why do I crash in the afternoon?” The HPA axis might not be appropriately responding when faced with a stressor, even when cortisol levels are fluctuating nicely throughout the day. Through testing the CAR, the “stress” of waking allows us to test the HPA axis through saliva in a way it cannot be assessed by urine alone. The combination of the detailed analysis of a DUTCH Complete coupled with the CAR results give an expanded view of patient health with the DUTCH Plus.
How does it work?
Once you purchase this appointment, a requisition form will be sent to you for the test you and your practitioner have agreed on. You will order your kit and complete the testing at home. Once you’ve sent in your test, you will book an appointment for 10 business days after the mail date.
Your review appointment will be up to two hours long and include a review of the test results with corresponding lifestyle, nutrition, and supplement recommendations.
The total cost is the test + the review appointment. The test will be paid for separately. HSA/FSA Accepted!
Total Per Test:
- Dutch Complete ($549)
- Dutch Plus ($649)
*Discounts are available for current and established clients who have already completed an initial appointment, reach out to Kelli for discount codes! Discounts are also available to veterans and students, reach out to Kelli.