Description

iThrive Healing and Beyond in collaboration with Precision Analytical Labs USA Dutch Plus Hormone Panel DUTCH Complete 

The The DUTCH Plus® is an upgraded version of the DUTCH Complete ™ panel.

The DUTCH Plus® takes hormone testing to a whole new level. In addition to sex hormones and their metabolites, the DUTCH CompleteTM looks at the overall diurnal pattern of free cortisol, and the total and distribution of cortisol metabolites.

The DUTCH Plus® adds the Cortisol Awakening Response (CAR) to bring another important piece of the HPA-axis into focus.

Sample required : SALIVA & URINE 

What is the Cortisol Awakening Response and how do we test for it?

When we open our eyes upon waking, cortisol levels naturally begin to rise by an average of 50%. 30 minutes after waking, cortisol levels will still show this sharp increase. By 60 minutes after waking, cortisol levels have peaked and begin to decline. Measuring this rise and fall of cortisol levels at waking can be used as a “mini stress test”. Research shows that the size of this increase correlates with HPA Axis function, even if the sample measurements are all within range. A quick saturation of saliva swabs upon waking, and at 30 and 60 minutes after waking, provide what is required to assess a patient’s Cortisol Awakening Response.

What’s Included in the DUTCH Plus® ?

The DUTCH Plus® uses four dried urine samples and five saliva samples. These samples are collected over the course of one day, from waking to bed time. The DUTCH Plus® report includes: Metabolites of Estrogens (10, including E1, E2, E3, 2-OHE1, 4-OH-E1, 2-OH-E2, 4-OH-E2, 16-OH-E1, 2-methoxy-E1, 2-methoxy-E2) , Androgens (8, including Testosterone, DHT and DHEA-S), Progesterone (2), Cortisol (3), Melatonin (6OHMS), 8-OHdG, and OATs (9). The diurnal pattern of Free Cortisol and Cortisone are also provided, including the Cortisol Awakening Response.

What can the DUTCH Plus®tell us that the DUTCH Complete™ and other adrenal tests cannot? 

Even though a patient may have “normal” free cortisol levels throughout the day, that doesn’t always mean everything is functioning properly. The graph below shows two good examples. A blunted or exaggerated CAR can appear, even when single samples return “normal” results. The HPA axis might not be appropriately responding when faced with a stressor, even when cortisol levels are fluctuating nicely throughout the day. The “stress” of waking allows us to test the HPA axis in a way that has been independently correlated to clinical outcomes and cannot be assessed by other cortisol tests on the market. 

Some conditions that warrant testing are:

1. Hormonal imbalance 
2. Reproductive health
3. Stress Intolerance
4. Adrenal dysfunction
5. PCOS,PMS & Menopause
6. Liver dysfunctions
7. Methylation issues

Dutch Plus Sample report : 

Female :https://dutchtest.com/wp-content/uploads/2020/03/CAR-Only-Female-Sample-Report-Ref032620.pdf

Male : https://dutchtest.com/wp-content/uploads/2022/06/Sample-Report_DUTCH-Plus_Male_RevB1-062022.pdf

How is the test done?

• Confirm the test with us and pay 100% in advance for this test. We will send you the sample collection test kit to collect the sample.
• The Kit contains all the information and tools to collect the sample. Our team will guide you on that.
• Please contact our team on the below numbers to understand the entire process of the test & the shipping process.
• Fill out all the documents.
• Once sample is ready, FedEx pickup person will pickup the sample from your home.
• If you order the kit in another country, You need to find a courier company yourself. We will help you and provide you with all the necessary documents.
• The international FedEx shipping charges to Denmark are already included in the test price.
• Reports will take 3 weeks to come.

Please note : Charges for shipping the sample to the Lab in Denmark are included in the test cost itself and you do not need to pay any extra charges.

Contact us:

• For any logistics/shipping/packaging-related queries you can contact Mr.Aditya  at +91 89565 35768
• For any technical queries & test instructions contact Aditya at +91 89565 35768
• For all other general/payment/order-related queries contact Aditya at +91 8656535768.
• The alternative number for queries will be +91 77966 92506

• Once you ship to the lab, please update us & keep us in the loop. Reports will arrive in 3 weeks once the sample reaches the lab. We will keep you informed on the same.
• Please note that iThrive will not be responsible for any loss of sample during logistics & shipping.
• Charges for Fedex shipping are included in the test cost.

Additional information