Description
Easy to complete and follow up directions in the comfort of your home, the kit includes:
 ⢠Directions and Requisition Form
⢠(4) Urine Collection Strips and (6) Salivette⢠Saliva Collection Tubes
⢠Resealable Plastic Bag
⢠Sealable Return Envelope
The results include:
 ⢠Analysis of 35 different hormones: Estrogen, Progesterone, Testosterone, DHEA-S, and Cortisol along with their Metabolites, plus the Cortisol Awakening Response (CAR)
⢠DUTCH OATs: Melatonin (6OHMS), 8-Hydroxy-2-deoxyguanosine (8-OHdG), and six organic acid tests (OATs) including markers such as: vitamin B12 (methylmalonate), vitamin B6 (xanthurenate), kynurenate, glutathione (pyroglutamate), dopamine (homovanillate), norepinephrine/epinephrine (vanilmandelate).
Sample Collection Instruction
We do recommendĀ dedicating one day to doing the test to ensure accurate results. Once the test is done the sample and the cool pack can be frozen andĀ we will arrange for the sample to be collected [additional delivery charges apply].
Instructions for the Dutch Plus Test
TheĀ Dutch PlusĀ test is a comprehensive hormone assessment that provides insights into hormone levels, metabolism, and adrenal function. Follow these instructions carefully to ensure accurate results.
Before You Begin
- Avoid Certain Foods & Supplements:
- Refrain from consuming caffeine, alcohol, and nicotine for at leastĀ 24 hoursbefore the test.
- Avoid high-sugar and processed foods that may affect cortisol and hormone levels.
- If you takeĀ hormonal medications or supplements, consult your healthcare provider regarding temporary discontinuation.
- Hydration: Stay hydrated but do not drink excessive amounts of water on the day of testing.
- Sleep & Stress: Ensure you get a normal nightās sleep and minimize stress the day before testing.
Sample Collection Schedule
The Dutch Plus test requiresĀ saliva and dried urine samplesĀ collected at specific times throughout the day. Please check the PDF for detailed instructions.
Timing Based on Menstrual Cycle
Premenopausal Women (Regular Menstrual Cycle)
- Collect your samples onĀ Day 19-21of aĀ 28-day cycle(orĀ 5-7 days after ovulation).
- If your cycle isĀ longer or shorter, adjust the collection date accordingly.
- Example: If your cycle isĀ 35 days, collect onĀ days 21-25.
- If your cycle isĀ irregular, consult your healthcare provider for guidance.
Women with Irregular Cycles
- If your cycle is unpredictable, try to collect your samplesĀ during the mid-luteal phase(aboutĀ 5-7 days after ovulation).
- If you cannot determine your ovulation date, test on aĀ random daybut inform your provider about your cycle history.
Postmenopausal Women (No Menstrual Cycle)
- You can collect your samplesĀ on any day.
Women on Birth Control
- If you are onĀ oral contraceptives, the test will not provide accurate readings forĀ estrogen and progesterone levels but can still assess adrenal and androgen function.
- If testing hormones,Ā discuss stopping the pill with your healthcare providerat leastĀ 6 weeks before
Women on Hormone Replacement Therapy (HRT)
- If takingĀ topical, troche, or sublingual hormones, discuss with your provider, as they can affect results.
- If usingĀ oral progesterone, take it at bedtime before sample collection.
- If usingĀ hormone creams, gels, or patches, avoid applying them to your skin at leastĀ 24 hours beforesaliva collection.
- If usingĀ vaginal hormones, avoid use forĀ 48 hours before testing