DUTCH Complete Hormone Test The DUTCH Complete is the gold standard in functional hormone testing — a dried urine panel that measures not just hormone levels, but how your body is producing, metabolizing, and clearing them throughout the day. That distinction matters because symptoms of hormone imbalance often arise from poor hormone metabolism rather than production alone, something a standard blood panel will miss entirely. The panel covers estrogen and its metabolites (including the 2-OH, 4-OH, and 16-OH pathways relevant to cancer risk and estrogen dominance), progesterone, testosterone and androgens, the full cortisol diurnal pattern, melatonin, DHEA, and organic acid markers for B vitamin status, oxidative stress, and neurotransmitter activity. It is particularly relevant for anyone navigating PMS, perimenopause, fatigue, poor sleep, mood changes, irregular cycles, or symptoms that have come back normal on standard labs. Once you have your results, you can add on a new patient session with a Nuvitru provider to interpret findings and build a targeted protocol. At-home dried urine collection Testing does not replace diagnosis or treatment from your physician. Availability, requisition requirements, and state restrictions should be confirmed before fulfillment.