Dr. Kara Fitzgerald | New Frontiers in Functional Medicine, Longevity, Epigenetics cover image

Evaluating Hormonal Dysfunction and Infertility

Dr. Kara Fitzgerald | New Frontiers in Functional Medicine, Longevity, Epigenetics

CHAPTER

The Role of the Dutch Plus in the Assessment of Adrenal Output

The Dutch plus adds the car to the HPA access. It requires saliva because it's really hard to ask people to pee three times in the first hour. Saliva is more instantaneous change. So we actually change the diurnal curve to be measured via saliva and you still get metabolites in urine. But with that, you're able to get the immediate morning sampling. And what we found is it actually is kind of like a mini stress test on the body. Similar to ACTH stimulation that they would do in a kind of a hospital setting to measure someone's adrenal output.

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