Pomeroy Institute For Functional Nutrition/HPA Axis Dysfunction & Hormone Imbalance: DUTCH Test Interpretation

  • $697

HPA Axis Dysfunction & Hormone Imbalance: DUTCH Test Interpretation

  • Course
  • 63 Lessons

Learn how to identify and correct HPA Axis Dysfunction and Hormone Imbalance using the DUTCH Test from Precision Analytical. This course includes over 34 hours of video content, a 480+ page Practitioner's Desk Reference Guide eBook, handouts, a PDF of the presentation slides, and MP3 audios of the presentations.
The DUTCH Test course includes:
  • 34+ hours of video content (divided into 16 modules)
  • 480+ page Practitioner’s Desk Reference Guide eBook 
  • MP3 audios of the presentations
  • PDF of presentation slides
  • Practitioner Handouts:
    • Reasons For High/Low Markers: Quick Guide
    • The DUTCH Test: Clues About Thyroid Function
    • SpectraCell Labs “Nutrient Wheels”
The following topics are discussed in this course:
  • ​What is HPA Axis Dysfunction
  • The importance of the HPA Axis
  • Symptoms of HPA Axis Dysfunction
  • The difference between adrenal disease and HPA Axis Dysfunction
  • Possible causes of HPA Axis Dysfunction
  • Whether we should be using the term “adrenal fatigue”
  • How to test for HPA Axis Dysfunction
  • When to choose the DUTCH Plus over the DUTCH Complete test
  • The pro’s and con’s for the different testing methods (serum, saliva, urine)
  • My favorite labs for evaluating HPA Axis Dysfunction
  • What is the DUTCH Test
  • When to collect samples for the DUTCH Test (men, pre-menopausal women, post-menopausal women)
  • How to collect samples for the DUTCH Test
  • Which supplements can impact the test results, whether to discontinue them before testing, and how long to stop them prior to testing
  • Mechanisms that affect cortisol availability
  • How to evaluate HPA Axis function by looking at the levels, patterns, and ratios of: Metabolized Cortisol, 24-Hour Free Cortisol, CAR, Diurnal Cortisol Pattern, Diurnal Cortisone Pattern, 11b-HSD Index, and DHEA
  • The difference between Metabolized Cortisol and 24-Hour Free Cortisol
  • The 4 possible patterns for Metabolized vs 24-Hour Free Cortisol – common reasons for each pattern and diet / lifestyle / supplement recommendations to help correct each pattern
  • What is the Cortisol Awakening Response (CAR), what additional information does it provide us with, what can cause CAR to be low or elevated, and things to consider to help to correct an abnormal CAR
  • What we want to see for the diurnal cortisol pattern and diet / lifestyle / supplement recommendations to help correct abnormal waking, morning, afternoon, and night cortisol levels
  • Why it is helpful to look at the diurnal cortisone pattern and why cortisol and cortisone may deviate from one another
  • What the 11b-HSD Index may be indicating when there is a strong preference for either cortisol or cortisone and how we can shift the body back to more of a balanced state
  • How to assess DHEA status and determine how much DHEA an individual is making, if they’re able to sulfate DHEA, how they’re metabolizing DHEA, and how their DHEA level compares to their cortisol level, Possible reasons for low/high DHEA production, poor sulfation of DHEA, high 5a-Reductase Activity, and low/high cortisol to DHEA ratio are discussed, and diet / lifestyle / supplement recommendations to address any abnormal findings are reviewed.
  • The importance of sex hormone balance
  • How to assess Estrogen status and determine if there is too much or too little estrogen, reasons why there may be abnormal estrogen levels, if estrogen is being metabolized down protective pathways or harmful pathways (Phase I metabolism), and whether harmful metabolites are being neutralized properly (Phase II metabolism). Diet / lifestyle / supplement recommendations are given to help correct low and high estrogen levels as well as poor Phase I and Phase II metabolism of estrogen.
  • How to assess Progesterone status, why is can be helpful to know whether a woman metabolizes progesterone more down the alpha or beta pathway, reasons for low/high progesterone, and diet / lifestyle / supplement recommendations to correct abnormal progesterone levels.
  • How to assess Testosterone status, why knowing epi-testosterone can be helpful for individuals receiving testosterone therapy, reasons for low/high testosterone, how high 5a-Reductase Activity can be problematic, and diet / lifestyle / supplement recommendations to correct abnormal testosterone levels.
  • Which serum hormone markers can be helpful to use in conjunction with the DUTCH Test
  • The optimal serum reference ranges for estrogen, progesterone, testosterone to spot-check levels
  • How to assess melatonin status, reasons for low/high melatonin, and recommendations to correct abnormal melatonin levels.
  • How to assess 8-OHdG levels, common reasons for high 8-OHdG, and recommendations to correct elevated 8-OHdG.
  • How to assess the nutritional organic acids, what it means when Methylmalonate is high, Xanthurenate is high, and Pyroglutamate is high or low, common reasons for these markers to be abnormal, and recommendations to correct abnormal findings.
  • How to assess the neurotransmitter metabolites, what is means when HVA is low or high, VMA is low or high, or 5-HIAA is low or high, common reasons for these markers to be abnormal, and recommendations to correct abnormal findings.

Sneak peak

Enjoy a "sneak peek" of the course with this 7-minute video excerpt from the lesson on MMA (methylmalonic acid)

Contents

Module 1

Introduction to HPA Axis Dysfunction
Navigating The Course
MODULE 1: PART 1
MODULE 1: PART 2
MODULE 1: PART 3

Module 2

How to test for HPA Axis Dysfunction
MODULE 2: PART 1
MODULE 2: PART 2

Module 3

Introduction to the DUTCH Test
MODULE 3: PART 1
MODULE 3: PART 2

Module 4

The 4 Cortisol Patterns
(Metabolized Cortisol / 24-Hr Free Cortisol)
MODULE 4: PART 1
MODULE 4: PART 2
MODULE 4: PART 3
MODULE 4: PART 4
MODULE 4: PART 5
MODULE 4: PART 6
MODULE 4: PART 7
MODULE 4: PART 8
MODULE 4: PART 9
MODULE 4: PART 10

Module 5

Cortisol Awakening Response (CAR)
MODULE 5: PART 1

Module 6

Diurnal Cortisol & Diurnal Cortisone Rhythms
MODULE 6: PART 1
MODULE 6: PART 2
MODULE 6: PART 3
MODULE 6: PART 4
MODULE 6: PART 5

Module 7

11B-HSD Index (Cortisol-Cortisone Balance)
MODULE 7: PART 1

Module 8

DHEA
MODULE 8: PART 1
MODULE 8: PART 2
MODULE 8: PART 3

Module 9

Estrogen
MODULE 9: PART 1
MODULE 9: PART 2
MODULE 9: PART 3
MODULE 9: PART 4
MODULE 9: PART 5
MODULE 9: PART 6

Module 10

Estrogen Metabolism - Phase I / Phase II
MODULE 10: PART 1
MODULE 10: PART 2
MODULE 10: PART 3
MODULE 10: PART 4

Module 11

Progesterone
MODULE 11: PART 1
MODULE 11: PART 2
MODULE 11: PART 3

Module 12

Testosterone
MODULE 12: PART 1
MODULE 12: PART 2
MODULE 12: PART 3
MODULE 12: PART 4
MODULE 12: PART 5

Module 13

Melatonin
MODULE 13: PART 1
MODULE 13: PART 2
MODULE 13: PART 3

Module 14

8-OHdG
MODULE 14: PART 1

Module 15

Nutritional Organic Acids
MODULE 15: PART 1
MODULE 15: PART 2
MODULE 15: PART 3

Module 16

Neurotransmitter Metabolites
MODULE 16: PART 1
MODULE 16: PART 2
MODULE 16: PART 3

Practitioner Toolkit

DUTCH - PRACTITIONER GUIDE
REASONS FOR HIGH-LOW MARKERS QUICK GUIDE
CLUES ON THE DUTCH TEST ABOUT THYROID FUNCTION
PDF of DUTCH Training Slides - 1 per page
PDF of DUTCH Training Slides - 3 per page
SpectraCell Nutrient Wheels
BioMatrix Oil Hormones - Est-Adapt and Pro-Adapt