The DUTCH test measures your sex hormones, their metabolites, and your full day cortisol pattern from samples you collect at home. Dr. Sahar Tabrizi, ND, orders it for women across Ontario, walks you through what it found, and builds your plan from it.
Collected at home. Explained on a call. Followed by a plan.
DUTCH stands for Dried Urine Test for Comprehensive Hormones. It is the depth of the report that makes it useful, because it covers how your hormones move and how you process them, not only how much of each you have.
not only how much estrogen you are making, but which pathway your body sends it down afterwards. Two women with identical estrogen levels can feel completely different depending on how they process it, and that difference changes what actually helps.
measured through its metabolites, which is where the picture behind PMS, spotting, short luteal phases, anxiety before your period, and disrupted sleep usually sits.
DHEA, testosterone, and the more potent androgens your body converts them into. This is the section that explains jawline acne, hair thinning, unwanted hair growth, and much of the PCOS picture.
four timed samples rather than one, showing whether your cortisol rises properly in the morning and falls at night. It also separates free cortisol from total production, which tells us whether you are making too little or clearing it too fast.
measured overnight, so trouble falling asleep or waking at the same time every night can be looked at properly instead of guessed at.
organic acid markers for B12, B6, and glutathione, plus markers reflecting dopamine and norepinephrine activity. These often explain the mood, focus, and energy side that hormone levels alone never account for.
A test is only worth running if it changes the plan. This one usually does.
Blood is the right tool for plenty of things, and I order it constantly. These are the four questions it cannot answer, and they are the ones behind most of what women are told is normal.
cortisol is supposed to change across the day. A single blood draw at 9am cannot tell you whether your rhythm is intact, and the rhythm is usually the thing that has gone wrong.
how you process and clear a hormone matters as much as how much of it you make. Standard panels report the level and stop there, which is why two women with the same result can need completely different support.
free and metabolized cortisol together distinguish a body that is producing too little from one that is burning through it. Those look identical on a single number and are treated very differently.
no lab appointment and no blood draw, which matters when the collection has to happen at specific points across a day you also have to work through.
In practice the two work together. See the full range of hormone and lab testing I can order for you in Ontario.
It is not the right test for everyone, and it is not a screening tool. These are the pictures where it consistently earns its place.
when the week or two before your period reliably costs you your mood, your sleep, and your patience.
wired at night, flattened by mid afternoon, and told repeatedly that everything looks fine.
the years of change that often begin in the late 30s, well before anything obvious happens to your period.
where the androgen and clearance sections of the report usually hold the answer that a topical never will.
when cortisol and hormone shifts are the missing part of a picture that diet and training alone have not moved.
when your own cycle has not re established, or symptoms the pill was covering have arrived since you stopped.
Read more about hormonal imbalance, weight that stopped responding, or hormonal acne, hair, and skin.
Four steps, all of them virtual, from deciding it is the right test to acting on it.
We go through your symptoms and their timing first. The DUTCH test answers some questions extremely well and others not at all, so this step is about making sure it is the one that will actually tell us something.
It is collected at home on dried urine strips, at set points across a day and overnight. No lab visit, no blood draw, and no waiting room. You mail it back in the packaging provided.
A full appointment walking through what the report actually shows, in plain language, on a call. Not a PDF emailed to you with a supplement list attached.
Nutrition, targeted supplementation, and lifestyle support aimed at what the report found, built around the life you actually have rather than an ideal version of it.
The DUTCH test on its own is a report. This is the test plus everything that makes it worth running, as one package.
Perfect for women struggling with PMS, irregular cycles, fatigue, weight changes, or perimenopause.
Start with a free call so we can confirm it is the right test for you before anything is ordered.
Book a Free ConsultationDUTCH stands for Dried Urine Test for Comprehensive Hormones. It measures sex hormones and their metabolites, a full day cortisol pattern, melatonin, and several nutrient and oxidative stress markers, from dried urine samples you collect at home. Its advantage over a single blood draw is that it captures how hormones move across a day and how your body processes them, rather than one level at one moment.
Yes. Dr. Sahar Tabrizi is a licensed naturopathic doctor in Ontario and can order the DUTCH test for patients across the province, interpret the results, and build treatment from them. The collection kit is shipped to your home and the entire process, including the results appointment, is done virtually.
Dr. Sahar offers it as part of a Comprehensive Hormone Assessment at $997, which includes the initial assessment, the DUTCH test itself, a full interpretation appointment, a personalized treatment plan, and follow-up support. Booking a free consultation first is the best way to confirm it is the right test for your situation before anything is ordered.
Neither is universally better, and they answer different questions. Blood is the right tool for thyroid, iron, blood sugar, and several other markers. The DUTCH test is stronger for cortisol rhythm across a day and for hormone metabolites, which is where symptoms often originate. In practice the two are frequently used alongside each other.
See the full range of hormone and lab testing she offers.
For women who are still cycling, collection is usually timed to the luteal phase, roughly five to seven days after ovulation, so progesterone is measured when it should be at its highest. If your cycles are irregular or absent, the timing is set differently, which is one reason the test is planned in an appointment rather than simply ordered.
It can be done, but it will not show your own hormone production, because hormonal contraception suppresses it. The cortisol, melatonin, and nutrient sections still return useful information. If the question is what your own cycle is doing, that testing is usually better placed after you come off.
You get a full appointment going through the report in plain language, and a treatment plan built from what it found, using nutrition, targeted supplementation, and lifestyle support. Testing that is not followed by a plan and by follow-up is just information, which is not what you paid for.
More on how she treats hormonal imbalance once the results are in.
Ordering and interpreting lab testing is part of Dr. Sahar's naturopathic practice, which is for women in Ontario. Women elsewhere can work with her through her signature programs, like Effortless, in a coaching format that does not include testing.
Learn more about Effortless.
Still have questions? The easiest next step is a short, no pressure call.
Book a Free ConsultationTell me what you're experiencing and when it shows up. I'll tell you whether this is the test that would answer it, or whether something else would tell us more. Ready to begin? Booking a free call is the fastest way.
If you have been told your hormones are fine while your body keeps saying otherwise, a test that shows the full day and the full pathway is how that gap gets closed. Let's find out what yours is actually doing.