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 LaboratoriesAnalysed by Nordic Laboratories
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
How this test can help

Select the area and specific problem to see exactly how we approach it through this test.

Perimenopause & menopause

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.

From data to action

Precise markers mean precise actions. Once the test shows what is actually driving the pattern, the plan can target that, instead of guessing.

ReadOestrogen routingWhich detox route you favour, and whether methylation finishes it.
SteadyThe cortisol curveFlushes often track the stress axis as much as the sex hormones.
SupportClearance nutritionCruciferous and indole strategies matched to your routing.
TrackFrequency and timingRe-read to confirm the pattern is genuinely easing.

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Where we focus

DUTCH is not a list of hormone levels, it reads four connected layers of your endocrine system at once.

1 day of dried urine · 35+ hormones & metabolites
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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.

Read together, these four layers show how much you make, which route you send it down, and what your stress curve is doing across the day.

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
Often paired with

Most people run one test. Where a second genuinely adds an answer the first cannot give, this is the pair we reach for.

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

Dried urine strips · collected at home over a single day

Have a call with our Lead Nutritionist to order your test and get your data-backed, personalised plan.

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The people behind your results

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.

Alessandra Ginsburg

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.

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

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.

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