Specialized Lab Testing
If there is a test you're interesting in taking, please let the front desk or Dr. Alice know, so she can be prepared with the right test kit at your next naturopathic consultation. A consultation is required before a test can be ordered to evaluate your medical history and whether the test is appropriate for your case. These lab fees are in addition to the standard consultation fee, and typically paid directly to the lab with a credit card.
Most of the specialty labs are not covered by insurance unless indicated otherwise. However, Dr. Alice Fong does have accounts with Labcorp and Quest Diagnostics, so she can order some basic labwork that is more likely to be covered by insurance depending on your insurance plan.
Food Allergy and/or Sensitivity Testing ($99 for 96 different foods, $184 for 184 different foods)
If you are experiencing any digestive issues or seem to be sensitive or reactive to certain foods, we can help! Dr. Alice can help you with the elimination/challenge diet, as well as offer support and guidance on the process. In addition, we can order a blood test that can check for possible food allergies or sensitivities. This test will check for IgG antibodies for 96 or 184 different general foods. IgG reactions can occur later in life and are generally more chronic long term reactions that are not typically life threatening, but can still cause great distress or discomfort on the body in various ways such as bloating, gas, skin issues, migraines, etc. IgG reactions can also be delayed reactions that make it more difficult to figure out which food a person may be reacting to, whereas IgE reactions tend to be more immediate. IgE reactions are the life threatening anaphylactic reactions, that typically are present from birth/childhood and require immediate treatment with an epic pen. See test below for a comprehensive allergy panel that includes both IgG and IgE testing.
Comprehensive Allergy Panel ($239 with select insurance carries).
This comprehensive allergy panel includes IgE Food Antibodies (19 IgE foods), IgG Food Antibodies (87 IgG foods + Total IgE), IgE Inhalants (14 IgE inhalants + Total IgE), IgE Molds (15 IgE molds + Total IgE) and IgG Spices (24 IgG spices + Total IgE). This test can help you understand how both environmental factors and different foods are affecting you.
Adrenal Stress Index Panel ($150)
This a non-invasive way to help evaluate the effects of stress on your body. It includes 10 tests for six different hormones and immune markers that may be affected by chronic stress or other conditions. It can provide useful information if you have one of the following issues: Chronic stress and stress-related, health problems, fatigue, muscle and joint pain or weakness, blood sugar dysregulation, insomnia, poor memory, irritability or mood swings, changes in skin integrity, easy bruising or excessive stretch marks, frequent or chronic infections, hypertension, increased waist-to-hip ratio or abdominal obesity, anxiety or depression. Four saliva samples are used to assess the following: cortisol (helps evaluate the stress response), insulin (helps investigate blood sugar control), DHEA/DHEA-S (helps determine degree to which other hormones may be affected by cortisol changes), Secretory IgA (helps evaluate the toll of stress on immunity), 17-OH progesterone (helps determine underlying causes of abnormal cortisol levels), gluten antibodies (helps identify immune response to gluten).
Hormone Testing (Post menopause $112, Peri menopause $180, Cycling female $200-270 ($175 with select insurance carriers), Male $175 with select insurance)
Hormonal imbalances can led to PMS symptoms, migraines, irregular menses, fertility issues, and more. Whether you are a male, cycling female, peri-menopausal, menopausal, or post-menopausal, finding out more information on your hormone levels can help us figure out the best approach to treating your conditions. This is a non-invasive saliva test.
Comprehensive Melatonin Profile ($88)
The Comprehensive Melatonin Profile is a convenient, non-invasive salivary hormone test that analyzes the circadian secretion patterns of melatonin. Using a complete light-dark cycle, this hormone test reveals abnormal levels of melatonin that relates to various physical and psychological symptoms as well as premature acceleration of the body's aging process. Analyzes three saliva specimens taken at morning, noon, and midnight. This type of hormone testing allows for evaluation of melatonin activity of a complete light-dark cycle.
Micronutrient Testing for Nutritional Deficiency (MNT) ($190 with insurance except Medicare, $390 Cash Price)
There is overwhelming evidence confirming that nutrient deficiencies have been shown to suppress immune function contributing to chronic disease process including cardiovascular disease, diabetes, arthritis and Alzheimer's. SpectraCell’s Micronutrient test provides the most comprehensive nutritional analysis available by measuring functional deficiencies at the cellular level. It is an assessment of how well the body utilizes 33 vitamins, minerals, amino/fatty acids, antioxidants, and metabolites, while conveying the body’s need for these micronutrients that enable the body to produce enzymes, hormones, and other substances essential for proper growth, development, and good health. This test provides the basis of a personalized, functional approach in addressing a broad variety of clinical conditions. Blood draw has to be done before 3pm.
Cardiovascular and Prediabetes Test/ Cardiometabolic Panel ($45 with insurance except Medicare, $110 Cash Price)
Cardiovascular disease is the leading cause of death. Standard cholesterol tests can miss that YOU are at risk. Poor blood sugar regulation and unhealthy triglyceride and lipoprotein levels often present long before the diagnosis of type 2 Diabetes. SpectraCell's CardioMetabolic and Pre-Diabetes panels offer definitive diagnostic and clinically relevant evaluation to help define risk of atherosclerotic cardiovascular disease (ASCVD) and progression toward type 2 diabetes. These check points along with an overall pre-diabetes risk score, help patients understand that not just one factor, but rather a constellation of risk factors, contribute to the genesis and progression toward poor blood sugar control and/or ASCVD. Includes Lipoprotein Particle numbers. Cholesterol is carried throughout the body in little balls called lipoproteins. It is the lipoproteins, not the cholesterol in them, that leads to clogging of the arteries. Results of testing allow doctors to know when guidance, educational referral, or treatment is necessary. Fasting blood draw.
NutrEval FMV ($189 with select insurance carriers, $499 cash price)
Unlike any other nutritional assessments, NutrEval FMV® provides a framework of core nutrients in 5 key areas: Antioxidants, B Vitamins, Digestive Support, Essential Fatty Acids, and Minerals. In this test, the Amino Acids are measured in a convenient first-morning urine collection. Requires both blood and urine. The Metabolic Analysis assessment provides information on 45 key organic acids. These biomarkers are grouped into easy-to-understand categories, and provide insight for functional support in the areas of: malabsorption & dysbiosis; cellular energy & mitochondrial metabolism; neurotransmitter metabolism; vitamin deficiencies; and toxin exposure & detoxification need. The Amino Acids analysis features either plasma (37 total) or urine (41 total) amino acids. This assesses nutritionally essential and non-essential amino acids, as well as intermediary metabolites that augment an understanding of B vitamin need, and need for support of protein digestion & absorption.
Heavy Metal Testing - Hair Analysis ($60 for standard profile, $120 for expanded profile)
There are a number of elements that are toxic to the human body at high doses which can interfere with its functioning and undermine health—such as mercury, lead, cadmium, aluminum, and arsenic. These toxic metals have no known physiological functions. They can be toxic to organ systems and may disrupt the balance of essential nutrients. Toxic metals and essential element status can be assessed in urine, blood, feces and hair. Hair Elements analysis provides information regarding recent and ongoing exposure to potentially toxic metals, especially methylmercury and arsenic, and time-averaged status of specific nutrient elements. This noninvasive screening test requires only .25 grams of hair. Doctor's Data offers a Hair Elements profile containing essential and toxic elements and a Hair Toxic Element Exposure profile containing an expanded lineup of toxic metals.
This test is useful for evaluating: toxic element exposure, excessive fish consumption, alopecia, depression, fatigue, malabsorption, hypertension, impaired glucose tolerance, kidney function, Parkinson's-like symptoms, sexual impotence or decreased testosterone production, and vision problems.
Toxic elements may be 200 to 300 times more highly concentrated in hair than in blood or urine. Therefore, hair is the tissue of choice for detection of recent exposure to elements such as arsenic, aluminum, cadmium, lead, antimony and mercury. The CDC acknowledges the value of hair mercury levels as a maternal and infant marker for exposure to neurotoxic methylmercury from fish.
Candida Profile ($100)
Candida overgrowth is the most common cause of systemic fungal infection and accounts for 80% of all major systemic fungal infections. Symptoms may be attributed to food sensitivity because the invasive fungi can increase rapidly in number and permeate the digestive tract. Diets high in simple carbohydrates have been found to increase rates of oral candidiasis. Mild, chronic and polysystemic candidiasis can be positively diagnosed by the determination of high serum levels of IgG, IgA and IgM antibodies against Candida antigens. Immune complexes are clusters of interlocking antigens and antibodies. Normally, immune complexes are rapidly removed from the bloodstream. Sometimes, however, they continue to circulate, and eventually become trapped in the tissues of the kidneys, the lungs, skin, joints, or blood vessels. There they set off reactions with complement that lead to inflammation and tissue damage.
Test results include an interpretation and positive results are accompanied by The Candida Diet.
Comprehensive Panel: Candida Immunoglobulin’s IgG, IgA, IgM, Candida Immune Complex, Candida Profile
As with all laboratory tests, results should be assessed by your healthcare provider in light of the patient's full medical history.
Gastrointestinal Effects Comprehensive Profile ($189 with Select Insurance Companies, $210-$530 Cash Price)
Maintaining a healthy GI system is essential to your overall health. GI infections and inflammation can lead to a wide range of abdominal symptoms and decrease the body’s ability to absorb nutrients. Commonly thought to only be found in developing countries, parasites are a cause of GI symptoms in millions people in the United States as well. These are non-invasive screens of the GI system and its function.
GI Effects assesses three critical areas of gut health: digestive function, gut inflammation, and the gut microbiome—areas affecting not only GI health, but overall health as well. For patients with symptoms that may have gastrointestinal dysfunction as their root cause, comprehensive stool diagnostics provide an effective tool for gaining clinical insight into next steps.
Intestinal Permeability Assessment ($60)
Intestinal Permeability Assessment is a powerful noninvasive gastrointestinal test assessment of small intestinal absorption and barrier function in the bowel measured in the urine. The small intestine uniquely functions as a digestive/absorptive organ for nutrients as well as a powerful immune and mechanical barrier against excessive absorption of bacteria, food antigens, and other macromolecules. Both malabsorption and increased intestinal permeability ("leaky gut") are associated with chronic gastrointestinal imbalances as well as many systemic disorders.
Small Intestinal Bacterial Overgrowth ($149)
SIBO (Small Intestinal Bacterial Overgrowth) 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. When not functioning properly, the migrating motor complex (MMC) fails to effectively sweep intestinal contents into the colon during periods of fasting. Once in the small intestine these bacteria proliferate and feed off carbohydrates from food, creating fermentation gases, specifically methane and hydrogen.
It can be a cause of many health problems, including diarrhea, abdominal pain, and protein/fat malabsorption. In recent years, there has been renewed interest in SIBO since it has now been implicated in the pathophysiology of certain diseases previously not classically associated with overgrowth. 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. This a Non-invasive breath collection which involves a lactulose challenge to detect bacterial overgrowth in the distal small intestine. The 3-hour collection method reveals SIBO in patients with slow transit times.