The DUTCH Adrenal test analyzes daily free cortisol and cortisone patterns and cortisol and cortisone metabolites. Under physical or psychological stress, the hypothalamus induces the pituitary gland to make the adrenocorticotropic hormone (ACTH). ACTH then stimulates the adrenal glands to produce cortisol, a stress hormone, Dehydroepiandrosterone (DHEA), and Dehydroepiandrosterone sulfate (DHEAS).

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The DUTCH Adrenal (Dried Urine) Test from Precision Analytical Inc stands for Dried Urine Test for Comprehensive Hormones.


Which Patients is the DUTCH Adrenal (Dried Urine) Best Used For?

Examples of common conditions related to abnormal cortisol levels include fatigue, depression, insomnia, fibromyalgia, anxiety, inflammation, and more.

The DUTCH Adrenal (Dried Urine) test should be considered when patients present the following symptoms and conditions linked to adrenal dysregulation:

  • Premenstrual Syndrome
  • Perimenopause symptoms
  • Infertility
  • Unexplained abdominal weight gain (apple-shaped body)
  • IBS – irritable bowel
  • Muscle pain or rapid muscle/joint breakdown
  • Headaches including migraine
  • Heart disease
  • High blood pressure
  • Blood sugar deregulation
  • Anxiety
  • Depression
  • Fatigue
  • Insomnia
  • Injuries that are slow to heal
  • Hypothyroid symptoms or diagnosis


What is the DUTCH Complete?

The DUTCH (Dried Urine Test for Comprehensive Hormones) Complete test is an advanced diagnostic tool used to evaluate hormone levels. This test is unique because it uses dried urine samples to measure various hormones and their metabolites. Here are its key features:


Hormone Assessment

The DUTCH Complete test measures a range of hormones such as cortisol, cortisone, estrogen, progesterone, and testosterone. This comprehensive approach provides a more complete picture of a person’s hormonal balance compared to traditional blood tests.


Circadian Rhythm Analysis

It includes an evaluation of the natural daily patterns of cortisol and cortisone, which can help assess adrenal function and identify issues with circadian rhythm.


Metabolite Measurement

The test also measures hormone metabolites, which are the products of hormone breakdown. This can offer more detailed insights into how hormones are being processed by the body.

The DUTCH Complete test is particularly popular among practitioners of functional medicine, who often focus on hormone balance as a key aspect of health. However, like any medical test, its results should be interpreted in the context of a comprehensive clinical evaluation.


The DUTCH Plus includes salivary testing for:

Free Cortisol and Cortisone (Saliva)

Salivary measures are taken 5 times in a 24 hour period to describe the individual’s diurnal cortisol and cortisone patterns, as well as her or his cortisol awakening response (CAR).  It also includes measurements of total salivary cortisol and cortisone.

An additional salivary cortisol and cortisone reading is available for people who wake in the middle of the night and have difficulty returning to sleep.


*The minimum age for the DUTCH Adrenal testing is 12 years old.


The price does not include Lab Interpretation. Our policy requires medical consultation and recommendation from a licensed provider. Lab Results will be released after review with the Provider.  This product is only available in California.

Additional information


DUTCH Adrenal (Dried Urine), DUTCH Complete (Dried Urine), DUTCH Plus (Urine + Saliva)


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