Beyond Normal. Into Optimal.
- DUTCH Test Full Hormone Metabolites
- Thyroid Beyond TSH
- Adrenal Cortisol Mapping
- Integrates with Hormone Optimization Program
What Standard Testing Was Never Designed to Find.
Thyroid, Beyond TSH
Functional Thyroid Optimization
The most common missed diagnosis in medicine. We look properly.
Standard thyroid testing measures TSH, a pituitary signal, not a thyroid function marker. Arbour Longevity measures Free T3, Free T4, Reverse T3, thyroid antibodies, and the conversion efficiency between T4 and active T3, the complete picture of thyroid function that reveals subclinical hypothyroidism, Hashimoto's autoimmune thyroiditis, and conversion dysfunction that TSH alone will never show.
Arbour Longevity approach: Full thyroid panel including Free T3, Free T4, Reverse T3, TPO/TgAb antibodies · Nutritional support for thyroid function (selenium, zinc, iodine assessment) · Autoimmune trigger identification · Integration with hormone optimization when indicated
Common Presentations
- Fatigue
- Weight gain
- Cold intolerance
- Brain fog
- Hair loss
- Depression
HPA Axis · Adrenal Function
Adrenal & Cortisol Dysregulation
The stress response that stopped responding correctly.
The hypothalamic-pituitary-adrenal (HPA) axis regulates the body's stress response, and its dysregulation is one of the most pervasive and most overlooked contributors to fatigue, sleep disruption, weight gain, immune dysfunction, and hormonal imbalance. The DUTCH test maps cortisol across the full diurnal curve, revealing patterns that a single blood draw cannot capture.
Arbour Longevity approach: DUTCH test for comprehensive cortisol metabolite mapping · Identification of HPA dysregulation pattern · Targeted adaptogenic, nutritional, and lifestyle protocols · Integration with sleep and stress physiology
Common Presentations
- Morning fatigue
- Afternoon crash
- Salt cravings
- Poor stress resilience
- Insomnia
- Anxiety
Sex Hormone Metabolism
Estrogen Dominance & Hormone Metabolism
It is not just how much estrogen. It is what your body does with it.
Estrogen dominance, driven by impaired clearance, gut dysfunction, or environmental xenoestrogen load, produces a distinctive symptom picture regardless of total estrogen levels. The DUTCH test reveals not just hormone levels but the metabolic pathways through which hormones are processed, identifying the specific methylation and detoxification dysfunctions driving symptoms.
Arbour Longevity approach: DUTCH full panel for hormone metabolite pathways · MTHFR genomic assessment for methylation capacity · Gut support for enterohepatic hormone clearance · Nutritional DIM/calcium-D-glucarate support when indicated
Common Presentations
- PMS
- Mood changes
- Breast tenderness
- Weight gain
- Fibrocystic
- Fatigue
Integrates with Arbour Longevity Hormone Optimization
Functional Medicine + Hormone Therapy
Finding why, then treating what.
Functional hormone medicine and Arbour Longevity's hormone optimization program are designed to work together, not as competing approaches. Functional assessment identifies the root causes of hormone disruption: gut dysfunction impairing clearance, nutrient deficiencies limiting production, and HPA dysregulation suppressing signaling. Hormone therapy then restores what functional interventions cannot fully correct. The two together produce outcomes neither achieves alone.
Functional Hormone Medicine · Ann Arbor
Normal Isn't the Same As Optimal.
Schedule a functional hormone assessment at Arbour Longevity. We run the tests that reveal what is actually happening, not just whether you cross the threshold for disease.
- DUTCH Test Available
- Full Thyroid Panel
- Pricing at Consultation
Regenerative medicine and aesthetic arts: where science meets the artistry of transformation.
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