Lab Test Order Page

Blood Testing (US ONLY)

If you need or want blood tests performed, and you don’t have a physician to prescribe them, you can order directly either online or over the phone.

Online Orders: www.yourlabwork.com/dr-ritamarie/
Phone Orders: (855) 327-8522 • (855) FASTLAB (if you phone in your order let them know you were referred by Dr. Ritamarrie to access special bundles and best pricing) Online Orders: www.directlabs.com/DrRitamarie
Phone Orders: 1-800-908-0000 Please use the code R-RITA when you call

NOTE: These lab test(s) are not available NY, NJ, Maryland or Rhode Island.

Shop by Lab

Fees for labs are for testing only, and DO NOT include any analysis by Dr Ritamarie unless designated by her in a private coaching program. To arrange for assessment of results, please contact sales@drritamarie.com for additional information.

CYREX – Array 2 – Intestinal Permeability

“Leaky Gut” Syndrome. Measure intestinal permeability to large molecule which inflame the immune system. For patients experiencing Food Allergy and Intolerance.

Accurately identify Gluten Reactivity. Measure antibody production against 9 wheat proteins and peptides and 3 essential structure enzymes.

Have non-responsive GI symptoms
Present multiple-symptom complaints (including Chronic Fatigue Syndrome and Fibromyalgia)
Suffer from depression or neuro-autoimmunity

CYREX – Array 3 – Wheat/Gluten Proteome Reactivity & Autoimmunity

CYREX – Array 4 – Gluten-Associated Cross-Reactive Foods and Foods Sensitivity

Have Non-Celiac Gluten Sensitivity or Celiac Disease
Are experiencing limited improvements or are non-responsive on a gluten-free diet
Have gut dysbiosis, which appears to be resistant to standard therapy

Measure Predictive Antibodies, some of which can appear up to ten years before the clinical onset of disease. Economically and efficiently assess possible tissue damage to multiple organs of the body.

Recommended for Patients:

A diagnosed autoimmune disorder, as they commonly develop additional
autoimmune conditions
Chronic increased intestinal permeability, which is the gateway for environmentally-induced autoimmune disorders

CYREX – Array 5 – Multiple Autoimmune Reactivity Screen

CYREX – Array 10 – Multiple Food Immune Reactivity Screen

- Evaluate immune reactions to foods, raw and/or modified, food enzymes, lectins and artificial food additives, including meat glue, colorings and gums.

- Early detection of dietary-related triggers of autoimmune reactivity.

- Monitor the effectiveness of customized dietary protocol in your patient

- Seek a life-long health and wellness strategy.

- Present with unexplained symptoms whether gastrointestinal, neurological, dermatological or behavioral in nature.

Are suspected of having increased intestinal permeability, which is the gateway for environmentally-induced autoimmune disorders

Urine Elements are traditionally used to evaluate exposure to potentially toxic elements and wasting of nutrient elements. Subsequent urine element analyses, also following the administration of a chelator, are useful for monitoring the efficacy.

The DUTCH Plus™ adds salivary measurements of the Cortisol Awakening Response (CAR) to the DUTCH Complete™ to bring another important piece of the HPA axis into focus.

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Doctor’s Data: Urine Toxic Metals

Doctor’s Data – Urine Toxic and Essential Minerals

Urine toxic and essential elements analysis is an invaluable tool for the assessment of retention of toxic metals in the body and the status of essential nutrient elements. Toxic metals do not have any useful physiological function, adversely affect virtually every organ system and disrupt the homeostasis of nutrient elements.

Analysis of the levels of toxic metals in urine after the administration of a metal detoxification agent is an objective way to evaluate the accumulation of toxic metals. Acute metal poisoning is rare. More common, however, is a chronic, low-level exposure to toxic metals that can result in significant retention in the body that can be associated with a vast array of adverse health effects and not chronic disease.

Iodine/Iodide is an essential element that is pivotal to normal function of the thyroid gland and the health and integrity of breast tissue. Iodine/Iodide intake has decreased significantly over the past thirty years and consequentially clinical symptoms have become apparent. Iodine/Iodide sufficiency can be readily assessed by analysis of urinary iodide excretion.

Specific tissues in the body utilize iodide and iodine. Adequate iodine status is essential for the production of normal levels of thyroid hormones and the integrity of thyroid and mammary glands, but iodine/iodide intake has decreased significantly over the past thirty years. Iodide, the reduced form of iodine, is highly concentrated in the thyroid gland where it is incorporated into thyroid hormones. Thyroid hormones regulate growth and metabolic rate, body heat and energy production, and neuronal and sexual development. Iodine is concentrated in the breasts where it is associated with protection against fibrocystic breast disease and cancer. Sub-clinical iodine/iodide deficiency has been associated with impaired mental function and loss of energy due to hypothyroidism.

Doctor’s Data – Urine Iodine: Pre & Post Loading

Doctor’s Data – Urine Halides PLUS Iodine

Iodine/Iodide is an essential element that is pivotal to normal function of the thyroid gland and the health and integrity of breast tissue. Iodine/Iodide intake has decreased significantly over the past thirty years and consequentially clinical symptoms have become apparent. Iodine/Iodide sufficiency can be readily assessed by analysis of urinary iodide excretion.

Specific tissues in the body utilize iodide and iodine. Adequate iodine status is essential for the production of normal levels of thyroid hormones and the integrity of thyroid and mammary glands, but iodine/iodide intake has decreased significantly over the past thirty years. Iodide, the reduced form of iodine, is highly concentrated in the thyroid gland where it is incorporated into thyroid hormones. Thyroid hormones regulate growth and metabolic rate, body heat and energy production, and neuronal and sexual development. Iodine is concentrated in the breasts where it is associated with protection against fibrocystic breast disease and cancer. Sub-clinical iodine/iodide deficiency has been associated with impaired mental function and loss of energy due to hypothyroidism.

The Urine Halides test provides comprehensive assessment of iodine sufficiency and retention of antagonistic halides in a single test. The test requires a spot urine specimen (first morning void preferred) for determination of baseline halide levels. An oral loading dose of iodine/iodide is ingested and all urine is collected for the subsequent 24 hours. Iodine and displaced bromide and fluoride are measured in the urine and the results for each element are reported as ug/gm creatinine and ug/24 hours. Iodine status is assessed by evaluation of the percentage of the ingested dose that is excreted. Low iodine excretion is suggestive of greater bodily retention and need.

Amino acid analyses aid in the diagnosis of: dietary protein adequacy and amino acid balance, gastrointestinal dysfunctions, forms of protein intolerance, nutritional deficiencies (vitamins, minerals), renal and hepatic dysfunction, psychiatric abnormalities, susceptibility to inflammatory response and oxidative stress, reduced detoxification capacity, susceptibility to occlusive arterial disease and many inherent disorders in amino acid metabolism.

The 24-hour urine amino acid analysis has the highest probability of detecting abnormalities if renal function is normal. The 24-hour test indicates what is high and low over the course of a day, reflects blood and tissue amino acid pools, and is not affected by circadian rhythm. Healthy kidneys efficiently conserve essential amino acids. Therefore, urine levels of amino acids decrease first and tend to give an earlier indication of inadequacy than do plasma levels.

Doctor’s Data – Urine Amino Acids

Doctor’s Data – Hair Minerals

With respect to its contained elements, hair is essentially an excretory tissue rather than a functional tissue. Hair element analysis provides important information which, in conjunction with symptoms and other laboratory values, can assist the physician with an early diagnosis of physiological disorders associated with aberrations in essential and toxic element metabolism.

As protein is synthesized in the hair follicle, elements are incorporated permanently into the hair with no further exchange or equilibration with other tissues. Scalp hair is easy to sample, and because it grows an average of one to two cm per month, it contains a “temporal record” of element metabolism and exposure to toxic elements.

Nutrient elements including magnesium, chromium, zinc, copper and selenium are obligatory co-factors for hundreds of important enzymes and also are essential for the normal functions of vitamins. The levels of these elements in hair are correlated with levels in organs and other tissues.

Gastrointestinal complaints are among the most common reasons that patients seek medical care. Symptoms associated with GI disorders include persistent diarrhea, constipation, bloating, indigestion, irritable bowel syndrome and malabsorption. The Comprehensive Stool Analysis can help assess digestive and absorptive functions, the presence of opportunistic pathogens and to monitor the efficacy of therapeutic remediation of GI disorders.

Doctor’s Data – Comprehensive Stool Analysis

Doctor’s Data – Comprehensive Stool Analysis w/Parasitology x3

Gastrointestinal complaints are among the most common in medical care. This comprehensive profile helps pinpoint the causes of gastrointestinal symptoms and chronic systemic conditions, and measures key markers of digestion, absorption and inflammation.

This test is useful for:

Gastrointestinal Symptoms
Autoimmune Disease
IBD/IBS
Inflammation
Food Sensitivities
Nutritional Deficiencies
Joint Pain

Estrogen and progesterone throughout the menstrual cycle

More accurate than saliva for progesterone and especially for estradiol
Easier and more extensive collections for improved characterization of hormone peaks

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DUTCH – Precision Analytical – Cycle Mapping

DUTCH – Precision Analytical – Adrenal

Free cortisol patterns that parallel saliva with the addition of metabolite measurements for an improved marker for total cortisol production. LC-MS/MS: the most accurate way to test cortisol and metabolites.

Daily free cortisol pattern (4)
Daily free cortisone pattern (4)
Cortisol metabolites (a-THF, b-THF)
Cortisone metabolites (b-THE)
DHEAS

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The ultimate test for HRT monitoring and great for baseline measurements as well. Unique method for more accurate vaginal hormone and oral progesterone monitoring. GC-MS/MS: More accurate than LC-MS/MS or GC-MS for sex hormone metabolites

Extensive estrogen metabolites: E1, E2, E3, 2-OH-E1, 2-OH-E2, 4-OH-E1, 16-OH-E1, 2-Methoxy-E1(8)
Extensive androgen metabolites:
Testosterone, DHEAS, DHT and more (7)
Progesterone metabolites: b-Pregnanediol, a-Pregnanediol (2)

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DUTCH – Precision Analytical – Sex Hormone Metabolites

DUTCH – Precision Analytical – Complete

Sex Hormone Metabolites, Adrenal, Melatonin

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The DUTCH Plus™ adds salivary measurements of the Cortisol Awakening Response (CAR) to the DUTCH Complete™ to bring another important piece of the HPA axis into focus.

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DUTCH – Precision Analytical – PLUS

Genova – ONE (Optimal Nutritional Evaluation) FMV

The ONE FMV is a unique combination of nutritional tests that provides an analysis of key nutritional biomarkers in one convenient urine collection.

NutrEval Plasma® test is an advanced nutritional analysis designed to reveal nutritional imbalances or inadequacies. NutrEval Plasma® evaluates the functional need for antioxidants, B-vitamins, minerals, essential fatty acids, amino acids, digestive support, and other select nutrients.

Genova – NutrEval Plasma Profile

Genova – Blood Spot Fatty Acid – (coaching w/Dr. Ritamarie Practitioner)

From a simple finger stick, the Blood Spot Fatty Acid measures key omega-3 and omega-6 fatty acids and calculates key indicators to establish your optimal balance. Trans fatty acids-the “bad” oils in processed foods-are also measured. Followed by a 10-15 minute coaching session with Dr. Ritamarie to review your results and come up with a plan to correct any imbalances. Included is an interpretative results session with a Dr Ritamarie trained Practitioner.

From a simple finger stick, the Blood Spot Fatty Acid measures key omega-3 and omega-6 fatty acids and calculates key indicators to establish your optimal balance. Trans fatty acids-the “bad” oils in processed foods-are also measured.

Genova – Blood Spot Fatty Acid

Genova – GI Effects

- Greater Accuracy Microbial DNA analysis improves the accuracy of results and includes both aerobes and anaerobes. Anaerobes comprise over 95% of the bacteria in the gut and are difficult to detect with old culture methods.

- Antibiotic resistance genes DNA analysis detects organisms possessing genes that give rise to antibiotic resistance, offering clinicians a superior tool for effective patient management.

- Single Sample Collection Culture methods require multiple collections, whereas the GI Effects Stool Profile requires only one sample collection leading to improved patient compliance!

Gastrointestinal function is important for general health. The intestinal tract contains significant amounts of bacteria; some beneficial, some neutral, and some harmful. Balancing beneficial microbial flora in the gut is key to proper digestion, efficient nutrient usage, and ridding the body of waste and pathogens. Poor digestion and malabsorption can lead to immune dysfunction, nutritional insufficiencies, mental/emotional disorders, and autoimmune diseases.

Metametrix offers the Complete GI Effects profile for the most thorough look at the gut microbiome.

“Leaky Gut” Syndrome. Measure intestinal permeability to large molecule which inflame the immune system. For patients experiencing Food Allergy and Intolerance.

Adrenocortex Stress Profile is a powerful and precise noninvasive salivary hormone test that evaluates bioactive levels of the body’s important stress hormones, cortisol and DHEA. This hormone test (stress test) serves as a critical tool for uncovering biochemical imbalances underlying anxiety, depression, chronic fatigue syndrome, obesity, dysglycemia, and a host of other clinical conditions. This hormone test examines 4 saliva samples over a 24-hour period for levels of cortisol and DHEA.

Genova – Adrenocortex Stress Profile

Great Plains – Organic Acids Test (OAT) – Nutritional & Metabolic Profile

The Organic Acids Test (OAT) provides an accurate evaluation of intestinal yeast and bacteria. Abnormally high levels of these microorganisms can cause or worsen behavior disorders, hyperactivity, movement disorders, fatigue and immune function. Many people with chronic illnesses and neurological disorders often excrete several abnormal organic acids. The cause of these high levels could include: oral antibiotic use, high sugar diets, immune deficiencies, and genetic factors.

If abnormalities are detected using the OAT, treatments can include supplements, such as vitamins and antioxidants, or dietary modification. Upon treatment, patients and practitioners have reported significant improvement such as decreased fatigue, regular bowel function, increased energy and alertness, increased concentration, improved verbal skills, less hyperactivity, and decreased abdominal pain. The OAT is strongly recommended as the initial screening test.

The Microbial Organic Acids Test (MOAT) is ideal for follow-up to the OAT and is often recommended by practitioners looking for a specific abnormality, to monitor certain microbial imbalances, or to assess treatment efficacy.

24-hour urinary steroid hormone profiles are widely used in clinical diagnostics. Recent developments of natural hormone replacement therapies, available over the counter, as pregenolone, DHEA, and progesterone and by prescription, as bio-identical estrogen (bi-set, tri-est, or estriol) and testosterone have led to new applications for steroid hormone testing. The urinary hormone profiles can be used for diagnosis, dosage adjustment and monitoring of hormone balancing protocols. The 24-hour urine test is preferred by many practitioners, because nearly all hormones are secreted in ‘bursts’ and ‘pulses’ and a single blood draw or saliva collection (or even two or three of them) may not provide a representative sample.

- DHEA, Cortisone, Cortisol, Pregnenolone, Aldosterone, Etiocholanolone, Adrosterone, Creatinine, Pregnanetriol, Tetrahydrocortisone, Tetrahydrocortisol, Allo-Tetrahydrocortisol, Tetrahydrocorticosterone, Allo-Tetrahydrocorticosterone

- DHEA, Estrone, Estradiol, Estriol, Pregnenediol, Testosterone, Etiocholanolone, Androsterone, Creatinine, Pregnanetriol, s 2-Hydroxyestrogens, 16α-Hydroxyestrone, 2-Methoxyestrone, 2-Methoxyestradiol, 5α-Androstanediol, 5ß-Androstanediol, 11ß-Hydroxyandrosterone, 11ß-Hydroxyetiocholanolone

Product includes a 20-30 minute consultation with Dr. Ritamarie to review results.

Testing available in the continental US only, excluding New York, New Jersey and Rhode Island.

Meridian Valley – Comprehensive 24-Hour Urinary Steroid Hormone Profile with HGH

Meridian Valley – Comprehensive 24-Hour Urinary Steroid Hormone Profile Without HGH

24-hour urinary steroid hormone profiles are widely used in clinical diagnostics. Recent developments of natural hormone replacement therapies, available over the counter, as pregenolone, DHEA, and progesterone and by prescription, as bio-identical estrogen (bi-set, tri-est, or estriol) and testosterone have led to new applications for steroid hormone testing. The urinary hormone profiles can be used for diagnosis, dosage adjustment and monitoring of hormone balancing protocols. The 24-hour urine test is preferred by many practitioners, because nearly all hormones are secreted in ‘bursts’ and ‘pulses’ and a single blood draw or saliva collection (or even two or three of them) may not provide a representative sample.

- DHEA, Cortisone, Cortisol, Pregnenolone, Aldosterone, Etiocholanolone, Adrosterone, Creatinine, Pregnanetriol, Tetrahydrocortisone, Tetrahydrocortisol, Allo-Tetrahydrocortisol, Tetrahydrocorticosterone, Allo-Tetrahydrocorticosterone

- DHEA, Estrone, Estradiol, Estriol, Pregnenediol, Testosterone, Etiocholanolone, Androsterone, Creatinine, Pregnanetriol, s 2-Hydroxyestrogens, 16α-Hydroxyestrone, 2-Methoxyestrone, 2-Methoxyestradiol, 5α-Androstanediol, 5ß-Androstanediol, 11ß-Hydroxyandrosterone, 11ß-Hydroxyetiocholanolone

Product includes a 20-30 minute consultation with Dr. Ritamarie to review results.

Testing available in the continental US only, excluding New York, New Jersey and Rhode Island.

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Pathway – Pathway Genomics Fit Test

Vibrant America – Micronutrients

Includes Vitamins, Antioxidants, Amino Acids, Electrolytes, Metabolites, and Minerals

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Vibrant America – Neural Zoomer Plus

Vibrant America – Gut Zoomer 3.0 Complete

Includes Gut Pathogens, Gut Commensals, and Digestive Markers (add-on only with Commensals and/or Pathogens)

Includes Vitamins, Antioxidants, Amino Acids, Electrolytes, Metabolites, and Minerals

Vibrant America – Wheat Zoomer

Vibrant America – Dairy Zoomer

Used to detect sensitivity to all peptides in cow’s milk

Used to to detect sensitivity to all peptides in goat, sheep, donkey and camel milk

Vibrant America – Mammalian Milk Zoomer

Note: Once we place orders for Lab Tests, the fees are non-refundable. Once the order is placed, we purchase the kits on your behalf, pay shipping etc. If a test is never run by the lab, then that portion of the fee would be refundable.