One thing that truly sets a Certified Nutrition Specialist (CNS) apart from other practitioners in the health space is our use of excellent tools and the way that we use them – our functional lab analysis and understanding of human biochemistry and physiology are key!
Our approach is different. We use a well-care, or subclinical model. Our easy-to-do, non-invasive laboratory tests allow us to proactively focus on optimizing the body’s core physiological systems. We understand that early detection of hidden health stressors reaches far beyond the alleviation of symptoms. Many health conditions develop over the course of years; exhibiting undiagnosed and various, seemingly unrelated symptoms. All too often, symptoms can be misleading, and treatment plans based on symptoms alone can be unsuccessful in restoring health and function.
This is why, as a CNS, we don’t guess, WE TEST.
These landmark tests are a breakthrough step in allowing you to take responsibility and control of your own health.
You’ll feel better, now and in the future. Once healing opportunities are identified, you will work together with your CNS practitioner to optimize and restore your own health – and you will feel and look better – physically, mentally and emotionally.
How can I help?
Dr. Mandy is a licensed Certified Nutrition Specialist (CNS) and also a Functional Diagnostic Nutrition Practitioner (FDN) and an excellent health detective. Her job is to help you identify your root causes through functional lab testing. Lab testing reveals information about your specific condition and provides your benchmark data to statistically measure your improvement over time. Without lab testing, you are guessing which a waste of your time and money.
What it is:
The NutrEval FMV® is both a blood and urine test that evaluates over 125 biomarkers and assesses the body’s functional need for 40 antioxidants, vitamins, minerals, essential fatty acids, amino acids, digestive support, and other select nutrients. Personalized recommendations for nutrients are determined by using an algorithm based on the patient’s test findings. The NutrEval Plasma and NutrEval FMV (first morning void) differ based on which sample type is used to measure amino acids, plasma or urine.
Biomarkers tested included:
1. Organic Acids: Malabsorption Dysbiosis Markers; Cellular Energy & Mitochondrial Markers; Vitamin Markers; Neurotransmitter Metabolites; Toxin & Detoxification Markers; NEW Oxalate Markers; Oxidative Stress Markers
2. Amino Acids (urine): Malabsorption Dysbiosis Markers; Cellular Energy & Mitochondrial Markers; Vitamin Markers; Neurotransmitter Metabolites; Toxin & Detoxification Markers; NEW Oxalate Markers; Oxidative Stress Markers
3. Essential and Metabolic Fatty Acids Markers (RBCs): Omega 3, 6 and 9 Fatty acids, Saturated Fatty acids; Monounsaturated Fats; Delta-6 Desaturase Activity; Cardiovascular Risk
4. Elemental Markers- Omega 3, 6 and 9 Fatty acids, Saturated Fatty acids; Monounsaturated Fats; Delta-6 Desaturase Activity; Cardiovascular Risk
Why it is important: Proper nutrition is key to preventing a number of diseases. Nutrients are necessary to feed every cell and ensure all body systems are functioning properly. Testing can help clinicians and patients gain an understanding of how nutritional imbalances may be impacting their health. Certain conditions or dietary, genetic, and lifestyle factors may predispose a person to having nutrient imbalances.
Symptoms and conditions associated with nutrient imbalances
- Mood disorders
- Cardiovascular disease
- Obesity/ Insulin resistance/ Type 2 Diabetes
- Weight Issues/ Malnutrition/ Dietary Guidance
- Increased nutrient demand in physical trauma/healing
Comprehensive, functional blood chemistry
What it is: These include markers such as thyroid, hs-CRP (inflammation), CMP, CBC, full lipid panel, iron panel, Vitamin D, homocysteine, comprehensive urinalysis, uric acid, GGT, LDH..
Why it is important: Identifying areas of imbalance and dysfunction in normal physiology can give you subjective and objective information based on a concept of optimal physiological functioning. You can learn a lot about your health with a basic blood chemistry report, and can use the information to craft an individualized approach toward your healing. It often can also give you piece of mind in knowing your condition has a root cause.
P88 Dietary Antigen Test (Serum)
What it is:
The P88 Dietary Antigen Test is one single test combining IgE, IgG, IgG4 and complement (C3d) reactions to 88 of the most common foods found in the diet using an indirect ELISA (enzyme-linked immunosorbent assay). The system is also capable of detecting immune complexes that contain the complement markers C3D or C1q.
The P88 Dietary Antigen Test was the first test on the market to measure and report immune complexes containing C3d. Complement activation is well-defined in the research as not only a cause of inflammation, but one of the strongest causes.
A highly comprehensive test of immune reactions, Precision Point Diagnostics’ P88 Dietary Antigen Test helps you identify and address food allergies and food sensitivities in patients with chronic illness. Overt IgE-mediated food allergies can lead to hives, anaphylaxis, or digestive issues while delayed food sensitivities (IgG and IgG4) are linked to sinus problems, acne, gas, bloating, fatigue, constipation, autism, irritable bowel syndrome, and even depression. Identifying and eliminating food sensitivities can also assist in the healing of intestinal permeability.
Why it is important: A reaction to food is an abnormal response in the gastrointestinal tract that can occur for different reasons. The food sensitivity test I use can detect responses which are associated with 3 different responses: a true allergic response that is mediated by an IgE response, a delayed allergic response that is mediated by an IgG response, complement that heightens the immune response and IgG4 that is associated with autoimmune conditions. This test is unique in that it can detect all three pathways as well as complement to give you the deeper understanding of foods that may be contributing to inflammation.
Symptoms associated with food sensitivity include
- Diarrhea or loose stool
- Gas or bloating
- Rashes, eczema, or swelling
- Joint pain or inflammation
- Headaches or migraine
- Congestion or runny nose
- Sinus infections
- Irritable bowel syndrome
- Fatigue or poor sleep
- Poor immune defenses
- Malabsorption of vitamins and minerals
P88 Dietary Antigen Test results can lead to more precise treatment plans and better patient outcomes. Studies show that patients given an elimination diet based on the results of our food allergy and sensitivity testing experienced fewer headaches and less abdominal pain, diarrhea, constipation, and bloating. Knowing exactly what foods your patient reacts to can help to avoid unnecessarily restrictive diets and treatment protocols that inadvertently expose your patient to his or her reactive foods.
Hair Tissue Mineral Analysis
What it is: Hair tissue mineral analysis is a screening test that measures the levels of 21 minerals and toxic metals present in a sample of hair. Hair, like other body tissues, contains minerals that are deposited as the hair grows. HTMA provides a mineral outline, and other information regarding your metabolic rate (whether you are a fast or slow metabolizer), energy levels, sugar and carbohydrate tolerance, stage of stress, immune system function and glandular activity. This test reveals 20 minerals and toxic metals in a sample of hair. These include but are not limited to calcium, magnesium, sodium, potassium, copper, zinc, phosphorus, and heavy metals including aluminum, lead, cadmium, mercury, and arsenic.
Why it is important: This test can give a lot of big clues about things going on inside your body that is leading to metabolic chaos.
These include things such as:
- Heavy metal toxicity
- Mineral/ nutrient deficiencies
- Your metabolic rate
- The state of your adrenals- those glands that handle our stress response
- Thyroid function
- Hormonal imbalances
- Nervous system imbalances
- Energy levels
- Mental health- anxiety/ depression
- Liver function
- Blood sugar imbalances/ diabetes
- Digestive dysfunction
PCR URINE TESTING
What it is: If you’ve had chronic urinary tract infections or suspected an embedded infection, you been through the same process over and over. You provide a urine sample, it gets cultured and if the test comes back positive for infection, you are given an antibiotic. If there’s no infection then you are told its IC or BPS.
The problem with these traditional tests is that they are not sensitive enough to identify imbalance to the microbiome of the urinary tract. Dysbiosis (aka imbalanced bacteria) can contribute to inflammation and pain that feels very similar to a UTI.
MicroGen DX testing (also known as Next Generation testing) testing method sequences the patient’s DNA to identify bacteria and fungi in the urine sample from a massive database of over 50,000 microorganisms. Most of these microorganisms cannot be detected by standard urine tests. This test uses PCR (polymerase chain reaction) to search for 21 or more different pathogenic species in your urine as well as drug resistance genes.
Why it is important:
Since the MicrogenDX test detects all bacteria no matter if they are causing symptoms, this test will show up bacteria since the bladder is not sterile. What makes this test helpful is that it can identify if there is an imbalance of bacteria (dysbiosis) and how this compares to patients who do not experience symptoms. Nutritionally, this can help Dr. Mandy craft a nutritional and botanical support to help bring back balance, or refer her patients to other modalities of healing (such as ozone, PEMF, FSM) to help support the process.
FULL GENOME STOOL TESTING
What it is: Stool testing has become a popular method for evaluating the status of an individual’s microbiome. However, many of these tests lack accuracy, reliability, and functionality. BiomeFx™ uses the most advanced and accurate sequencing technology and explores some of the many inner functions of the gut microbiome. The technology uses whole genome sequencing that looks at the entire genome, which results in lower false positive rate than 16S. it can identify bacteria, viruses, fungi and protists.
BiomeFX’s test explores both the undesirable organisms and keystone species in the gut that are crucial to maintaining overall health and the metabolic functions that rely on support from the gut microbiome. BiomeFx™ analyzes undesirable microorganisms and measures their relative abundance as a percentage of the entire microbiome. This is different from traditional stool tests looking for any detectable number of organisms present. It is also worth noting that older technologies have limitations in their sequencing methods, resulting in a high rate of undesirable organism false positives.
Why it is important: BiomeFx™ 3.5 update includes:
- Detection for ten additional pathogens
- Detection for three additional keystone bacterial species: Bifidobacterium adolescentis, Lactobacillus rhamnosus, and Lactobacillus reuteri
- New virulence factors, including Clostridioides difficile and Bacteroides fragilis
- Addition of six new phyla
- Better organization of pathogens by bacteria, protists, fungi, and viruses
- A chart of the total SCFA producers found in the specimen
- Addition of histamine production Enhanced interpretation experience through formatting changes
By evaluating multiple aspects of microbial balance, strength, and resilience, BiomeFx™ provides a customized plan to re-balance the gut microbiome. This is just part of the reason why whole-genome sequencing is the most accurate technology on the market
With these insights, actionable nutrition, lifestyle, and supplement recommendations are provided as a road map for improving each unique gut microbiome. This is the future of microbiome assessment and analysis.
Dutch hormone Test
What it is: The DUTCH Complete is the most advanced hormone test, offering an extensive profile of sex and adrenal hormones and melatonin, along with their metabolites, to identify symptoms of hormonal imbalances
Why it is important: Many people who have had long battles with infections have HPA axis dysfunction, hormone imbalance and oxidative stress. The Dutch will give you some insight on your hormone production, adrenal output, as well as some key neurotransmitter production through their recently added Organic Acids.
What happens next?
Once Dr. Mandy obtains your lab results, she will craft a personalized healing program. This process shortens the timeline often extended with typical &trial and error& methods that often leaves people spinning their wheels, frustrated and still in pain. Most importantly, this process saves you time and money.
Typical client timelines:
- 3 months for moderate improvement
- 6 months for significant improvement
- 1 year for optimal improvement.
This program is a commitment. It’s not cheap and it’s not quick. You didn’t get this way overnight and you can’t expect to get out of your condition overnight
If you work with Dr Mandy, she can promise you three things:
- She will investigate your root cause thoroughly and comprehensively
- She will help you find a path to drastically reduce your symptoms
- She will put you on the right path so you can live a happy and healthy life.