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Precision Analytical (DUTCH)

DUTCH Adrenals Only Panel

Precision Analytical (DUTCH)

Sample type: Urine

Requires fasting: No

At home test


Details

This test monitors daily free cortisol and cortisone patterns along with measurements of associated metabolites and DHEAs. Utilizing a liquid chromatography–mass spectrometry collection method, this DUTCH Adrenal profile is one of the most accurate and easy-to-use tests for measuring adrenal hormones and metabolites.


  • Cortisone Night
  • Cortisone Evening
  • Cortisone Noon
  • Cortisone Morning
  • Cortisol Evening
  • Cortisol Night
  • Cortisol Noon
  • b-Tetrahydrocortisol
  • Metabolized Cortisol
  • b-Tetrahydrocortisone
  • a-Tetrahydrocortisol
  • Dehydroepiandrosterone Sulfate
  • Cortisol Morning

Estimated days for results: Results should arrive within 10 business days after the lab receives samples.

The DUTCH Adrenal provides free cortisol patterns that parallel saliva with the addition of metabolite measurements for an improved marker for total cortisol production. 

This test is run on LC-MS/MS: the most accurate way to test cortisol and 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 

The results include: 
• Daily free cortisol pattern (4) 
• Daily free cortisone pattern (4) 
• Cortisol metabolites (a-THF, b-THF) 
• Cortisone metabolites (b-THE) 
• DHEAs

10 business days


View here

Carefully review all of Precision Analytical's instructions here

Preparation & Timing
  • DO NOT collect your sample while traveling for short periods of time.
  • DO NOT skip doses of birth control unless instructed by your healthcare provider.
  • If you are taking any of the following hormones, continue using them as directed.
    • Topical hormones
    • Oral progesterone (take at night)
  • If you are taking any of the following medications, collect your sample halfway between doses.
    • Patch hormones
    • Pellet hormones
    • Injectable hormones
  • If you are taking any of the following medications, please consult your healthcare provider for collection timing.
    • Sublingual hormones
    • Oral hydrocortisone
    • Glucocorticoids

72 hours before sample collection
  • Avoid taking the following hormones until you have finished sample collection Day 2.
    • Oral or sublingual DHEA
    • Oral or sublingual estrogen
    • Oral or sublingual pregnenolone

24 hours before sample collection
  • Avoid alcohol until you have finished sample collection Day 2.

Sample Collection Day 1
  • Limit your fluid intake.
    • Keep fluids to no more than 40 oz total (spread evenly throughout the day).
  • DO NOT drink more than 8 oz of caffeine.
  • DO NOT drink any fluids for 2 hours before collecting each sample.
  • If you take hormones at night, wait to take them until after you collect the bedtime sample (sample 2).

Sample Collection Day 2
  • Limit your fluid intake.
    • DO NOT drink any fluids before collecting sample 3.
    • You can drink a little water immediately after sample 3. DO NOT drink more than 8 oz.
  • If you take hormones in the morning, wait to take your hormones after you collect the second morning sample (sample 4).

Minimum age:

9

State restrictions:

Patient can't order this test if they are located in Hawaii, Puerto Rico, New Jersey, New York, or Rhode Island

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