Take the guesswork out of getting to the root of your symptoms and optimising your health.

Private labs have a very wide range of tests that can accurately pinpoint dysfunction in metabolic processes such as the production of hormones, neurotransmitters and immune system defences. They can also identify imbalances in the bacterial population of your digestive and respiratory systems, and identify pathogens such as infectious bacteria and parasites.

For clients with weight issues, the metabolic analysis test is particularly useful in identifying how the body is utilising proteins, carbohydrates and fats for energy. This test also pinpoints issues with dopamine and serotonin, neurotransmitters which impact  appetite and satiety.


Digestive Issues

Gastrointestinal (GI) function is important for general health. This includes balancing beneficial microbial flora in the gut to enhance health benefit. GI health is key in digestion, nutrient usage, and ridding the body of waste and pathogens. Poor digestion and malabsorption can lead to immune dysfunction, nutritional insufficiencies, and various disease states. Poor GI function can also lead to food allergies and other toxicities.

Your intestinal tract contains significant amounts of bacteria, some beneficial, some neutral, and some that can be harmful. It is essential to know the microbial balance of your GI tract, especially if you have chronic health problems. Health enhancing intestinal bacteria serve to prevent the overgrowth of potentially harmful bacteria in the gut.

Conditions and diseases associated with GI disorders:

  • Food sensitives
  • Irritable bowel syndrome
  • Crohn’s disease
  • Ulcerative colitis
  • Maldigestion from history of celiac or other autoimmune disorders


Symptoms related to GI disorders include:

  • Abdominal pain
  • Arthritis/joint pain
  • Headaches/migraines
  • Diarrhoea or constipation
  • Noticeable change in stool
  • Bloating/gas
  • Unexpected weight loss/gain
  • Blood, mucus, or pus in stool
  • Hives/skin rash/eczema
  • Difficulty breathing
  • Swollen tongue/lips
  • Acid reflux/heartburn
  • Chills/fever
  • Chronic Fatigue
  • Cramping


Test: The Comprehensive Stool Analysis Test (CSA)
Sample Collection: Requires 3 stool sample collections
Turn Around Time: Results available within 12-14 working days.
Analyte List: Inflammation, immune function, yeast, parasites, bacteria, pathogens, pharmaceutical and botanical sensitives, cancer-preventative short chain fatty acids, pancreatic function, markers for digestion and absorption.


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Women’s Hormonal Balance

Research shows that fluctuating levels of oestradiol, progesterone and testosterone play a major role in a woman’s overall health, affecting the menstrual cycle, mood swings, sleep patterns, appetite levels, sex drive and hair loss. Chronic imbalances of these sex hormones are implicated in disorders such as:

  • PMS
  • Anovulation
  • Infertility
  • Amenorrhea
  • Breast cancer
  • Endometriosis
  • Polycystic ovary disease
  • Fibroids
  • Osteoporosis


The main causes of women’s hormonal issues stem from imbalanced hormone production:

Distribution issues:

  • The total production of hormones is ok, the timing is ok, but the hormones are not distributed properly across the cycle;
  • Drops in progesterone can cause PMS symptoms in the week before the period starts each month;
  • Drops in oestrogen can trigger premenstrual migraines at specific time each month.

Production issues:

  • Estrogen and/or progesterone levels are low;
  • Can lead to widespread cycle-long symptoms from constant low levels such as low libido and poor memory.

Timing issues:

  • The pre-ovulatory spike of oestrogen is out of sync, and/or the luteal phase progesterone surge is out of sync, which can create short or long follicular (time between the first day of the menstrual cycle and ovulation) and luteal (time between ovulation and the first day of the menstrual cycle) phases;
  • A short follicular phase impacts fertility;
  • A long follicular phase can lead to excessive bleeding.

Understanding women’s hormone cycles and pathways is important in understanding how imbalances can occur. Once the results are received, a targeted protocol can be agreed, taking account of the 3 main body systems that can contribute to hormonal issues:

  1. Stress: mental and emotional stress, dietary stress, pain and inflammation
  2. Digestive issues: gastrointestinal inflammation
  3. Hormone detoxification: liver detoxification issues

 

For Premenopausal Women:

I recommend the DUTCH Cycle Mapping Test which helps to evaluate hormones throughout a full menstrual cycle. Nine targeted estrogen and progesterone measurements provide important details about hormone levels in the follicular, ovulatory and luteal phases of the cycle. The report provides a detailed analysis, ensuring an individualised health plan.

Test: DUTCH Cycle Mapping
Sample Collection: Requires 9 urine spot samples over a one menstrual cycle.
Turn Around Time: Results available within 12-14 days.
Analyte List: Estradiol and progesterone
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For Peri-menopausal Women:

For women with few periods and menopausal women, I recommend the DUTCH Sex Hormones and Metabolites test which gives a snapshot of hormone balance on one day.

Test: DUTCH Sex Hormones and Metabolites
This test gives a snapshot of reproductive hormone metabolism as well as hormones related to stress response function.
Sample Collection: Requires 4 urine spot samples collected over 24 hours.
Turn Around Time: Results available within 12-14 days.
Analyte List: Estrogen, progesterone and testosterone metabolites, and DHEA.
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Metabolic Analysis

This test is an allrounder – it assesses 4 critical areas of metabolism: gastrointestinal function, cellular and mitochondrial energy production, neurotransmitter processing, and amino acid/organic acid balance as influenced by vitamin/mineral cofactors. The results can be used to address chronic systemic complaints ranging from chronic fatigue and mood disorders to headache, muscular/joint pain, and digestive problems. This test can also investigate more deeply the chronic issues that contribute to female related conditions like PMS, uterine fibroids, endometriosis, chronic urinary tract infections and vulvodynia, by looking at markers that are valuable for women’s health issues such as bacterial and yeast metabolites, oxalates, B vitamins and vitamin C.

This test uses a urinary assessment of 46 key organic acids grouped according to their primary roles in the following four central areas of metabolism.

 

Gastrointestinal Function:

An assessment of eight markers that can reveal malabsorption and dysbiosis. These imbalances can be addressed to improve gut health and to help prevent or alleviate: chronic digestive problems, common causes of nutritional deficiency, yeast overgrowth, cognitive impairment, gastrointestinal distress, and degenerative conditions.

 

Energy Production:

An assessment of metabolites that serve as important intermediates in the cellular energy cycle. This cycle supplies the body with its primary energy needs, converting 90% of food energy into cellular energy. This subpanel also includes:
• Carbohydrate metabolites that can signal impaired glucose metabolism
• Markers that help evaluate the breakdown of fats and production of cholesterol
• A marker measuring the production of coenzyme Q10
• Imbalances of cellular energy metabolites are linked with chronic fatigue, accelerated cell breakdown, and unhealthy aging.

 

Neurotransmitter metabolites:

An assessment of neurotransmitters that act on the central nervous system, including epinephrine, dopamine, and serotonin. These substances can profoundly influence psychiatric patterns of stress response, emotional well-being, cognition, sleep and weight.

 

Assessment of Nutrient Sufficiency:

A functional assessment that covers a broad range of vitamins, coenzymes, elements, enzyme activators, and other nutrients. An analysis of amino acid metabolites which require vitamin and mineral cofactors for their metabolism can hint at deficiencies of: vitamins B6, B12 and C, magnesium, copper, iron, and various amino acids.

If imbalances are detected, support can include supplements, such as vitamins and antioxidants, or dietary modification. Benefits can include decreased fatigue, regular bowel function, increased energy and alertness, increased concentration, improved verbal skills, less hyperactivity, and decreased abdominal pain. This test is strongly recommended as an initial screening test.

Test: The Organic Acids Test (OAT):
Sample Collection: 1 urine sample collection
Turn Around Time: Results available within 12-14 days.
Analyte List: View here
» View a sample report


Energy Levels

The 24 hour cycle of sleeping and waking is regulated by cortisol which is made in the adrenal glands. Cortisol should be high in the early hours of the morning to stimulate the waking response, and low in the evening to allow sleep. Imbalanced cortisol levels can lead to low energy, being tired on waking and very much awake at night. Low cortisol can lead to low energy, low libido, brain fog, and feeling overtrained and adrenally fatigued, while high cortisol levels can can decrease protein synthesis and amino acid uptake, increase protein breakdown and bone degradation, suppress the immune system, and increase blood sugar leading to weight gain. Measuring cortisol over the course of 24 hours can give a picture of circadian rhythm and allow for a targeted approach to resolving imbalances.

Test: The DUTCH Adrenal Test
Sample Collection: Requires 4 urine spot tests over 24 hours
Turn Around Time: Results available within 12-14 days.
Analyte List: Free cortisol, free cortisone, cortisol metabolites, creatinine, androgen metabolites (DHEAS, etiocholanolone, androsterone, testosterone, 5a-DHT, 5a-androstanediol, 5b-androstanediol, epi-testosterone), melatonin-sulfate.
» View a sample report