🩸 Blood draw · LabCorp · 🏠 At-home · Dried urine
DUTCH Complete + Metabolic Wellness Panel + Serum HRT Values Panel + Lab Results Education Report
Thrive in Balance Bundle
Save $128 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. The Metabolic Wellness Panel rounds out the picture with an in-depth blood chemistry evaluation of your cardiovascular health, thyroid status, blood sugar regulation, inflammation, iron levels, and nutrient status.
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 circulating levels, metabolite data, and a full metabolic baseline gives them and you the most complete picture possible to work from.
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Important: The Serum HRT Values Panel measures circulating serum hormone levels only and does not measure hormone metabolites or pathways. The DUTCH Complete in this bundle is specifically what adds that deeper metabolic picture. Please never modify or discontinue your HRT without first consulting with your prescribing provider.
This bundle is a good fit if you are…
Currently taking HRT and want circulating hormone levels, metabolite data, and a full metabolic baseline in one comprehensive assessment
Experiencing persistent symptoms despite being on HRT and want to understand both circulating levels, how your body is processing them, and whether metabolic factors may be contributing
On a new HRT protocol and want to establish a comprehensive baseline of serum levels, hormone metabolism, and metabolic health
Working with a provider to optimize your HRT dose and delivery method and want the most complete data set available
Wanting to monitor how HRT is affecting your broader metabolic health including cardiovascular risk, thyroid, and blood sugar
Wanting to assess adrenal function, cortisol patterns, and neurotransmitter markers alongside HRT monitoring and metabolic health
Wanting to assess longevity-related markers alongside hormone metabolism and circulating levels
Perimenopausal or menopausal and on HRT wanting the most comprehensive whole-body picture available
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
Please never modify or discontinue your HRT without first consulting with your prescribing provider.
Markers Included
Serum HRT Values Panel
Estradiol (E2)
Progesterone
Total Testosterone
Free Testosterone
DHEA-S
SHBG
DUTCH Complete
Sex Hormones & Metabolites
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 Cortisone
a-Tetrahydrocortisol
b-Tetrahydrocortisol
b-Tetrahydrocortisone
Metabolized Cortisol (THF+THE)
Nutritional & Neuro-related Organic Acids
Norepinephrine/Epinephrine
Vitamin B6
Vitamin B12
Glutathione
Quinolinate
Indican
Biotin
Additional Markers
Melatonin
Metabolic Wellness Panel
Cardiovascular Health
Lipid Panel
VLDL
LDL
HDL
TC/HDL Ratio
LDL/HDL Ratio
Cardiovascular Disease Risk
Lipoprotein (a)
Homocysteine
Fibrinogen Activity
Inflammation
Histamine
Uric Acid
Blood Sugar & Metabolic Function
Fasting Insulin
Comprehensive Metabolic Profile
Lactate Dehydrogenase
GGT
Phosphorus
Thyroid
Free T3
Free T4
Reverse T3
T3 Uptake
Thyroid Antibodies
Iron & Blood
Ferritin
Iron
TIBC
UIBC
Nutrients
Vitamin B12
Folate
Magnesium
Estimated Turnaround Time
Kit Delivery (DUTCH Complete): Approximately 3–5 business days after your order is processed
Requisition Delivery (Serum HRT Values & Metabolic Wellness Panels): 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 · Blood draw panels: approximately 5–10 business days after your blood draw
Lab Results Education Report: Approximately 3 business days of receiving your results
State Availability
This bundle is only available to residents of the continental United States. Please note the additional following restrictions:
Not available to residents of New York, New Jersey, or Rhode Island due to state regulations.
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Every order is processed through Evexia’s Internal Physician Network, a network of physicians who enable the lab ordering process. No action needed on your end.
Not sure if this bundle is right for you?
Contact us at info@positywellness.com before placing your order.
Best Value$989 one-timeAlso includes a lab results education report
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