Order a Laboratory Test
Testing for Impaired Metabolism
TESTING FOR MITOCHONDRIAL DYSFUNCTION
Organic Acids
The body produces many byproducts of metabolism. We can measure these in the urine after they are excreted by the body. They can identify metabolic weak spots or deficiencies. They are a great way to look at the function of mitochondria. We can see how fats and carbohydrates are processed through the mitochondria, and even how the well the mitochondria make energy. If there are steps that are not functioning properly, we can identify the step and the exact nutrient or cofactor or amino acid necessary to correct the problem. For example if you have trouble getting fats into your cells for energy, we know you may need more carnitine, an amino acid that transports fats into the cells. This is an overnight urine test.
Cardiometabolic Stress Testing: VO2MAX
This is a cardiac stress test where oxygen consumption and carbon dioxide excretion is measured giving a very good indicator of your fitness level and mitochondrial function. The more oxygen you can consume, the more fit you are, the more calories you burn per minute and the longer your life expectancy.
Muscle Biopsy
Rarely used except in severe diseases
Testing Blood Sugar Imbalance
- Lipid profile (total cholesterol, LDL, HDL, triglycerides)
- Fasting and 1 and 2 hour post 75 gram glucose load insulin and glucose levels
- Hemaglobin A1C (HbA1C)
- Fibrinogen
- Uric acid
- High sensitivity C-reactive protein
- Ferritin
- Liver function tests
- Blood Sugar Imbalance Symptoms Questionnaire
Testing for Thyroid Function
- TSH
- Free T4
- Free T3
- Thyroid peroxidase antibodies
- Anti-thyroglobulin antibodies
- Reverse T3
- TRH stimulation test
- Thyroxine binding globulin
- Thyroid stimulating immunoglobulins
- Basal body temperature
- Thyroid Symptoms questionnaire
Testing for Adrenal Function
- Cortisol blood levels 8am and/or 4pm
- DHEA and DHEA-S
- VMA and/or metanephrins
- 24 hour urinary free cortisol
- Adrenal stress index - saliva at 4 times of the time
- ACTH stimulation tests (Cortrosyn)
- Adrenal Fatigue questionnaire
Testing for Hormonal Function
- Men: total and free testosterone and unconjugated DHEA, IGF-1
- Women: FSH, LH, prolactin, unconjugated DHEA, estradiol, progesterone, free testosterone, IGF-1