DUTCH Complete™

Quick Description:The most advanced test on the market to assess adrenal stress and sex hormones.


Recommended for:

  • Hormone imbalance
  • Adrenal Fatigue
  • Chronic stress
  • Fatigue
  • Weight gain
  • Brain fog
  • Irregular menstrual cycles
  • Low libido
  • PMS
  • Premenstrual migraines
  • Infertility
  • Hot flashes
  • Night sweats
  • Premenopausal symptoms


DUTCH = Dried Urine Test for Comprehensive Hormones

Millions of women suffer from hormonal imbalances. Whether it’s menopause, weight gain, fatigue, low libido, premenstrual symptoms (PMS), mood swings, or depression, these symptoms can lead to more serious problems if misdiagnosed. Identifying the root cause of chronic health issues is certainly correctable, but only if properly identified. The DUTCH test was created to provide insight into many of these concerns, working to deliver the most complete assessment of sex and adrenal hormones, along with their metabolites, in one easy to administer test. Our dried urine collection process is great for baseline measurements of women with hormonal imbalances and for Hormone Replacement Therapy (HRT) monitoring. After utilizing the DUTCH test, you will be able to work with Dr. Jamie to continue to track and evaluate hormone levels, ensuring they are optimally balanced.

The DUTCH Complete™ is the most current, most comprehensive assessment of sex and adrenal hormones on the market. It measures reproductive and adrenal hormones along with their metabolites, to assess how your body is metabolizing these hormones. It also includes the daily, free cortisol pattern, organic acids, melatonin, and DNA oxidative stress marker. To properly characterize a patient’s cortisol status, free and metabolized cortisol is 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.


What’s Included in the DUTCH Complete™?

The DUTCH Complete™ uses four to five dried urine samples collected on a special type of litmus paper. Once dried, you simply place the litmus papers in the self-addressed, stamped envelope provided and mail it out to the lab for analysis. Simple, clean, and convenient!


The DUTCH Complete™ report includes:

  • Total metabolized cortisol– this shows how much cortisol your body is making over the entire day and can be very different from the free cortisol level. The amount of cortisol you are producing will help Dr. Jamie determine your treatment plan.
  • Total cortisone – tells us how quickly your body is converting active cortisol into the biologically inactive cortisone.
  • Free cortisol– this shows the levels and rhythm of active cortisol in your body. These important values will help Dr. Jamie to create your personalized treatment plan.
  • Free cortisone – This value plus the metabolites of cortisone show how quickly cortisol is getting deactivated to cortisone.
  • Tetrahyrdocortisone – is a metabolite of cortisone
  • a-tetrahydrocortisol– is a metabolite of cortisol
  • b-tetrahydrocortisol – is a metabolite of cortisol
  • DHEAs – is a precursor to testosterone and estrogen, a high level can indicate PCOS and inflammation, a low level can indicate adrenal insufficiency
  • Progesterone metabolites – (a-pregnanediol, b-pregnanediol) will indicate your total progesterone levels, these are also precursors to make the neurotransmitter GABA. Low progesterone levels can lead to PMS symptoms and infertility
  • Testosterone – there is an optimal range for men and women which is associated with vitality and wellbeing, low levels can affect mood, fertility, libido and athletic performance.
  • Androgen metabolites of DHEAS and Testosterone – this is important to assess how well your body is processing testosterone, if it is metabolized down the 5a-DHT pathway this can cause hair loss, skin problems, aggression and even increase prostate cancer risk in men.
  • Estrogens – which includes estrone, estradiol, estriol, the balance between estrogen and progesterone is important for fertility, PMS and menopausal symptoms
  • Estrogen metabolites – these metabolites show how your body is detoxifying estrogen and if this is not done correctly it can increase your risk of breast cancer, prostate cancer, cysts and fibroids.
  • 6-OH-melatonin-sulfate – which assesses melatonin production, low melatonin can affect sleep quality making it difficult to fall asleep or stay asleep. Melatonin also has antioxidant affects which can help to protect the brain and improve mood.

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