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Specialty Testing & Procedures

We make use of all conventional testing labs and methodologies and also have additional specialty testing tools to evaluate your health in innovative ways.

These procedures are billed at a cash price for collection and then billed by your insurance to you at their price for test completion. We can give you the codes for you to seek reimbursement for the test completion, but not the collection.  

$600

Autonomic Nervous System Testing includes a battery of four tests: tilt table, valsalva, heart rate deep breathing and the QSART (quantitative sudomotor axonal reflex test). This testing is done in-office over about 2 hours. We are one of three locations in Washington State doing this testing which can diagnose or rule out POTS (postural orthostatic tachycardia syndrome), hyperadrenergic dysautonomias and other types of dysautonomias.

 

Symptoms of dysautonomias include dizziness, labile heart rate and possibly blood pressure especially when changing positions from sitting to standing or if standing for an extended period of time.

 

POTS commonly occurs alongside hypermobility syndromes like Ehlers-Danlos Syndrome, mast cell activation disorders and chronic immune dysfunction like long-COVID and other neuroimmune inflammations. There are treatment options so confirmation of a diagnosis has the potential to target treatment. Payment due at time of testing. We are happy to give you a Superbill to seek reimbursement from your insurance company.

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General types of specialty testing we offer are listed. Please note this list is continually being refined to stay current with modern testing standards.

  • Cortisol testing including spot & diurnal salivary patterning

  • Evidence-Based Functional genomics

  • Functional methylation patterns

  • Functional mitochondrial complex testing

  • Genetic-based Illnesses

  • Heavy metal unprovoked screening and provoked urine testing

  • Hormone testing including both spot & month-long rhythm testing

  • Lyme specialty testing

  • Mast cell activation syndrome

  • Mycotoxin testing

  • Nasal microbiome and biofilm evaluation

  • Neurotransmitter genomics

  • Nutrient evaluation with organic acids, fatty acids, minerals, oxalaes, and oxidative stress testing

  • SIBO testing (small intestinal bacterial overgrowth) for methane, hydrogen and hydrogen sulfide

  • Specialty autoimmune evaluation

  • Stool testing for digestive markers, inflammation and microbiome communities

  • Vaginal microbiome testing for yeast, bacterial vaginosis and trichomonas

Lab companies from whom we order tests include but are not limited to the following. Please note this list also is continually being refined to stay current with modern testing standards.
 

  • Genova

  • Doctor's Data

  • Invitae

  • Vibrant America

  • GI Map

  • Cyrex

  • RealTime

  • Galaxy

  • Great Plains Labs

  • CNS Vital Signs

  • Religen (MitoSwab, FRAT (Folate Receptor Antibody Testing))

  • Igenex

  • Microbiology Dx (MARCONS)

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Most specialty tests come in a kit that can be drop-shipped to you directly and include the tubes, collection and processing instructions.

Some kits can be self-collected & shipped via FedEx including salivary samples, cheek swabs, stool testing and blood spot testing in which you poke your finger with a given lancet & put a few drops of blood onto a paper card. These kits include return envelops which can be submitted via the FedEx/ Post Office mail for processing. Results generally come in ~2-5 weeks.  
 

Some kits require blood draws. Some Labcorp, Quest or local offices will draw outside kits- it is up to the individual lab if they will do this. Mobile phlebotomy services (meaning they come draw your blood in your home) are available for some communities including most of Western Washington: ElitePhlebotomy.com (greater Portland and Seattle) and GetLabs.com (greater Seattle). We cannot be responsible for finding you a local phlebotomy option.  
 

Please note there are some restrictions in specialty kit testing in New York State. 

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