Laboratory Assessments

 

In some cases it may be necessary to go beyond symptom analysis and the sort of tests we can carry out during the consultation. Edinburgh Nutrition uses a comprehensive range of laboratory tests to analyse samples (such as saliva, urine or blood). Versions of some of the basic tests are available out during through the NHS, and in these cases we will always suggest that you can try your GP first.

 

Most sampling can be carried out at home using simple test kits provided.

 

You do not have to be a current patient to have a test. Allergy profiles and the Cardiovascular Risk Assessment for example, are popular among non-patients. You can contact us by telephone or e-mail to discuss your requirements and we will send you the necessary referral documents. (There is a small fee if you wish to have a practitioner report in addition to the laboratory report, and/or a letter to your doctor based on the test results.)

 

 

Click on a test group for details of our most popular profiles:

                                                                                                                                                                                                                                                                                                                           

Immunology  (allergies, intolerances, antibodies)

Endocrinology   (male, female, thyroid & stress hormones)

Nutritional (essential and toxic elements, antioxidants)

Metabolic (osteoporosis, insulin resistance, Organix, homocysteine)

Gastrointestinal (digestion, bacteria, parasites, lactose intolerance)

Special (cardiovascular, chronic fatigue, detoxification capacity)

Cost (details about costs & health insurance)

 

 


ALLERGY PROFILES

 

FAC Test                                                         £245

 

Food intolerances can be an important factor in many acute and chronic conditions, but are difficult to pinpoint because they involve delayed ‘Type B’ reactions that may take up to 72 hours to appear. Over two hundred foods, additives, seasonings and drinks are tested in this direct cellular assay that can detect reactions caused by a number of different processes.

 

IgE Food / Inhalant Panels                         £120

 

These tests are useful for those with the ‘Type A’ allergic reactions associated with hayfever, asthma, urticaria (Hives), eczema, skin rashes, colic, rhinitis, itchy eyes or anaphylaxis. Since the test is performed on a sample, patients are not subjected to any of the discomfort or risk associated with skin prick or challenge tests.

 

Comprehensive Food Allergy Profile      £300

As a combination of the FACTest and IgE Food Panels, this profile investigates all of the most common food allergies and sensitivities. It also measures a specific marker for detecting untreated Coeliac Disease.

 

Individual Allergens                                    £30

A range of IgE allergens are available to be added on to panels, or can be ordered individually.

ANTIBODY PROFILES

Gluten test                                                     £70

Many people are sensitive to gluten, (a protein found in wheat), or even have Coeliac disease without realising it. Diagnosis can be difficult because symptoms vary widely between individuals. In fact, the average time from disease to diagnosis is eleven years. It is important to know whether gluten is a problem for you because long-term health consequences can be very serious. This test looks for raised levels of gluten-specific antibodies and other markers to give an accurate and reliable result. 

 

Candida Antibody Profile                    £70

When kept in check by our ‘friendly bacteria’, yeast naturally present in the gut does no harm. Under certain conditions however, this benign ‘budding’ yeast can transform into a pathogenic (disease-causing) fungus.  It releases powerful toxins as it grows, burrowing into tissue and organs with microscopic roots. Symptoms of yeast overgrowth include fatigue, weight gain, bloating, acne, cravings, thrush, coated tongue, diarrhoea, constipation, depression and mood swings. Our non-invasive test is much more reliable and informative than tests that rely on yeast cultures. Using a saliva sample, the test measures specific immune cells, which enable us to determine whether the pathogenic form is involved and even distinguish between current and previous infections.

 

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HORMONE PROFILES

 

Adrenal Stress Index                                   £70

The ASI is a non-invasive salivary test that evaluates two hormones governing how much energy you have, how stressed you feel and how well you resist disease. Imbalances cause not only conditions known to be ‘stress-related’, like insomnia, depression, low energy / chronic fatigue, anxiety attacks and migraines, but also inflammatory conditions, allergies, frequent infections, menstrual problems and infertility.

 

Comprehensive Adrenal Stress Index     £90

This profile also measures levels of Secretory IgA, which is critical for intestinal protection against bacteria, fungi and viruses, as well as particles that might be toxic or trigger allergic reactions. Useful for Patients with Crohn’s Disease etc.

 

Female Hormone Panel                              £150

Oestrogen and progesterone imbalances cause significant health problems, including premenstrual syndrome, infertility, endometriosis and ovarian cysts. In addition, imbalanced testosterone can lead to acne, excess hair, loss of motivation and low libido. Unlike a conventional blood test, our hormone panel measures the active ‘free’ hormones that actually exert an effect. As it uses saliva samples it is non-invasive and also shows what is happening over the course of a whole menstrual cycle, rather than being just a snapshot of a particular moment.

 

Comprehensive Female Hormone Panel           £190

This profile consists of the Female Hormone Panel plus the Adrenal Stress Index to provide an in-depth picture of how stress affects female hormones. Melatonin levels are also measured, because imbalances are linked to fertility problems, stress, insomnia and mood disturbance as well as cardiovascular disease, immune dysfunction and premature aging.

 

Testosterone Levels                                     £65

This profile measures the active testosterone levels for both men and women. Production is sensitive to stress, smoking, environmental toxins, oestrogen levels and nutritional deficiencies.

Low testosterone levels in men results in lowered libido, low mood, low motivation and drive, loss of muscle mass, decreased size of sexual organs (if deficiency is severe), difficulty establishing an erection and infertility. Low levels are also associated with arteriosclerosis and hip fractures.

 

In women low testosterone can also cause decreased libido and a loss of motivation and drive. Symptoms of elevated testosterone in women include excessive hair, acne, weight gain and failure to ovulate.

 

Male Hormone Profile                                £160

This is a convenient, non-invasive saliva test that evaluates testosterone activity in men. It includes an analysis of the stress hormones (cortisol and DHEA) and melatonin, providing a more complete picture of how these hormones may be affecting testosterone imbalances. Optimal health is dependant not on an individual hormone, but on the overall hormone balance.

 

PCOS Profile                                                  £220

Polycystic Ovary Syndrome (PCOS) is one the most common hormonal disturbances affecting women. An estimated 5 to 10% of women of childbearing age have PCOS and at least 30% of women have some symptoms of PCOS. Symptoms include weight gain, menstrual irregularities, excess body/facial hair, acne and infertility. Contributory factors include genetic predisposition, stress, pollution, nutrient deficiencies and various dietary and lifestyle habits.

This profile is very useful for identifying the various hormone imbalances that appear in PCOS.

 

Menopause Profile             £120

The hormonal changes that occur in the menopause increase the risk for a number of health concerns including osteoporosis, cardiovascular disease, breast and vaginal cancer. The Menopause Profile consists of three tests: the 1-Day Progesterone/Oestrogen test, the Osteoporosis Risk Assessment and the Estronex tests. Together these tests provide valuable information about current health and help target preventative treatment.

 

Estronex                                 £120

Oestrogen can be metabolised or 'broken down' into various different products; some of which are protective while others are known to promote cancer. This urine test measures the ratio of these metabolites, which has been shown to be a significant modifiable risk factor for oestrogen-sensitive diseases, including breast and cervical cancer.

Studies have shown that women with low protective/carcinogenic ratios have a very much higher rate of oestrogen sensitive cancers (breast, ovarian, cervical, uterine). Further research has demonstrated that measuring the ratio of these two forms of oestrogen provides an important indication of future risk, and of how successful treatment to modify the ratio has been.

 

Total Thyroid Screen                      £80

The thyroid is the body’s metabolic thermostat controlling body temperature, energy use, growth rate, and affecting the operation of all bodily processes and organs. This test can determine whether the thyroid gland is working properly and identify an under or overactive thyroid.

 

When the thyroid is under active it doesn’t produce enough active hormones, so the body's systems become inert. As the thyroid regulates the burning of calories body weight tends to increase as thyroid function decreases. Low thyroid function can lead to symptoms ranging from depression and fatigue to weight gain and hair loss.

 

Hyperthyroidism occurs when excessive levels of hormones being secreted resulting in symptoms including excessive weight loss, palpitations, anxiety and diarrhoea.

 

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ELEMENT PROFILES – Essential and Toxic

 

Hair Mineral Analysis                                £65

This popular test gives an astonishing long-term insight into your body chemistry. It can indicate dietary imbalances, metabolic problems, malabsorption and levels of toxic elements. Hair is an excretory tissue for many essential, nonessential and potentially toxic elements. In general the amount of an element that is irreversibly incorporated into growing hair is proportional to the level of the element in other body tissues. 

 

Clinical research indicates that hair levels of specific elements, particularly toxic elements such as cadmium, mercury, lead and arsenic, are highly correlated with pathological disorders. Symptoms of excess toxic metals can include: fatigue, constipation, insomnia, emotional disturbances, and learning disabilities to name but a few. Many elements are essential to life, assisting in the production of energy and other important biochemical processes, particularly enzyme reactions. Deficiencies or imbalances among elements lead to health problems.

 

Nutrient and Toxic Elements                   £160

This test measures blood levels of key minerals, as well as certain toxic or heavy metals including aluminium, mercury, lead and cadmium.

 

Antioxidant Profile             £160

This profile measures the antioxidant vitamins A, E, beta-carotene, Co-enzyme Q10, as well as the minerals selenium and zinc which are needed to make important antioxidant enzymes. Anyone with a history of cancer, cardiovascular disease, diabetes or periodontal disease should consider this test.

 

Vitamin and Mineral Screen                  £280

It is because of their diverse and vital roles that vitamin and mineral imbalances are frequently found to be factors in many chronic degenerative diseases. There is no way for the body to manufacture these nutrients, and daily losses are unavoidable. Vitamins and minerals are classed as "essential" and can only therefore be taken in through the diet, making deficiencies a common factor in many different conditions.

 

24 Hour Urine Toxic & Essential Elements                     £160

An assessment of toxic metal status.

 

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METABOLIC PROFILES

 

Osteoporosis Risk Assessment                  £60

This is a simple urine test that measures a key marker for bone resorption to identify risk categories for developing osteoporosis and monitor treatment.

 

Whereas a bone density scan shows what has already happened, this test shows the actual processes involved in osteoporosis and thus gives a much better outlook for treatment and prevention.

 

 

 

 

Homocysteine                                             £60

Your homocysteine score predicts your risk of more than 100 diseases! It is recognised not only as an independent risk factor for cardiovascular disease, but as a more important predictor than cholesterol. 

 

Homocysteine is an amino acid, a building-block of protein, but is an intermediate stage of metabolism. The body requires certain key nutrients to turn it into something safer, so without adequate supplies, this dangerous molecule builds up in the circulation. Lowering an elevated score requires supplements, but the test is essential to find out what level of supplementation is required.

 

 

Insulin Resistance Profile                           £60

You don’t have be a diabetic to have problems keeping blood sugar levels healthy. Insulin is a powerful hormone secreted by the pancreas to instruct cells to absorb glucose and so bring blood sugar levels down. Insulin Resistance occurs when target cells become unresponsive and the pancreas produces ever-larger amounts of insulin. It is an extremely common problem associated with diseases including heart disease, cancer and adult-onset diabetes.

Consider having this test if you tend to:

·         Gain weight despite watching what you eat

·         Store most of your body fat around your middle

·         Have poor memory or concentration and fuzzy brain after eating

·         Feel tired or lethargic even after a goodnight sleep

·         Have high blood pressure or high cholesterol

 

 

 

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DIGESTIVE PROFILES

 

Comprehensive Stool Analysis with Parasitology      £220 (save £80)

This is the gold-standard profile for investigating gastrointestinal problems. Not only does it provide vital information about digestion, absorption, immunity, inflammation and levels of friendly bacteria, but also detects disease-causing micro-organisms, and indicates how best to get rid of them.

 

These separate panels are useful for assessing individual areas:

Comprehensive Stool Analysis (CSA)   £180

Comprehensive Parasitology                             £120

Parasitology                                                 £110

Gut Permeability                                        £90

Increased Intestinal Permeability or ‘Leaky Gut Syndrome’ is a condition whereby the lining of the digestive tract becomes damaged. Small molecules like vitamins and minerals may not be successfully absorbed, while ‘unauthorised’ food particles or toxic compounds may enter the bloodstream, triggering immune reactions or overwhelming the livers detoxification systems.

 

Leaky Gut Syndrome is associated with a wide range of symptoms and conditions including Inflammatory Bowel Disease, Rheumatoid Arthritis, Allergies, Coeliac Disease, Urticaria, Eczema, Psoriasis, Acne, Chronic Fatigue, Autism and hyperactivity.

 

A drink containing PEG400, a mixture of eleven sizes of molecules is taken. The different sizes of molecules pass through the gut wall and into circulation with differing levels of ease. All the urine passed over the next six hours is collected. The quantity of each molecular size of PEG in the urine collection are measured and we can then reconstruct an absorption profile.

 

Helicabacter Pylori Breath Test               £80

H. pylori is a bacterium that has been shown to be the single biggest cause of ulcer formation and gastritis. It causes virtually all gastrointestinal ulcers, apart from drug-induced forms.

 

It is thought that the infection occurs primarily in childhood though lays dormant for many years eroding and damaging the stomach lining, causing continual damage. Genetic studies have shown that blood group A is more susceptible to H. pylori. If there is a history of gastric/peptic ulcers, poor diet, high stress levels, excessive caffeine/alcohol intake, and high use of aspirin and NSAIDs the risk of infection increases.

 

This simple breath test will confirm whether or not there is an active current infection of H.pylori. The breath test procedure is a highly accurate and non-invasive diagnostic test. 

 

Signs of H.pylori infection:

·         Persistent, abdominal ache 2-3 hours after eating or at night and is relieved by eating or taking antacids

·         Duodenal and gastric ulcers

·         Chronic gastritis

·         Excess acidity or dyspepsia

·         Indigestion / Heartburn / Acid reflux

·         Nausea and vomiting

·         Burping / Upper intestinal bloating

·         Weight loss and decreased appetite

·         Family history of gastric cancer

 

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SPECIAL PROFILES

 

Chronic Fatigue Screen                           £260

This non-invasive profile combines the Organix and Adrenal Stress Index to assess the underlying factors that cause chronic fatigue. It measures various cellular processes, metabolism, energy production, detoxification, neurotransmitter breakdown, hormone levels and even the balance of intestinal micro-flora.

 

Cardiovascular Risk Profile                      £280

This unique assessment uses both conventional indicators of cardiovascular health and cutting-edge nutritional and metabolic markers. Includes Homocysteine test.

 

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 “HOW MUCH!?!?”

 

You may think some of these tests look rather expensive. They are very different however, from those you might have had through your GP.

 

·         Most are simply not available through the NHS. For example, you might have been tested by your GP for a few immediate allergy reactions, but not for hundreds of immediate and delayed reactions. You might have your cholesterol checked, but not your levels of homocysteine, which is a FAR MORE important marker for heart disease. You might have had your blood levels of iron measured, but not your precise tissue levels of the dozens of other elements essential or harmful to your health. You might even have had scans or invasive procedures in hospital, but no test that showed what was actually happening inside you.

 

·         Your test results will not amount to glimpsing a few numbers and abbreviations on a sheet of fax paper, which gets filed away and never seen again! Instead, you will receive your own copy of an extensive report with colour graphs and a detailed description of the findings. Your nutritionist will also provide you with a report summarising the main points and recommending the best treatment strategy. (Small fee for non-patients wanting practitioner report or letter to their GP.)

 

·         These are very high quality tests that give consistently reliable, valuable results. Some companies offer ‘electro-diagnostic devices’ (particularly for food intolerance) for which there is no scientific evidence whatsoever. People tested in this way are often given advice that is at best inappropriate and at worst dangerous.

 

·         These are the laboratories’ own prices. Unlike some companies, we do not offer these tests with a 100% mark-up!

 

If you have private health insurance you may be able to reclaim the test fee. Please ask for further details.

 

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