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DUTCH Plus™ (Complete + CAR)-Precision Analytical Inc. Kit:

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Note: This is a home collection test kit that will be mailed to you.


Fasting Required: No
Lab: Precision Analytical
Specimen: Four Dried Urine samples and Five Saliva Samples
Results: Average processing time 10-14 business days
Note: Result turnaround times are an estimate and are not guaranteed. Our reference lab may need additional time due to weather, holidays, confirmation/repeat testing, or equipment maintenance.

Food Restrictions: Avoid Avocado, 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.

Supplement Restrictions: 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.

Description: The DUTCH Plus™ takes hormone testing to a whole new level. In addition to sex hormones and their metabolites, the DUTCH Complete™ 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. The patient collection is 4 easy-to-collect dried urine samples collected on filter paper devices and five saliva samples.

Analytes Included:
  • Metabolites of Estrogens (8, including E1, E2, E3, 2-OHE1, 4-OH-E1, 16-OH-E1, 2-methoxy-E1)
  • Androgen (8, including Testosterone, DHT and DHEA-S)
  • Progesterone (2)
  • Cortisol (3)
  • Melatonin (6OHMS)
  • 8-OHdG
  • Insomnia Cortisol
  • The diurnal pattern of Free Cortisol and Cortisone are also provided, including the Cortisol Awakening Response.