Struggling With Hormones? Here’s the Test We Use to Finally Get Answers (When Blood Work Fails)

Hormonal and cortisol dysregulation can show up in many ways, often dismissed or misattributed to stress, age, or "just being busy." But if you’ve been experiencing any of the following, your body may be signaling deeper imbalances:

  • Fatigue that doesn’t improve with sleep

  • Waking at 2–4 AM with anxiety or restlessness

  • PMS symptoms that derail your week every month

  • Painful or irregular cycles

  • Low libido or difficulty building muscle

  • Midsection weight gain, despite clean eating

  • Intense sugar or salt cravings, especially in the afternoon

  • Hair thinning, mood swings, or feelings of overwhelm

  • Brain fog or memory issues

  • Difficulty recovering from workouts or constantly feeling inflamed

These are not normal.
And more importantly—they’re not random.

These symptoms are often rooted in dysregulation across your HPA axis (hypothalamic-pituitary-adrenal) and sex hormone imbalances—issues that rarely get fully captured by standard lab work.

Here’s What Most People Do Wrong

When women try to fix these symptoms on their own (or even with well-meaning practitioners who aren’t trained in functional hormone analysis), here’s what we often see:

  • Jumping into intense exercise or HIIT programs when cortisol is already chronically elevated

  • Following intermittent fasting or carb-restricted diets that further suppress thyroid and adrenal function

  • Taking adaptogens, DIM, or progesterone creams without any data—sometimes making things worse

  • Using hormonal birth control to mask symptoms without addressing the root cause

  • Over-relying on single blood labs like TSH or “Day 21 progesterone,” which only provide a narrow window

  • Chasing symptoms in isolation (fatigue = take more B12; PMS = take magnesium) instead of understanding the full hormonal landscape

Guesswork leads to frustration. And unfortunately, it often leads to worsening symptoms, wasted money, and deeper dysregulation.

This Is Where the DUTCH Test Comes In

The DUTCH Complete test (Dried Urine Test for Comprehensive Hormones) is one of the most clinically valuable tools we use in our 1:1 coaching programs at Bloomed Wellness.

It goes beyond what blood or saliva testing can provide, offering a comprehensive view of sex and adrenal hormones, metabolites, and circadian cortisol rhythms. This means we can see not only how much hormone is being produced—but how well your body is metabolizing, detoxifying, and using it.

Here’s what we assess:

  • Estrogen and its three pathways (including 2-OH, 4-OH, and 16-OH): critical for understanding PMS, PCOS, fibroids, and breast cancer risk

  • Progesterone metabolites: insight into luteal phase deficiency, anxiety, sleep disturbances, and fertility

  • Androgens: testosterone, DHEA, and metabolites that impact libido, energy, mood, and muscle mass

  • Cortisol production and clearance: mapped across the day to show your stress patterns and HPA axis function

  • Melatonin: your body’s natural sleep hormone

  • Nutritional and oxidative stress markers: including glutathione, B12 metabolism, and inflammation indicators

How We Use It In Practice

In our 1:1 coaching, the DUTCH Test isn’t used in isolation. It’s one piece of a larger, evidence-based approach to functional healing.

We integrate the data with:

  • Clinical history and symptoms

  • Blood chemistry and GI function (when needed)

  • Nutrition and lifestyle patterns

  • Stress load and nervous system feedback

From there, we create a personalized protocol addressing:

  • Nutritional shifts to support detoxification, hormone production, and blood sugar regulation

  • Strategic supplementation that aligns with your patterns

  • Nervous system and circadian rhythm support

  • Exercise programming appropriate for your current hormonal landscape

  • Ongoing monitoring, accountability, and clinical adjustment

No more guesswork. No more chasing symptoms. Just data-driven strategy rooted in functional medicine and real support.

Who Needs The DUTCH Test?

If you’ve been told your labs are “normal” but you feel anything but…
If you’ve tried diet after diet with no change in symptoms or weight…
If you feel disconnected from your body and know something deeper is going on…

Then this is the test that can give you answers—and a path forward.

We use the DUTCH Test with our clients because it provides clear insight into what your hormones are doing, when they’re doing it, and why you feel the way you do.

If you’re ready to get clarity, take action, and actually feel better—we’re here to walk you through it, step by step.

Apply for 1:1 Functional Coaching at Bloomed Wellness

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