The percentage of individuals that are affected by fatigue, headaches, and overall pain is continuously growing. For the most part, these symptoms can all be linked back to a hormone imbalance. Hormone imbalances are more common than individuals realize and can affect people of all ages. Originally, hormone testing was completed through a blood draw (serum testing). However, as science is improving, there are now better, more functional ways of testing.
As more and more studies are done, it is becoming more clear that salivary testing is superior to serum (blood) testing for hormones. There are two forms in which hormones exist in the human body, free (5%) and protein-bound (95%). Due to the protein-bound hormones being bound, they become too large to pass through into the salivary glands. This meaning that they are not bio-available and can not be delivered to the receptors in the tissues of the body. The unbound hormones, or free hormones, are the relevant hormones that are found in the saliva. Considering the fact that free hormones are not as abundant, the hormone levels found in saliva are significantly less than those found in serum. However, many patients who are treated with serum hormone results are often overdosed because of the lack of correlation between bio-availability.
Labrix by Doctor’s Data
Similar to the D.U.T.C.H hormone testing previously discussed, this company Labrix offers a variety of hormone testing as well.
- NeuroBasic: ideal for monitoring therapeutic interventions of neurotransmitter imbalances previously tested or when symptoms are indicating an imbalance. This test measures Serotonin, Dopamine, Epinephrine, Norepinephrine, Glutamate, Glycine, Histamine, and Phenethylamine
- Comprehensive Neurotransmitter: best when a comprehensive look at neurotransmitter secretion and metabolism of markers is needed. This test measures Serotonin, GABA, Dopamine, Norepinephrine, Epinephrine, Glutamate, Glycine, Histamine, and Phenethylamineand DOPAC, 3-MT, Normetanephrine, Metanephrine, 5-HIAA, Tryptamine, Tyrosine, Tyramine, and Taurine.
- NeuroHormone Complete Plus: provides insight on how the HPA axis function may be contributing to patients’ symptoms, such as mood swings, fatigue, and pain. In addition, this test is ideal for those who are at risk for breast cancer, PCOS, or a strong family history of autoimmune disease. This test is recommended for women only. This test measures Estrone, Estradiol, Estriol, Progesterone, Testosterone, DHEA, Cortisol x 4, Serotonin, GABA, Dopamine, Epinephrine, Norepinephrine, Glutamate, Glycine, Histamine, Phenethylamine
- NeuroHormone Complete: useful for patients (men or women) who are experiencing any type of mood disorder, addiction, fatigue, chronic illness, confusion, weight issues, low libido, PMS, or chronic pain. This test measures Estradiol, Progesterone, Testosterone, DHEA, Cortisol x 4, Serotonin, GABA, Dopamine, Epinephrine, Norepinephrine, Glutamate, Glycine, Histamine, Phenethylamine.
- NeuroAdrenal: Included in this test is a full diurnal cortisol pattern, DHEA, and 6 primary neurotransmitters to help those with symptoms such as depression, anxiety, addiction, chronic illness, and low libido. This test measures DHEA, Cortisol x 4, Serotonin, GABA, Dopamine, Epinephrine, Norepinephrine, Glutamate, Glycine, Histamine, Phenethylamine
- Comprehensive Plus: provides an assessment of breast cancer risk. This test is a consideration for women only who have an increased risk for developing breast cancer, other hormonally sensitive cancers, PCOS or a family history of autoimmune disease. This test measures estrone, estriol, and Estrogen Quotient.
- Women’s Helth and breast Profile: includes two risk assessment ratios, the Estrogen Quotient and the Pg/E2 ratio
- Comprehensive Hormone: assessment of hormonal status and endocrine function and includes estradiol, progesterone, testosterone, DHEA and four cortisols. This profile is useful with male and female patients because it looks at the full diurnal cortisol pattern; it is especially important in patients who are experiencing the full diurnal pattern ( weight gain, high blood sugar, elevated lipids, chronic fatigue)
- Short Comprehensive: useful in men and women whose primary symptoms are related to sex hormone imbalances (elevated or depressed E2, P or T)
- Basic Hormone: a basic evaluation of the sex hormones and a brief glimpse at the adrenal function with the AM cortisol level. Best for men who are experiencing decreased libido, erectile dysfunction, loss os stamina, decreased mental sharpness and metabolic syndrome. Best for women who are experiencing hot flashes, anxiety, night sweats, breast tenderness, irritability, forgetfulness, and acne.
- Comprehensive Adrenal Function: provides insight into the body’s stress response. This test measures sIgA
- Adrenal Function: comprehensive view of adrenal function, DHEA, and cortisol levels. This is best for people who are fatigued, nervous, weak, crave sugar, have headaches, irritability, and depression
- Diurnal Cortisol: Similar to the test above but for patients who do not need DHEA testing
- Melatonin: Provides a snapshot of the sleep/wake cycle during a one day period
Salivary Hormone + CAR :
- CAR: has the capability to test all the same markers as above but adds Cortisol Awakening Response “CAR” to all of them.
For more information regarding testing and hormones tested, please visit labrix.com
LABRIX BASIC BOX CONTENTS:
Upon opening every box (no matter the labrix test) the patient will see a requisition form, a billable stamp, and a FedEx envelope. Under these two items, a styrofoam box (insulated cooler) with the imprint “doctorsdata.com” will be present. Once the patient lifts the lid off of the styrofoam box, they will see two more pieces of paper. The first being a list of symptoms (patient survey) on a white sheet of paper that the patient is to fill out and place back in the styrofoam box and the second a small instruction manual.
Neurotransmitter Tests Breakdown
For the Neurotransmitter Tests, the patient is provided with the basic kit described above. The only sample type required for the neurotransmitter tests is urine.
The contents of the styrofoam box include a small plastic cup, a clear plastic bag consisting of a white tube, a dropper, an absorbent pad, and a Lab-Brix ice pack. The first step is to freeze the ice-pack and keep it frozen until ready to ship.
In order for this test to have proper results, the patient should collect their sample with their first or second-morning urine upon waking. Then, select on the requisition form which urine ( first or second ) the sample was collected from. It is also important to note on the requisition form what time the patient woke and what time the sample was collected. The urine sample should be collected midstream. Patients will collect their sample in the plastic cup provided, not directly in the tube. Next, the patients will use the dropper provided to transfer 10 ml of the sample from the cup into the tube. Ensure the lid is screwed on tightly and gently rock the tube back and forth for 3-5 seconds to mix the urine with the preservative. The patients will then wrap the absorbent pad around the tube (not inside the tube), and place the sample tube back in the plastic bag. The bag is then to be placed in the freezer for 4-6 hours, and is to be kept frozen until ready to ship!
Neurotransmitter + Hormone Tests Breakdown
The Neurotransmitter + Hormone analysis tests consist of urine and saliva samples. This basic test kit includes everything above. However, upon opening this styrofoam box the patient will find two plastic bags. The first being a plain plastic clear bag with a dropper, white test tube, and absorbent pad. The second plastic bag is a biohazard bag that has multiple colors on the outside and consists of 4 clear small straws, an absorbent pad, and 4 small saliva collection tubes of various colors.
The urine sample is instructed to be taken the same way as the neurotransmitter test.
The patient should collect their sample with their first or second-morning urine upon waking. Then, select on the requisition form which urine ( first or second ) the sample was collected from. (Remember, the individual is to note on the requisition form time they woke and what time the sample was collected). Patients will collect their sample mid-stream in the plastic cup provided, not directly in the tube. Next, use the dropper provided to transfer 10 ml of the sample from the cup into the tube. Be sure to check that the lid is screwed on tightly and gently rock the tube back and forth for 3-5 seconds to mix the urine with the preservative. The patients will then wrap the absorbent pad around the tube (not inside the tube), and place the sample tube back in the plastic bag. The bag is then to be placed in the freezer for 4-6 hours, and is to be kept frozen until ready to ship!
The salivary collection has a few more steps considering it is 4 samples rather than one. The timing for the salivary testing is critical, so timers are encouraged. As the patient wakes up, a timer should be set for 30 minutes later. This is when the first salivary sample (the pink tube) is to be collected. Before this test, the patient should not eat, drink, brush or floss. The second collection (green tube) is to be taken right before lunch, around noon. The third (orange tube), is to be collected in the evening before dinner, and the final collection (blue tube) before bed at night.
For all salivary collections, each tube needs to be 3/4 of the way full. The straws provided are the patient’s choice to be used. As soon as the tube is 3/4 of the way full, snap the saliva lid tightly, put into the bag in which it came, and freeze for 4-6 hours, until ready to ship. Patients are to record the date and times of the saliva collections on the bag and requisition form.
Considering the salivary hormone testing is done using 4 saliva samples, the instructions are the same as the saliva collection in the test mentioned above. However, to review them again, the timing for the salivary testing is critical, so timers are highly encouraged.
As the patient wakes up, a timer should be set for 30 minutes later. This is when the first salivary sample (the pink tube) is to be collected. Before this test, the patient is not to eat, drink, brush or floss. For the second collection (green tube), it should be collected right before lunch, around noon. The third (orange tube), is to be obtained in the evening before dinner, and the final sample (blue tube) before bed at night.
For all salivary collections, each tube needs to be 3/4 of the way full. The straws provided are to be used at the patient’s discretion. As soon as the tube is 3/4 of the way full, snap the saliva lid tightly, put into the bag in which it came, and freeze for 4-6 hours, until ready to ship. Patients are to record the date and times of the saliva collections on the bag and requisition form.
Salivary Hormone + CAR Breakdown
Aside from the basic components, the styrofoam box includes 6 colored salvia collection tubes, 6 straws, and an absorbent pad. The tests that fall under this category require 6 samples throughout the day. It is important to remember to write down the time the samples were collected as well as the time when the patient first woke up. The first sample (yellow tube) is to be taken as soon as the patient is awake but has not gotten out of bed. In order to accomplish this properly, it is best the patient sets the tube next to their bed the night before. This makes it easy to collect first thing in the morning. It is very important that the patient sets an alarm for 30 minutes after they wake up ( second test, pink tube)and for 1 hour after they wake up (third test, lavender tube). These tests are all to be done prior to eating breakfast, brushing and flossing teeth. The fourth collection (green tube) is to be taken before lunch and the fifth (orange tube) before dinner. The sixth and final sample (blue tube) is to be collected at least one hour after dinner. Just as the other saliva samples mentioned above, these tubes are to be filled 3/4 of the way, tightly closed, placed back in the bag they came in and frozen for 4-6 hours, or until they are ready to ship.
SHIPPING INSTRUCTIONS FOR ALL TESTS:
Shipping should be done Monday-Friday as this will ensure the sample will be delivered to the lab on time. Make sure all paperwork is filled out properly and place contents back in the styrofoam box in the following order:
- sealed plastic bag with frozen specimen tubes
- frozen ice pack
- requisition form, symptom sheet, and payment (if applicable)
Next, place the lid back on the box and place the entire styrofoam box in the cardboard collection kit. Close the cardboard box and place it inside the FedEx shipping envelope provided. The patient will then write their name and address on the Billable Stamp and tear off the customer receipt for their records. Then, place on the FedEx envelope. The final step is to schedule a pick-up. In order to do this, the patient will call the FedEx toll-Free number at 1-800-463-3339 and select “schedule a pickup”. This MUST be a scheduled pick up from an address and NOT a dropbox.
* It is important to note that patients should avoid eating avocados, eggplant, tomatoes, bananas, melons, pineapples, plums, nuts, nut butter, wine, cheese and chocolate 48 hours before and during the testing period as these could impact the results.
* Patients should keep in mind that strenuous exercise, alcohol, coffee, tea, tobacco or any other product containing nicotine is to be avoided 24 hours before and during the collection period.
Labrix is a great company that allows patients a noninvasive way to have their hormone levels checked. Almost every patient who walks in the door can benefit from this test. I highly recommend this test because hormone levels can change based on age, PMS symptoms, fatigue, blood sugar issues, or stress! These results are accurate and have a decently quick turn around time. Gaining insight and taking control of your body is now easier than ever. – Kenna Vaughn, Senior Health Coach
The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions. We use functional health protocols to treat injuries or chronic disorders of the musculoskeletal system. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.