The DUTCH Plus is a comprehensive dried urine and saliva test that maximizes the available information from sex and adrenal hormone production and metabolism. With easy, at-home sample collection over the course of one day, providers can gain insights into the overall diurnal pattern of free cortisol and cortisone, along with the total distribution of cortisol metabolites. This test offers further insight by including organic acid testing, which evaluates potential nutritional deficiencies, oxidative stress, gut dysbiosis, melatonin levels, and neuroinflammation.
With the DUTCH Plus, providers also get a closer look into adrenal function with details about a patient’s cortisol awakening response (CAR) by showing cortisol's natural rise and fall within the first hour of waking.
Easy at-home collection. Patients collect urine and saliva samples at specific times throughout the day with specially designed filter paper and Salivettes®.
Easier Collection: 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.
Comprehensive Report: DUTCH offers the most extensive profile of sex and adrenal hormones along with their metabolites. Our comprehensive report gives providers actionable results so they can develop more effective treatment plans.
Backed by Research: We pride ourselves in relentlessly pursuing the most accurate and precise techniques available for testing. Click here to see our latest published research to support the analytical and clinical validation of this powerful new testing model.
Effective HRT Monitoring: Our testing methodology allows us to effectively monitor for most forms of bio-identical hormone replacement therapy. Learn more about HRT monitoring here.
Expert Education: Registered DUTCH providers can access a variety of hormone education tools and resources to help them interpret the DUTCH report and understand how to use our family of tests to profoundly change the lives of their patients.
Clinical Support: Our team of clinical educators offers group and one-on-one sessions to walk providers through their patients' reports. With this expert support, providers can feel confident interpreting their patients' results and creating effective treatment plans.
In addition to everything offered in the DUTCH Plus, the DUTCH Cycle Mapping Plus includes month-long collections to establish hormone patterns throughout a patient’s cycle.
The DUTCH Cycle Mapping Plus is best suited for:
The DUTCH Plus is a bundle that includes all panels from the DUTCH Complete (sex hormones, adrenals, and organic acids) and the DUTCH CAR. Individual panels are also available for purchase, see below for more details.
The DUTCH Sex Hormone panel is great for baseline hormone measurements and provides insights into HRT monitoring with estrogen metabolites. It is a unique method for more accurately monitoring vaginal hormones and oral progesterone.
The DUTCH Adrenal panel provides free cortisol patterns that parallel saliva with the addition of metabolite measurements for improved data on total cortisol production. This test is run on LC-MS/MS—the most accurate way to test cortisol and metabolites.
Organic acid tests (OATs) are a popular tool to evaluate health. The OATs included with the DUTCH Test provide a comprehensive view of possible nutritional, hormone, and metabolite imbalances or deficiencies that can influence overall health, energy, and quality of life.
The DUTCH CAR is a saliva test that provides insight into adrenal function with details about a patient’s cortisol awakening response (CAR). Along with the CAR, this test also shows the patient’s daily free cortisol and cortisone patterns.