DUTCH blog

Monitoring HRT with a Dried Urine Hormone Test

By Jaclyn Smeaton, ND

A common use of the DUTCH Test is to evaluate and monitor patients on hormone replacement therapy (HRT). HRT most commonly consists of estrogen, progesterone,…

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What to Expect: The Menopause Years

By Rebecca Clemson, ND

When many women think about menopause, they think of suffering in silence for years with symptoms like hot flashes that culminate with the end of…

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You Need Free Cortisone and Metabolized Cortisol to Evaluate HPA Axis Health

By Kelly Ruef, ND

Not all cortisol tests are created equal. For your patient complaining of anxiety and fatigue, a standard test kit that measures free cortisol levels throughout…

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Assessing Chronic Fatigue with the Cortisol Awakening Response

By Allison Smith, ND

The cortisol awakening response (CAR) blazed an important trail for adrenal research starting in the late 90s as a unique index of chronic stress’s impact…

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Sleep Hygiene: Foundational Techniques for Your Best Sleep

By Hilary Miller, ND

According to the CDC, one-third of adults are not getting enough sleep. Inadequate sleep and the resulting fatigue can make normal activities feel impossible or…

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Circadian Rhythm and Human Health

By Tim Hyatt, ND

To better understand human behavior and health it’s necessary to acknowledge the importance of biological rhythms in health assessments. Chronobiology (the study of rhythmic influences…

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Supportive Postpartum Care

By Sydney Sprouse

This post was reviewed for accuracy by Dr. Debbie Rice, ND, MPH. In the days and weeks following childbirth, a woman’s body goes through enormous…

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Self-Care Tips for Hormone Balance

By Christina O'Brien, DC

Hormonal imbalances can cause a variety of physical and emotional symptoms in women. While some hormonal imbalances may require medical treatment, self-care practices such as…

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DUTCH, Oura Rings, and Predicting Fertility

By Clinical Consulting Team

Bryan Mayfield, PharmD, BCGP is a registered pharmacist, medical writer, and clinical instructor at Texas Tech University Health Sciences Center. He received his Doctor of…

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Hormonal Contraceptives and the DUTCH Test

By Rebecca Clemson, ND

Hormonal contraceptives come in many forms but fall into one of two categories: combination (ethinyl estradiol and a progestin) and progestin-only. While there is some…

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