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  4. I’m on this week’s HPA axis cases. There are a few times where it’s mentioned that they say etiocholanolone and androsterone were normal, but I do not see where these are resulted. Also in Part 3, Case 1, it was mentioned that total DHEA was normal, but all I see is DHEA-S. Could you clarify that these numbers are being derived from other numbers?

I’m on this week’s HPA axis cases. There are a few times where it’s mentioned that they say etiocholanolone and androsterone were normal, but I do not see where these are resulted. Also in Part 3, Case 1, it was mentioned that total DHEA was normal, but all I see is DHEA-S. Could you clarify that these numbers are being derived from other numbers?

Amy Nett: Sorry, so the confusion here, I think, is because in this course Chris is really only teaching the adrenal portion of the DUTCH testing, the adrenal assessment. But if you look at where we’ve got these cases from, we tend to run the DUTCH Complete Hormone Profile on all of our patients, so in addition to the adrenal assessment, what we’re generally looking at includes the complete hormones, which is the etiocholanolone, the androsterone, and that’s where we get our total DHEA level. You’re absolutely right, if you only order the DUTCH Advanced Adrenal Assessment, which is, again, the portion of the test that’s being taught in this particular clinician training program, you do not get the etiocholanolone, the androsterone, but the cases that we use are coming from our clinic, and so we did have the advantage of looking at the complete hormone profile. We’re not doing anything fancy here based on the adrenal assessment to determine those values. We actually just got it from the report. Sorry about that confusion.

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