What if your perimenopausal symptoms aren't random, and the right test could finally show you why? In this episode of The Heal Deal Podcast, Dr. Leona Allen sits down with Dr. Kelly Ruef, a naturopathic doctor and clinical educator at DUTCH (Dried Urine Testing for Comprehensive Hormones), to break down what comprehensive hormone testing actually reveals and how women in perimenopause, menopause, on HRT, or navigating life after a hysterectomy can use that information to build a truly personalized plan. DUTCH urine testing goes beyond measuring hormone levels. It tracks how your body metabolizes estrogen, progesterone, cortisol, and androgens across an entire cycle, not just a single moment. The pathways your body uses to process these hormones can reveal information about inflammation, weight loss resistance, sleep quality, and even breast cancer risk that a standard panel will not show. Two women can have the same estrogen level and be metabolizing it in completely different ways and only comprehensive testing can tell you which one you are. Dr. Ruef also covers how DUTCH testing works alongside HRT to monitor estrogen metabolism pathways, how cycle mapping helps post-hysterectomy women understand whether they are still cycling, and the lifestyle strategies, from cruciferous vegetables to adaptogens, that follow directly from your individual results. Whether you are in perimenopause, menopause, navigating hormone therapy, or life after a hysterectomy, this conversation will change how you think about your hormones and your options. You will walk away knowing what comprehensive hormone testing measures, what to ask your provider, and how to use your results to create a real treatment plan built around you. 🎧 LISTEN NOW to discover: ✅ What DUTCH Testing Is and How Urine Hormone Testing Captures What Blood Work Can't ✅ Cycle Mapping: Tracking Your Estrogen and Progesterone Patterns Across Your Entire Cycle ✅ High Estrogen vs. Low Estrogen Symptoms — and What Each Is Telling You ✅ Why Estrogen and Progesterone Must Be Read in Relationship to Each Other — Not in Isolation ✅ How to Monitor HRT Safely Using DUTCH Estrogen Metabolism Pathway Testing ✅ Hormone Testing After Hysterectomy — With or Without Your Ovaries ✅ The Estrogen Metabolite Pathway Linked to Breast Cancer Risk — and How to Redirect It Through Diet and Lifestyle ✅ Cortisol Patterns, Gut Markers, and the Personalized Strategies That Follow From Your Results 🔗 Resources & Next Steps: ▶️ Take the Metabolic Reset Quiz: TheMetabolicResetQuiz.com 🔬 Interested in DUTCH testing? It requires a licensed practitioner to order. Book a call to speak with Dr. Leona to discuss your best options → TalkToDrLeona.com 💬 Let’s Connect: 📸 Instagram | 📘 Facebook | 🎥 YouTube | 💼 LinkedIn | 🐦 X | 🌐 Website THE HEAL DEAL I'm making a deal with you to help you remove the physical, chemical, and emotional barriers holding you back from healing. All I need from you is to feel, deal, and heal. Those are the terms—that is The Heal Deal. If you enjoyed today’s episode, seal the deal to heal by leaving a review and sharing this episode with someone who needs it. Thank you for listening! Until next time, stop chasing symptoms and start healing your metabolism. Take care. — Dr. Leona Allen Host, The Heal Deal Podcast Founder, Freedom Health Systems Author: A Journey to Healing | Freedom in Chains | Shop & Savor 🛑 Disclaimer This podcast is for educational purposes only and is not intended as medical advice. Always consult with your healthcare provider before making any changes to your diet, exercise, or health regimen, especially if you are taking medication or managing a chronic condition.