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Get to the root of your symptoms with the DUTCH hormonal analysis. The DUTCH (Dried Urine Test for Comprehensive Hormones) is the most comprehensive at-home test to assess for hormonal imbalances and adrenal dysfunction. This lab analyzes all sex hormones, your daily cortisol rhythm, and organic acids (markers of metabolic health and neurotransmitters). 


The DUTCH test is a next-level hormonal test that assesses both hormones and their metabolites (products of the breakdown of these hormones) to get the full picture of your hormonal health and uncover any hormonal imbalances. Dried urine samples are taken over the course of the day in the comfort of your own home, then are shipped off to the lab for analysis. The DUTCH test is the most complete assessment of hormonal health on the market.

Analytes included in the DUTCH test include:

  • 35 different hormones (along with their metabolites), including:

    • Estrogen

    • Progesterone

    • Testosterone

    • DHEA-S

    • Cortisol

  • Daily free cortisol patterns to provide insight into adrenal insufficiency or symptoms of chronic stress

  • DUTCH Plus adds on saliva samples to test your Cortisol Awakening Response (CAR) to assess the HPA axis and dive deeper into your stress response

  • Organic Acids (markers of neurotransmitters and metabolic health), including:

    • Vanilmandelate: a metabolite of norepinephrine & epinephrine ​

    • Homovanillate: a metabolite of dopamine

    • Methylmalonate: indicates vitamin B12 status

    • Xanthurenate: indicates vitamin B6 status

    • Pyroglutamate: indicates glutathione status

    • Melatonin: low levels can lead to insomnia or difficulty staying asleep

The DUTCH Test is helpful for patients experiencing symptoms and conditions including:

  • Chronic fatigue

  • Anxiety

  • Depression

  • Mood swings

  • Insomnia

  • Infertility

  • Irregular menstrual cycles

  • Extreme PMS symptoms

  • Hot flashes or night sweats

  • Chronic stress

  • Adrenal dysfunction

  • Thyroid disorders

  • Weight gain

  • Inability to lose weight

  • Acne, dry skin

  • Hair loss or unwanted facial hair 

  • PCOS

  • Low libido

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