Fullscript logoThe Fullscript green leaf logo alongside the text FullscriptFullscript leaf logo
Lab companiesSign in
Create account
Precision Analytical (DUTCH)

DUTCH Adrenals with Organic Acids Test (OATs)

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. It includes the Organic Acids Test (OATs), which provides a comprehensive view of possible nutrition, hormone, and metabolite imbalances or deficiencies that can influence overall health, energy, and quality of life.


  • 3-Hydroxyisovaleric Acid
  • Cortisone Night
  • Cortisone Evening
  • Cortisone Noon
  • Cortisone Morning
  • Cortisol Evening
  • Cortisol Night
  • Cortisol Noon
  • Indican
  • b-Tetrahydrocortisol
  • Quinolinic Acid
  • Melatonin
  • Metabolized Cortisol
  • 8-Hydroxy-2-deoxyguanosine
  • Vanillylmandelic Acid
  • Pyroglutamic Acid
  • Kynurenic Acid
  • Homovanillic Acid
  • Xanthurenic Acid
  • b-Tetrahydrocortisone
  • a-Tetrahydrocortisol
  • Dehydroepiandrosterone Sulfate
  • Methylmalonic Acid (MMA), Urine
  • Cortisol Morning

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

DUTCH Adrenals
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

DUTCH Organic Acids Test (OATs)
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.


10 business days


  • Metabolic function
  • Nutrition
  • Women's health
  • Hormones
  • Adrenals and stress
  • Men's health

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
  • Some supplements may affect your organic acid results. Please consult your healthcare provider regarding collection preparation and timing if you take any of the following supplements: 
    • Tyrosine
    • L-Dopa
    • D,L-Phenylalanine (DLPA)
    • Mucuna
    • Quercetin

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

48 hours before sample collection
  • Avoid the following foods and supplements until you have finished sample collection Day 2. 
    • Bananas
    • Creatine
    • Fava beans

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

Provider pricing unlocks when you sign up

Go from test to plan, in one place

  • 2,500+ blood labs & specialty tests from partners you trust, one login

  • Turn results into personalized plans with Fullscript Assist

  • Competitive cash-pay pricing and nationwide phlebotomy

Create free accountBook a demo

Trusted by 50,000+ practitioners

20+

lab companies

Quest DiagnosticsAccess Medical Labs3x4 Genetics

40+

EHR integrations

Practice BetterCerboOptiMantra

Having labs on Fullscript has been a real time saver for my practice. I love the convenience and ability to order affordable labs quickly for my patients. It will be a staple in my workflow going forward.

Joseph Thomas, MD

Verified Fullscript practitioner