
Functional Testing
Bloodwork
Bloodwork is an excellent tool for evaluating nutritional status, immune function, blood sugar regulation, metabolic health, liver function, kidney function, hormone levels, and more.
Common Blood Tests:
Complete blood count (CBC) - red blood cells, white blood cells, Hct, hemoglobin, & associated markers
Comprehensive metabolic panel (CMP) - fasting glucose, electrolytes, liver function, and kidney function
Vitamins, nutrients, & minerals - iron, panel, ferritin, vitamin D, vitamin B12, folate, zinc, magnesium, copper
TSH - thyroid function
Blood glucose markers - fasting insulin, HbA1c
Hormones - free testosterone, DHEA-S, estradiol, progesterone, SHBG
Cost: varies depending on labs ordered (cash labs typically range from $100-200 for a comprehensive panel)
WA patients - bloodwork can be ordered through Quest labs and billed to insurance OR via cash labs
Clients - bloodwork can be ordered via cash labs or requested from your local provider
Comprehensive Stool Analysis
The GI-MAP (GI Microbial Assay Plus) by Diagnostic Solutions is a DNA qPCR stool analysis. Addressing gut health is an integral component necessary for treating the root cause of skin conditions in the majority of cases. Addressing gut health includes promoting a healthy microbiome, reducing inflammation, treating pathogen infections and overgrowth, and treating leaky gut.
Cost: $330-389 (cash lab; price depends on location)
GI-Map includes the following analytes:
Bacterial Pathogens
Viral Pathogens
Parasitic Pathogens
Parasitic Protozoa
Parasitic Worms
Normal Bacterial Flora
Opportunistic Bacteria
H. pylori with Virulence Factors
H. pylori Resistance Genes
Fungi/Yeast
Digestion
Immune Response
Inflammation
View sample report
Organic Acids Test (OAT)
Organic acids testing is a diagnostic tool used to measure the levels of various organic acids in the urine. These acids are byproducts of metabolism, and their concentrations can provide insights into metabolic processes, nutritional deficiencies, gut health, and the presence of infections or imbalances in the body. This type of testing is often used in functional medicine to assess issues like oxidative stress, yeast overgrowth, or mitochondrial dysfunction. The results can help guide treatment strategies, such as dietary changes, supplements, or lifestyle adjustments. We use both the organic acids tests from Mosaic Diagnostics and Diagnostic Solutions.
Price: cash lab; price depends on test and location
Diagnostic Solutions OAp - $185
Mosaic Diagnostics OAT - $270-330
Mosaic Diagnostics MOAT - $190
OAT Test Components:
Intestinal Microbial Overgrowth
Oxalate Metabolites
Glycolytic Cycle Metabolites and Mitochondrial Markers
Neurotransmitter Metabolites
Pyrimidine Metabolites & Ketone and Fatty Acid Oxidation
Nutritional Markers
Indicators of Detoxification
Amino Acid Metabolites
Mineral Metabolism
Glucose
Cortisol
View sample report (Mosaic Diagnostics)
View sample report (Diagnostic Solutions)
DUTCH Complete
The Dried Urine Test for Comprehensive Hormones (DUTCH) Complete by Precision Analytical tests for metabolites in the urine to evaluate serum levels, metabolites, and detoxification of sex hormones and adrenal hormones.
Price: $300
DUTCH Complete Components:
Estrogen
Progesterone
Testosterone and other androgens
Cortisol
Cortisol Awakening Response
Melatonin
Nutritional organic acids
Oxidative stress
Neurotransmitter metabolites
View sample report (female)
View sample report (male)
Adrenal Hormone Testing (Salivary)
Salivary hormone testing is one of the best methods in evaluating adrenal hormones, such as cortisol and DHEA. Assessing adrenal hormone levels throughout the can provide insight into an individuals stress levels and stress response. Chronic stress can hinder the body’s ability to heal and repair tissues, so stress-management and adrenal support is a critical component of many treatment plans. At NDG, we typically order the Genova Adrenocortex Stress Profile.
Price: approx $135 (cash lab; exact price depends on location)
Adrenocortex Stress Profile Overview:
Four cortisol samples measured throughout the day give insight into the natural circadian diurnal cortisol rhythm, and help clinicians address specific daily stressors.
DHEA is measured once in the 7:00 AM – 9:00 AM sample.
Ratio of DHEA to cortisol is calculated to provide insight into anabolic/catabolic balance.
Optional Add-on:
Cortisol Awakening Response (CAR)
Two awakening samples to evaluate CAR.
CAR is a transient, immediate rise in cortisol upon awakening and is distinct from the diurnal rhythm. CAR reflects a person's ability to cope with anticipated challenges and their perception of control around chronic stress, providing insight into HPA axis resiliency.