For my assessment, I use conventional labs in unconventional ways to assess for subclinical imbalances. These imbalances are the underlying causes of many chronic conditions and can be addressed with diet, lifestyle & supplementation. Subclinical imbalances include inflammation, oxidative stress, aerobic tendency, pH, connective tissue integrity and calcium balance. The approach I use is referred to as functional nutrition/medicine and with this approach, the medical diagnosis doesn’t determine the intervention, the underlying imbalances do. I am also looking at B vitamin, mineral and protein status, signs of toxicity, metabolic and blood sugar markers, thyroid function (comprehensive), kidney & liver function, risk of anemia, iron overload risk, and much more. You will be amazed by the volume of information we can gather from these basic, routine labs. I take a comprehensive, holistic approach in order to not only aid in resolution of current symptoms and illnesses but also to help prevent future problems.
The standard labs I recommend and fees will vary from person to person. We may be able to request some labs from your doctor that would be covered by your insurance. Alternatively, while I can not order these labs directly, as a dietitian, I can help you to obtain labs at a reduced rate. The cash pay cost of the blood labs that I would prefer to start with, for most people, would be about $230 and include:
The following additional labs may be recommended (not included in above fees):
Zinc (Red Blood Cell, Not Serum)
Vitamin A (Retinol)
Vitamin B6 (Pyridoxine)
Insulin (Requires 12 Hours Fasting)
Celiac Genetics (HLA DQ2 & DQ8)
Tissue Transglutaminase antibody (tTG)
Cortisol (serum, 8AM)
You may click on each of the tests above to learn how they are used individually or in conventional medicine (mostly). Again, collectively, from a functional perspective, they reveal much, much more. I don’t expect you to be familiar with these labs but I have listed them in case you would like to look them up and, of course, I explain my assessment in an easy to understand way.
If cost is an issue we can always work with your budget and prioritize labs. We can get a good amount of information from the most basic set of labs (CBC with differential, CMP, iron panel, lipid panel & vitamin D) which you can often get for free from you doctor in you have insurance. Otherwise, the cash price for these is around $75. You may already have them if you have had a recent annual checkup.
For my nutrition assessment, labs require 10-12 hours fasting. In addition, it is important to (1) avoid dietary supplements for one week prior (2) avoid exercise the morning of and day before lab draw and (3) be well hydrated. Unfortunately, I will not be able to use most labs it they are not fasting despite what other practitioners may tell you. While many medical practitioners might not need them fasting for their use, my nutrition assessment is a special situation and it is essential that they are fasting.
Additional specialty testing may also be recommended. These are labs that we can order directly, if needed: