| Laboratory and Diagnostic Testing We value the importance of diagnostic testing as it is essential to know exactly what we are treating before we design a treatment plan. We use standard blood and serum tests, as well as x-rays and ultrasound. All of these tests are valuable tools that complement a thorough history and physical exam. Standard Blood Chemistry Screening, Complete Blood Count & Lipid Studies
deficiencies
Hormone testing When indicated, we will assess hormone status using specialized tests. Such testing can be used to diagnose or rule out, menopause, diabetes, thyroid dysfunction, adrenal fatigue as well as a variety of other endocrine dysfunctions. The type of sample we use depends on the hormone or system we are interested in. There different ways to assess certain hormones. For many of the sex hormones (estrogen, progesterone, and testosterone) we are using blood tests as we find them to be more reliable than saliva tests. Imaging (X-rays, Ultrasound, MRI and CT) -- are ordered when indicated. Some examples of more extensive testing that we order are the following: Adrenal Stress Test: This test uses four salivary samples collected by the patient at home. It provides us with the following results: four measurements of cortisol, DHEA, 17-hydroxyprogesterone, wheat intolerance, insulin (fasting and after eating) and secretory IgA --helpful to rule out underlying causes of fatigue, insomnia, mood swings, hypoglycemia, and hormonal imbalance Gluten Allergy and Celiac Disease Tests A variety of tests can be done to determine if gluten is a problem. It is important to note that not all gluten allergies, intolerances or celiac disease cases will involve digestive complaints. VAP Cholesterol Test: A more comprehensive evaluation of subfractions of HDL and LDL as well as other markers evaluating risk for cardiovascular disease. Complete Digestive Stool Test: Stool analysis for parasitic infection, including candida, bacterial infections, and markers for digestive function and inflammation. Comprehensive Thyroid Function Testing: Free T4, Free T3, and TSH, Thyroid Antibodies and reverse T3 when indicated -- a more complete look at thyroid status --These tests help rule out sub-clinical hypothyroidism, and thyroid conversion problems commonly missed with standard thyroid tests Serum Ferritin: Tests for the storage form of iron (ferritin) which gives a much more accurate measure of iron deficiency. This test is performed when a client's history and/or symptoms warrant further testing. Sometimes iron deficiency anemia will not be seen on general screens (Complete Blood Count), thus this test can be extremely valuable. Urine Test for Heavy Metals: This is a screening test for heavy metals that have accumulated in the body. The test is done in conjunction with taking a heavy metal chelator; this is a type of "heavy metals challenge testing." There of course are many other tests, too many to list, that may be indicated once we take into consideration a client's history and symptom picture. |
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