Methods Used for Testing That synthetic steroid accumulates and is known to linger in the body long after the removal of the iud. Laura, I’ve also suffered with a lot of anxiety, terrible periods and worst of all terrible insomnia since stopped nursing 2nd child in January . Have you came across someone who can’t take bioidenticals? We used dietary changes, herbs, and supplements. Hi! See the data on the next page to support the analytical and clinical validation of this powerful new testing, Patients collect just four or five dried urine samples over a 24-hour period. This is a Functional Medicine test. It comes in an envelope with little strips to dip in your pee, in the comfort of your home. But my problem is I’ve done saliva testing and blood work, I know these are not the same but it showed estrogen dominance but recently showed through serum low estrogen along with low testosterone. A year later she felt that she had recovered, and her vitality had returned. Estrone Systemic testosterone levels can remain normal or even be above normal. Do values compare favorably to 24-hour collections? Like other hormones in the body (think thyroid, testosterone, estrogen, progesterone, etc.) High cortisol. Dutch Test Results: High testosterone, low progesterone, high estrogen, and high cortisol (we never know what the PCOS hormone picture is without testing). The DUTCH Adrenal provides free cortisol patterns that parallel saliva with the addition of metabolite measurements for an improved marker for total cortisol production. The remaining hormones are tested by GC-MS/MS. Since the birth of my 2 kids I have not felt “right”. I think it’s best to be under the care of a trusted medical provider rather than guesswork and self-treatment. Read about retesting here. I know there is regular fatigue and stress that comes with becoming a mother, but I was never like this prior to the children. Then should already be on HRT. Thanku! Best, Email: info@dutchtest.com, Precision Analytical’s testing methods go through a rigorous validation process to verify accuracy, recovery, and linearity. At one year the shrinkage is marked. I just finished doing the DUTCH test and am looking forward to the results. Best, And she was worried about her ability to conceive as doctors had told her she had “poor egg quality.”. Hello! Hi, I’m interested in the Dutch test. It can involve precise “lifestyle medicine” which are adjustments in sleep, food, exercise, and stress management. Do some labs and get a sound treatment plan, from a gynecologist or functional doctor, or someone who is both. Thank you. Blood serum tests have come back in the “normal” range. I am currently seeing a hormone specialist and have been on bio-identical hormone replacement for several years. We pride ourselves in relentlessly pursuing the most accurate and precise techniques available for testing. She is almost 16 years old. I hope you know about the PCOS Solution program – getting awesome results! My doctor has had me do the blood spot test several times along with the saliva cortisol test. Melatonin, I appreciate your input, and testing some of these hormones via serum (blood) is useful, particularly the sex hormones and DHEA. I’ve seen an endocrinologist, gyn and gp and not one has been able to help. I finally decided to see a Naturopath after years of feeling unwell and suffering panic attacks. The most impressive part of your article is the real example women who changed themselves after hormone testing. Thank you. My apologies. She took Ativan for sleep and anxiety and wanted to get off it. Hands down, this test is THE most cutting edge, comprehensive, functional medicine hormone test. Certainly the Dutch test can provide info about libido and weight loss resistance. My OB/GYN or an Endocrinologist? A blood test would show this. https://myhormoneanswers.com/. You can order just the test here: https://www.parishealingarts.com/product/dutch-complete-hormone-test/ Blood test: The lab will test for levels of testosterone and other hormones. What Happened: We made lifestyle modifications such as adding calories, incorporating meditation and acupuncture, reducing exercise, and keeping wine to the weekend nights. I have been to cognitive behavioral therapist, I have been to several biofeedback appts, a hypnotist and now working on meditation but sleep is such an issue. Adrenal hormones cannot be effectively tested in serum because free cortisol cannot be tested throughout the day. Let’s talk about how functional medicine can hel, Did you know that around 20% of women are deficien, Why is it so common for women over 40 to struggle, My definition of "healthy" is always changing...is, “Laura has been wonderful to work with over the, Like most autoimmune diseases, conventional medici, ❌ You cannot make thyroid hormones without iodin, https://www.parishealingarts.com/product/dutch-complete-hormone-test/, https://www.parishealingarts.com/laura-paris-work-with/. I am also going to do the SIBO( May as well go all the way) as I have had gut issues for years that mysteriously( my gastro’s exact words) disappear whenever I took antibiotics for something else ? It is unclear if the use of testosterone for low levels due to aging is beneficial or harmful. It depends. It was next to impossible to know if and when she was ovulating, and she really wanted to have several children, which was frustrating and upsetting. Fax: (503) 687-2052 What Happened: Jasmine’s primary root cause was estrogen dominance, and we also discovered nutrient deficiencies, anemia, and low beneficial bacteria in her gut. It’s fine (and sounds appropriate) for you to test hormones now instead of waiting until after breastfeeding ends. It’s like my body does not want to stay asleep for the entire night OR go below the 25lbs I’ve lost under my existing regimen. ” How does the Dutch saliva test get around this? In addition, Dutch measures how cortisol is metabolizing into cortisone and vice versa. Cortisone Within six months Judy no longer felt tired all day long. Her periods had not returned and she suffered from insomnia, fatigue, anxiety, and depression. Have you taken the DUTCH test before and interested in retesting? The worst symptom was very frequent and heavy periods. I’m seriously wondering if it could be a hormonal imbalance? Phone: (503) 687-2050 I misread this as a saliva test. Menopausal ranges for progesterone, low cortisol and testosterone, elevated stress hormones. First, the collection is cumbersome, and as many as 40% of those who collect, do so in error (Tanaka, 2002). I’m tired all the time and I feel overwhelmed and foggy very often. What Happened: We also discovered Melanie had blood sugar dysregulation and nutrient deficiencies, so we addressed these as well. If cycles are regular as you say, I recommend day 20-21. She had nutrient deficiencies, toxic burden, and immune dysregulation (usually the case with cancer). Hi! I work with many women who prefer to not use them, ever. She takes a lot of supplements. To properly characterize a patient’s cortisol status, free and metabolized cortisol should be measured to avoid misleading results when cortisol clearance is abnormally high or low. Progesterone also has a short half life. I am 59 and had a total hysterectomy at 49. I have no idea how long it takes for hormones to adjust back to “normal” after stopping. Secondly, dysfunction in the diurnal pattern of cortisol cannot be ascertained from a 24-hour collection. Rather, I use it for clinical information not available via conventional serum tests. Before I re-pellet or after? It could shed light, but I highly recommend getting guidance from a doctor and possibly a pelvic physical therapist. If I am on bio-identical hormones (Pellets Progesterone & NP Thyroid from a compounding pharmacy), when is the best time to take the Dutch test to get the most useful results? 2. Over the course of the next year, Aparna was able to wean slowly off Ativan, restore deep sleep, lessen her hot flashes, and reduce her anxiety. A weighted average of the four samples is combined and measured for, all hormones other than cortisol and cortisone. Dried samples are accurate for hormone testing, and values correlate to liquid samples. Work with me in Monterey, CA or from anywhere in the U.S. by phone or video. Some providers add saliva for daily free cortisol. Perfect adrenal hormones, low progesterone, high estrogen, and impaired detox. Suggestions? The fee is for the test and does include some lab notes. To learn more about becoming a Provider, please fill out the web form and you will receive details to become activated. I would like to order this test. She had no interest in sex, and symptoms of low thyroid (cold, tired, dry skin) even though her thyroid hormones were normal. Traditional Dutch Baby = 378 calories, 22.3g fat, 15g protein, 28.6g carbs, 0.8g fiber “Healthified” Dutch Baby = 227 calories, 14g fat, 20g protein, 3g carbs, 1g fiber. Lisa (age 51) felt exhausted for about four months, since a demanding overseas work trip. There is also a lack of extensive metabolite testing (especially for cortisol and estrogens). ], I don’t think an Endocrinologist would interpret the Dutch test unless they are a Functional Medicine doctor. It is used to treat male hypogonadism, gender dysphoria, and certain types of breast cancer. Wonder what your hormone picture is? High testosterone, low progesterone, high estrogen, and high cortisol (we never know what the PCOS hormone picture is without testing). Very informative article . Will it help see what’s going on so we can adjust better ??? It’s the way of the future and the system needs to get on board with it! As a DUTCH Provider, you will have access to the following benefits. I have no affiliation with Precision Analytical, the lab that provides the Dutch test. The GI Map is not diagnostic of SIBO, unfortunately. So, what day would I test? What’s your opinion on this? Jasmine (age 29) had a myriad of hormone imbalance symptoms including anxiety, PMS, painful periods, breast tenderness, fatigue, irritability, and frequent migraines. Gear a treatment plan tailored to you, based on your hormone levels and also how you metabolize or break down your hormones. We used herbs, supplements, foods, cyclical progesterone, acupuncture, and focused detox. How would he know what to adjust and what supplements to administer? I don’t want to ask my doctors to assess metabolite results they’ve not been specifically trained to assess or medicate. She wants me to use this test too now. She was ready to start a family but had not fallen pregnant yet. Meaning, still having cycles. Would a test like this help me understand why I suffer from low libido and vaginal numbness? 3138 NE Rivergate Street, Suite #301C McMinnville, OR 97128 | USA Phone: (503) 687-2050 Fax: (503) 687-2052 Email: info@dutchtest.com While the free cortisol pattern in saliva has clinical value, there is a significant missing piece to surveying a patient’s HPA-Axis function with saliva testing – measuring cortisol metabolites. Judy (age 27) was extremely fatigued all day long and relied on strong coffee to get through the days. However, she’s never once mentioned the Dutch test, and I 100% want to take it since I’ve done research on it and am still having sleep issues (even on Melatonin) and can’t seem to break a weight plateau that’s lasted 2-mos since initially losing 25lbs. This leads to a lot of confusion - especially on the side of the patient, and frustration on the side of the physician. The instructions are very clear. Susan, age 44: “Susan had a hysterectomy” . My GP and the specialists were useless at helping me. Hundreds of tests later…. I’ve tried bioidentical cream for replacement of low progesterone which causes severe migraines and I’ve also tried replacing estrogen & testosterone with increased migraines. At present, me and my OB are utilizing Rx, supplements, herbs, acupuncture, & organic/gluten-free/sugar-free nutrition. Hi, They will not shed light on adrenal, cortisol, and sleep problems. I’m 42 hysterectomy with 1 ovary left. The quiz said I am peri menopausal but I am most definitely post. Likewise with sex hormones, measuring estrogen and androgen metabolites gives a fuller picture for more precise clinical diagnosis of hormonal imbalances and HRT monitoring. It’s often tanked if you have a high level of environmental chemical exposures, such as living next to a golf course or agriculture. The instructions for this are super clear on the test guide. I have peripheral neuropathy, and will try stem cell therapy. (My GP of 20yrs had no idea that my many textbook symptoms for those conditions were even indicators, so she never referred me to see a hormone specialist. Will this help me and my Dr figure out how to better balance the bhrt I am on now since it’s been such an issue using only blood tests ? Help! It's also worth noting that the best way to test for cortisol/cortisone levels is again with a series of 4 urine tests throughout the day (DUTCH urinary testing). I’d love to know what your protocol was for the 55yr old Lucy. Thank you. Neurotransmitters that show dopamine and first responder stress hormones (epinephrine and norepinephrine). I was on a hormonal (levonorgestrel) iud for heavy bleeding for three years. Low cortisol, and low sex hormones, especially for her age! I will fix this to make it more clear. I never view bio-identical sex hormones as a necessity. How long after removal of the iud should I wait to do the Dutch test? I am on tamoxifen. Laura. However, the Dutch test measures hormone metabolites, not actual hormones. Yes I do remote consultations by phone, although I prefer video. These methods show increased accuracy over immunoassays used in typical serum and saliva testing. What Happened: Aparna had estrogen dominance previously, but now estrogen was blocked. Copyright © 2021 Precision Analytical Inc. Privacy PolicyPrivacy Practices, 3138 NE Rivergate Street, Suite #301C a fuller picture for more precise clinical diagnosis of hormonal imbalances and HRT monitoring. My Naturopath found me very low on Vit B12 and D and one of my thyroid tests was abnormal. The two vitamin supplements have already helped me and I suspect my adrenals are way off. Your email address will not be published. Her skin got healthier and she felt warmer. Definitely! I am not sure you actually read this post, or familiarized yourself with this test, because the Dutch test is not saliva. Precision Analytical’s testing methods go through a rigorous validation process to verify accuracy, recovery, and linearity. I have read about the use of bio-identical hormones for hormone replacement. You can order through our store if interested. Soph, This information has not been independently verified at the time this report went live. And, 8 months later, she got pregnant! Required fields are marked *. She had a history of chronic stress from her job. The three B vitamins that are most commonly low: B12, B6 and Folate. Look on the Institute for Functional Medicine website for referrals. Extremely tired, full of anxiety, major mood swings, easily frustrated and now really heavy and painful periods. This is very different than serum, which measures actual hormones in the blood at the given moment of the draw, but not hormone metabolism. These women demonstrate the vast differences in hormonal symptoms and in DUTCH test results. I always prefer testing rather than using and getting addicted to painkillers medicines without getting into the root cause. She had high cholesterol and difficulty losing weight in spite of being on a low-calorie diet and doing spin class daily. She had enough energy to work out again. Yes, definitely have seen people who can’t tolerate bio-identical hormones. Ive been researching this urine hormone test (dutch test) in the hopes I can feel comfortable going back on after ruling out any estrogen metabolism issues. I know producing oxytocin is supposed to make you feel warm and fuzzy happy feelings…but it seems to have done the opposite for me. Precision Analytical labs developed this unique test. I pray so. Do dried samples compromise the analysis? Do you wonder if you have hormone imbalances? What is your take on that? I’m 39 years old and for years have been feeling “off”. DUTCH testing was designed to be optimally effective for most forms of hormone replacement therapy. Gemma (age 31) knew she had PCOS and had tried to heal it, but had not been successful going off the pill and getting regular periods. We are trying to figure out why my daughters hair has been thinning for the last 13 months. This test is run on LC-MS/MS: the most accurate way to test cortisol and metabolites! Hi Jan, Hi, And although she was on bio-identical hormone replacement therapy, she suffered from hot flashes, which were worse if she had her beloved glass (or 2) of wine at night. US depending on your health insurance ). Best, Learn how your comment data is processed. Online program to get the benefits of fasting for 5 days, with food!. A weighted average of the four samples is combined and measured for all hormones other than cortisol and cortisone. Sienna The most accurate methods available are used for all tests. HOW DOES DUTCH COMPARE TO OTHER HORMONE TESTS? You dip the strips, let them dry, mail them off. Further interpretation and treatment can be from your doctor. Likewise with sex hormones, measuring estrogen and androgen metabolites gives. I’m I terested in using the dutch testing. It also includes the daily, free cortisol pattern, organic acids, melatonin (6-OHMS), and 8-OHdG. Dried samples are stable for several weeks making them convenient to ship worldwide. I feel the traditional medical system is uninterested and has let me down big time. I’m still nursing (morning and night) my youngest, and I know that affects hormones as well. The levels will be distorts to some degree, and thus patients should discontinue exogenous sources a day before taking samples: But, for example, E2 will have been flushed from the system with 20 hours and dropped significantly withing 12 hours. A few questions 1. The Dutch Complete™ is our flagship product. I had it removed due to a serious adverse reaction. You will not detox well or use omega 3 fats properly with low glutathione. You GP can provide a blood test for these steriod hormone levels. It is a unique method for more accurate vaginal hormone and oral progesterone monitoring. While I feel better, I still don’t feel well. Each treatment or solution is also unique. So when would she need to stop taking the supplements amd what day of her cycle would she do the test? Most people have their practitioner interpret the DUTCH test for them and make recommendations. Dr. Laura Paris © 2021 Built with and Genesis Framework by Bellano Web Studio. Also, the test has very specific instructions as to when to stop taking exogenous hormones for a clear dried urine metabolite sample. Lisa’s energy improved immediately, she began to lose weight, and really enjoyed spinning less, eating more, relaxing more often, and feeling calmer. Can you take the Dutch test if you are already on supplementation and herbs for adrenal issues and to improve immunity? My cycles are fairly regular every 28-30 days, but have extremely heavy bleeding the first 4 days and then taper off and spot for 3-5 days more. I always recommend testing rather than guessing, and using hormones judiciously under the care of a medical provider knowledgable about them. Deborah, either choice is valid. Ultrasound: This may reveal issues such as ejaculatory duct obstruction or retrograde ejaculation. Do you recommend ovulation strips? Estriol Dried samples are stable for several weeks making them convenient to ship, Cutting edge technology:  One test to provide the full hormone picture of your patients, Ease of use with data collection for patients, Access to clinical consultants, doctors and, Provider Portal Login – ensuring that data is accessible, safe and secure, Patient referrals, direct to Providers, within their area of service, base of Hormone Replacement Therapy (HRT) clients, Dedicated Customer Service Team to assist with your account and patient collection. Also, I cannot find the cost of consultations on your website. Hi Laura. No need for saliva snapshots because she is not menstrating. doctors and physicians don't have a really good understanding of what these hormones do, how to test for them and how to treat them. Depending on when you live, this may be covered by your healthcare provider ( e.g free in the UK, 50 euros in Belgium, and free in the Netherlands. I truly think it’s hormone induced but no one has been able to help me! The Nazi Dutch Royal Family and Dutch Prime Minister Mark Rutte may have been executed, according to Pentagon sources. With the addition of diurnal free cortisol, it becomes an improvement. Aparna (age 44) was a breast cancer survivor and was now experiencing early menopause symptoms because of the medications. Which medical practitioner/specialist is best qualified to interpret the DUTCH test results and create a personalized approach to balancing the hormones? With the latter, there can be many many root causes. And to book a package to have a test-interpretation and treatment plan go here and book a “Do Your Dutch Complete Hormone Package” https://www.parishealingarts.com/product/dutch-complete-hormone-test/. The hormones include: This test also measures your cortisol and cortisone rhythms and levels, and your estrogen metabolism pathways. Estrogen and progesterone levels good, with good estrogen metabolism, so her hormone therapy was at the right levels and safe to continue. I have reseRched, and one doctor who was thorough said I shoul also have the Dutch test. Patients collect just four or five dried urine samples over a 24-hour period. Does the test give all this information to get me back on track? Can you help me understand the process? A marker for oxidative stress (“rusting” in your body, which damages your cells, your DNA, and your mitochondria). It may also be used to increase athletic ability in the form of doping. This site is an advertisment for the Dutchtest, Cortisol And it’s also important to know about hormone metabolism. Hormone metabolism is extremely important, especially for estrogen. I am thankful to have access to do this testing through alternative medical practitioners. DUTCH eliminates the need for two tests. However, the sources have been … Because the dried samples span about 12-14 hours of the day (6-8 hours overnight plus 2 hours per day collection), they represent the entire day’s hormone production. Each test result is unique. correlation to 24-hour collections is excellent (see graph, left). We may find that the use of supplements, herbs, and low-dose bio-identical hormones are right for you. with a single click. I am sorry to hear of your suffering, and you’re doing great work! There are two primary drawbacks to 24-hour urine testing of hormones. Each cycle improved, and after a year she had normal, pain-free periods, and migraine incidence dropped down to very rare. Treatment of high Testosterone … Work with me: https://www.parishealingarts.com/laura-paris-work-with/ You can first order a DUTCH test, and then book a single consult with me for analysis and a treatment plan. Ares Galaxy is a peer-to-peer (P2P) BitTorrent file-sharing program that lets you quickly publish and share digital files including music, videos, photos, games, software, etc. I’ve never felt that and actually felt worse breastfeeding, but continued to do it for the benefit of the children. Low estrogen with poor metabolism, high stress hormones, oxidative stress, need for glutathione. Contact Info. Her E2/E1 levels would be stable and low. The company can tell you which of us Functional prax runs a lot of Dutch tests. ” Blood tests will not track hormone replacement as thoroughly. I am a personal trainer, I eat right and exercise daily and I am gaining weight. Hormone blood tests are useful too, but they are not the same as this comprehensive test. Your need for glutathione, which is THE master anti-oxidant that you make. https://dutchtest.com/wp-content/uploads/2018/09/Introduction-to-DUTCH.mp4. Hot flashes and no libido came right back. My question is if the blood serum tests are normal, can the DUTCH identify anything further that may help these two issues? I found an OBGYN on my own.). It also includes the daily, free cortisol pattern, organic acids, melatonin (6-OHMS), and 8-OHdG. Within three months Melanie got her period and her energy back, and her moods became much more stable and uplifted. … It should be Are you over age 40 and feel like you’re in puberty again with cycles changing PLUS hot flashes, poor sleep, mood swings, or anxiety? I solve hormone and immune problems with a functional, root-cause approach. I’m thankful she’s open to all forms of treatment. I’ve been taking ashwaganda root and just started serotonin supplement and bedtime and progesterone cream and DIM but honestly just doing this off of my symptoms but not sure what my hormone levels are so want to figure this out and do what my body needs. My mom died of post menopausal breast cancer in 2000 (they say it was from estrogen injections in the 70’s), i have developed a cyst after my estrogen was increased – am I still a candidate for BHRT? I am 59 years old and post menopausal for almost 10 years. Do I need to come off it to do this test? To properly characterize a patient’s cortisol status, free and metabolized cortisol should be measured to avoid misleading results when cortisol clearance is abnormally high or low. Ive been on bio identical Estrogen (cream), Test(cream), Preg (Capsule) and Prog(Capsule) for a year and half. Samples are stable once they are dried and easier to ship than liquid samples. For hormone replacement, bio-identical is the way to go! Thirdly, in Susan’s case above, estrogen metabolism was/is critical to determine, as it is for all women. Members of the Ares social network can join or host chat rooms, creating a worldwide file-sharing hub. Is it possible to bring hormones back to balance without needing bio identical hormones? I still rely on the Dutch test for my female patients with adrenal and sex hormone imbalances. Save my name, email, and website in this browser for the next time I comment. To receive my 5-minute breathing meditation. I have fibroids. I am 59 post menopausal for over a decade, had no menopausal symptoms until years after, have been working with my GYN who does not advocate bio identical hormone replacement so I have been self supplementing with adrenal supplements, progesterone and estriol cream for hair loss, facial hair and hypo-thyroid symptoms, blood serum tests consistently show below normal DHT and high Testosterone, would this test benefit me ? How do I go about finding an MD to guide my treatment? [My stats: 44yo, 1yr post-op open-myomectomy, no new fibroids, hormone blood tests show improved/balanced/normal levels as of 2wks ago, want to ttc next yr, I suspect my cortisol and adrenals are still off. Melatonin is not measured well by serum.