The Best Tests

 Thyroid, Vitamins & Minerals, Lyme (blood)
Regular blood draw is the best way to check thyroid function (TSH, T4, T3 and Thyroid Antibodies), vitamin and mineral levels, lyme (and coinfections), MTHFR, inherited heart disease and inflammation. We also check CBC (complete blood count) and CMP (complete metabolic panel) to monitor your red blood cells, kidney function, liver function and basic electrolytes. Covered by your insurance, done at any regular lab center.

We test vitamin levels that are important for thyroid function, general health, cancer prevention, mental function and longevity. If a patient is found to be low, we replace conservatively, and recheck every 6 months. It is very rare that any patient that comes to us is fully replete in vitamins. Even those eating a “good diet” have deficiencies.  Our soil is depleted of nutrients so the broccoli of today is not the broccoli of the 1950’s. We strongly recommend that any vitamin supplementation is done with pharmaceutical-grade vitamins, to ensure potency and purity.

Sex Hormones (saliva) $320
The most accurate way to test following the hormones: the three estrogens, testosterone, progesterone, DHEA, Melatonin and DHT. We use saliva to measure the free available hormones that you body can actually use. In the blood, we have sex hormone binding globulin (SHBG) which binds hormones and makes them unavailable. You may see one number on blood tests, but your body might but able to utilize them freely. It is important that the hormone panel includes dihydrotestosterone (DHT), a stronger version of testosterone that increases men’s risk of prostate cancer and can cause hair loss in men & women.  For women that are cycling, this should be done between the days of 20 and 23 of your cycle.
Adrenal Function (saliva) $260
To measure your cortisol, we cannot get a lab to draw your blood at 8am, noon, 4pm and 10pm. Measuring at those different times are important for treatment, which is why the saliva works so well. You are given the kit and are able to test in the privacy of your own home.
Saliva Testing combined $580

Estrogen Metabolites (urine) $325

 Estrogen, progesterone, and select androgen metabolites & BPA. For anyone with a personal or family history of estrogen-dependent cancer (e.g., breast cancer), patients with symptoms of estrogen/progesterone imbalance, men with prostate cancer risk, or patients who want to assess their exposure to BPA. Which can cause poor hormone regulation and insulin resistance.


Comprehensive Stool Analysis

Extremely in-depth analysis of the microbiome, evaluation of dysbiosis (including clues to SIBO), stomach acid levels, pancreatic function, inflammation, metabolics & pathogens. $500 

Add ons: H. Pylori $30, KOH Prep for Yeast Culture $25. Macroscopic Examination of Worms $20, C. Difficile $30, Zonulin Peptide $40. 

Pathogens testing only: $325

Incredible research in the past 10-15 years has shown us the importance of gut health. More than 80% of our immune system resides in the gut, but we also synthesize neurotransmitters, detoxify, balance hormones and control inflammation in the gut. It plays a role in nearly all chronic diseases and is a vital part to living well and thriving. It goes without saying but those with IBS, Crohn’s, ulcerative colitis, food allergies, SIBO, autoimmune diseases, abdominal pain, autism, recurrent diarrhea, constipation, gas or bloating find this test helpful.

However, those with brain fog, memory issues, fatigue, depression, anxiety, joint pain, skin issues (acne, eczema, rashes), heart disease, hypertension, blood sugar dysregulation and weight issues for example, also can benefit from this test.

Food, Chemical and Mold Sensitivity Testing (blood)
Sensitivities (not allergies which are IgE mediated) affect your body 3-72hrs after ingestion and can vary in their symptoms and sometimes not be gastrointestinal. Food sensitivities have increased over the years due to pesticides, antibiotics, medicines, stress, toxins and highly processed diets. They increase overall inflammation and can contribute to numerous symptoms, including but not limited to: IBD, IBS, acid reflux, constipation, diarrhea, headaches, chronic pain, rashes, weight issues, fatigue, blood sugar irregularities, anxiety, ADHD, depression, anxiety, memory issues, insomnia, sinusitis, food cravings, hormonal imbalances, and autoimmunity. 
Identifying the foods and removing them while addressing the gut can allow some reintroductions of foods and resolution of symptoms.
Blood draw done at our office to test 200 different food, chemical and mold sensitivities.  Make a morning appointment with us and we will go over the insurance codes with you which will help with reimbursement. If you are out of state you can buy the kit and have a urgent care draw your blood for about $25.  The test is nonfasting.
Heavy Metal Testing (urine) $420
This is an at home urine test looking for common heavy metal toxicities such as: lead, arsenic, mercury, etc. Heavy metal poisoning can manifest itself as many different symptoms, however mostly neurological and can even accelerate aging. If decided it would be useful, you would be given one pill of DMSA to take in the morning before collecting urine.
*Environmental Toxins (urine) $420
These xeno-estrogens (estrogen like compounds) found in plastics, skin creams, fertilizers, fungicides, and petrochemicals. These are known to increase the risk of breast, uterine and ovarian cancers in women and prostate cancer in men. It is also implicated in the blood dyscrasias in children and adults. The toxins evaluated are phthalates, xylene, toluene, benzene, trimethylbenzene, and styrene.

Neurotransmitter Testing (urine) $420

Neurotransmitters are chemical messengers used by the nervous system to relay information from one nerve to another. Optimal neurotransmitter balance is required to maintain proper health. Imbalances can cause the brain and the body to be over- or under-stimulated, producing neurological or psychological symptoms. Examples include depression, ADD/ADHD, anxiety, chronic fatigue, impulsivity, PMS or PMDD.