|
|
Patient FAQs |
I am a patient. How do I get a Metametrix test
done?
First, you will need to find a healthcare provider who either
already has an account with Metametrix or one who is willing to
establish an account. If you need help finding a clinician in your
area, Metametrix provides a clinician referral service.
Once you have a healthcare provider to order the tests, he/she
will need to contact Metametrix to order the appropriate kit(s).
The kit(s) can be sent directly to you or to the healthcare
provider's office.
Included in the kit are instructions and all the various vials
and tubes needed for collection of the sample. Additionally, there
is a pre-paid return-shipping envelope so that your sample will be
shipped back to the lab simply and promptly.
How long does it take to get a test result?
Test turnaround time is defined as the number of days that will
usually elapse between the time Metametrix receives a specimen and
the time the results of that specimen are released. The average
turnaround time is between 7-14 days. Larger panels of testing and
more complex analytical methodologies may require more time. For
up-to-date information on individual tests, please call Client
Services at 800-221-4640.
I have some questions about my test results, who can I
talk to?
Any questions should be directed to the doctor who ordered the
test for you, as he/she is most familiar with your medical history,
symptoms, age, lifestyle, etc. Your doctor will know best what to
do by looking at your other test results and taking your symptoms
and history into account. If he or she has questions, they can call
Metametrix at 800-221-4640 to setup a consultation with one of our
clinical consultants.
What is Functional and Integrative
Medicine?
Functional and Integrative Medicine is an approach to health
care that evaluates functional systems, not just by treating
symptoms. An example is that certain micronutrients are essential
for our bodies to function optimally, and the lack of these
essential nutrients can lead to illness. Functional and Integrative
Medicine uses sophisticated laboratory testing procedures to
examine biochemical imbalances in the body, which can cause or
complicate a specific health problem. Doctors that practice
Functional and Integrative Medicine use the test results to
reinstate balance into the body often by designing personalized
diets or supplementation programs. Giving the body what it needs to
function normally will help the patient feel better.
Can Functional and Integrative Medicine be combined with
current medical approaches?
Absolutely. Functional and Integrative Medicine is considered a
complementary medicine that is available to enhance the quality of
healthcare. Functional and Integrative Medicine offers a natural,
non-toxic alternative in dealing with most chronic health
problems.
When you talk about "Functional and Integrative
Medicine," does that just mean changing a person's
diet?
Many people believe this statement. Unfortunately, eating a good
diet is not easy to do these days. Research shows that certain
nutrients are inadequate in our diets - vitamins, for example. It
is difficult to get the quantity of vitamins necessary to help
prevent diseases like osteoporosis simply by eating a good diet.
Functional and Integrative Medicine involves a good diet, which is
fundamental, and specific supplementation based on individual need,
which can make all the difference in a person's overall health.
How is Functional and Integrative Medicine different
from what doctors are doing today?
Functional and Integrative Medicine is focused on correcting
underlying causes of health problems. In traditional medicine,
doctors are trained to diagnose and then use a variety of drugs
that can help relieve a particular symptom. This approach usually
does not address the cause of the problem, but may significantly
improve the symptom. A good example of this method is migraine
headaches. The traditional approach would be to treat the symptom
with aspirin or other painkiller. A Functional and Integrative
Medicine approach is to test for food allergies or a magnesium
deficiency since both are common causes of migraine headaches.
Functional and Integrative Medicine might also attempt to determine
some other possibility (such as toxicity) that could be causing the
headache.
What types of illness do you treat with Functional and
Integrative Medicine?
Functional and Integrative Medicine is primarily aimed at
"chronic illness". Conditions like cardiovascular disease,
inflammatory bowel disease, neurological disorders, musculoskeletal
disorders (like arthritis and fibromyalgia), autoimmune diseases,
and certain types of cancers are all types of "chronic illness".
Acute illnesses are better served by traditional medicine.
Functional and Integrative Medicine offers a therapy that addresses
the root of a condition, not the symptoms, providing the body with
the components to heal within and help prevent the onset of
disease.
What about the safety issues and proper dosages when
taking nutrient supplements and herbal products?
One of the benefits of Functional and Integrative Medicine is
that it employs compounds that have evolved with the body.
Vitamins, minerals, amino acids, and fatty acids are part of what
naturally make up the body. Consequently, they are very low in
toxicity. The body is capable of handling them, even in doses much
higher than the recommended daily allowance. Herbal products, on
the other hand, are used as an alternative therapy that can produce
pharmaceutical effects similar to drugs. They are not natural to
the body; so, there is a difference between herbal medicine and
nutritional medicine in terms of potential toxicity.
How much do your tests cost? Metametrix offers a choice of pricing plans, determined by the payment method chosen on the Test Requisition Form at the time the specimen is sent to the laboratory.
List Price: The actual price of the test or profile. Metametrix uses this list price when filing medical claims for patients with private insurance only. The patient is responsible for the entire balance not covered under the patient's insurance plan.
Patient Prepaid Price: A discounted price offered to patients for prepayment. Payment in full must be submitted with the specimen to qualify for this price. An itemized receipt for insurance filing by the patient will be mailed to the patient. Metametrix does not bill patients under this plan. This plan applies to all patients in New York, since Metametrix does not file any insurance claims in New York State.
Clinician Billing*: Clinician billing is up to your clinician. In this option, you pay your clinician directly for the testing services. Your clinician will then be billed by Metametrix and be responsible for payment. Please contact your physician directly to discuss this option.
*Exception - New York State: Clinicians in New York State are unable to bill patients for laboratory services. All New York patients must use the pre-pay option. What are the acceptable payment methods? Patient or health professional's credit card (Visa/MC/AMEX/Discover), money order, or check payable to Metametrix, Inc. Please indicate method of payment on the Test Requisition Form under "Check or Credit Card Information".
Metametrix will not accept checks or money orders drawn on non-US banks. Is Metametrix testing covered by insurance? As a courtesy, Metametrix will file medical claims for patients with private insurance only. We are not a participating provider with any insurance company and therefore all testing is considered out-of-network by all insurance companies. The patient is responsible for paying any portion of the test not covered by insurance. To qualify for insurance billing, payment in full must accompany the specimen. All Medicare patients must prepay for their testing before Medicare can be filed. They are also required to sign the Test Requisition Form indicating they are a Medicare patient.
Note: We do not file insurance claims for Cigna, Medicaid, Worker's Compensation, or when Special Combination profiles are ordered.
Exception - New York State: Metametrix does not bill patients or file any medical claims with private insurance, Medicaid, or Worker's Compensation. We do not file insurance claims (except for Medicare) for New York patients since NY State is required to reimburse the patient directly.
How do I find out if my insurance company will cover
testing?
Patients should contact their insurance company for coverage
information. Your insurance company will need the procedure (CPT)
codes to verify coverage. For a list of CPT codes
click here.
Why is New York billing different than other
states?
In compliance with NY State law, Metametrix cannot bill or
receive payment from NY State health professionals for laboratory
testing. Patients are solely responsible for payment for laboratory
services. Patients will pay the Patient Prepaid price. Metametrix
does not bill patients.
Do you file with Medicare?
We will file a claim to Medicare at the patient's request. The
patient will need to send the patient prepay amount with their
specimen. They need to include their Medicare information along
with their signature on the Test Request Form where indicated.
Medicare will most likely deny benefits. The patient will receive
an explanation of benefits from Medicare that they may forward to
their secondary insurance company, if applicable. It is very
unlikely that the secondary insurance will cover what Medicare
denies.
I am currently taking vitamin supplements. Do I need to
stop taking them to get accurate results on a nutritional or
metabolic analysis?
No. The testing will reveal your current total body nutrient
status,and identify if supplements are at adequate levels. However,
it is best to consult your clinician as some doctors like to
discontinue supplements prior to testing.
Will prescription drugs I may be taking affect the test
results?
If you routinely take medication and want to evaluate its
effects, continue to take the medication when you collect for the
test. If the medication you are taking is related to your testing,
its impact should be seen on the results. If you choose to cease
your regimen please be aware that we cannot know for certain how
long it will take for the medication to clear your system. This
might make your results more difficult for your clinician to
interpret. Always consult your prescribing
physician first. This information is also applicable to
supplements, diet, and exercise.* There are some tests that will be
affected by certain medications. Please consult your kit
instructions for specific information.
I was supposed to fast overnight for my test, but this
morning I forgot and had some coffee and juice. Should I reschedule
the blood draw?
It would be best to reschedule the blood draw. A small cup of
black coffee may be okay, but juice or anything that supplies
calories may alter the results.
What will happen if I drink too much water the day
before collecting my urine?
Urine tests that require a reduction in fluid intake do so
because the results depend on a concentrated urine specimen. If the
specimen is too dilute, the laboratory will have to reject the
specimen because the results will not be accurate. The requirements
for fluid restriction are provided in the kit instructions. We ask
that you follow the instructions to the best of your ability and
use your best judgment. For example, a patient that exercises in
the course of their day will lose fluids through sweating and they
might need more than the reduced level recommended in the
instructions.
*Do not allow yourself to become overly dehydrated
for the purposes of collecting a concentrated specimen.
How do I collect an overnight or first morning urine
specimen from an infant?
The best way to do this is by using a pediatric collection bag
which is available upon request. They are automatically included in
the Pediatric ION kit.
My kit did not come with a container to collect my
urine. What should I do?
If you are doing a test that requires a 24 hr. urine collection,
please contact Metametrix client services department and we will
send you the 24hr collection jug. For first morning and overnight
urine collections a special container is not required. The
container used, however, should be thoroughly clean but does not
need to be sterile.
I am looking for a laboratory or phlebotomist to draw my blood. Where should I go? We recommend that you speak with your clinician or clinician's office staff first, as many times they will know where to send you. Alternately, we do have a limited list of laboratories or phlebotomists willing to provide Metametrix blood draws for some areas. Please contact Client Services at 800-221-4640 for further information. Also, you may look in your local telephone book or online for laboratories in your local area (LabCorp, Quest Diagnostic, hospital lab, etc.). Call them first and let them know you have a kit which includes all specimen collection materials, instructions, and prepaid shipping materials but you need a laboratory with a centrifuge to conduct the blood draw. I have collected my specimen but due to unexpected circumstances, I cannot send it out today. What should I do with it?
- If your specimen is serum, freeze it.
- If your specimen is urine, freeze it.
- If your specimen is whole blood mineral, keep it at room temperature, invert the tube gently (rock it back and forth) at least once a day.
- If your specimen is whole blood fatty acid, refrigerate it.
- If your specimen is plasma, freeze it.
- If your specimen is stool, refrigerate it.
- If your specimen is saliva, refrigerate it.
- If your specimen is IgG or Fatty Acid Bloodspot keep it at room temperature and dry.
- If your specimen is the Amino Acid Bloodspot store it in the refrigerator, in a plastic bag, and keep it dry.
Please note: for specific details regarding how long a specimen can be kept, see the individual test's information below.
Why can't I ship my specimen on Friday?
It is best not to ship the specimen on a Friday as we are not
open on Saturdays. The specimen would most likely remain in a
non-climate controlled warehouse until delivery Monday morning,
which could cause possible specimen test rejection.
There is a statement on the back of the FedEx large
clinical pack that reads, "Mark this box if your shipment meets the
definition of "Biological Substance Category B packed in compliance
with IATA Packing Instruction 650." Should I check the
box?
The statement on the bag does not in any way pertain to your
shipment and should therefore be left unmarked. The FedEx
laboratory packing materials are universal and meant for many types
of specimens.
Does the specimen need to be shipped with dry
ice?
No, it does not. Refer to the kit shipping instructions for the
requirements specific to the test. Requirements do vary and in
cases where a frozen specimen is required, plastic ice is included.
We DO NOT expect or require that the sample(s)
arrive frozen. We simply want to keep the sample as cool as
possible during the shipping process.
I have two separate tests, can I ship them
together?
You can ship two of the kit boxes in the same FedEx Lab Pack. Be
sure that all tubes are clearly labeled, the test request forms are
properly filled out, and everything is in the corresponding kit
box.
What is the minimum specimen requirement for this
test?*
- Serum - 2mL
- Bloodspot - Four spots of blood the size of a
standard hole punch completely filled and completely soaked through
to the other side of the collection card.
My bloodspot test went outside of the circles on the
collection card, is this okay?
Yes. As long as you have filled the circles and the blood has
soaked through to both sides, it does not matter if the specimen
goes outside of the lines.
How long do I have once the specimen is collected to get
it to the laboratory? (Please see proper specimen storage under the
"Shipping" section)**
- Serum - within 21 days of collection
- Bloodspot - within 8 weeks of collection
What is the difference between IgG and IgE
testing?
IgE allergies are the most commonly known allergies. These are
what we think of as "classic" allergies. Common examples include
bee sting resulting in hives, eating peanuts resulting in swelling
and the more severe reaction, anaphylactic shock. IgE reactions are
immediate and typically easily recognized.
IgG sensitivities are much different and less well-known. These
are what we think of as "delayed" or "hidden" allergies. IgG
sensitivities are more difficult to detect due to the fact that
reactions probably will not take place immediately following the
consumption of the reactive food. Reaction can also vary. For
example, some people with IgG sensitivities might experience muscle
and joint aches; others might notice behavioral differences, while
still others might experience intestinal symptoms. It should be
noted that IgE and IgG reactions are different; that is to say, you
can have an IgE allergy to a food and not an IgG sensitivity and
vice-versa.
I have avoided certain foods for a while. Should I
reintroduce them into my diet before I take the food allergy
test?
In order for those foods to show an IgG reaction they need to be
regularly consumed prior to the test. IgE responses are permanent,
so the food does not need to be consumed prior to testing. Foods
that you are sensitive to would react even if you do not eat them
at all.
I reacted to certain foods but the test does not measure
other related foods. Should I eat foods related to the ones to
which I am sensitive? Ex. Green peppers and red
peppers
For all foods not tested, the rule to follow is frequent
rotation to reduce the possibility of allergic reactions. This
means that the food may be eaten in a meal or two, but then you
need to allow several days before eating those foods again. You may
also refer to the food families in your IgG Food Reaction Patient
Guide. Foods that are grouped together may be eliminated together
to avoid reactions.
I reacted to milk on the IgG4 90 or IgG 30 bloodspot
test; does that mean I am lactose intolerant?
The reaction is an IgG (antibody) response to whole milk and to
fractions of milk such as casein. Lactose intolerance is completely
different. It means you do not have adequate amounts of lactase,
the enzyme needed to break down lactose, a natural sugar in milk.
We do not test for lactose.
What is the difference between a reaction to casein and
a reaction to milk on the IgG 90 serum test?
Milk protein consists of casein and whey. The IgG4 reaction to
milk looks at the total protein. The IgG4 reaction to casein looks
specifically at casein. Subtracting the casein reaction from the
milk reaction will give an estimate of the whey reaction.
What is Celiac Disease and does Metametrix test for
it?
Celiac disease is an autoimmune disorder of the small intestine
when the body reacts to gluten. This reaction can lead to damage of
the mucosa, resulting in malabsorption, which means that your body
is not absorbing some nutrients properly. Clinical presentation is
varied given the possibility of widespread nutritional
deficiencies, but those most commonly seen are, bloating, anemia,
fatigue, weight loss, constipation and diarrhea. Metametrix has a
full celiac panel. It includes: Total Immunoglobulin A (IgA), IgA
Transglutaminase antibody, and Anti-gliadin IgA II. We also offer
an IgA-antigliadin assessment of stool in our GI Effects Stool
Profiles.
Is an IgG wheat reaction the same as gluten intolerance
or Celiac disease?
The two situations are closely related. Gluten is the major
antigenic protein in wheat. In the IgG test, extracts used are the
protein-containing fractions to eliciting the antibody response. If
a patient has a high wheat IgG antibody reaction, it is often due
to too much wheat in the diet. Similarly, if a person has gluten
sensitivity, he or she will have an elevated reaction to wheat. If
there are many reactions to other foods, intestinal permeability is
most likely the underlying problem.
At what age is IgG food allergy testing
accurate?
The immune system is not fully developed until about 9 months of
age. Beyond that age, the IgG production from food antigen
presentation is active. The test will show the presence of specific
food antigen presentation due to increased permeability of the
small intestine.
The kit instructions state, "the use of
immunosuppressive drugs, like cortisone, can give false negative
test results. Discontinue the use of such drugs for 60 days before
testing to allow antibody reaction to be seen." What all does this
include?
If used long enough, any steroidal medication
will affect test results; this includes topical medications and
inhalers. We understand that many people with asthma rely on their
inhalers daily and cannot discontinue use for the required period
of time. You and your clinician should discuss the possibility that
positive results may appear weaker under these conditions. Ex. for
IgG testing, a +5 severe reaction may show as a +4 instead.
What is the minimum specimen requirement for this
test?*
- Plasma - 1mL
- Bloodspot - Four spots of blood the size of a
standard hole punch completely filled and completely soaked through
to the other side of the collection card
- Urine - there is no minimum specimen
requirement as it is a 24hr. urine collection. For accurate
results, no collections should be missed during
the 24hr. period
My bloodspot test went outside the circles on the
collection card, is this okay?
Yes. As long as you have filled the circles and the blood has
soaked through to both sides, it does not matter if the specimen
goes outside of the lines.
How long do I have once the specimen is collected to get
it to the laboratory? (Please see proper specimen storage under the
"Shipping" section)**
- Plasma - within 14 days of collection
- Bloodspot - within 4 days of collection
- Urine - within 14 days of collection
What is the difference between the urine amino acid and
the plasma amino acid test?
Plasma levels of amino acids reveal more information regarding
long-term nutritional status. Plasma analysis is the preferred way
to assess essential amino acid status as it allows a direct look at
the supply line from tissue stores. Also, by using plasma to assess
amino acid status, you avoid potential errors in reading volumes
that exist with urine collection.
Urine amino acid assessments aid in the detection of metabolic
disorders due to genetic polymorphisms, micronutrient deficiencies
or toxic abnormalities, all of which can interfer with amino acid
utilization. Urine is more influenced by recent dietary intake and
is not a good indicator of long term status.
How often should I retake the plasma amino test to make
sure my supplements are still valid?
You should monitor your amino status every six months or sooner
per your healthcare provider's orders in order to adjust your amino
acid formula. Your needs are likely to change after using the
powder for a certain amount of time.
Why don't you add tyrosine to the amino acid
formula?
Because it is made in your body from the essential amino acid
phenylalanine, which is included in the formula.
Where can I get my customized vitamin/mineral
formula?
You can check with your local compounding pharmacist to see if
they are able to compound the formula for you. If you would prefer,
you can use Metabolic Maintenance, a company specializing in
nutritional formulas and supplements. They can be reached at
800-772-7873.
What is the minimum specimen requirement for this
test?*
- Whole blood - 4mL
- Hair - ½ gram
- Urine - there is no minimum specimen
requirement as it is a 6-8hr. or 24hr. urine collection. For
accurate results, no collections should be missed
during the collection period
How long do I have once the specimen is collected to get
it to the laboratory? (Please see proper specimen storage under the
"Shipping" section)**
- Whole blood - within 3 days of collection
- Urine - within 1 week of collection
- Hair - indefinitely
I hear different terminology for these tests, minerals,
heavy metals, toxic elements, etc. What does it all
mean?
Minerals can be referred to in several different ways. Minerals
and elements are the same thing. Good minerals such as zinc and
copper can be referred to as nutrient elements. Bad minerals such
as arsenic and lead can be referred to as heavy metals or toxic
elements.
I just had my hair chemically treated (i.e. permed,
dyed) can I still do the hair mineral collection?
No, you should wait at least a month after chemical treatments
to collect the hair mineral specimen.
What is the difference between testing blood, hair, and
urine for minerals?
Blood is the specimen most frequently used to assess nutrient
status (with some exceptions) and current toxic metal
exposures.
Hair specimens can be useful in routine screening for toxic
metal exposure, however may not be as helpful in determining
essential nutrient status.
Urine levels can vary with recent dietary intake. Enhanced
sensitivity may be obtained by measuring 6-8, or 24-hour excretion
following oral or IV challenge with a chelating agent that
mobilizes the elements and metals from body tissues.
Comparing results from multiple types of specimens is the best
way to provide a more complete picture of elemental status.
What are minerals and why are they important for
health?
Minerals are the small but essential nutrients which support
proper function of the body. You could hold the total amount of the
mineral zinc present in your body on the tip of your finger, but
without it your cells could not divide and grow, and your organs
would stop working in minutes. Every function of your body, from
digestion to nerve impulse conduction and brain function is
critically dependent on the presence and balance of about two-dozen
different minerals. Your tissues cannot produce these elements, so
they must be supplied regularly in your diet. Many factors,
however, make it difficult for us to get adequate amounts of
minerals. Modern food production depletes minerals from foods, and
our lifestyles do not always make it convenient for us to eat the
right balance of foods. Additionally, inadequate digestion and
absorption of these nutrients can lead to subtle yet significant
deficiencies that can cause serious health problems.
Is mineral deficiency common?
Recent surveys by the Center for Disease Control show
surprisingly high numbers of people in the United States are not
getting enough essential minerals like magnesium, calcium, iron,
and zinc. Magnesium, in particular, is necessary in over 300
different enzyme reactions in the body. It has been found to be low
in about half of the population, frequently without any symptoms.
This statistic is significant, given new evidence linking magnesium
deficiency to heart attacks and high blood pressure, diseases that
are often recognized too late. While the RDA for magnesium is
around 400 mg, studies have determined that the average American
diet supplies only 279 mg daily.
Yes, there are certain elements that have no known benefits to
humans, and are considered toxic. Examples would include but are
not limited to lead, mercury, and arsenic. Even too high a level of
beneficial nutrient minerals can be a problem. For example, in
normal quantities, zinc is essential; in quantities too high, it
can cause anemia, and deplete copper.
What is the minimum specimen requirement for this
test?*
- Plasma - 1mL
- Whole Blood - 7mL
- Bloodspot - 4 spots filled completely to the dotted lines and
soaked through to both sides.
How long do I have once the specimen is collected to get
it to the laboratory? (Please see proper specimen storage under the
"Shipping" section)**
- Plasma - within 4 days of collection
- Whole blood - within 7 days of collection
- Bloodspot - within 11 days of collection
My bloodspot test went outside of the circles on the
collection card, is this okay?
Yes. As long as you have filled the circles and the blood has
soaked through to both sides, it does not matter if the specimen
goes outside of the lines.
What are essential fatty acids (EFA)?
Fatty acids are the break-down products of fats. Certain fatty
acids are required by the body yet are not produced by the cells.
They are termed essential and must be provided by the diet. There
are two families of essential fatty acids, omega-3's (EPA, DHA,
ALA) and omega-6's (LA, GLA, AA). EFA's are provided by foods such
as flax seed, fish, vegetable oils, nuts, seeds, meats and are
necessary for many vital and protective functions in the body.
What are trans fats and why are they bad for
you?
Trans fats are hydrogenated or partially hydrogenated
oils found in many baked food products such as breads, crackers,
cookies, doughnuts, as well as peanut butter and fried foods, such
as french fries. The terms "partially hydrogenated vegetable oil"
on food labels indicates that a natural oil has been chemically
modified. In human tissues, trans unsaturated fat behaves
as if it were saturated, leading to higher risk of heart disease
and adverse impact on HDL or LDL cholesterol.
What is the difference between the plasma and whole
blood fatty acid profiles?
Plasma fatty acids are more influenced by recent dietary intake,
as well as total caloric intake and stored fatty acids.
Red blood cell (RBC) fatty acid profiling is most commonly used
to determine the presence of long term insufficiencies and
imbalances. It measures total concentrations of individual fatty
acids. RBC data are generally preferred for assessing overall body
status of fatty acids, because the levels reflect those present in
most tissues.
What is the minimum specimen requirement for this
test?*
The level of fluid in the collection tubes must come up to the
line once the specimen is collected. Be aware, it takes only a
small amount of specimen to meet the requirements so begin with a
very small amount and add more until the requirement is met. This
will prevent spillage
How long do I have once the specimen is collected to get it to the laboratory? (Please see proper specimen storage under the "Shipping" section)** The stool specimen must be received within 9 days of the initial collection.
What is the difference between the Metametrix GI Effects
test and other standard testing?
The GI Effects tests utilize DNA analysis, the advantages of
which include far greater accuracy, fewer samples to be collected,
and the ability to measure previously immeasurable areas of the gut
environment. Whereas many laboratories split testing into several
costly profiles, yeast, inflammation, parasites, bacteria,
pharmaceutical and botanical sensitivities and more are all
included in the Metametrix profile.
For what issues might the GI Effects Stool Profile be
useful?
Irritable bowel syndrome, inflammatory bowel disease (IBD),
Crohn's disease, ulcerative colitis, constipation, bloating,
diarrhea, cramping, maldigestion, gas, blood in stool, headaches,
and eczema are all conditions whose treatment may be informed by
the Profile. The test is prudent if a family history of celiac
disease or other autoimmune bowel diseases is present.
I spilled some of the liquid out of one of the vials.
What should I do?
First, carefully clean up the spilled liquid and wash hands/skin
thoroughly. It is imperative that we have the correct amount of
liquid and stool sample in each vial so you will need to recollect
- call Metametrix Client Services (800-221-4640) to request new
tubes.
Can I collect a stool sample from a diaper?
Yes, if this is the only way to get a patient's specimen. The
specimen is best if formed as the diaper can absorb a more liquid
specimen. Try to avoid contamination with urine as it can dilute
the specimen.
I misplaced or broke the cardboard collection container,
what else can I use?
You could use a paper bowl or paper plate - anything that is
clean, non-porous, and disposable. The collection container only
needs to be clean, NOT sterile.
I accidentally got urine in the collection as well, is
my specimen still good?
No, you will need to recollect the specimen.
There is blood in my stool, is the sample still
good?
If the blood is due to menstruation, you should wait and collect
again after menstruation or use a tampon in another collection. If
the blood was part of the stool and came from the bowel it will be
tested and does not interfere with the rest of the test. Blood is
one of the components tested in the GI Effects Stool Profile.
How long do I have once the specimen is collected to get
it to the laboratory? (Please see proper specimen storage under the
"Shipping" section)**
The urine specimen must be received with 14 days of
collection.
Who is most at risk for bone loss and might benefit from
this test?
The groups most at risk for rapid bone loss include men and
women over 50 years old, all peri-menopausal women, women who have
had hysterectomies, women who exercise heavily, women with a family
history of osteoporosis, people who use anti-ulcer medication,
smokers, people who drink a lot of soft drinks or caffeine, and
people using steroids.
What is the minimum specimen requirement for this
test?*
A minimum of 4 ml of urine is needed to run this test.
What other factors contribute to bone
health?
Besides age, bone health is most influenced by adequate intake
of calcium and vitamin D, regular weight-bearing exercise, and
routine medical care.
How often should someone who is monitoring
nutritional intervention be retested?
Retesting should be done routinely to reveal benefits of therapy
or allow for adjustments in dosage.
How does aging influence bone health?
The human skeleton continues to grow from childhood to 25, when
bone formation surpasses bone loss. After age 35, bone loss
surpasses bone formation, and bone mass starts to decline. Bone
loss is seen most dramatically in the five years leading up to and
through menopause.
What is the minimum requirement for this
test?
- Serum - 3mL
- Plasma - 1.5mL
- Whole Blood - 4mL
How long do I have once the specimen is collected to get
it to the laboratory? (Please see proper specimen storage under the
"Shipping" section)**
The specimen must be received within 14 days of collection
Are testosterone and insulin really important for
cardiovascular health?
Yes, definitely. High insulin levels (hyperinsulinemia) are
associated with Syndrome X and insulin resistance oppose the action
of testosterone and diminish its production. Although insulin is
necessary to assimilate sugars from food, high levels pose risk of
heart attack by causing hunger and the build up of fat, which then
leads to arterial plaquing, constriction and heart disease. High
insulin levels also are associated with other conditions associated
with cardiovascular disease including type II diabetes, high
triglycerides, obesity, hypertension, and Polycystic Ovarian
Syndrome.
What is the minimum specimen requirement for this
test?*
The minimum requirement is 13 mL of urine.
How long do I have once the specimen is collected to get
it to the laboratory? (Please see proper specimen storage under the
"Shipping" section)**
The specimen should be received within 4 weeks
and must be collected in the tube that
arrived with the kit as it contains a preservative.
I am collecting for the Estronex test and I usually get
up several times during the night to use the restroom. The
directions say to collect only the first morning urine. When should
I collect my first morning urine?
It is best to collect the first urine when you are getting up
for the day. If you usually go to bed at 10 pm and then wake up for
the first time at 4 am, and then again at 6 am, collect both the 4
am and the 6 am urine together. If you get up every hour during the
night or drink water during the night, collect the first urine for
the day.
Can men do the Estronex test and if so, what might be
the differences in the results?
Men are able to do the Estronex test; however, the normal range
is thought to be outside of the reference ranges for women. Men
should consult their clinicians regarding this test.
What is the minimum specimen requirement for this
test?*
- Serum - 1.5mL
- Plasma - 1mL
How long do I have once the specimen is collected to get
it to the laboratory? (Please see proper specimen storage under the
"Shipping" section)**
The specimen should be received within 14 days of
collection.
What is the minimum specimen requirement for this
test?*
The minimum requirement is .5mL of urine.
How long do I have once the specimen is collected to get
it to the laboratory? (Please see proper specimen storage under the
"Shipping" section)**
The urine specimen must be received within 21 days of
collection.
How do I know when I have enough saliva
collected?
After chewing gently for 1-2 minutes the cotton should feel
completely saturated - similar to a sponge soaked in water.
How long do I have once the specimen is collected to get
it to the laboratory? (Please see proper specimen storage under the
"Shipping" section)**
The saliva specimen must be received within 7 days of
collection.
Cortisol is a steroid hormone released by the adrenal gland in
response to stress. Increased levels of cortisol in the blood can
result in a weakened immune system through decreased production of
white blood cells and antibodies. Inadequate or irregular sleeping
patterns also may cause cortisol levels to be out of balance.
Dehydroepiandrosterone sulfate (DHEAS) is a metabolic building
block of testosterone, estrone, and estradiol; decreased levels are
associated with stress.
What is the minimum specimen requirement for this
test?*
The minimum requirement is .5mL of serum.
How long do I have once the specimen is collected to get
it to the laboratory? (Please see proper specimen storage under the
"Shipping" section)**
The serum specimen must be received within 7 days of
collection.
What is the minimum specimen requirement for this
test?*
The minimum requirement is 2mL of serum.
How long do I have once the specimen is collected to get
it to the laboratory? (Please see proper specimen storage under the
"Shipping" section)**
The serum specimen must be received within 7 days of
collection.
What are the minimum specimen requirements for this
test?*
The minimum requirement is 1.5mL of serum.
How long do I have once the specimen is collected to get
it to the laboratory? (Please see proper specimen storage under the
"Shipping" section)**
The serum specimen must be received within 7 days of
collection.
What are the minimum specimen requirements for this
test?*
- Whole blood - 4mL
- Serum - 2.5mL
- Plasma - 2mL
- Urine - 8mL
How long do I have once the specimen is collected to get
it to the laboratory? (Please see proper specimen storage under the
"Shipping" section)**
The specimens should be received within 7 days of
collection.
What does ION stand for and what does it
measure?
Individual Optimal Nutrition. The ION Profile is the most
complete nutritional and metabolic testing program available. The
ION Profile measures more than 100 components, integrating them
into a complete picture of your individual
biochemistry.
The ION Profile will help reveal your unique biochemical status as
it relates to: energy and endurance, cardiovascular function,
antioxidant function, liver detoxification function, inflammatory
problems including joints and skin, mental and emotional function,
and digestive disorders.
How is the ION profile "individualized"?
Each patient's report is tailored depending on the test results.
The ION report contains specific, integrated treatment
recommendations based on multiple abnormalities determined by the
multi-panel test for each individual.
I want to collect the urine portion of the ION Profile
separately from the blood draw portion; can I send it in
separately?
While it is possible to send the specimens separately as long as
they are very clearly marked and it is clearly communicated to the
laboratory, we strongly recommend against shipping the specimens
separately. If received separately a $25 fee will be assessed due
to the time and resources needed to ensure that the specimens are
properly cared for and entered into our computer system.
What are the minimum specimen requirements for this
test?*
Please see the last page of the ION Pediatric Kit Instructions
for detailed information regarding minimum requirements and special
blood draw instructions.
Click here to download the ION Pediatric Kit Instructions
PDF.
How long do I have once the specimen is collected to get
it to the laboratory? (Please see proper specimen storage under the
"Shipping" section)**
The specimens should be received within 7 days of
collection.
What does ION stand for and what does it
measure?
Individual Optimal Nutrition. The ION Profile is the most
complete nutritional and metabolic testing program available. The
ION Profile measures more than 100 components, integrating them
into a complete picture of your individual biochemistry. The ION
Profile will help reveal your unique biochemical status as it
relates to: energy and endurance, cardiovascular function,
antioxidant function, liver detoxification function, inflammatory
problems including joints and skin, mental and emotional function,
and digestive disorders.
I want to collect the urine portion of the ION Profile
separately from the blood draw portion; can I send it in
separately?
While it is possible to send the specimens separately as long as
they are very clearly marked and it is clearly communicated to the
laboratory, we strongly recommend against shipping the specimens
separately. If received separately a $25 fee will be assessed due
to the time and resources needed to ensure that the specimens are
properly cared for and entered into our computer system.
What are the minimum specimen requirements for this
test?*
- Whole blood - 4mL
- Serum - 5.5mL
- Plasma - 3.5mL
- Urine - 8mL
How long do I have once the specimens are collected to
get it to the laboratory?**
The specimens should be received within 7 days of
collection.
What is the difference between the ION Profile and the
Cardio/ION Profile?
The Cardio/ION Profile includes the full ION Profile plus
additional cutting edge risk markers for cardiovascular
disease.
What are the minimum specimen requirements for this
test?*
- Serum - 2mL
- Plasma - 1mL
- Urine - 8mL
How long do I have once the specimens are collected to
get it to the laboratory?**
The Triad specimens must be received within 14 days of
collection.
What are the minimum specimen requirements for this
test?*
- Serum - 3mL
- Plasma - 1.5mL
- Whole Blood - 4mL
- Yellow Top Urine Tube - 4mL
- Clear Top Urine Tube - 8mL
How long do I have once the specimens are collected to
get it to the laboratory?**
The Women's Health Profile specimens must be received within 14
days of collection.
What is the minimum specimen requirement for this
test?*
- Organix Comprehensive - 8mL
- Organix Basic - 8mL
- Organix Dysbiosis - 8mL
How long do I have once the specimen is collected to get
it to the laboratory? (Please see proper specimen storage under the
"Shipping" section)**
The urine specimen must be received within 14 days of
collection.
What is the Organix test and what does it
measure?
Many chronic health problems can be difficult to diagnose,
especially when they involve nonspecific symptoms such as fatigue,
foggy thinking, malaise, gastrointestinal upset, joint aches,or
sleep cycle disturbances. Standard medical tests are designed to
identify disease states. Organic acid testing does not diagnose
disease; it helps to give insight into the causes of disease. This
profile helps to assess specific metabolic dysfunctions that we use
to customize a nutritional program for you that will manage those
areas in need of support. This program allows an approach that is
beyond symptom management. Our goal is to identify dysfunctions
related to metabolic impairments and nutritional deficiencies and
correct them before disease is allowed to develop.
I am collecting for the Organix Profile and collected
only my first morning urine. Is that okay?
Yes. We are interested in the most concentrated urine sample,
which would be your first morning urine. It is also the most
appropriate sample to collect with regard to a representation of
your metabolism.
What will happen if I drink too much water the day
before collecting my urine?
Urine tests that require a reduction in fluid intake have such
requirements because the results depend on a concentrated urine
specimen. If the specimen is too dilute the laboratory will have to
reject the test as the results will not be accurate. The
requirements for fluid restriction are provided in the kit
instructions. We ask that you follow the instructions to the best
of your ability and use your best judgment. For example, a patient
that exercises in the course of their day will lose fluids through
sweating and they might need more than the reduced level
recommended in the instructions. *Do
not allow yourself to become overly dehydrated for the
purposes of collecting a concentrated specimen.
My kit instructions say that there is a preservative in
the urine tube. I don't see any liquid in the tube. Did it spill
out?
No, the amount of preservative in the tube is very little - it
might appear as condensation on the inside of the tube or might not
be visible at all.
Where can I get my customized vitamin/mineral
formula?
You can check with your local compounding pharmacist to see if
they are able to compound the formula for you. If you would prefer,
you can use Metabolic Maintenance, a company specializing in
nutritional formulas and supplements. They can be reached at
(800)772-7873.
What is the minimum specimen requirement for this
test?*
The minimum specimen requirement for this test is 1.5mL of
serum.
How long do I have once the specimen is collected to get
it to the laboratory? (Please see proper specimen storage under the
"Shipping" section)**
The specimen must be received within 21 days of collection.
What is the minimum specimen requirement for this
test?*
The minimum specimen requirement for this is 1mL of serum.
How long do I have once the specimen is collected to get
it to the laboratory? (Please see proper specimen storage under the
"Shipping" section)**
The specimen must be received within 14 days of collection.
What form of Vitamin D are you measuring?
Metametrix measures 25-hydroxyvitamin D (25-OH-D).
What is the minimum specimen requirement for this
test?*
The minimum specimen requirement for this test is 1mL of
serum.
How long do I have once the specimen is collected to get
it to the laboratory? (Please see proper specimen storage under the
"Shipping" section)**
The specimen must be received within 14 days of collection.
What is the minimum specimen requirement for this
test?*
The minimum specimen requirement for this test is 4mL.
How long do I have once the specimen is collected to get
it to the laboratory? (Please see proper specimen storage under the
"Shipping" section)**
The specimen must be received within 7 days of collection.
What is the minimum specimen requirement for this
test?*
The minimum requirement for this test is 6mL of urine.
How long do I have once the specimen is collected to get
it to the laboratory? (Please see proper specimen storage under the
"Shipping" section)**
This specimen must be received within 14 days of collection
and must be kept frozen during that time.
Will the Porphyrins Profile provide specific
measurements of heavy metals and organotoxins in my
body?
No, the Poryphyrins Profile is designed to measure the effects
of heavy metals and organotoxins on the porphyrins pathways.
My kit instructions say that there is a preservative in
the amber urine tube. I don't see any liquid in the tube. Did it
spill out?
No, the amount of preservative in the tube is very little - it
might appear as condensation on the inside of the tube or might not
be visible at all.
What is the minimum specimen requirement for this test? Serum. 6 mL minimum. Fasting blood draw into two SST Vacutainers. How long do I have once the specimen is collected to get it to the laboratory? 3 Days Refrigerated. (Stable for 8 weeks frozen) What is the minimum specimen requirement for this test? Serum. 6 mL minimum. Fasting blood draw into two SST Vacutainers. How long do I have once the specimen is collected to get it to the laboratory? 3 Days Refrigerated. (Stable for 8 weeks frozen) What is the minimum specimen requirement for this test? Whole blood, 2 x 7mL Vacutainer Sodium Fluoride tubes, 6.5mL minimum. Clotted samples are unsuitable for analysis. How long do I have once the specimen is collected to get it to the laboratory? 4 Days Refrigerated. Shipped overnight on freezer packs. What is the minimum specimen requirement for this test? First morning urine in glass container. 2mL minimum. How long do I have once the specimen is collected to get it to the laboratory?
* The stated amounts are the minimum requirements for one run, meaning that if the test needs to be repeated for any reason, we will not be able to do so and a resubmital will be needed.
** It is always best to send the specimens as soon as possible after collection. This time frame is for those times when delays cannot be avoided. Failure to properly store specimen if not sent immediately to the laboratory will result in the rejection of the test.
|
|
|