miracare

DUTCH measures free cortisol, free cortisone, and cortisol metabolites across four or five timed dried-urine samples by mass spectrometry, creatinine-corrected and reported against population ranges, with an optional saliva add-on for the awakening response.&#xA0;Mira measures one analyte (free cortisol) by immunoassay on a liquid spot sample, without creatinine correction, and reports it against the patient&apos;s own baseline.&#xA0;The two are built for different jobs: DUTCH is a point-in-time clinical assessment; Mira is a longitudinal wellness signal within one person. If a patient&apos;s DUTCH and Mira results appear to disagree, that is expected given the different analytes, methods, and timescales, and the clinical test is the one to interpret clinically.

DUTCH measures free cortisol, free cortisone, and cortisol metabolites across four or five timed dried-urine samples by mass spectrometry, creatinine-corrected and reported against population ranges, with an optional saliva add-on for the awakening r

How is the Mira Cortisol different from a DUTCH test?

Cortisol Wands

What is Mira, how does it work, and is there a short video I can share with my patients?

How does Mira ensure the protection of user data?

I’ve heard that some free period tracking apps sell users’ data. Since the Mira app is also free, does that mean you do the same?

Is Mira HSA/FSA eligible?

Is Mira covered by insurance?

Can Mira be shipped internationally?

Is a prescription necessary for patients to purchase a Mira device and start testing?

What are Mira's certifications and regulatory approvals? (FDA, CLIA, Health Canada, etc.)

Does Mira integrate with other devices/platforms?

Can I still use Mira if I don’t use a smartphone?

Can the Mira wands be reused or are they recyclable?

Do I need to clean my Mira device? If so, how do I clean it?

How to wipe off all the data from a used monitor?

How long does the battery for the monitor typically last?

Is there a warranty on the Mira monitor?

Do wands expire?

What professions qualify to use Mira with their clients?

Can switching between Mira wand types affect my results?

Is Mira licensed by Health Canada?

General

Can practitioners outside the US sign up for the affiliate program?

Is it possible to have more than one type of partnership?

What if I already have an account with Impact from another company?

Do you offer provider discounts?

I don’t know what to choose in the Affiliate sign up application form, can you advise?

Partnerships

How can I reduce the cost of testing?

Is there a different monitor for each hormone?

What hormones does Mira test?

Are there directions on when to start testing?

What should I do if my sleep schedule is irregular, or I’m unable to collect a first-morning urine sample?

What do I do if I wake up during the night and need to urinate?

Your website states that different types of wands should not be used in the same cycle, what would you recommend?

Can multiple patients use the same monitor at the same time?

Can patients continue to test after getting a positive pregnancy test?

How should I test with Max (E3G, LH, and PdG) and Ovum (FSH) wands simultaneously?

Can I test my urine later if I collect it but can’t dip the wand right away?

Does the app provide a testing schedule? Can I test more or less than what the app suggests?

The app is prompting me to test with a different wand that I don’t have, how can I change this?

Testing

Can users edit their suspected ovulation day in the Mira app?

My data won’t sync with my app, what can I do?

The Mira app is not available in my country (Australia), what should I do?

How long does the monitor save unsynchronized data?

What should I do if my patient is experiencing technical issues with their Mira monitor?

I’m experiencing Bluetooth connection issues and cannot get my app to connect to the device. How can I resolve this?

Can someone else use the monitor after me?

How do I get my Menopause Transition Report?

How can I delete a result?

How can I remove medications from my profile?

How do I delete test results?

If a user doesn’t have Wifi, can they still sync their results to the app?

What does it mean if the app says the menopause transition is "Undefined" after 2 cycles?

Technical

How can I access the provider dashboard?

Is there a provider portal for ordering, tracking results, and obtaining provider-level education?

How does the patient share their data with a provider?

Provider Dashboard

Can Mira be used with an IUD?

Where can I find a provider training course about monitoring women’s hormones?

I’ve observed occasional drops and fluctuations in my patients’ PdG levels. What could be the reason for this variability?

What medications, supplements, interventions are contraindicated with Mira?

What other factors can affect Mira data?

Is Mira creatinine corrected or is the urine normalized to urine specific gravity?

What is the reliability and validity of Mira?

Does Mira track testosterone or cortisol?

Can Mira be used while on birth control?

Is Mira applicable to post-menopausal women at all?

Is there any data for perimenopausal women?

Does it track xenoestrogens? Does this only detect natural estrogen or if there is a woman with high xenoestrogens from outside sources, would it show estrogen high?

How do urinary metabolites correlate with serum levels?

How does urinary PdG relate to serum progesterone, and is it normal for PdG to fluctuate?

What does it mean if PdG is elevated in the follicular phase?

Is there a threshold of PdG that is confirmatory for ovulation?

How does Mira compare to Dutch?

How do I test if I am using vaginal estrogen?

Does Mira integrate with CGMs?

I commonly see a progesterone spike BEFORE ovulation or LH surge. Can you help me understand this?

How does Mira compare to ZRT?

Can Mira be used with HRT?

Can Mira be used in perimenopause?

How can I better understand Mira’s technology to educate my patients?

How does Mira compare to other tracking devices such as Clearblue, Proov, Oova and Inito?

How can Mira help if I’ve had a hysterectomy?

Do you recommend completing a baseline cycle before beginning interventions?

Are there normal reference ranges for Mira users?

Can Mira help during menopause or while adjusting HRT?

Could you please speak to the approach to women who are already on HRT but don’t feel like it’s going so well?

How can Mira be helpful for patients with EDS/POTS/MCAS?

For women that had surgical menopause, what value can Mira provide?

Can Mira be used for young women (e.g., 14 years old)?

Would women with unstable, unpredictable, or frequent bleeding benefit from Mira?

Does diet impact daily Mira results? If so, how?

LCMS vs ECLIA - How does this translate to the immunoassay tech that Mira uses?

What is PdG and how does it differ from 5α and 5β-pregnanediol?

Why does Mira measure PdG rather than 5α and 5β-pregnanediol like DUTCH?

Does Mira measure alpha LH, beta LH, or intact LH?

I noticed that some patients have progesterone changes around ovulation, before the corpus luteum has formed. Why is that?

Why do LH levels change during the luteal phase, and what does a second LH surge after ovulation mean?

Educational and Clinical

What are Mira Cortisol Pattern™️Wands

Does "free cortisol" mean cortisol the body is not using?

What exactly does the cortisol wand measure?

How do the Mira Cortisol Pattern™️Wands work?

Is the Cortisol result corrected for urine concentration (creatinine or specific gravity)?

How is the Mira Cortisol different from serum or a 4-point salivary cortisol?

How is the Mira Cortisol different from a  24-hour urinary free cortisol?

Are there factors other than stress that move urinary free cortisol?

What should the Mira Cortisol Pattern™️ not be used for?

What does the patient see in the app when using the Mira Cortisol Pattern™️Wands?

How is the Mira Cortisol different from a DUTCH test?Updated 3 hours ago