06/01/2026
❌"You're just stressed" is not a clinical assessment.
✅It's an observation.
Here's what an actual evaluation of the nervous system and stress physiology looks like.
📌DUTCH comprehensive hormone panel.
The DUTCH test maps a full-day cortisol curve, waking, morning, afternoon, evening, and night, alongside cortisone, DHEA-S, and their metabolites. This tells us whether someone is in active HPA activation with high cortisol output, or in the blunted, exhausted pattern of burnout where cortisol has flattened out and DHEA has tanked.
These are clinically different presentations that require different interventions. A single morning cortisol blood draw doesn't distinguish between them.
📌Organic acid testing.
OAT panels include markers for neurotransmitter metabolism, specifically the breakdown products of dopamine, serotonin, and norepinephrine. Depleted neurotransmitter turnover shows up here before it shows up anywhere else.
So does mitochondrial dysfunction from chronic stress, and B vitamin cofactor depletion that impairs methylation and nervous system signaling.
📌Intake and symptom mapping.
Nervous system state shows up somatically before it shows up on any panel. Sleep quality and architecture. Digestive patterns. Pain sensitivity. Emotional reactivity. Recovery rate after stressors.
This information is clinical data, it just requires a practitioner who's actually asking.
"Managing stress better" is not a protocol. A protocol has a baseline, a mechanism, a targeted intervention, and a way to measure whether it's working.
If you've been told stress is affecting your health but no one has actually looked at how, that's the gap we fill. Discovery call link is in my bio.
https://radiancefunctionalmedicine.com/contact/