What testing is used to prescribe BHRT?
At Meeting Point Health, we will use Precision Analytics DUTCH Hormone Test or Vibrant Wellness. Depending on where you are in treatment, and what hormones we are testing, the collected specimen may be saliva, urine, or blood.
These panels are an in-depth comprehensive review of sex and adrenal hormones including:
- 24 hour cortisol
- DHEA
- Estrogen metabolites and ratios
- Progesterone metabolites and ratio to estrogen
- Testosterone metabolites
We’ll often combine a hormone panel with other tests such as:
- Complete Thyroid Panel
TSH – an indicator of how hard your thyroid is working to increase immunity and metabolism - Thyroxine Binding Globulin – a high estrogen indicator
Total T3 and T4 (protein bound) – inactive circulating hormone - Free t3 and t4 (unbound) – activate circulating hormone
- Reverse T3 – slows down your metabolism to save resources
- Anti TPO antibodies – indicator of autoimmune thyroiditis
- Anti-thyroglobulin antibodies
- Iodine – used in the thyroid to make hormone
- Selenium – a necessary cofactor used by an enzyme in the liver to activate T3
Total Toxin Burden
- Mycotoxins – can degenerate phospholipids which make up the cell membranes of hormones
- Heavy Metals – interfere with hormone production, oxygenation and liver function
- Plastics – the biggest endocrine disruptors as these are xenoestrogens (fake estrogen)
- Herbicides and Pesticides – destroy gut health and affect insulin sensitivity and immunity
- Chemical Solvents and Emissions
- Neurotransmitters – these affect mood, energy, digestion and more
- Melatonin – a sleep hormone that also acts as an antioxidant that is immune protective
We also may add testing for serum luteinizing hormone (LH) and follicle stimulating hormone (FSH) – these are hormones from your brain that work together with your ovaries or testes to stimulate production of your sex hormones.








