Ali Miller and her functional medicine practitioners combine your medical history, personal intake, prior lab values, medications, supplements, diet, and lifestyle when assessing the causes of symptoms or areas of focus. In addition to reviewing labs from your physician and medical team, your practitioner may recommend additional cutting-edge functional lab tests in order to get the most detailed information about your body and your metabolic function.
As Registered Dietitian with a background in functional integrative medicine, Ali understands how to interpret common medical lab tests and can apply a more functional or sensitive reference range where appropriate. However, the labs listed below offer a more thorough assessment of the systems of the body to provide information that many standard labs overlook or fail to assess.
Do you feel like there is something wrong with your body but you have been told that everything is “normal” yet you know that there is something going on with your body?
I often hear: “My physician runs a LOT of labs!” When truly all the patient has run is a fasting lipid panel, HgbA1c, comprehensive metabolic panel, complete blood count, vitamin D, TSH and T4 to assess thyroid. This may sound like a lot of labs, however; it truly only knicks the surface!
Fasting lipids overlook the state of inflammation of the vessels, the particle side of lipids, oxidative risk, and stickiness factor of the blood to assess for true risk of heart disease and stroke.
HgbA1c looks at a 3 month average of blood sugar levels but fails to assess fasting insulin response, c-peptide hormone, glucose, adiponectin, and inflammation all of which play an essential role in understanding why blood sugar levels are elevated, drivers of prediabetes and diabetes, the function of the pancreas, and elements of insulin resistance.
A comprehensive metabolic panel is not very comprehensive, it provides a snapshot of the liver and kidney function and electrolyte stability. It does not look at how the liver processes toxins, whether there is stress to the immune system, or micronutrient status including vitamins, minerals, and antioxidants.
TSH and T4 assess the thyroid releasing hormone and inactive form of the thyroid hormone. As the TSH is released by the pituitary gland in the brain and the T4 assesses the inactive form of thyroid hormone, often hypothyroidism, autoimmune thyroiditis, and other forms of metabolic and endocrine dysfunction can be overlooked. A functional medicine thyroid test uses 8 key indicators to give a clear picture of thyroid function including inflammatory and autoimmune responses of the thyroid gland, the amount of active hormone available, and the ability of the hormone to bind to the gland.
WHY ADVANCED FUNCTIONAL MEDICINE LABS ARE DIFFERENT?
- More sensitive ranges and more thorough assessment
- Upstream approach to medicine looking at root causes and earlier detection
- Multitude of factors vs 1 or 2 to dig deeper into the area of concern
Are you suffering from a stubborn health problem that won’t go away no matter what you try? Or perhaps you feel like the medications and treatments you’re taking aren’t actually getting at the root cause of your illness and may merely be a temporary solution.
The primary labs run are listed below along with the functional lab testing companies that Ali holds accounts with and can order a variety of additional assessments from.
Take a look at the top 12 functional medicine labs but there are hundreds of labs available to active clients. To become an active client, schedule an initial consultation today!
Labs are ordered on a case by case basis per patient need and desire. During your initial consultation, Ali will discuss your treatment plan and discuss any applicable labs to best assess your body. Lab kits and order forms are provided during consultations or can be ordered pre-emptively through the links above and shipped to your home.
Labs can be drawn at any phlebotomist (medical blood lab) that is not contracted solely to Labcorp, Quest, or closed contracts. Upon ordering your labs, you will receive a phone call or email with a link to lab drawing clinics close to your area. Based on your particular lab, you may be fasting (no food or drink for 12 hours prior to draw) or doing a draw in the afternoon following a couple meals. Particular instructions will be included in your lab kit.
MRT (Mediatory Release Test) panel determines food allergies/sensitivities with a T cell immune regulated antibody-antigen relationship of inflammation. The MRT test is successfully used to develop a customized elimination diet to address: Migraines, ADHD, Digestive disturbances/IBS, Leaky Gut, Autoimmune conditions, Skin conditions, Fibromyalgia, Inflammatory conditions, difficulty with weight loss.
Micronutrient Panel assesses if the foods you are eating or supplements you are taking are actually being absorbed into your body and present at the cellular level. This will look at a variety of micronutrients involved in metabolism as well as antioxidants and an immune score.
Cardio Metabolic panel (includes LPP and Diabetes Risk panel) is a fasting blood panel that includes a Lipoprotein Particle Test (LPP) as well as diabetes risk factors to thoroughly assess for dysmetabolic syndrome and cardiovascular risk. This panel looks at elements that drive stubborn weight loss and blood sugar imbalances. This is suitable for those that are pre-diabetic, diabetic, hypertensive, have elevated cholesterol levels, heart disease risk/family history, diabetic risk/family history, sugar cravings, hypo/hyperglycemia, and are overweight.
Comprehensive Digestive and Stool Test can identify if you have an imbalance of bacterial flora in the large intestine, assess for H. Pylori and other pathogens, parasites, Candida overgrowth, or issues with digestion and malabsorption. Beyond defining what is living in the bowel or GI tract, this panel digs into the elements of optimal digestion assessing enzymes, bile, pH, undigested fat, fiber, and protein. This is suitable for those experiencing digestive disturbance from diarrhea, constipation, bloating, leaky gut, gastritis, reflux, malabsorption, and extending into valued information for autoimmune disease, depression, anxiety, obesity, and more.
Thyroid Comprehensive Panel is a blood panel used to determine thyroid function and can give more information to the diagnosis of hypothyroidism or hyperthyroidism. Fatigue, weight gain, sleep irregularities, hair loss and disruption in skin health can all be signs of thyroid dysfunction. This test uses 8 key indicators to give a clear picture of thyroid function including inflammatory and autoimmune response of the thyroid gland. This panel is good for those with hypothyroidism, hyperthyroidism, Hashimotos thyroiditis, Graves disease, being treated or taking medication for thyroid, family history of thyroid conditions or currently experiencing symptoms above as well as changes in weight.
Neurohormone Complete Plus Panel is a combination of saliva and urine test used to uncover hormonal and neurotransmitter imbalances as well as disturbances in the adrenal glands. This lab is only available for women, it is a good assessment of fertility, perimenopause and hormonal shifts with aging. Cravings, brain fog, sense of vigor, mood stability, and cognitive function can also be addressed with the use of neurotransmitter testing included in this lab.
Neurohormone Complete Panel is a combination of saliva and urine test used to uncover hormonal and neurotransmitter imbalances as well as disturbances in the adrenal glands. This lab is only available for men, it is a good assessment for males working to improve sense of vigor, sex drive, testosterone expression, fatigue, stress management, balanced mood, and regulated sleep.
Neuroadrenal Panel includes the cortisol and DHEA assessment for adrenal health and neurotransmitters of the Neurohormone Complete Panel without the sexual hormones (estrogen, progesterone, testosterone, etc.). This lab is suitable for both women and men and is a good assessment of stress response, chronic fatigue, insomnia, brain fog, cravings, anxiety, and depression.
Neurobasic Panel is a urine test that measures levels of neurotransmitters including; serotonin, GABA, dopamine, norepinephrine, epinephrine, and glutamate. These are included in both the neurohormone complete and complete plus. This lab is good for an assessment of people on antidepressants or looking to reassess the efficacy of their functional interventions for depression, anxiety, or other mood instabilities.
HOW IT WORKS
Add test(s) to your cart and complete purchase based on type of specimen: blood/serum, urine, saliva, stool you will be shipped a kit with detailed instructions.
Following your purchase, call the office to set up your 15-minute appointment or initial consultation. Please note, in a 15-minute appointment you will get interpretation and basic recommendations but no custom interventions or individualized recommendations as there is not adequate time to review your medical history, current medications/supplements, or symptoms. You can discuss details and questions on upgrade to a full appointment when calling to schedule.
Please note some labs are not offered in NY and CA. If you purchased one of these labs and live in one of these states, you will be notified and reimbursed within 24 hours.
Within 24 hours M-F or on the following business day, after you checkout through our secure payment system, you will receive specific instructions via email along with a link to suggested draw site if the sample is blood/serum.
Be sure to bring all your materials (kit and completed requisition form) with you to your local draw site for blood, other specimens (stool, urine, saliva, and hair) will be collected at the convenience of your home and shipped in pre-paid lab kit packages through FedEx or UPS.
Find available locations for your particular blood test(s) by entering your zip code here.
Your results will be emailed to you. Turnaround times are usually 5-7 business days; however, more complex tests can take 14+ business days.
If you fail to get your results drawn in time and have not rescheduled within 48 hours of your appointment, your 15-minute consult will be forfeited and a $100 no-show fee will be deducted from your initial consult.