Nutritional Tests

Food Allergy, AutoImmune, Intestinal Permeability

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Nutritional Tests

Food Allergy, AutoImmune, Intestinal Permeability

Do you have numerous food allergies, intolerances or sensitivities, that you or your doctor have not been able to resolve or even diagnose? Food intolerance can be a mystery and requires an understanding of how it can develop in the first place.

Food Sensitivities have been found to be the result of a weakened immune system’s learned response to any number of proteins that are permeating or “leaking” into the systemic circulation from the gastrointestinal tract. This is called Intestinal Permeability. Intestinal permeability has been identified as a pre-cursor to immune mediated or delayed food sensitivities. Contributing factors of increased permeability are a low fiber overly processed dietary intake, over exposure to antibiotics, drugs, and or chemicals and pesticides.

Intestinal permeability or “leaky gut” and can be tested as well as identify and quantify the number of antibodies the immune system has created in response to substances it does not recognize and considers “foreign”. Food intolerances are tested by IgG and will identify immune mediated hyperactive responses to proteins in foods.Once these proteins are identified, immune modification can proceed by temporarily removing the food or chemical trigger and re-educating the immune system to respond to these proteins in a less reactive manner.

Cyrex Labs, Inc. provides the most comprehensive tests for Delayed Food Allergy Testing. They are a clinical immunology lab specializing in functional immunology and autoimmunity. Cyrex™offers multi-tissue antibody testing for the early detection and monitoring of today’s complex autoimmune conditions, which always include food intolerances. Cyrex has provided the most specific information to assist in guiding patient care for the most compromised of gut/auto and hyperimmune cases.The tests or “arrays” below are available for clients.

Cyrex™ Labs –

Cyrex Labs Arrays:
Array 2 – Intestinal Antigenic Permeability Screen
Array 3 – Wheat/Gluten Proteome Reactivity & Autoimmunity
Array 4 – Gluten-Associated Cross-Reactive Foods and Foods Sensitivity
Array 5 – Multiple Autoimmune Reactivity Screen
Array 6 – Diabetes Autoimmune Reactivity Screen
Array 7 – Neurological Autoimmune Reactivity Screen
Array 7X – Neurological Autoimmune Reactivity Screen – Expanded
Array 8 – Joint Autoimmune Reactivity Screen
Array 10 – Multiple Food Immune Reactivity Screen
Array 10-90 – Multiple Food Immune Reactivity Screen
Array 10-90X – Multiple Food Immune Reactivity Screen
Array 11 – Chemical Immune Reactivity Screen
Array 20 – Blood Brain Barrier Permeability
Array 22-Irritable Bowel/ Sibo Screen

If you need to get to the bottom of what is driving your symptoms or want to, please call us to schedule a food allergy test for you.

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Micronutrient Vitamin Mineral Amino Acid, Cardiac, Pre-Diabetic, Genetic Tests

Spectracell Labs –

SpectraCell’s MicroNutrient Testing:

SpectraCell’s MicroNutrient Testing measures how micronutrients are actually functioning within your white blood cells. Unlike serum testing that measures the nutrients in serum and does not give an indication of availability in cellular tissue, white blood cell testing does, and is an indicator of nutritional biochemical availability.

SpectraCell’s Micronutrient Testing results allow insight into the nutritional factors that contribute to many clinical conditions including; arthritis, cancer, cardiovascular risk, diabetes, malabsorption of nutrients, and various immunological, metabolic or neurological disorders. The test can provide guidance to what nutrients are most needed for your body’s optimal functioning. Once this test is conducted, it is best to re-test in minimum 3 months and up to 9 months to see if nutritional changes adopted had efficacy.

SpectraCell’s CardioMetabolic Testing:

SpectraCell’s CardioMetabolic test offers a clinically relevant evaluation to help define risk for atherosclerotic cardiovascular disease (ASCVD), progression toward Type 2 Diabetes, and inflammation. It includes SpectraCell’s Advanced Lipoprotein Particle Profile™ Plus (LPPTM Plus), which measures lipoprotein size and density; cardiovascular risk stratification; and also includes triglycerides and traditional cholesterol screening. Each patient is assigned a CardioMetabolic Risk Assessment, which is an indication of your risk (Low, Moderate or High) for developing cardiovascular disease, including stroke and diabetes. In addition, the Type 2 Diabetes Risk Assessment is an estimate of your risk of developing Type 2 Diabetes. These check points help patients understand that not just one factor, but rather a constellation of risk factors, contribute to the genesis and progression toward poor blood sugar control and/or ASCVD. Results of testing allow clinicians to know when guidance, educational referral, or treatment is necessary. Key components of the CardioMetabolic Risk Panel are listed below

If you have one of the following below, you should take the CardioMetabolic Test or Pre-Diabetes Risk Panel.

  • Have a family history of heart disease or diabetes
  • Have been diagnosed with heart disease or diabetes
  • Are already taking cholesterol-lowering medications
  • Have been diagnosed with Metabolic Syndrome (high blood pressure)
  • Are overweight
  • Have high LDL – the bad cholesterol
  • Have low HDL – the good cholesterol
  • Have high triglycerides


The Pre-Diabetes Biomarkers identify metabolic abnormalities that may progress into diabetes. Pre-diabetes is a condition where the body cannot efficiently metabolize foods, especially carbohydrates, resulting in impaired glycemic (blood sugar) control which may progress to diabetes when not properly treated or addressed through lifestyle changes.

SpectraCell’s Pre-Diabetes Risk Score is a way to estimate a patient’s risk of developing diabetes and associated complications such as heart disease or stroke. The following tests have the largest impact on the pre-diabetes risk score: hemoglobin A1c, fasting blood sugar and metabolic syndrome traits. Other factors that significantly affect a pre-diabetic risk but that are not included in this report include weight, blood pressure (hypertension), smoking, inflammation and family history. The Pre-Diabetes markers are listed below:

  • Glucose – snapshot of blood sugar at time of blood draw
  • Insulin – correlates to the efficiency with which a person can metabolize carbohydrates; high fasting levels indicate insulin resistance and possible pre-diabetes.
  • Hemoglobin A1C – long term (2-3 months) marker of glycemic control; also considered a marker of accelerated aging
  • C-peptide – a measure of endogenous insulin production; useful in distinguishing between type 1 and type 2 diabetes
  • Adiponectin – a hormone that ezymatically controls metabolism; high levels are beneficial and indicate efficient cellular energy production
  • Metabolic syndrome traits – A diagnosis of metabolic syndrome is confirmed if any three of the following six traits exist in a patient: (1) high triglycerides (2) high glucose (3) low HDL (4) high blood pressure (5) high waist circumference or (6) increased small dense LDL

The CardioMetabolic Risk Panel is the test that could save your life.

SpectraCell’s Genetic Testing: MTHFR
MTHFR is an enzyme responsible for converting 5,10-methylenetetrahydrofolate to the product 5-methyltetrahydrofolate – it is involved in the metabolism of folate and homocysteine. The product of the reaction catalyzed by MTHFR converts homocysteine (a potentially toxic amino acid) to methionine (a useful and necessary amino acid). Many people’s MTHFR is defective meaning they have one or two single nucleotide polymorphism or “SNPs” on it. When that is the case, synthetic folic acid that may be in a nutritional supplement they take may not work well. The natural type of folate is what the body recognizes either through consuming more leafy green vegetables, and in many cases a pharmaceutical grade folate supplement.

MTHFR SNPs can cause hyperhomocysteinemia (especially if folate levels are low); affect nervous system, behavioral, and vascular health; contribute to birth defects, miscarriage, and preeclampsia; modulate cancer risk; and increase chronic disease risk.This test is covered by most insurances if ordered by your doctor

ApoLipoprotein E
ApoE test determines an individual’s genetic risk associated with the Apolipoprotein E gene. ApoE is involved in the metabolism of cholesterol and triglycerides, and variants in this gene can have clinically relevant implications for disease risk as well as one’s response to statin therapy, dietary fat, and other risk factors (eg., smoking and alcohol consumption). Approximately 45% of individuals carry one or more of the high risk variants within the ApoE gene. The results of the genotyping of Apolipoprotein E have important implications in the treatment strategies for individual patients in reducing cardiovascular disease risk.

GI Stool Tests

In your first visit you will learn what your calorie level needs are and what foods to eat at various meals times throughout the day. You will receive a personalized nutrition plan specific to your needs to get you started towards your health and weight goals.

Diagnostic Solutions Labs –

GI Microbial Assay Plus (GI-MAP) is the first comprehensive pathogens assay that is FDA approved. The test manufacturer is Luminex Corp. The pathogen targets include bacteria, parasites and viruses.

Unlike previous PCR assays, Diagnostic Solutions has fully validated each target organism in their panel resulting in a high confidence in the results. The panel includes opportunistic organisms, normal flora, parasites, and fungi. DNA/PCR techniques also allow for the measurement of antibiotic resistance genes and virulence factors that contribute to pathogenicity. Both are used to help determine clinical significance and the most effective treatments.

Other available stool tests may appear to be DNA-based tests, but they are in fact using Matrix Assisted Laser Desorption/Ionization Time-of-Flight (MALDI-TOF) only to identify stool microbes. Their methodology relies on cultures from stool and are not molecular/PCR based assays. With a culture based test it is not possible to measure strict anaerobes, viruses or virulence factors. They also lack the ability to deliver true quantitation of any of the reported organisms.

We recommend this test for all patients with any type of gastrointestinal challenge, neurological or arthritic health challenges, or anyone who want to make sure there intestinal microbiome is in a good balance of “good and bad bugs”.

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A Comprehensive Test for Identifying Nutritional Deficiencies and Genomic SNPs

Genova Diagnostic Labs –

NutrEval Plasma® test is an advanced nutritional analysis designed to reveal nutritional imbalances or inadequacies. NutrEval Plasma evaluates the functional need for antioxidants, B-vitamins, minerals, essential fatty acids, amino acids, digestive support, and other select nutrients.

This nutritional analysis offers insight into nutrient status and allows clinicians to provide targeted treatment for the particular needs of each patient, often augmenting and speeding recovery of complex chronic conditions. Select genomic biomarkers may be added to the profile for enhanced personalization of therapies.

Assessment of select genomic markers in conjunction with the NutrEval supports broadened clinical insight and enhanced personalization of therapeutics in an array of patient conditions such as depression, anxiety, cardiovascular disease, cardiometabolic syndrome, inflammatory conditions, and chronic pain syndromes.

NutrEval kit requisitions will now include the option for ordering one or more of the following SNPs:

  • COMT
  • TNF-α
  • APOE

Effective for Patients Experiencing:

NutrEval Plasma testing is effective for patient concerns such as:

  • Mood disorder
    • Depression
    • Anxiety
  • Fatigue
  • Digestive Complaints
  • Chronic Pain/Inflammatory Conditions
    • Musculoskeletal
    • Migraine
  • Cardiovascular Risk
  • Weight Issues/Dietary Guidance
  • General Health and Sports Fitness Optimization

The Complete NutrEval Plasma Offers:

  • Metabolic Analysis Markers (urine organic acids)
    • Malabsorption and Dysbiosis Markers
      • Malabsorption Markers
      • Bacterial Dysbiosis Markers
      • Yeast/Fungal Dysbiosis Markers
    • Cellular Energy & Mitochondrial Metabolites
      • Carbohydrate Metabolism
      • Energy Metabolism
      • Fatty Acid Metabolism
    • Neurotransmitter Metabolites
    • Vitamin Markers
    • Toxin & Detoxification Markers
    • Tyrosine Metabolism
  • Plasma Amino Acid Analysis
    • Nutritionally Essential Amino Acids
    • Nonessential Protein Amino Acids
    • Intermediary Metabolites
    • Dietary Peptide Related Markers
  • Essential and Metabolic Fatty Acids
    • Omega 3 Fatty Acids
    • Omega 6 Fatty Acids
    • Omega 9 Fatty Acids
    • Saturated Fatty Acids
    • Monounsaturated Fats
      • Omega 7 Fats
      • Trans Fat
    • Delta-6 Desaturase Activity
    • Cardiovascular Risk – featuring key ratios: Omega 6/Omega 3, AA/EPA, and the Omega 3 Index
  • Oxidative Stress Markers
    • Glutathione (whole blood)
    • Lipid Peroxides (urine)
    • 8-OHdG (urine)
    • Coenzyme Q10 (plasma)
  • Elemental Markers
    • Copper
      • Magnesium
      • Manganese
      • Potassium
      • Selenium
      • Zinc
    • Toxic Elements
      • Lead
      • Mercury
      • Antimony
      • Arsenic
      • Cadmium
      • Tin

When Should a NutrEval Profile Be Considered?

Research suggests that nutritional shortfalls or imbalances may be at the root of many chronic conditions. The NutrEval can help identify specific, personalized recommendations for even the most difficult-to-treat patient cases.

Adrenocortex Stress Profile

Genova Diagnostic Labs –

The Adrenocortex Stress Profile is an at-home salivary hormone test that evaluates the key stress hormones, cortisol and DHEA. Four samples collected throughout the day allow for circadian rhythm assessment. Salivary adrenal hormone testing may uncover biochemical imbalances, which can adversely affect:

  • Mood
  • Sleep
  • Immune Defense
  • Thyroid Function
  • Weight Control
  • Resistance to Stress
  • Energy
  • Cardiovascular Health
Why use the Adrenocortex Stress Profile?

When compared to traditional blood testing of adrenal hormones, salivary assessment offers several advantages:

  • Uncovers abnormal patterns of cortisol release over a 24-hour period, which may be addressed with customized therapeutic interventions
  • Hormone levels measured in saliva, rather than serum, are thought to be unbound and bioavailable
  • Convenient at-home collection of four salivary samples collected throughout the day is an ideal low-stress diagnostic for assessing diurnal variation in stress hormones
  • Facilitates follow-up testing to monitor therapy responses, especially when multiple samples are required to be collected over a period of time

The Adrenocortex Stress Profile can help provide identification and targeted treatment of hormonal imbalances using customized hormone and/or nutritional therapies improves symptoms and enhances quality of life.

  • Cortisol –
    Cortisol is released in large amounts in response to physical, physiological, and/or psychological stressors. A glucocorticoid response that is elevated, extended, or inadequate can impair a person’s adaptation to stress, increase or decrease HPA-axis activity and is considered a health risk. Due to the circadian pattern of cortisol release, sequential timed measurements of cortisol provide the best tracking of overall cortisol production.
  • DHEA –
    In contrast to cortisol, DHEA exerts mostly anabolic actions and balances the body’s stress response. DHEA functions to provide substrate for the synthesis of sex hormones, guards against degenerative conditions associated with aging, influences immune function and energy production, and affects insulin sensitivity, thyroid function, and protein synthesis.

Metabolic Testing- MEDGEM

MedGem is a clinically-validated and FDA 510K-cleared, class II, medical device for measurement of patient resting metabolic rate (RMR).

The MedGem is an easy-to-use, handheld device that accurately measures oxygen consumption (VO2) to determine resting metabolic rate (RMR)*. Measurements made with The MedGem are easy to administer and provide accurate results in only a few minutes.

What is metabolism?

Metabolism is the biochemical process of combining nutrients with oxygen to release the energy our bodies need to function. Metabolism is typically measured in kilocalories or, more commonly, calories. The measurement of our metabolism is called Calorimetry. Total metabolic rate represents the calories required for maintaining body functions and daily activity, as well as the energy cost of exercise or planned activity. Landman & Associates, Inc. provides in-office metabolic testing using the MedGem® calorimetry testing device by Microlife. This test is accurate, takes approximately 10 minutes to conduct, and is conducted on an empty stomach in the morning. The MedGem® test reports a patients’ resting metabolic rate or “RMR”.

What is RMR?

Resting metabolic rate (RMR) represents the calories the body burns to maintain vital body functions (heart rate, brain function, breathing). In simple terms, it is the number of calories a person would burn if they were awake, but at rest all day. RMR can represent up to 75% of a person’s total metabolism if they are inactive or lead a sedentary lifestyle.

Why is it necessary to measure RMR?

Since RMR accounts for up to 75% of the total calories we need each day, it’s a critical piece of information to appropriately establish daily calorie needs, whether we’re trying to lose or maintain weight. Most healthcare and fitness professionals recognize that metabolism is impacted by a variety of characteristics such as fever, illness, high fitness, obesity, active weight loss, etc. When managing a patient’s nutritional needs and calorie requirements, knowledge of RMR is critically important. Traditionally, healthcare professionals, who have not had access to measurement technology, have relied on evidenced based formulas such as the Harris-Benedict or Mifflin St. Jeor formula which is the next best thing to calorimetry testing.

If you are trying to excel at competitive sports, need to lose 20 lbs. or more, or fighting a disease, calorimetry testing will provide the most accurate report of your resting metabolic rate.

Bioelectrical Impedance Analysis (BIA)

Bioelectrical impedance analysis (BIA) is a commonly used method for estimating body composition, and in particular, body fat. BIA actually determines the electrical impedance, or opposition to the flow of an electric current through body tissues which can then be used to estimate total body water (TBW), which can be used to estimate fat-free body mass and, by difference with body weight, body fat.We use the Impedimed DF-50 machine which evaluates phase angle, intra and extracellular fluids in addition to body fat %.

DF50 Outputs Determine the Following:

  • Fat-Free Mass (FFM), % FFM
  • Fat Mass (FM), % FM
  • Total Body Water (TBW), % TBW
  • Intracellular Fluid (ICF)
  • Extracellular Fuid (ECF)

You can request a MedGem or BIA test be included with one of your nutrition visits to optimize your results. For best results, have your tests done within the first month, and then monthly for proper tracking

Take The First Step To Better Health Now!
Schedule your consultation today by calling: