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Dutch Complete

Dutch Complete

Regular price $499.00 USD
Regular price Sale price $499.00 USD
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Our flagship product. The DUTCH Complete™ is the most advanced hormone test, offering an extensive profile of sex and adrenal hormones and melatonin, along with their metabolites, to identify symptoms of hormonal imbalances. Easily collected in the comfort of your own home, samples are then sent to our lab to be processed. The DUTCH Complete™ is the most accurate test providing a complete assessment of hormonal health.

The DUTCH Complete™ is a comprehensive hormone test that measures a wide range of hormones and their metabolites in urine samples. This test offers an extensive profile of sex and adrenal hormones, as well as melatonin, along with their metabolites, to identify symptoms of hormonal imbalances.

This test is considered the most advanced hormone test available, providing a complete assessment of hormonal health. It is easily collected in the comfort of your own home, and the samples are then sent to a lab to be processed.

The DUTCH Complete™ is unique in that it measures hormone metabolites, which are the byproducts of hormone metabolism. These metabolites can provide valuable information about how hormones are being processed and utilized by the body and can help identify any imbalances or abnormalities that may be contributing to symptoms such as fatigue, weight gain, and hormonal imbalances.

This test provides a comprehensive assessment of adrenal function by evaluating cortisol levels over the course of the day, which can provide insight into the body's natural cortisol rhythm. It also measures other adrenal hormones such as DHEA and pregnanetriol, which can provide additional information about adrenal function and overall hormonal balance.

The DUTCH Complete™ test is non-invasive and can be performed from the comfort of your own home, with urine samples collected at specific times throughout the day. It is suitable for both men and women and can be used to evaluate a wide range of hormonal issues, including fertility, menopause, and adrenal dysfunction.

Once the samples are processed, the test provides a clear and easy-to-understand report that summarizes the results and provides recommendations for addressing any imbalances or abnormalities. The report includes personalized recommendations for diet, lifestyle, and supplements that can support hormone balance and overall health and wellbeing.

Overall, the DUTCH Complete™ test is a valuable tool for evaluating hormone balance and identifying any imbalances or abnormalities that may be contributing to symptoms. It can provide important information to guide treatment decisions and support overall hormonal balance and wellbeing.

Kit Includes

- Easy directions and filter paper collection strips

- Requisition form for patient information, pertinent supplements, medications, hormone replacement and a health questionnaire

- Sealable return envelope

Results Include

- Analysis of 35 different hormones: estrogen, progesterone, testosterone, DHEA-S, and cortisol along with their metabolites

- Daily free cortisol patterns to provide insight into adrenal insufficiency or symptoms of chronic stress

- Graphical representation of results and embedded video tutorials to assist in the hormone assessment to share with your medical provider

- DUTCH OATs: Oxidative stress marker – 8-Hydroxy-2-deoxyguanosine (8-OHdG), melatonin (6-OHMS), and six organic acid tests (OATs) including markers for vitamin B12 (methylmalonate), vitamin B6 (xanthurenate), kynurenate, glutathione (pyroglutamate), dopamine (homovanillate), norepinephrine/epinephrine (vanilmandelate).

See the Dutch Complete info sheet.
Watch this Dutch Complete Overview.
Also, feel free to check out this Dutch Complete Sample Female Report and Male Report.
These are the Dutch Complete Collection instructions.

What Doctor Birch Says

This is one of the kits we use most often in our office to monitor hormones, metabolites, adrenal function, and important nutrients involved in the hormonal pathways for our female patients. This is an excellent test to perform at least twice per year in order to monitor your need for bioidential hormone replacement, as well as to monitor how your current dosages are working for you. Feel free to purchase this kit and book a consultation with us to start or continue your journey with us. We look forward to getting to know you if you choose to do so, and wishing you all the best.

Return Policies

- Return policy for a refund is one year from the date of purchase.

- The kit must be returned to Purety Clinic before any refunds can be issued.

- Shipping fees are non-refundable.

- There is a $25 re-stocking fee.

Why Use It?

Analytical and Clinical Validation

Precision Analytical’s testing methods go through a rigorous validation process to verify accuracy, recovery, and linearity. We pride ourselves in relentlessly pursuing the most accurate and precise techniques available for testing. See the data on the next page to support the analytical and clinical validation of this powerful new testing model.

The Easiest Patient Collection

Patients collect just four or five dried urine samples over a 24-hour period. Dried samples are stable for several weeks making them convenient to ship worldwide.

Effective HRT Monitoring

DUTCH testing was designed to be optimally effective for most forms of hormone replacement therapy. Unique methods are used for improved monitoring of oral progesterone and vaginal hormones.

When compared with others

DUTCH vs. Saliva Testing

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. 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. Likewise with sex hormones, measuring estrogen and androgen metabolites gives a fuller picture for more precise clinical diagnosis of hormonal imbalances and HRT monitoring.

DUTCH vs. Serum Testing

While the most universally accepted testing method (due to the availability of FDA-cleared analyzers that are reliable and inexpensive), serum testing is lacking in some areas. Adrenal hormones cannot be effectively tested in serum because free cortisol cannot be tested throughout the day. There is also a lack of extensive metabolite testing (especially for cortisol and estrogens).

DUTCH vs. 24-Hour Urine Testing

There are two primary drawbacks to 24-hour urine testing of hormones. First, the collection is cumbersome, and as many as 40% of those who collect, do so in error (Tanaka, 2002). Secondly, dysfunction in the diurnal pattern of cortisol cannot be ascertained from a 24-hour collection. Some providers add saliva for daily free cortisol. DUTCH eliminates the need for two tests.

Do values compare favorably to 24-hour collections? The DUTCH correlation to 24-hour collections is excellent (see graph, left). 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. A weighted average of the four samples is combined and measured forall hormones other than cortisol and cortisone. Values mustbe presented relative to creatinine (ng per mg of creatinine) to correct for hydration. This replaces the 24-hour value. The excellent correlation to 24-hour collections makes this model a very respectable alternative to 24-hour collections. With the addition of diurnal free cortisol, it becomes an improvement.Do dried samples compromise the analysis? Dried samples are accurate for hormone testing, and values correlate to liquid samples. Samples are stable once they are dried and easier to ship than liquid samples.Methods Used for TestingCortisol, cortisone, 8-OHdG, melatonin (6-OHMS), organic acid tests and metabolites related to cortisol are tested by LC-MS/MS. The remaining hormones are tested by GC-MS/MS. The most accurate methods available are used for all tests. These methods show increased accuracy over immunoassays used in typical serum and saliva testing.

Restrictions to use

RESTRICTIONS APPLY FOR ORDERING LAB TESTS IN THE STATES OF NEW YORK, MARYLAND AND RHODE ISLAND. If you live in one of these states, please give us a call at 503.687.2050 for more information.


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    Enjoy free shipping on orders $120+. 90 day risk-free returns available within policy.