Testing

Functional Laboratory Testing

The Functional Laboratory Tests listed below are only available to patients who have attended a Clinic consultation. Laboratory testing usually speeds up the diagnostic process and is certainly very useful, However, a treatment programme can, and quite often does, proceed without the need for testing.

Functional Testing Price List (prices correct at Jan 08)

INDIVIDUAL WELLBEING DIAGNOSTIC GENOVA LABORATORY

Comprehensive Digestive Stool Analysis 2.0 (CDSA 2.0) with Parasitology £225

The CDSA 2.0 has been developed using the traditional CDSA as a platform and offers the most advanced non-invasive evaluation of specific gastrointestinal imbalances. It uses advanced GI biotechnology to evaluate digestion, absorption, pancreatic function, and inflammation, in addition to bacterial balance and yeast infections. The CDSA 2.0 also helps identify inflammatory conditions (including subclinical inflammation) such as food allergies, Inflammatory Bowel Disease (IBD), NSAID enteropathy, and post-infectious Irritable Bowel Syndrome (IBS).

In addition to many of the standard markers this advanced profile assesses analytes such as Pancreatic Elastase (PE-1). PE-1 is a measure of pancreatic insufficiency not affected by digestive supplements, changes in stool transit time or marker variability. Other invaluable markers include Calprotectin and Eosinophil Protein X. Eosinophil Protein X will also identify inflammation and/or tissue damage in the GI tract that may be due to food allergy, protein sensitive enteropathy, colitis or gastroesophageal reflux.

Calprotectin is a reliable marker that can detect the presence of infectious, inflammatory or malignant disease. It can detect low-grade inflammation as well as severe inflammation, allowing a clear differentiation between IBS and IBD, and c an be utilised to assist in selecting patients who may require further diagnostic procedures to distinguish between IBD and IBS. It can also be used to monitor treatment response.

Please note! Calprotectin is available separately, which can be a useful tool for identifying and monitoring patients with inflammatory bowel conditions.

Analytes measured: Digestion/ Absorption- pancreatic elastase 1, putrefactive short chain fatty acids (SCFA's), Gut Immunology- calprotectin, eosinophil protein X. Metabolic Markers- beneficial SCFA's, n-butyrate, pH, beta-glucuronidase, lithocholic acid (LCA), deoxycholic acid (DCA), LCA/ DCA ratio. Microbiology- Beneficial bacterial culture, additional bacterial culture, mycology, including sensitivities as appropriate includes EIA for Campylobacter specific antigen &Shiga-like Toxin E.coli. Parasitology (if ordered)- microscopic exam for parasites and separate EIA for Cryptosporidium, Giardia Lamblia, Entamoeba histolytica/ dispar

FACtest - Food Allergen Cellular Test for delayed food allergies/intolerances: £150
Sample requirement: 2 x 10ml EDTA (blood); turnaround time 14-21 days.
PDF file is available to download.

Secretary Immunoglobulin A sig A: £50
Sample requirement: single saliva; turnaround time 14-21 days.
PDF file is available to download.

Adrenal Stress Index: £70
Sample requirement: 4 x saliva; turnaround time 14-21 days.
PDF file is available to download.

Female Hormone Panel Test: measures progesterone/oestrogen levels and ratios over 28 days: £150
Sample requirements: I2 saliva samples over 28 days collected at home. Turnaround time: approve 10-14 days.
PDF file is available to download.

Progesterone / oestrogen single test: £65
Sample requirements: pre-menopausal single saliva sample day 21collected at home. Post-menopausal single saliva sample any day collected at home. Turnaround time: approve 10 - 14 days.
PDF file is available to download.

Osteoporosis Risk Assessment test: £70
Sample requirements: one morning urine sample collected at home. Turnaround time: 10 - 14 days.

Hair Mineral / Heavy Metals Analysis Test: £50
Sample requirements: small amount of hair collected at home. Turnaround time: 10 - 14 days.
PDF file is available to download.

Urine Amino Acids Test: £150
Sample requirements: first morning urine collected at home. Turnaround time: 10 - 14 days.

Detoxification Capacity Test: £140
Determines how well the liver can convert and clear toxins from the body. Sample requirements: urine/saliva samples collected at home. Turnaround time: 10 - 14 days.
PDF file is available to download.

Helicobacter Pylori Breath Test: £100
Detects presence or absence of an active H Pylori infection in the stomach. Sample requirements: 2 x breath samples following fasting for 4 hours collected at home. Turnaround time: 10 - 14 days.
PDF file is available to download.

Metabolic Analysis Profile Organic Acids Test: £160
Sample requirements: urine test collected at home. Turnaround time:14 -21 days.
PDF file is available to download.

Comprehensive Parasitology x 2 Test: £120
Sample requirements: 2 stool samples collected at home. Turnaround time: 14 - 21 days.
PDF file is available to download.

Polycystic Ovary Syndrome (PCOS) profile: £220
Sample requirements: 1 x serum, 12 x saliva. Turnaround time: 14 - 21 days.
PDF file is available to download.

Menopause Profile: £120
Sample requirements: 1 x urine, 1 x saliva. Turnaround time: 14 - 21 days.
PDF file is available to download.

Functional Blood Chemistry Profile: £150
Sample requirements: 4 x blood. Turnaround time: 10 - 14 days.



www.nutritional-therapy-online.co.uk
Functional Laboratory Testing The Functional Laboratory Tests listed below are only available to patients who have attended a Clinic consultation. Laboratory testing usually speeds up the diagnostic process and is certainly very useful, However, a treatment programme can, and quite often does, proceed without the need for testing. Functional Testing Price List (prices correct at Jan 08) INDIVIDUAL WELLBEING DIAGNOSTIC GENOVA LABORATORY Comprehensive Digestive Stool Analysis 2.0 (CDSA 2.0) with Parasitology £225 The CDSA 2.0 has been developed using the traditional CDSA as a platform and offers the most advanced non-invasive evaluation of specific gastrointestinal imbalances. It uses advanced GI biotechnology to evaluate digestion, absorption, pancreatic function, and inflammation, in addition to bacterial balance and yeast infections. The CDSA 2.0 also helps identify inflammatory conditions (including subclinical inflammation) such as food allergies, Inflammatory Bowel Disease (IBD), NSAID enteropathy, and post-infectious Irritable Bowel Syndrome (IBS). In addition to many of the standard markers this advanced profile assesses analytes such as Pancreatic Elastase (PE-1). PE-1 is a measure of pancreatic insufficiency not affected by digestive supplements, changes in stool transit time or marker variability. Other invaluable markers include Calprotectin and Eosinophil Protein X. Eosinophil Protein X will also identify inflammation and/or tissue damage in the GI tract that may be due to food allergy, protein sensitive enteropathy, colitis or gastroesophageal reflux. Calprotectin is a reliable marker that can detect the presence of infectious, inflammatory or malignant disease. It can detect low-grade inflammation as well as severe inflammation, allowing a clear differentiation between IBS and IBD, and c an be utilised to assist in selecting patients who may require further diagnostic procedures to distinguish between IBD and IBS. It can also be used to monitor treatment response. Please note! Calprotectin is available separately, which can be a useful tool for identifying and monitoring patients with inflammatory bowel conditions. Analytes measured: Digestion/ Absorption- pancreatic elastase 1, putrefactive short chain fatty acids (SCFA's), Gut Immunology- calprotectin, eosinophil protein X. Metabolic Markers- beneficial SCFA's, n-butyrate, pH, beta-glucuronidase, lithocholic acid (LCA), deoxycholic acid (DCA), LCA/ DCA ratio. Microbiology- Beneficial bacterial culture, additional bacterial culture, mycology, including sensitivities as appropriate includes EIA for Campylobacter specific antigen &Shiga-like Toxin E.coli. Parasitology (if ordered)- microscopic exam for parasites and separate EIA for Cryptosporidium, Giardia Lamblia, Entamoeba histolytica/ dispar FACtest - Food Allergen Cellular Test for delayed food allergies/intolerances: £150 Sample requirement: 2 x 10ml EDTA (blood); turnaround time 14-21 days. PDF file is available to download. Secretary Immunoglobulin A sig A: £50 Sample requirement: single saliva; turnaround time 14-21 days. PDF file is available to download. Adrenal Stress Index: £70 Sample requirement: 4 x saliva; turnaround time 14-21 days. PDF file is available to download. Female Hormone Panel Test: measures progesterone/oestrogen levels and ratios over 28 days: £150 Sample requirements: I2 saliva samples over 28 days collected at home. Turnaround time: approve 10-14 days. PDF file is available to download. Progesterone / oestrogen single test: £65 Sample requirements: pre-menopausal single saliva sample day 21collected at home. Post-menopausal single saliva sample any day collected at home. Turnaround time: approve 10 - 14 days. PDF file is available to download. Osteoporosis Risk Assessment test: £70 Sample requirements: one morning urine sample collected at home. Turnaround time: 10 - 14 days. Hair Mineral / Heavy Metals Analysis Test: £50 Sample requirements: small amount of hair collected at home. Turnaround time: 10 - 14 days. PDF file is available to download. Urine Amino Acids Test: £150 Sample requirements: first morning urine collected at home. Turnaround time: 10 - 14 days. Detoxification Capacity Test: £140 Determines how well the liver can convert and clear toxins from the body. Sample requirements: urine/saliva samples collected at home. Turnaround time: 10 - 14 days. PDF file is available to download. Helicobacter Pylori Breath Test: £100 Detects presence or absence of an active H Pylori infection in the stomach. Sample requirements: 2 x breath samples following fasting for 4 hours collected at home. Turnaround time: 10 - 14 days. PDF file is available to download. Metabolic Analysis Profile Organic Acids Test: £160 Sample requirements: urine test collected at home. Turnaround time:14 -21 days. PDF file is available to download. Comprehensive Parasitology x 2 Test: £120 Sample requirements: 2 stool samples collected at home. Turnaround time: 14 - 21 days. PDF file is available to download. Polycystic Ovary Syndrome (PCOS) profile: £220 Sample requirements: 1 x serum, 12 x saliva. Turnaround time: 14 - 21 days. PDF file is available to download. Menopause Profile: £120 Sample requirements: 1 x urine, 1 x saliva. Turnaround time: 14 - 21 days. PDF file is available to download. Functional Blood Chemistry Profile: £150 Sample requirements: 4 x blood. Turnaround time: 10 - 14 days.