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🧪 Interpretation Guide · being updated

Finally understand
your DUTCH results.

Your DUTCH Plus report reveals 40+ hormone markers. Most people receive it and have no idea what they're looking at. The interactive guide is being updated. Until it’s back, I read your DUTCH with you, marker by marker, in Results & Plan (£295), including the oestrogen pathways and cortisol patterns that blood tests miss.

40+Markers covered
6Hormone sections
1988Working with people since
The interactive guide is offline while I update it.
Which programmes include this test →

You have your DUTCH results.
You don't know what they mean.

The DUTCH Plus is the gold standard for comprehensive hormone assessment — it reveals what blood tests cannot. But a 10-page report full of cortisol metabolites, oestrogen pathways, and organic acid markers is genuinely difficult to interpret without clinical training. This guide was built to bridge that gap.

📄

You've run a DUTCH Plus test

You ordered privately or through a practitioner. The report arrived and you're not sure what to make of the cortisol curves, metabolite ratios, and pathway data.

😴

You're struggling with fatigue, mood, or sleep

You suspect hormones are involved but can't connect your specific results to your specific symptoms. You want clinical context, not generic information.

🌸

You have perimenopausal or hormonal symptoms

Hot flushes, mood changes, poor sleep, breast tenderness, low libido — and you want to understand what your DUTCH results actually show about what's driving them.

⚡

You've been told your hormones are "normal"

Blood tests showed nothing significant but you feel terrible. The DUTCH shows the oestrogen pathways and cortisol rhythm that blood tests completely miss. Results & Plan interprets those findings.

The interactive guide is offline while I update it. To have your results read, see Results & Plan.

Every marker on your DUTCH Plus report.

Including the oestrogen metabolite pathways and organic acid markers that make the DUTCH Plus genuinely different from any blood test.

⏱ Cortisol & HPA Axis
Cortisol Awakening Response (CAR)
Morning Cortisol (S1)
Midday Cortisol (S2)
Evening Cortisol (S3)
Night Cortisol (S4)
Total Cortisol Metabolites
DHEA-S
Cortisol:DHEA Ratio
🌸 Oestrogen & Metabolites
Oestrone (E1)
Oestradiol (E2)
Oestriol (E3)
2-OH Oestrogens (protective)
4-OH Oestrogens (genotoxic)
16-OH Oestrogens (proliferative)
2-Methoxy Oestrogens
2-OH:16-OH Ratio
🌿 Progesterone
Pd3G / PDG (progesterone metabolite)
E2:Progesterone Ratio
⚡ Testosterone
Testosterone (total)
Free Testosterone / AND
DHEA
5α-Reductase Activity
🌙 Melatonin
6-OHMS (melatonin metabolite)
🧪 Organic Acids
Methylmalonic acid (B12)
Xanthurenate (B6)
Pyroglutamate (glutathione)
5-HIAA (serotonin)
HVA (dopamine)
VMA (noradrenaline)

"The DUTCH shows the movie. Blood tests show a snapshot. Two women with identical blood oestrogen can have completely different clinical pictures — because the oestrogen pathways, the cortisol rhythm, and the methylation capacity are what determine how you actually feel. That's what the DUTCH reveals. And that's what I interpret."

Stephen Duncan MSc FDN-P · working with people since 1988

What the DUTCH shows that
blood tests completely miss.

The interactive guide is being updated. Until it’s back, I read all of this with you in Results & Plan.

What you need to knowBlood hormone testDUTCH, read in Results & Plan
Cortisol rhythm across the full day✗✓
Cortisol awakening response (HPA axis reactivity)✗✓
Oestrogen metabolite pathways (2-OH, 4-OH, 16-OH)✗✓
Whether oestrogen is being cleared safely✗✓
True progesterone output (not just a snapshot)✗✓
Neurotransmitter metabolism (serotonin, dopamine)✗✓
Functional B12, B6, and glutathione status✗✓
Personalised to your specific values✗✓

Which programmes include this test?

DUTCH Plus is in the Resilient Stress System’s Investigation and Case tiers, and in the TDG five-test programme (£3,500), which reads GI-MAP and DUTCH Plus together with blood chemistry, organic acids and an IgG food panel.

The five-test programme →

Your hormones have been trying
to tell you something.
Now you can understand them.

Stop sitting with results you can't act on. Get the clinical interpretation your DUTCH report deserves.

Book a free 20-minute call →