Our Lab Testing Process

Functional Medicine Lab Tests

Most of our lab testing is done by specialized out-of-state laboratories. I always discuss costs and benefits of each test, and try to minimize your costs as we decide.

Each specialized test requires using their special Test Kit (specimen shipping box), which I will have the Lab ship to you. I order these tests for you online, usually from the "Rupa Health" lab-coordinating service, which will send you an invoice that you can pay online. When paid, the Lab is automatically notified to send you the specimen-collecting kit. (These Labs are out-of-network for insurance purposes, but after the test has been completed, you can ask the Rupa website to send you a billing slip ("Super Bill") with the relevant billing codes to submit to your insurance.)

Be sure to follow all specimen-collecting directions carefully to avoid invalidating the results, such as drawing blood specimens in early AM fasting (later in the day is not the same "fasting" for test purposes). Remember that Lab specimens are time- and temperature-sensitive. Plan your collection on the same day that you will ship it. Keep it refrigerated if directed. If a frozen "brick" is needed, be sure to freeze it overnight before collecting. Don't ship near a weekend or holiday where it may wait on a loading dock in the hot sun. If you drop off to FedEx or UPS, take it to the station near the end of the day before their pickup to the airport.

Conventional Lab Tests

Occasionally we need conventional lab tests done at a local laboratory. (Patients should bring in any relevant test reports that have already been done elsewhere.) No Test Kit needed for these, but be sure you bring them your test requisition slip from me, and any insurance information.

Be sure to follow any special instructions for timing or dietary preparation (such as “Fasting” — in early AM before eating or drinking anything except water).