A guide to three different types of hormonal assessment, so you know what you're looking at and why it matters for your health picture.
A snapshot of your hormone levels on the day of the draw. Think of it as a photo, it shows where things stand at that one moment, not how they move over time.
With the broader Function Health panel, you also get a view into how your thyroid is functioning, whether your blood sugar is stable, how your liver is processing things, and whether your iron stores are adequate. It's a much fuller metabolic picture, not just hormones.
Hormones shift throughout the day and throughout the month. One blood draw tells you the number on that day, it won't tell you if that number is typical for you, or how your body handles and clears hormones over time.
A much deeper look than a blood test. The DUTCH doesn't just show you hormone levels, it shows you what your body is doing with those hormones. Are you breaking down estrogen through a safer or riskier pathway? Is your cortisol pattern supporting you or working against you? Are you clearing everything properly?
It also picks up clues about your sleep quality (via melatonin), your stress response across the full day, and whether your cells have what they need to process hormones well, including B vitamins and methylation support.
When you feel something is off, fatigue, poor sleep, mood shifts, weight changes, unexplained symptoms, but standard blood work comes back "normal." This test looks where blood tests don't.
Like serum, this is a single-day picture. It shows patterns within that day, not how your hormones move week to week over time.
Both serum and DUTCH give you a picture of a single day. Mira gives you the whole movie. You test daily with a small urine wand and see how your hormones actually move across your full cycle, week by week, month by month.
You can see exactly how your hormones move across each phase of your cycle, when estrogen peaks, whether progesterone rises as it should, and how those patterns shift over months. Especially valuable when cycles become unpredictable or symptoms vary throughout the month.
A blood test on day 21 tells you one number. Mira shows you the full arc, the rise, the peak, the drop, and whether it's consistent. That's a completely different level of insight, and it's happening in your real daily life, not in a lab.
DUTCH Plus. Mira shows you the pattern across time; DUTCH shows you the quality of what's happening on a given day. Together they give you the most complete hormonal picture.
| Feature | Serum | DUTCH Plus | Mira |
|---|---|---|---|
| Format | Blood draw | Dried urine + saliva | Daily urine wands |
| Time scope | Single moment | One full day | Ongoing / daily |
| Hormone metabolism | No | Yes, full breakdown pathways | No |
| Cortisol rhythm | Morning only | Full day pattern + CAR | No |
| Cycle tracking | One point | One point | Full cycle trends |
| Ideal first step | Yes, for baseline | Yes, for deeper work | Yes |
Once you have your results, I translate them into plain language and build a personalized protocol around them. Two ways to work together depending on how much support you want.
Prices listed in USD. If you're paying in another currency, we'll sort it out during the discovery call.