No referral needed

Physician-facilitated ordering

HSA/FSA eligible

Results in 1–2 weeks

🏠 At-home kit· Dried urine  ·  🩸 Blood draw · LabCorp

DUTCH Cycle Mapping + DUTCH Complete + Metabolic Wellness Panel + Personalized Lab Results Education Report

Rhythm & Resilience Bundle

Save $168 vs. ordering separately

One of the most comprehensive assessments available for symptomatic perimenopausal women who want to understand what’s happening throughout their entire menstrual cycle, alongside a full evaluation of their foundational metabolic health. This bundle combines the full-picture hormone mapping of the DUTCH Complete with the cycle-specific tracking of DUTCH Cycle Mapping, giving you a detailed view of your sex and adrenal hormones and metabolism, and how your estrogen and progesterone fluctuate across your entire cycle. The Metabolic Wellness Panel adds a comprehensive blood chemistry assessment covering cardiovascular health, thyroid status, blood sugar regulation, inflammation, iron levels, and nutrient status.

Designed for women who are cycling on some level, whether regular or irregular, and want the most complete picture available of their hormonal, cyclical, and metabolic health. This is not a single snapshot but a full map of where your hormones are, how they are metabolized, how estrogen and progesterone move throughout your cycle, and how your body is functioning at a foundational metabolic level.

This bundle is a good fit if you are…


Cycling on some level, whether regular or irregular, and want a complete picture of hormone health, cycle-specific patterns, and foundational metabolic health in one assessment

Wanting to understand estrogen metabolism and detox pathways alongside ovulation quality, luteal phase hormone patterns, and metabolic health

Experiencing a wide range of symptoms that fluctuate throughout the month alongside unexplained metabolic symptoms
✓ Preparing to start HRT and want the most comprehensive baseline possible including metabolic health

Had a partial hysterectomy, endometrial ablation, or Mirena IUD with ongoing hormonal symptoms and also want a comprehensive metabolic baseline

New to functional lab testing and want the most comprehensive starting point available that includes cycle mapping

Had standard blood work come back “normal” but still feel something is off, hormonally and metabolically

Wanting to assess longevity-related markers alongside your cycle and hormone health

Not recommended for:


Postmenopausal women who are no longer cycling

Women on hormonal birth control

Women with predictable regular cycles and no hormonal or metabolic concerns

Women using contraceptives

Women looking to monitor HRT

Symptoms you may be experiencing

Acne
Amenorrhea
Anxiety
Blood sugar dysregulation
Brain fog
Breast tenderness
Chronic pain
Cold intolerance
Constipation
Cravings
Cycle irregularities
Cysts
Depression
Difficulty concentrating
Difficulty losing weight
Dry skin
Dysmenorrhea
Dyspareunia
Elevated cholesterol
Endometriosis
Excessive body hair
Excessive facial hair
Exercise intolerance
Fatigue
Fibroids
Frequent infections
Hair thinning or loss
Heart palpitations
Heavy bleeding
Hirsutism
Hot flashes
Inflammation
Insomnia
Irregular cycles
Irritability
Joint pain
Long cycles
Low energy
Low libido
Low motivation
Mastalgia
Menorrhagia
Mid-cycle spotting
Mood changes
Muscle weakness
Night sweats
Numbness or tingling
Obesity
Osteoporosis
Overweight
Pain with sex
Panic attacks
PCOS
Pelvic pain
PMDD
PMS
Poor cognition
Poor muscle mass
Poor sleep
Premenstrual spotting
Short cycles
Shortness of breath
Slow wound healing
Stress intolerance
Vaginal dryness
Weight gain

Markers Included

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

DUTCH Cycle Mapping

9 Targeted Cycle Measurements

Estradiol (E2)
Estrone (E1)
a-Pregnanediol
b-Pregnanediol
b-Pregnanediol to E2 Ratio

Graphical Reporting

Ovulatory peak visualization
Luteal peak visualization
Full cycle hormonal pattern

Metabolic Wellness Panel

Cardiovascular Health

Apolipoprotein B
Lipid Panel
VLDL
LDL
HDL
TC/HDL Ratio
LDL/HDL Ratio
Cardiovascular Disease Risk
Lipoprotein (a)
Homocysteine
Fibrinogen Activity

Inflammation

hsCRP
Histamine
Uric Acid

Blood Sugar & Metabolic Function

HbA1c
Fasting Insulin
Comprehensive Metabolic Profile
Lactate Dehydrogenase
GGT
Phosphorus

Thyroid

TSH
Free T3
Free T4
Reverse T3
T3 Uptake
Thyroid Antibodies

Iron & Blood

CBC
Ferritin
Iron
TIBC
UIBC

Nutrients

Vitamin D
Vitamin B12
Folate
Magnesium

Estimated Turnaround Time

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

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

Lab Processing: DUTCH Cycle Mapping + Complete: approximately 10–14 business days after sample receipt · Metabolic Wellness 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 $1,249one-time

Save $168 vs. ordering separately

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