Reference Guide
Precision Analytical (DUTCH)
DUTCH Adrenal (Dried Urine)

DUTCH Adrenal (Dried Urine)

Precision Analytical (DUTCH)
DUTCH Adrenal (Dried Urine)
Precision Analytical (DUTCH)
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About the Test

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

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).

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 Does DUTCH Adrenal (Dried Urine) Test Measure?

The DUTCH Adrenal (Dried Urine) test measures the daily free cortisol pattern, daily free cortisone pattern, cortisol metabolites (a-THF, b-THF), cortisone metabolites (b-THE), and DHEAS.

Liquid Chromatography followed by Mass Spectrometry in tandem (LC-MS/MS) is the methodology used in this test. These highly sensitive methods show increased accuracy over immunoassays typically used in other hormone tests.

What Type of Sample is Needed to Complete the DUTCH Adrenal (Dried Urine) Test?

The DUTCH Adrenal (Dried Urine) test from Precision Analytical Inc features an effortless sample collection as patients only need to collect four or five dried urine samples during 24 hours on urine dips.

The test report will provide extensive and detailed information on women's and men's hormone and metabolite status. Additionally, it will include notes with information created specifically for the patient.

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

About the Test

The DUTCH Adrenal provides free cortisol patterns that parallel saliva with the addition of metabolite measurements for an improved marker for total cortisol production. This test cannot be ordered for patients under 12 years of age.

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Lab Test Information
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Sample Type
Shipping Time
3 - 5 days
Turnaround Time
10 days
Test Preparation Starts
Up to 3 days before collection
Number of Collection Days
2 days
Methods Used For Processing
Lab Certifications
CLIA Certified
CAP Accredited
ISO 15189
COLA Accredited
Order, track, and receive results from 30+ labs in one place.