Why Use Dutch? If both markers are elevated, there is likely an antioxidant insuﬃciency. My gynecologist has found a thickened endometrial lining and evidence of polyps in my uterus. He keeps up to date with the latest research into health and natural medicine through the Metabolic Fitness Pro course with Dr. Bryan Walsh. The Dutch lab has a web page that states that they have 11 drs that are experts on the test and for dr. Sconsultation but I guess that is only for doctors and not patients and the response I received from them is that they don't deal with patients. My Dutch test urine test results are here: total estrogen 68.1 (27-62), progesterone 17.1 (6-20), testosterone 8.7 (4-14), 24 hour free cortisol 103 (80-185), total DHEA production 3167 (400-3000), metabolized cortisol 6039 (2750-5400). New York Times best selling author "Here's the best, most accurate way to check all your hormone levels! Low melatonin is associated with insomnia, an increased perception of pain, and mold exposure. Dutch testing is a highly accurate hormone test. The 8 Organic Acid markers on the DUTCH hormone test don’t replace doing the complete Organic Acids Test which contains over 40 different Organic Acid markers, but the new markers on the DUTCH hormone test do add some valuable information to an already great test. I still rely on the Dutch test for my female patients with adrenal and sex hormone imbalances. The instructions that come with the DUTCH hormone test kit helps you to work out the best time to take the test depending on which form of HRT you are taking. It is shipped to your home and you collect the samples yourself -, Just as the health of your microbiome has been linked to neurological health, mood, energy levels and skin conditions -, Adrenal health is a key marker to evaluate your, The values of these three hormones alone are not enough to devise a treatment plan - it is important to see, If you would like to speak to me to ask questions about functional medicine, Dutch testing or how I can help you, please schedule a. 5a-DHT, 5a-Androstanediol, 5b-Androstanediol. Xanthurenate (also known as xanthurenic acid) is a functional marker of vitamin B6 deficiency. He uses advanced testing methods, nutritional medicine, herbal medicine, and lifestyle advice to help you stay healthy. High levels will lead to high levels of Quinolinic acid which is a neuroinflammation marker. Cortisone 3. Xanthurenate can also bind to iron and create a complex that increases DNA oxidative damage resulting in higher 8-OHdG levels. Low levels of HVA can be due to low levels of dopamine and the associated symptoms include addictions, cravings, and pleasure-seeking (to boost levels) in addition to sleepiness, impulsivity, tremors, less motivation, fatigue, and. It is not just the brain that uses the neurotransmitters dopamine and noradrenaline, but the whole autonomic nervous system. Common foods high in B12 include beef liver, sardines, lamb, wild-caught salmon, grass-fed beef, nutritional yeast, and eggs. The 8 Organic Acid markers on the DUTCH hormone test don’t replace doing the complete. The DUTCH test is a urine steroid hormone profile that measures hormones and hormone metabolites (called conjugates) in a dried urine sample, and is performed from the comfort of your home. In total, you do 5 saliva cortisol samples throughout the day plus the urine strips to measure the hormones and their metabolites.The DUTCH Plus maybe better for people with chronic fatigue, PTSD, anxiety or chronic depression - though, the DUTCH complete will still give an indication of the CAR. The DUTCH test measures neuroinflammation markers Xanthurenate and Kynurenate which can indicate a B6 deficiency and help to explain the cause of symptoms like anxiety and depression. Pineal melatonin (melatonin is also made in signiﬁcant quantities in the gut) is associated with the circadian rhythm of all hormones (including female hormone release). Dried samples are accurate for hormone testing, and values correlate to liquid samples. The DUTCH test, which uses dried urine, is innovative in a number of respects, and offers several benefits over older hormone tests — all of which have their drawbacks and limitations. To be sure what your results mean, have them … Organic Acid Markers for Glutathione and Oxidative Damage. While many people focus on genetics (or worse, only the MTHFR gene) to assess methylation status - Dutch testing great tool for real-time assessment of methylation in the body, specifically, first phase liver detoxification. Samples are stable once they are dried and easier to ship than liquid samples. If that wasn't enough, adrenal hormones directly impact the function of other hormones in the body - estrogen, testosterone, and progesterone imbalance can all be due to adrenal health! Pyroglutamate (also known as pyroglutamic acid) is a functional marker of glutathione deﬁciency. It is a better option than saliva testing as it measures your free cortisol levels as well as total cortisol production and cortisone, total cortisol and cortisone are not measured in a saliva or blood test. 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 is even more accurate than salivary levels. Kynurenate, also known as Kynurenic acid, is an organic acid marker that also indicates a B6 deficiency. The DUTCH Plus test was introduced to measure the “cortisol awakening response” in greater detail than the DUTCH complete test.The cortisol awakening response (CAR) is the rise of cortisol in the first 60 minutes after waking, and the DUTCH Plus test measures this using saliva collection at short intervals after waking to measure the rise in cortisol. DUTCH stands for Dried Urine test for Comprehensive Hormones; The DUTCH test is the most cutting-edge way to evaluate your hormones because it doesn’t just measure hormones, it measures the amount of hormones you produce and the breakdown of those hormones (metabolites) The DUTCH test gives you the best of all the tests: blood … These patients may have a functional B12 deﬁciency even if serum levels of B12 are normal. It also means that low thyroid might be implicated. The DUTCH test shows the total cortisol and metabolites, and in some instances, the free cortisol is high (as shown in saliva), but the total cortisol is low. Nearly 90-95% of Afrikaans vocabulary is of Dutch origin! It measures your estrogen and progesterone in detail and how you are metabolizing estrogen. Low circulating dopamine may be due to insuﬃcient BH4, iron or tyrosine, SAM-e. , FAD, and NAD which are needed to metabolize dopamine. Glutathione is one of the most potent antioxidants in the human body. You will pay the same price (or get a discount) for all products and services, and your purchase helps support Planet Naturopath’s ongoing research and work. Once your results are ready you will be sent a copy via email, and we can schedule a consultation to go through your test results and help you with a treatment plan. Many women prefer this menopause test because it is one of the most accurate. The hormones include: 1. Cortisol, cortisone, cortisol metabolites and the organic acid markers are tested by LC-MS/MS. Elevated levels may be associated with feeling stressed, aggression, violence, impatience, anxiety, panic, worry, insomnia, paranoia, increased tingling/burning, loss of memory, pain sensitivity, high blood pressure, and, Vitamin B12 levels can also be increased through supplementation of active B12 (taken as methylcobalamin, hydroxycobalamin, or adenosylcobalamin), many B12 supplements contain cyanocobalamin which is a poorly absorbed form of B12 and should be avoided, I prefer a, While there is always some tryptophan going down the kynurenine pathway towards NAD (and possibly xanthurenate), this process is up-regulated by. Everyday toxicity from household products can make someone extremely sick - an impediment in a person's natural methylation process can make this exposure even more dangerous. Here I’m referring to the adrenal component. It may also be seen when adrenal function is generally low and the DUTCH test is the best way to assess this. Often, the values of progesterone, estrogen, and testosterone are within the 'normal' range but the metabolites (the breakdown products) are imbalanced - this causes inflammation and contributes to problems related to hormone imbalance. Precision Analytical labs developed this unique test. The DUTCH TM Complete offers the most extensive profile of sex and adrenal hormones along with their metabolites. I am 68 years old. For example, a conventional (liquid sample) urine test gives you metabolites you simply can't get in a blood or saliva test, but the collection method can be quite messy and inconvenient. I have Candida overgrowth in my gut and chronic sinusitis I know this is the cause of many of my health problems. The metabolites of dopamine and norepinephrine (your flight or fight neurotransmitter) are tested and can also be associated with symptoms like fatigue, anxiety and mental health issues. I have found the DUTCH test to be a valuable tool to understand the underlying cause of many different health issues, and I have used this test with 100’s of clients. The DUTCH test uses the waking sample only to test levels of melatonin production - this is because the first-morning sample is assessing the overnight melatonin levels. Read more about what other kinds of testing my clinic offers. Alternatively, if there is little glutathione available to be recycled, pyroglutamate will be low, so when levels of pyroglutamate are high or low, there may be insuﬃcient glutathione levels. The DUTCH test allows us to measure this same diurnal pattern of free cortisol but it also allows us to measure cortisol metabolites, and this gives us a much more accurate picture of how much cortisol you are actually producing from your adrenal glands and how the body's using it. Netherlands’ largest health insurer, Zilveren Kruis and the Dutch vision care startup, easee are entering into a partnership for the implementation of easee’s CE certified online eye test. The Precision Analytical DUTCH hormone test has an adrenal component, a sex hormone component, or a combination. The most accurate methods available are used for each test. Your ability to methylate is crucial for recovery from chronic illness as well as for the prevention of chronic disease. When adrenal hormone output is generally low, VMA levels may be low. It may also be seen when adrenal function is generally low and the DUTCH test is the best way to assess this. So what is the DUTCH test? Studies have shown that a urine sample collected upon waking has levels of 6-Hydroxymelatonin-sulfate (6-OHMS) that correlate well to the total levels of melatonin in blood samples taken continuously throughout the night. Translation for 'accurate' in the free English-Dutch dictionary and many other Dutch translations. The remaining hormones are tested by GC-MS/MS. CORTISOL METABOLITIES AND DHEA-S: b-Tetrahydrocortisol, a-Tetrahydrocortisol. Elevated levels may be associated with feeling stressed, aggression, violence, impatience, anxiety, panic, worry, insomnia, paranoia, increased tingling/burning, loss of memory, pain sensitivity, high blood pressure, and heart palpitations. Schedule A Free Consultation Or Book An Appointment, © 2021 by Functional Healthcare Institute, Statements on this site have not been evaluated by the Food and Drug Administration, Dutch testing is a highly accurate hormone test. Reply (0) Report. It will also identify if you are estrogen dominant. This case can be caused by a copper or vitamin C deﬁciency. Just as the health of your microbiome has been linked to neurological health, mood, energy levels and skin conditions - so hormone balance is similarly understood to underpin almost every major organ system in the body. Further, I did contact the Dutch Lab and asked why they don't offer a disclaimed interpretation of the test (they are the experts!) If you are taking bio-identical hormones then the DUTCH test is a great option for assessing if you are taking the right amount of hormones. Adrenal hormones have an anti-inflammatory effect on the body. Testing the Organic Acid metabolites for B vitamins is more accurate than assessing blood levels of B12 and B6, a blood test represents the amount of a vitamin in the blood while the Organic Acid marker represents how the cells are using B12 and B6. Adrenal health is a key marker to evaluate your cortisol production throughout the day. If xanthurenate levels are elevated, B6 supplementation may be considered. I've just had the Dutch test results and trying to find a practitioner in the UK that can interpret it. If you don’t have a regular menstrual cycle (and this is why a lot of women are doing the test), then the instructions give you clear guidelines on how to proceed and when the best time for you is to collect the samples. Methylmalonate (also known as methylmalonic acid or MMA) is a functional marker of vitamin B12 deﬁciency. The DUTCH hormone test can help you understand the cause of your health issues, it helps to take out the guesswork of why you are suffering from a wide variety of symptoms. Vitamin B6 is a critical co-factor to over 100 important reactions that occur in the human body and is stored in the highest concentrations in muscle tissue. Symptoms of a vitamin B12 deﬁciency include fatigue, brain fog, memory problems, muscle weakness, unsteady gait, numbness, tingling, depression, migraines/headaches, and low blood pressure. WHAT IS THE DUTCH COMPLETE HORMONE TEST?Precision Analytical Labs developed this unique test. Assessing the metabolism of your estrogen and testosterone cannot be done with a blood test which only measures total estrogen, progesterone, and testosterone. Vanilmandelate (also known as VMA) is the primary metabolite of norepinephrine and epinephrine (adrenaline). Made in The Netherlands. Once we have your DUTCH test results it will help us to help you implement a treatment plan. Estrone 5. Vitamin B12 levels can also be increased through supplementation of active B12 (taken as methylcobalamin, hydroxycobalamin, or adenosylcobalamin), many B12 supplements contain cyanocobalamin which is a poorly absorbed form of B12 and should be avoided, I prefer a B12 lozenge if low in B12. It is shipped to your home and you collect the samples yourself - don't be misled by the ease of use, the information you get from this test is even more accurate than other more time-consuming tests. It combines the advantages of serum, saliva, and urinary testing, all in one. The DUTCH test measures total cortisol production as the rhythm of free cortisol throughout the day, as well as how quickly your body is metabolizing cortisol into cortisone. WHY USE DUTCH TM. If the body cannot convert pyroglutamate forward, it will show up elevated in the urine. How to Perform the Dutch Test Save my name, email, and website in this browser for the next time I comment. Many people think of 'stress' as something they are under temporarily (being nervous about a flight or a test) but very quickly, your body can become acclimated to high amounts of stress all the time. The test can quickly determine that someone doesn't have Covid-19. Dutch testing uses dry urine to assess true hormone levels of progesterone testosterone and estrogen. However, thyroid hormones can’t be measured in urine so these must be done in blood testing. Low levels of HVA can be due to low levels of dopamine and the associated symptoms include addictions, cravings, and pleasure-seeking (to boost levels) in addition to sleepiness, impulsivity, tremors, less motivation, fatigue, and low mood. Michael is head consultant at Planet Naturopath - Functional Medicine and Nutrition Solutions. You can learn more about DUTCH testing in the video below or at this link. It is especially important in getting rid of toxins, including the harmful metabolites of estrogen detoxification 4-OH-E1 and 4-OH-E2. The Organic Acid markers reflect your body’s production of neurotransmitters, and not specifically levels in the brain (there is no perfect test for that), but research shows that these levels are a good reflection of what is happening in the brain also. If levels of MMA are elevated, it may be advisable to increase B12 consumption. Learning Dutch is een goed idee (good idea) as it’s easy to learn and very cool sounding. He is a degree qualified naturopath from the Endeavour College of Natural Medicine in Australia with 18 years of experience. Pyroglutamate is a step in the production/recycling of glutathione. The values of these three hormones alone are not enough to devise a treatment plan - it is important to see how your body is using these hormones. Do you have experience in successful treatment of this condition? If these enzymes are not working properly, VMA may be low when circulating norepinephrine and/or epinephrine are not low. The DUTCH PlusTM offers the most accurate salivary cortisol sampling with SalivetteTM collection and analysis The DUTCH PlusTM offers an evaluation of the Cortisol Awakening Response (CAR) by measuring salivary cortisol upon waking and then again 30 and 60 minutes later (additional measurements are made around dinner and bedtime). #dutchtesting #chronicillness #autoimmunedisease #PCOS #PMS #HormoneTesting #hormone #methylation #liver #breastcancer #estrogen #progesterone #testosterone. 2-Methoxy-E1, 2-Methoxy-E2, 2-OH-E2, 4-OH-E2. Ben Greenfield says: July 31, 2016 at 10:59 am. What are your thoughts on OAT vs DUTCH test for a 40+ woman dealing with fatigue, energy issues despite being ketogenic, AIP, great sleep, clean living etc. In fact, rats fed xanthurenate will actually develop diabetes because of the eﬀects on insulin. If you think that you may have a medical emergency, call your doctor or 911 immediately. When combined with functional medicine treatment, Its results are superior to serum, saliva and 24 hour hormone testing and is useful for breast cancer risk, PCOS, PMS, ovarian cysts, IBD, Crohn's, methylation, autoimmune disease and more. Dutch testing must be ordered through your doctor. The adrenal gland makes cortisol and DHEA as well as norepinephrine and epinephrine. Whether you are at risk for breast cancer, struggle with polycystic ovary syndrome (PCOS), or have persistent symptoms like fatigue - Dutch testing can give you unprecedented clarity. I discussed your question with my colleague Tieraona Low Dog, M.D., an internationally recognized expert in the fields of integrative medicine, dietary supplements and womens health, and an authority on botanical medicine. Estradiol 4. Testing your hormones would be a good place to start to see if this really is the cause, for high estrogen there is natural treatment options depending on what is causing the high levels. It is possible due to genetic SNPs to have high levels of B12 in the blood but have low B12 at the cellular level. I am extremely allergic to almost anything I put in my body and immune systems seems like it is on alert all the time. b-Tetrahydrocortisone, Metabolized Cortisol, DHEA-S. This tells you whether you are detoxifying estrogen down the health 2-OH-estrogen pathway or if it is going down the potentially more harmful 4-OH or 16-OH pathway. When Should I Take The DUTCH Hormone Test? If you are taking the oral contraceptive pill it is going to influence the estrogen and progesterone levels and won’t give you a true reading of your natural levels. ANDROGEN METABOLITES: DHEA-S, Androsterone, Etiocholanolone, Testosterone. The DUTCH hormone test is ideal for both men and women to assess their hormones. He is a registered naturopath with the Australian Natural Therapists Association (ANTA) and works with clients from all over the world via video or phone consultations. Hundreds of tests later…. My clinic offers functional medicine appointments as well as manual soft tissue treatments for chronic pain and illness. The wealth of accurate information provided by a DUTCH panel allows us to make better suggestions with regards to your care which we believe leads to better clinical outcomes. If you are, we can take immediate steps to lower your levels of 4 hydroxylated catechol estrogens to decrease your risk of breast and other estrogen-related cancers. DUTCH offers the most extensive profile of sex and adrenal hormones along with their metabolites. The E1 test’s normal values may vary slightly in different laboratories, but they are more or less the same. It's a much more complete picture than blood, saliva, or wet urine can give us. Ideally I’d just do one as they are pricey. This means that the body and liver specifically is not metabolising the free cortisol sufficiently. (commonly known as OAT) which is one of my favorite tests to assess metabolism, the Organic Acids are urinary metabolites that can measure specific aspects of metabolism. Agreements have now been made with employers in the energy sector and financial industry. A blood test cannot measure the rhythm of cortisol and a saliva hormone test cannot measure total cortisol production or cortisone levels. I know there is a lot of information on the DUTCH hormone test so this is a quick summary of the key advantages of the DUTCH test over doing other types of tests. The DUTCH Complete hormone test is simple to do and just requires you to take 4-5 urine samples (the 5th one is only if you wake up in the middle of the night which is good for checking night time cortisol levels). You may not feel stressed, but your body is feels the effects of a high stress situation - all the time. In the table below there is a list of all the different sex hormone markers assessed in the DUTCH hormone test, while this comprehensive list may look confusing when you first see it, this gives us valuable information about your sex hormones. The DUTCH test measures total cortisol production as the rhythm of free cortisol throughout the day, as well as how quickly your body is metabolizing cortisol into cortisone. Testosterone 8. Additionally, the daily (diurnal) pattern of free cortisol is included, along with melatonin (6-OHMS), 8-OHdG, and six organic acids.
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