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The DUTCH test, which uses dried urine, is the simplest, most efficient and informative test for anyone considering bioidentical hormone therapy, or suspects they might have a hormone problem.

Understanding what your hormones are doing is highly useful information. The challenge lies in accurately measuring your hormone levels and interpreting the test results.

Mark Newman, founder of Precision Analytical Laboratory in Oregon, is also the developer of the DUTCH Test, which stands for Dried Urine test for Comprehensive Hormones.

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.

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.

The DUTCH test has been commercially available for about four years, and I believe it's the simplest, most elegant and informative go-to test for anyone considering bioidentical hormone therapy.  AND NOW IT’S AVAILABLE IN EUROPE


When we hear the word "hormones," we often think of a woman’s oestrogen and progesterone levels, and occasionally a man’s testosterone level. But there's so much more to these naturally occurring chemicals than you may realize.


We have many different hormones that determine a state of balance or imbalance, from thyroid-stimulating hormone, which regulates the thyroid gland, to follicle-stimulating hormone, which directs ovulation in women. To achieve optimal, sustainable health and wellbeing, we need to strive for hormone health that includes the proper balance of all bodily chemicals. Below are five of several symptoms that indicate your hormones may be out of whack.


1. Fatigue

Sometimes the symptoms of hormonal imbalance can be nonspecific. In these cases, it’s important to consider hormonal imbalance as a possible cause of the symptoms. For example, someone who suffers from fatigue could have an imbalance in their thyroid hormones, causing hypothyroidism; in their adrenal hormone levels, resulting in adrenal fatigue; or in their melatonin levels, causing poor sleep. Any of these imbalances can be the cause of fatigue.


Fatigue in this sense may feel like illness-related fatigue, leaving you tired when you wake up and without energy during the day. Sufferers often describe this as if they're “running on fumes.”


2. Poor sleep

You either have trouble falling asleep or staying asleep, which contributes to not feeling refreshed in the morning. This can result from a variety of hormonal issues, including melatonin, cortisol or even the brain neurotransmitters.


3. Mood swings and irritability

These can become anxiety and even depression. People who have an imbalance in cortisol, testosterone, or oestrogen can all have mood swings and irritability. Neurotransmitters that are out of balance can also cause this symptom.


4. Skin changes

Many people who notice changes in their skin and hair and wonder if it’s normal aging or just “bad luck,” but the problem may be a hormonal imbalance. Low thyroid levels can cause dry skin and hair, hair loss, and brittle nails.


5. Hot flashes and night sweats

Perhaps the best known symptoms of hormonal imbalances, these are typical of menopause and result from changing levels of oestrogen and progesterone. However, other hormonal imbalances can exacerbate these symptoms, especially cortisol imbalances.


The obvious question, then, is how to address these issues and how to return to a state of improved hormonal balance?


First, test your hormone levels. There are a number of hormone tests that look at hormones; blood tests are conventionally used, but salivary tests offer a more functional view of levels available for use in the body. However the ultimate test is the DUTCH test which is a dry urine test that can be carried out at the convenience of your home.


Once you've tested your levels, you can begin to address the underlying causes of the imbalances by:

You may also want to consider appropriate hormone replacement options with your physician. There are many solutions available, giving you many options from which to choose, including:

Having a state of hormonal balance is a critical component to health and wellbeing. Unfortunately, the signs and symptoms of hormonal imbalance are very common, which can make detecting and remedying problems difficult. While we can all take steps at home to create a healthy lifestyle and reduce the potential causes, we're all unique, which means it's crucial to go through this process with a practitioner competent in individualized medicine. 


If you have any questions you’re welcome to contact me

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