Description
Comprehensive brain chemistry & stress hormone testing – including diurnal melatonin and cortisol patterns
The Neurotransmitters + UDH II profile is a complete urine-based assessment of neurotransmitter balance and diurnal hormone rhythms, including cortisol, cortisone, and melatonin throughout the day. This panel offers an in-depth view of how brain chemistry and stress/adrenal function interact to affect mood, sleep, focus, and energy.
At-home urine collection kit shipped nationwide
What This Test Measures
This panel evaluates over 35 biomarkers to help identify:
- Mood and anxiety imbalances (e.g., low serotonin, high glutamate)
- Sleep issues (e.g., melatonin rhythm disruption)
- Stress dysregulation (e.g., cortisol/cortisone imbalance)
- ADHD or attention issues (e.g., dopamine, PEA)
- Chronic fatigue or low motivation
- Neuroinflammation or excitotoxicity
Neurotransmitters & Related Compounds
These markers give insight into how well your brain communicates through chemical messengers. Imbalances are often linked to depression, anxiety, ADHD, OCD, and insomnia.
- Dopamine – Motivation, focus, pleasure
- DOPAC – Dopamine metabolite; reflects dopamine turnover
- Norepinephrine – Alertness, stress response, heart rate
- Epinephrine (Adrenaline) – Fight-or-flight hormone; energy and panic response
- NE/Epi Ratio – Balances norepinephrine and epinephrine activity
- Normetanephrine – Norepinephrine metabolite; indicates stress response
- VMA (Vanillylmandelic Acid) – End product of catecholamine metabolism
- HVA (Homovanillic Acid) – Dopamine metabolite; linked to mood and reward
- PEA (Phenylethylamine) – Mood, focus, emotional regulation
- GABA (Gamma-Aminobutyric Acid) – Calming neurotransmitter; reduces over-excitation
- Glutamate – Major excitatory neurotransmitter; learning and memory
- Glutamine – Precursor to both GABA and glutamate
- Glycine – Inhibitory neurotransmitter; supports sleep and muscle relaxation
- Serotonin – Mood regulation, sleep, appetite, and pain
- 5-HIAA – Primary metabolite of serotonin
- Histamine – Immune response, emotion, and wakefulness
- N-Methylhistamine – Histamine metabolite; measures histamine activity
- Histidine – Precursor to histamine
- Taurine – Calming amino acid; supports bile flow and neurological health
- Tryptophan – Precursor to serotonin and melatonin
- Tyrosine – Precursor to dopamine, norepinephrine, and epinephrine
- Tyramine – Trace amine that influences neurotransmitter release
- Kynurenine – Tryptophan metabolite; reflects inflammation and neurodegeneration risk
- 3-Hydroxykynurenine – Intermediate metabolite in tryptophan breakdown; neurotoxic at high levels
- Kynurenic Acid – Neuroprotective compound that balances excitatory signals
- Xanthurenic Acid – Reflects altered tryptophan metabolism; may be linked to mood issues
Diurnal Cortisol & Cortisone (4 Points)
This portion of the test shows how your stress hormone levels fluctuate throughout the day — critical for energy, immunity, metabolism, and adrenal function.
- Cortisol – Morning, Noon, Evening, Night – Tracks energy and stress hormone output across the day
- Cortisone – Morning, Noon, Evening, Night – Inactive form of cortisol; gives insight into conversion and clearance rates
Diurnal Melatonin (4 Points)
Melatonin regulates sleep-wake cycles. Testing it across four timepoints can reveal disruptions in circadian rhythm, insomnia, or excessive daytime fatigue.
- Melatonin – Morning, Noon, Evening, Night – Helps assess sleep disorders and light/dark cycle misalignment
Additional Marker
- Creatinine – Used to standardize results and validate urine concentration
Who Should Consider This Test?
This panel is ideal for individuals experiencing:
- Anxiety, depression, or irritability
- Sleep difficulties or insomnia
- Chronic stress or burnout
- Difficulty focusing (ADHD, brain fog)
- PMS, PMDD, or hormone-related mood swings
- Fatigue that doesn’t improve with rest
- Suspicion of neuroinflammation or neurotransmitter imbalances
Test Overview
- Specimen Type: Urine (4 time points: Morning, Noon, Evening, Night)
- Collection Method: At-home collection kit
- Shipping: Nationwide (USA)

