Functional medicine lab testing

Functional Medicine Lab Testing

Conventional lab tests can’t always be relied upon to tell what’s really going on in the body. Offering specialized and more comprehensive lab testing can help provide results that are unique to one’s body and healthcare needs.

Food Intolerance Testing

Digestive Health Testing

Stool Microbiology Profile

Comprehensive Stool Analysis

SIBO Lactulose Breath

Bloodwork Panels

These tests measure essential hormones, vitamins, antioxidants, and minerals, offering a holistic understanding of our physiology.

Patients are provided with a requisition form, and blood collection services are performed at any Dynacare Laboratory. Typical turnaround time is 7 to 12 days.

Auto-Immune Panel

The Autoimmune Panel is a comprehensive set of tests designed to evaluate the presence of specific antibodies that indicate immune system activity against the body’s own tissues. These tests play a crucial role in diagnosing autoimmune disorders, where the immune system mistakenly targets and attacks healthy cells and organs. The panel includes markers that assess thyroid function and antibodies associated with systemic autoimmune conditions.

Antinuclear Antibody (ANA)
- Description: Detects antibodies that target the cell nucleus.
- Significance: ANA is associated with autoimmune diseases like lupus, mixed connective tissue disease, Sjogren’s syndrome, scleroderma, polymyositis, CREST syndrome.

Anti-Thyroid Peroxidase Antibodies (TPO Ab)
- Description: Measures antibodies against thyroid peroxidase, an enzyme crucial for thyroid hormone synthesis.
- Significance: Elevated levels may indicate autoimmune thyroid conditions, such as Hashimoto’s thyroiditis.
Anti-Thyroglobulin Antibodies (Tg Ab)
- Description: Measures antibodies against thyroglobulin, a protein in the thyroid.
- Significance: elevated levels of TgAb are associated with autoimmune thyroid diseases, including Hashimoto’s thyroiditis and Graves’ disease.

Rheumatoid Factor (RF)
- Description: Rheumatoid factors are proteins made by your immune system that can attack healthy tissue in the body.
- Significance: Elevated levels may indicate rheumatoid arthritis or other autoimmune conditions.

Transglutaminase IgA Antibodies (tTG IgA)
- Description: Measures antibodies against tissue transglutaminase, associated with celiac disease.
- Significance: Elevated levels may indicate gluten sensitivity or celiac disease.

The Autoimmune Panel aids healthcare professionals in identifying autoimmune processes early on, facilitating timely intervention and management. These tests are valuable tools for diagnosing conditions such as rheumatoid arthritis, autoimmune thyroid diseases, and celiac disease. Interpretation of results should be done in consultation with a healthcare provider to determine appropriate treatment plans based on individual health needs.

Cardio Panel

The Cardio Panel is a comprehensive set of tests designed to assess key markers associated with cardiovascular health. These tests provide valuable insights into various aspects of heart function, lipid metabolism, and inflammation. A thorough understanding of these markers helps healthcare professionals evaluate cardiovascular risk, guide preventive measures, and tailor interventions for optimal heart health.

Note: Fasting required 12 to 14 hours prior to blood collection

Lipoprotein (a) [Lp(a)]
- Description: Measures the concentration of Lp(a), a lipoprotein associated with cardiovascular risk.
- Significance: Elevated levels may contribute to an increased risk of heart disease. Monitoring Lp(a) helps in understanding an individual’s predisposition to cardiovascular events.
Apolipoprotein A1
- Description: Measures Apolipoprotein A1, a component of HDL cholesterol.
- Significance: Higher levels are indicative of a healthier lipid profile and a decreased risk of cardiovascular disease. Apolipoprotein A1 plays a key role in the reverse cholesterol transport process.

Apolipoprotein B
- Description: Measures Apolipoprotein B, a component of LDL cholesterol.
- Significance: Elevated levels may suggest an increased risk of atherosclerosis and cardiovascular events. Apolipoprotein B is essential for lipid transport and metabolism.
Homocysteine
- Description: Measures the level of homocysteine, an amino acid associated with cardiovascular risk.
- Significance: Elevated levels may contribute to arterial damage and an increased risk of cardiovascular disease. Monitoring Homocysteine helps in assessing cardiovascular risk beyond traditional lipid profiles.
NMR (Nuclear Magnetic Resonance) Lipoprofile
- Description: An advanced blood test utilizing Nuclear Magnetic Resonance technology to analyze lipoprotein particles. This comprehensive profile includes measurements of: Low-Density Lipoprotein Cholesterol (LDL-C), High-Density Lipoprotein Cholesterol (HDL-C), LDL Particles and Size, HDL Particles and Size, Triglycerides, Total Cholesterol
- Significance: Offers a more comprehensive view of lipid metabolism. This advanced profiling goes beyond traditional lipid panels, aiding in the assessment of cardiovascular risk beyond standard lipid panels.

High-Sensitivity C-reactive Protein (hsCRP)
- Description: Measures low levels of inflammation in the body.
- Significance: An indicator of cardiovascular risk, especially when combined with lipid profiles.

The Cardio Panel serves as an indispensable tool in proactively managing cardiovascular health. By comprehensively examining these key markers, healthcare providers can tailor interventions to reduce risk factors and promote heart well-being. Interpretation of results should be done in consultation with a healthcare professional, ensuring personalized strategies for optimal cardiovascular health.

Celiac Disease Panel

The Celiac Disease Panel is a comprehensive set of tests designed to assess markers associated with celiac disease, an autoimmune condition triggered by gluten consumption.

Transglutaminase IgA Antibodies (tTG IgA)
- Description: Measures IgA antibodies against tissue transglutaminase.
- Significance: Elevated levels indicate an immune response to gluten, contributing to the diagnosis of celiac disease. This test is highly specific for celiac disease.

Transglutaminase IgG Antibodies (tTG IgG)
- Description: Measures IgG antibodies against tissue transglutaminase.
- Significance: Useful in cases where IgA levels are deficient. Elevated IgG levels suggest an immune response to gluten and may support the diagnosis of celiac disease.

Deamidated Gliadin IgA Antibodies (DGP IgA)
- Description: Measures IgA antibodies against deamidated gliadin peptides.
- Significance: Elevated levels indicate an immune response to gluten and contribute to the diagnosis of celiac disease. DGP IgA is especially useful in individuals with IgA deficiency.

Deamidated Gliadin IgG Antibodies (DGP IgG)
- Description: Measures IgG antibodies against deamidated gliadin peptides.
- Significance: Useful in cases of IgA deficiency. Elevated IgG levels indicate an immune response to gluten and support the diagnosis of celiac disease.

Total IgA
- Description: Assesses the total IgA levels in the blood.
- Significance: Ensures that the body produces a normal amount of IgA. This measurement is essential for interpreting the results of IgA-based tests, such as tTG IgA and DGP IgA.

The Celiac Disease Panel is a comprehensive tool for diagnosing celiac disease, allowing for early intervention through a gluten-free diet. Interpretation of results should be done in consultation with a healthcare professional for accurate diagnosis and guidance on dietary and lifestyle modifications.

Electrolytes Panel

The Electrolytes Panel is a set of tests designed to measure the levels of essential electrolytes in the blood, providing insights into the body’s acid-base balance, fluid status, and overall cellular function.

Bicarbonate
- Description: An electrolyte that helps regulate the body’s acid-base balance.
- Significance: Bicarbonate levels are crucial for maintaining proper pH levels in the blood. Abnormal levels may indicate conditions such as metabolic acidosis or alkalosis.

Chloride
- Description: An essential electrolyte that helps maintain fluid balance and is often found in association with sodium.
- Significance: Chloride levels are important for assessing electrolyte balance. Abnormal levels may be indicative of kidney dysfunction, dehydration, or certain metabolic conditions.

Potassium (K)
- Description: An electrolyte essential for nerve and muscle function, maintaining heart rhythm, and regulating fluid balance.
- Significance: Abnormal potassium levels can affect heart and muscle function. Elevated levels (hyperkalemia) or low levels (hypokalemia) may be associated with various medical conditions.

Sodium (Na)
- Description: An electrolyte crucial for maintaining fluid balance, nerve function, and blood pressure.
- Significance: Sodium levels are key indicators of hydration status and electrolyte balance. Abnormal levels may be associated with dehydration, kidney dysfunction, or hormonal imbalances.

The Electrolytes Panel is essential for evaluating and monitoring the body’s electrolyte balance, ensuring proper cellular function, and identifying potential imbalances that can have significant health implications. Interpretation of results should be done in consultation with a healthcare professional, who can provide insights into electrolyte status and guide appropriate interventions for maintaining or restoring balance.

Hematology Panel

The Hematology Panel is a comprehensive set of tests designed to assess various aspects of blood composition and hematological health. It provides insights into red blood cell (RBC) formation, nutrient status, and potential deficiencies.

CBC with Differentials (Complete Blood Count with Differentials)
- Description: A blood test that provides information about the number and types of blood cells, including red blood cells (RBCs), white blood cells (WBCs), and platelets.
- Significance: CBC helps in diagnosing and monitoring various blood disorders, including anemia, infections, and leukemia.

Ferritin
- Description: A protein that stores iron in cells, releasing it when needed.
- Significance: Ferritin levels reflect the body’s iron stores. Low levels may indicate iron deficiency anemia.

RBC Folate (Red Blood Cell Folate)
- Description: Measures the level of folate specifically within red blood cells.
- Significance: RBC folate levels provide insights into long-term folate status. Folate, a key player in DNA synthesis, is essential for normal RBC maturation and prevents abnormalities in cell division.

Serum Folate
- Description: Measures the level of folate in the liquid component of the blood.
- Significance: Serum folate levels help assess current folate status and can indicate deficiencies or excess folate intake.

Iron/Total Iron-Binding Capacity (TIBC)
- Description: Evaluates the amount of iron circulating in the blood relative to the body’s capacity to bind and transport iron.
- Significance: This ratio helps assess how well the body is utilizing iron. Abnormal levels may indicate iron deficiency anemia or iron overload.

Vitamin B12
- Description: Measures the level of vitamin B12 in the blood.
- Significance: Vitamin B12 is essential for red blood cell formation and neurological function. Low levels may lead to pernicious anemia or neurological disorders.

The Hematology Panel is a valuable tool for diagnosing and monitoring various hematological conditions, including anemias and deficiencies of essential nutrients. Interpretation of results should be done in consultation with a healthcare professional, who can provide insights into hematological health and guide appropriate interventions for optimal well-being.

Inflammation Panel

The Inflammation Panel is a comprehensive set of tests designed to assess markers associated with inflammation in the body.

Albumin
- Description: A protein produced by the liver that plays a role in maintaining oncotic pressure in the blood.
- Significance: Low levels may indicate chronic inflammation or malnutrition.

CBC (Complete Blood Count)
- Description: A blood test that provides information about the number and types of blood cells.
- Significance: Elevated white blood cell counts may indicate an inflammatory response.

ESR (Erythrocyte Sedimentation Rate)
- Description: Measures the rate at which red blood cells settle in a tube over a specified time period.
- Significance: Elevated ESR levels may suggest the presence of inflammation or infection.

Ferritin
- Description: A protein that stores iron in cells, releasing it when needed.
- Significance: Elevated levels may indicate inflammation or iron overload.

Fibrinogen
- Description: A protein involved in blood clotting.
- Significance: Elevated levels may be associated with inflammation or an increased risk of cardiovascular disease.

hs-CRP (High-Sensitivity C-reactive Protein)
- Description: Measures low levels of inflammation in the body.
- Significance: An essential marker for assessing systemic inflammation. Elevated hs-CRP levels may indicate increased risk of cardiovascular events.

The Inflammation Panel provides a comprehensive evaluation of inflammation, helping healthcare professionals identify and monitor inflammatory conditions. Interpretation of results should be done in consultation with a healthcare professional, who can provide insights into the nature and extent of inflammation, guiding appropriate interventions for optimal health.

Iron Panel

The Iron Panel is a set of tests designed to assess iron status in the body, providing insights into the potential causes of anemia.

Ferritin
- Description: A protein that stores iron in cells, releasing it when needed.
- Significance: Ferritin levels reflect the body’s iron stores. Low levels may indicate iron deficiency, a common cause of anemia, while high levels may suggest inflammation or iron overload.
Iron/Total Iron-Binding Capacity (TIBC):
- Description: Evaluates the amount of iron circulating in the blood relative to the body’s capacity to bind and transport iron.
- Significance: This ratio helps assess how well the body is utilizing iron. Low iron levels along with high TIBC may indicate iron deficiency anemia, while low TIBC levels may suggest anemia of chronic disease or iron overload.

The Iron Panel for anemia aids in diagnosing the specific type and cause of anemia, guiding appropriate interventions for optimal management. Interpretation of results should be done in consultation with a healthcare professional, who can provide insights into iron status and recommend suitable strategies to address anemia or its underlying causes.

Kidney Function Panel

The Iron Panel is a set of tests designed to assess iron status in the body, providing insights into the potential causes of anemia.

Ferritin
- Description: A protein that stores iron in cells, releasing it when needed.
- Significance: Ferritin levels reflect the body’s iron stores. Low levels may indicate iron deficiency, a common cause of anemia, while high levels may suggest inflammation or iron overload.
Iron/Total Iron-Binding Capacity (TIBC):
- Description: Evaluates the amount of iron circulating in the blood relative to the body’s capacity to bind and transport iron.
- Significance: This ratio helps assess how well the body is utilizing iron. Low iron levels along with high TIBC may indicate iron deficiency anemia, while low TIBC levels may suggest anemia of chronic disease or iron overload.

Liver Enzyme Panel

The Liver Enzymes Panel is a set of tests designed to assess the health and function of the liver.

Alkaline Phosphatase
- Description: An enzyme found in the liver, bones, and other tissues.
- Significance: Elevated levels may indicate liver or bone disorders. In the context of liver function, it is often used to assess bile flow and liver health.
AST (Aspartate Aminotransferase)
- Description: An enzyme found in various tissues, including the liver and heart.
- Significance: Elevated levels may suggest liver damage or other conditions affecting the liver or heart.
ALT (Alanine Aminotransferase)
- Description: An enzyme predominantly found in the liver.
- Significance: Elevated levels suggest liver injury or inflammation. ALT is a specific marker for liver function and is often used to diagnose liver conditions.
GGT (Gamma-Glutamyl Transferase)
- Description: An enzyme found in the liver, bile ducts, and other tissues.
- Significance: Elevated levels may indicate liver or bile duct dysfunction. GGT is particularly useful in identifying alcohol-related liver disease.
LD (Lactate Dehydrogenase)
- Description: An enzyme found in many tissues, including the liver.
- Significance: Elevated levels may indicate tissue damage, including liver damage. LD is a less specific marker for liver function but can provide information about overall tissue health.

The Liver Enzymes Panel is a crucial tool for assessing liver health, aiding in the diagnosis and monitoring of various liver conditions. Interpretation of results should be done in consultation with a healthcare professional, who can provide insights into liver function and guide appropriate measures for maintaining or improving liver health.

Liver & Gall Bladder Function Panel

The Liver Function Panel is a set of tests designed to assess the health and function of the liver and gall bladder.

Albumin
- Description: A protein produced by the liver that plays a crucial role in maintaining oncotic pressure in the blood.
- Significance: Low levels may indicate liver dysfunction, malnutrition, or kidney disease.

ALP (Alkaline Phosphatase)
- Description: An enzyme found in the liver, bones, and other tissues.
- Significance: Elevated levels may indicate liver or bone disorders. In the context of liver function, it is often used to assess bile flow and liver health.

ALT (Alanine Aminotransferase)
- Description: An enzyme found predominantly in the liver.
- Significance: Elevated levels suggest liver injury or inflammation. ALT is a specific marker for liver function and is often used to diagnose liver conditions.

Direct Bilirubin
- Description: A component of total bilirubin that is conjugated in the liver.
- Significance: Elevated levels may indicate issues with bile ducts or liver function. Direct bilirubin is involved in the excretion of bilirubin from the liver.

Total Bilirubin
- Description: A yellowish pigment produced during the breakdown of red blood cells.
- Significance: Elevated levels may indicate liver disease or hemolysis. Total bilirubin levels are used to assess overall liver health and bile flow.

Total Protein
- Description: Measures the total amount of proteins in the blood, including albumin and globulins.
- Significance: Abnormal levels may indicate liver or kidney disease, malnutrition, or other health conditions. Total protein levels provide insight into overall protein status.

The Liver Function Panel is a crucial tool for assessing liver health, aiding in the diagnosis and monitoring of various liver conditions. Interpretation of results should be done in consultation with a healthcare professional, who can provide insights into liver function and guide appropriate measures for maintaining or improving liver health.

Thyroid Panel – Basic

The Thyroid Panel is a set of tests designed to assess the function of the thyroid gland, a crucial endocrine organ that plays a key role in regulating metabolism.

TSH (Thyroid Stimulating Hormone)
- Description: Produced by the pituitary gland, TSH stimulates the thyroid gland to produce and release thyroid hormones.
- Significance: TSH levels are often used as a primary indicator of thyroid function. Elevated TSH may suggest hypothyroidism (underactive thyroid), while low TSH may indicate hyperthyroidism (overactive thyroid).

Free T3 (Free Triiodothyronine)
- Description: One of the active thyroid hormones, T3 plays a crucial role in regulating metabolism and energy production.
- Significance: Free T3 levels help assess the actual availability of active thyroid hormone in the body. Abnormal levels may indicate thyroid dysfunction.

Free T4 (Free Thyroxine)
- Description: The main thyroid hormone produced by the thyroid gland, T4 is converted into the active T3 in the body.
- Significance: Free T4 levels help assess the thyroid’s capacity to produce hormones. Abnormal levels may indicate hypo- or hyperthyroidism.

The Thyroid Panel is a fundamental tool for evaluating thyroid function, aiding in the diagnosis and monitoring of thyroid disorders. Interpretation of results should be done in consultation with a healthcare professional, who can provide insights into thyroid health and guide appropriate interventions for maintaining or restoring optimal thyroid function.

Thyroid Panel – Comprehensive

The Comprehensive Thyroid Panel is an extensive set of tests designed to provide a thorough assessment of thyroid function and autoimmune thyroid conditions.

Free T3 (Free Triiodothyronine)
- Description: Measures the active form of thyroid hormone that plays a crucial role in regulating metabolism.
- Significance: Free T3 levels help assess the actual availability of active thyroid hormone in the body.

Free T4 (Free Thyroxine)
- Description: Measures the main thyroid hormone produced by the thyroid gland, which is converted into the active T3 in the body.
- Significance: Free T4 levels help assess the thyroid’s capacity to produce hormones.

Reverse T3 (Reverse Triiodothyronine)
- Description: Reverse T3 is a hormone metabolite that is created from the T4 thyroid hormone. It is produced in response to conditions of extreme stress, serving as a protective mechanism to conserve energy and regulate metabolism.
- Significance: High levels of reverse T3 are often associated with stress, illness, or disruptions in thyroid hormone metabolism.

Thyroglobulin Antibodies (Tg Ab)
- Description: Measures antibodies against thyroglobulin, a protein produced by the thyroid gland.
- Significance: Elevated TgAb levels may indicate autoimmune thyroid conditions, such as Hashimoto’s thyroiditis or Graves’ disease.

Thyroid Peroxidase Antibodies (TPO Ab)
- Description: Measures antibodies against thyroid peroxidase, an enzyme involved in thyroid hormone production.
- Significance: Elevated TPOAb levels are associated with autoimmune thyroid conditions, particularly Hashimoto’s thyroiditis.

TSH (Thyroid Stimulating Hormone)
- Description: Produced by the pituitary gland, TSH stimulates the thyroid gland to produce and release thyroid hormones.
- Significance: TSH levels are often used as a primary indicator of thyroid function. Abnormal levels may suggest hypo- or hyperthyroidism.

The Comprehensive Thyroid Panel provides a detailed view of thyroid function, helping in the diagnosis and monitoring of various thyroid disorders, including autoimmune conditions. Interpretation of results should be done in consultation with a healthcare professional, who can provide insights into thyroid health and guide appropriate interventions for maintaining or restoring optimal thyroid function.

Methylation Panel

The Methylation Panel is a set of tests designed to assess key markers associated with methylation processes in the body. Methylation is a crucial biochemical process involved in various cellular functions, including DNA synthesis, neurotransmitter production, and detoxification.

Homocysteine
- Description: An amino acid produced during methylation processes.
- Significance: Elevated homocysteine levels may indicate disruptions in methylation pathways and are associated with an increased risk of cardiovascular disease. Monitoring homocysteine levels is crucial for assessing methylation status.
Serum Folate
- Description: Measures the level of folate in the liquid component of the blood.
- Significance: Folate is a key player in methylation processes, contributing to DNA synthesis and normal cellular function. Adequate folate levels are essential for supporting methylation reactions.
Vitamin B12
- Description: Measures the level of vitamin B12 in the blood.
- Significance: Vitamin B12 is essential for methylation reactions and plays a crucial role in maintaining neurological function. Deficiency can lead to disruptions in methylation processes.

The Methylation Panel is valuable for assessing methylation status and identifying potential deficiencies that may impact various physiological functions. Interpretation of results should be done in consultation with a healthcare professional, who can provide insights into methylation processes and guide appropriate interventions for optimal health.

Male Sex Hormone Panel

The Male Sex Hormone Panel is a set of tests designed to assess key hormones associated with male reproductive health.

SHBG (Sex Hormone-Binding Globulin)
- Description: A protein that binds and carries sex hormones – Dihydrotestosterone (DHT), Testosterone, Estradiol – which are released in the bloodstream depending on the needs of the body.
- Significance: SHBG levels impact the amount of bioavailable testosterone, influencing hormone activity and physiological effects. When a person has high SHBG, a higher proportion of sex hormones will bind to it and be biologically inactive, potentially resulting in low testosterone levels.

Estradiol
- Description: The primary form of estrogen produced in the testes, adipose tissue, and adrenal glands.
- Significance: Estradiol is essential for male reproductive health, influencing libido, bone density, and overall well-being. Imbalances may contribute to issues such as gynecomastia or sexual dysfunction.

Prolactin
- Description: A hormone produced by the pituitary gland that plays a role in the regulation of reproductive function.
- Significance: Elevated prolactin levels may affect testosterone production and lead to sexual dysfunction or infertility.

Total Testosterone
- Description: Measures the total amount of testosterone in the bloodstream, including both bound and unbound forms.
- Significance: Total testosterone levels provide an overall assessment of testosterone production and can indicate conditions such as hypogonadism.

Additional Add-Ons (optional):

Free Testosterone
- Description: Measures the amount of unbound, biologically active testosterone in the blood.
- Significance: Free testosterone represents the fraction of testosterone available for cellular uptake and physiological effects. Low levels may be associated with symptoms of testosterone deficiency.

Dihydrotestosterone (DHT)
- Description: An active metabolite of testosterone, formed in tissues such as the prostate and hair follicles.
- Significance: DHT plays a crucial role in male sexual development, influencing prostate health and contributing to androgenic effects. Elevated levels may be associated with conditions like benign prostatic hyperplasia (BPH) or male pattern baldness.

DHEA-S (Dehydroepiandrosterone Sulfate)
- Description: A precursor to sex hormones, produced by the adrenal glands.
- Significance: DHEA-S levels contribute to overall hormonal balance, and imbalances may impact various aspects of male health, including energy levels and libido.

The Male Sex Hormone Panel is a valuable tool for assessing the hormonal balance critical for male reproductive health, sexual function, and overall well-being. Interpretation of results should be done in consultation with a healthcare professional, who can provide insights into hormonal health and guide appropriate interventions for optimal male reproductive function.

Female Hormone Wellness Panel

Thyroid, Adrenal, Sex Hormones, Inflammation

The Female Hormone Wellness Panel is a comprehensive set of tests designed to evaluate the status of thyroid hormones, sex hormones, adrenal hormones, and inflammation markers in women. This panel provides valuable insights into reproductive health, thyroid function, and adrenal gland activity.

Thyroid Hormones

Free T3 (Free Triiodothyronine)
- Description: Measures the active form of thyroid hormone that plays a crucial role in regulating metabolism.
- Significance: Free T3 levels help assess the actual availability of active thyroid hormone in the body.

Free T4 (Free Thyroxine)
- Description: Measures the main thyroid hormone produced by the thyroid gland, which is converted into the active T3 in the body.
- Significance: Free T4 levels help assess the thyroid’s capacity to produce hormones.

TSH (Thyroid Stimulating Hormone)
- Description: Produced by the pituitary gland, TSH stimulates the thyroid gland to produce and release thyroid hormones.
- Significance: TSH levels are often used as a primary indicator of thyroid function. Abnormal levels may suggest hypo- or hyperthyroidism

Sex Hormones

Estradiol (E2)
- Description: The primary form of estrogen produced by the ovaries.
- Significance: Influences menstrual cycles, bone health, and reproductive tissues.

Estriol (E3)
- Description: A form of estrogen produced during pregnancy.
- Significance: Plays a role in maintaining a healthy pregnancy and supporting fetal development.

Estrone (E1)
- Description: Another form of estrogen.
- Significance: Involved in various physiological processes, including bone health and hormonal balance.

FSH (Follicle-Stimulating Hormone)
- Description: Regulates the menstrual cycle and stimulates egg development in the ovaries.
- Significance: An essential marker for ovarian function and reproductive health.

LH (Luteinizing Hormone)
- Description: Triggers ovulation and stimulates the production of sex hormones.
- Significance: Essential for the menstrual cycle and fertility.

Progesterone
- Description: Produced during the second half of the menstrual cycle and in pregnancy.
- Significance: Supports the uterine lining, regulates the menstrual cycle, and is crucial for maintaining pregnancy.

Free Testosterone
- Description: Measures the unbound form of testosterone.
- Significance: Influences libido, muscle mass, and overall well-being.

Adrenal Hormones

Cortisol AM (Morning Cortisol)
- Description: Measures cortisol levels in the morning.
- Significance: Reflects the body’s stress response and adrenal function.
DHEAS (Dehydroepiandrosterone Sulfate)
- Description: A precursor to sex hormones produced by the adrenal glands.
- Significance: Supports hormonal balance and overall well-being.

Inflammation

CRP (C-Reactive Protein)
- Description: A marker of inflammation.
- Significance: Elevated levels may indicate inflammation that could impact hormonal balance.

The Female Hormone Wellness Panel provides a provide a holistic view of hormonal balance, reproductive health, and inflammation status in women. Results should be interpreted by healthcare professionals, who can guide appropriate interventions for optimal well-being. This panel is valuable for assessing hormonal health at various stages of a woman’s life.

Female PCOS Panel

The Female PCOS Panel is a targeted set of tests designed to assess hormone levels associated with Polycystic Ovary Syndrome. PCOS is a hormonal disorder affecting reproductive-aged women, characterized by irregular menstrual cycles, elevated androgen levels, and multiple small cysts on the ovaries.

Androstenedione
- Description: A precursor to testosterone and other sex hormones.
- Significance: Elevated levels may contribute to symptoms of hyperandrogenism commonly seen in PCOS, such as acne and hirsutism.

Cortisol AM (Morning Cortisol)
- Description: Measures cortisol levels in the morning.
- Significance: Reflects the body’s stress response, which can influence hormonal balance in conditions like PCOS.

DHEAS (Dehydroepiandrosterone Sulfate)
- Description: A precursor to sex hormones, produced by the adrenal glands.
- Significance: Elevated DHEAS levels may contribute to androgen excess, a common feature of PCOS.
Free Testosterone
- Description: Measures the unbound form of testosterone.
- Significance: Elevated testosterone levels are common in PCOS and contribute to symptoms like acne and hirsutism.
Progesterone
- Description: Produced during the second half of the menstrual cycle.
- Significance: Progesterone deficiency may contribute to irregular menstrual cycles, a common feature in PCOS.

Prolactin
- Description: A hormone that plays a role in reproductive function.
- Significance: Elevated levels may affect menstrual regularity and ovulation in women with PCOS.

Free T3 (Free Triiodothyronine)
- Description: Measures the active form of thyroid hormone that plays a crucial role in regulating metabolism.
- Significance: Free T3 levels help assess the actual availability of active thyroid hormone in the body.

Free T4 (Free Thyroxine)
- Description: Measures the main thyroid hormone produced by the thyroid gland, which is converted into the active T3 in the body.
- Significance: Free T4 levels help assess the thyroid’s capacity to produce hormones.

TSH (Thyroid Stimulating Hormone)
- Description: Produced by the pituitary gland, TSH stimulates the thyroid gland to produce and release thyroid hormones.
- Significance: TSH levels are often used as a primary indicator of thyroid function. Abnormal levels may suggest hypo- or hyperthyroidism

The Female PCOS Panel is specifically designed to assess hormonal imbalances associated with Polycystic Ovary Syndrome. Results should be interpreted by healthcare professionals, who can guide appropriate interventions for managing PCOS symptoms and optimizing reproductive health. This panel is valuable for identifying hormonal irregularities and guiding personalized treatment plans for individuals

A La Carte Bloodwork

These additional markers offer a comprehensive view of metabolic health, blood sugar regulation, and potential vitamin, mineral, and nutrient deficiencies.

Muscle Health

Creatine Kinase
- Description: An enzyme found in muscles, CK levels can indicate muscle damage or stress.
- Significance: Useful in assessing muscle health, especially for athletes or individuals with certain medical conditions affecting muscle tissue.

Blood Sugar Regulation

Fasting Glucose
- Description: Measures blood glucose levels after an overnight fast.
- Significance: Essential for assessing baseline glucose metabolism and detecting abnormalities associated with diabetes or impaired fasting glucose.
Random Glucose
- Description: Measures blood glucose levels at any time, regardless of fasting status.
- Significance: Provides immediate insights into current blood glucose levels, aiding in the assessment of glucose regulation.
Fasting Insulin, 8 hours
- Note: Fasting is required for 8 hours prior to testing.
- Description: Measures insulin levels in a fasting state.
- Significance: Offers insights into insulin sensitivity and helps identify insulin resistance, a precursor to type 2 diabetes.

Hemoglobin A1C
- Description: Reflects average blood glucose levels over the past 2-3 months.
- Significance: A crucial marker for long-term glucose control, aiding in the diagnosis and management of diabetes.

Antioxidant Status

Antioxidants play crucial roles in protecting cells from oxidative stress and supporting overall well-being. They also play a role in promoting longevity by reducing oxidative damage ad supporting cellular health. Levels of these antioxidants may decline with age, poor diet, chronic disease, infection, constant stress, and certain medications.

Coq10
- Description: A vital antioxidant and an essential cofactor in the mitochondrial respiratory chain.
- Significance: Useful for the diagnosis of mitochondrial disorders and is used to monitor degenerative disorders such as Alzheimer and Parkinson disease and receiving statin therapy.

Glutathione
- Sample collection is limited to specific locations. Call Customer Service at 1-800-265-5946 for LHSC locations.
- Description: The body’s master antioxidant, synthesized in cells from amino acids.
- Significance: Deficiency has been associated with oxidative stress and diseases such as Parkinson’s, HIV/AIDS, cancer, cardiovascular disease, and diabetes.

Selenium
- Description: A trace mineral with antioxidant properties, crucial for thyroid function and the protection of cells from oxidative stress.
- Significance: Essential for the synthesis of thyroid hormones, acts as an antioxidant, and supports immune function. Also linked to prostate health.

Vitamin & Nutrient Status

Copper
- Description: A trace mineral involved in the formation of red blood cells, collagen, and maintenance of nerve cells.
- Significance: Essential for metabolic health, aids in iron absorption, and plays a role in the nervous system. High-dose zinc supplementation is also a common cause of copper deficiency.

Calcium
- Description: A vital mineral for bone health, nerve transmission, and muscle function.
- Significance: Crucial for the development and maintenance of strong bones and teeth, blood clotting, muscle contraction, and nerve signaling.

Fatty Acids Profile
- Description: A detailed analysis of fatty acids in the blood.
- Significance: Fatty acids are vital components of dietary fats and play crucial roles in various physiological processes, including cell structure, energy production, and signaling pathways. This comprehensive profile offers valuable insights into nutritional intake, intestinal absorption, and the status of essential and other nutritionally beneficial fatty acids, including Omega-3 (alpha-linolenic acid, EPA, DHA) and omega-6 (linoleic acid, arachidonic acid).

Folate, RBC
- Description: Reflects the level of folate within red blood cells.
- Significance: Essential for DNA synthesis, cell division, and proper red blood cell formation. Low levels may indicate folate deficiency.

Iodine – Urine (not blood)
- Description: Measures iodine levels in a urine sample.
- Significance: Essential for evaluating iodine status, which is crucial for thyroid function and overall metabolic health.

Iron (Ferritin)
- Description: Reflects iron stores in the body.
- Significance: Essential for assessing iron status, as low ferritin levels may indicate iron deficiency anemia, impacting energy levels and overall vitality.

Magnesium RBC
- Description: Measures the concentration of magnesium within red blood cells.
- Significance: Offers a more accurate reflection of magnesium status, crucial for muscle function, nerve transmission, and overall metabolic health

Vitamin A (Retinol)
- Description: Fat-soluble vitamin crucial for vision, immune function, and skin health.
- Significance: Supports eye health, immune system function, and maintains healthy skin and mucous membranes.

Vitamin B12
- Description: Essential for the production of red blood cells and neurological function.
- Significance: Low B12 levels may contribute to anemia, fatigue, and neurological issues. Assessment aids in the diagnosis of B12 deficiency.

Vitamin C
- Description: Water-soluble vitamin with antioxidant properties.
- Significance: Supports immune function, collagen synthesis, wound healing, and enhances iron absorption.

Vitamin D
- Description: The active form of vitamin D, synthesized in the skin in response to sunlight.
- Significance: Regulates calcium absorption, supports bone health, and plays a role in immune function.
Vitamin E
- Description: Fat-soluble antioxidant vitamin.
- Significance: Protects cells from oxidative damage, supports immune function, and maintains skin health.

Zinc
- Description: An essential trace mineral involved in numerous enzymatic reactions, immune function, and DNA synthesis.
- Significance: Zinc is crucial for immune health, wound healing, and maintaining healthy skin. It also supports reproductive function and is involved in the metabolism of carbohydrates.

Saliva Hormone Testing

Saliva hormone testing offers convenient, non-invasive, and stress-free measurements compared to blood tests.

Patients receive a test kit, allowing them to conveniently collect samples at home. The kit includes mailing packaging for easy shipment to the lab. Typical turnaround time is 2 to 3 weeks.

Adrenal Stress Saliva Profile

Markers measured: DHEA-S, diurnal cortisol (morning, noon, evening, bedtime)
Description: The Adrenal Stress Saliva Profile assesses adrenal function by measuring DHEA-S and diurnal cortisol levels at various times of the day (morning, noon, evening, nighttime).
Significance: This panel provides an assessment of hormones, indicating adrenal imbalance in response to stress. DHEA, a precursor to testosterone and estrogens, is produced by the adrenal glands and has broad benefits. It enhances energy, mood, memory, increases testosterone levels, and supports immune function. In men, low DHEA levels can lead to low libido, reduced muscle mass, depression, fatigue, and compromised immune function. In women, DHEA balances hormones and low levels can result in weight gain, depression, fatigue, and low libido. Cortisol, known as “the stress hormone,” contributes to proper glucose metabolism and energy production. Elevated cortisol in men is associated with hyperglycemia, weight gain, compromised immune function, and high blood pressure. Cortisol imbalance may lead to irritability, fatigue, depression, foggy thinking, weight gain, and bone loss.

Male/Female Basic Wellness Saliva Profile

Markers measured: estradiol (E2), progesterone, testosterone, DHEA-S, cortisol (morning)
Description: The Male/Female Basic Wellness Profile offers a foundational assessment of key hormone levels for overall well-being. Measuring estradiol (E2), progesterone, testosterone, DHEA-S, and morning cortisol, this profile provides valuable insights into hormonal balance, stress response, and overall vitality. This test also calculates the Pg/E2 ratio, which assesses the relationship between estradiol, which can drive cellular proliferation, and progesterone, which mitigates that growth and potentiates cellular differentiation.
Significance: This profile is an excellent starting point for individuals seeking a comprehensive overview of their hormonal health. Estradiol, progesterone, and testosterone play key roles in reproductive health, mood, and energy levels. DHEA-S, a precursor to other hormones, contributes to overall well-being. Morning cortisol levels offer insights into the body’s stress response, crucial for understanding and managing stress-related conditions. Consider the Male/Female Basic Wellness Profile as a proactive step towards optimizing your health. Whether you are focused on reproductive health, energy levels, or stress management, this profile lays the groundwork for informed decisions and personalized interventions.

Male/Female Comprehensive Wellness Saliva Profile

Markers measured: estradiol (E2), progesterone, testosterone, DHEA-S, diurnal cortisol (morning, noon, evening, bedtime)
Description: The Male/Female Comprehensive Wellness Saliva Profile is a combination of the Adrenal Stress Saliva Hormone Profile and Male/Female Basic Wellness Saliva Profile. It provides thorough examination of key hormones, providing a detailed insight into the intricate balance of your endocrine system. This profile includes measurements of estradiol (E2), progesterone, testosterone, DHEA-S, and diurnal cortisol at four distinct times throughout the day.
Significance: By assessing hormone levels and cortisol patterns across the day, this profile offers a comprehensive understanding of reproductive health, energy dynamics, and stress response. Estradiol, progesterone, and testosterone play pivotal roles in various physiological functions, while DHEA-S contributes to overall well-being. Diurnal cortisol measurements provide a nuanced view of the body’s stress response throughout the day, aiding in the identification and management of stress-related conditions. Consider the Male/Female Comprehensive Wellness Profile as a comprehensive tool for optimizing your health. Whether you’re focused on reproductive health, energy regulation, or stress management, this profile empowers you with detailed information for informed decision-making and personalized interventions.

Women’s Health & Breast Profile

Markers measured: cortisol (morning, noon, evening, bedtime), DHEA, estradiol (E2), estriol (E3), estrone (E1), progesterone, testosterone
Description: The Women’s Health & Breast Profile provides a comprehensive analysis of hormone levels, accompanied by the calculation of two important ratios. The Estrogen Quotient assesses breast cancer risk by evaluating the ratio of cancer-protective E3 relative to proliferative estrogens E1 and E2. Meanwhile, the Pg/E2 ratio explores the relationship between estradiol, a driver of cellular proliferation, and progesterone, which moderates growth and enhances cellular differentiation.
Significance: This profile is especially relevant for individuals with an elevated risk of developing breast cancer, those with a history of breast cancer, or individuals facing other hormonally sensitive cancers. Research indicates that monitoring these hormone levels and ratios can offer valuable insights into hormonal balance and potential cancer risks. Consider the Women’s Health & Breast Profile as a proactive step towards understanding and managing hormonal health. Early detection and awareness contribute significantly to preventive healthcare.

Food Intolerance Testing

120+, 200+, Vegetarian

List of Food Intolerance Test Panels

Patients are provided with a requisition form, and blood collection services are performed at any Dynacare Laboratory. Typical turnaround time is 3 to 4 weeks.

Understanding the intricate relationship between food and health is paramount, and our Food Intolerance Testing aims to unveil the subtle triggers that may impact your well-being. Beyond severe allergies, food intolerances can manifest in a range of discomforts, from respiratory and gastrointestinal issues to migraines, headaches, and dermatological problems like eczema.

The Food Intolerance Test is a blood test that utilizes a microarray-based test to detect food-specific IgG antibodies, crucial indicators of the body’s immune response to certain foods.

Upon completion, patients receive a detailed test report and a personalized web-based analysis, featuring user-friendly charts and graphs. This comprehensive approach empowers individuals to manage their diet effectively, fostering a proactive stance towards improved health and well-being.

Digestive Health Testing

Digestive health testing that goes beyond traditional testing.

Patients will receive a test kit, allowing them to conveniently collect samples at home. The kit includes mailing packaging for easy shipment to the lab. Typical turnaround time is 3 to 4 weeks.

Stool Microbiology Profile

Sample Report: Stool Microbiology Profile Sample Report

The Microbiology profile includes comprehensive bacteriology and yeast cultures. It identifies beneficial flora, imbalanced flora (including Clostridium species), dysbiotic flora, infectious pathogens, as well as abnormal levels of specific yeast species. Antimicrobial susceptibility testing to prescriptive and natural agents is also performed for appropriate bacterial and yeast species, offering crucial insights for tailored treatment protocols.

Lab Markers Measured:

Additional Pathogens culture
Bacteriology culture, aerobic
Yeast culture

Useful for:

Gastrointestinal Symptoms
Autoimmune Disease
Joint Pain
IBD/IBS
Inflammation
Food Sensitivities
Nutritional Deficiencies
Skin Conditions (Atopic Dermatitis)

This test is typically used to monitor a patient’s response to treatment. For baseline testing, the Comprehensive Stool Analysis is recommended.

Comprehensive Stool Analysis (CSA)

Sample Report: Comprehensive Stool Analysis Sample Report

The Comprehensive Stool Analysis (CSA) goes beyond the Stool Microbiology Profile, offering a more in-depth evaluation of gastrointestinal and systemic health. Featuring comprehensive bacteriology and yeast cultures, it reveals insights into beneficial flora, imbalanced flora (including Clostridium species), dysbiotic flora, and the presence of infectious pathogens through PCR and gold standard methods. Antimicrobial susceptibility testing to both prescription and natural agents is also included.

The CSA also measures key markers of digestion, absorption, and inflammation, providing critical information about the efficiency of these processes. Fecal levels of elastase, fat, muscle and vegetable fibers, and carbohydrates offer valuable insights into digestive function. In assessing inflammation, biomarkers such as calprotectin, lactoferrin, and lysozyme aid in differentiating between potentially serious inflammatory bowel disease (IBD) and milder inflammation associated with irritable bowel syndrome (IBS), often linked to enteroinvasive pathogens. The evaluation of secretory IgA (sIgA) status further enhances the understanding of the humoral immune status in the GI tract.

Lab Markers Measured:

Acetate
Additional pathogens culture
Bacteriology culture, aerobic
Butyrate
Calprotectin
Carbohydrates
Elastase
Fat Stain
GI Pathogens 6-11 targets
Lactoferrin
Lysozyme
Occult Blood
pH
Propionate
sIgA
Valerate
Yeast culture

Useful for:

Gastrointestinal Symptoms
Autoimmune Disease
Joint Pain
IBD/IBS
Inflammation
Food Sensitivities
Nutritional Deficiencies
Skin Conditions (Atopic Dermatitis)

This test is typically used for baseline digestive health testing, due to its extensive features and test markers. To monitor progress, the Stool Microbiology Profile is recommended.

SIBO Lactulose Breath

Note: breath samples are collected every 20 minutes over a 3-hour period.

SIBO Breath Test Video Demo

The Small Intestinal Bacterial Overgrowth (SIBO) Lactulose Breath Test is a noninvasive diagnostic tool designed to measure the levels of hydrogen or methane in your breath. This test involves consuming a mixture of lactulose and water, followed by the measurement of exhaled gases (hydrogen, methane).

What is SIBO?

SIBO stands for Small Intestinal Bacterial Overgrowth. SIBO is a condition in which abnormally large numbers of bacteria – the types that are normally found in the large intestine – are present in the small intestine. The small intestine does not normally have a lot of bacteria. Bacterial overgrowth results in interference with normal digestion and absorption of food, and may be associated with damage to the membranes or lining of the small intestine. The bacteria produce gases and other by-products that may lead to many different symptoms, including but not limited to gastrointestinal symptoms.

Common conditions associated with SIBO include: nausea, malodourous breath, belching, bloating, flatulence, diarrhea, constipation, irritable bowel syndrome, rosacea, eczema, skin rashes, fibromyalgia, and gastro-esophageal reflux disease. In addition, The World Journal of Gastroenterology claims a definitive association between irritable bowel syndrome (IBS) and SIBO, suggesting that SIBO be excluded before diagnosing a patient with IBS.

Why Lactulose?

Lactulose, unlike glucose, is not absorbed in your system. It is a sugar not digested by the body, meaning that it is able to travel all the way through the small intestine without modification in normal physiology. The lactulose breath test thus allows detection of abnormally increased numbers of bacteria located in the distal small intestine. It acts as a food source for bacteria, if present in the small intestine. If bacteria are present, lactulose will allow the bacteria to ferment, producing hydrogen (H2) and/or methane (CH4). These gases are diffused into the bloodstream and exhaled by the breath.

Disclaimer:

The information provided on this page is intended for general informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.

Links to reputable sources are provided for additional information. However, the content on external websites is beyond our control, and we do not endorse or guarantee the accuracy, completeness, or appropriateness of any information provided on external sites.

Individuals should not use the information on this page to self-diagnose or self-treat any health condition. Only a qualified healthcare professional can provide accurate assessments and recommendations based on your individual health circumstances.

If you have specific questions about your lab test results, consult with your healthcare provider for personalized guidance.

Additional links for lab reference ranges: