Advanced Functional medicine labs
Gut, thyroid, & adrenal health...
"test. don't guess. every patient is unique."
Functional Medicine Testing Options
Could your doctor be missing something?
The following tests are available and ordered for the patient as needed. Please reach out to us with any questions. We will review lab reports brought in from other providers and endeavor to only order tests when absolutely indicated to keep patient costs low. We have also made arrangements with the lab companies for the lowest prices available to our office and pass those savings on to our patients.
There are many health benefits that can occur with the correct diet, lifestyle changes and a few key nutrients, supplements or herbs and we are happy to advise accordingly. For patients desiring a more complete functional assessment, we include the appropriate laboratory testing based on the patient’s current complaints. During the Report of Findings (ROF) visit, we will provide a full functional analysis based on the patient’s history, exam, nutrition testing & laboratory findings that will consider the WHOLE picture and best recommendations on how to move forward.
One or two of the test options listed in the sections below may be needed to help determine the functional cause contributing to the following symptoms:
Fatigue - Weight gain/loss - Low mood/sad - Anxious feelings - Brain fog - Gas - Bloating - Reflux - Food reactivity - Diarrhea - Constipation - Skin issues - Irritability - Sleep Issues - Muscle aches/pain
Searching “Dr. Google” will provide you with a month’s worth of reading that ranges from highly technical research articles to unreliable blog posts or the inevitable “you might have this disease” fear-driven article. For those that prefer to KNOW what’s going on and get clear guidance, we recommend a full assessment with 1-2 of the following tests listed below as needed.
"all disease begins in the gut."
Advanced Gut Health Tests
SIBO Breath Test & Trio Smart Test
The 3-hour SIBO Lactulose Breath Test is the best non-invasive test to order to determine if Small Intestinal Bacterial Overgrowth (SIBO) is present. SIBO affects over 50% of people who’s digestive symptoms can be labeled as IBS. Common symptoms include bloating, painful gas, diarrhea, constipation, intestinal hyperpermeability (aka “leaky gut”), and acid reflux. This condition can also contribute greatly to mental health issues (depression/anxiety), skin issues (acne, eczema, rashes, hives), muscle aches/pain, weight gain and/or insulin resistance.
If any of this seems to fit your circumstances, we highly recommend you watch the basic and advanced Gut Health classes taught by Dr. Zachary and if needed, order the SIBO breath test.
We use the Genova 3-Hour Lactulose breath test & the Trio Smart Lactulose breath test. Contact the office for exact pricing. We will interpret test results from other offices or labs but HIGHLY encourage you to make sure it is the 3-Hour Lactulose test so it will show the transit from the small intestines to the colon.
GI-MAP Stool Test
This is a DNA-PCR (polymerase chase reaction) test that amplifies DNA to identify pathogens and is more highly sensitive and reliable than the old stool tests that relied on a lab tech to identify visible live organisms under a microscope. This test has an excellent track record for picking up parasites, bacteria, worms, other pathogens plus digestive markers for dysbiosis, inflammation, etc.
Although this lab will test stool for yeast/fungal strains, it often does not pick them up because it is difficult to detect. When fungal/yeast (ex. Candida) is suspected we recommend the OATs urine test.
OAT (Organic Acid Test) Urine test
This is our “go-to” test to truly determine if yeast (ex. Candida) is present. Yeast can often hide in stool especially if it is a long-term case where it is growing into the tissue of the intestines and not on the surface. The OAT will show the markers of fungal waste products (that our human cells do NOT produce) and then we will know the yeast is present.
Additionally, the OAT will demonstrate many other key markers including dysbiosis, mitochondrial function, clostridia markers, oxalates, neurotransmitters (ex. serotonin), nutritional deficiencies and more. Please see our detailed post regarding the many benefits of the OAT for more information.
Lastly, it is safe for all ages and easy urine test that is completed at home and mailed to the lab.
"blood labs provide insight in functional medicine"
Blood Lab Testing
Thyroid, Heart, Liver & General Health Blood Tests
We always compare the “conventional medical range” and the “functional lab range” when we analyze blood labs and typically provide a detailed description to each patient. This information is very revealing and new to our patients because once you look for more than just “disease” from blood labs you can assess a great deal about the functional health and nutritional wellness for each patient.
If thyroid issues are present or suspected we will order a full thyroid panel and typically also order a complete advanced heart health panel. Frequently a CBC w/differential and CMP will also be ordered and other select labs as needed (ex. Uric Acid, vitamin D, iron panel, etc).
You will always be provided a copy of your lab results to share with your other practitioners and PCP.
We typically order blood labs either through Boston Heart Labs or Lab Corp and have negotiated the lowest prices available to our office and pass those savings on to our patients. We are also happy to analyze blood labs brought in by the patient providing they are recent enough and include the blood markers needed.
"leaky gut", high histamine, ebv, lyme,
hormone testing, food sensitivities
Other labs may be ordered as needed on a case-by-case basis including the following:
HORMONE TESTING - Precision Analytical (DUTCH- Advanced & Comprehensive Hormone Testing- most extensive profile of sex and adrenal hormones along with their metabolites + organic acids profile).
Precision Point Labs (blood test for “leaky gut” particularly measuring histamine, DAO, LPS, zonulin, etc).
Analytical Research Labs (hair tissue test for overall wellness, heavy metals, mineral levels).
Cyrex Labs (blood test for food allergies/cross-reactivity, etc) There is a wide variety of tests and costs depending on what is ordered. Contact the office for exact pricing.
Epstein-Barr Virus Full Panel (blood lab to demonstrate current, past or reactivation of virus).
Igenex Lyme Testing (blood lab testing for Lyme antigens). Contact the office for exact pricing.
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"...What a drastic change from
past experiences with
health care practitioners!
Additionally, what a relief to no longer be stabbing into the darkness, paying huge sums of money to purchase health store vitamins/supplements... most of the time I had no idea the actual ingredients and effectiveness..
I am eternally grateful. Thank you!"
"I have been attending Dr. Zachary's classes and weight loss challenge. I have learned so much about making myself healthier.
Now I am seeing her about my thyroid and other issues traditional medicine would never look at.
I have been a nurse for 33 years and what she teaches and practices makes sense. I am so lucky I found her."
— Alicia B.