Urine Hormone & Metabolite Test

Hormone360: See More Than
Hormone Levels.


A comprehensive urine hormone and metabolite test designed to provide a more complete picture of hormone production, metabolism, and balance.

Hormone levels tell only part of the story. Hormone360 evaluates key hormones together with their downstream metabolites, helping healthcare providers understand not only hormone levels, but how those hormones are being metabolized.

The result is a deeper view of hormone physiology designed to support personalized hormone therapy, functional medicine, and longevity-focused care.

Hormone360 estrogen pathway diagram: Estrone (E1) branches into the 2-OH-E1, 4-OH-E1 and 16α-OH-E1 metabolite pathways, with 2-OH-E1 methylated to 2-Methoxy-E1.

A Complete Hormone Picture

Go Beyond Individual
Hormone Levels.

Traditional hormone testing often focuses on a limited number of hormone measurements.

Hormone360 goes further by evaluating hormones, downstream metabolites, metabolic ratios, and pathways that provide additional context around hormone production and metabolism.

This expanded view helps providers move beyond isolated biomarkers to better understand the relationships between hormones and the pathways through which they are processed.

Complete Hormone Picture

A comprehensive assessment of hormones, metabolites, ratios, and pathways.

Clinically Actionable Insights

Laboratory information organized to help providers identify meaningful hormone and metabolic patterns.

Personalized Pathways Assessment

Evaluate how individual hormone metabolism pathways may differ from patient to patient.

Advanced Metabolite Analysis

Look beyond parent hormones to understand the downstream metabolites produced as hormones are processed.

Why Measure Hormone Metabolites?

What Happens to a Hormone Can Be as Important
as How Much Is Present.

Two patients can have similar hormone levels while metabolizing those hormones very differently.

Once hormones are produced, they are converted into downstream metabolites through multiple biochemical pathways. Evaluating those metabolites provides another layer of information that hormone levels alone may not reveal.

Hormone360 helps providers evaluate both sides of the equation:

Hormone Production

What is present?

Hormone Metabolism

What is the body doing with it?

Together, they provide a more comprehensive picture of hormone physiology.

What Hormone360 Measures

Five Clinically Relevant Areas.
One comprehensive report.

Hormone360 evaluates hormones, metabolites, metabolic ratios, and pathways across five clinically relevant areas.

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

8 + 4 markers

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

Available with Hormone360 Complete 5-Point Collection

5-Point Diurnal Cortisol

5-Point Diurnal Cortisone

24-Hour Cortisol

24-Hour Cortisone

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

Convenient At-Home Collection

One Platform.
Two collection options.

Hormone360 gives providers two collection options depending on the level of hormone and adrenal assessment needed.

Advanced hormone testing doesn’t have to be complicated for the patient. Hormone360 offers convenient at-home urine collection, with the collection method determined by the level of assessment selected.

First Morning Void

Hormone360

One convenient urine collection.

  • Estrogens, progesterone, and androgens with their metabolites

  • Waking cortisol, cortisone, and adrenal metabolites

  • Metabolic ratios and pathways assessment

5-Point Collection

Hormone360 Complete

Multiple collections throughout the day for expanded cortisol and cortisone assessment.

  • Everything in Hormone360

  • 5-point diurnal cortisol and cortisone

  • 24-hour cortisol and cortisone

Patients return their specimens to Physicians Lab for laboratory analysis, and results are delivered in a comprehensive report designed for provider interpretation.

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 available 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.

Built for HRT Practices

Better Information
for individualized hormone therapy.

Hormone replacement therapy is highly individualized.

Patients receiving similar therapies may have different hormone levels, metabolite patterns, symptoms, and responses to treatment.

Hormone360 gives HRT providers a broader set of laboratory information by evaluating parent hormones together with downstream metabolites and metabolic pathways.

This additional context can support more informed, individualized clinical decision-making throughout the patient’s hormone-therapy journey.

Results Designed to Tell a Story

Clinical. Comprehensive.
Actionable.

A laboratory report should provide more than a page of numbers.

Hormone360 organizes hormone, metabolite, ratio, and pathway results to help providers recognize relationships across hormone production and metabolism.

The goal is to help move the provider from:

From

Individual Biomarkers

Through

Hormone & Metabolic Patterns

To

Clinical Context

Want an Even Broader View?

Add Metabolic Insight
with Total360.

Hormone health doesn’t operate independently from metabolism.

Total360 combines Hormone360 with the MPP (Metabolic Performance Panel) to provide additional insight into metabolic pathways, amino-acid metabolism, nutrient-related metabolism, methylation, cellular energy, oxidative stress, and other areas of metabolic function.

Hormone360

Hormone Production & Metabolism

+ MPP

Metabolic & Pathway Function

= Total360

A More Complete View of the Patient

Advanced Hormone Testing for Personalized Medicine

Bring Hormone360
to your practice.

Hormone360 provides healthcare providers with a comprehensive view of hormone production and metabolism, combining parent hormones, downstream metabolites, metabolic ratios, and pathway assessment in a clinically useful report.

Clinical. Comprehensive. Actionable.