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DUTCH Hormone Test
The gold standard in comprehensive hormone testing
~$4007–10 business days1 ordering option
What Gabriel reads for
Full cortisol curve (free and metabolized)
Estrogen metabolites (2-OH, 4-OH, 16-OH pathways)
Progesterone and its metabolites
Cost
~$400
Turnaround
7–10 business days
Ordering path
Precision Analytical (DUTCH)
Results flow
Upload + interpret in Gabriel
What this test reveals
What this test reveals
The Dried Urine Test for Comprehensive Hormones (DUTCH) is the most advanced hormone test available, mapping your complete hormonal landscape including cortisol patterns, sex hormones, their metabolites, and melatonin — all from dried urine samples collected at home.
Unlike serum blood tests that capture a single moment in time, DUTCH tracks your cortisol curve throughout the day and reveals how your body metabolizes hormones — critical information for understanding estrogen dominance, adrenal dysfunction, and androgen imbalances.
People usually reach for this kind of diagnostic when they want a clearer read on full cortisol curve (free and metabolized), estrogen metabolites (2-oh, 4-oh, 16-oh pathways), progesterone and its metabolites, especially when symptoms or prior testing still leave blind spots.
Once results are back, you can upload them into Gabriel to connect the findings to symptoms, protocols, and next-step testing instead of leaving them as a static report.
Commonly relevant for: Pcos Hormonal Imbalance, Menopause Perimenopause, Adrenal Fatigue, Fertility.
Gabriel difference
Why this becomes more useful inside Gabriel
Standard blood hormone panels are like taking a photograph of a river — you see the water level at one moment but miss the flow. DUTCH shows the complete picture: not just how much estrogen you have, but how you're metabolizing it. The 4-OH estrogen pathway, for example, is associated with increased cancer risk — information that standard panels completely miss. Gabriel uses DUTCH data to guide bioidentical hormone protocols, adrenal support, and targeted detoxification strategies.
Gabriel interprets results through a functional, root-cause lens: optimal ranges, pattern recognition across multiple diagnostics, and what the findings actually mean for action rather than just classification.
That means this test can feed directly into protocols, practitioner matching, food strategy, and follow-up testing instead of ending as a one-off PDF or lab portal result.
What to expect
What to expect from ordering to results
01
Order
Order directly through Precision Analytical (DUTCH) or ask Gabriel whether there is a better path first.
02
Complete
You'll collect dried urine samples on filter paper at four specific times throughout one day (and one first-morning void the next day). Simply saturate the paper, let it dry, and mail it in the prepaid envelope.
03
Interpret
Upload the results to Gabriel for pattern recognition, protocol suggestions, and next-step guidance.
Frequently asked questions
Questions people usually ask before ordering
DUTCH measures hormone metabolites, not just circulating levels. Blood tests show what's in your bloodstream at one moment. DUTCH shows how your body is actually processing and clearing hormones, which is critical for understanding issues like estrogen dominance, adrenal dysfunction, and methylation problems.
You collect 4-5 urine samples on filter paper strips throughout one day, from evening through the next morning. The strips dry at room temperature and are mailed to the lab. No blood draw, no clinic visit needed.
For cycling women, collection is typically done on days 19-22 of your cycle (luteal phase) when progesterone should be at its peak. Post-menopausal women and men can test any time. Your practitioner will guide timing based on your specific situation.
Typically 7-10 business days from when the lab receives your samples. Results are sent to your ordering practitioner, who will schedule a consultation to review findings and create a treatment plan.
Generally no. The DUTCH Complete test costs approximately $300-400. Some HSA/FSA plans will reimburse it. The depth of information it provides typically exceeds what insurance-covered blood panels offer, which is why many practitioners consider it worth the out-of-pocket cost.
Hormonal acne, irregular periods, fertility issues, PMS/PMDD, perimenopause symptoms, adrenal fatigue, low libido, unexplained weight gain, mood disorders, and sleep problems. It's particularly valuable when standard blood work comes back 'normal' but symptoms persist.
Not sure which test belongs in your workup?
Tell Gabriel your symptoms, goals, and what you have already tried. You will get a more useful answer than a generic test catalog can give you.