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The most comprehensive hormone assessment available, analyzing 30+ biomarkers related to sex hormones, adrenal function, melatonin, and oxidative stress through a simple at-home urine collection. It also evaluates how your body metabolizes hormones, providing valuable insights into managing stress, sleep quality, metabolic health, and overall hormonal balance. Includes at-home test + Medical Provider results review.

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 Total 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.
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.
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
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.
After removal, beneficial components are added back into the body for a variety of potential results:
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At Next Health, we stand apart from traditional medical practices in several fundamental ways that prioritize your proactive health and wellness:
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.
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.
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.







Unlock a deeper understanding of your hormonal health with the DUTCH Hormone Plus Test. Using an easy at-home urine collection, this advanced panel measures key hormone levels, daily hormone patterns, and how your body processes those hormones, offering more insight than standard blood or saliva testing.
This deeper insight helps identify imbalances related to chronic stress, poor sleep quality, metabolic dysfunction, fatigue, mood changes, and other hormone-related concerns.
Your results are personally reviewed by one of our Medical Providers, who will create a custom plan based on your data to support hormone optimization, stress management, sleep support, and long-term metabolic health.


Unlock a deeper understanding of your hormonal health with the DUTCH Hormone Plus Test. Using an easy at-home urine collection, this advanced panel measures key hormone levels, daily hormone patterns, and how your body processes those hormones, offering more insight than standard blood or saliva testing.
This deeper insight helps identify imbalances related to chronic stress, poor sleep quality, metabolic dysfunction, fatigue, mood changes, and other hormone-related concerns.
Your results are personally reviewed by one of our Medical Providers, who will create a custom plan based on your data to support hormone optimization, stress management, sleep support, and long-term metabolic health.
This advanced hormone panel is ideal for women and men experiencing:


This advanced hormone panel is ideal for women and men experiencing:
Purchase of the DUTCH Hormone Plus Test includes:


Purchase of the DUTCH Hormone Plus Test includes:

Unlock a deeper understanding of your hormonal health with the DUTCH Hormone Plus Test. Using an easy at-home urine collection, this advanced panel measures key hormone levels, daily hormone patterns, and how your body processes those hormones, offering more insight than standard blood or saliva testing.
This deeper insight helps identify imbalances related to chronic stress, poor sleep quality, metabolic dysfunction, fatigue, mood changes, and other hormone-related concerns.
Your results are personally reviewed by one of our Medical Providers, who will create a custom plan based on your data to support hormone optimization, stress management, sleep support, and long-term metabolic health.

This advanced hormone panel is ideal for women and men experiencing:

Purchase of the DUTCH Hormone Plus Test includes:
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.







This test measures sex hormones (including estrogen, progesterone, testosterone), adrenal hormones like cortisol, melatonin for sleep evaluation, and oxidative stress markers. It also analyzes hormone metabolites to show how your body processes these hormones.
The test uses a simple at-home urine collection over a 24-hour period or at specific times of day, following easy step-by-step instructions. Samples are then mailed to the lab for analysis.
The DUTCH Hormone Plus Test provides a more comprehensive view by measuring hormone metabolism and daily patterns, not just single hormone levels. This allows for deeper insight into stress response, sleep rhythms, and metabolic health.
The DUTCH Hormone Plus Test provides comprehensive data that, combined with your symptoms and health history, helps determine if HRT is appropriate. It's especially valuable for finding the right type, dose, and route of administration if HRT is chosen. Many patients discover they need different optimization approaches (lifestyle, supplements, stress management) rather than or in addition to HRT.
Absolutely! The DUTCH Hormone Plus Test is invaluable for HRT monitoring. It shows how you're metabolizing your prescribed hormones, whether dosing is optimal, and if you're creating protective vs. risky metabolites. This prevents the trial-and-error approach and ensures your HRT is actually optimizing health, not just treating symptoms.
Definitely! Men's hormone optimization is increasingly recognized as crucial for longevity. The DUTCH Hormone Plus Test reveals testosterone metabolism (if you're making too much DHT or estrogen), adrenal function (critical for energy and stress resilience), and whether you need hormone replacement therapy (HRT), lifestyle changes, or both. Many men discover they're over-converting testosterone to estrogen, which standard tests miss.
Results are typically available within 2-3 weeks after the lab receives your samples. Our team will reach out when your results are ready to schedule a review with one of our Medical Providers.
