DUTCH Plus
The DUTCH Plus® combines the flagship dried urine test with a saliva test to maximize the available information on sex and adrenal hormone production and metabolism. This extensive profile provides insights into the overall diurnal pattern of free cortisol and cortisone, the total distribution of cortisol metabolites, and the cortisol awakening response (CAR). Organic acid tests provide further insight into potential nutritional deficiencies, oxidative stress, gut dysbiosis, and more. The DUTCH Plus® is an essential tool for optimizing treatment plans and addressing hormone-related symptoms and conditions.
Get a free sample report
A clear, color-coded report your practitioner uses to build your plan. Every marker is grouped, flagged, and plotted against reference ranges.
Video
Collecting your sample
No clinic visit needed. Watch exactly how the at-home kit works — from unboxing to dropping off your prepaid return package.
FAQ
Answers to your questions about lab testing and services.
Christina Andes
Christina Andes, CNC, NASM-CNC Founder, Healthy Horizons Nutrition Counseling I believe nutrition and lifestyle can play a powerful role in supporting long-term health. As a NASM Certified Nutrition Coach and Certified Fast Metabolism Diet Coach, I help women—especially those navigating perimenopause, menopause, and metabolic challenges—improve their health through evidence-based nutrition and sustainable lifestyle changes. My coaching focuses on metabolic health, hormone wellness, inflammation, digestive health, and empowering clients to become advocates for their own health. When appropriate, I incorporate wellness laboratory testing to help clients better understand their health and create individualized nutrition and lifestyle recommendations. My goal is to educate, encourage, and support each client on their journey toward lasting health, while working collaboratively with their healthcare team.
My websiteFocus areas
Metabolic Health
Women's Health
States of practice
Montana