Lab Testing and Specialty Testing

 Thyroid, Vitamins & Minerals, Lyme (blood) (ran through insurance)
Regular blood draw is the best way to check thyroid function (TSH, T4, T3 and Thyroid Antibodies), direct vitamin and mineral levels, lyme and their coinfections, 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. 

We test vitamin levels that are important for thyroid function, general health, 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. We strongly recommend that any vitamin supplementation is done with pharmaceutical-grade vitamins, to ensure potency and purity.

Advanced Nutritional Testing (urine and fingerprick) $410-515

This is a unique combination of nutritional tests that provides an analysis of key nutritional biomarkers. A first morning void urine collection, with optional add-on bloodspot finger stick and buccal swab, is a non-invasive, patient-friendly way to assess the functional need for antioxidants, B-vitamins, minerals, digestive support, fatty acids, and amino acids. Insights gained from this nutritional test allows us to target nutritional therapies to meet the precise needs of their patients.

Sex Hormones (saliva) $250
The most accurate way to test and follow treatment of topical hormones is through salivary testing. We monitor: Estrone, Estradiol, Estriol, Testosterone, DHT, Progesterone, DHEA, Melatonin and AM cortisol.  For women who have their periods, we like for testing to be done one week before your period.  
Adrenal Function (saliva) $150
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. 
Saliva Testing combined $400

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.


Gastrointestinal Testing

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.

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.
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.

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.


*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.