In January 2018 Precision Analytical added 8 Organic Acid markers to the DUTCH test. Low circulating dopamine may be due to insufficient BH4, iron or tyrosine, SAM-e. , FAD, and NAD which are needed to metabolize dopamine. PROGESTERONE METABOLITES: b-Pregnanediol, a-Pregnanediol. Urine is used as the medium for assessment in Dutch testing. Everyday toxicity from household products can make someone extremely sick - an impediment in a person's natural methylation process can make this exposure even more dangerous. Testosterone 8. It measures your hormone metabolites from dried urine samples. The DUTCH test would help to determine your hormone levels and how you are metabolizing estrogen. Food high in B6 include turkey breast, grass-fed beef, pinto beans, avocado, pistachios, chicken, sesame and sunflower seeds. Methylmalonate (also known as methylmalonic acid or MMA) is a functional marker of vitamin B12 deficiency. When cellular levels of B12 are low either from deficiency or due to a B12 transporter gene mutation, levels of MMA increase. Accurate assessment of adrenal health and sex hormone levels are vital for understanding and reducing disease risk as well as tailoring functional medicine treatment for maximum effectiveness. Vitamin B6 is a critical co-factor to over 100 important reactions that occur in the human body and is stored in the highest concentrations in muscle tissue. WHAT IS THE DUTCH COMPLETE HORMONE TEST?Precision Analytical Labs developed this unique test. If xanthurenate levels are elevated, B6 supplementation may be considered. A rapid test developed by TNO for the Ministry of Public Health also proved to be just as accurate as the commonly used PCR tests. It is a better option than saliva testing as it measures your free cortisol levels as well as total cortisol production and cortisone, total cortisol and cortisone are not measured in a saliva or blood test. In total, you do 5 saliva cortisol samples throughout the day plus the urine strips to measure the hormones and their metabolites.The DUTCH Plus maybe better for people with chronic fatigue, PTSD, anxiety or chronic depression - though, the DUTCH complete will still give an indication of the CAR. Free cortisol only makes up around 3% of total cortisol levels so it is important to assess total cortisol production, and for this reason saliva cortisol tests can be misleading if they don’t also assess this (like the DUTCH Plus test), CREATINE: Creatine A (Waking), Creatine B (Morning), Creatine C (Afternoon), Creatine, D (Night). The DUTCH test measures total cortisol production as the rhythm of free cortisol throughout the day, as well as how quickly your body is metabolizing cortisol into cortisone. I still rely on the Dutch test for my female patients with adrenal and sex hormone imbalances. Spoken by more than 23 million native speakers in the Netherlands and in Belgium, as well as in Suriname in South America, it also opens the door to Afrikaans. Moreover, even if the test results are technically accurate, I’m aware of no science that links them to non-optimal levels of hormones or neurotransmitters, other than in extreme cases such as pan-hypopituitarism or pheochromocytoma (which are quite different from what NeuroScience is claiming). When adrenal hormone output is generally low, VMA levels may be low. Dutch testing is a highly accurate hormone test. “DUTCH is the most advanced test available for sex and especially adrenal hormones!” Dr. Joseph Mercola. Health Minister Hugo de Jonge announced plans on Wednesday to expand coronavirus test capacity in the Netherlands to 175 thousand tests per day, roughly 5.5 million in a month, with a long-term goal of being able to handle 10 million tests per calendar month if necessary. He is a Kalish Method-trained practitioner that keeps updating his education with Chris Kresser. These patients may have a functional B12 deficiency even if serum levels of B12 are normal. The DUTCH test is a urine steroid hormone profile that measures hormones and hormone metabolites (called conjugates) in a dried urine sample, and is performed from the comfort of your home. The DUTCH test allows us to measure this same diurnal pattern of free cortisol but it also allows us to measure cortisol metabolites, and this gives us a much more accurate picture of how much cortisol you are actually producing from your adrenal glands and how the body's using it. 8-OHdG (8-hydroxy-2-deoxyguanosine) is a marker for estimating DNA damage due to oxidative stress (ROS creation). I specialize in complex conditions and offer solutions for those who want improve their health using scientifically-proven, natural methods of healing. I know there is a lot of information on the DUTCH hormone test so this is a quick summary of the key advantages of the DUTCH test over doing other types of tests. This test is run on LC-MS/MS: the most accurate way to test cortisol and metabolites! If you have fertility problems or hormonal imbalances and want to track your cycle for the entire month, this is the option for you. Elevated levels may be associated with feeling stressed, aggression, violence, impatience, anxiety, panic, worry, insomnia, paranoia, increased tingling/burning, loss of memory, pain sensitivity, high blood pressure, and, Vitamin B12 levels can also be increased through supplementation of active B12 (taken as methylcobalamin, hydroxycobalamin, or adenosylcobalamin), many B12 supplements contain cyanocobalamin which is a poorly absorbed form of B12 and should be avoided, I prefer a, While there is always some tryptophan going down the kynurenine pathway towards NAD (and possibly xanthurenate), this process is up-regulated by. My gynecologist has found a thickened endometrial lining and evidence of polyps in my uterus. You can learn more about DUTCH testing in the video below or at this link. The Organic Acid markers reflect your body’s production of neurotransmitters, and not specifically levels in the brain (there is no perfect test for that), but research shows that these levels are a good reflection of what is happening in the brain also. Translation for 'accurate' in the free English-Dutch dictionary and many other Dutch translations. Low levels of HVA can be due to low levels of dopamine and the associated symptoms include addictions, cravings, and pleasure-seeking (to boost levels) in addition to sleepiness, impulsivity, tremors, less motivation, fatigue, and low mood. My Dutch test urine test results are here: total estrogen 68.1 (27-62), progesterone 17.1 (6-20), testosterone 8.7 (4-14), 24 hour free cortisol 103 (80-185), total DHEA production 3167 (400-3000), metabolized cortisol 6039 (2750-5400). Common foods high in B12 include beef liver, sardines, lamb, wild-caught salmon, grass-fed beef, nutritional yeast, and eggs. b-Tetrahydrocortisone, Metabolized Cortisol, DHEA-S. Symptoms of a vitamin B12 deficiency include fatigue, brain fog, memory problems, muscle weakness, unsteady gait, numbness, tingling, depression, migraines/headaches, and low blood pressure. This is a test for “adrenal fatigue,” more accurately called HPA-D, which stands for hypothalamus-pituitary-adrenal axis dysfunction. If levels of estrogen or cortisol are high, it may exacerbate xanthurenate elevations and increase the need for B6. My clinic offers functional medicine appointments as well as manual soft tissue treatments for chronic pain and illness. What is the Difference between the DUTCH Complete Test and DUTCH Plus Test? ANDROGEN METABOLITES: DHEA-S, Androsterone, Etiocholanolone, Testosterone. Weakened adrenal function also has a direct influence on your digestion - it is rare that someone suffering from inflammatory bowel disease (Crohn's disease or Ulcerative Colitis) does not also have an adrenal component to their illness. How do you suggest taking vitamins which my gut is having trouble absorbing. Once your results are ready you will be sent a copy via email, and we can schedule a consultation to go through your test results and help you with a treatment plan. Often, the values of progesterone, estrogen, and testosterone are within the 'normal' range but the metabolites (the breakdown products) are imbalanced - this causes inflammation and contributes to problems related to hormone imbalance. These markers are assessed in the DUTCH test and if elevated can damage DNA if not detoxified by either methylation or glutathione, this is an increased risk of cancer. Ben Greenfield says: July 31, 2016 at 10:59 am. The DUTCH Plus test was introduced to measure the “cortisol awakening response” in greater detail than the DUTCH complete test.The cortisol awakening response (CAR) is the rise of cortisol in the first 60 minutes after waking, and the DUTCH Plus test measures this using saliva collection at short intervals after waking to measure the rise in cortisol. The enzymes COMT (methylation) and MAOA are needed to make VMA from norepinephrine. If you don’t have a regular menstrual cycle (and this is why a lot of women are doing the test), then the instructions give you clear guidelines on how to proceed and when the best time for you is to collect the samples. She agrees with me that blood tests ordered by a physician are the most accurate way to assess most hormone levels and that this type of testing continues to be regarded as the gold standard against which results … The DUTCH test measures methylmalonic acid which assesses B12 levels at a cellular level, this is more accurate than a blood test. For most women doing the DUTCH Complete or DUTCH Plus test on one day of the month will be enough, but if you are struggling with hormonal symptoms at various times of the month then it might be a good option to do the DUTCH cycle mapping test as an add-on to the DUTCH complete test. Dutch testing must be ordered through your doctor. It is not just the brain that uses the neurotransmitters dopamine and noradrenaline, but the whole autonomic nervous system. Nearly 90-95% of Afrikaans vocabulary is of Dutch origin! If you have infertility problems, menstrual irregularities, and hormonal imbalances, the DUTCH Cycle Mapping test is the right decision. Dried samples are accurate for hormone testing, and values correlate to liquid samples. The E1 test’s normal values may vary slightly in different laboratories, but they are more or less the same. DUTCH stands for Dried Urine test for Comprehensive Hormones; The DUTCH test is the most cutting-edge way to evaluate your hormones because it doesn’t just measure hormones, it measures the amount of hormones you produce and the breakdown of those hormones (metabolites) The DUTCH test gives you the best of all the tests: blood … Low levels of HVA can be due to low levels of dopamine and the associated symptoms include addictions, cravings, and pleasure-seeking (to boost levels) in addition to sleepiness, impulsivity, tremors, less motivation, fatigue, and. Copyright 2018 by Planet Naturopath | All Rights Reserved. What are your thoughts on OAT vs DUTCH test for a 40+ woman dealing with fatigue, energy issues despite being ketogenic, AIP, great sleep, clean living etc. Hundreds of tests later…. Assessing the metabolism of your estrogen and testosterone cannot be done with a blood test which only measures total estrogen, progesterone, and testosterone. The DUTCH PlusTM offers the most accurate salivary cortisol sampling with SalivetteTM collection and analysis The DUTCH PlusTM offers an evaluation of the Cortisol Awakening Response (CAR) by measuring salivary cortisol upon waking and then again 30 and 60 minutes later (additional measurements are made around dinner and bedtime). WHY USE DUTCH TM. ESTROGEN METABOLITES: Estrone, Estradiol, Estriol, 2-OH-E1, 4-OH-E1, 16-OH-E1. Precision Analytical labs developed this unique test. Elevated HVA may be caused by generally increased adrenal hormone output, elevated levels of the clostridia bacteria, or because of a copper or vitamin C deficiency. 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