No referral needed

Physician-facilitated ordering

HSA/FSA eligible

Results in 1–2 weeks


🩸 Blood draw · Labcorp  ·  🏠 At-home · Dried urine

DUTCH Complete + Serum HRT Values Panel + Personalized Lab Results Education Report

Hormone Harmony Bundle

Save $69 vs. ordering separately

This bundle is built for women who are already on hormone replacement therapy and want the most complete picture available of how their body is responding. The Serum HRT Values Panel measures your circulating hormone levels, giving you data you can share directly with your prescribing provider. The DUTCH Complete adds a deeper layer, showing how your body is metabolizing those hormones, along with adrenal patterns and organic acid markers that serum testing alone cannot capture.

Lab values are just one piece of the picture when it comes to HRT. Your prescribing provider will consider your results alongside your symptoms, history, and overall health when making treatment decisions, and having both circulating levels and metabolite data gives them and you a fuller picture to work from.

This bundle is a good fit if you are…


Currently taking HRT and want both circulating hormone levels and metabolite data to share with your prescribing provider

Experiencing persistent symptoms despite being on HRT and want to understand both circulating levels and how your body is processing them

On a new HRT protocol and want to establish a comprehensive baseline of both serum levels and hormone metabolism

Working with a provider to optimize your HRT dose and delivery method and want the most complete data set available

Wanting to assess adrenal function, cortisol patterns, and neurotransmitter markers alongside your HRT monitoring

Wanting to understand how your body is processing and clearing estrogen beyond what serum testing alone can show

Perimenopausal or menopausal and on HRT

Serum HRT Values Panel Considerations

Well suited for:


Oral estradiol

Estradiol patches

Estradiol pellets

Vaginal estradiol

Transdermal testosterone

Testosterone injections

Testosterone pellets

Limited serum insight. The DUTCH Complete in this bundle adds deeper metabolic picture:


Estradiol gels and creams

Serum levels fluctuate significantly within hours of application. The DUTCH Complete in this bundle measures metabolites over a longer collection window, providing a more reliable picture for this delivery method.


Oral progesterone

Serum progesterone is unreliable for oral progesterone monitoring. The DUTCH Complete measures progesterone metabolites in urine and is the preferred method for this form of HRT.


Vaginal progesterone

Serum values increase with vaginal progesterone but do not reflect uterine concentrations, which may be the primary therapeutic goal. Clinical interpretation requires additional context beyond serum values alone.


Vaginal estradiol

Systemic absorption is minimal at standard doses, so serum levels will generally be low — which is intentional. Symptom response is typically a more meaningful guide for this delivery method.

Symptoms you may be experiencing

Acne
Anxiety
Blood sugar dysregulation
Brain fog
Breast tenderness
Chronic pain
Cycle irregularities
Depression
Dyspareunia
Excessive body hair
Excessive facial hair
Exercise intolerance
Fatigue
Feeling like HRT is not working
Hair thinning or loss
Heavy bleeding
Hot flashes despite HRT
Insomnia
Irritability
Low libido
Low motivation
Mastalgia
Mood changes
Night sweats despite HRT
Obesity
Osteoporosis
Pain with sex
Panic attacks
PCOS
Pelvic pain
Poor cognition
Poor muscle mass
Poor sleep
Vaginal dryness
Weight gain

Markers Included

Serum HRT Values Panel

Estrone (E1)
Estradiol (E2)
Progesterone
Total Testosterone
Free Testosterone
DHEA-S
SHBG

DUTCH Complete

Sex Hormones & Metabolites

a-Pregnanediol
b-Pregnanediol
DHEA-S
Androsterone
Etiocholanolone
Testosterone
5a-DHT
5a-Androstanediol
5b-Androstanediol
Epi-Testosterone
Estrone (E1)
Estradiol (E2)
Estriol (E3)
2-OHE1
4-OHE1
16-OHE1
2-MeOE1
2-OH-E2
4-OH-E2

Cortisol & Metabolites

Diurnal Pattern of Free Cortisol
Diurnal Pattern of Free Cortisone
a-Tetrahydrocortisol
b-Tetrahydrocortisol
b-Tetrahydrocortisone
Metabolized Cortisol (THF+THE)

Nutritional & Neuro-related Organic Acids

Dopamine
Norepinephrine/Epinephrine
Vitamin B6
Vitamin B12
Glutathione
Quinolinate
Indican
Biotin

Additional Markers

8-OHdG
Melatonin

Estimated Turnaround Time

Kit Delivery (DUTCH Complete): Approximately 3–5 business days after your order is processed

Requisition Delivery (Serum HRT Panel): Available in your Practice Better portal within 1–2 business days of your order being processed

Lab Processing: DUTCH Complete: approximately 10–14 business days after sample receipt · Serum HRT Panel: approximately 5–10 business days after your blood draw

Lab Results Education Report: Approximately 3 business days of receiving your results

State Availability


This panel is available to residents of the contiguous United States, with the exception of New York, New Jersey, and Rhode Island due to state regulations.

 

Every order is processed through Evexia Diagnostics’ Internal Physician Network (EIPN), a network of physicians who enable and facilitate the lab ordering process to meet state and federal requirements for direct-access testing. No action is needed on your end.

Not sure if this test is right for you?

Contact us at info@positywellness.com before placing your order.

Best Value$679one-time

Save $69 vs. ordering separately

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