Lab Details

The Dutch Complete

→ The Precision Analytical DUTCH hormone test panel provides you with detailed information on how adrenal and sex hormones are being produced AND metabolized in the body. DUTCH stands for Dried Urine Test for Comprehensive Hormones.  The DUTCH test was amazing already but they have recently made it even better by adding six organic acid tests (OATs) to the DUTCH Complete™ tests — at no extra charge! This additional information will give us an even more comprehensive understanding into the hormone and adrenal picture, especially when it comes to commonly reported symptoms such as fatigue, anxiety, insomnia, depression, motivation, sex drive, estrogen dominance, and stress.  Your results include:

• Analysis of 35 different hormones: estrogen, progesterone, testosterone, DHEA, and cortisol along with their metabolites
• Daily free cortisol patterns to provide insight into ‘adrenal fatigue’ or symptoms of chronic stress
• Oxidative Stress Marker – 8-Hydroxy-2-deoxyguanosine (8-OHdG)
• Melatonin

Neurotransmitter markers:
• Homovanillate (HVA) – the primary dopamine metabolite
• Vanilmandelate (VMA) – the primary norepinephrine and epinephrine metabolite
• 5-hydroxyindoleacetate (5HIAA) – the primary serotonin metabolite

Nutritional organic acids:
• Methylmalonate (MMA) – elevated if patients are vitamin B12 deficient
• Xanthurenate – elevated if patients are vitamin B6 deficient
• Pyroglutamate – elevated if patients are glutathione deficient

BH 101 – Metabolic Assessment Profile

→ This lab is a screen of some of the body’s most fundamental functional systems: detoxification, digestion and antioxidant capacity measuring Indican, Bile Acids and Lipid Peroxides Assay through a urine sample.

• Indican
is an effective screening tool for assessment of protein digestion, symbiosis, small intestinal bacterial overgrowth (SIBO) and malabsorption.  Some common symptoms of elevated indican include: gas, diarrhea, constipation, bad breath, bloating, weight gain, allergies, and skin conditions to name a few.  Results could be 0-4 with 0 being normal and 4 being very high positive.  If your level is 1 or 2 either protein is not being digested properly and an overgrowth of harmful bacteria could be present in the intestines feeding off the protein that is not being digested. If your level is 3 or 4, high or very high, it could indicate insufficient of hydrochloric acid (HCL), hypermotility, parasites, bacteria infections like Helicobacter pylori and/or food sensitivities. Further testing is advised.  I would recommend a food sensitivity test and a GI pathogen screening as well as lifestyle modifications and supplementation dependent on results of further testing.

• Bile Acids levels tell us about liver health.  Large amounts of bile are secreted into the intestines on an ongoing basis.  If damage has occurred to the liver cells then bile acids can leach into general circulation, be filtered through the kidneys and detected through the urine.  Some common symptoms of elevated bile acids include: inability to lose weight, elevated LDL and triglycerides, reduced HDL, unstable blood sugar levels, indigestion, intolerance to alcohol and fats, headaches, depression, irritability, hormonal imbalance, and putrid body odor. Elevated levels prompt further investigation, lifestyle modifications and nutritional supplementation.

• Lipid Peroxides measures oxidative stress also known as free radical damage. Oxidative stress can result from exposure to toxins or pathogens, inappropriate lifestyle activities like over exercising or smoking.  The outcome of longterm oxidative stress is chronic degenerative disease.  Although not present in most patients, some with elevated lipid peroxides experience fatigue, memory loss, brain fog, muscle and/or joint pain, wrinkles, headaches and susceptibility to infections.  Elevated lipid peroxides prompt lifestyle modifications and nutritional supplementation.



→ This test 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.  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.

Genova IP Assessment

→ This is a urine test that examines the small intestinal absorption and barrier function in the bowel.  The small intestine functions as a digestive/absorptive organ for nutrients as well as a barrier against excessive absorption of bacteria, food antigens and other macromolecules.  Increased intestinal permeability (leaky gut) of the small intestine could allow increased foreign compounds like bacterial antigens and toxic compounds to enter the bloodstream.   Decreased permeability is a fundamental cause of malabsorption, malnutrition, and a failure to thrive.  Possible causes of leaky gut can be intestinal infection, trauma, the use of NSAIDs, ingesting food allergies/sensitivities or ingesting toxic food-chemicals.

Mediator Release Test (MRT) Leap 170

→ The MRT tests for hidden inflammatory responses to 170 different food and food-chemicals.  A mediator release is the key pathological event associated with food-induced inflammation measuring the subtle volumetric changes that occur in white blood cells after a positive antigen challenge.  This test will tells us the foods that you are reactive, moderately reactive and non-reactive to.  A key component in the “Diet” part of the DRESS for Health Success program is to remove the reactive and moderately reactive items from your diet for a certain period of time. This does not mean that you need to remove all of these items forever.  Once your body begins to heal we can start the reintroduction process.

BH 205 – HPA (Hypothalamus, Pituitary, Adrenal) Stress Profile

→ Stress is part of our daily lives – no one can escape it.  This lab measures how we internalize, manage and respond to stress in our daily lives by looking at your cortisol four times through out the day, DHEA average, Cortisol to DHEA ratio, Estradiol, Estriol, Progesterone, Testosterone and Melatonin. It will assess your circadian rhythm as well as any steroid hormone pathway imbalances.  When we think of stress we usually think of major life events such as loss of a job or serious health issues, etc.  While these stressors certainly contribute to our overall health the most common daily stressors are the ones that often go unrecognized and are not addressed.  These stressors can be blood sugar issues, poor sleep quality, inflammation from food sensitivities and even the way you perceive stress to name a few.