All functional tests
Functional testing

DUTCH Complete

A full hormone picture, including how you metabolise them

  • Sex hormones plus how you actually metabolise them, in one dried-urine test
  • Oestrogen detox pathways mapped: 2-OH, 4-OH, 16-OH and methylation
  • Free cortisol across the full day, plus cortisol metabolites others miss
  • Androgen routing (5a vs 5b) and a melatonin marker (6-OHMS) included
  • Validated dried-urine method, read in functional ranges into your protocol

Dried urine strips · collected at home over a single day

Nordic Laboratories · DUTCH Complete

Hormones, and
How You Clear Them

Sex hormones
Oestrogen detox routes
Cortisol rhythm
Androgen routing
Melatonin / circadian
+ more
35+ hormones & metabolites
Nordic LaboratoriesAnalysed by Nordic Laboratories
Why this test

Why metabolites, not just levels

A blood hormone level is a single snapshot of how much you make. DUTCH reads the next, decisive layer: how your body routes and disposes of each hormone afterwards. Two people with identical oestrogen can be on entirely different paths once you see which detox route they favour and how completely they methylate it. The validated four-spot dried-urine method recovers the same metabolites a 24-hour collection would, without the jug (Newman & Curran, 2021) — and that disposal detail is usually where the answer is hiding.

What you'll discover

What DUTCH Complete reveals

A single day of dried-urine strips, collected at home, reads not only how much of each hormone you produce but the exact routes your body uses to dispose of them — the metabolic detail single-point blood or saliva cannot show.

Your oestrogens and their downstream routing through the 2-OH, 4-OH and 16-OH pathways
Whether you complete oestrogen clearance through COMT methylation (methoxy metabolites)
Progesterone metabolites that reflect your real progesterone activity
Testosterone, DHEA and their 5-alpha vs 5-beta androgen metabolites
Free cortisol across four points — the shape of your daily stress rhythm
Cortisol metabolites for total output and clearance, plus melatonin 6-OHMS for circadian phase

35+ hormones & metabolites · one day of dried urine

Read by people, not algorithms

Every result is reviewed twice over

A lab number on its own changes nothing. What matters is who reads it — and your results pass through two layers of expertise before they ever shape your protocol.

A

Alessandra Ginsburg

IFM-certified Functional Nutrition Practitioner

Alessandra interprets every marker against your full clinical picture — your symptoms, history, lifestyle and goals — not against a generic reference range. She is the one who turns raw lab data into the specific, personalised actions in your protocol, and who decides when a finding warrants medical evaluation and a referral to a physician.

Nordic Laboratories

Nordic Laboratories

Specialist functional-medicine laboratory · since 1997 · 100+ countries

Your sample is processed by Nordic Laboratories, a specialist functional-medicine lab operating since 1997 across more than 100 countries. Their scientific team runs the validated PCR and metabolomic assays under strict quality control, so the data Alessandra works from is accurate, reproducible and clinically meaningful.

Testing at home

Simple by design

01Your kit arrives
02Collect your sample
03Ship it back, prepaid
04Results, then your protocol

Dried urine strips · collected at home over a single day

Where we focus

Where this test looks

DUTCH is not a list of hormone levels — it reads four connected layers of your endocrine system, which is why it so often explains symptoms that single-hormone tests leave unanswered.

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Oestrogen metabolism

Beyond your oestrogen level, it maps which detox route you favour (2-OH, 4-OH, 16-OH) and whether COMT methylation finishes the job — the balance linked to oestrogen-driven risk (Ziegler et al., 2015).

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Androgens & their routing

Testosterone, DHEA and DHT alongside 5-alpha and 5-beta reduced metabolites, so we read not just how much you make but how your enzymes route it — signalling activity that tracks with metabolic health (Tsilchorozidou et al., 2003).

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The cortisol rhythm

Free cortisol across the day plus its metabolites separates true output from clearance and reads the slope of your curve — the diurnal shape that carries prognostic weight (Kumari et al., 2011).

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Circadian & progesterone

Melatonin 6-OHMS gives a validated readout of circadian phase (St Hilaire & Lockley, 2022), while progesterone metabolites reflect real progesterone activity across the cycle or HRT.

How this test can help

How DUTCH helps

Because it reads production, rhythm and disposal at once, this one test reaches across hormonal, metabolic and sleep complaints. Here is where its findings most often reshape the plan.

Perimenopause & menopause

Hot flushesMood shiftsCycle irregularitySleep disruptionWeight that won't shift

Seeing your oestrogen routing and methylation, not just your level, lets us support a more protective metabolic balance with cruciferous and indole strategies (Bradlow et al., 1995) and sequence HRT support precisely.

What's included

More than a test

A lab result you can’t act on is just paper. Every functional test at FunctionAlps comes wrapped in the analysis, the human explanation and the plan that turn it into change.

The test

A clinically validated functional lab test, with the collection kit sent to your door.

Specialist analysis

Your sample is processed by the laboratory and returned as a full functional report.

A results call with our nutritionist

Alessandra walks you through every finding in plain language — what it means, and what it doesn’t.

Your recommendations, in the report

Written, personalised recommendations tied directly to your results — yours to keep.

A personalised plan

Foods to favour and avoid, the app to track it, tips to try, and protocols sequenced to you.

Targeted supplements

Practitioner-grade supplements matched precisely to what your results reveal.

Pre / pro / postbiotics — if needed

When the findings call for it, targeted biotics to rebalance and rebuild your flora.

In plain language

Hormones do not just exist as numbers on a lab report. They get produced, used, and then broken down through specific pathways, and the way you break them down can affect your health as much as how much you make. DUTCH gives us the full picture: production, daily rhythm, and disposal route. It also tracks cortisol across four points in the day, which is how we see whether stress is genuinely dysregulating your system or whether your stress response is intact and recovering well.

Practicalities
Sample

Four to five dried urine strips, one day

Preparation

Avoid biotin and certain herbs for several days before

Turnaround

Roughly three weeks

After the test

Your results live in the FunctionAlps app

Findings do not sit in a PDF you never open again. They flow into your app, where your protocol, your daily tracking and your wearable data line up against what the test actually found.

  • Your protocol, built directly from the results
  • Track symptoms, food and energy against the markers that matter
  • Wearable and app data fine-tune the plan as you go
  • Re-test when it counts and watch the trend, not a single snapshot
Often paired with
Common questions
Yes, but interpretation changes. The pill suppresses your natural cycle, so we read DUTCH primarily for cortisol and metabolite pathways rather than absolute sex-hormone levels.
The evidence

Grounded in the research

Every claim on this page is anchored in published, peer-reviewed science. The studies behind it:

References ground the science of each marker — they describe the biology and published outcomes, not a guarantee of individual results.

Functional testing at FunctionAlps is used to guide nutritional optimisation within ASCA and EMR scope. It is not a medical diagnostic tool. When findings warrant medical evaluation, we coordinate with a referring physician.

Tests are selected during your Discovery
Start there

A focused one-on-one with Alessandra, a personalised written protocol, and the tests that will actually sharpen it.

Your program starts with a free consultationBook →