Services/Hormone testing/DUTCH hormone test
Last updated
— SERVICE · HORMONE TESTING · DRIED URINE

The DUTCH test.

DUTCH hormone testing in Jacksonville, FL. The most comprehensive hormone panel available. Understand your hormones — not just your levels, but how you process them.

Schedule a consultation The process
01 — WHAT IT IS

Why most hormone tests fail you.

Standard blood panels measure total hormone levels at one point in time. They miss metabolites, daily rhythm patterns, and how your body actually processes what it produces. That's a lot of missing information.

The DUTCH test (Dried Urine Test for Comprehensive Hormones) captures the full picture. Sex hormones, adrenal hormones, metabolites, organic acid markers — all from a simple urine collection done at home.

The result isn't just numbers. It's a clinical roadmap that explains why you feel the way you feel — and exactly what to do about it.

02 — SYMPTOMS

Is the DUTCH test right for you?

Unexplained Fatigue
Tired despite sleeping enough? Cortisol dysregulation and adrenal dysfunction are frequently missed causes that standard labs won't catch.
Weight Gain or Difficulty Losing Weight
Hormones govern metabolism, fat storage, and body composition. If you're doing everything right and it's not working, the real driver might be hormonal.
Mood Changes, Anxiety, or Depression
Cortisol, progesterone, and estrogen all affect brain chemistry. Hormonal imbalance gets mislabeled as psychological more often than most people realize.
Irregular Cycles or PMS
DUTCH reveals the estrogen-to-progesterone ratio, luteal phase defects, and anovulatory cycles that standard FSH/LH panels routinely miss.
Low Libido
Free testosterone, DHEA levels, and androgen metabolites tell you what total testosterone labs obscure. There's usually more to the picture.
Poor Sleep
Melatonin output, cortisol awakening response, nighttime cortisol patterns — these explain why you can't fall asleep or stay there.
03 — HOW WE TREAT IT

The process.

01
Gut work comes first
Hormone protocols are far less effective while the gut is still inflamed, so testing hormones is rarely step one. If there is overgrowth or digestive dysfunction, that gets addressed first — fixing the order is what makes the hormone work land.
02
Initial consultation
We review your symptoms, history, and goals to confirm the DUTCH panel is the right test for your situation.
03
Test kit sent to you
A DUTCH test kit is mailed to your home. You collect urine samples at specific times over 24 hours using simple strips.
04
Lab analysis
Samples are sent to the DUTCH lab for advanced mass spectrometry analysis — the gold standard for hormone metabolite testing.
05
Results consultation
We walk through every finding with you — what is elevated, what is low, what the patterns mean, and exactly what we recommend.
06
Personalized protocol
A targeted plan addressing your specific hormonal imbalances — supplements, lifestyle, and if appropriate, therapeutic interventions.
04 — GOOD TO KNOW

What the DUTCH panel measures

Dozens of hormones and metabolites — including markers no standard blood panel captures.

Cortisol (free + metabolized): stress hormone patterns throughout the day — adrenal function and HPA axis health.

Estrogens (E1, E2, E3): estrone, estradiol, and estriol levels plus estrogen metabolism pathways.

Progesterone metabolites: pregnanediol and other metabolites reflecting true progesterone output.

Androgens (DHEA, testosterone): male and female androgen levels including DHEA-S and testosterone metabolites.

Melatonin (MT6s): sleep hormone production — tied to circadian rhythm and recovery quality.

Organic acid markers: B12, B6, neurotransmitter metabolites, and oxidative stress markers.

When to consider testing

Consider testing if you are experiencing any of the symptoms above and haven't gotten clear answers from standard labs.

05 — COMMON QUESTIONS

Questions, answered.

How is the DUTCH test different from standard hormone blood work?
Standard blood tests give you a single snapshot of total hormone levels. The DUTCH captures multiple urine samples across the day and night — so you see patterns, not just numbers. It also measures hormone metabolites, which shows how your body is processing and clearing hormones. Blood tests can't do that. The difference in clinical usefulness is significant.
What does the DUTCH hormone test measure?
The DUTCH panel measures cortisol (free and metabolized), estrogens (E1, E2, E3), progesterone metabolites, androgens including DHEA and testosterone, melatonin (MT6s), and organic acid markers including B12, B6, neurotransmitter metabolites, and oxidative stress markers.
Who performs the DUTCH test interpretation at Meridian?
Our providers review every panel in the context of your full health history and symptoms. You get a real consultation — not a lab printout with a reference range. We translate what the findings mean and build a specific protocol around them.
Is the DUTCH test covered by insurance?
Typically not — it's a functional medicine test, not a standard diagnostic. We're upfront about pricing and can walk through options at your consultation. Most patients feel the level of information it provides is worth it, especially after years of standard labs that didn't give them answers.
How do I take the DUTCH test?
It's a dried urine collection you do at home over 24 hours using simple test strips. You collect samples at specific times — including overnight — then mail the kit back to the lab. No blood draw, no clinic visit for collection. Simple. We walk you through the whole thing.
What happens after I receive my results?
We schedule a results consultation to go through your panel together. Based on what we find, we build a personalized protocol — targeted supplementation, lifestyle changes, and where appropriate, bioidentical hormone therapy referrals or direct intervention.
— RELATED

Keep reading.

— IF YOU'RE READY

Ready to understand your hormones?

DUTCH hormone testing in Jacksonville, FL. Finally get the answers standard labs have missed.

Schedule a consultation

— Talk to our team

Tired of guessing? Let's find the root cause.

Tell us what’s going on and save $50 on your initial visit. Someone from our team will call you, answer your questions, and find a time that works. The first visit is a full history — diet, sleep, stress, symptoms — so we order the right tests. Follow-ups can be by video for established patients.

  • ✓ Two offices: Southside Jacksonville and Orange Park
  • ✓ Most major insurance and all auto insurance (PIP) accepted
  • ✓ A real person calls you back, not a bot

Prefer to talk now? Call (904) 379-9412

New patient offer

$50 off your initial visit

By submitting, you agree that Meridian may contact you by phone, email, and text message about your request. Message and data rates may apply. Reply STOP to opt out. Please don’t include sensitive medical details here.

$50 off applies to the initial visit for new patients only. Services are provided only when clinically appropriate as determined by the treating provider. Offer not valid for Medicare, Medicaid, or other federal healthcare program beneficiaries. Not valid where prohibited. THE PATIENT AND ANY OTHER PERSON RESPONSIBLE FOR PAYMENT HAS THE RIGHT TO REFUSE TO PAY, CANCEL PAYMENT, OR BE REIMBURSED FOR PAYMENT FOR ANY OTHER SERVICE, EXAMINATION, OR TREATMENT WHICH IS PERFORMED AS A RESULT OF AND WITHIN 72 HOURS OF RESPONDING TO THE ADVERTISEMENT FOR THE FREE, DISCOUNTED FEE, OR REDUCED FEE SERVICE, EXAMINATION, OR TREATMENT.

Call (904) 379-9412Book a visit