Services
DUTCH Cycle Mapping Plus At-Home Test
Advanced hormone testing that tracks estrogen and progesterone throughout your menstrual cycle and analyzes 35+ hormones. Get a complete, high-resolution view of hormone balance, ovulation timing, and stress response.
Includes at-home test + Medical Provider results review.
Disclaimer: Currently shipping within the U.S. only. Cannot ship to NY or Puerto Rico. Orders to Canada are temporarily on hold for approximately 2–4 weeks.
$875.00
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NORMALLY $499, discounted to $150
What is a Therapeutic Plasma Exchange?
Therapeutic plasma exchange (TPE) is a cutting-edge medical service that refreshes the patient’s plasma (the liquid part of the blood) in order to remove particles that are known contributors to disease and accelerated aging.
Therapeutic Plasma Exchange at Next Health includes a Baseline Test and a Total Tox Burden Test before each session. This empowers you to monitor the impact of TPE on your health journey and maximize your results. Post session labs can be purchased at an additional cost.
How Does Plasma Exchange Work?
Plasma is removed through an IV and centrifuge with the goal of extricating harmful substances such as proteins that cause plaque build-up, autoimmune conditions, arthritis, and even neurodegenerative disorders such as Alzheimer’s disease. Critical components such as red blood cells and immune cells are separated from the plasma and returned to the body for healthy functioning. The plasma itself is replaced with a saline, vitamin-packed solution to nourish the body. The purpose of this replacement therapy is to replace substances that aren't working properly in your body with ones that are more effective.
TPE is performed under the care of a licensed medical provider and monitored by healthcare professionals. The process will take about 2-4 hours, and can be done on an outpatient basis.
Why Would You Need a Therapeutic Plasma Exchange?
TPE has been used as part of treatment plans for Alzheimer’s disease, inflammatory conditions, chronic viral infections, kidney issues, and more by reducing the protein and harmful components in the body. Over time, these proteins have a compounding effect on the body that contributes to and worsen these conditions.Now, this service is available to those looking to take a proactive approach to their health as research shows TPE has promising benefits for those looking to live healthier and longer. By reducing and eliminating common contributors to disease with TPE, you are empowered to change the trajectory of your health for the better.
Therefore, this service is a great option for anyone aiming to enhance their longevity lifestyle and feel their healthiest. It can especially benefit individuals with:
Elevated lipoprotein (a) and other lipid levels
High levels of inflammation
Family history of neurodegenerative disorders like Dementia
The Revolutionary Longevity Treatment
Think of Therapeutic Plasma Exchange as an “oil change” for your blood. This cutting-edge medical procedure is designed to optimize your body’s performance, reduce systemic inflammation, slow the aging process, and support overall vitality.
What are the Benefits of Plasma Exchange?
After removal, beneficial components are added back into the body for a variety of potential results:
VIEW MEDICAL STUDIES
- Reduce inflammation to counteract aging
- Feel mentally sharp, enhance memory capability, and more
- Support heart health and circulation
- Aid detoxification and elimination of toxins
- Strengthen immunity to stay healthy and get sick less often
- Rejuvenate overall health
What Are The Potential Benefits
Increase Energy Levels
Improve Focus & Concentration
Reduce Inflammation
Enhance Skin Health
Build Immunity
Improve Sleep Quality
Have questions about if the Renew Package is right for you?
Request to speak to a Wellness Expert below who can answer any questions you may have:
Why We're Different Than Your Doctor
At Next Health, we stand apart from traditional medical practices in several fundamental ways that prioritize your proactive health and wellness:
We Optimize, Not Normalize
In conventional medicine, doctors often rely on "normal" lab results, which can sometimes be limited in providing a comprehensive view of your health. The concept of "normal" is based on the middle 95% of results, fitting within a typical bell-shaped curve. This means that even if you fall from the top 90% to the bottom 10% for a particular marker, it could still be considered "normal." At Next Health, we take a different approach. Our Functional Medicine Experts understand that what's optimal for you might differ from a generalized "normal." We utilize a unique reference range to assess your optimization, aiming for your best possible health.
We Are 17 Years Ahead
Studies published in prestigious medical journals, including the Annals of Internal Medicine and the Journal of the American Medical Association, have shown that physicians can lag behind the latest research by an average of 17 years. At Next Health, we're committed to breaking that cycle. We bring you to the forefront of health optimization by offering cutting-edge medical services that are backed by the latest scientific advancements. This means you receive care that is current, effective, and aligned with the most up-to-date research available.
Personalized Approach
The average American spends a mere 20 minutes with their primary care provider annually, leaving minimal room for exploring the intricacies of your individual health needs. Recognizing that every individual's health journey is unique, we take a personalized approach at Next Health. We understand that your body, history, and goals are distinct, and we tailor a health optimization plan that best suits your specific needs. Our aim is to guide you toward the best possible results based on your individual circumstances.
Next Health Fans of TPE
Jim Kwik
dr. Mindy Pelz
Ben Greenfield
Mona Sharma
TROY Aikman
Orlando Bloom
Available at These Next Health Locations
Highlights May Include:
The Power of Understanding Your Cycle
Understanding hormone levels is essential, but understanding how hormones change across your menstrual cycle is transformative. Symptoms often depend on when hormone shifts occur, not just whether levels fall within a “normal” range. This comprehensive, full-cycle assessment tracks nine targeted estrogen and progesterone measurements throughout your cycle to evaluate the follicular, ovulatory, and luteal phases.
By measuring hormones at multiple points, the test reveals ovulation timing, luteal phase health, and overall cycle balance, which are critical for understanding fertility, PMS, hormonal migraines, and irregular cycles in ways single-day blood or saliva tests cannot.
The test also includes advanced hormone metabolite analysis and the Cortisol Awakening Response (CAR), offering insight into how stress impacts your hormones, energy, mood, and recovery. This allows our Medical Providers to identify drivers behind cycle irregularities, PCOS patterns, mood changes, and stress-related hormone disruption.
Your results are reviewed by a Next Health Medical Provider, who uses your cycle-specific data to create a personalized plan supporting hormone balance, cycle health, fertility goals, and stress optimization.
The Power of Understanding Your Cycle
Understanding hormone levels is essential, but understanding how hormones change across your menstrual cycle is transformative. Symptoms often depend on when hormone shifts occur, not just whether levels fall within a “normal” range. This comprehensive, full-cycle assessment tracks nine targeted estrogen and progesterone measurements throughout your cycle to evaluate the follicular, ovulatory, and luteal phases.
By measuring hormones at multiple points, the test reveals ovulation timing, luteal phase health, and overall cycle balance, which are critical for understanding fertility, PMS, hormonal migraines, and irregular cycles in ways single-day blood or saliva tests cannot.
The test also includes advanced hormone metabolite analysis and the Cortisol Awakening Response (CAR), offering insight into how stress impacts your hormones, energy, mood, and recovery. This allows our Medical Providers to identify drivers behind cycle irregularities, PCOS patterns, mood changes, and stress-related hormone disruption.
Your results are reviewed by a Next Health Medical Provider, who uses your cycle-specific data to create a personalized plan supporting hormone balance, cycle health, fertility goals, and stress optimization.
What This Test Measures
- Cycle-mapped estrogen & progesterone – nine targeted measurements across the follicular, ovulatory, and luteal phases
- Sex Hormones – including testosterone and DHEA-S
- Hormone metabolites – how your body metabolizes and clears hormones
- Cortisol & adrenal function – cortisol production, metabolism, and daily patterns
- Cortisol Awakening Response (CAR) – immediate cortisol rise after waking
- Oxidative stress – DNA and cellular stress marker
Who Should Consider This Test
This advanced hormone panel is recommended for women who want deeper insight into cycle‑related hormone patterns, including those experiencing:
- Irregular or unpredictable menstrual cycles
- Fertility or preconception concerns
- Hormonal migraines or PMS
- Suspected estrogen or androgen dominance
- PCOS presentations
- Mid‑cycle spotting or luteal phase concerns
- Stress‑related hormone symptoms or burnout
*This test is not intended for women currently using hormonal birth control.
What This Test Measures
- Cycle-mapped estrogen & progesterone – nine targeted measurements across the follicular, ovulatory, and luteal phases
- Sex Hormones – including testosterone and DHEA-S
- Hormone metabolites – how your body metabolizes and clears hormones
- Cortisol & adrenal function – cortisol production, metabolism, and daily patterns
- Cortisol Awakening Response (CAR) – immediate cortisol rise after waking
- Oxidative stress – DNA and cellular stress marker
Who Should Consider This Test
This advanced hormone panel is recommended for women who want deeper insight into cycle‑related hormone patterns, including those experiencing:
- Irregular or unpredictable menstrual cycles
- Fertility or preconception concerns
- Hormonal migraines or PMS
- Suspected estrogen or androgen dominance
- PCOS presentations
- Mid‑cycle spotting or luteal phase concerns
- Stress‑related hormone symptoms or burnout
*This test is not intended for women currently using hormonal birth control.
What's Included
Purchase of the DUTCH Cycle Mapping Plus At-Home Test includes:
- At-home DUTCH Cycle Mapping Plus Test Kit & step-by-step collection instructions
- Requisition form to document medications, supplements, and health information
- Prepaid envelope to mail samples to the lab
- Results review with a Medical Provider
- Personalized hormone optimization plan based on your results
How It Works
- Order Your Test Kit – Shipped directly to your door in 2-3 business days
- Collect Samples Across Your Cycle – First‑morning urine samples on specific days throughout your menstrual cycle, along with saliva samples upon waking to measure the Cortisol Awakening Response (CAR)
- Return Your Sample – Once collection is complete, return your samples using the prepaid envelope included in your kit
- Advanced Laboratory Analysis – Hormones and metabolites are analyzed using LC‑MS/MS, the gold standard for hormone testing, ensuring precise and reliable results
- Receive Your Results – Meet one-on-one (virtual or in-person) with a Next Health Medical Provider to review your comprehensive report and receive a personalized action plan based on your results. *Results typically take 2-3 weeks once the lab receives your sample
What's Included
Purchase of the DUTCH Cycle Mapping Plus At-Home Test includes:
- At-home DUTCH Cycle Mapping Plus Test Kit & step-by-step collection instructions
- Requisition form to document medications, supplements, and health information
- Prepaid envelope to mail samples to the lab
- Results review with a Medical Provider
- Personalized hormone optimization plan based on your results
How It Works
- Order Your Test Kit – Shipped directly to your door in 2-3 business days
- Collect Samples Across Your Cycle – First‑morning urine samples on specific days throughout your menstrual cycle, along with saliva samples upon waking to measure the Cortisol Awakening Response (CAR)
- Return Your Sample – Once collection is complete, return your samples using the prepaid envelope included in your kit
- Advanced Laboratory Analysis – Hormones and metabolites are analyzed using LC‑MS/MS, the gold standard for hormone testing, ensuring precise and reliable results
- Receive Your Results – Meet one-on-one (virtual or in-person) with a Next Health Medical Provider to review your comprehensive report and receive a personalized action plan based on your results. *Results typically take 2-3 weeks once the lab receives your sample
The Power of Understanding Your Cycle
Understanding hormone levels is essential, but understanding how hormones change across your menstrual cycle is transformative. Symptoms often depend on when hormone shifts occur, not just whether levels fall within a “normal” range. This comprehensive, full-cycle assessment tracks nine targeted estrogen and progesterone measurements throughout your cycle to evaluate the follicular, ovulatory, and luteal phases.
By measuring hormones at multiple points, the test reveals ovulation timing, luteal phase health, and overall cycle balance, which are critical for understanding fertility, PMS, hormonal migraines, and irregular cycles in ways single-day blood or saliva tests cannot.
The test also includes advanced hormone metabolite analysis and the Cortisol Awakening Response (CAR), offering insight into how stress impacts your hormones, energy, mood, and recovery. This allows our Medical Providers to identify drivers behind cycle irregularities, PCOS patterns, mood changes, and stress-related hormone disruption.
Your results are reviewed by a Next Health Medical Provider, who uses your cycle-specific data to create a personalized plan supporting hormone balance, cycle health, fertility goals, and stress optimization.
What This Test Measures
- Cycle-mapped estrogen & progesterone – nine targeted measurements across the follicular, ovulatory, and luteal phases
- Sex Hormones – including testosterone and DHEA-S
- Hormone metabolites – how your body metabolizes and clears hormones
- Cortisol & adrenal function – cortisol production, metabolism, and daily patterns
- Cortisol Awakening Response (CAR) – immediate cortisol rise after waking
- Oxidative stress – DNA and cellular stress marker
Who Should Consider This Test
This advanced hormone panel is recommended for women who want deeper insight into cycle‑related hormone patterns, including those experiencing:
- Irregular or unpredictable menstrual cycles
- Fertility or preconception concerns
- Hormonal migraines or PMS
- Suspected estrogen or androgen dominance
- PCOS presentations
- Mid‑cycle spotting or luteal phase concerns
- Stress‑related hormone symptoms or burnout
*This test is not intended for women currently using hormonal birth control.
What's Included
Purchase of the DUTCH Cycle Mapping Plus At-Home Test includes:
- At-home DUTCH Cycle Mapping Plus Test Kit & step-by-step collection instructions
- Requisition form to document medications, supplements, and health information
- Prepaid envelope to mail samples to the lab
- Results review with a Medical Provider
- Personalized hormone optimization plan based on your results
How It Works
- Order Your Test Kit – Shipped directly to your door in 2-3 business days
- Collect Samples Across Your Cycle – First‑morning urine samples on specific days throughout your menstrual cycle, along with saliva samples upon waking to measure the Cortisol Awakening Response (CAR)
- Return Your Sample – Once collection is complete, return your samples using the prepaid envelope included in your kit
- Advanced Laboratory Analysis – Hormones and metabolites are analyzed using LC‑MS/MS, the gold standard for hormone testing, ensuring precise and reliable results
- Receive Your Results – Meet one-on-one (virtual or in-person) with a Next Health Medical Provider to review your comprehensive report and receive a personalized action plan based on your results. *Results typically take 2-3 weeks once the lab receives your sample
What Do My Baseline Blood Test Results Mean?
From all of our Baseline Tests collected over the years, we’ve compiled results from 100 individuals. As indicated by the below graphs, the majority of participants unknowingly had suboptimal levels, but are still considered “healthy” by conventional standards.
At Next Health, we look for optimal levels and value the incremental 1% improvements in your data over time. These seemingly small enhancements can accumulate to create a substantial difference in your overall well-being for lasting vitality and longevity.
Vital in healthy aging for women and influences muscle mass, weight, energy levels, & more. Optimal Range: 75-200 ng/dL
Informs nearly every aspect of men’s health: weight, muscle mass, energy, sleep, heart health, & more. Optimal Range: 800-1200 ng/dL
The LDL cholesterol measures the "bad" type of cholesterol in your blood. Optimal levels of LDL reduce your risk of cardiovascular disease and promote your longevity. Optimal is <100
Measures your average sugar intake over the last three months to prevent metabolic conditions. Optimal levels of reduce your risk of cardiovascular disease and diabetes, promotes weight loss, and enhances overall quality of life. Optimal < 5.2 %
Vitamin D is actually considered a “precursor hormone.” Optimal levels of vitamin D are linked to healthy hormone levels, getting sick less often, clearer skin, feeling less anxious and depressed, and more. Optimal Range 60-80 ng/mL
The key marker of inflammation. Inflammation is known as “the root of all disease.” Optimal levels of hsCRP are linked to a longer lifespan, healthy blood pressure levels, thinking more clearly, and more. Optimal is <1
DUTCH Cycle Mapping Plus At-Home Test
FAQ
What does the DUTCH Cycle Mapping Plus Test measure?
How is this test performed?
How long does the test take to complete?
Do I need to have regular cycles to do this test?
Can males complete this test?
How long does it take to receive results?
Therapeutic Plasma Exchange White Paper
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Hormone Therapy may be an excellent option for
Women Experiencing:
- Aging skin
- Bone density loss Nervousness / anxiety
- Emotional reactivity and sensitivity
- Frequent night urination
- Hair thinning
- Hot flashes / night sweats / day sweats
- Fatigue
- Insomnia
- Weight gain unresponsive to diet and exercise
- Loss of libido
- Nervousness / anxiety
- Depression
- Dry / painful intercourse
Men Experiencing:
- Loss of motivation / lack of vitality
- Loss of assertiveness / increased need for sleep
- Reduced physical stamina
- Weight gain unresponsive to diet and exercise
- Loss of muscle mass / inability to lose weight
- Breast development
- Joint pain
- Hair loss
- Declining mental ability
- Loss of libido
- Decreased ability to perform sexually
- Loss of morning erections