Standard hormone panels miss the full picture. The DUTCH Complete test reveals how your body produces, uses, and metabolizes hormones — giving you answers that standard blood tests simply can't provide.
If you've been told your hormones are 'normal' but you still feel exhausted, moody, unable to lose weight, or struggling with sleep — you're not imagining it. Standard blood tests measure hormone levels at a single point in time, but they don't tell you how your body is actually using those hormones.
The DUTCH Complete (Dried Urine Test for Comprehensive Hormones) is the most advanced hormone test available. It measures not just estrogen, progesterone, and testosterone levels, but also their metabolites — the downstream products that reveal how your body is processing these hormones.
Estrogen metabolism is particularly important. There are three main estrogen metabolites: 2-OH, 4-OH, and 16-OH. The 4-OH pathway is associated with increased cancer risk, while the 2-OH pathway is protective. The DUTCH test shows exactly which pathway your body favors — information that is critical for long-term health.
The DUTCH test also measures cortisol and cortisone patterns throughout the day, revealing adrenal function and HPA axis dysregulation. This is essential for understanding fatigue, sleep disruption, and weight gain around the midsection.
Melatonin, DHEA, and organic acids that reflect B vitamin status and oxidative stress are also included — making this a truly comprehensive picture of your hormonal and metabolic health.
I recommend the DUTCH Complete for any woman experiencing perimenopause symptoms, PMS, PCOS, unexplained fatigue, weight gain, mood changes, or sleep disruption. The results guide a personalized protocol that addresses the root cause — not just the symptoms.
Dr. Teresa Rispoli
PhD., ND, LAc. — Functional Medicine & Nutrition