Hormone360 Complete · 5-Point Urine Collection

Hormone360 Complete: See the Rhythm
Behind the Results.


A comprehensive hormone and metabolite assessment with 5-point urine collection for expanded insight into cortisol, cortisone, adrenal function, and hormone metabolism throughout the day.

Hormones don’t remain constant throughout the day, and cortisol is especially dynamic.

Hormone360 Complete combines Physicians Lab’s comprehensive hormone and metabolite assessment with a 5-point urine collection, adding diurnal cortisol and cortisone patterns and 24-hour totals to provide a more complete picture of hormone and adrenal physiology.

Illustrative chart of a daily cortisol and cortisone rhythm across five urine collection points, with levels highest in the morning and declining toward night. Not patient data.

Builds on Hormone360

Everything in Hormone360.
Plus diurnal insight.

Hormone360 Complete builds upon the comprehensive hormone and metabolite analysis of Hormone360. Providers receive the same broad assessment of:

  • Estrogens and estrogen metabolism

  • Progesterone and progesterone metabolism

  • Androgens and androgen metabolism

  • DHEA and related metabolites

  • Cortisol and adrenal metabolism

  • Hormone metabolic ratios

  • Comprehensive pathway assessment

Hormone360 Complete then adds multiple urine collections throughout the day to show how cortisol and cortisone change over time.

Hormone360

Comprehensive Hormone & Metabolite Assessment

+ 5-Point Collection

Diurnal Cortisol & Cortisone Assessment

= Hormone360 Complete

A More Complete Hormone & Adrenal Picture

Why Diurnal Testing Matters

Cortisol Is a Rhythm,
not just a number.

Cortisol follows a natural daily pattern.

Levels are generally expected to change substantially from morning through evening. A single measurement can provide useful information, but it cannot show the shape of that daily pattern.

Hormone360 Complete evaluates cortisol and cortisone at multiple points throughout the day, allowing providers to visualize the patient’s diurnal pattern in addition to evaluating hormone and metabolite results.

Questions it helps answer

  • What does the patient’s cortisol pattern look like throughout the day?

  • Is the expected morning-to-evening rhythm present?

  • How do cortisol and cortisone patterns compare?

  • What is the patient’s total cortisol and cortisone output?

  • How do these findings relate to the broader adrenal and hormone-metabolism picture?

5-Point Urine Collection

Five Collections.
A more complete picture.

Hormone360 Complete uses a convenient 5-point urine collection performed by the patient at home.

Samples collected at defined points throughout the day allow Physicians Lab to evaluate changes in cortisol and cortisone over time rather than relying on a single measurement.

5-Point Diurnal Cortisol

Visualize cortisol patterns throughout the day.

5-Point Diurnal Cortisone

Evaluate cortisone alongside cortisol to provide additional context around glucocorticoid metabolism.

24-Hour Cortisol

Assess total cortisol output across the collection period.

24-Hour Cortisone

Assess total cortisone output across the collection period.

What Hormone360 Complete Measures

The Full Hormone360 Panel.
Plus expanded diurnal testing.

Hormone360 Complete provides the full Hormone360 hormone and metabolite assessment plus expanded diurnal cortisol and cortisone testing.

Estrogens & Metabolism

9 markers

Estrone (E1)

Estradiol (E2)

Estriol (E3)

2-OH-E1

16α-OH-E1

4-OH-E1

2-Methoxy-E1

Estrogen Metabolites

Aromatase Activity

Progesterone & Metabolism

6 markers

5α-Pregnanediol

5β-Pregnanediol

Progesterone Metabolites

5α/5β Ratio

Progesterone Clearance

Postmenopausal PdG

Androgens & Metabolism

12 markers

Testosterone

DHT

Androsterone

Etiocholanolone

5α-Androstanediol

5β-Androstanediol

Androstenedione

DHEA

DHEA-S

Testosterone Metabolites

Testosterone/Metabolite Ratio

5α-Reductase Activity

Adrenal & Cortisol Metabolism

12 markers

Expanded with Hormone360 Complete

5-Point Diurnal Cortisol

5-Point Diurnal Cortisone

24-Hour Cortisol

24-Hour Cortisone

Waking Cortisol

Waking Cortisone

DHEA & DHEA-S

Cortisol Metabolites (THF, THE, α-THF, THS)

11β-Hydroxy Metabolites

Total Cortisol Metabolites

Cortisol Clearance

11β-HSD II Ratio

Metabolic Ratios & Pathways Assessment

7 markers

Total 17-Ketosteroids

Total 17-Hydroxysteroids

Cortisol Ratio

Anabolic/Catabolic Ratio

Estrogen Metabolism Ratios

Androgen Metabolism Ratios

Comprehensive Pathways Assessment

Parent Hormones + Metabolites + Daily Patterns

Three Layers
of hormone insight.

Hormone360 Complete is designed to give providers multiple layers of information rather than relying on an isolated hormone measurement.

Layer 1

Parent Hormones

What the body is producing.

Layer 2

Metabolites

How those hormones are being processed.

Layer 3

Daily Patterns

How cortisol and cortisone change across the day.

Clinical Applications

Designed for Personalized
hormone care.

Menopause & Perimenopause Management

Gain a broader view of estrogen, progesterone, androgen, and hormone-metabolite patterns during hormonal transition.

Bioidentical Hormone Therapy Monitoring

Evaluate hormone levels together with downstream metabolism to provide additional context when monitoring individualized hormone therapy.

Adrenal Function & Stress Assessment

Evaluate cortisol, cortisone, adrenal metabolites, and related pathways, with expanded diurnal assessment through Hormone360 Complete.

Men’s & Women’s Hormone Health

Assess sex hormones and their metabolites across both male and female hormone-health applications.

Functional & Integrative Medicine

Provide a more comprehensive view of interconnected hormone pathways for providers practicing personalized, functional, and integrative medicine.

Which test fits?

Hormone360

Best when a provider wants a comprehensive hormone and metabolite assessment with the convenience of a single first-morning urine collection.

Hormone360 Complete

Best when the clinical picture calls for comprehensive hormone and metabolite assessment plus a deeper evaluation of cortisol and cortisone patterns throughout the day.

Convenient At-Home Collection

Advanced Testing
without a trip to the lab.

Patients complete the Hormone360 Complete 5-point urine collection conveniently at home.

The specimens are returned to Physicians Lab for analysis, where hormone, metabolite, pathway, cortisol, and cortisone results are compiled into a comprehensive provider report.

Results Designed to Tell a Story

Clinical. Comprehensive.
Actionable.

Hormone360 Complete organizes complex hormone and metabolite data into a report designed to help providers recognize relationships between each layer of the picture.

Step 1

Hormone Production

Step 2

Hormone Metabolism

Step 3

Cortisol & Cortisone Patterns

Step 4

Metabolic Ratios & Pathways

Step 5

Clinical Context

The addition of diurnal cortisol and cortisone patterns gives providers another dimension of information when evaluating the patient’s overall hormone and adrenal picture.

Go Beyond Hormones & Adrenal Function

Total360 Complete:
our most comprehensive assessment.

For providers seeking Physicians Lab’s broadest assessment, Total360 Complete combines Hormone360 Complete with MPP, the Metabolic Performance Panel.

Total360 Complete expands the picture beyond hormone and adrenal physiology to include metabolic pathways, amino acids, nutrient-related metabolism, methylation, cellular energy, oxidative stress, and other areas of metabolic function.

Hormone360 Complete

Hormones + Metabolites + Diurnal Assessment

+ MPP

Metabolic & Pathway Function

= Total360 Complete

Our Most Comprehensive Assessment

A More Complete Hormone Picture

Bring Hormone360 Complete
to your practice.

Hormone360 Complete combines comprehensive hormone and metabolite testing with expanded diurnal cortisol and cortisone assessment, giving providers a deeper view of hormone production, metabolism, adrenal function, and daily hormone patterns.

Clinical. Comprehensive. Actionable.