The DUTCH Adrenal is a urine test that provides data that parallels saliva testing with the addition of metabolite measurements for an improved understanding of total cortisol production. Markers tested include daily free cortisol, daily free cortisone, cortisol metabolites (a-THF and b-THF), cortisone metabolites (b-THE) and DHEA-S. The DUTCH test is simple and easy to use. Urine samples are taken using filter paper collection strips without the need for a blood draw or 24-hour urine collection.
Cortisol, cortisone and metabolites related to cortisol are tested by LC-MS/MS
When should I use
DUTCH Adrenal can help identify the root causes of adrenal imbalances in both women and men. It gives more information than just testing the free cortisol patterns alone. 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.
Note, this panel does not include the sex hormone metabolites or organic acids.
This test maybe especially useful for women on oral birth control or for women without ovaries, where the DUTCH Complete would not be appropriate.