Hormones, Thyroid, Vitamins & Minerals (blood) (through insurance)
Regular blood draw is the best way to check thyroid function (TSH, T4, T3 and Thyroid Antibodies), sex hormone levels, direct vitamin and mineral levels, inflammation and do more advanced cardiac panels. 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.
4 Point Cortisol Testing (saliva) $300
This test helps us evaluate for HPA axis dysfunction, by collecting your cortisol throughout the day. This test requires 4 samples, one within 30 minutes of waking, at noon, 4pm and before bedtime. This allows us to see your natural cortisol rhythm. This can be changed after a sustained stressful event and understanding where you are in this dysfunction can help us guide treatment.
Comprehensive Stool Analysis $100-$600
Extremely in-depth analysis of the microbiome, evaluation of dysbiosis (including clues to SIBO), stomach acid levels, pancreatic function, inflammation, metabolics & pathogens. Cash pay: $500. We can also run this through your insurance, which can cost between $100-600, depending on your coverage. 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
SIBO Breath Testing: $50-$290
Cash pay $260, $50-290 through insurance (depending on coverage)
Bloating after eating, diarrhea or constipation can be the first signs of something called small intestinal bacterial overgrowth (SIBO). A simple breath test done at home can help detect if there is an overgrowth in your small intestines causing problems. Other symptoms can include, reflux, excess flatulence, weight loss and can have low vitamin B12 on labs.
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.
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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.
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Mycotoxin Testing (mold) (urine) $350
Mycotoxins are some of the most prevalent toxins in the environment. Mycotoxins are metabolites produced by fungi like mold, which can infest buildings, vehicles, and foodstuffs. A majority of mycotoxin exposures are through food ingestion or airborne exposure. Diseases and symptoms linked to mycotoxin exposure include fever, pneumonia-like symptoms, heart disease, rheumatic disease, asthma, sinusitis, cancer, memory loss, vision loss, chronic fatigue, skin rashes, depression, ADHD, anxiety, and liver damage. We can identify mycotoxin exposures and make recommendations for detoxification treatments that have been effective.