Testing
Hormones

DUTCH Plus™ with Insomnia

Price £354.00 (international shipping included)
Helps with...
Sleep issues
Adrenal Function
DHEA Function
Cortisol Function
Fatigue
Sample type: Dried urine & saliva
Average processing time: 21 days +/- 4 days

The DUTCH Plus™ takes hormone testing to a whole new level. In addition to sex hormones and their metabolites, the DUTCH Complete™ looks at the overall diurnal pattern of free cortisol, and the total and distribution of cortisol metabolites. The DUTCH Plus™ adds the Cortisol Awakening Response (CAR) to bring another important piece of the HPA axis into focus.

Insomnia

When patients suffer from insomnia, the 5 salivary cortisol measurements on the DUTCH Plus may not be enough to assess cortisol’s potential role in the sleep disturbances. Salivary measurements typically begin when the patient wakes and rises in the morning. It would be very helpful to also provide cortisol levels in the middle of the night when the patient is struggling to sleep, why this test includes one extra salivary cortisol measurement, to bee taken if awakening in the middle of the night.

What is the Cortisol Awakening Response and how do we test for it?

When we open our eyes upon waking, cortisol levels naturally begin to rise by an average of 50%. 30 minutes after waking, cortisol levels will still show this sharp increase. By 60 minutes after waking, cortisol levels have peaked and begin to decline. Measuring this rise and fall of cortisol levels at waking can be used as a “mini stress test”. Research shows that the size of this increase correlates with HPA-axis function, even if the sample measurements are all within range. A quick saturation of saliva swabs upon waking, and at 30 and 60 minutes after waking, provide what is required to assess a patient’s Cortisol Awakening Response.

A low or blunted Cortisol Awakening Response can be a result of an underactive HPA axis, excessive psychological burnout, seasonal affective disorder (SAD), sleep apnea or poor sleep in general, PTSD, chronic fatigue and/or chronic pain. A decreased CAR has also been associated with systemic hypertension, functional GI diseases, postpartum depression, and autoimmune diseases.

An elevated Cortisol Awakening Response can be a result of an over-reactive HPA axis, ongoing jobrelated stress (anticipatory stress for the day), glycemic dysregulation, pain (i.e. waking with painful joints or a migraine), and general depression (not SAD). A recent study* showed that neither the waking nor post-waking cortisol results correlated to Major Depressive Disorder, but the CAR calculation (the change between the first two samples) did. This measurement of the response to waking has independent clinical value showing dysfunction that may be hidden by current testing options.

Women

  • Depression
  • Fatigue
  • Low libido
  • Menopause
  • Mood swings
  • Premenstrual symptoms (PMS)
  • Weight gain

Men

  • Depression
  • Fatigue
  • Hair loss
  • Increased prostate cancer risk
  • Lower sex drive
  • Sleeping troubles
  • Weight gain

Use functional testing to set yourself on the right path

Jessica
Jessica
Needed help with...
IBS
Fatigue

Phoebe helped me uncover adrenal fatigue, not a reproductive imbalance, as the cause of my long-term health struggles. Her personalised guidance resolved my IBS, improved my allergies, and gave me control over my body and emotions. Later, she supported my recovery after sepsis, helping me rebuild my health and confidence. I can’t recommend her enough!

James
James
Needed help with...
Stress
Fatigue

Phoebe helped me repair years of damage I had caused my body through a stressful, sedentary job and drinking too much alcohol. We started with simple, manageable changes to food, supplements and movement, and I saw impressive results fast. Together, we made a breakthrough I could never have achieved alone.

Charlotte
Charlotte
Needed help with...
Digestive health
Optimal health

Phoebe’s unmatched knowledge and personalised advice transformed my health. She took the time to truly understand me as a whole person, offering deeply researched recommendations that alleviated my gut issues and improved my overall well-being. She is a joy to work with and deeply passionate about helping others live healthier, happier lives.

Katy
Katy
Needed help with...
Nervous system

The Liebling Health bespoke meal planning service has been a total lifesaver. The plans are tailored to my exact preferences and the recipes are so easy to follow. The inclusion of a weekly shopping list is genius - it saves so much time and hassle. Other services I’ve tried never felt this intuitive or personalised. Now I’m eating healthier, saving time and enjoying every meal. It’s been an absolute game-changer for me and I couldn’t be happier with the results!

Alexa
Alexa
Needed help with...
Sleep issues

I feel so grateful to Phoebe. In the last 6 months my sleep has completely changed, and I now sleep deeply, for hours at a time. Which I have never done before, and I’m in my forties. Thank you angel Phoebe.

George
George
Needed help with...
Weight Management

The Liebling Health meal planning service has completely changed the way I approach food. It’s tailored perfectly to my dietary needs, goals and even the time I have available for cooking. The detailed recipes and weekly shopping lists make everything so straightforward. I’ve tried other services but they always felt generic and left me doing extra work. This is on a whole new level of simplicity and personalisation. I’ve saved time, eaten better and actually enjoyed meal planning for the first time ever!

Bianka
Bianka
Needed help with...
Joint-pain
Irregular-periods

Phoebe helped me regain my period and reverse osteopenia within a year. With her guidance on diet, supplements, and lifestyle changes, my period is now regular, and a DEXA scan confirmed my bone health is back to normal. I’m so grateful for her support!

Ali
Ali
Needed help with...
Digestive health

I had been suffering with digestive issues for as long as I could remember, after working with Phoebe I no longer feel any discomfort and fully understand what was causing my problems all along.

Sonia
Sonia
Needed help with...
Digestion

Finally a meal planning service from someone who truly knows what they are doing. I’ve always struggled with keeping up with any kind of forward planning, after a couple of weeks it all gets too samey or feels too time consuming. The personalised approach here is next-level. The plans and recipes are not only delicious but easy to follow and the weekly shopping lists are a lifesaver. It’s so much better than the one-size-fits-all services I’ve tried before.

Martha
Martha
Needed help with...
Hormones

I’ve tried countless meal planning services but this one is a total game-changer. The format is incredibly easy to follow and I love that everything is tailored to my preferences and dietary goals. The inclusion of recipes and a weekly shopping list makes it unbelievably simple - no more guessing or last-minute dashes to the shops. I also love how it saves me time while keeping my meals exciting and delicious.

Jacob
Jacob
Needed help with...
Metabolic Health

The bespoke nature of this package is incredible. I love the fact I can even specify down to the way I tend to cook, such a simple thing to ask but so important. Compared to other services, this feels effortless and genuinely thoughtful, plus you get Phoebe’s expertise in terms of health consciousness so it’s a triple win.

Gemma
Gemma
Needed help with...
Focus
Fatigue

Phoebe’s holistic approach transformed my understanding of health, connecting nutrition, mind, and body in a way I’d never experienced before. Her insights and practical tips have stayed with me long after our sessions, improving my daily habits and overall well-being. Truly a worthwhile investment.

Bess
Bess
Needed help with...
Sleep issues
Energy levels
Food freedom

After years of digestive issues, Phoebe’s methodical, science-based approach improved my symptoms by over 95%. Her tailored recommendations addressed my diet, sleep, and energy, transforming my daily life. Even years later, I still benefit from her practical advice and continue to recommend her to friends. Phoebe’s expertise and care are unmatched.

Emily
Emily
Needed help with...
Fertility
Pregnancy

I love Phoebe’s meal plans! I wish she’d done them years ago! Her recipes are fantastic, creative and never boring but not complicated at all. I’ve tried other services but they are always generic even if you can tweak options within them. Having something that has been truly designed for me has made it easy to stay on track with my health goals.

Charlie
Charlie
Needed help with...
Fertility

For me what sets Phoebe's approach apart, is the time she takes and the space she gives you to tell your story in its entirety. This meant I felt confident that I had shared everything she may need to know, before she started joining all the dots and sharing her hypotheses. For me, her expertise resulted in my beautiful little girl!

Cara
Cara
Needed help with...
Energy levels
Bloating

After years of gut discomfort, bloating, and fluctuating energy, Phoebe helped me find relief and understand my body better. Her personalised, holistic advice resolved my symptoms and improved my well-being. Her compassionate and thorough approach made all the difference.

Joanne
Joanne
Needed help with...
Digestive health

After 30 years of digestive issues misdiagnosed as IBS and a recommendation for lifelong immunosuppressants, Phoebe helped me uncover the true root causes: dairy and gluten allergies. With her guidance, I’ve completely resolved my symptoms and restored my energy through diet, lifestyle adjustments, and supplements. Phoebe’s personalised approach and in-depth expertise have been transformative for my health and my family’s understanding of how to support our well-being naturally. I only wish I had found her sooner.

Diana
Diana
Needed help with...
Fatigue

Phoebe transformed how I approach my health, providing personalised, in-depth support and answering every question with care. Her positivity and deep knowledge make her guidance not only effective but truly inspiring. I’ve gained both practical tools and a renewed sense of motivation.

Anisah
Anisah
Needed help with...
Bloating
Digestive health
Food freedom

I reached out to Phoebe due to ongoing digestive issues (bloating/ food intolerances / heart burn/ GI irritation) which I had been suffering with for some time. After the first meeting Phoebe provided me with some recommendations and within the first 2 weeks I noticed big changes but most noticeable for me was being able to eat eggs after not being able to for almost 2 decades! I can now go out and eat at restaurants with much greater confidence and not feel worried about how I will feel after.

Hannah
Hannah
Needed help with...
Digestive health
Energy levels

After 12 years of unresolved digestive issues affecting my life, Phoebe helped me find relief within days. Her unique tests and clear recovery plan lifted years of brain fog, restored my energy, and eased my symptoms. Her tailored guidance has made a lasting difference to my health.

Henrietta
Henrietta
Needed help with...
IBS
Digestive health
Bloating

Phoebe’s expertise helped resolve my family’s gut issues, which had baffled doctors, and set me on the path to improving my back pain. Her straightforward nutrition principles are easy to follow and have made a huge difference to our health. Her positivity and practical support are invaluable.

Betty
Betty
Needed help with...
Nervous system
Joint-pain
Fatigue
Nutritient deficiencies

Seeing Phoebe has been life-changing. After surgery and Covid, I developed chronic pain and nerve sensitivity, with my symptoms worsening instead of improving. Despite spending a lot seeking help, nothing worked until Phoebe diagnosed the issue in my first session. She not only addressed my initial problems but also helped me tackle lifelong challenges. Phoebe gave me a better understanding of nutrition and how the body works. It’s not a quick fix. Commitment is key, but her expertise is unmatched. Stick with it, and you’ll transform your health and overall well-being.

Grace
Grace
Needed help with...
Anxiety
Absent periods

I had been struggling with my gut health and histamine reactions for years meaning that I was down to only eating a handful of foods, and I had also lost my period. With Phoebe's support I can now eat out without worrying about how I will feel afterwards, feel calm around food and my period has come back. All of this has meant that I feel connected back to my body and no longer feel like it is working against me - working with Phoebe has allowed me to trust myself again.

Emma
Emma
Needed help with...
Perimenopause

Phoebe helped to get me moving again with simple things like weighted walking which has amazing results. I was feeling constantly hungry even though I’d just eaten and she helped me understand why and how to overcome this. I’m now eating tastier meals, never go hungry and am losing weight.

Your questions answered

Certain tests may ask you to remove certain foods from your diet for a short period, or discontinue some supplements before taking your sample. All details of any adjustments required can be found on the individual test pages under ‘Collection Instructions’. These will also be sent to you in full with your test kit.

If the test you are taking would be impacted by medication then this will be noted on the sample form when you receive the test kit. You would just need to state the medication you are taking, the dose and when you take it. Not all tests will require this information. You must not discontinue any medication without consulting your prescribing physician.

Yes, all tests include international shipping and return by courier in the stated price.

Yes, all tests can be shipped worldwide. You will be asked for your shipping details at checkout.

Please email us at info@lieblinghealth.com if you have any issues.