DUTCH Complete – Precision Analytical
Price range: $491.00 through $671.00
The most comprehensive dried urine hormone test available — combining adrenal (cortisol/cortisone), sex hormones (oestrogen, progesterone, testosterone), melatonin, and organic acid markers in a single panel. Ideal for patients with complex hormonal symptoms spanning fatigue, mood, weight, sleep, and reproductive health.
What is the DUTCH Complete?
The DUTCH Complete (Dried Urine Test for Comprehensive Hormones) by Precision Analytical is the most advanced dried urine hormone panel available. It goes well beyond standard blood testing — measuring not just hormone levels but how your body metabolises those hormones, providing a far more clinically useful picture of what is actually happening at a cellular level.
It combines the adrenal markers from the DUTCH Adrenal Profile with a full sex hormone panel, melatonin, and key organic acid markers connecting hormones to neurotransmitter turnover, oxidative stress and B-vitamin status. It is the single most informative functional hormone test Rohan uses in clinical practice.
Is this test for you?
The DUTCH Complete is for people whose hormones, energy or mood are clearly off — and who want the full picture rather than another partial answer:
- Fatigue, burnout, or “wired but tired” patterns
- Irregular or painful menstrual cycles
- PMS, PMDD, or perimenopausal symptoms
- Weight gain — especially around the abdomen, hips, and thighs
- Acne, hair loss, or hirsutism
- Low libido or sexual dysfunction
- Anxiety, depression, or irritability
- Insomnia or disrupted sleep architecture
- Suspected oestrogen dominance or poor oestrogen clearance
- PCOS or endometriosis
- History of hormonal contraceptive use
- Patients already on bioidentical HRT who need monitoring
What it measures
A single dried urine sample, six categories of metabolites, dozens of clinically relevant markers across adrenal, sex hormone, melatonin and organic acid pathways.
Cortisol & Cortisone
Diurnal free cortisol/cortisone (4 time points) plus cortisol metabolites (a-THF, b-THF, b-THE, a-THE) — mapping HPA-axis function, stress resilience, and cortisol clearance.
Oestrogen Metabolism
E2, E1, E3 plus phase I/II metabolites including the 2-OH, 4-OH, 16-OH pathways. The 4-OH pathway is a critical marker for breast health and oestrogen-dominant conditions.
Progesterone Metabolites
a-Pregnanediol and b-Pregnanediol — a more accurate reflection of total progesterone than serum. Essential for luteal phase deficiency, PMS and perimenopause.
Androgens
Testosterone, 5a-DHT, 5a/5b-Androstanediol, DHEA-S, Androsterone, Etiocholanolone — revealing 5-alpha reductase activity and adrenal androgen reserve.
Melatonin
6-OH-Melatonin-Sulfate — a urinary marker of pineal melatonin reflecting circadian-rhythm integrity and sleep-wake regulation.
Organic Acid Markers
Methylmalonate (B12), Xanthurenate (B6), Pyroglutamate (glutathione), Homovanillate (dopamine), Vanilmandelate (noradrenaline), 8-OHdG (oxidative DNA damage).
Sample collection
Turnaround time
From the date the laboratory receives your sample.
Samples are processed in the United States by Precision Analytical's CLIA-certified laboratory.
How it works
Kit dispatched
Your DUTCH collection kit is posted directly to your door with full instructions.
Collect at home
Follow the simple dried urine protocol over one 24-hour cycle.
Post back
Mail the completed kit to the lab using the prepaid return envelope.
Results released
Your report is emailed to you the moment the lab releases it. What happens next depends on your tier —
- Test only: the report is yours to use as you see fit — no consultation included. You can book a separate consultation with Rohan later if you change your mind.
- Test + 60-min Telehealth Consult: once your results land, Rohan will email you a booking link to schedule your Zoom.
- Existing patients of the clinic: results are typically discussed at your next regular appointment as usual.
Why this test, why now?
Standard hormone testing tells you what your serum levels are at one snapshot in time. That misses the much more important question: what is your body actually doing with those hormones — how is it metabolising them, which pathways are dominating, where is the bottleneck?
The DUTCH Complete is the single most clinically useful test Rohan runs for patients whose hormonal symptoms have not been explained by basic blood work, or whose treatments have not produced the expected results. It is the test that turns a confusing cluster of symptoms into a clear, actionable map.
Why Elemental Health and Nutrition?
Rohan has been interpreting DUTCH panels for over a decade and uses the Complete as his primary hormone assessment for complex cases. With Test + 60-min Telehealth Consult, every result is reviewed alongside your symptoms, lifestyle, prior labs and family history. Your appointment delivers a clear, prioritised treatment strategy covering diet, lifestyle, supplementation and any further testing needed.
