Laboratory Tests
Genomic Profiles Genova
Cardio Genomic Profile_ Genova
Detoxi Genomic Profile-Genova
Estro Genomic Profile-Genova
Immuno Genomic Profile-Genova
Neuro Genomic Profile-Genova


Gastrointestinal Tests
GI Panel-GI-1 - DTI
CSA Stool Test - DDI
CSAP3 Parasite Test - DDI
Celiac/Gluten Sensitivity - Genova
Hepatic Detox Panel - DDI
H. Pylori (Gastric Ulcers) - DDI
Leaky Gut/Permeability - Genova
Lactose Intolerance Test - Genova
Bacteria Sensitivities - DDI
Microbiology Analysis - DDI
Parasite Test(P3) - DDI

Parasite-Bacteria-Expanded -DDI
Yeast Culture_- DDI


Endocrinology Tests
Adrenal Stress Index-ASI - DTI
HPA Adrenal-Neurotransmitter-NL
Bone Resorption - Genova
Estrogen Metabolism - Genova
Female Hormone-Rhythm - Genova
Female Hormones -FHP - DTI
Male Hormone Profile-MHP - DTI
Male Hormone Expand eMHP-DTI
Melatonin Profile - Genova
Post Menopause -PostM - DTI
Thyroid Comprehensive - Genova

Metabolic Tests
Cardio Health(CV) - Genova
Metabolic Analysis Profile - Genova
Metabolic Nutrient Profile - USBT
Oxidative Stress Analysis - Genova


Nutritional Tests
Organic Acid Test (OAT)- GPL
Amino Acid Panel - DDI
Nutrient Analysis - Spectra Cell
Fatty Acids-Bloodspot - Genova
Toxic Metals-Blood - Genova
Hair Toxic Element Exposure_DDI

NutrEval - Genova
Porohyrins-DDI
Hair Eletrolyte Heavy Metal -ARL
Toxic Element Clearance - Genova
Immunology Tests
Allergy 96 Foods+16 vegetar- USBT
Allergy 96 Foods - USBT
A
llergy 96 Vegeterian Foods- USBT
Allergy 16 Airbornes -USBT
Environmental Pollutants-11- USBT
Allergy Food or Inhalants - Genova
Allergix Food 30 Bloodspot- Genova
Mold Profile - Genova
Leaky Gut PermeabilityArray2-Cyrex
Gluten Autoimmunnity Array3-CYR
Gluten Assoc Cross Reactive Foods Array 4 Cyrex Labs
Multiple Autoimmune Array 5-Cyrex
Joint Autoimmune Array 8-Cyrex
Multiple Food Immune Array 10-Cyr
Chemical Immune Array 11- Cyrex
Blood Brain Barrier Permeability Array 20- Cyrex
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Comprehensive Parasitology X3 Price: $220.00 Stool

This test is performed to identify abnormal intestinal microflora, but does not directly assess abnormal digestion/absorption, inflammation or other specific aspects of gastrointestinal health.   The test is typically performed as a follow up after treatments initiated as a results of the Comprehensive Stool Analysis with Parasitology.

The ability to access intestinal ecology through stool culture techniques (which include comprehensive bacteriology and yeast cultures to identify the presence of beneficial flora, imbalanced flora including Clostridium species and dysbiotic flora), combined with detection of infectious pathogens and visual evaluation for the presence of parasites, is an important step in identifying imbalances in intestinal microflora.

To view a sample Test Report click here.

To order this test click here

Bacteriology
A good balance of beneficial microflora has been known to be associated with health benefits since the turn of the century.   At that time Metchnikoff drew attention to the adverse effects of dysbiotic gut microflora on the host and suggested that ingestion of fermented milks ameliorated what he called “autointoxication”.   He proposed that the consumption of large quantities of Lactobacillus species would reduce the number of toxin-producing bacteria and result in better health and increased lifespan. 1

Over the past 90 plus years there has been extensive scientific research demonstrating that a good balance of Lactobacilli, Bifidobacteria and beneficial E. coli bacteria are important to the functional health of the gut, and as a consequence, to the whole organism. The benefits identified include inhibition of microbial pathogens, 2 prevention and treatment of antibiotic associated diarrhea, 3 prevention of travelers’ diarrhea, 4 reduction of lactose intolerance symptoms, 5 reduction in serum cholesterol levels, 6,7  enhancement of the immune system, 8  and inhibition of the proliferation of Candida albicans. 9,10   Research has shown that improved biological value of food can be achieved through the activity of Lactobacilli and Bifidobacteria which have been reported to produce folic acid, niacin, thiamin, riboflavin, pyridoxine, biotin and vitamin K. 11

The mechanisms by which these benefits are derived are not yet fully understood.   However, research suggests that some of the beneficial effects may be due to the following activities of beneficial bacteria:

Release of substances antagonistic to enteropathogenic microorganisms such as lactocidin, lactobicillin, and acidolin

Competition with pathogens for adhesion receptors

Production of lactase

Production of short chain fatty acids (SCFAs) such as butyrate, propionate, and acetate

In a healthy balanced state of intestinal flora the beneficial bacteria make up a significant proportion of the total microflora.   However, in many individuals we see an imbalance of beneficial bacteria and an overgrowth of non-beneficial or even pathogenic microorganisms (dysbiosis).   This can be due to a variety of factors including: daily exposure to chemicals in our drinking water   that are toxic to friendly bacteria; the use of antibiotics; chronic consumption of highly processed foods ( low in fiber, high in sugar) and high stress levels.   Patients may present with chronic symptoms such as irritable bowel syndrome, autoimmune diseases (e.g. rheumatoid arthritis), fatigue, chronic headaches, and allergies to a variety of foods.

Bacterial sensitivities to a variety of prescriptive and natural agents are provided when pathogenic bacteria are cultured. This provides the clinician with important and specific clinical information to help plan an appropriate treatment protocol.

1 Metchnikoff, E. The Prolongation of Life. 1907, Heinemann

2 Fuller R. Probiotics in human medicine. GUT, 1991;32:439-442

3 Sittonen S, Vapaatalo H, Salminen S, et al. Effect of Lactobacilli GG yogurt in prevention of antibiotic associated diarrhea. Ann Med. 1990;22:57-59

4 Oksanen P, Salminen S, Saxelin M, et al. Prevention of travellers’ diarrhea by Lactobacillus GG. Ann med 1990;22:53-56

5 Kim H and Gilliland S. Lactobacillus acidophilus as a dietary adjunct for milk to aid lactose digestion in humans. J Dairy Sci. 1983;66:959-966

6 Tahri K, Crociani J, Ballongue J and Schneider F. Effects of three strains of bifidobacterial on cholesterol. Letters Applied Microbiology. 1995;21:149-151

7 Klaver F and Van Der Meer R. The assumed assimilation of cholesterol by Lactobacilli and Bifidobacterium bifidum is due to their bile salt- deconjugating activity. Applied and Envir. Micro. 1993;1120-1124

8 Peridgon G, Alvarez M, et al. The oral administration of lactic acid bacteria increases the mucosal intestinal immunity in response to   enteropathogens J. Food Prot. 1990;53:404-410

9 Elmer G, Surawicz C, and McFarland L. Biotherapeutic agents – a neglected modality for the treatment and prevention of   intestinal and vaginal infections. JAMA 1996; 275(11):870-876.

10 Fitzsimmons N and Berry D. Inhibition of Candida albicans by Lactobacillus acidophilus: evidence for involvement of a peroxidase system.   Microbios. 1994; 80:125-133

11Noda H, Akasaka N and Ohsugi M. Biotin production by Bifidobacteria.J Nutr. Sci. Vitaminol. 1994; 40:181-188.

Yeast
Infection with yeast species can cause a variety of symptoms, both intra- and extra- gastrointestinal, and may escape suspicion as a pathogenic agent in many cases.   Controversy remains as to the relationship between Candida infection and episodes of recurrent diarrhea.1 However, episodes of yeast infection after short-term and long-term antibiotic use have been identified in patients with both gastrointestinal and vaginal symptoms. 2

There is some evidence linking yeast infections with more chronic extra-gastrointestinal conditions.   Studies suggest that the production of antibodies against Candida Albicans may contribute to atopic dermatitis in young adults. 3 Other studies have identified the potential role of candidiasis in chronic fatigue syndrome. 4

Identification of abnormal levels of specific yeast species in the stool is an important diagnostic step in therapeutic planning for the patient with chronic gastrointestinal and extra-gastrointestinal symptoms.

Yeast sensitivities to a variety of prescriptive and natural agents are provided when yeast is cultured at any level. This provides the clinician with useful clinical information to help plan an appropriate treatment protocol.

1 Nolting S, Stanescu Siegmund A, Schwantes PA. Candida and the gastrointestinal tract. A medical-research evaluation. Fortschr   Med . 1998;116(6):22-8.

2 Goulden V, Glass D, Cunliffe WJ. Safety of long-term high dose minocycline in the treatment of acne. Br J Dermatol .   1996;134(4):693-5.

3 Savolainen J, Lammmintausta K, Kalimo K, Viander M. Candida albicans and atopic dermatitis. Clin Exp Allergy . 1993;23(4):332-9.

4 Cater RE 2 nd . Chronic intestinal candidiasis as a possible etiological factor in the chronic fatigue syndrome. Med Hypotheses . 1995;44(6):507-15.

Parasitology
According to Dr. Hermann R. Bueno of the Royal Society of Tropical Medicine and Hygiene in London, “parasites are the missing diagnosis in the genesis of many chronic health problems, including diseases of the gastrointestinal tract and endocrine system.” 1           

While parasitic infection may be an underlying etiological factor in several chronic disease processes, doctors often do not consider the potential for parasitic involvement because signs and symptoms of parasitic infection often resemble those of other diseases.   Moreover, it has been shown that parasite testing is a reasonable approach to the detection of causative agents for chronic gastrointestinal disorders. 2      

Most Americans are inclined to believe that parasitic infection is a rare and exotic occurrence, limited to those who have traveled to distant, tropical lands.   However, for a number of reasons, there has been an increase in the incidence of parasitic infection in this country.  

Reasons for this increase include the following: 3
Contamination of the water supply
Increased use of day care centers
Travel to or from countries where parasitic infection is endemic
Household pets
Consumption of exotic and uncooked foods
Antibiotic use

The “sexual revolution”
Signs and symptoms of parasitic infection vary from one individual to another.   The more common signs and symptoms are:   constipation, diarrhea, bloating, gas, symptoms of irritable bowel syndrome, arthralgias, myalgias, anemia, increased allergic reactions, skin lesions, agitation and anxiety, difficulty with sleep, decreased energy, malnutrition and decreased immune function.            

Infection can occur by four different pathways.   These routes include contaminated food or water, insect vectors, sexual contact, and passage through the skin and nose.   A thorough patient history will help assess the possibility of parasitic infection and the need for appropriate testing to confirm the suspicion. 4          

Definitive diagnosis can be difficult because the life cycle of some parasites allows them to escape detection in standard tests.   Interfering factors such as barium, bismuth, enemas, and antimicrobials such as antibiotics may further complicate detection of parasites in the stool. 5

1 Gittleman AL. Guess What Came to Dinner:   parasites and your health . Garden City Park: Avery Publishing Groups Inc.  1993. p. ix.

2Zdero M, Cabrera G, Ponce de Leon P, et al. Parasitosis in an adult population with chronic gastrointestinal disorders. Acta   Gastroenterol Latinoam . 1997;27(2):67-73.

3 Gittleman AL. Ibid.   pp. 9-10.

4 Ibid., pp. 22-3

5 Ibid. p.93

All lab tests can be done through the mail in the privacy of your own home, except blood tests, we send you to a lab to have your blood drawn for these. After you pay for the test we mail you the kit, the results take two weeks, the test results will be mailed to us and we will call you to go over the results, its that easy! All tests include the consultation for the report of findings.Click on test of interest on the left for more information.

Call our office for more details: 800-956-7083 OR 818-707-3126.
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