04/04/2026
It’s that time again and the office doors are open! This week, Dr. Kelly Ruef, ND and Dr. Allison Smith, ND are diving into the case studies explored at DUTCH Fest. They’re unpacking topics like testing (and retesting), how and when to use DIM, and the nuances of estrogen methylation.
The questions being answers:
1️⃣ Can someone who has had a full hysterectomy do a DUTCH Test?
2️⃣ How does a person retest if they are on hormones like progesterone?
3️⃣ How do you push toward the 2-hydroxy estrogen pathway?
4️⃣ Would you avoid using DIM with a patient who has high estrogen, alongside poor methylation?
5️⃣ When using DIM to favor protective pathways, what would you consider if you don’t want to lower estrogen?
6️⃣ Would you recommend DIM to someone who has had a Cholecystectomy?
7️⃣ Would you use Vitex in combo with oral progesterone?
8️⃣ How does this pattern [in case 1] help explain heavy periods?
Scroll through to listen and learn from each answer! Have questions of your own? Drop them below in the comments! 👇
