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The steepest point of the daily cortisol curve, and the anchor every other sample is read against.
| Complete | Plus | CAR | Cycle Mapping | |
|---|---|---|---|---|
| Comprehensive sex hormones & metabolites | ✓ | ✓ | – | – |
| Diurnal rhythm of cortisol | ✓ | ✓ | – | – |
| Cortisol metabolism | ✓ | ✓ | – | – |
| Cortisol awakening response (CAR) | – | ✓ | ✓ | – |
| Optional insomnia cortisol sample | – | ✓ | ✓ | – |
| Organic acids + overnight melatonin | ✓ | ✓ | – | – |
| Menstrual cycle estrogen & progesterone mapping | – | – | – | ✓ |
| How you collect | 4 urine | 4 urine + 6 saliva | 6 saliva | Across your cycle |
| Price | $849 | $1,099 | $649 | On request |
Your provider orders the kit and it ships straight to your door, with everything the collection needs inside.
One ordinary day. Four dried urine strips, plus saliva tubes if you are running the Plus or the CAR.
Dried samples are stable for weeks. Seal the prepaid envelope and drop it in the mail.
Reports are usually ready in six to seven days, with graphs and video walkthroughs built into them.
Four or five dried samples over 24 hours, at home. Dried samples stay stable for weeks, which makes them easy to ship worldwide.
A morning blood draw catches one moment. Timed samples show the shape of the day, which is where cortisol problems actually live.
The most extensive profile of sex and adrenal hormones along with their metabolites, so treatment plans are built on pathways rather than single numbers.
Eighteen peer-reviewed publications and counting, including validation work on dried urine against patches, gels and creams.
The method tracks most forms of bio-identical hormone replacement, so dosing decisions have something solid underneath them.
DUTCH clinical educators run group and one-to-one sessions with providers to work through patient reports.
DUTCH stands for Dried Urine Test for Comprehensive Hormones. It is a group of validated panels from Precision Analytical that measure sex and adrenal hormones along with their metabolites, using dried urine samples you collect at home — and, on some panels, saliva as well. The lab has been CLIA-certified since 2012.
The Plus is the Complete with the cortisol awakening response added. Same four dried urine strips, same 35 analytes, same organic acid markers — plus six saliva tubes that capture cortisol and cortisone at waking, thirty minutes later, and an hour later. If your fatigue is worst in the morning, that difference is the whole reason to test.
For hormone metabolites it answers a different question, and it has been checked against the alternatives. Precision Analytical has published peer-reviewed work comparing dried urine assays with serum and saliva, including studies on estradiol patches, gels and creams. Blood tells you what is circulating at one moment; dried urine tells you what the body did with it over a day.
Reports are typically ready in six to seven days after the lab receives your samples. Because dried samples stay stable for weeks, shipping time does not put your results at risk.
Yes. DUTCH panels are ordered through a registered provider, who receives the report and works through it with you. That is deliberate — the value of the test is in the interpretation, and a graph of estrogen metabolism is not much use without someone to read it.
Usually yes, and monitoring therapy is one of the common reasons to run it. The method tracks most forms of bio-identical hormone replacement. Tell your provider exactly what you are taking, how, and when — the requisition form asks for supplements, medications and hormone replacement for that reason.