Why are people using the Dutch test so much when what matters is hormone levels?

Stella123

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The Dutch test looks at pathways of hormones/the effects of the liver, not the actual hormone production in the body so why are people so into using it so much if what matters is the secreted levels of hormones in the body?

"The hormones in the urine are mostly glucuronidated or sulfated, and so represent liver metabolism more than hormonal effects."

-The case is not closed on whether the pathways are truly valuable. Some experts think it's really important, while others don't. This is a really interesting article: https://imcwc.com/wp-content/uploads/2014/07/Estrogen-Metabolite-2-16-Ratio-Schor.pdf
-Why would providers not start with just a blood test? Yes, I know it doesn't capture tissue hormones, but still, it gives some good data.

Basically just not getting the marketing push to run the Dutch when what seems to really matter is the level of secreted hormones in the body, and not the effects of the liver.

Ex. attached.
 

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