video1.0<iframe src="https://www.loom.com/embed/a5a25f3dad5b4b2aaecbb7770d89d7b2" frameborder="0" width="1440" height="1080" webkitallowfullscreen mozallowfullscreen allowfullscreen></iframe>10801440Loomhttps://www.loom.com10801440https://cdn.loom.com/sessions/thumbnails/a5a25f3dad5b4b2aaecbb7770d89d7b2-54e1c25fed7d25ff.gif129.838This Loom explains what the Dutch Adrenal test measures and how it can reveal adrenal issues that a standard cortisol test may miss. The test uses dry urine collected four times daily (waking, two hours after waking, dinner, and bedtime) to measure free cortisol, cortisone, 24-hour totals, and a cortisol clearance rate. In a 49-year-old perimenopausal female sample, cortisol values are low and 24-hour free cortisol totals are 58 below the reference range, yet metabolized cortisol is above range, indicating adrenal production is high while circulating cortisol remains low. The cortisol clearance rate suggests the body burns through cortisol rapidly, DHEAS is 16 below range, and the overall pattern points to cortisol being made at the cost of DHEA.