Explanation of tests included in packages:

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Dried Urine Test For Comprehensive Hormones (DUTCH) (Precision Analytical, urine)

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A comprehensive assessment of sex and adrenal hormones and their metabolites. It includes the daily free cortisol and cortisone pattern, melatonin (6-OHMS), and 8-OHdG. Serves as an effective starting point for addressing diet, lifestyle, stress management, sleep and inflammatory triggers that are impediments to getting well. The numbers can speak volumes and provide you with a quantitative assessment of how you are doing on a foundational level.

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*This test can also be purchased a la carte or as an add-on or retest for $140 (NOT including fees paid directly to the lab) for 60min interpretation and modification to supplementation protocol.

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GI Map w/ H. pylori (Diagnostic Solutions Laboratory, stool)

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The Diagnostic Solutions Laboratory GI Microbial Assay Plus (“GI-MAP”) includes markers for gluten sensitivity (anti-gliadin IgA), inflammation in the gut (calprotectin), immunity in the gut (SIgA), pancreatic enzyme sufficiency (elastase), and occult blood. It also looks for the presence of pathogens – including H Pylori and other bacteria, parasites, worms and viruses – in the gastrointestinal tract.

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Markers Included On This Test:

• Bacterial Pathogens (Campylobacter, C difficile Toxin A & B, EHEC, E coli 0157, EIEC/Shigella, ETEC LT/ST, Salmonella, Shiga-like Toxins, Shigella, etc.)

• Parasitic Pathogens (Cryptosporidium, Entamoeba histolytica, Giardia)

• Viral Pathogens (Adenovirus, Norovirus, Rotavirus)

• H pylori (H Pylori, with 7 virulence factors)

• Normal Bacterial Flora (Bacteroides Fragilis, Bifidobacter, Enterococcus, E. coli, Lactobacillus, Clostridium Spp., Enterobacter Spp.)

• Phyla Microbiota (Bacteroidetes, Firmicutes, Bateroidetes/Firmicutes ratio)

• Opportunistic Bacteria (Bacillus, Enterococcus, Morganella,  Pseudomonas, Staphylococcus, Streptococcus, etc)

• Autoimmune Triggers (Citrobacter, Klebsiella, Mycobacterium tuberculosis, Prevotella Copri, Proteus Spp etc)

• Parasites (Blastocystis hominis, Dientamoeba fragilis, Endolimax nana, Entamoeba coli, Chilomastix mesnelli, Cyclospora, Pentatrichomonas)

• Fungi/Yeast (Candida albicans, Candida spp., Geotricum spp., Microsporidia spp., Rodotorula spp.)

• Viruses (Cytomegalovirus, Epstein Barr Virus)

• Worms (Ancylostoma duodenale, Ascaris lumbricoides, Necator americanus, Trichuris trichiura, Taenia spp)

• Additional Tests (Elastase, Steatocrit, SIgA, Anti-Gliadin, Calprotectin, b-Glucuronidase, Occult Blood)

• Antibiotic Resistance Genes

To detect pathogens, the lab uses Real-time polymerase chain reaction (RT-PCR), or quantitative PCR (qPCR), which combines amplification and detection into one step. qPCR “is one of the most powerful and sensitive gene analysis techniques available to detect the DNA of microorganisms.

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*This test can also be purchased a la carte or as an add-on or retest for $140 (NOT including fees paid directly to the lab) for 60min interpretation and modification to supplementation protocol.

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Mediator Release Leap Test (MRT) (Oxford Biomedical, blood)

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Diet-induced inflammatory reactions cause mediator release (cytokines, histamine, leukotrienes, prostaglandins, etc) from various white blood cells (lymphocytes, neutrophils, monocytes, eosinophils). MRT uses a patented combination of flow cytometry and proprietary impedance technology to measure subtle volumetric changes in white blood cell populations simultaneously. Volumetric changes after food or food-chemical challenge are quantified and reported as Non-Reactive, Moderately Reactive, or Reactive.

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Markers Included On This Test:

• Fruits

• Vegetables

• Grains

• Beans/Nuts/Legumes

• Seafood

• Meats & Poultry

• Dairy

• Chemicals

• Flavor Enhancers

• Miscellaneous

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*This test can also be purchased a la carte or as an add-on or retest for $60 (NOT including fees paid directly to the lab) for 30min interpretation and modification to diet/supplementation protocol.

Other frequently recommended lab add ons:

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Micronutrient Test (Vibrant Wellness, blood) $140 (NOT including fees paid directly to the labs) for interpretation and modification to diet and supplementation protocols

The Vibrant Wellness Micronutrient test is the only test that provides a comprehensive extracellular and intracellular assessment of the levels of the most important vitamins, minerals, antioxidants, fatty acids and amino acids.

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Markers Included On This Test:

• Extracellular – Vitamin A, B1, B2, B3, B5, B6, B12, C, D3, D,25-OH, E, K1, K2, Folate, Sodium, Potassium, CoQ10, Cysteine, Selenium, Glutathione, Asparagine, Glutamine, Serine, Citrulline, Arginine, Choline, Inositol, Carnitine, Methylmalamic Acid (MMA), Calcium, Maganese, Magnesium, Zinc, Copper, Chromium, Iron, Leucine, Valine and Isoleucine

• Intracellular – Vitamin A, B1, B2, B3, B5, B6, C, D3, E, K1, K2, CoQ10, Cysteine, Selenium, Glutathione, Asparagine, Glutamine,Choline, Inositol, Carnitine, Calcium, Maganese, Zinc, and Copper

• Red Blood Cell (RBC) – Folate, Magnesium, Iron, Omega fatty acids (n3 and n6)

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Great Plains Organic Acids Test (OAT, urine) $220 (NOT including fees paid directly to the lab) for interpretation and recommendations

Provides insight into the body's cellular metabolic processes. Organic acids are metabolic intermediates that are produced in pathways of central energy production, detoxification, neurotransmitter breakdown, or intestinal microbial activity. Marked accumulation of specific organic acids detected in urine often signals a metabolic inhibition or block. The metabolic block may be due to a nutrient deficiency, an inherited enzyme deficit, toxic build-up or drug effect. Several of the biomarkers are markers of intestinal bacterial or yeast overgrowth. 

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Markers Included On This Test:

• Intestinal Microbial Overgrowth

• Oxalate Metabolites

• Glycolytic Cycle Metabolites

• Mitochondrial Markers – Krebs Cycle Metabolites

• Mitochondrial Markers – Amino Acid Metabolites

• Neurotransmitter Metabolite Markers

• Pyrimidine Metabolites – Folate Metabolism

• Ketone and Fatty Acid Oxidation

• Nutritional Markers

• Indicators of Detoxification

• Amino Acid Metabolites

• Mineral Metabolism

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