Precision Analytical Labs Dutch Plus

Complete with cortisol awakening response

Dutch Plus take a comprehensive look at sex hormones and their metabolites, the overall diurnal pattern of free cortisol, and the total distribution of cortisol metabolites. Dutch Plus differs from other hormone tests because it adds Cortisol Awakening Response markers to bring another important piece of the HPA-axis into focus.

Measuring this rise and fall of cortisol levels at waking can be used as a “mini stress test”. Research shows that the size of this increase correlates with HPA-axis function, even if the sample measurements are all within range. A quick saturation of saliva swabs upon waking, and at 30 and 60 minutes after waking, provide what is required to assess a patient’s Cortisol Awakening Response.


Dutch Plus is recommended for individuals with the following disorders:

  • Adrenal Fatigue

  • Mood Disorders

  • Weight Gain/Loss

  • Hair Loss

  • Irregular Menstrual Cycles

  • Irregular Sleep Cycle

  • Infertility

  • Polycistic Ovarian Syndrome (PCOS)

  • Endometriosis

  • Hormone Imbalance