INSTRUCTIONS

DUTCH COMPLETE

The DUTCH Complete Test by Precision Analytical is completed in the comfort of your home using a collection kit that is mailed to you. For a simple and effective experience, follow the instructions below.

*If you are in the MHM group program or bought an a la cart testing kit, the tests have already been paid for ahead of time by Maddie since this was included in your package. If you’re a 1:1 client adding a test onto your coaching package, you’ll pay for the test after getting a confirmation email from Evexia. Once you pay via the email from Evexia, they’ll ship the test to you. No one needs to pay for the test through the kit that you receive in the mail, it has already been paid for.

Restrictions When Collecting DUTCH Complete™

Foods: Avoid avocado, bananas and fava beans for 48 hours before collecting as they may elevate the HVA organic acid result; if you do consume, please make a note on your requisition form.

Supplements: Some supplements may impact the HVA organic acid result. If you take any of the following, please consult your provider: Tyrosine, L-Dopa, D,L-Phenylalanine (DLPA), Mucuna and Quercetin.

WHAT DAYS OF THE MONTH DO I COLLECT?

Cycling Premenopausal Women

Begin collection between days 19 and 22 of a 28-day cycle. For longer cycles, add the number of days you usually go beyond 28 days. In a similar manner, subtract if your cycles are shorter (example: collect days 17-20 for a 26 day cycle). You may collect any day if only ordering the DUTCH Adrenal or DUTCH OATs.

For irregular cycles or non-cycling (ablation or uterus removed), watch the irregular cycle collection video in the video library at dutchtest.com/videos for suggestions on collecting.

Men & Non-Cycling or Postmenopausal Women

Collect any day.

HOW TO COLLECT

  • Complete all information on each collection device.

  • Saturate the filter paper by urinating directly on it OR use a clean cup and dip the filter paper.

Leave the collection device open to dry for at least 24 hours.

  • Once dry, close each collection device. Place all devices in the resealable plastic bag and return in the provided envelope. Be sure to include the completed requisition form (required) and the payment card (if needed).

Diagram showing how to use a urine drug test strip: open the foil paper to find the strip, collect urine sample on the strip, then open to dry.

WHEN TO COLLECT

While adhering to your most common wake/sleep schedule, collect as close as possible to the below timeline. No Alcohol, Caffeine or Large Fluid Intake after lunch before collecting the dinner sample. No more than one cup of fluids between Samples #3 and #4.

Informational sign about water and fluid consumption. It advises not to drink fluids for two hours before collecting samples, and recommends keeping fluids below 32 ounces on day one, and below 8 ounces between waking and two hours after waking.

COLLECTION SCHEDULE

A detailed collection and testing schedule for a medical or scientific study, divided into two days of collection with specific guidelines for each sample at different times and conditions, including symbols and color-coded sections.

USING HORMONES?

DO NOT TAKE oral DHEA 48 hours before, or any oral estrogen* or pregnenolone 72 hours before your first collection.

*Do not skip doses of birth control for this test unless instructed by your practitioner.

Any other hormones taken at NIGHT (including oral progesterone) should be taken after the bedtime sample. Generally, hormone creams or gels can be taken as usual during the test. All hormones taken in the MORNING should not be taken until after sample #4.

If you take glucocorticoids (Prednisone, Dexamethasone, etc.) check with your practitioner. For patches, pellets and injections, collect midway between doses. If you take sublingual hormones (absorbed in the mouth or under the tongue) or if you take oral hydrocortisone USING HORMONES? (cortisol), visit dutchtest.com for specific video instructions.

WHAT TO AVOID

Foods: Avoid avocado, bananas and fava beans for 48 hours before collecting as they may elevate the HVA organic acid result; if you do consume, please make a note on your requisition form.

Supplements: Some supplements may impact the HVA organic acid result. If you take any of the following, please consult your provider: Tyrosine, L-Dopa, D,L-Phenylalanine (DLPA), Mucuna and Quercetin.

FAQS

  • Simply collect the sample as instructed the following day. All samples do not need to be collected in one 24-hour period.

  • No, they can be collected in a different order. If you wish you may start with sample #3, followed by #4, #1 & #2. If you begin with #3, collect the extra sample if you wake and urinate in the night.

  • While hormone levels are very stable in dried samples, they should be sent back as soon as possible. If you have to wait to send them in, place in freezer (in plastic bag) after drying.

  • This test is built to test patients “on” their hormones. Our suggestion is to follow the Hormone Schedule (listed previously), and any specific instructions given by your provider.

  • Collect the bedtime sample (#2) before your longest stretch of sleep, the waking sample (#3) after this sleeping period, and sample #4 two hours later. The dinnertime sample (#1) should be collected 4-7 hours before bed.

  • Simply drink some fluids and go as soon as you are able.

  • The minimum age for testing is 12 years old. To test children under 12, we strongly recommend the DUTCH Cortisol Awakening Response (CAR) measured with saliva.