My Experience with the DUTCH Test by Precision Analytical
In today’s episode, I’m going to give you an update on my experience with the DUTCH test, what I’ve learned from it, and how it’s helped to support my health journey.
Hi friends! Several months ago - back in the spring - I told you guys that I was taking the DUTCH Complete test and then life got crazy and I never really mentioned it again, so in today’s episode, I’m going to give you an update on my experience with the DUTCH test, what I’ve learned from it, and how it’s benefited my health.
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The DUTCH test is a functional hormone test made by a company called Precision Analytical, a CLIA-certified laboratory. DUTCH stands for Dried Urine Test for Comprehensive Hormones and as the name indicates, their tests evaluate various hormone levels. Some of their tests evaluate sex hormones like estrogen, progesterone, and testosterone (as well as their metabolites - more on this later), and some look at adrenal hormones like cortisol and DHEA-S, and some tests look at all of it. Their tests also evaluate oxidative stress markers as well as certain vitamin and organic acid markers.
My Experience
I chose to go with the DUTCH complete test as it was the most comprehensive test at the time. I wanted an overall look at my sex hormones as well as my adrenal hormones. Some of you may remember that I posted a few stories on Instagram right before I sent my test back in where I showed you what all was included in the test, what it looks like, etc. (those are still in my Endo highlight if you’d like to go back and see those). As I mentioned, this is a dried urine test, so the kit includes cards for you to collect several urine samples over a 24-hour period. It also includes a health history form for all of your medical history as well as places for you to indicate any symptoms you’re experiencing or concerns that you have. Once you’ve completed all of your samples, you seal everything up and mail it back to Precision Analytical in a prepaid package envelope. It’s honestly very easy to do and the instructions are very detailed and clear.
My full report with my results was emailed to me within two weeks of when I mailed in the test.
Who is the DUTCH test for?
In my opinion, this test can be beneficial for anyone, because I always think that more information about your body and how it’s functioning is helpful. Mainly, I think that the DUTCH test can be very helpful for anyone experiencing hormonal imbalance symptoms or a hormone-driven condition like PCOS, Endometriosis, Uterine Fibroids, infertility, etc. Also, this test can be helpful for anyone with a history of estrogen-driven cancer in their families such as breast or prostate cancer, or anyone who is concerned about their risk.
DUTCH Results Report
I’m going to walk you through some of my results so you can better understand what this test looks like and how you can use the results to support your health. I will say that this is a very in-depth report, so unless you are trained in hormone health and detox pathways, you will need the help of a physician trained in these areas - likely a functional medicine doctor. The report does provide a summary at the end of each section of the results, but for an in-depth understanding and how to address/treat any issues that are found, you will need the support of someone trained in this. I do have a few functional med Drs that I can refer you to, if you’d like to send me an email or DM, I can help you with that.
The first page starts with a summary of the main 3 sex hormones - Estradiol (E2), progesterone, and testosterone - and adrenal hormones - total DHEA and free Cortisol. (So for me, it showed that my overall estrogen was on the high end of normal, my progesterone was on the low end of normal, and my testosterone was right in the middle of the normal range. My cortisol pattern looked good, although the free cortisol was a little more on the low end. My total DHEA also looked good. No real surprises here for me - it’s pretty much what I expected)
Page 2 of the report lists the hormone metabolites (the liver breaks down active hormones into water-soluble metabolites in order to be excreted from the body). There are different metabolites for each hormone and measuring these helps you to know how your body is clearing excess hormones. If your body isn’t doing this well, it can increase your risk for hormone-driven disease and cancer. For example, the hormone estrogen actually has 3 primary forms - Estrone (E1), Estradiol (E2), and Estriol (E3) and each can be broken down and pass through a few different metabolite pathways to be eventually excreted from the body. The ideal pathway is called the 2-OH pathway and it is considered the safest or most protective, meaning it’s the least likely to bind to something it shouldn’t or cause any damage to your DNA on its way out. On the other hand, there is the 4-OH pathway that is the least desired pathway because when not properly detoxified these metabolites are more likely to cause damage. When your body seems to prefer this pathway and doesn’t do a good job of detoxification, this can increase your risk of estrogen-driven cancer, specifically breast cancer. This is a big deal and something that is important to know. There are ways that you can support your body’s detoxification pathways but you need to know as soon as possible, rather than waiting until it’s becoming a problem to address it.
Page 3 is a visual representation of each hormone and its metabolites and their pathways. It also allows you to see how your body prefers to metabolize hormones.
Pages 4 and 5 give you a similar structure as 3-4 but with adrenal hormones as well as a helpful diagram that shows the process of how our stress hormones are triggered and the pathways that they follow throughout the body.
Page 6 lists the organic acids that are tested which include markers for vitamins B12 and B6, and glutathione (a major antioxidant that is very important for detoxification) as well as metabolites for dopamine, norepinephrine/epinephrine, melatonin, and a marker for oxidative stress/DNA damage.
The remaining pages provide a summary of a few clinical notes that would be made on any out-of-range results that you have, as well as explanations for each marker and how to read the report.
As you can see, this is a very in-depth report that goes into way more detail than a normal hormone panel that your PCP or GYN would order. I also love the fact that since this test is measured with urine, it can look at how your body is detoxing the hormones. This is something that a serum or blood test can’t evaluate in the same way.
Again, I highly recommend this test for anyone who feels that there is something off with their hormones as well as anyone who knows that they have estrogen dominance issues or who may have elevated risk factors for hormone-driven disease or cancer/has a family history of breast or prostate cancers.
You can order the test through a DUTCH-affiliated provider by searching their website or you can order the test online for yourself and have it sent to your home. DUTCH gave me a coupon code to share with you if you want to order it for yourself - use the code adhc100 for $100 off the cost of the test.
If you have any questions about the test or need help getting in touch with a physician that could help interpret your results, feel free to send an email to info@yourhealthforward.com or send me a DM on Instagram.
"My Endo Story": Rachel Daugherty and Cassie Lawson
In this episode, I'm sharing the stories of two more friends who also have Endometriosis. As they share their symptoms, experiences with various forms of treatment, and how their lives have been affected, you will hear many complexities of this common condition as well as what has helped them and brought them hope. #endometriosisawarenessmonth
March is Endometriosis Awareness Month and in this episode, I'm sharing the stories of two more of my friends who also have Endometriosis. As they share their symptoms, experiences with various forms of treatment, and how their lives have been affected, you will hear many complexities of this common condition. Please help us in continuing to spread awareness by sharing this episode with your friends and family members who may also be affected by Endometriosis.
LISTEN HERE: APPLE PODCASTS | SPOTIFY | GOOGLE
Resources mentioned in this episode: Endometriosis episodes on the Health Forward Podcast; Nancy's Nook Education Facebook Page
Topics in this episode:
When did you first start experiencing symptoms and what were they?
In what way did these symptoms affect your life?
How did you realize it was endo?
What course of treatment did you decide to do?
Where are you on the journey now?
What do you wish more people knew about endo?
"My Endo Story": Kellie Shortridge and Kayla Collins
In this episode, I'm sharing the stories of two of my friends who also have Endometriosis. As they share their symptoms, experiences with various forms of treatment, and how their lives have been affected, you will hear many complexities of this common condition. #endometriosisawarenessmonth
March is Endometriosis Awareness Month and in this episode, I'm sharing the stories of two of my friends who also have Endometriosis. As they share their symptoms, experiences with various forms of treatment, and how their lives have been affected, you will hear many complexities of this common condition. Please help us in continuing to spread awareness by sharing this episode with your friends and family members who may also be affected by Endometriosis.
LISTEN HERE: APPLE PODCASTS | SPOTIFY | GOOGLE
Resources mentioned in this episode: Endometriosis episodes on the Health Forward Podcast; Nancy's Nook Education Facebook Page
Topics in this episode:
When did you first start experiencing symptoms and what were they?
In what way did these symptoms affect your life?
How did you realize it was endo?
What course of treatment did you decide to do?
Where are you on the journey now?
What do you wish more people knew about endo?
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Why Liver Health Matters
In this episode of the #hfpodcast, I’m talking about one of the hardest-working organs in our bodies - the liver: the role that our livers play in our overall health and why we need to give them a little extra support.
Hi friends! In today’s episode, we are talking about our livers and why it’s so important that we take good care of them! The health of our livers is probably not something that often crosses our minds, but it is one of the most important organs in our bodies both for everyday function and long-term health. So let’s get into talking about the liver…
LISTEN HERE: APPLE PODCASTS | SPOTIFY | STITCHER
The liver is the unsung hero of our bodies. It performs over 500 essential functions and unless something is going wrong, it rarely ever gets noticed. Most people I know don’t go around thinking about their livers throughout the day, yet it’s functions are vital to all other body systems’ ability to function.
For example, here are a few of the essential functions the liver is responsible for:
Digestion and absorption
Our livers help turn our food into energy. It stores and distributes both fat and glucose, as well as metabolizes both cholesterol and protein. It produces bile which is vital for digestion and absorption of key vitamins and nutrients and then distributes those nutrients out to the body. It also produces key enzymes that are needed for other chemical reactions all over the body. In addition to distribution, it also stores vitamins and minerals that will be needed in the future. So just by listing these few things, this shows that our livers help regulate our blood sugar, cholesterol, and hormone levels.
Immune Function
Our livers produce of certain proteins and components of the immune system such as cytokines as well as various other immune cells. Our livers maintain a certain amount of controlled inflammation which assists the body in detoxification, but when this becomes uncontrolled or dysregulated, it can lead to systemic inflammation which damages the immune system and can even lead to auto-immunity or cancer.
Hormone Function
The liver is hugely important for hormone health. Our livers create proteins and cholesterol that carry hormones all over the body. In addition, it also helps deactivate hormones and assist with ridding our bodies of excess hormones, or ones that we no longer need. This process is vitally important. For example, with the hormone estrogen, our livers actually regulate which kind of estrogens our bodies produce, as well as help with the processes that remove excess estrogen from the body. Without this essential function, an excess of estrogens can build in the body leading to estrogen-dominant diseases and cancer.
Detox
The function that our livers are best know for is detoxification. The liver is responsible for the movement of the blood in our bodies. As a matter of fact, almost 1½ liters of blood pass through our liver every single minute in order to be filtered. Through this process it extracts toxins and stores nutrients for later use (which we discussed when talking about digestion and absorption). The liver detoxifies in three phases that must stay in sync with each other.
Phase One is bioidentification. This is when your body sends out enzymes that put a red flag on all toxins. Phase two is conjugation. This is when the body attaches molecules to those flagged toxins to make them either water soluble or fat soluble. Phase three is elimination. This is when the body actually flushes the toxins from our bodies when we use the bathroom (and sometimes through sweat). If one of these phases isn’t working correctly, it can damage our body’s cells and allow the toxins to continue to circulate in our bodies, further taxing our livers and creating a loop of inflammation. Every single substance we breathe, ingest, or absorb through our skin will pass through our liver, which creates a huge workload for it every single day.
The point here is that every other system in the body is dependent on the function of the liver and when our livers are healthy, and functioning well, this works great! However, the truth is that the majority of Americans are walking around with less-than-healthy livers.
What happens when our livers aren’t healthy
It’s estimated that up to 90 million Americans (that’s almost ⅓ of the American population) has Fatty Liver Disease, which is basically inflammation of the liver that occurs when apprx. 5% of cells in the liver are replaced with fat cells. This causes the liver to be unable to keep up with it’s 500+ essential functions and add to systemic inflammation in the rest of the body, which can lead to other chronic diseases like heart disease, diabetes, even Alzheimers and Dementia.
If Fatty Liver Disease is left untreated, it can progress into Fibrosis, and even Cirrhosis of the liver, which leads to liver failure (fatal). Liver Disease doesn’t just occur because of alcohol or drug use or Hepatitis. Non-alcoholic fatty liver disease is the most common form of liver disease and is caused by a combination of lifestyle and genetics - most commonly high-starch/high-sugar diets, insufficient protein intake, intake of trans fats and artificial chemicals, unresolved emotions and trauma, lack of movement in the lymphatic system, and overexposure to environmental toxins. It’s not usually only too much fat, as the name would suggest.
Symptoms of an unhealthy liver or fatty liver disease
There aren’t always immediate symptoms, which can make it tricky. When symptoms do occur, some common ones are:
Abdominal pain, fullness in the upper right side
Nausea, loss of appetite (especially in the AM)
Swelling in legs/abdomen
Fatigue
Brain Fog/confusion
Waking up at night in the 2-3 am range regularly
You can ask your provider to run labs to check enzyme levels most commonly found in the liver ALT and AST. If either level is over 30, especially ALT, this can be indicative of a damaged liver. It’s important to note that by the time these levels are above normal, damage to the liver is already happening. So we don’t want to wait until then to care for and support the health of our liver.
The good news is that livers regenerate and that our body has an amazing ability to heal. It will need some support from us, but an unhealthy liver, even most diseased livers, with the exception of cirrhosis, can be become healthy and well-functioning again.
In the next episode, I am going to share ways that you can support your liver health to prevent an unhealthy, sluggish, or diseased liver, as well as ways that you can help your liver to heal if you are already experiencing liver dysfunction or disease. Make sure you stay tuned for that episode!
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How I Supported My Body through Surgery
In this episode, I'm sharing my experience with my recent surgery for Endometriosis and how I have supported my body through the healing process, both before and after surgery.
Hi friends!! In today’s episode, I’m sharing about my recent endometriosis surgery and some of the things that I did, both pre-op and post-op, to support my body through the process. My hope is that this episode will help those of you who may be looking at an endo-surgery for yourself or a friend/family member, but also for anyone who may have any kind of abdominal surgery, or really any surgery at all. Surgery is hard on the body and providing it with a little extra support can go a long way in speeding up recovery time and post-op symptoms.
LISTEN HERE: APPLE PODCASTS | SPOTIFY | STITCHER
So in the last episode, I shared with you guys that I was going to be having another surgery for endometriosis and that I would update you on how everything went, as well as how I supported my body through the process. So today, I want to share those things with you.
I’m about 1.5 months post-op at this point and thankfully, feeling really good! Overall, this was the smoothest and best surgery experience that I’ve had (of the 3) and I’m so grateful for that! I had a whole lot of people supporting me - praying for me and helping out - which I think has played a huge part in how smoothly I’ve recovered, but I also think that doing a few things both before and after surgery has really helped, as well.
Pre-Op:
As anyone who has ever had surgery knows, it’s quite hard on the body. So, a few weeks before my surgery date I started doing a few things to both strengthen my immune system. I was already taking a prenatal vitamin as well as omega-3 supplements, CBD oil, and a probiotic daily - so I made sure to be very consistent with those. I also started taking an additional dose of liposomal vitamin c and vitamin d. I also tried to be really consistent with moving my body and getting good sleep. I even added melatonin to my regiment a few times a week, just to ensure that I was getting good, deep sleep and because it acts as an antioxidant. (Note- I did stop the omega 3s and melatonin one week before sx as they can thin the blood a bit).
I also wanted to support my detox pathways as much as possible, knowing that I was going to be given a lot of medication (which I very gladly accepted), so I upped the times of week that dry-brushed and took detox baths.
The surgery itself went very well. Going into it, I knew that I had cysts on both ovaries, and given that it had been 6 years since my last surgery, I honestly expected for it to be really severe. However, the surgery only took a little over an hour and there were very few lesions, at least in comparison to last time ((where I had stage 4 lesions). My doctor was also quite surprised and happy with that. As I said, I was given so much medication - more so than any other surgery prior, but again - I gladly accepted it. Thankfully, I had no complications (and had a very easy IV stick, which is usually not the case for me), so I was able to go home shortly after waking up. I will say that if you ever find yourself needing to have surgery, get yourself a BFF that’s a nurse to go with you! I basically had my own private nurse who took great care of me, kept me laughing and chatting all day, and was looking over everyone’s shoulder to make sure everything went according to plan. :) {Chrissy, you’re the real MVP here!}
Post-Op:
So, once I got home, I was given meds to help with both pain and nausea. Thankfully, I didn’t experience that much nausea this time, but I did stay on top of it with the meds for the first 24 hours. Trust me when I tell you that puking and abdominal incisions DO NOT go well together. DO NOT RECOMMEND. I was pretty bloated and uncomfortable from the CO2 that they use to inflate the abdomen for surgery. This is a super common symptom after any kind of laparoscopic abdominal surgery and usually resolves in a day or less.
The next few days looked like a lot of resting and sleeping as much as I could (hello, 3-yr old:)). I was pretty unsteady for about 24 hours and needed help getting up and down for a couple days. The pain stayed at a moderate level for 3-4 days and was easily manageable with the pain meds and I was able to wean down to just taking Aleve after about 3-4 days.
During this time I did try to get in as much bone broth / bb protein as I could to start helping my gut recover from all the meds. I also upped my daily dose of probiotics since I was given antibiotics during surgery and also went back to taking the omega supplement as well as CBD, vitamin D, and extra vitamin C.
Within a couple of days, I found myself wanting to move more, but I quickly had to learn to listen to my body because if I was walking around more than about 5 minutes, I would start bleeding more. That probably lasted for about 5ish days and then I was able to extend that time.
One of the most challenging parts for me this time was the effect that the anesthesia (and possibly some of the meds) had on me emotionally/mentally. I felt super foggy and kind of just in a funk for about a week. I don’t remember that being an issue in previous surgeries.
I would say that I was feeling back to myself, at least 90%, at about 2 weeks post-op, and now I am fully 100% back to normal, or honestly probably a little better than I was before surgery. I’m working my way into exercise, prioritizing my core strength and pelvic floor right now, so doing mainly Pilates for that. I’m also continuing with my vitamin/supplement regimen with the extra vitamin c and higher probiotic doses daily, as well as trying to get 3-4 dry brushing sessions and detox baths every week.
My post-op appointment went really well and so we will resume trying on our own for baby #2 for a while. I will go back in for a follow-up in about 4-5 months, and I am starting acupuncture back next week (a couple of episodes on that if you want to know more - episode 32 and episode 54). So we’re hopeful and will just see what happens. Right now, I’m just really thankful to have the surgery behind me and to be feeling good, less inflamed, and more energetic.
I hope that this episode has been helpful for you! If you have an upcoming surgery, I hope that you will use some of these tips and ideas as you prepare and recover. If you know someone with #endo or who may have surgery coming up, pass this episode along to them. It can be so unnerving not knowing what to expect or what recovery may look like, so I hope sharing my experience will help a little with that as well as empower you to know that there are things that you can do to help support your recovery.
Before I leave you for today, I wanted to share with you a little encouragement - especially for those of you who may be facing surgery or any kind of concern over your health. The morning of surgery, I opened my Bible for a few minutes with God before heading to the hospital. I knew I didn’t have a lot of time, so I just randomly opened it, planning to just read a Psalm or Proverb. I opened it to Psalm 35, to a verse I don’t even remember reading before, that said “He takes pleasure in His servant’s well-being” and it brought me so much peace. I hope it brings peace to you as well!
