A guide to the two hormonal assessments I use most, so you know what you're looking at and why it matters for your health picture. Hormonal tests are not interchangeable: each one captures a different layer of the picture, from a deep look at what your body does with its hormones across a full day, to real-time daily tracking over weeks.
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.
This is a single-day picture. It shows patterns within that day, not how your hormones move week to week over time.
DUTCH gives 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, 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 the most complete hormonal picture.
| Feature | DUTCH Plus | Mira |
|---|---|---|
| Format | Dried urine + saliva | Daily urine wands |
| Time scope | One full day | Ongoing / daily |
| Hormone metabolism | Yes, full breakdown pathways | No |
| Cortisol rhythm | Full day pattern + CAR | No |
| Cycle tracking | One point | Full cycle trends |
| Often used | For a deeper one-time read | Together, for the fullest picture |
A free 30-minute call. We talk about what you're dealing with, and whether this approach makes sense for where you are. No pressure, no pitch.
Book your free discovery callI'm not a doctor and I don't diagnose. I'm a metabolic health practitioner (FDN-P). Nothing here is medical advice.