Balance Hormone Profile (Dried Urine)

Urine

Performed by: Meridian Valley Lab

Biomarkers included in this panel:

11-Dehydrotetrahydrocorticosterone (THA)

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11b-Hydroxyandrosterone

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11b-Hydroxyetiocholanolone

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11-Hydroxy-etiocholanolone is a compound that is an end product of androgen catabolism. Androgens are important hormones in the health of both men and women. Testosterone and DHEA are metabolized into what is collectively known as the 17-keto

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16a-OH Estrone (16aOHE1)

Urine

16α-OH E1 is a metabolite of estrone with dual roles: it has been linked to carcinogenic activity while also playing a crucial role in bone formation. Extremely high or low levels can be problematic. Elevated levels may indicate impaired estrog

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1st Morning Cortisol

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1st Morning Cortisone

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1st Morning Creatinine

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2-Methoxyestradiol

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The 2-Methoxy Estrogens are considered to be protective. 2-Methoxy estrogens are produced from 2-OH estrogens through the COMT enzyme. Anti-cancerogenic effects have been ascribed to 2-OH estrogens and particularly 2-Methoxy estroge

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2-Methoxyestrone

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The 2-Methoxy Estrogens are considered to be protective. 2-Methoxy-E1 is produced from 2-OH-E1 through the COMT enzyme. Anti-cancerogenic effects have been ascribed to 2-OH-E1 and particularly 2-Methoxy-E1. 2-Methoxy-E1 has shown antiproliferat

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2-OH Estrone (2OHE1)

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2/16 Ratio

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An optimal 2/16α ratio falls between 2 and 4. Ratios below 2 may suggest an increased risk of breast cancer, though this concern is less significant when overall estrogen levels are low. Supporting estrogen metabolism toward 2-OH E1 with target

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2nd Morning Cortisol

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2nd Morning Cortisone

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2nd Morning Creatinine

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4-OH Estrone (4OHE1)

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5a-Androstanediol

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5a-THF/THF Ratio

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5b-Androstanediol

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5β-Androstanediol is a metabolite of testosterone formed through the 5β-DHT pathway. It plays a role in assessing androgen metabolism and provides insights into 5β-reductase activity. Measuring this metabolite, along with others like 5

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5b-Pregnanediol

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6-Sulfatoxymelatonin (1st Morning)

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Urinary 6-Sulfatoxymelatonin (MT6s) is the main metabolite of melatonin. Melatonin assists in the body’s sleep/wake cycle and is also a very powerful antioxidant. Primary production is in the pineal gland. The GI mucosa is a significant sour

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Adrenal Reserve (THE+5a-THF+THF)

Urine

Adrenal reserve, represented by the marker THE+5α-THF+THF (tetrahydrocortisone, 5-alpha-tetrahydrocortisol, and tetrahydrocortisol) on a dried urine essential hormone profile, is a critical indicator of adrenal gland function, particularly in w

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Afternoon Cortisol

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Afternoon Cortisone

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Afternoon Creatinine

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Allo-Tetrahydrocorticosterone (5a-THB)

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Allo-Tetrahydrocorticosterone (5α-THB) is a significant biomarker in dried urine panel analysis, offering vital insights into the body's hormonal balance and stress response. As a metabolite of cortisol, 5α-THB is crucial in understan

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Allo-Tetrahydrocortisol (5a-THF)

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Andro/Etio Ratio

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The Andro/Etio ratio compares the levels of two key androgen metabolites, androsterone (Andro) and etiocholanolone (Etio), which are produced from DHEA and androstenedione through the 5α- and 5β-reductase pathways, respectively. This ratio

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Androsterone

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Androsterone is a DHEA metabolite via the 5-alpha-reductase pathway. The 5-alpha pathway is more androgenic. 

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Cortisol (F)

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Cortisol/Cortisone Ratio (11b-HSD II)

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Cortisone (E)

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DHEA

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DHEA is produced in the adrenal glands and is a precursor to both testosterone and estrogen. DHEA also affects bone density, response to stress, mood and cognitive function, improves insulin sensitivity, and is associated with decreased cardiovascula

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DHT

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Estradiol (E2)

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The most physiologically active estrogen. Binds to both to ER and Estrogen Receptor Beta (ERβ). Estradiol, made in the ovary, rapidly converts to estrone. Poor symptom control with estrogen replacement may suggest the need for improving abs

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Estriol (E3)

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Estrogen Quotient

Patients with an EQ>1 have a higher survival rate after breast cancer, and may be at decreased risk for developing breast cancer. EQ often declines as women enter menopause.

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Estrone (E1)

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Produced by the ovaries, the estrone hormone is one of three types of estrogen, and it is one of the major hormones found in the bodies of postmenopausal women. While research into estrone function is still ongoing, since it is the least powerful of

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Etiocholanolone

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Etiocholanolone is a DHEA metabolite that is excreted in the urine. It is produced from androstenedione and the 5-beta-reductase metabolic pathway. It is helpful in evaluating adrenal and androgen function.

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Free T3

Urine

A T3 (=triiodothyronine) test is a blood test that helps diagnose thyroid conditions, specifically hyperthyroidism (overactive thyroid). Healthcare providers typically order this test alongside other thyroid function tests. High or low T3 levels m

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Free T4

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Free T4, or free thyroxine, is an essential thyroid hormone that plays a crucial role in regulating metabolism and overall health. While conventional thyroid function tests typically measure Free T4 in blood samples, it's less common to assess Fr

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Kynurenic

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Kynurenic Acid is product of the metabolism of L-Tryptophan and appears in urine in Vitamin B6 deficiencies. Your body needs vitamin B6 (pyridoxine) to utilize amino acids derived from dietary protein.

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Methylation Ratio

A comparison of 2-Methoxyestrone with 2OHE1 allows insight into methylation pathways. If the methylation ratio is on the low end of the reference range, consider adding supplements to improve methylation. If needed, consider further testing for methy

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Na/K Ratio

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The Na+/K+ (sodium-to-potassium) ratio is a critical marker of mineral balance and is closely linked to kidney and adrenal function. Sodium and potassium are essential electrolytes involved in blood pressure regulation, muscle contraction, and cell-t

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Night Cortisol

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Night Cortisone

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Night Creatinine

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Potassium

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Pregnanetriol

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Sodium

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Testosterone

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Testing testosterone levels in women through dried urine tests is an effective and convenient method for assessing hormonal balance.  Testosterone is typically associated with men, but women also produce this hormone in smaller quantities. It

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Tetrahydrocorticosterone (THB)

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Tetrahydrocortisol (THF)

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Tetrahydrocortisone (THE)

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Total (E1 + E2 + E3)

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Xanthurenic

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Xanthurenic acid is a metabolite in the tryptophan degradation pathway, produced during the metabolism of tryptophan to niacin (vitamin B3) via the kynurenine pathway. Its levels are influenced by vitamin B6 status, as adequate B6 is required for the

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