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Precision Analytical (DUTCH)

DUTCH Complete

Precision Analytical (DUTCH)

Sample type: Urine

Requires fasting: No

At home test

Details

The DUTCH Complete™ offers an extensive dried urine profile of sex hormones and their metabolites, the overall diurnal pattern of free cortisol, and the total distribution of cortisol metabolites. Additionally, it includes Organic Acid Tests (OATs), providing practitioners with valuable insight into nutritional deficiencies, oxidative stress, gut dysbiosis, melatonin, and more. While the dried urine collection method makes collecting and shipping samples easier on your patients, this flagship panel provides you with a highly accurate assessment of hormonal health. This DUTCH Complete™ is an essential tool for optimizing treatment plans and addressing hormone-related symptoms such as fatigue, weight gain, hair loss, and mood swings.

  • 3-Hydroxyisovaleric Acid
  • 4-Hydroxyestrone
  • 2-Hydroxyestrone
  • Cortisone Night
  • Cortisone Evening
  • Cortisone Noon
  • Cortisone Morning
  • Cortisol Evening
  • Cortisol Night
  • Cortisol Noon
  • b-Pregnanediol
  • Indican
  • b-Tetrahydrocortisol
  • Total Estrogen
  • Quinolinic Acid
  • Melatonin
  • Estriol
  • Metabolized Cortisol
  • Etiocholanolone
  • 8-Hydroxy-2-deoxyguanosine
  • 16-Hydroxyestrone
  • Vanillylmandelic Acid
  • Pyroglutamic Acid
  • Kynurenic Acid
  • Homovanillic Acid
  • 5a-Dihydrotestosterone
  • Xanthurenic Acid
  • b-Tetrahydrocortisone
  • a-Tetrahydrocortisol
  • Epi-Testosterone
  • 5b-Androstanediol
  • 5a-Androstanediol
  • Androsterone
  • a-Pregnanediol
  • Testosterone
  • Estradiol, Urine
  • Estrone, Urine
  • Progesterone, Urine
  • Dehydroepiandrosterone Sulfate
  • 2-methoxyestrone (2-m-e1)
  • 2-hydroxyestradiol (2-oh-e2)
  • 4-hydroxyestradiol (4-oh-e2)
  • Creatinine (Urine)
  • Methylmalonic Acid (MMA), Urine
  • Cortisol Morning

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

The DUTCH Complete is Precision Analytical's flagship test and takes hormone testing to a whole new level. This test looks at sex hormones and their metabolites, the overall diurnal pattern of free cortisol, and the total distribution of cortisol metabolites in addition to OATs, which provide insight into nutritional deficiencies, oxidative stress, gut dysbiosis, melatonin, neuroinflammation, and more.

Healthcare providers can use this valuable tool to optimize hormone health and address hormone-related symptoms such as fatigue, weight gain, hair loss, and mood swings.

What's included in the DUTCH Complete?
The DUTCH Complete is a bundle that includes the sex hormone, adrenal, and organic acid panels.

10 business days

View here
Carefully review all of Precision Analytical's instructions here

While adhering to your most common wake/sleep schedule, collect as close as possible to the timeline indicated below. 

No alcohol, caffeine or large fluid intake after lunch before collecting the dinner sample. No more than a cup of fluids between Samples #3 and #4. 

  1. Dinnertime ~5PM: Do not drink fluids for 2 hours before collecting. 
  2. Bedtime ~10PM: Do not drink fluids for 2 hours before collecting. 
  3. Extra overnight sample: Collect at your first waking sleep disturbance with urination. 
  4. Wake/Rising: Within 10 minutes of waking. Do not lay awake in bed before sample #3. 
  5. 2 Hours After Waking: Final Sample
DO NOT TAKE any oral or sublingual DHEA, estrogen, or pregnenolone 72 hours before your first collection.

Do not skip doses of birth contol for this test unless instructed by your practitioner. Any other hormones taken at NIGHT (including oral progesterone) should be taken after the bedtime sample. Generally, hormone creams or gels can be taken as usual during the test. All hormones taken in the MORNING should not be taken until after sample #4.

If you take glucocorticoids (Prednisone, Dexamethasone, etc.), sublingual hormones, or oral hydrocortisone (cortisol), check with your practitioner. For patches, pellets and injections, collect midway between doses. 

Restrictions
  • Foods: Avoid creatine, bananas and fava beans for 48 hours before collecting as they may elevate the HVA organic acid result; if you do consume, please make a note on your requisition form.
  • Supplements: Some supplements may impact the HVA organic acid result. If you take any of the following, please consult your provider: Tyrosine, L-Dopa, D,L-Phenylalanine (DLPA), Mucuna and Quercetin.
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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