Functional Medicine Lab Testing

Maps cortisol rhythm, free cortisol and cortisone, sex hormones, and how your body uniquely metabolizes sex hormones. One of the most comprehensive hormone assessments available. We commonly recommend this test when someone is experiencing menstrual cycle irregularities, PMS and PMDD, acne, fertility challenges, perimenopause, menopause, low libido, fatigue, insomnia, and unexplained weight loss resistance.

The health of the gut influences far more than digestion. The gut microbiome interacts with immune function, hormone metabolism, inflammation, nutrient absorption, skin health, mood, and metabolic health. When we suspect the microbiome is playing a role in your symptoms, we often turn to comprehensive stool testing to gather deeper insight. Unlike many single-sample tests, these 3-day collections improve our ability to detect parasites and provide a more complete picture of digestive and microbiome health. In addition to evaluating beneficial and opportunistic bacteria, yeast, parasites, and inflammation, these panels assess digestive function, absorption, pancreatic enzyme activity, short-chain fatty acid production, stool pH, and beta-glucuronidase activity. Together, these markers help us better understand how well the gut is functioning in addition to what’s living in it.

Bacteria should live primarily in your large intestines, but in some people they move upstream and make a home in the small intestines. A SIBO breath test measures hydrogen and methane production after you drink a test solution. The results help identify bacterial overgrowth in the small intestines that could be contributing to bloating, abdominal discomfort, constipation, diarrhea, excessive gas, or symptoms that worsen after meals.

We use advanced food sensitivity testing selectively for patients and clients dealing with complex clinical histories, eczema, autoimmunity, MCAS, or chronic symptoms like bloating, fatigue, and inflammation.

Depending on your unique case, we utilize leading-edge panels—such as Precision Point Diagnostics P88 or Cyrex testing—to evaluate multiple immune pathways. These tests offer valuable insights into your specific dietary triggers. However, we never use food sensitivity tests in isolation; they are always interpreted alongside your history, symptoms, and comprehensive lab findings to create a complete picture of your health.

Beyond what is commonly ordered in an annual exam, we run comprehensive blood assessments. The specifics of labs ordered are customized based on your symptoms, history, and family history and may include inflammatory markers (hsCRP and homocysteine), iron studies, full thyroid (TSH, free T3, free T4, reverse T3, antibodies), insulin resistance score and HbA1c, full lipid panel with particle size, sex hormones, and key nutrient markers.

When symptoms suggest nutrient insufficiency may be contributing to the picture, we may utilize advanced testing such as SpectraCell or NutrEval. These panels evaluate vitamin, mineral, antioxidant, amino acid, and other nutrient markers to help us better understand the biochemical resources available to support energy production, recovery, mood, immune function, and overall health.

Used selectively when family history, persistent symptoms, or treatment response suggest additional insight may be helpful. We may utilize advanced testing such as 3X4 Genetics to better understand how your unique genetic blueprint may influence areas such as detoxification, inflammation, hormone metabolism, nutrient needs, and resilience. Genetics help inform the plan, but they never tell the whole story.

When symptoms, health history, or known exposures suggest environmental factors may be contributing to the clinical picture, we may evaluate areas such as mold exposure, heavy metals, and other environmental toxicants. These assessments are used thoughtfully and only when the findings are likely to influence clinical decision-making and treatment recommendations.