Karen Martel Women's Hormone Specialist
Helping women to navigate peri & post menopause and balance their hormones to lose weight and feel their best!
Key Facts About ZRT:
Key Facts About DUTCH:
Hormone test kits are delivered via mail and are done at home.
Once completed you will send in your test kit to ZRT or Precision Analytical (DUTCH). They will send you your test results via email.
*All ZRT & DUTCH hormone test kits can be shipped internationally. However for all international orders outside of the USA please contact me for shipping prices and to place your order at karen@karenmartel.com.
*All prices in USD
Unraveling the Confusion over Saliva, Serum & Urine Testing for Steroid Hormone Levels
Saliva vs. Urine vs. Blood:
Serum (blood): for sex hormones there is no distinction in serum between bound and unbound (free) hormones. It can be misleading in which hormone levels appear as normal or even high normal because of the amount of bound hormones. If free hormone level is low, the patient can be functionally deficient even with normal total hormone levels. Serum is ideal for testing hormones such as FSH, LH, prolactin, fasting insulin, and thyroid hormones including Reverse T3, as well as thyroid antibodies. For sex hormones, serum testing has a more limited utility. I don’t recommend serum unless you are menopausal or close to it.
Saliva: Saliva test measures free, unbound, bioavailable biologically active hormones, which can be delivered to the receptors in the body’s tissues. Only unbound hormones are able to pass through into the saliva. Saliva is best used to evaluate cortisol and the balance and flow of the estrogens and progesterone in women who are still having menstrual cycles. This is a great affordable place to start on testing your hormone levels and is the gold standard for testing cortisol throughout the day. Saliva measurements are greatly affected by the use of exogenous hormones. Transdermal progesterone and testosterone, in particular, can result in supra-physiological levels in saliva testing. Because of this if you are on HRT I recommend urine testing.
Urine: Measures the hormone metabolites. Some estrogen metabolites have a protective effect on estrogen-sensitive tissues, other metabolites have a more carcinogenic effects. Measuring the hormone metabolites give us insight into what hormones are doing in the body. Analysis of 35 different hormones: estrogen, progesterone, testosterone, DHEA-S, and cortisol along with their metabolites. This is a more comprehensive test then saliva or serum. An important advantage of a 24-hour urine hormone collection is the ability to measure hormone metabolites. It is well-established that certain estrogen metabolites are “good” estrogens, having a protective effect on estrogen-sensitive tissues. Other metabolites are known to have more carcinogenic effects.
Listen to the podcast Karen did called “Everything You Need to Know About Hormone Testing.”
Female/Male Saliva Profile Eight tests: Estradiol (E2), Progesterone (Pg), Testosterone (T), DHEA-S, and 4 point Cortisol test morning, noon, evening, and night Cortisol (C).
Regular price $325
SALE Price: $275
Bonuses:
Each kit includes a FREE 20 minute consult for test interpretation and supplement suggestions (Value $50).
Assesses gonadal, adrenal, and thyroid hormones. Includes saliva: Estradiol E2, Progesterone Pg, Testosterone T, DHEA DS, Diurnal 4x Cortisol; and blood spot: Thyroid Stimulating Hormone TSH, Free T3 fT3, Free T4 fT4, Thyroid Peroxidase TPO.
Regular price: $400
SALE Price: $350
Bonuses:
Each kit includes a FREE 20 minute consult for test interpretation and supplement suggestions (Value $50).
A FREE 30 DAY HORMONE BALANCING MEAL PLAN (VALUE $50)!
The Weight Management Profile detects hormonal imbalances, thyroid and Vitamin D deficiencies linked to weight gain, obesity, and difficulty maintaining weight. Provides early detection of insulin resistance, metabolic syndrome, Type 2 diabetes. Includes blood spot: TSH (Thyroid Stimulating Hormone), Vitamin D2 and D3, Insulin, HbA1c Hemoglobin A1c saliva: E2 (estradiol), Pg (progesterone), Testosterone, DHEA(S), Diurnal 4x Cortisol.
Regular price: $400
SALE Price $350
Bonuses:
Each kit includes a FREE 20 minute consult for test interpretation and supplement suggestions (Value $60).
A FREE 30 DAY HORMONE BALANCING MEAL PLAN (VALUE $50)!
Recommended for people with chronic stress, fatigue, sleep disturbances, allergies and/or lowered immunity; indicator of adrenal imbalance. Tests adrenal hormones DHEA-S and diurnal cortisol (morning, noon, evening, nighttime). (Saliva Test).
Regular $245
SALE Price $195
Bonuses:
Each kit includes a FREE 20 minute consult for test interpretation and supplement suggestions (Value $50).
A FREE 30 DAY HORMONE BALANCING MEAL PLAN (VALUE $50)!
Our flagship product. The DUTCH Complete™ is the most advanced hormone test, offering an extensive profile of sex and adrenal hormones and melatonin, along with their metabolites, to identify symptoms of hormonal imbalances. Easily collected in the comfort of your own home, samples are then sent to our lab to be processed. The DUTCH Complete™ is the most accurate test providing a complete assessment of hormonal health.
The kit includes:
• Easy directions and filter paper collection strips
• Requisition form for patient information, pertinent supplements, medications, hormone replacement and a health questionnaire
• Sealable return envelope
The results include:
• Analysis of 35 different hormones: estrogen, progesterone, testosterone, DHEA-S, and cortisol along with their metabolites
• Daily free cortisol patterns to provide insight into adrenal insufficiency or symptoms of chronic stress
• DUTCH OATs: Oxidative stress marker – 8-Hydroxy-2-deoxyguanosine, melatonin, and six organic acid tests including markers for vitamin B12, vitamin B6, kynurenate, glutathione, dopamine, norepinephrine/epinephrine.
The results include:
Price: $399
Bonuses:
Each kit includes a FREE 20 minute consult for test interpretation and supplement suggestions (Value $50).
*DUTCH tests can be shipped worldwide please contact us for prices.
The DUTCH Plus® takes hormone testing to a whole new level. In addition to sex hormones and their metabolites, the DUTCH Complete™ looks at the overall diurnal pattern of free cortisol, and the total and distribution of cortisol metabolites. The DUTCH Plus® adds the Cortisol Awakening Response (CAR) to bring another important piece of the HPA-axis into focus.
The DUTCH Plus® uses four dried urine samples and five saliva samples. These samples are collected over the course of one day, from waking to bed time.
The DUTCH Plus® report includes: Metabolites of Estrogens (10, including E1, E2, E3, 2-OHE1, 4-OH-E1, 2-OH-E2, 4-OH-E2, 16-OH-E1, 2-methoxy-E1, 2-methoxy-E2) , Androgens (8, including Testosterone, DHT and DHEA-S), Progesterone (2), Cortisol (3), Melatonin (6OHMS), 8-OHdG, and OATs (6).
The diurnal pattern of Free Cortisol and Cortisone are also provided, including the Cortisol Awakening Response.
Price: $499
Bonuses:
Each kit includes a FREE 20 minute consult for test interpretation and supplement suggestions (Value $50).
*DUTCH tests can be shipped worldwide please contact us for prices.
California
Maryland
New York
*We can however ship DUTCH to those states.
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Activate your test and collect your sample in the morning. Return your sample on the same day, using the prepaid shipping label provided.
Once your sample arrives in the laboratory, confidential results will be available from your secure online account within 2 to 5 days.
Your health record is reviewed in real-time by a LetsGetChecked physician and additional support services will be provided to you as needed. Once your sample has been processed, their team of physicians will review your results. A member of the nursing team will contact you to deliver your results and discuss the next steps. They can provide advice on lifestyle changes to improve your health and in some cases they can offer prescriptions.
Ships to the US only.
*Please note LetsGetChecked test kits DO NOT include a free interpretation session or meal plan.
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Price $99
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Price $119
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