Adrenal Stress Test – DUTCH Urine Test for Cortisol & Burnout Support

Package Options
 

Always tired, wired at night, or struggling with stress? The DUTCH Adrenal Stress Test checks your cortisol rhythm and adrenal hormone levels, giving insight into how your body is coping with stress. Ideal for people experiencing burnout, anxiety, poor sleep, or energy crashes throughout the day.

Measures cortisol and DHEA-S to assess adrenal function and stress response
Helps uncover patterns linked to fatigue, poor sleep and hormonal imbalance
✅ Receive personalised dietary, supplement and lifestyle recommendations from our expert team.

Test information

  • If you are ordering tests for more than one person in the same household, please select a quantity of 1 per individual so that we can record a complete medical history for everyone.
  • Turnaround time: approx 3 weeks.

Prices

  • Lab test results & personalised written report – £320
  • Lab test results & 30 minute zoom call – £340
  • Lab test results & 30 minute zoom call & personalised written report following your call – £360

All prices are in GBP and include VAT where applicable.

£320.00
 
 

The DUTCH Adrenal is a urine test that offers results similar to saliva testing, but also includes metabolite measurements for a clearer picture of overall cortisol production. It measures daily free cortisol, daily free cortisone, cortisol metabolites (a-THF and b-THF), cortisone metabolites (b-THE), and DHEA-S. The test is straightforward to use, with urine samples collected on filter paper strips—no blood draw or 24-hour urine collection required.

Frequently asked question

In addition to your lab report we provide the following options which are INCLUDED in the package prices:

A) Follow up personalised written report produced by our clinical team highlighting dietary and lifestyle advice plus links to supplement protocols, specific doses and any further testing requirements. We use the patient information you provide us at checkout along with your results to compile personalised action points for you.

OR

B) Follow up 30-minute video call to discuss your results and answer any questions you have. Once the lab has completed your results you will be sent these via email with a link to book a time and day online. You will also then be given the option to upgrade your 30-minute call to a 45-minute call for an additional £30 if you wish. During the call your practitioner will explain the results in more detail and what they mean for you. After your call you are sent a personalised list of supplements & the dose your practitioner advises with links to purchase from our supplements store.

OR

C) Both Zoom call and written report with personalised next steps (Zoom call is first and written report follows).

Cortisol, cortisone and metabolites related to cortisol are tested by LC-MS/MS

DUTCH Adrenal can help identify the root causes of adrenal imbalances in both women and men. It gives more information than just testing the free cortisol patterns alone. While the free cortisol pattern in saliva has clinical value, there is a significant missing piece to surveying a patient’s HPA-Axis function with saliva testing – measuring cortisol metabolites.

Note, this panel does not include the sex hormone metabolites or organic acids. This test may be especially useful for women on oral birth control or for women without ovaries, where the DUTCH Complete would not be appropriate.

24 hour free cortisol
24 hour free cortisone
a-Tetrahydrocortisol (a-THF)
b-Tetrahydrocortisone (b-THE)
b-Tetrahyrodcortisol (b-THF)
Cortisol (free) x 4
Cortisone (free) x 4
DHEA-S
Metabolized cortisol (THF+THE)

This dried urine screen kit is posted to you within 48 hours from the UK so you should receive your test kit within a few days via DHL. You can then arrange DHL to collect your sample using the freepost returns. If you are ordering from outside the UK we will ship via DHL or Fedex with return labels.

When we receive your results back from Precision Analytical Laboratory in the USA (approx 2-3 weeks) we will email you your PDF report and provide support depending on which package you select at checkout.

This kit is shipped by express courier. We currently deliver worldwide except to Australia, Bermuda, Gibraltar, New Zealand, Singapore & Thailand.

The fee depends on the support package chosen:

Lab results + written report – the price covers the laboratory analysis and a personalised written interpretation of the results.

Lab results + video call – the price covers the laboratory analysis and, once results are ready, an email with a link to book the 30-minute video consultation with our functional medicine team.

Lab results + video call + written report – the price covers the laboratory analysis, a personalised written interpretation of the results, and an email link to book the 30-minute video consultation.

This test is suitable from age 12 and over