COMPENDIUM ON FUNCTIONAL MEDICINE - Flipbook - Page 885
● Maintenance: Annual testing for 2-3 years after normalization
Hormone Testing
When to Order:
● Fatigue, low energy, or poor exercise recovery
● Sleep disturbances or insomnia
● Mood disorders, anxiety, or depression
● Menstrual irregularities or severe PMS
● Fertility challenges or low libido
● Weight loss resistance, especially central adiposity
● Hair loss or skin changes
● Temperature regulation issues
Key Tests:
DUTCH Test
Provides comprehensive analysis of sex and adrenal hormones,
their metabolites, and metabolic pathways [49, 50].
Thyroid Antibody Testing
Identifies potential autoimmunity against thyroid tissue that often
precedes functional thyroid changes [51].
Four-Point Cortisol Testing
Assesses cortisol rhythm throughout the day, providing insight into
HPA axis function [52].
Sex Hormone Testing
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