{"title":"Chronically Healthy Lab Testing","description":"\u003cp\u003eChronically Healthy is supported by Patrick Health and Wellness to offer a comprehensive set of blood testing as well as specialty diagnostic kits.\u003c\/p\u003e","products":[{"product_id":"gi-map-chronically-healthy","title":"GI Map Chronically Healthy","description":"The GI-MAP (Microbial Assay Plus) is unique in the field of comprehensive stool testing. It relies exclusively on quantitative polymerase chain reaction (qPCR) technology to detect parasites, bacteria, fungi, and more, by targeting the specific DNA of the organisms tested. The GI-MAP™ (GI-Microbial Assay Plus) quantitatively assesses a patient’s microbiome with attention to bacterial, parasitic, and viral pathogens that can cause disease, disrupt the normal microbial balance, and contribute to chronic GI illness.","brand":"Patrick Health and Wellness","offers":[{"title":"Default Title","offer_id":43094814392385,"sku":"CHRONICGIMAP","price":489.0,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0646\/4153\/1969\/files\/56f5807d-GI-Map-Logo.png?v=1764068181"},{"product_id":"gi-map-w-zonulin-chronically-healthy","title":"GI Map w\/Zonulin Chronically Healthy","description":"\u003cstrong\u003eGI Map with Zonulin Add-on\u003c\/strong\u003e\r\n\r\nZonulin is a protein secreted by intestinal cells that regulates intercellular tight junctions. Zonulin regulates barrier permeability. Serum zonulin correlates with intestinal permeability and lactulose\/mannitol tests for intestinal permeability. High serum zonulin has been associated with celiac disease, type 1 diabetes, insulin resistance and type 2 diabetes, cancers, neurological conditions, and autoimmune diseases. The level of the zonulin antigen in stool may provide a noninvasive indication of intestinal permeability (“leaky gut”).\r\n\r\nThe GI-MAP (Microbial Assay Plus) is unique in the field of comprehensive stool testing. It relies exclusively on quantitative polymerase chain reaction (qPCR) technology to detect parasites, bacteria, fungi, and more, by targeting the specific DNA of the organisms tested. The GI-MAP™ (GI-Microbial Assay Plus) quantitatively assesses a patient’s microbiome with attention to bacterial, parasitic, and viral pathogens that can cause disease, disrupt the normal microbial balance, and contribute to chronic GI illness.","brand":"Patrick Health and Wellness","offers":[{"title":"Default Title","offer_id":43094814490689,"sku":"CHRONICGIMAPZON","price":549.0,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0646\/4153\/1969\/files\/a3013d45-GI-Map-Zon-Logo.png?v=1764068181"},{"product_id":"dutch-complete-chronically-healthy","title":"DUTCH Complete Chronically Healthy","description":"\u003cstrong\u003eHOW DOES DUTCH COMPARE TO OTHER HORMONE TESTS?\u003c\/strong\u003e\r\n\r\n\u003cstrong\u003eDUTCH vs. \u003c\/strong\u003e\u003cstrong\u003eSaliva Testing \u003c\/strong\u003e– While the free cortisol pattern in saliva has clinical value, there is a significant missing piece to surveying a patient’s HPA-Axis function with saliva testing – measuring cortisol metabolites. To properly characterize a patient’s cortisol status, free and metabolized cortisol should be measured to avoid misleading results when cortisol clearance is abnormally high or low. Likewise with sex hormones, measuring estrogen and androgen metabolites gives a fuller picture for more precise clinical diagnosis of hormonal imbalances and HRT monitoring.\r\n\r\n\u003cstrong\u003eDUTCH vs. \u003c\/strong\u003e\u003cstrong\u003eSerum Testing \u003c\/strong\u003e– While the most universally accepted testing method (due to the availability of FDA-cleared analyzers that are reliable and inexpensive), serum testing is lacking in some areas. Adrenal hormones cannot be effectively tested in serum because free cortisol cannot be tested throughout the day. There is also a lack of extensive metabolite testing (especially for cortisol and estrogens).\r\n\r\n\u003cstrong\u003eDUTCH vs. \u003c\/strong\u003e\u003cstrong\u003e24-Hour Urine Testing \u003c\/strong\u003e– There are two primary drawbacks to 24-hour urine testing of hormones. First, the collection is cumbersome, and as many as 40% of those who collect, do so in error (Tanaka, 2002). Secondly, dysfunction in the diurnal pattern of cortisol cannot be ascertained from a 24-hour collection. Some providers add saliva for daily free cortisol. DUTCH eliminates the need for two tests.\r\n\r\n\u003cstrong\u003eWHY USE DUTCH? \u003c\/strong\u003e\u003cstrong\u003eThe Easiest Patient Collection: \u003c\/strong\u003ePatients collect just four or five dried urine samples over a 24-hour period. Dried samples are stable for several weeks making them convenient to ship worldwide. \u003cstrong\u003eAnalytical and Clinical Validation: \u003c\/strong\u003ePrecision Analytical’s testing methods go through a rigorous validation process to verify accuracy, recovery, and linearity. We pride ourselves in relentlessly pursuing the most accurate and precise techniques available for testing.\r\n\r\n\u003cstrong\u003eEffective HRT Monitoring: \u003c\/strong\u003eDUTCH testing was designed to be optimally effective for most forms of hormone replacement therapy. Unique methods are used for improved monitoring of oral progesterone and vaginal hormones.\r\n\r\n \r\n\r\n\u003cstrong\u003eWHAT DAYS OF THE MONTH DO I COLLECT?\u003c\/strong\u003e\r\n\r\n\u003cstrong\u003eCycling Premenopausal Women \u003c\/strong\u003eBegin collection between days 19 and 22 of a 28-day cycle. For longer cycles, add the number of days you usually go beyond 28 days. In a similar manner, subtract if your cycles are shorter (example: collect days 17-20 for a 26 day cycle). You may collect any day if only ordering the \u003cstrong\u003eDUTCH Adrenal \u003c\/strong\u003eor \u003cstrong\u003eDUTCH OATs\u003c\/strong\u003e.\r\n\r\nFor irregular cycles or non-cycling (ablation or uterus removed), watch the irregular cycle collection video in the video library at dutchtest.com\/videos for suggestions on collecting.\r\n\r\n\u003cstrong\u003eMen \u0026amp; Non-Cycling or Postmenopausal Women \u003c\/strong\u003eCollect any day.\r\n\r\n\u003cstrong\u003eHOW TO COLLECT\u003c\/strong\u003e\r\n\u003cul\u003e\r\n \t\u003cli\u003eComplete all information on each collection device.\u003c\/li\u003e\r\n \t\u003cli\u003eSaturate the filter paper by urinating directly on it OR use a clean cup and dip the filter paper.\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\nLeave the collection device open to dry for at least 24 hours.\r\n\u003cul\u003e\r\n \t\u003cli\u003eOnce dry, close each collection device. Place all devices in the resealable plastic bag and return in the provided envelope. Be sure to include the completed requisition form (required) and the payment card (if needed).\u003c\/li\u003e\r\n\u003c\/ul\u003e","brand":"Patrick Health and Wellness","offers":[{"title":"Default Title","offer_id":43094814523457,"sku":"CHRONICDUTCH","price":535.0,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0646\/4153\/1969\/files\/2c7ca2e7-DUTCH-Logo.png?v=1764068181"},{"product_id":"gi-effects-chronically-healthy","title":"GI Effects Chronically Healthy","description":"\u003cdiv\u003e\r\n\r\nThe GI Effects Comprehensive Stool Profile can reveal important information about the root cause of many common gastrointestinal symptoms such as gas, bloating, indigestion, abdominal pain, diarrhea, and constipation. This stool analysis utilizes biomarkers such as Calprotectin to differentiate between Inflammatory Bowel Disease (IBD) and Irritable Bowel Syndrome. In addition, the GI Effects test can be used to evaluate patients with a clinical history that suggests a gastrointestinal infection or dysbiosis.\r\n\r\nGut microbes are codependent with one another and with their human host, and the health of one affects the other. A sizeable volume of research associates a dysbiotic, or imbalanced gut microbiome with multiple disease states both within and outside of the GI tract. The diverse metabolic activities of the microbiome ultimately impact the human host, and the activities of the human host ultimately affect the health of their microbiome.\r\n\r\n\u003c\/div\u003e\r\n\u003cul\u003e\r\n \t\u003cli\u003eGI Effects is a comprehensive assessment of complete GI health, assessing the root cause of most gut complaints by combining \u003cstrong\u003ePCR\u003c\/strong\u003e, \u003cstrong\u003eculture\u003c\/strong\u003e, and \u003cstrong\u003emicroscopic methods\u003c\/strong\u003e to ensure any and all relevant organisms are identified.\u003c\/li\u003e\r\n \t\u003cli\u003eGI Effects \u003cstrong\u003erecovers live organisms\u003c\/strong\u003e (yeast and bacteria) for susceptibility testing and improved treatment options.\u003c\/li\u003e\r\n \t\u003cli\u003eGI Effects \u003cstrong\u003emeasures metabolomics\u003c\/strong\u003e and can assess the interaction between the microbiome and its host.\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\nThe biomarkers from the GI Effects Comprehensive Profile are reported using the DIG framework, providing key clinical information for three main gastrointestinal functional areas:\r\n\u003cul\u003e\r\n \t\u003cli\u003e\n\u003cstrong\u003eDigestion\/Absorption:\u003c\/strong\u003e\r\n\u003cul\u003e\r\n \t\u003cli\u003ePancreatic Elastase-1 is a marker of exocrine pancreatic function.\u003c\/li\u003e\r\n \t\u003cli\u003eProducts of Protein Breakdown are markers of undigested protein reaching the colon.\u003c\/li\u003e\r\n \t\u003cli\u003eFecal Fat is a marker of fat breakdown and absorption.\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\n\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\n\u003cul\u003e\r\n \t\u003cli\u003e\n\u003cstrong\u003eInflammation\/Immunology:\u003c\/strong\u003e\r\n\u003cul\u003e\r\n \t\u003cli\u003eCalprotectin is a marker of neutrophil-driven inflammation. Produced in abundance at sites of inflammation, this biomarker has been proven clinically useful in differentiating between Inflammatory Bowel Disease (IBD) and Irritable Bowel Syndrome (IBS).\u003c\/li\u003e\r\n \t\u003cli\u003eEosinophil Protein X is a marker of eosinophil-driven inflammation and allergic response.\u003c\/li\u003e\r\n \t\u003cli\u003eFecal Secretory IgA is a marker of gut secretory immunity and barrier function.\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\n\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\n\u003cul\u003e\r\n \t\u003cli\u003e\n\u003cstrong\u003eGut Microbiome:\u003c\/strong\u003e\r\n\u003cul\u003e\r\n \t\u003cli\u003eMetabolic indicators, including short-chain fatty acids and beta-glucuronidase, demonstrate specific and vital metabolic functions performed by the microbiota.\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\n\u003cul\u003e\r\n \t\u003cli\u003eCommensal Bacteria demonstrate the composition and relative abundance of gut organisms.\r\n\u003cul\u003e\r\n \t\u003cli\u003eMore than 95% of commensal gut organisms are anaerobic and are difficult to recover by traditional (aerobic) culture techniques.\u003c\/li\u003e\r\n \t\u003cli\u003eGI Effects assesses a set of 24 genera\/species that map to 7 major phyla.\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\n\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\n\u003cul\u003e\r\n \t\u003cli\u003eBacterial and mycology cultures demonstrate the presence of specific beneficial and pathological organisms.\u003c\/li\u003e\r\n \t\u003cli\u003eBacterial and mycology sensitivities are provided for pathogenic or potentially pathogenic organisms that have been cultured. The report includes effective prescriptive and natural agents.\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\n\u003cul\u003e\r\n \t\u003cli\u003eParasitology includes comprehensive testing for all parasites on every parasitology exam ordered.\r\n\u003cul\u003e\r\n \t\u003cli\u003eGI Effects provides microscopic fecal specimen examination for ova and parasites (O\u0026amp;P), the gold standard of diagnosis for many parasites.\u003c\/li\u003e\r\n \t\u003cli\u003e6 Polymerase chain reaction (PCR) targets detect common protozoan parasites including \u003cem\u003eBlastocystis\u003c\/em\u003e spp. with reflex subtyping 1-9,  \u003cem\u003eCryptosporidium\u003c\/em\u003e spp.,  \u003cem\u003eCyclospora cayetanensis\u003c\/em\u003e, \u003cem\u003eDientamoeba fragilis\u003c\/em\u003e, \u003cem\u003eEntamoeba histolytica\u003c\/em\u003e, and \u003cem\u003eGiardia\u003c\/em\u003e. PCR for organisms is emerging as a highly sensitive method for infectious organism detection.\u003c\/li\u003e\r\n \t\u003cli\u003eSelection of a one-day or three-day sample collection is based on the clinician's clinical index of suspicion for parasitic infection. If there is no\/low suspicion, a one-day sample will likely be adequate. For high suspicion, a three-day sample collection is optimal.\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\n\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\n\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\n\u003cul\u003e\r\n \t\u003cli\u003e\n\u003cstrong\u003eAdditional Biomarkers Available\u003c\/strong\u003e:\r\n\u003cul\u003e\r\n \t\u003cli\u003e\u003cem\u003eCampylobacter\u003c\/em\u003e\u003c\/li\u003e\r\n \t\u003cli\u003e\u003cem\u003eClostridium difficile\u003c\/em\u003e\u003c\/li\u003e\r\n \t\u003cli\u003e\u003cem\u003eEscherichia coli\u003c\/em\u003e\u003c\/li\u003e\r\n \t\u003cli\u003eFecal Lactoferrin\u003c\/li\u003e\r\n \t\u003cli\u003e\u003cem\u003eHelicobacter pylori\u003c\/em\u003e\u003c\/li\u003e\r\n \t\u003cli\u003eMacro Exam for Worms\u003c\/li\u003e\r\n \t\u003cli\u003eZonulin Family Peptide\u003c\/li\u003e\r\n \t\u003cli\u003eKOH Preparation for Yeast\u003c\/li\u003e\r\n\u003c\/ul\u003e\r\n\u003c\/li\u003e\r\n\u003c\/ul\u003e","brand":"Patrick Health and Wellness","offers":[{"title":"Default Title","offer_id":43094814588993,"sku":"CHRONICGIEFFECTS","price":605.0,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0646\/4153\/1969\/files\/c635d1f5-Screen-Shot-2023-03-15-at-7.18.01-PM.png?v=1764068181"},{"product_id":"baseline-labs-chronically-healthy","title":"Baseline Labs Chronically Healthy","description":"Get started with this baseline panel.\r\n\r\nBaseline blood panel, including 84+ markers.\r\n\r\nThis panel looks at all the major internal systems to understand the current state.  Whether that is a baseline before you get started with us, or if you are months into your program, looking for quantified results.  The markers help show how each system supports health and wellbeing from the core.\r\n\r\nWe believe heavily in acting with data.  With this comprehensive test, you can clearly see the difference between what is good and what needs attention.  Measure your health with this comprehensive lab panel.","brand":"Patrick Health and Wellness","offers":[{"title":"Default Title","offer_id":43094814818369,"sku":"CHRONICBASELINE","price":369.0,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0646\/4153\/1969\/files\/Patrick_Health_and_Wellness_Baseline_Panel_Logo.png?v=1773674984"},{"product_id":"baseline-labs-male-testosterone-added-2","title":"Baseline Labs MALE (testosterone added) Chronically Healthy","description":"Get started with this baseline panel.\r\n\r\nBaseline blood panel, including 84+ markers (FREE \u0026amp; DIRECT TESTOSTERONE ADDED)\r\n\r\nThis panel looks at all the major internal systems to understand the current state.  Whether that is a baseline before you get started with us, or if you are months into your program, looking for quantified results.  The markers help show how each system supports health and wellbeing from the core.\r\n\r\nWe believe heavily in acting with data.  With this comprehensive test, you can clearly see the difference between what is good and what needs attention.  Measure your health with this comprehensive lab panel.","brand":"Patrick Health and Wellness","offers":[{"title":"Default Title","offer_id":43094815375425,"sku":"CHRONICBASELINE-M","price":400.0,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0646\/4153\/1969\/files\/Patrick_Health_Baseline_Panel_w_Test_Logo.png?v=1764339975"},{"product_id":"specialty-panel-chronically-healthy","title":"Specialty Panel Chronically Healthy","description":"\u003cp class=\"font-claude-response-body break-words whitespace-normal leading-[1.7]\"\u003e\u003cstrong\u003eKidney \u0026amp; Bone Health Panel\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp class=\"font-claude-response-body break-words whitespace-normal leading-[1.7]\"\u003eThis panel assesses kidney function and mineral\/nutrient balance. Kidney filtration is evaluated via \u003cstrong\u003eeGFR (100768)\u003c\/strong\u003e, which estimates how well the kidneys are clearing waste from the blood, alongside \u003cstrong\u003eBUN + Creatinine (024778)\u003c\/strong\u003e, which measures nitrogen and creatinine levels as additional markers of renal function. Mineral metabolism is covered by \u003cstrong\u003eCalcium (001016)\u003c\/strong\u003e and \u003cstrong\u003ePhosphorus\/Inorganic Phosphate (001024)\u003c\/strong\u003e, both tightly regulated by the kidneys and essential for bone health. Rounding out the panel, \u003cstrong\u003eVitamin D, 25-Hydroxy (081950)\u003c\/strong\u003e measures overall vitamin D status, which plays a central role in calcium absorption and bone density. Together, these five markers give a focused picture of kidney performance and its downstream impact on mineral and skeletal health.\u003c\/p\u003e","brand":"Patrick Health and Wellness","offers":[{"title":"Default Title","offer_id":43844369252417,"sku":"CHRONICSPECIALTY","price":169.0,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0646\/4153\/1969\/files\/Patrick_Health_Specialty_Panel_Logo.png?v=1777375863"},{"product_id":"baseline-labs-dhea","title":"Chronically Healthy Baseline + DHEA","description":"\u003cp\u003eGet started with this baseline panel. Baseline blood panel, including 85+ markers with Dehydroepiandrosterone (DHEA) Sulfate (004020)\u003cspan\u003e.  \u003cbr\u003e\u003cbr\u003e\u003c\/span\u003eThis panel looks at all the major internal systems to understand the current state.  Whether that is a baseline before you get started with us, or if you are months into your program, looking for quantified results.  The markers help show how each system supports health and wellbeing from the core. We believe heavily in acting with data.  With this comprehensive test, you can clearly see the difference between what is good and what needs attention.  Measure your health with this comprehensive lab panel.\u003c\/p\u003e","brand":"Patrick Health and Wellness","offers":[{"title":"Default Title","offer_id":43860398604353,"sku":"CHRONICBASELINE-DHEA","price":385.0,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0646\/4153\/1969\/files\/Patrick_Health_and_Wellness_Baseline_Panel_Logo.png?v=1773674984"}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0646\/4153\/1969\/collections\/Chronically_Healthy_Logo.webp?v=1764068742","url":"https:\/\/patrickwellness.com\/collections\/chronically-healthy-lab-testing.oembed","provider":"Patrick Health and Wellness","version":"1.0","type":"link"}