Functional Medicine Testing

DUTCH Test ($399 DUTCH Complete; $499 DUTCH Plus; $189 DUTCH Adrenal):

The DUTCH test stands for Dried Urine Test for Comprehensive Hormones— it’s the most comprehensive way of assessing of adrenal and hormonal imbalances.

This test goes beyond blood testing and takes into consideration hormone metabolites (breakdown products of these hormones) as well as assesses both free and metabolized cortisol and the cortisol awakening response, allowing for a deeper understanding of your hormonal and HPA axis function. 

What makes it special?

When testing for adrenal issues, saliva and blood tests do not measure cortisol and sex hormone metabolites. Saliva & urine cortisol together are the king for measuring optimal adrenal function. Blood cortisol can be bound in a protein, making the amount able to be used inaccurate in the blood! Additionally, examining metabolized sex hormones shows us exactly how your making them, as well as how your are metabolizing them. This can in turn tell us how at-risk you are for certain estrogen-dependent cancers, give insight on your methylation and detoxifcation status, as well as ensure that we are tailoring your protocol to what is truly going on in our body!

The DUTCH evalutes all sex hormones and their metabolites, cortisol levels and cortisol pattern, cortisol metabolites, as well as organic acids such as:

• Vanilmandelate (VMA) – the primary norepinephrine and epinephrine metabolite
• Homovanillate (HVA) – the primary dopamine metabolite
• Methylmalonate (MMA) – elevated if patients are vitamin B12 deficient
• Xanthurenate – elevated if patients are vitamin B6 deficient
• Pyroglutamate – elevated if patients are glutathione deficient
• Melatonin- decreased levels can cause insomnia or inability to fall or stay asleep

Samples are taken from 4-5 dried urine samples collected over a 24-hour period, as well as collected saliva. The results can help in the assessment of conditions & symptoms such as: 

• Thyroid disorders
• Infertility or irregular menstrual cycle
• Heavy PMS
• Hot flashes or night sweats
• Low libido or vaginal dryness
• Mid cycle spotting
• Chronic stress & adrenal imbalances
• Mood disorders (anxiety, depression, mood swings)
• Weight gain or trouble losing weight
• Chronic Fatigue
• Insomnia
• Fibroids or tender breasts
• Hair loss & dry skin
• Increased facial hair or acne
• PCOS

How it Works:

1. I will order the DUTCH test to be sent straight to your doorstep in 5-7 business days.
2. You will take the test in the privacy of your own home and send it back to the lab.
3. You will be notified when your results come in (12-15 business days) and then we will hop on a call together, get nerdy (yes I will explain everything!), and I will create you a custom treatment plan!

Pricing- DUTCH Complete $399, DUTCH Plus $499, DUTCH Adrenal $250 (Phone consults required to go over results)

See a Sample Report Here
Learn more about the DUTCH Plus here
Learn more about the DUTCH Complete here

GI Stool MAP ($350):

A GI MAP (GI Microbial Assay Plus) analyzes a stool sample (aka your poop) to assess your microbiome for bacterial, parasitic, and viral pathogens as well as microbial balance and other intestinal health markers, such as low gut immune function, poor pancreatic elastase output, or intestinal permeability. This test is helpful for people struggling with:

• IBS
• IBD
• Autoimmune disorders
• SIBO
• Intestinal permeability
• Gut infections
• Brain fog, anxiety, depression
• Skin problems
• Diabetes/weight loss issues
• Histamine intolerance
• Hormonal imbalances

The GI map allows for an in-depth assessment of beneficial, and opportunistic bacterial, as well as identification of potential viral or parasitic bacteria. The GI-MAP was designed to detect microbes that may be disturbing normal microbial balance or contributing to illness as well as indicators of digestion, absorption, inflammation, and immune function.

How it works:

1. I will order the GI map test to be sent straight to your doorstep in 5-7 business days.
2. You will take the test in the privacy of your own home and send it back to the lab. (happy poop collecting!)
3. You will be notified when your results come in (12-15 business days) and then we will hop on a call together, get nerdy (yes I will explain everything!), and I will create you a custom treatment plan!

See A Sample Report Here
Read more about the science of the test here & what is assessed
(Phone consults required to go over results)

Questions to ask yourself that may indicate gut imbalances or infection:

• Do I have chronic bloating?
• Do I have frequent constipation or diarrhea?
• Do I have many food intolerances or sensitivities?
• Do I have heartburn or acid reflux?
• Do I have have chronic fatigue or menstrual cycle irregularities?
• Do I consistently crave sugary or salty foods?
• Do I struggle with acne or skin problems such as rosacea or eczema?
• Do I struggle with losing weight or gaining muscle?
• Do I have trouble with anxiety, depression, or have mood swings?

If you answered yes to at least 3 of the questions above, you may want to look into a gut test! 

Adrenal Saliva 4 Point Cortisol ($90-120 for ZRT or $180 for DUTCH Adrenal):

The 4 Point Cortisol test takes samples of salvia at four points throughout the day: within one hour of waking, mid-day, evening, and bedtime. ZRT generates the results with a diurnal cortisol curve. This test assesses adrenal health and helps identify any HPA axis dysfunction. Adrenal glands that are out of balance can lead to high or cortisol and high or low DHEA. This is useful for people with symptoms of HPA axis dysfunction including:

Questions to ask yourself that may indicate adrenal imbalances:

• Am I constantly tired, even when getting 8-10 hours of sleep?
• Do I feed energized, or worn out after exercise?
• Do I notice blood sugar swings throughout the day or random mood swings?
• Do I wake up in the morning refreshed?
• Do I need coffee and caffeine to get through the day?
• Do I wake up in the middle of the night?
• Am I “tired but wired” at night?
• Do I get sick often?
• Does my body feel inflamed and puffy?
• Do I have stressed or have a lot on my mind?
• Do I notice aches/pains, especially in the morning?
• Do I have a craving for salty and/or sugary foods?
• Do I have a sensitivity to chemicals or fragrances?
• Do I have problems concentrated, remembering things, or brain fog?

If you said yes to at least 5 of the answers above, you may have problems with your adrenal balance!