Diagnostic Testing

Adrenal Stress Index Panel

The adrenal stress index panel is a non-invasive method of evaluating key functions of the adrenal gland. It evaluates several hormones and immune markers that may be affected by chronic stress or other conditions. This is done by laboratory testing of four saliva samples that are collected during the day at specific times.

This panel may be helpful for patients with:­

  • Chronic stress and stress-related health problems
  • Fatigue or lack of energy
  • Muscle and joint pain or weakness
  • Blood sugar dysregulation
  • Osteopenia or osteoporosis
  • Insomnia, sleep disturbances or difficulty waking
  • Poor memory or difficulty retaining information
  • 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


Bone Health Panel

Aging is inevitable, and bone reflects the aging process by exhibiting gradual loss of mass. In susceptible individuals, this can cause osteoporosis. Hormonal balance, nutrition, lifestyle and genetics are all contributing factors to bone metabolism. This panel provides measurements of six key hormones in saliva: Progesterone, Estradiol, Testosterone, Cortisol, FSH and DHEA/DHEA-S. The bone marker DPD is measured in urine, and the hormones are measured in saliva.

This panel can help determine your risk for osteoporosis.  Your risk increases with: 

  •  Age
  • Sedentary lifestyle
  • Previous fracture
  • Smoking
  • Alcohol consumption
  • Family history of osteoporosis or hip fracture
  • Long-term glucocorticoid or steroid therapy
  • Low body weight
  • Onset of menopause

It is also important to be screened for osteoporosis if you have:

  • Diabetes (Type 1 or 2)
  • Thyroid disease
  • Kidney disease
  • Inflammatory bowel disease (IBD)
  • Celiac disease
  • Rheumatoid arthritis
  • Dementia
  • Low vitamin D levels
  • Cystic fibrosis
  • Premature ovarian failure or amenorrhea
  • History of an eating disorder


Female Hormone Panels

The Female Hormone Panel is a non-invasive test consisting of 11 saliva specimens collected during specified time periods throughout the menstrual cycle. The ovaries release hormones in a cyclical manner throughout a menstrual cycle. The Female Hormone Panel provides a dynamic mapping of the free fraction levels of Estradiol,and Progesterone throughout one cycle. In addition, the cycle average of Testosterone and DHEA are measured  The expanded Female Hormone Panel (eFHP) includes an additional five FSH and five LH measurements.

This panel may be helpful for determining the underlying cause of:­

  • Irregular or painful periods
  • Infertility or miscarriage
  • Premenstrual syndrome (mood changes, breast tenderness, water retention, pelvic cramping)
  • Low libido
  • Facial hair growth
  • Acne
  • Migraines


Postmenopause Hormone Panel & Perimenopause Hormone Panel

Menopause is a natural and usually gradual change in glandular function in women resulting in substantial shifts in hormone levels.  The Postmenopause Panel provides measurements of six key hormones:

  1. EstroneEstradiol
  2. EstriolProgesterone
  3. Testosterone

The Perimenopause Panel contains the same components as the Postmenopause Panel but sampled twice, 13-15 days apart.  The inclusion of FSH and LH in the expanded Postmenopause Panel (ePostM) and expanded Perimenopause Panel (ePeriM), extends the interpretation to include pituitary involvement. These panels may be helpful for evaluating:­

  • Hot flashes
  • Insomnia
  • Depression or anxiety
  • ­Night sweats
  • Fatigue
  • Changes in menstrual cycle
  • Vaginal dryness
  • Urinary incontinence
  • Low libido
  • Memory loss or difficulty concentrating
  • ­Bone loss or osteoporosis
  • Loss of muscle mass
  • Increased fat accumulation
  • Risk of cardiovascular disease or heart attack


Gastrointestinal Health Panels

The gastrointestinal health panels are non-invasive screens for the GI system and its function.  They include 15-22 individual, yet related tests.  Saliva and stool samples are submitted for combined pathogen testing. Inflammatory markers and other lab measures of possible disease or dysfunction are included for a comprehensive evaluation of GI health.

Gastrointestional Health Panels provide non-invasive, early immuno-detection of parasites and sophisticated testing of inherited food intolerances.  The Regular and Expanded Gastrointestinal Panels include comprehensive testing of three stool samples to ensure the most accurate results. Test evaluates for pathogens, inflammatory markers, occult blood, and functional markers:

  • Culture for yeast and fungi
  • Microscopic ova and parasite check
  • Culture for bacteria and flora
  • Antigen testing
  • Inflammatory biomarker levels
  • Assess pancreatic digestive strength
  • pH testing to further assess GI health

These panels may be helpful for determining the underlying cause of:­

  •  Chronic or vague abdominal pain or discomfort
  • Gas or bloating
  • Constipation
  • Diarrhea or loose stools
  • Abdominal cramping
  • Heartburn or GERD

You will benefit from testing if you:

  • Frequently travel within the United States and/or overseas
  • Frequently eat outside the home
  • Are exposed to feces (e.g. cat litter box)
  • Prepare or handle food
  • Work in a hospital or other healthcare setting
  • Go hiking or camping
  • Live in a dormitory
  • Work with young children or have a child who attends daycare
  • Have a history of frequent or broad-spectrum antibiotic use


Male Hormone Panel

The aging process is inevitable. However, restoring lost male vitality is within reach. The hormones involved in this restoration can now be collectively measured in one salivary sample using the regular or expanded Male Hormone Panels (MHP and eMHP).

This panel can uncover hormone imbalances and deficiencies that may contribute to:­

  • Decreased libido
  • Erectile dysfunction
  • Sleep disorders
  • ­Decreased muscle mass and strength
  • General fatigue/decreased energy
  • Irritability and depression
  • Hair loss or thinning
  • Increased fat accumulation
  • Urinary problems such as increased frequency, incomplete emptying or interrupted stream
  • Decreased bone density or osteoporosis
  • Increased risk for coronary artery disease or heart attack
  • Compromised immune function