13/11/2025
The difference between a DUTCH hormone assessment and blood hormone testing.
DUTCH testing will show ⬇️
✔️ Hormone Metabolism Pathways
• Oestrogen → 2-OH / 4-OH / 16-OH pathways
• COMT methylation capacity
• Phase I + Phase II liver detox patterns
👉This helps identify oestrogen dominance, cancer-protective vs proliferative pathways, and liver detox issues.
✔️ Progesterone Metabolite Activity
👉Progesterone is hard to measure in blood except on a very exact day.
DUTCH measures its functional output, not just levels.
✔️ Cortisol Curve (Cortisol Awakening Response)
👉A blood test gives ONE reading. DUTCH gives a 24-hour rhythm, showing stress load, burnout patterns, sleep disruption, night waking, and HPA axis dysregulation.
✔️ Androgen Pathways
Tells you how your body is using testosterone: DHEA → Testosterone → DHT, 5a-reduction, 5b-reduction.
Useful for acne, PCOS, hair loss, libido issues.
🩸What Blood Tests Show That DUTCH Cannot
✔️ Thyroid hormones (TSH, FT3, FT4, antibodies)
✔️ S*x hormone levels in real-time
✔️ Fasting insulin, glucose, lipids, inflammation markers
✔️ Pregnancy, prolactin, SHBG
✔️ Acute issues (bleeding, clotting, pathology red flags)
Using both the blood tests and DUTCH test will give you the most accurate picture of PMS, perimenopause, fatigue, stress, weight changes, acne, and post-pill symptoms.
Book your hormone assessment at Wellixa — link in bio.