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The DUTCH Complete is the most advanced hormone test, offering an extensive profile of sex and adrenal hormones and melatonin, along with their metabolites, to identify symptoms of hormonal imbalances. Easily collected in the comfort of your own home, samples are then sent to our lab to be processed. The DUTCH Complete is the most accurate test, providing a complete assessment of hormonal health.This kit includes: Easy directions and filter paper collection strips Requisition form for patient information, pertinent supplements, medications, hormone replacement and a health questionnaire Sealable return envelope These results include: Analysis of 35 different hormones: estrogen, progesterone, testosterone, DHEA, and cortisol along with their metabolites Daily free cortisol patterns to provide insight into ‘adrenal fatigue’ or symptoms of chronic stress Graphical representation of results and embedded video tutorials to assist in the hormone assessment to share with your medical provider New! Oxidative Stress Marker – 8-Hydroxy-2-deoxyguanosine (8-OHdG)

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The DUTCH Plus takes hormone testing to a new level. In addition to sex hormones and their metabolites, the DUTCH Complete looks at the overall diurnal pattern of free cortisol, and the total and distribution of cortisol metabolites. The DUTCH Plus adds the Cortisol Awakening Response (CAR) to bring another important piece of the HPA axis into focus. The results include: • Analysis of 35 different hormones: estrogen, progesterone, testosterone, DHEA-S, and cortisol along with their metabolites,plus the cortisol awakening response (CAR) • Graphical representation of results and embedded video tutorials • DUTCH OATs: 8-Hydroxy-2-deoxyguanosine (8-OHdG), melatonin (6-OHMS), and nine organic acid tests (VMA, HVA, KYNA, MMA, Xanthurenate, Pyroglutamate, Indican, b-Hydroxyisovalerate, Quinolinate)

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The DUTCH Sex Hormone Metabolites is the ultimate test for HRT monitoring and great for baseline measurements as well. It is a unique method for more accurate vaginal hormone and oral progesterone monitoring.GC-MS/MS: More accurate than LC-MS/MS or GC-MS for sex hormone metabolites!This kit includes: Easy directions and filter paper collection strips Requisition form for patient information, pertinent supplements, medications, hormone replacement and a health questionnaire Sealable return envelope These results include: Extensive Estrogen Metabolites: E1, E2, E3, 2-OH-E1, 2-Methoxy-E1, and more (8) Extensive Androgen Metabolites: Testosterone, DHEAs, DHT, and more (7) Progesterone Metabolites: b-Pregnanediol, a=Pregnanediol (2) Graphical representation of results and embedded video tutorials to assist in the hormone assessment to share with your medical provider

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Not intended for women on hormonal birth control, taking oral estrogen or progesterone** Adrenal + Sex Hormone Metabolites + OATs + Cortisol Awakening Response (CAR) Estradiol (9), Estrone (9), a-Pregnanediol (9), b-Pregnanediol (9), Cortisol Metabolites (3), Creatinine (4), Progesterone (2), Androgen (8), Estrogen Metabolites (8), 8)-OHdG, Melatonin (6-OHMS), Organic Acid Tests (9) and the Cortisol Awakening Response (CAR) - Cortisol (5 or 6), Cortisone (5 or 6)

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Not intended for women on hormonal birth control, taking oral estrogen or progesterone** Estradiol (9), Estrone (9), a-Pregnanediol (9), b-Pregnanediol (9) Progesterone (2), Androgen (8), Estrogen Metabolites (8)

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Measuring this rise and fall of cortisol levels at waking can be used as a “mini stress test”. Research shows that the size of this increase correlates with HPA-axis function, even if the sample measurements are all within range. A quick saturation of saliva swabs upon waking, and at 30 and 60 minutes after waking, provide what is required to assess a patient’s Cortisol Awakening Response. The results include: • Analysis of cortisol awakening response (CAR) from cortisone (5) and cortisol (5) • Graphical representation of results • Provider notes with specific additional information created specifically for the patient

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Not intended for women on hormonal birth control, taking oral estrogen or progesterone** Estradiol (9), Estrone (9), a-Pregnanediol (9), b-Pregnanediol (9) Cortisol (4), Cortisone (4), Creatinine (4), Cortisol Metabolites (3), DHEA-S

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Organic Acid Tests For a more complete view of a patient's overall health, we include nine organic acid tests (OATs) as part of the DUTCH Complete and DUTCH Plus panels, or the OATs Panel can be ordered separately. Three neurotransmitter markers offer insights into symptoms such as neuro-inflammation and fatigue. Other nutritional markers show signs of gut dysbiosis, biotin and vitamin B12 deficiencies, and more.

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The DUTCH Adrenal provides free cortisol patterns that parallel saliva with the addition of metabolite measurements for an improved marker for total cortisol production.LC-MS/MS: the most accurate way to test cortisol and metabolitesThis kit includes: Easy directions and filter paper collection strips Requisition form for patient information, pertinent supplements, medications, hormone replacement and a health questionnaire Sealable return envelope These results include: Daily free cortisol pattern (4) Daily free cortisone pattern (4) Cortisol metabolites (a-THF, b-THF) Cortisone metabolites (b-THE) DHEAs

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The best of both DUTCH test kits. For symptomatic women who need to not only understand their hormones throughout their entire menstrual cycle, but also want the benefits of knowing the thirty-five different hormone levels as tested in the DUTCH Complete. The cycle mapping collection is once a day in the morning, throughout the cycle, and then four additional collections during the last full day. A detailed analysis graphing the hormones throughout the cycle and the additional androgen hormones, estrogen metabolites, and adrenal results provide a comprehensive picture for your healthcare provider to better address your health goals.This kit includes: Easy directions and filter paper collection strips Requisition form for patient information, pertinent supplements, medications, hormone replacement and a health questionnaire Sealable return envelope. The results include: Analysis of 35 different hormones: estrogen, progesterone, testosterone, DHEA, and cortisol along with their metabolites Nine targeted estrogen and progesterone measurements throughout the cycle to characterize the follicular, ovulatory and luteal phases Graphical representation of results and embedded video tutorials to assist in the hormone test analysis to share with your medical provider

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For some female patients, testing on just one day of the month is not enough. Women with infertility, irregular cycles or no menstrual bleeding due to an ablation or partial hysterectomy can benefit from the DUTCH Cycle Mapping. This profile helps evaluate hormones throughout a full menstrual cycle. Nine targeted estrogen and progesterone measurements provide important details on a patient’s hormone levels in the follicular, ovulatory and luteal phases of the cycle. Easily collected in the comfort of your own home, samples are sent to our lab to be processed. The report provides a detailed analysis, ensuring more individualized treatment by your healthcare provider.This kit includes: Easy directions and filter paper collection strips Requisition form for patient information, pertinent supplements, medications, hormone replacement and a health questionnaire Sealable return envelope. The results include: Nine (9) targeted estrogen and progesterone measurements taken throughout the cycle to characterize the follicular, ovulatory and luteal phases Graphical representation of results and embedded video tutorials to assist in the hormone test analysis to share with your medical provider *Cycle Mapping can also be combined with the DUTCH Complete for a more comprehensive hormone panel.

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