The Tests That Find What Others Miss.
- DUTCH Hormone Metabolites
- Organic Acids (OAT)
- Genomic Panel (MTHFR + SNPs)
- Standard Labs · Functional Ranges
Advanced Testing That Changes Clinical Decisions.
DUTCH Test
Dried Urine Test for Comprehensive Hormones · Precision Analytical
The DUTCH test is the most comprehensive hormone metabolite panel available, measuring not just hormone levels but the specific pathways through which they are produced, metabolized, and cleared. It captures the full cortisol diurnal curve, estrogen and testosterone metabolites, progesterone, DHEA, melatonin, and organic acid markers for neurotransmitter metabolism. A single standard blood draw for hormones provides a fraction of this picture.
What it reveals that standard labs miss: Cortisol rhythm dysfunction (not just a single level) · Estrogen metabolite pathway (protective vs. carcinogenic) · Androgen conversion and clearance · Methylation capacity indicators · Neurotransmitter metabolism markers · DHEA-cortisol balance across the day
Organic Acids Test (OAT)
Comprehensive Metabolic Assessment · Great Plains / Mosaic Diagnostics
The organic acids test provides a systemic snapshot of metabolic function, measuring the organic acid byproducts of cellular metabolism in urine to reveal mitochondrial function, nutrient cofactor sufficiency, detoxification capacity, neurotransmitter metabolism, intestinal microbial activity, and oxidative stress burden. It is one of the highest-yield single panels in functional medicine practice.
What it reveals: Mitochondrial energy cycle function (Krebs cycle markers) · Vitamin and mineral cofactor depletion (B vitamins, CoQ10, magnesium) · Neurotransmitter metabolites · Detoxification pathway efficiency · Fungal and bacterial dysbiosis markers · Oxidative stress burden
Genomic Panel
MTHFR · Key SNPs · Functional Genomics
Arbour Longevity's genomic panel assesses the single nucleotide polymorphisms (SNPs) most clinically relevant to functional medicine, including MTHFR variants affecting methylation and B vitamin metabolism, COMT affecting catecholamine and estrogen clearance, detoxification SNPs affecting toxin processing, and inflammation variants affecting immune regulation. Genomic findings inform every other element of your functional medicine protocol.
Key variants assessed: MTHFR C677T and A1298C (methylation, B vitamins, homocysteine) · COMT (dopamine, estrogen metabolism) · GSTP1, SOD2 (detoxification and oxidative stress) · VDR (vitamin D metabolism) · Additional variants based on clinical picture
Standard Labs, Functional Reference Ranges
CBC · CMP · Thyroid · Hormones · Inflammatory Markers
Standard labs at Arbour Longevity are ordered comprehensively and interpreted through functional reference ranges, the narrower ranges associated with optimal health rather than the wide reference ranges designed to identify disease. The same CBC and CMP that looks "normal" through a disease lens often reveals significant functional findings when evaluated against optimal ranges. Full thyroid panel (TSH, Free T3, Free T4, Reverse T3, TPO/TgAb), advanced cardiovascular markers (hsCRP, ApoB), sex hormones, vitamin D, B12, ferritin, and fasting insulin are included in the Arbour Longevity standard workup.
What's included: Full thyroid panel · Sex hormones · Fasting insulin · hsCRP · ApoB · Vitamin D · B12 · Folate · Ferritin · CBC / CMP · Lipid panel · Additional markers as clinically indicated
How the Testing Panels Connect
The Panels Are Not
Used in Isolation.
Arbour Longevity's diagnostic approach is system-oriented, not symptom-oriented. A patient presenting with brain fog may receive the OAT for mitochondrial status, the DUTCH for cortisol mapping, the genomic panel for methylation variants, and standard labs for thyroid and nutrient status, because brain fog has multiple biological causes and a single panel addresses only one dimension of the picture.
Not every patient requires every panel. Testing is clinician-selected based on your specific health history, symptom pattern, and clinical picture. The result is a diagnostic strategy that is both comprehensive and targeted, not an expensive panel ordered indiscriminately.
Gut Health · Ann Arbor
Heal the Gut. Change Everything Downstream.
Schedule a gut health consultation at Arbour Longevity. We run the comprehensive assessment, identify what is disrupted, and build the targeted protocol, then follow up to confirm it's working.
- Pricing at Consultation
- OAT · Food Sensitivity
- Telehealth Follow-Up (MI)
Regenerative medicine and aesthetic arts: where science meets the artistry of transformation.
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