A man/woman is best known by the tools he/she may regularly employ and the manner of their employment. The same is true in clinical practice. Here, expanded testing (beyond standard laboratory testing) options means expanded treatment options. This list is for the purpose of embracing a vision of solution-oriented thinking rather than packaging a series of possible tests. Creative, selective, patient-appropriate diagnostics means enlarging rather than restricting treatment options. Creative acts are part of the dance and poetry of life.
Basic Digestive Function determines the level of pancreatic function by evaluating the digestion of fats and proteins through the measurement of fecal fats and short chain fatty acids (SCFAs) such as proprionate, valerate, butyrate and acetate.
Microbiology Culture Analysis profiles the relative presence of bacteria and yeast to determine gut balances in the microecology of the gut. A sensitivity panel is automatically performed on all pathogens with prescription drugs and natural substances.
Bacteriology Culture serves to profile bacteria in fecal specimens. A sensitivity panel of drugs and botanicals is performed on pathogens.
Comprehensive Parasitology Profile identifies parasitic infection, microbial and yeast status for many patients with abdominal pain, chronic diarrhea and many other GI related symptoms.
Bacterial Overgrowth of the Small Intestine is designed to detect this overgrowth by the use of a challenge dose of lactulose or glucose. This phenomena may lead to diarrhea, steatorrhea, bloating, vitamin B12 deficiency and other problems.
Lactose Intolerance profiles lactase ( an enzyme normally that breaks down lactose) deficiency which may result in abdominal bloating from fermentation and the production of gas, cramping diarrhea and small bowel bacterial overgrowth.
Intestinal Permeability analyzes urinary clearance of two non-metabolized sugars, lactulose and mannitol in order to assess possible leaky gut syndrome or malabsorption phenomena.
Fecal Fat (24-, 48- or 72-) Testing evaluates total fecal fat on either a 24 hr, 48 hr or 72 hr collection.
Yeast Culture profiles the presence of yeast and includes a sensitivity panel of drugs and botanicals on all pathogens.
Candida Antibodies assays blood for IgC levels to Candida Albicans as a source of infection.
Anti-Candida Antibodies profiles blood plasma for IgG, IgM & IgA antibodies against Candida albicans.
Candida Intensive Culture measures blood and stool for immune reactivity to Candida albicans infection, using the Yeast Culture and Candida Antibodies to create a truly comprehensive profile. This has been used to find root causes of "foggy brain," mood swings, IBS or low energy states.
Gut Mucosal Immunity profiles IgC and IgM antibodies to five normal gut flora as an indirect measurement of intestinal permeability.
Fecal Secretory IgA profiles immune function in the intestine. immunocompromised function in the gut is pivotal to colonization by pathogens; it is also included in the CDSA.
Helicobacter pylori test measures H. pylori IgC antibodies in plasma because H. pylori infection is the leading cause of peptic ulcers, chronic gastritis, and increased risk of gastric cancer.
Vaginosis Panel profiles vaginal bacteria, yeast, cytolysis, leukocytes, RBCs and Trichomonas.
Anti-Chemical Anti-bodies Panel identifies and profiles exposure and sensitivity to formaldehyde, tremolitic anhydride, toluene, phthalic anhydride and benzene. This test is useful in the evaluation of multiple chemical sensitivity syndromes.
Amino Acid Analysis measures fasting blood or 24 hr urine samples for at least forty different amino acids that may relate to chronic fatigue, learning disabilities, depression and immune problems. Amino acid imbalances may reflect functional vitamin and mineral deficiencies as well as a variety of metabolic disorders.
Fatty Acid Analysis detects fatty acid imbalances that relate to degenerative diseases; testing profiles omega 3, omega 6, trans fats and is useful to patient appropriate fatty acid therapies. This test is useful in nutritional problems as well as patients suffering from gross, inflammatory states.
Vitamin Profile uses vitamin sensitive, specific microbes to determine relative levels of vitamins in the body.
Insulin Glucose Tolerance Test uses a glucose challenge and blood samples to look at the connection between insulin and glucagon. Dysglycemias and insulin metabolism may be better profiled using this test along with glycohemoglobin levels to treat glycopathy.
Adrenocortex Stress Profile is an easy salivary assay of DHEA, DHEA-S, Cortisol and their ratio to each other; imbalances may mean manifestations of obesity, menstrual disorders, cardiovascular disease. Also, these measurements in this test may prevent patients from having to sustain lifelong and unnecessary psychiatric labeling and symptom suppressing medications. Analysis of neurotransmitter imbalances and its treatment emphasizes PROCESS or FUNCTION over disease labeling either in the DSM IV or ICD-9-CM.
Complete Hormone Profile looks at levels and relative proportions of estradiol, estrone, estriol, progesterone, testosterone, melatonin, human growth hormone (HGH), LH, FSH and other hormones to pinpoint underlying biochemical, hormonal pathways that cause or aggravate functional changes/declines in patients. Key aspects of test interpretation is the understanding of the relationship of each hormone level to the others and the functional status of the patient. Avoiding a single substance deficiency hypothesis, this test is favored over more costly testing of each individual hormone level and embodies the recognition that in nature, all hormone systems connect with each other in their manner of expression.
Standard Detoxification Profile analyzes urine only for the same above stated purposes.
Oxidative Stress Screen profiles urinary salicylate markers of hydroxyl radical activity, serum lipid peroxides and reduced glutathione. Blood levels of superoxide dismutase (SOD) and glutathione peroxidase. This measure is important when comparing relative oxidative resistance with oxidative stress in an ill patient. This is an excellent test for the chronic, "walking wounded patient."
Antioxidant Defense Profile tracks serum levels of sixteen antioxidants, oxidants and minerals to determine free radical production in the body.
Comprehensive Cardiovascular Risk Profile tracks plasma levels of HDL, LDL and VLDL, cholesterol, tryglycerides, Lp(a), homocysteine levels, lipid peroxides and fibrinogen (clotting & coaguability). These are comprehensive biomarkers for cardiovascular risk.
Cotinine Analysis measures the urinary metabolite, cotinine, to determine the presence of this particular nicotine metabolite; it is an indicator of second-hand smoke. This test is useful for re-current infections or allergies in the children of smokers.
Organic Acid Analysis profiles a broad class of compounds used in fundamental metabolic processes of the body to assess and define inborn errors of metabolism and nutrient deficiencies prior to gross functional impairment. Blockages in metabolic intermediates may indicate areas of restricted metabolic function. This test and several others are part of the growing field of molecular diagnostics and the practice of PATTERN RECOGNITION ANALYSIS.

Contact Dr. Ronald B. Keys at (718) 460-3966 or e-mail at rkeysphd@brainlink.com.
After all, it's only your life.
43-06 159th Street, Suite B2
Flushing, NY 11358