Are you Interested in Functional Medicine testing or a Health MOT?

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FM Practitioners have the expertise to look for the underlying causes of your issues. Initially, you will be asked to complete a series of FM intake forms that will ask you a lot of questions that might seem unrelated to your health concerns. However, in integrative medicine, we believe everything is connected: the physical body, mental and emotional state and the environment (family, friends, work) around you. After completing the forms, you will have an initial appointment (at least 60 min long) where we will discuss your overall health. By the end of this session, you and your FM practitioner will agree on a personalised course of action. Usually, it will include looking into your diet, exercise routine, stress level, sleep patterns and might include suggesting some supplements or herbal remedies. You and your practitioner might also discuss the possibility of running some Advance Functional Tests (Health MOT).

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There was once a time we thought that if we inherited our parents’ genes and they developed diabetes or heart disease, then we would unavoidably develop the same conditions. However, now we know that our genes are not our destiny, instead it is valuable information about our vulnerable areas such as predisposition to inflammation, oxidative stress, slower detoxification pathways and so forth. The test will also allow us to see how we process certain nutrients, hormones, toxins, etc. Although our genes are regarded as the gun, the environment is the real trigger. What that means is that with proper lifestyle changes, even if you have the genes of certain conditions, they won’t necessarily manifest themselves. Once we know what our inherited genes are we can act on the information, and reduce the risk. A saliva sample taken in the comfort of your home is the simple test. You will discuss your results with one of our FM Practitioners and agree in a personalised preventative plan.

Which report do I need? 

• Nutrient Core Report if you wonder about food response, vitamin needs, metabolism
• Metabolics Report to figure out appetite dysregulation, blood sugar imbalance, fat metabolism, personalising diet, optimising cognition, want to enhance energy, risk of cardiovascular disease
• Detoxification Report if struggling with digestive issues, skin problems, allergies, asthma and many other: infertility, PMS, weight gain, depression, anxiety / mood swings, headache, fatigue, poor memory and concentration, etc. 
• Methylation Report: fertility issues, miscarriage, pregnancy issues, autism, fatigue, allergies, anxiety
• Hormone Report: infertility, low libido, acne, PCOS, PMS, mood swings, depression, risk of breast cancer / prostate cancer
• Oestrogen Balance Report: fibroids, PMS, endometriosis, heavy menstrual bleeding, skin issues (acne)
• Nervous System Report: mental health disorders, mood issues, appetite (hunger, cravings), sleep, digestive issues, pain management, neurodegenerative problems
• ApoE4 Report: Alzheimer's disease, susceptibility to cardiovascular disease 
• Thyroid Balance Report: hypothyroidism, hyperthyroidism
• Athlete Report: train, recover, perform
• Histamine Intolerance Report: skin issues, respiratory issues, digestive issues, vascular and neurological issues

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Ideally, we should have an annual health check with our GP when they usually run some basic blood tests. However, sometimes it’s difficult to get an appointment if you are symptom-free. On the contrary you do have these tests and you have many symptoms, but all you hear is that your results are just fine. Have you been frustrated because you would like to know if you are likely to develop a condition? Wouldn’t prevention be much better that a diagnosis down the line? The Comprehensive Blood Panel we can run for you is much more comprehensive than a usual routine blood test. As well as a full blood count, you will be able to see all the diabetes and lipid markers, liver and kidney markers, electrolytes, inflammation markers, full thyroid and iron panel, some immunology markers, your homocysteine and even vitamins and minerals like B12, vitamin D, calcium and magnesium. You might not know what all these markers mean, but be assured that we do. With your results one of our FM Practitioners will spend time with you to analyse your results, but in a different way that you are used to. What a FM Practitioner does is to look for imbalances and deficiencies that might have the potential to give rise to certain conditions. In this way we agree on a personalised preventative plan.

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Have you been suffering with digestive issues like bloating, constipation or pain? Have you had all the usual tests done with your GP or gastroenterologist to find nothing? Have you been diagnosed with IBS or other digestive conditions but no additional help has been given on what to do? Would you like to know what is the root cause of these symptoms or conditions and what to do to feel better? We could order your comprehensive stool test to take in the comfort of your home. It includes markers in the following areas: maldigestion, infection, inflammation, dysbiosis and metabolic imbalance. 24 different beneficial bacteria from 7 different Phylum (families) will be analysed and your levels compared with a healthy cohort. Did you know that research shows the connection between a balanced beneficial bacteria population and many symptoms and health conditions related and even unrelated to digestive symptoms? One of the most researched area nowadays is the gut-brain connection, which means your sudden blues might be due to a gut dysbiosis (imbalance in your gut bacteria). We will also see how well you are able to digest your carbohydrates, protein and fat. Whether there is any inflammation present in your gut or how well your detoxification pathways work. Your beneficial bacteria produce certain by-products that are very beneficial for our health, and we can see that in your test results. And last, but not least we will get information about potential pathogenic bacteria, parasites or yeast overgrowth. When your results arrive, one of our FM Practitioners will explain what these results mean and together you agree on a personalised plan to tackle the infections, inflammation and imbalances present.

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Besides the gut bacteria there are also special tests to assess your bacteria (microbiome) present in other areas: oral and vaginal microbiome.

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Have you been experiencing digestive symptoms, fatigue, joint pain or skin problems? Have you had to change your diet because your body is reacting differently? Although you’ve tried to make a connection between your diet and your symptoms you cannot work it out? A food intolerance test or an elimination diet could give you just the right answer. As a result, you might need to avoid certain foods for a period of time, although most probably not forever. In most cases it is not a real allergy, but just a food intolerance or sensitivity that improves once the gut heals. Most importantly you will have a better awareness on what foods affect you. The food intolerance test is an especially good starting point to evaluate a child’s gut symptoms and behaviour issues.

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Often digestive symptoms persist despite following a healthy diet and managing your stress levels. Interestingly the healthiest foods are those that you cannot eat anymore. Are you wondering what is happening? Unfortunately, in many cases the beneficial bacteria that are supposed to reside in the large intestine will migrate into the small intestine where they don’t belong and they will rob you of your nutrients before absorbing them. In the process, they also expel gases that cause discomfort and bloating. Of course, unless a plan is made to change this process, those beneficial bacteria are being fed by the healthy foods you eat (fibre reach vegetables, grains) and will thrive, but in the wrong place. Unfortunately, the only way to deal with this is to be tested for what type of gases they expel and accordingly agree on a personalised plan with a combination of a specific diet to starve them out as well as certain herbal remedies or antibiotics.

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Have you been having symptoms that are clearly related to your stress levels? Have you been diagnosed with conditions that relate to changing sex hormones (both female or male)? Have you been trying to get pregnant without success? Do you have peri- or menopausal symptoms or premenstrual symptoms that prevent you from getting on with your daily routine? Running a hormonal test may be valuable to assess your hormonal imbalances and to help you to personalise your lifestyle changes.

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Have you ever wondered if your nutrient status is optimal? Do you think some of your symptoms might be related to suboptimal nutrient levels and you are worried because you know how critical proper nutrients in the body contribute to your health and wellbeing? And it is not always about what we eat. Even having the most beautiful, organic and healthy diet, if for some reason we don’t digest and absorb our food properly, we can end up with insufficient healthy nutrients every day. With advanced testing, we can explore how you metabolise nutrients, how you produce energy and cope with oxidative stress and much more. With your results you can discuss the next steps with one of our FM Practitioners to find what the real root causes are. Most of the time it’s not enough to start taking vitamins and minerals you are depleted of, but you need to find the root cause of why you are not absorbing them properly.

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In certain cases, more advanced tests are necessary. The Organic Acid test is from a urine sample so it is an easy way to test children. It is usually run when neurological problems like ADHD, learning difficulties, autism and other mental health related symptoms like anxiety and depression are present. It also the best test to see yeast overgrowth or mitochondrial health. Neurotransmitter values like dopamine, epinephrine, norepinephrine and serotonin are all important information when it comes to our nervous system, how happy or anxious we are or if we can sleep properly. Some nutrients will also be shown in the test results like B12, B6, B5, B2 and the major antioxidant glutathione. We are not created equally when it comes to our detoxification pathways, but we can gain related information that can help in personalising a detoxification plan. The results will be analysed by one of our FM Practitioners and a unique plan agreed.

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We all have some heavy metal in our bodies, however if it is too much it might affect mental health. It doesn’t only relate to the original exposure (amalgam fillings / mercury from fish consumption), but most of the times it relates to how well our detoxification pathways work – basically our abilities to eliminate toxins. These tests are not routinely run, but in certain instances when nothing else has helped, it is worth looking into toxicity coming from either heavy metal. Your results will be discussed with our FM Practitioners and a personalised plan agreed.

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Although the comprehensive blood test includes a full thyroid panel, this can also be run on its own. Our thyroid is like the thermostat in our house. Sluggish thyroid, sluggish everything. Are you tired all the time? Do you feel cold when everyone else is warm? Is your hair falling out more than it should be? These are some of the symptoms that might happen in a case of an undiagnosed thyroid condition or imbalance. Your results can be review with one of the FM practitioners and a personalised plan agreed upon.

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We work with US labs to run all the CIRS related testing based on Dr Shoemaker's research. These consist of Environmental tests for mould, endotoxins and actinomycetes (ERMI + HERSMI-2 dust swiffer test from EnviroBiomics); genetic tests for the HLA gene predisposition for CIRS; nose swab test for MARCoNS, Genie and Neuroquant as well as all the blood markers that were included in Dr Shoemaker's research paper: VIP, MSH, TGF-Beta-1, C4a, C3a, ACTH/cortisol, VEGF, ADH/osmolality, MMP-9, leptin.

To decide which tests are appropriate for you, book a 30 min call with Andrea Okos Nutritional Therapist, Dr Shoemaker Proficiency partner. You will also learn how you can work with Andrea through the Shoemaker protocol.