During a consultation with Monique, she will assess if there may be any requirement for you to have further testing done to help figure out the whole picture when it comes to your health and your treatment. These tests are not compulsory and often a treatment protocol can be designed for you on the spot in your consultation, therefore testing may not be necessary. If you are looking to have a particular test performed before coming in to see Monique, then this can be arranged however, all test results must be discussed with Monique in an appointment and copies of test results can not be forwarded to patients until they have seen Monique regarding their results (this is a rule of the pathology laboratories and is in your own best interests to ensure that you get the correct information).

Below is an overview of tests that can be performed however if you have a particular test in mind that you would like to have done, please contact the clinic and we can look into it for you.

Food Intolerance Testing

Adverse reactions to foods can cause patients a huge amount of pain, suffering and confusion! So many patients that we see in clinic experience Food Intolerance issues, and many of them are not even aware that their strange or uncomfortable symptoms are relating to their bodies’ inability to digest something correctly as their Immune system is having a reaction to one or many types of foods. Food Intolerances are not to be confused with Food Allergies as they are different type of reactions. Food Intolerances relate to a different part of your Immune system that is reacting to the food or protein. When we test for Food Intolerances, we are testing the Immunoglobulin G (IgG) antibody levels that are present to certain foods. Food Allergies look directly at Immunoglobulin E (IgE) antibodies which refers to a different type of reaction (for more information on Food Allergies please click on the correct tab to the left).

IgG represents approximately 75% of the total serum Immunoglobulins in humans which means that IgG is the most abundant antibody found in the circulation and are found in all body fluids. IgG molecules are synthesized and secreted by Plasma B cells and are very important in fighting bacterial and viral infections. IgG antibodies are the only type of antibody that can cross the placenta in a pregnant woman to help protect her baby.

Should I have this test performed?

  • Are your symptoms slow to develop, delayed or can last for a day or so?
  • Do you wake with bowel issues, fatigue, headaches, anxiety for no known reasons?
  • Do you have ongoing Fatigue – no matter how much sleep you get?
  • Do you have consistent bloating or wind?
  • Do your stools change in texture and consistency?
  • Is it hard to distinguish “what you ate” that may have caused you some issues?
  • Do you get a Post Nasal Drip (swallowing mucous) without having a cold or flu?
  • Do you get migraines or headaches?
  • Do you have IBS (Irritable Bowel Syndome) type symptoms?
  • Do you have unexplained skin rashes, Psoriasis or Eczemas?
  • Does your child have behavioural, attention or digestive problems (going to the toilet etc)?
  • Do you have unexplained Anxiety, Depression or “Brain-Fog”?
  • Do you have unexplained mood swings?
  • Do you have Asthma?
  • Do you have any Inflammatory Bowel Diseases (Crohns Disease or Ulcerative Colitis)?

If you are answering YES to many or even one of the above questions, then a Food Intolerance test may be your answer. Children can be tested however they must be greater than 18 months of age.

How is this Test Performed?

This test is performed via a Blood draw at QML Laboratories. It is possible to do this test via a finger-prick blood draw however a full blood draw at the Lab tends to give the most accurate results. Blood drawing from QML currently costs $33.00.

How long does it take to get the results?

Results are usually back within 3-4 weeks.

What is the cost of these tests?

Food Intolerance tests range from $100 to $280 depending on the test required.

What foods can be tested in the test?

  • 96 General (Western) foods (most common test) – Almond, Amaranth, Apple, Apricot, Avocado, Banana, Barley, Beans (Kidney, Lima, Pinto), Beef, Beet, Blueberry, Broccoli, Buckwheat, Cabbage, Capsicum (green), Carrot, Casein, Cauliflower, Celery, Cheese (Cheddar, Cottage, Mozzarella), Chicken, Clam, Cocoa, Coconut, Cod, Coffee, Corn, Crab, Cranberry, Cucumber, Egg White (Chicken), Egg Whole (Duck), Egg Yolk (Chicken), Garlic, Gliadin (Wheat), Gluten (Wheat), Grape, Grapefruit, Halibut, Hazelnut, Honey, Lamb, Lemon, Lentil, Lettuce, Lobster, Milk (Cow, Goat), Mushroom, Oat, Olive, Onion, Orange, Papaya, Pea (green), Peach, Peanut, Pear, Pecan, Pineapple, Plum, Pork, Potato (Sweet), Potato (White), Pumpkin, Radish, Raspberry, Rice (white), Rye, Sesame seed, Salmon, Scallop, Shrimp, Snapper, Sole, Soy bean, Spelt, Spinach, Strawberry, String bean, Sugar cane, Sunflower seed, Tomato, Tuna, Turkey, Walnut, Wheat, Whey, Yeast (Baker’s, Brewer’s), Yoghurt, Zucchini.
  • 96 Asian foods – Abalone, Almond, Apple, Bamboo Shoot, Banana, Bean (Kidney, Red), Beef, Bitter Gourd, Broccoli, Cabbage, Cantaloupe, Capsicum (green), Carrot, Casein, Cashew, Cauliflower, Celery, Cherry, Chicken, Clam, Cocoa, Coconut, Cod, Coffee, Corn, Crab, Cucumber, Curry powder, Cuttlefish, Duck, Egg (chicken), Egg (duck), Eggplant, Garlic, Ginger, Gluten, Goose, Grape, Grapefruit, Guava, Honey, Honeydew, Job’s Tears, Kelp, Kiwi, Lamb, Leek, Lemon, Lettuce, Lian Woo, Lobster, Mango, Milk, Mung bean, Mushroom, Mustard, Oat, Olive, Onion, Orange, Oyster, Papaya, Peach, Peanut, Pepper (black), Pepper (Cayenne), Pineapple, Pork, Potato (Sweet), Potato (white), Radish, Rice (white), Salmon, Sea Bass, Sea Perch, Sesame seed, Shrimp, Soy bean, Spinach, Strawberry, Sunflower seed, Taro, Tea (Oolong), Tomato, Tuna, Vanilla bean, Vegetable Sponge, Walnut, Watermelon, Water Spinach, Whey, Woo-hsiang powder, Yeast (Baker’s, Brewer’s), Yoghurt.
  • 48 Herbs & Spices – Herbs – Aloe Vera, Ashwaganda, Astragalus, Bilberry, Black Cohosh, Chamomile, Dandelion, Dong Quai, Echinacea, Goldenseal, Grape Seed, Green tea, Gymnema, Licorice, Milk Thistle, Psyllium, Rose Hip, Saw Palmetto, Siberian Ginseng, Spirulina, St. John’s Wort, Uva-Ursi, Valerian, Wild Yam; Spices – Allspice, Basil, Bay leaf, Cinnamon, Clove, Cumin, Curry powder, Dill, Fennel, Ginger, Horseradish, Marjoram, Mustard, Nutmeg, Oregano, Paprika, Parsley, Pepper (black), Pepper (Cayenne), Peppermint, Rosemary, Sage, Thyme, Vanilla bean.
  • 16 Inhalants – Grasses (Bahia, Bermuda, Johnson, Perennial Rye, Smooth Brome, Sweet Vernal, Timothy); Moulds (Alternaria tenuis, Aspergillus fumigatus, Cladosporium herbarum, Penicillium notatum); Cat dander, Cockroach, Dog dander, Dust Mite, House dust.
  • 95 Vegetarian foods – Almond, Amaranth, Apple, Apricot, Artichoke, Avocado, Banana, Barley, Beans (Kidney, Lima, Navy, Pinto), Bean sprout, Beet, Blueberry, Broccoli, Buckwheat, Cabbage, Cantaloupe, Capsicum (green), Carrot, Casein, Cashew, Cauliflower, Celery, Cheese (Cheddar, Cottage, Mozzarella), Cherry, Cocoa, Coconut, Coffee, Corn, Cranberry, Cucumber, Egg white (Chicken), Egg whole (Duck), Egg yolk (Chicken), Eggplant, Flaxseed, Garlic, Gliadin (Wheat), Gluten (Wheat), Grape, Grapefruit, Hazelnut, Honey, Kamut, Lemon, Lentil, Lettuce, Milk (Cow, Goat), Millet, Mushroom, Oat, Olive, Onion, Orange, Papaya, Pea (green), Peach, Peanut, Pear, Pecan, Pepper (black), Pepper (chilli), Pineapple, Pistachio, Plum, Potato (Sweet), Potato (white), Pumpkin, Quinoa, Radish, Raspberry, Rice (brown), Rice (white), Rye, Sesame seed, Soy bean, Spelt, Spinach, Strawberry, String bean, Sugar cane, Sunflower seed, Tomato, Walnut, Watermelon, Wheat, Whey, Yeast (Baker’s, Brewer’s), Yoghurt, Zucchini.

Can I pick which foods I want tested?

Unfortunately no. These panels are set by the Laboratories and are not subject to changing at this stage. If a food you are concerned about is not listed in your panel, then there is a good chance that another food in it’s same family is in the panel which means that you may get your answer anyway. Some people have a cross reaction to certain food families and not just one type of food (eg – you think you react to Rhubarb but it is not on the test panel, however Buckwheat is and it is in the same family so you will be tested on the family). This is something that Monique will go through with you in detail when you review your results together.

What happens after my results are back? Do I just remove everything I react to?

No this is not always the case. Many times the food reaction level may be lower so you may be able to cycle it through the diet and not avoid it totally. Monique will help you re-plan your entire diet with you in your review appointment – what you need to avoid, what you can replace it with, where you can buy it and how you can start to integrate your new diet plan. You are definitely not alone when it comes to putting all the pieces back together!

IMPORTANT: Can I test both food Allergies AND Intolerances at once?

Yes you can. This is the most comprehensive test that we can recommend for you to find out whether you react to foods with either IgG or IgE or both! The risk of selecting just one style of test means that whilst you may not have an Intolerance reaction (IgG) to a food, you might have an Allergy reaction (IgE) – and if you don’t test both you may never know. This test is slightly more expensive than doing just a straight Allergy or Intolerance test on it’s own, however it is much more complete and gives the most comprehensive profile on your food allergies and intolerances. 

Allergy Testing

Allergy Testing looks directly at Immunoglobulin E (IgE) antibodies which refers to a different type of reaction compared to Food Intolerances (which test for IgG antibodies – please see the tab on the left for more information). Allergies tend to be more immediate type of reactions (hayfever, sinus, atopic skin flare ups) however this doesn’t always have to be the case – which can make guessing your allergies even harder!

In your blood serum, IgE is present in very low concentrations and elevated in atopic diseases such as allergic asthma, hay fever and atopic dermatitis. IgE antibodies that are specific for the allergen bind onto immune cells, called mast cells and basophils, which initiates the release of Histamine (and other inflammatory mediators) from these cells, thus giving you an allergic reaction.

  • The early phase reaction usually occurs within 15 minutes of exposure to the allergen.
  • The late phase reaction may then occur 4-6 hours later and persist for days with increased swelling and inflammation.

You can test allergies from both foods and airborne allergens:

  • Airborne Allergies: grasses, pollens, moulds, dust etc – these are commonly tested via a skin prick test (RAST test) through your GP and are very accurate at finding out your reaction level to these allergens, however the down side is that you cannot test very much at once. If this is the type of test that you are looking to have done, the 64 Allergen test (listed below) would be your best choice and it includes all of your normal allergens such as Dust mites, House mites, Moulds, pollens and cockroaches – plus more that you can’t test on the skin. This test costs approximately $270.00* and it performed via a blood test (no skin pricking).
    • 64 Inhalants – Grasses (Bahia, Bermuda, Johnson, Meadow Fescue, Perennial Rye, Smooth Brome, Sweet Vernal, Timothy); Moulds (Alternaria tenuis, Aspergillus fumigatus, Cladosporium herbarum, Penicillium notatum); Trees (Acacia, Alder, Arizona Oak, Ash, Beech, Birch, Black Oak, Black Walnut, Box Elder, California Pepper, Cottonwood, Cypress, English Walnut, Elm, Eucalyptus, Hazelnut, Hickory, Mesquite, Queen Palm, Pecan, Pine, Red Maple, Red Mulberry, Sweet Gum, Sycamore, White Mulberry); Weeds (Dog Fennel, Firebush, Iodine bush, Lamb’s Quarters, Marsh Elder, Mugwort, Nettle, Pigweed, Plantain, Poverty weed, Rabbit bush, Ragweed, Russian Thistle, Sagebush, Saltbush, Sheep Sorrel); Cat dander, Cockroach, Dog dander, Dust Mite, House dust.
    • Allergy Desensitization programs may be of assistance to some people with extreme allergies to things that are hard to avoid – Dust and Cockroaches. The professionals at Allergy Medical in Newstead QLD have a fantastic program.
  • Food Allergies: Food allergies can be tested via the skin prick test (RAST test) done topically on the skin, however they may not accurately test how that food might interact with you if you eat it, thus the blood allergy tests tend to be more accurate when testing your reaction to foods. The options for the types of foods you can test are listed below.

Should I have this test performed?

  • Do your symptoms seem to develop out of nowhere?
  • Do you take Antihistamines and do they settle your symptoms?
  • Do you wake with sinus congestion, sneezing or hayfever?
  • DO you experience Hives, little blisters on the skin or swelling in the body (eyes, nose, throat, airways?)
  • Do you have ongoing Fatigue?
  • Do you get a Post Nasal Drip (swallowing mucous) without having a cold or flu?
  • Do you get migraines or headaches?
  • Do you have IBS (Irritable Bowel Syndome) type symptoms?
  • Do you have unexplained skin rashes, Psoriasis or Eczemas?
  • Do you have Asthma?

If you are answering YES to many or even one of the above questions, then a Food Allergy test may help you find out what allergens in your environment or diet could be triggering your allergic response. Children can be tested however they must be greater than 18 months of age.

How is this Test Performed?

All Allergy Tests are performed via a Blood draw at QML Laboratories. Blood drawing from QML currently costs $33.00.

How long does it take to get the results?

Results are usually back within 3-4 weeks.

What is the cost of these tests?

Food Allergy tests range between $260 to $290 depending on the test required.

What Foods can be tested in the test?

  • 96 General (Western) foods  – Almond, Amaranth, Apple, Apricot, Avocado, Banana, Barley, Beans (Kidney, Lima, Pinto), Beef, Beet, Blueberry, Broccoli, Buckwheat, Cabbage, Capsicum (green), Carrot, Casein, Cauliflower, Celery, Cheese (Cheddar, Cottage, Mozzarella), Chicken, Clam, Cocoa, Coconut, Cod, Coffee, Corn, Crab, Cranberry, Cucumber, Egg White (Chicken), Egg Whole (Duck), Egg Yolk (Chicken), Garlic, Gliadin (Wheat), Gluten (Wheat), Grape, Grapefruit, Halibut, Hazelnut, Honey, Lamb, Lemon, Lentil, Lettuce, Lobster, Milk (Cow, Goat), Mushroom, Oat, Olive, Onion, Orange, Papaya, Pea (green), Peach, Peanut, Pear, Pecan, Pineapple, Plum, Pork, Potato (Sweet), Potato (White), Pumpkin, Radish, Raspberry, Rice (white), Rye, Sesame seed, Salmon, Scallop, Shrimp, Snapper, Sole, Soy bean, Spelt, Spinach, Strawberry, String bean, Sugar cane, Sunflower seed, Tomato, Tuna, Turkey, Walnut, Wheat, Whey, Yeast (Baker’s, Brewer’s), Yoghurt, Zucchini.
  • 96 Asian foods – Abalone, Almond, Apple, Bamboo Shoot, Banana, Bean (Kidney, Red), Beef, Bitter Gourd, Broccoli, Cabbage, Cantaloupe, Capsicum (green), Carrot, Casein, Cashew, Cauliflower, Celery, Cherry, Chicken, Clam, Cocoa, Coconut, Cod, Coffee, Corn, Crab, Cucumber, Curry powder, Cuttlefish, Duck, Egg (chicken), Egg (duck), Eggplant, Garlic, Ginger, Gluten, Goose, Grape, Grapefruit, Guava, Honey, Honeydew, Job’s Tears, Kelp, Kiwi, Lamb, Leek, Lemon, Lettuce, Lian Woo, Lobster, Mango, Milk, Mung bean, Mushroom, Mustard, Oat, Olive, Onion, Orange, Oyster, Papaya, Peach, Peanut, Pepper (black), Pepper (Cayenne), Pineapple, Pork, Potato (Sweet), Potato (white), Radish, Rice (white), Salmon, Sea Bass, Sea Perch, Sesame seed, Shrimp, Soy bean, Spinach, Strawberry, Sunflower seed, Taro, Tea (Oolong), Tomato, Tuna, Vanilla bean, Vegetable Sponge, Walnut, Watermelon, Water Spinach, Whey, Woo-hsiang powder, Yeast (Baker’s, Brewer’s), Yoghurt.
  • 95 Vegetarian foods – Almond, Amaranth, Apple, Apricot, Artichoke, Avocado, Banana, Barley, Beans (Kidney, Lima, Navy, Pinto), Bean sprout, Beet, Blueberry, Broccoli, Buckwheat, Cabbage, Cantaloupe, Capsicum (green), Carrot, Casein, Cashew, Cauliflower, Celery, Cheese (Cheddar, Cottage, Mozzarella), Cherry, Cocoa, Coconut, Coffee, Corn, Cranberry, Cucumber, Egg white (Chicken), Egg whole (Duck), Egg yolk (Chicken), Eggplant, Flaxseed, Garlic, Gliadin (Wheat), Gluten (Wheat), Grape, Grapefruit, Hazelnut, Honey, Kamut, Lemon, Lentil, Lettuce, Milk (Cow, Goat), Millet, Mushroom, Oat, Olive, Onion, Orange, Papaya, Pea (green), Peach, Peanut, Pear, Pecan, Pepper (black), Pepper (chilli), Pineapple, Pistachio, Plum, Potato (Sweet), Potato (white), Pumpkin, Quinoa, Radish, Raspberry, Rice (brown), Rice (white), Rye, Sesame seed, Soy bean, Spelt, Spinach, Strawberry, String bean, Sugar cane, Sunflower seed, Tomato, Walnut, Watermelon, Wheat, Whey, Yeast (Baker’s, Brewer’s), Yoghurt, Zucchini.

IMPORTANT: Can I test both food Allergies AND Intolerances at once?

Yes you can. This is the most comprehensive test that we can recommend for you to find out whether you react to foods with either IgG or IgE or both! The risk of selecting just one style of test means that whilst you may not have an Intolerance reaction (IgG) to a food, you might have an Allergy reaction (IgE) – and if you don’t test both you may never know. This test is slightly more expensive than doing just a straight Allergy or Intolerance test on it’s own, however it is much more complete and gives the most comprehensive profile on your food allergies and intolerances. 

Stool Testing

Stool Testing is a fantastic way to discover how your digestive system is functioning and explore if there are any pathogenic bugs in your bowel that could be causing you issues. There are many different types of Stool tests that can be performed and it is complex to say which ones are the most appropriate for you which is why is is discussed in your consultation with you and the best level of testing is decided.

The gastrointestinal tract has two main functions: to digest and absorb important nutrients for the body’s growth and function, and to act as a barrier to keep harmful solutes, luminal antigens and micro-organisms from entering the blood. Within the gastrointestinal tract more than 500 different bacterial species, in excess of 10 organisms per gram of net weight, can be detected. These bacteria also play a key role in digestion, nutrition, pathogen defence and immune system development. See below for the different types of stool tests that can be arranged:

Complete Digestive Stool Analysis (CDSA):

The CDSA can assist Monique develop earlier, more effective preventive interventions, improve the timing and precision of her treatments and reduce the risk of clinical relapse in certain groups of patients. It will also allow better evaluation of your digestive health and function which can reduce the medical necessity for more invasive procedures such as colonoscopy in some cases. CDSA testing ranges in levels from 1 (the most basic $100) to category 5 (the most comprehensive test can cost up to $450) . This is very handy if you want to check areas such as:

  • Digestion & metabolism markers
  • How well you absorb and break down your protein, fats, fibres and carbohydrates
  • Pancreatic function
  • Gluten sensitivity
  • Inflammation –  Inflammatory Bowel Disease versus Irritable Bowel Syndrome
  • Helicobactor pylori, Gastritis, peptic ulcers and gastric cancer markers
  • Colorectal cancer markers
  • Beneficial & potentially pathogenic bacteria
  • Yeast & Parasites

Parasite Check:

There are many different types of Parasite checks and the right one can be selected for you during your appointment after you speak with Monique. Parasites are often contracted through eating contaminated food and water or, more commonly, from person to person or animal to person. The symptoms may be mild and can go unnoticed in some people, however it can be serious for people with a weakened immune system. Some Parasites provide very obvious symptoms that resemble Gastroenteritis, whilst others can be asymptomatic (that doesn’t mean they aren’t causing inflammation in the gut and need to be resolved). Common symptoms include diarrhoea, cramping, pain, constipation, nausea, sore stomach, inability to eat normal foods and fatigue. Parasites that are commonly missed in normal stool tests are:

  • Cryptosporidium (causes a type of gastroenteritis).
  • Giardia lamblia.
  • Salmonella sp
  • Campylobacter sp
  • Shigella sp
  • Yersinia enterocolitica
  • Aeromonas sp
  • Entamoeba histolytica
  • Dientamoeba sp
  • Blastocystis sp

Pancreatic Elastase Test:

This stool test is a fantastic way to check on the function of your Pancreas, as it checks the level of Human pancreatic elastase 1 (PE1) enzyme in your stool. PE1 remains undegraded during intestinal transit, therefore its concentration in your faeces reflects your pancreatic function. During an inflammation of the pancreas, PE1 is released into the bloodstream, therefore acute pancreatitis is often diagnosed by checking pancreatic elastase 1 in blood serum.

This test is generally used for those with “Pancreatic Insufficiency” (or an under-working Pancreas), chronic Pancreatitis, Cystic Fibrosis, Diabetes Mellitus, cholelithiasis (gallstones); and can help exclude Pancreatic involvement in other issues such as Osteoporosis and gastrointestinal symptoms such as abdominal pain.

Calprotectin Stool Test:

Measurement of faecal Calprotectin is a handy biochemical test for intestinal inflammation for conditions such as Inflammatory Bowel Disease (IBD). Under specific clinical scenarios, the test can be a great indicator of whether an Endoscopy or Colonoscopy might be relevant.

The main diseases that cause an increased excretion of faecal Calprotectin are:

  • Infectious Colitis
  • Crohn’s Disease
  • Ulcerative colitis
  • Cancers of the digestive tract

Please Note: Levels of faecal Calprotectin are usually normal in patients with irritable bowel syndrome (IBS).                                                                       

Blood Pathology Testing

Blood Pathology testing is available and a common test procedure that is recommended by Monique. She will often request a more in-depth look at your Blood rather than those performed on a general basis by your General Practitioners (GP). Monique often looks more are your Nutritional, Biochemical and Hormonal status than just standard Liver Function or basic Cholesterol checks. She can refer you for your blood tests directly to the laboratory (without going through your GP) for an out-of-pocket fee, however the fee depends on what tests she requests and which Lab you choose to go with (Monique uses a variety of 3 or 4 different Laboratories to help you get the most cost effective testing done).

Monique often prefers to work in with your GP, which can also be another avenue for routine Blood pathology to be performed (also great to keep them in the loop with your health journey). Some tests may be able to be Bulk Billed to Medicare (depending on the test requested and your requirement for it). If you are interested in getting more specific blood pathology done, Monique can discuss this in your appointment with you.

Intestinal Permeability Test

The intestinal permeability test which assesses lactulose and mannitol recovery can be used to monitor improvements or deterioration in intestinal permeability as a result of therapy, disease or drug use.  Furthermore, the intestinal permeability test has been used to monitor the compliance and effectiveness of a gluten-free diet in patients with Coeliac disease.

The test works on the principle that small molecules (i.e. mannitol) are readily absorbed by the intestinal villi, whilst larger molecules such as disaccharides (i.e. lactulose) are not. These water soluble non-metabolised sugar molecules after penetrating the intestinal tract are excreted into the urine.  Under normal circumstances the ratio of lactulose to mannitol in urine is low (i.e lactulose is not absorbed), mannitol is absorbed.  When the structure of the intestinal epithelium is jeopardised (‘leaky gut’ is present), the large sugar molecule can permeate the mucosa and is recovered in the urine.  In this situation the level of lactulose is increased in the urine and therefore the ratio of lactulose to mannitol is high.

In addition to assessing leaky gut, this test can also help diagnose malabsorption.  If a low level of mannitol which normally penetrates the intestinal epithelium is observed, it may indicate malabsorption of small molecules and possible atrophy of the intestinal villi.

Changes in Intestinal Permeability have been associated with many health conditions such as:

  • ‘leaky gut’ or malabsorption of nutrients
  • Autism, learning difficulties in children
  • Digestive problems – bloating, wind, IBS
  • Autoimmune disorders
  • Food Sensitivities
  • Inflammatory bowel diseases (Ulcerative Colitis, Colitis and Crohns Disease)

How is this test performed?

This test is performed via a Urine spot test

Please note: This test is not intended to diagnose any gastrointestinal disease, rather to help assess the rate of inflammation, progression of disease and permeability of the digestive tract. 

Female Hormone Testing

Female Hormone Testing can be performed via blood pathology testing or via saliva or urine samples. Different hormones are more accurate with different methods, so Monique will often choose the best variety depending on your situation. Salivary hormones are a wonderful way to assess the balance of your hormone levels and can often be more reliable than blood pathology, as their levels tend to be more stable across the day (as opposed to Blood).

Hormones are crucial to a woman’s reproductive health. The main hormones affecting the menstrual cycle and fertility are produced by glands in the brain and by the ovaries. Those hormones regulate menstruation, fertility and sex drive (libido) – any one of which can be adversely affected if the production of these hormones goes out of balance. As most women approach mid-life, hormonal changes gradually cause reproductive organs to shut down eventually leading to menopause.

Salivary hormone tests help Monique assess issues relating to:

  • Hot flushes
  • Irregular menstruation
  • Fertility – are you ovulating?
  • Mood changes – Depression, Anxiety, Post Natal Depression,
  • Vaginal dryness
  • Excess Hormones – producing too much!
  • Hormone deficiency – not producing enough!
  • Insomnia
  • Low libido/Sex Drive
  • Amenorrhea (no periods)
  • Dysmennorhea (Painful periods)
  • Premenstrual Syndrome (PMS)
  • Polycystic ovaries (PCO and PCOS)
  • Endometriosis
  • Fibroids
  • Bone loss
  • Dry skin
  • Fatigue

Common Hormones assessed:

  • Progesterone: Progesterone belongs to a group of steroid hormones called Progestogens. It is mainly secreted by the corpus luteum, which is the remnants of the ovarian follicle that enclosed the developing egg before it was released (ovulation) – basically it is the leftover sac in the ovary after the egg is expelled. This is why your Progesterone level should be higher in the second half of the menstrual cycle and it plays important roles in menstrual cycle regulation, mood and in maintaining the early stages of pregnancy. High levels of Progesterone are not commonly an issue (seeing as though they rise in Pregnancy naturally anyway) but low levels are very common and can cause issues with PMS, irregular bleeding and infertility.
  • Estrogen (E1, E2 and E3)
    • Estradiol (E2): is the major estrogen and is recognised for producing the majority of the functions of estrogen in the body.  It is critical for the development of female reproductive organs, for producing female secondary sexual characteristics and during the menstrual cycle and, with progesterone, prepares the endometrium for implantation.  It helps vaginal lubrication, reduces urinary tract infections and increases sexual desire.  It is also important for brain, enhancing memory and mood. Estradiol (E2) is about 10 times as potent as E1 and about 80 times as potent as E3 in its estrogenic effect. It is the predominant estrogen during reproductive years both in terms of serum levels and estrogenic activity.
    • Estrone (E1): is produced from the aromatisation of hormone Androstenedione and when E2 converts into E1. It has considerable estrogenic activity although it is less potent than E2. It is the predominant circulating Estrogen during and after Menopause.
    • Estriol (E3): is a metabolite of E1 and E2.  It is a weaker estrogen which is capable of exerting either antagonistic or agonistic effects. It has been shown to be clinically effective for the treatment of menopause-related symptoms such as hot flashes, insomnia and poor memory. In addition, postmenopausal conditions of vaginal atrophy with accompanying dryness, vaginal infections and dyspareunia; and urinary tract changes resulting in recurrent UTIs, urgency, incontinence and frequent urination are helped considerably with E3. This is the main circulating Estrogen during Pregnancy.
  • Testosterone: Testosterone is normally thought of as the “Male Hormone” however this is not exactly the case! Women require very small amounts of Testosterone which actually helps with Ovulation, stamina and libido. High levels of Testosterone can be triggered by Polycystic Ovaries and cause issues such as Hirsutism (excess hair growth), oily skin, acne, irritability and blood sugar issues. Low Testosterone levels can cause issues with low libido, poor muscle tone, fatigue, depression and anovulation (not ovulating).
  • Other Hormone Testing: Prolactin, Follicle Stimulating Hormone (FSH), Luteinising Hormone (LH) and Sex Hormone Binding Globulin (SHBG). These all help detect issues with the reproductive cycle. 

Male Hormone Testing

Male Hormone Testing can be performed via blood pathology testing or via saliva or urine samples. Different hormones are more accurate with different methods, so Monique will often choose the best variety depending on your situation. Salivary and Blood hormones are a wonderful way to assess the balance of your hormone levels.

Hormones are crucial to a mans reproductive health, well being and vitality. Hormones are produced in adequate levels in the reproductive years, however the ageing male experiences a decrease in Testosterone at a rate of 10% per decade from the age of 30. This reduction of testosterone (as well as other Androgens) is experienced as a consequence of the ageing process. Andropause or Androgen Deficiency of the Ageing Male (ADAM) is the male equivalent to Women experiencing Menopause during their mid-life. And although this topic seems to be one that is not as well discussed as the Female Menopause, it is just as important and can easily be supported through Natural Medicines. But first you need to find out where your Hormone levels are sitting.

Male hormone tests help Monique assess issues relating to:

  • Andropause (Male Menopause)
  • Erectile Dysfunction
  • Reduced Muscle mass and muscle strength.
  • Reduced assertiveness, cognition, memory, mood, self-esteem
  • Fertility – Low Testosterone can cause issues with Sperm Production
  • Mood changes – Depression, Anxiety
  • Excess Hormones – producing too much!
  • Hormone deficiency – not producing enough!
  • Loss of body hair – hair greying too quickly
  • Insomnia
  • Low libido/Sex Drive
  • Lack of motivation or interest in life
  • Bone loss
  • Dry skin
  • Fatigue

Common Hormones assessed:

  • Estrogen – Estradiol (E2): E2 the major estrogen present for Males. The primary source of E2 in men comes from the conversion (aromatisation) of Testosterone into E2. As men age, the production of Androgens from the adrenals and gonads is decreased. The aromatisation of Testosterone to E2 is often increased due to a variety of factors, therefore more and more Testosterone is aromatised back into E2 (which depletes your Testosterone levels further!) Aromatisation occurs mostly in fat tissue (particularly fat around the belly), causing a further imbalance of the ratio of testosterone to estrogen, i.e. too much Estrogen and not enough Testosterone.
  • Testosterone: The essential male hormone. Vital for fertility, libido, stamina, strength, muscle mass, Sperm production. Declines as men age but can also be further reduced by having too much converting into Estrogen and aromatised in fat tissue (talked about above).
  • Sex Hormone Binding Globulin (SHBG): SHBG is a protein that is produced by the liver and binds tightly to Testosterone, dihydrotestosterone (DHT), and Estradiol (E2). In this bound state, it transports them in the blood as a biologically inactive form (meaning that the more SHBG you have floating around, the more your hormones are bound up and cannot do their respective jobs).
  • DHEA : Dehydroepiandrosterone (DHEA) has been called the ‘anti-ageing’ hormone as its level declines with age and a deficiency correlates with the appearance of age-related degenerative diseases.  DHEA has many roles within the body and plays an important role in the manufacture of the hormones testosterone, estrogen, progesterone and corticosterone (stress hormones). The decline of DHEA with age parallels that of Human Growth Hormone (HGH) so by age 65 our body makes only 10 to 20% of what it did at age 20.

Adrenal Stress Testing

Each person has two adrenal glands both located on top of each of the body’s two kidneys. These glands are important to the body’s endocrine (hormonal) system. Adrenal fatigue is a very common condition in today’s society through the physical and physiological demands we put on our adrenal glands. Each gland is composed of two distinct zones, the large outer cortex and the inner medulla and they secrete stress hormones which are vital to our health, but can be over or under-produced in patients with chronic stress.

Tell-tale signs for Adrenal Fatigue:

  • Anxiety
  • Headaches
  • Poor concentration, ‘brain fog’
  • Fatigue, lethargy
  • Salt cravings
  • Mild depression
  • Lack of stamina
  • Sexual dysfunction
  • Irregular sleeping patterns
  • Racing or fluttering heart
  • Sweating for no reason
  • Waking up exhausted
  • feeling hot for no reason

Cortisol

Testing Cortisol via the Saliva is the most accurate way to assess your stress hormone output and Monique uses a test that assess your saliva over 4 times during the day (6-8am, 12pm, 4pm and 8pm) to gauge your overall Cortisol output throughout the day.

DHEA

Dehydroepiandrosterone (DHEA) has been called the ‘anti-ageing’ hormone as its level declines with age and a deficiency correlates with the appearance of age-related degenerative diseases.  DHEA has many roles within the body and plays an important role in the manufacture of the hormones Testosterone, Estrogen and Corticosterone (stress hormones). Low levels of DHEA can occur in those who are chronically stressed, which can lead to low production of your other hormones such as Testosterone and Estrogen.

Zinc Level Testing

This is often done by Blood Pathology with Monique, however she can perform an in-house 5 minute oral taste test to determine an approximate gauge of your Zinc status. The results are immediate and costs $5.00.

Thyroid Function Test

The thyroid gland regulates many metabolic processes, including growth and energy use. Common problems include overactivity (hyperthyroidism) and underactivity (hypothyroidism) of the thyroid gland. Common causes of thyroid disorders are Hashimoto’s disease and Graves’ disease. An enlargement of the thyroid gland is called a ‘goitre’ and can be associated with Iodine Deficiency.

Thyroid hormone production is centrally regulated: Thyroxine (T4) from the thyroid gland is peripherally converted in the liver and kidney cells into T3 and reverse T3 (rT3). T3 is the active hormone and is five times as potent as T4, but rT3 is almost biologically inactive (meaning it doesn’t do much). Just testing your TSH is the standard practice when “testing your Thyroid” and only IF there is an abnormality to this will T4 and maybe T3 be looked into. rT3 is never looked at.

Monique can test your thyroid properly – not just the standard Thyroid Stimulating Hormone (TSH) test which you get as part of routine blood pathology. The Thyroid is so much more complex than that and so if you wish to investigate it properly, then further testing is required.

  • Thyroid Stimulating Hormone (TSH)
  • T3
  • T4
  • Reverse T3 (rT3)
  • Iodine level
  • Thyroid auto-antibodies (checking for Graves Disease or Hashimotos Disease)
  • Often ties into testing hormones and nutrient levels

Osteoporosis Marker Test

Osteoporosis occurs when the Osteoclasts on your bone are reabsorbing more bone than is required or can be replaced back down by the Osteoblasts (ie – it is degrading your bone too quickly for your body to keep up the repair). Approximately 90% of the organic matrix of bone is type I collagen and a special peptide, known as 2 N-telopeptide of type 1 collagen, makes a fantastic and specific marker of human bone resorption. N-terminal telopeptide (NTx) molecules are mobilised from bone by the Osteoclasts and subsequently excreted in the urine. Elevated levels of NTx indicate increased bone resorption and can act as a good marker to see how fast you are reabsorbing (losing) your bone matrix. Often people will have this test performed every 6 to 12 months (earlier if greater loss is noted).

Method & Price of test:

Performed through a Urine sample that occurs over a 24 hour period.

Costs approximately $80-100.

Sleep Profile Testing

The Sleep Profile is a non-invasive saliva test that assesses two major causes for insomnia: imbalances in Melatonin and Cortisol.  Melatonin is a peptide hormone produced by the Pineal gland (in response to it becomming dark) which helps to control normal sleep patterns. Deficiencies of this hormone can lead to insomnia and is common in those who work shift work. Imbalances in the diurnal pattern of the stress hormone Cortisol, can also lead to sleep disturbances as Melatonin and Cortisol almost have opposite see-saw like production times. In the morning Cortisol should be higher and Melatonin should be lower with the opposite happening in the evenings. This can be imbalanced and be a major cause of insomnia.

Method & Price of Test:

Taken via one saliva sample somewhere between midnight and 2am.

Cost is approximately $50-70

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