Hormones are extremely powerful in coordinating the actions of our organs and glands and affecting our quality of life. When they are out of balance, they can affect every other system in our body. This test measures hormones that determine the health state of all of these conditions. “DUTCH” stands for Dried Urine Total Complete Hormones and is created by Precision Analytical lab. With this test you can discover the hidden causes behind your symptoms and even see the red flags before the symptoms begin. It includes measures of the major hormones progesterone, estrogen, testosterone, cortisol, DHEA, and their metabolites.
“Hormone balance is vital for health an wellbeing for all of us. This test not only tests the major hormones but it also tests how you break all the hormones down. With this much more comprehensive picture of what is going on, I am able to treat more effectively.” Dr. Heidi Hook
DUTCH vs. Saliva Testing
While the free cortisol pattern in saliva has clinical value, there is a significant missing piece to surveying a patient’s HPA-Axis function with saliva testing – measuring cortisol metabolites. To properly characterize a patient’s cortisol status, free and metabolized cortisol should be measured to avoid misleading results when cortisol clearance is abnormally high or low. Likewise with sex hormones, measuring estrogen and androgen metabolites gives a fuller picture for more precise clinical diagnosis of hormonal imbalances and HRT monitoring.
DUTCH vs. Serum Testing
While the most universally accepted testing method (due to the availability of FDA-cleared analyzers that are reliable and inexpensive), serum testing is lacking in some areas. Adrenal hormones cannot be effectively tested in serum because free cortisol cannot be tested throughout the day. There is also a lack of extensive metabolite testing (especially for cortisol and estrogens).
DUTCH vs. 24-Hour Urine Testing
There are two primary drawbacks to 24-hour urine testing of hormones. First, the collection is cumbersome, and as many as 40% of those who collect, do so in error (Tanaka, 2002). Secondly, dysfunction in the diurnal pattern of cortisol cannot be ascertained from a 24-hour collection. Some providers add saliva for daily free cortisol. DUTCH eliminates the need for two tests.
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