DUTCH COMPLETE HORMONE PANEL AND NwJ DETAILED NOTES AND DIETARY/SUPPLEMENT PROTOCOL
All tests from Nutrition with Judy include a detailed analysis (notes) that include Nutrition with Judy explanations, dietary and supplement recommendations and customized next steps based on your test results, to get closer to root-cause healing.
This advanced hormone testing was developed to improve on available hormone testing options. DUTCH offers the most extensive profile of sex and adrenal hormones along with their metabolites. Additionally, the daily (diurnal) pattern of free cortisol is included, along with melatonin (6-OHMS), 8-OHdG, and six organic acids. This unique combination of clinical information is not available by any other method.
Do values compare favorably to 24-hour collections?
The DUTCH correlation to 24-hour collections is excellent because the dried samples span about 12-14 hours of the day (6-8 hours overnight plus 2 hours per day collection), they represent the entire day’s hormone production. A weighted average of the four samples is combined and measured for all hormones other than cortisol and cortisone.
Values must be presented relative to creatinine (ng per mg of creatinine) to correct for hydration. This replaces the 24-hour value. The excellent correlation to 24-hour collections makes this model a very respectable alternative to 24-hour collections. With the addition of diurnal-free cortisol, it becomes an improvement.
Do dried samples compromise the analysis?
Dried samples are accurate for hormone testing, and values correlate to liquid samples. Samples are stable once they are dried and easier to ship than liquid samples.
Methods Used for Testing
Cortisol, cortisone, 8-OHdG, melatonin (6-OHMS), organic acid tests and metabolites related to cortisol are tested by LC-MS/MS. The remaining hormones are tested by GC-MS/MS.
The most accurate methods available are used for all tests.
WHY TEST HORMONES
Hormones are essential for our overall welfare. We frequently think of estrogen as being a female hormone, and testosterone as being a male hormone. But both men and women make both, plus several more must be in balance for optimum health. An imbalance of any one hormone can throw physical and mental health out of balance, causing aggravating and even serious health problems.
For decades western medicine has prescribed Hormone Replacement Therapy as a “one size fits all” approach. However, nothing could be further from the truth. Hormones are like fingerprints, and in order to achieve optimal health, people must be aware of their specific imbalances.
Being able to identify a hormonal imbalance is essential to design an effective treatment plan. If a patient is seeking bio-identical hormone replacement therapy (BHRT) or a topical therapy, free hormone levels must first be assessed before proceeding with a particular therapy.
WHO SHOULD BE TESTED?
Men and women at any age who display symptoms of hormone imbalance such as:
- Men and women concerned with changing hormone levels as a result of age
- Cycling women experiencing PMS symptoms, perhaps related to a hormonal imbalance
- Peri and post-menopausal women concerned with their estradiol and progesterone levels for replacement considerations
- Those wishing to monitor their hormone levels following replacement therapy (oral, sublingual or topical), and subsequently regulate their supplement levels
- Anyone with symptoms involving fatigue, insomnia, stress, immunity problems, blood sugar problems, rapid weight loss and weight gain, thinning hair, cold hands and feet should be tested for cortisol levels as well as sex hormones
- As we age, our hormonal makeup will begin to change as well, therefore it is ideal to understand where the imbalances are and identify an optimal therapeutic plan. Both men and women should perform a baseline test as a proactive step in maintaining physical and mental health, as imbalances may be present before symptoms manifest.
WHAT THE DUTCH TEST MEASURES:
The DUTCH test covers a wide range of markers including:
- Free cortisol
- Free cortisone
- Cortisol metabolites
- DHEA & DHEA Sulfate
- Androgens such as etiocholanolone and androsterone
- Melatonin (your sleep hormone)
- Sex hormones: progesterone, estrogen, estrogen metabolites, testosterone, and 5α-DHT
- Neurotransmitters: MMA, pyruvate acid, serotonin, norepinephrine, dopamine,, 8-OHdG
- Nutrient markers: glutathione, Vitamin B6, Vitamin B12
Dried Urine. Patients collect just four or five dried urine samples over a 24-hour period. Dried samples are stable for several weeks making them convenient to ship worldwide.
NOTE: Cycling Premenopausal Women: Begin collection between days 19 and 22 of a 28-day cycle. For longer cycles, add the number of days you usually go beyond 28 days. In a similar manner, subtract if your cycles are shorter (example: collect days 17-20 for a 26 day cycle).
For irregular cycles or non-cycling (ablation or uterus removed), watch the irregular cycle collection video in the video library at www.dutchtest.com/videos for suggestions on collecting.
Men & Non-Cycling or Postmenopausal Women: Collect any day.
**PURCHASER NOTE: For a quicker turnaround please supply your date of birth in the ‘Order notes’ field during checkout.**
Return policy: No refunds will be provided once the specimen sample is sent to the lab.
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