• TSH (Thyroid Stimulating Hormone): The pituitary gland in your brain makes TSH which stimulates your thyroid to produce T4 and T3.  This test is frequently requisitioned by conventional doctors, however it alone does not measure your actual thyroid hormones.
• T4 and T3:  Are not often tested through conventional medicine however play a key role in determining how your thyroid is actually functioning.  TSH stimulates the release of T4 from your thyroid gland.  T4 then coverts to T3.
• rT3:  There are occasions when T3 (active thyroid hormone) will convert to reverse T3 (rT3) which is an inactive form.  This is often seen individuals who are not responding to medications.
• Anti-TPO:  Is used to evaluate for autoimmune diseases that affect the thyroid such as Hashimotos.
• Iodine:  Iodine and selenium play a key role for T4 and T3.   As you probably know, iodine is a component of thyroid hormones:  T4 and T3.  It is selenium’s job to convert T4 to the more active form T3 by freeing up an iodine molecule.  In some cases, deficient or excessive quantities of iodine and/or selenium can slow down or impeded this process leading to weight gain, fatigue, depression, fibrocystic breasts.

• Female Hormones including  FSH, Progesterone, Estrogen, Testosterone
• Male Hormones:  Free Testosterone, Testosterone
• Thyroid:  TSH, T4 and T3
• Adrenal Function:  DHEA, Cortisol AM
• Vitamins:  B12 and Vitamin D
• Liver Function:  AST and ALT
• Cholesterol Panel
• Inflammation:  hs-CRP and Ferritin (Yep ferritin!)
• Digestion:  Lipase, Bilirubin,
• Complete Blood Count with Differential
• Electrolytes:  Calcium, sodium, potassium
• Kidney Function: Creatinine and eGFR

• Estradiol (E2)
  • Needed for the proper function of progesterone and balance with other estrogens
  • High E2 can interfere with thyroid function (completes with T3)
  • Low levels of E can be caused by adrenal dycuntion (Post menopausal estradiol comes from DHEA which is made by the adrenals)
• Progesterone
  • Increases the sensitivity of estrogen receptors.  In other words, a lack of progesterone can contribute, or worsen, low estrogen.
  • Too little progesterone, with normal estradiol can result in estrogen dominance:  weight gain at hip, breast tenderness, anxiety, fluid retention, and fibrocystic breasts.

The blood serum hormone panel evaluates the amount of hormones circulating in your blood.  This a preliminary test to establish the ratios between your hormones and is used to evaluate imbalances.   This test is frequently requisitioned when a patient requires Bio-identical Hormones.

Salivary hormone testing is a non-invasive and accurate method of testing the hormones in your body that are actively delivered to your receptors. Research supports that this test is superior to testing the hormones in your blood.  This test often includes Estrone, Estradiol, Progesterone, Testosterone, DHEA and Cortisol.

This is the gold standard for hormone testing as it is the most accurate way to evaluate not only your hormones, but also the metabolites of your hormones.  In other words, we are able to identify how your body is breaking down your hormones and is a great way to understand the underlying reason for hormone imbalances.

This test allows us to evaluate for pathogenic micro-organisms such as parasites, bacteria and yeast in your stool.  It also also gives us an understanding of the quality and quantity of your healthy gut bacteria.  Furthermore, we are able to assess markers for inflammation, stool metabolic processes, infectious pathogens, and enzymes.

I requisition this test frequency for individuals suffering from Small Intestinal Bacterial Overgrowth.  The results will identify the type of imbalance and allows for a more precise treatment plan.

Although popular, this is not my favourite test.  In most cases, an individual who has numerous positive food sensitivities have an issue with their body’s ability to breakdown food - a microbiome defect.  This can result in abdominal immune response to a large number of foods.

That being said, I have seen individuals with migraines and histamine intolerances (rosacea being a great example) notice a significant improvement when removing highly sensitive foods.

Mycotoxins are produced by fungi-like mould often found in buildings, food, and vehicles.  Mould exposure is frequently linked to pneumonia like symptoms, asthma, sinusitis, chronic fatigue, skin rashes, anxiety and rheumatic disease.  The Mycotox test will screen for 11 different mycotoxins from 40 species of mould in one urine sample.

This urine test will measure levels of iodine, selenium, bromine and cadmium.  I often requisition this test in individuals who are not responding thyroid medications such a desiccated thyroid or Synthroid.  Iodine deficiencies may be due to decreased dietary intake or increased bromine exposure (hot tubs are a common cause).

There are various additional tests available that will help identify the root cause of your illness.  Feel free to contact the clinic should you have any specific inquires about additional lab tests not listed here.