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October 3, 2024

The 10 Most Commonly Ordered Lab Tests For Naturopathic Doctors

Medically Reviewed by
Updated On
December 9, 2024

As more individuals seek alternatives to the conventional allopathic healthcare model, naturopathic doctors (NDs) stand out as champions of natural healing. Rooted in the philosophy of treating the whole person – body, mind, and spirit – naturopathic medicine focuses on uncovering the underlying causes of illness rather than merely addressing symptoms. 

Lab testing is a highly valued tool among NDs because the results offer invaluable insights into a patient's health and guide effective treatment strategies. By utilizing labs, practitioners can delve deeper into the complexities of an individual's condition, gaining a comprehensive understanding of the body as a whole and the reasons behind their symptoms.

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Understanding Lab Testing in Naturopathic Medicine

Many patients seek help from NDs for chronic issues that often stem from functional imbalances not always detectable in routine testing, such as: 

Wellness optimization and preventive health are also key focuses in naturopathic medicine, with NDs striving to identify early signs of imbalance before they manifest as disease.

Laboratory tests offer NDs objective data to support their evidence-based, clinical decision-making in disease diagnosis and management. Their results provide objective data to support a holistic and personalized approach to healthcare, motivating patients to take responsibility for their health along the way. 

Naturopathic doctors utilize a broad array of specialty lab tests, emphasizing functional assessments rather than solely diagnostic ones. NDs interpret results within an optimal range to identify early-stage dysfunction before it progresses to pathologic disease. (21)

Evidence suggests that patients who engage in integrative, holistic care, including naturopathic approaches, report improved health outcomes. 

For example, one study found that patients with cardiovascular disease risk factors who received naturopathic care saw significant improvements in their blood pressure and lipid profiles. 

Another study demonstrated improvements in the symptoms and quality of life of patients diagnosed with moderate-to-severe anxiety.

Top 10 Commonly Ordered Lab Tests

NDs rely upon the following lab tests to provide integrative, personalized, and evidence-based healthcare.

Comprehensive Metabolic Panel (CMP)

A CMP is a blood test that provides valuable information about your body's chemical balance and metabolism. 

The CMP includes the following biomarkers:

An ND may order a CMP for one of the following reasons:

The results from a CMP can provide insight into various health conditions:

  • Abnormal liver function tests (e.g., elevated ALT, AST) may indicate liver disease or damage
  • Elevated BUN and creatinine levels suggest impaired kidney function or kidney disease
  • Electrolyte imbalances (e.g., abnormal sodium or potassium levels) can affect heart rhythm and muscle function
  • High glucose levels may indicate prediabetes or diabetes

Order a CMP with one of these tests:

Thyroid Panel

The thyroid is a butterfly-shaped endocrine gland in the front of the neck. It produces hormones that regulate the body's metabolism.

Thyroid-stimulating hormone (TSH) is the recommended screening test for thyroid function. However, studies show that approximately 7% of thyroid dysfunction cases can be missed when measuring TSH alone, prompting NDs to order a complete thyroid panel for a more comprehensive assessment. (25)

NDs order thyroid panels that include (at minimum):

 A thyroid panel may be ordered in the following situations (25): 

  • Symptoms of hypothyroidism (e.g., fatigue, weight gain, depression)
  • Symptoms of hyperthyroidism (e.g., weight loss, anxiety, rapid heartbeat)
  • Monitoring patients with known thyroid disorders
  • Evaluating abnormal TSH results to determine the cause of thyroid dysfunction
  • Assessing autoimmune conditions affecting the thyroid

Common patterns measured with a thyroid panel include:

  • Optimal TSH, free T3, and free T4 levels indicate normal thyroid function
  • High TSH levels with low T3 and T4 are diagnostic for hypothyroidism
  • Low TSH levels with high T3 and T4 are diagnostic for hyperthyroidism 
  • The presence of thyroid antibodies indicates thyroid autoimmunity that can lead to Hashimoto's thyroiditis or Graves' disease

Order a thyroid panel with one of these tests:

Vitamin D Levels

Vitamin D is a fat-soluble vitamin with important roles in calcium metabolism, bone health, and immune function. It is synthesized in the skin upon exposure to sunlight and can also be obtained in small amounts from the diet.

Vitamin D exists in several forms, primarily as calcidiol (25-hydroxyvitamin D) and calcitriol (1,25-dihydroxyvitamin D), both of which can be measured in blood. Calcidiol is preferred for assessing vitamin D status due to its longer half-life, making it a more reliable indicator of vitamin D stores. (91

Deficiency and insufficiency of vitamin D can lead to various health issues, including:

 Despite its immense importance for human health, half the global population is vitamin D insufficient, and another 1 billion people are frankly deficient (83). 

The Endocrine Society established the following reference ranges for vitamin D:

  • Deficiency: ≤ 20 ng/mL
  • Insufficiency: 20–30 ng/mL
  • Normal: ≥ 30 ng/mL

However, given research suggesting that higher vitamin D levels are associated with a lower risk of some diseases, NDs prefer their patients' vitamin D levels to be within a more optimal range of  40-70 ng/mL.

Order vitamin D with one of these tests:

Iron Panel

Iron is essential for the body, primarily for its role in hemoglobin synthesis. Iron deficiency can impair oxygen transport, leading to symptoms like fatigue, weakness, pale skin, and shortness of breath.  

Excess iron can catalyze the formation of highly reactive free radicals, which causes oxidative stress, tissue injury, and organ damage.

An iron panel includes the following tests:

  • Ferritin: Measures the stored form of iron in the body, providing insight into overall iron reserves.
  • Serum iron: Measures the amount of circulating iron in the blood.
  • Total iron-binding capacity (TIBC): Indicates the total capacity of transferrin (the main protein that transports iron) to bind iron.
  • Transferrin saturation: Calculated by dividing serum iron by TIBC, it reflects the percentage of transferrin saturated with iron.
  • Unsaturated iron-binding capacity (UIBC): Measures the portion of transferrin not saturated with iron, indicating how much more iron can be carried in the blood.

NDs order iron panels:

  • To diagnose iron deficiency anemia
  • To diagnose iron overload conditions, such as hemochromatosis
  • To investigate symptoms suggestive of anemia
  • To screen for iron deficiency in at-risk populations (e.g., pregnant women and individuals with heavy menstrual bleeding).
  • To monitor patients undergoing treatment for known iron disorders or those receiving iron supplementation.

Common patterns measured on iron panels include: 

  • Low ferritin, low serum iron, low transferrin saturation, and high TIBC diagnostic for iron deficiency (16
  • High ferritin, high serum iron, high transferrin saturation, and low TIBC diagnostic for iron overload (81

Create an iron panel by ordering these tests:

Hormone Panels

Hormones are chemical messengers made and secreted into the bloodstream by endocrine glands, including the thyroid, pancreas, adrenal glands, ovaries, and testes. They control hundreds of bodily processes, so when imbalances occur, they can cause body-wide symptoms, including: 

Sex Hormones

The primary sex (reproductive) hormones include estrogen, progesterone, and testosterone. These hormones are produced primarily by the ovaries (in people assigned female at birth) and the testes (in people assigned male at birth) and are responsible for regulating bodily functions related to sexuality and reproduction. (80)

Common sex hormone imbalances in women are androgen excess, estrogen dominance, and progesterone deficiency. These can lead to symptoms like:

  • Acne
  • Hair loss
  • Irregular menstrual cycles
  • Hot flashes
  • Excess body hair
  • Vaginal atrophy and pain with sex

Low testosterone is a common health concern among men, leading to the following symptoms:

  • Erectile dysfunction
  • Low libido
  • Depression
  • Loss of muscle mass
  • Enlarged breast tissue

Order a hormone panel with one of these tests:

Adrenal Function

The adrenal glands are triangle-shaped glands that sit on top of the kidneys and are responsible for making a variety of hormones, including:

Chronic stress-induced inflammation has been identified as an underlying factor involved in the development of cardiometabolic disease, depression, and immune dysfunction. Therefore, NDs frequently measure cortisol and DHEA with salivary and urinary tests to assess how stress affects adrenal function. 

Assess adrenal function with one of these tests:

Comprehensive Stool Analysis

Research increasingly highlights the significance of gastrointestinal health as a cornerstone for systemic health, with various axes connecting gut function to multiple body systems, including the thyroid, skin, joints, immune system, and nervous system

This understanding aligns with the root-cause approach to healthcare, which is why NDs prioritize gut health as a primary driver of disease. Comprehensive stool analysis (CSA) plays a crucial role in this assessment by evaluating three critical areas of gastrointestinal health and function: 

Malabsorption, dysbiosis (an imbalance in gut bacteria), and intestinal inflammation have been linked to systemic diseases.

Order a CSA with one of these tests:

Food Sensitivity and Allergy Testing

Food sensitivity and allergy testing help identify individual reactions to foods that may contribute to various health issues. 

  • Food Allergy: Involves an immune system response mediated by immunoglobulin E (IgE) antibodies, leading to immediate and potentially life-threatening reactions, such as anaphylaxis, hives, or difficulty breathing.
  • Food Sensitivity: Involves a delayed immune response mediated by immunoglobulin G (IgG) antibodies, resulting in non-life-threatening symptoms such as bloating, digestive upset, fatigue, and skin reactions that may develop hours or days after consuming the offending food.

Testing for food sensitivities and allergies is warranted in cases of (14, 75):  

  • Chronic gastrointestinal symptoms
  • Allergy symptoms
  • Skin conditions
  • Fatigue
  • Low mood
  • Autoimmune diseases
  • Headaches

NDs utilize food sensitivity and allergy test results to personalize dietary and nutritional recommendations. By identifying specific foods that trigger adverse reactions, NDs can develop tailored elimination diets or suggest alternative foods that support the patient's overall health. 

Order a food sensitivity or allergy panel with one of these tests:

Nutrient Deficiency Panels

According to the World Health Organization, over 2 billion people have nutrient deficiencies that can contribute to disease development. 

The Standard American Diet (SAD) is devoid of essential vitamins and minerals, increasing the risk of nutrient deficiencies. The National Health and Nutrition Examination Surveys (NHANES) data revealed that 31% of Americans are at risk of at least one vitamin deficiency. 

Nutrient deficiencies can produce many symptoms that overlap, making pinpointing specific deficiencies challenging without thorough testing. For example, fatigue is a common symptom that can arise from both iron and vitamin B12 deficiency.

This is why NDs frequently use comprehensive micronutrient tests, which screen for deficiencies in vitamins, minerals, antioxidants, amino acids, and fatty acids. These tests employ methods that offer a better representation of long-term nutrient status compared to those that only measure short-term circulating levels.

Order a micronutrient test with one of these tests:

Oxidative Stress and Antioxidant Status

​​Oxidative stress refers to an imbalance between the production of reactive oxygen and nitrogen species (RONS) and the body's ability to neutralize these harmful compounds with antioxidants. Increased oxidative stress and reductions in antioxidant defenses play a significant role in advanced aging and chronic disease, as they contribute to cellular damage and inflammation.

Elevated markers of oxidative damage, such as 8-hydroxy-2-deoxyguanosine (8-OHdG), are associated with increased oxidative stress and inflammation. Low levels of antioxidants, such as vitamin C or glutathione, impair the body's ability to neutralize reactive oxygen and nitrogen species (RONS), thereby increasing the risk of oxidative stress.

Assess oxidative stress and antioxidant status with one of these tests:

Inflammatory Markers

Chronic inflammation increases the risk of disease and is attributed to 50% of all deaths. Fighting inflammation is a core principle of preventing, treating, and reversing disease. 

The routine measurement of inflammatory markers, including C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR), is becoming increasingly more commonplace in the primary care setting for diagnosing and monitoring:

  • Arthritis
  • Autoimmune disease
  • Cancer
  • Cardiovascular disease
  • Infections

Inflammatory markers can help quantify the degree of systemic inflammation and calculate the disease risk. For example, there is a correlation between cardiovascular risk and elevated high-sensitivity CRP (hs-CRP):

  • Low Risk: hs-CRP < 1 mg/dL
  • Moderate Risk: hs-CRP 1-3 mg/dL
  • High Risk: hs-CRP > 3 mg/dL

Measure inflammatory markers through Rupa Health with one of these tests:

Factors Influencing Lab Test Orders by NDs

NDs practice medicine under a framework guided by these six principles:

  1. First, Do No Harm: use the most natural and least invasive therapies possible to minimize danger to the patient
  2. The Healing Power of Nature: nature assists the healing process, and the body holds the wisdom to heal itself
  3. Identify and Treat the Cause: identify underlying causes of illness and remove obstacles to cure instead of focusing on symptom suppression
  4. Doctor as Teacher: NDs support and empower their patients in learning to optimize health
  5. Treat the Whole Person: a holistic approach  to healing realizes that every body system is interconnected
  6. Prevention: focus on health, wellness, and disease prevention 

Lab tests align with these principles by supporting the goal of identifying and addressing the root cause of disease rather than merely treating symptoms. This diagnostic approach complements the naturopathic focus on prevention and whole-person care.

Other factors that influence lab test ordering by NDs include:

  • The potential of the test to change the course of clinical decision-making
  • Patient history and symptoms
  • Holistic and personalized approach to healthcare
  • The patient's socioeconomic status

Best Practices for Ordering and Interpreting Lab Tests in Naturopathy

Testing inaccuracy poses significant risks to patients and healthcare systems, leading to potentially stressful, costly, and even dangerous consequences. Prioritizing accurate testing through reputable companies that utilize standardized testing methods minimizes the risk of testing errors.

As a patient, has your doctor ever told you that nothing is wrong because your test results are normal despite having symptoms that say otherwise? NDs don't look at lab numbers in isolation; they consider each patient's unique health history alongside lab values to differentiate between "normal" and "optimal." This holistic approach to lab interpretation enables NDs to identify functional imbalances that may contribute to symptoms, even if they are not immediately apparent.

NDs also use lab test interpretation as an opportunity to educate and empower patients in their healthcare journey. Appointment times are often longer than expected from a conventional medical doctor's office. This allows the time to open a dialogue about what results mean for the patient's health and discuss next steps – whether that involves lifestyle/diet modifications, natural supplements, prescription medications, or further testing.

Common Challenges and Solutions in Lab Testing for NDs

NDs may face several challenges regarding lab testing, which can impact patient care and treatment outcomes.

One common issue is patient non-compliance or lack of follow-up. Patients may not complete recommended tests due to fear, confusion, or financial constraints. To address this, NDs can:

  • Clearly explain the purpose and benefits of each test 
  • Provide easy-to-follow instructions for specimen collection
  • Offer flexible scheduling for lab work and follow-up consultations
  • Use digital health tools like reminders or apps to track testing schedules and follow-up appointments

Many tests yield intricate data that can be difficult to interpret without specialized training. Tips to overcome this include:

  • Seek out continuing education resources for interpreting and applying complex results to clinical practice
  • Take advantage of the educational interpretative resources many laboratory companies offer to assist providers
  • Use clinical judgment to prioritize key findings and integrate them into a holistic treatment plan
  • Collaborate with other healthcare professionals to discuss complex or unfamiliar results

The cost of tests and lack of insurance coverage can deter patients from pursuing necessary diagnostics.

  • Insurance coverage for functional medicine varies by state, provider, and lab company. Always encourage patients to check their lab benefits before paying out-of-pocket costs.
  • Use cash-pay labs as an alternative to insurance-based labs to improve affordability when insurance does not deem a lab "medically necessary"
  • Order labs through Rupa Health, which provides patients with access to labs for the wholesale price, with an additional 7% ordering fee

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Conclusion

  • Lab testing enhances holistic healthcare through informed testing. By utilizing comprehensive and functional lab tests, naturopathic doctors can uncover underlying imbalances and health concerns that may not be evident through conventional diagnostics. 
  • Lab results support the creation of personalized treatment plans tailored to each individual's unique health needs, ultimately promoting preventive health strategies that aim to optimize wellness and longevity.
  • By embracing a commitment to lifelong learning and staying up-to-date on advancements in lab testing, NDs can enhance their practice, empower their patients, and contribute to a healthcare model that prioritizes individualized care and disease prevention.

Further Reading

Check out these additional resources relevant to this topic:

Naturopathic Associations

American Association of Naturopathic Physicians 

Association of Accredited Naturopathic Medical Colleges 

Rupa Magazine

How to Become a Naturopathic Doctor 

A Beginner's Guide To Functional Medicine Lab Testing

Lab Test Ordering Access by State: The Ultimate Guide

How To Choose The Right Functional Medicine Lab Tests For Your Patient's Health Concerns 

Rupa Health Live & Free Classes

Lab Testing 101: Which Labs to Order First 

Uncovering the Hidden Intelligence in the CMP and CBC 

Thyroid, GastroIntestinal Tract and Forgotten Lab Tests

Supercharge Your Hormone Balancing Expertise With HuMap™!

GI MAP vs GI Effects: Stool Test Showdown  

Food Allergy Testing: An Integral Part of the Functional Workup

The NutrEval: The Intersection of Micronutrient Testing and Cellular Health 

The information in this article is designed for educational purposes only and is not intended to be a substitute for informed medical advice or care. This information should not be used to diagnose or treat any health problems or illnesses without consulting a doctor. Consult with a health care practitioner before relying on any information in this article or on this website.

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Lab Tests in This Article

  1. Balogh, E. P., Miller, B. T., Ball, J. R., et al. (2015, December 29). Improving Diagnosis in Health Care. National Library of Medicine; National Academies Press (US). https://www.ncbi.nlm.nih.gov/books/NBK338600/
  2. Beidelschies, M. (2021, April 13). Cleveland Clinic Study Finds Functional Medicine's Shared Medical Appointments Deliver Improved Patient Outcomes at Less Cost. Cleveland Clinic. https://newsroom.clevelandclinic.org/2021/04/13/cleveland-clinic-study-finds-functional-medicines-shared-medical-appointments-deliver-improved-patient-outcomes-at-less-cost
  3. Bigman, S. (2024, July 12). Function Health Secures $53 Million for Preventive & Personalized Medicine Lab Testing Platform. Rupa Health. https://www.rupahealth.com/post/function-health-secures-53-million-for-preventive-personalized-medicine-lab-testing-platform
  4. Bird, J., Murphy, R., Ciappio, E., et al. (2017). Risk of Deficiency in Multiple Concurrent Micronutrients in Children and Adults in the United States. Nutrients, 9(7), 655. https://doi.org/10.3390/nu9070655
  5. Blake, K. (2023, August 8). Top nutrients to reduce your dementia risk and how to test your nutrient status. Rupa Health. https://www.rupahealth.com/post/top-nutrients-to-reduce-your-dementia-risk
  6. Bryant, A. (2024, May 23). Thyroid Disorders: Types, Causes, and Treatments. Rupa Health. https://www.rupahealth.com/post/thyroid-disorders-types-causes-treatments
  7. Bull, M. J., & Plummer, N. T. (2014). Part 1: The Human Gut Microbiome in Health and Disease. Integrative Medicine (Encinitas, Calif.), 13(6), 17–22. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4566439/
  8. Camargo, C. A., Schaumberg, D. A., Friedenberg, G., et al. (2024). Effect of Daily Vitamin D Supplementation on Risk of Upper Respiratory Infection in Older Adults: A Randomized Controlled Trial. Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America, 78(5), 1162–1169. https://doi.org/10.1093/cid/ciad770
  9. Cameron, C. (1996). Patient compliance: recognition of factors involved and suggestions for promoting compliance with therapeutic regimens. Journal of Advanced Nursing, 24(2), 244–250. https://doi.org/10.1046/j.1365-2648.1996.01993.x
  10. Carter, D. (1998). Use of the Laboratory in Naturopathic Medicine. Laboratory Medicine, 29(2), 97–101. https://doi.org/10.1093/labmed/29.2.97
  11. Christie, J. (2022, March 8). Weakness, Pale Skin, And Headache Are Signs Of This Mineral Deficiency. Rupa Health. https://www.rupahealth.com/post/a-functional-medicine-approach-to-iron-deficiency
  12. Christie, J. (2022, December 6). The ultimate guide to thyroid hormones. Rupa Health. https://www.rupahealth.com/post/a-complete-guide-to-thyroid-hormones-a-functional-medicine-approach
  13. Christie, J. (2023, January 31). 7 functional medicine labs to test for root cause of infertility in women. Rupa Health. https://www.rupahealth.com/post/7-functional-medicine-labs-to-test-for-root-cause-of-infertility-in-women
  14. Christie, J. (2023, November 22). The Top 10 Conditions Related to Food Sensitivities That May Surprise You. Rupa Health. https://www.rupahealth.com/post/the-top-10-conditions-related-to-food-sensitivities-that-may-surprise-you
  15. Cloyd, J. (2023, February 1). 6 anemia types you need to know about. Rupa Health. https://www.rupahealth.com/post/6-different-types-of-anemia-you-may-not-be-aware-of
  16. Cloyd, J. (2023, February 2). Top Lab Test to Run on Your Iron Deficiency Anemia Patients. Rupa Health. https://www.rupahealth.com/post/top-lab-test-to-run-on-your-iron-deficiency-anemia-patients
  17. Cloyd, J. (2023, February 16). A functional medicine protocol for estrogen dominance. Rupa Health. https://www.rupahealth.com/post/a-functional-medicine-protocol-for-estrogen-dominance
  18. Cloyd, J. (2023, February 21). The Benefits of Incorporating Specialty Lab Testing in Your Integrative Medicine Clinic. Rupa Health. https://www.rupahealth.com/post/the-benefits-of-incorporating-specialty-lab-testing-in-your-integrative-medicine-clinic
  19. Cloyd, J. (2023, March 6). The Microbiome-Joint Axis: Exploring the Gut’s Influence on Joint Pain. Rupa Health. https://www.rupahealth.com/post/the-guts-role-in-joint-inflammation
  20. Cloyd, J. (2023, March 7). An integrative medicine approach to fatigue. Rupa Health. https://www.rupahealth.com/post/an-integrative-medicine-approach-to-fatigue
  21. Cloyd, J. (2023, April 18). The Differences Between Naturopathic Medicine and Conventional Medicine. Rupa Health. https://www.rupahealth.com/post/the-differences-between-naturopathic-medicine-and-conventional-medicine
  22. Cloyd, J. (2023, June 13). Exploring Complementary and Integrative Medicine: A Comprehensive Overview. Rupa Health. https://www.rupahealth.com/post/what-is-complementary-and-integrative-medicine-cim
  23. Cloyd, J. (2023, June 28). Complementary and Integrative Medicine Options for Patients With Liver Disease: Comprehensive Lab Testing, Nutrition, and Supplement Suggestions. Rupa Health. https://www.rupahealth.com/post/a-functional-and-integrative-medicine-approach-to-treating-liver-disease-comprehensive-testing-nutrition-and-treatment-options
  24. Cloyd, J. (2023, July 26). A Functional Medicine Iron Deficiency Anemia Protocol: Comprehensive Testing, Therapeutic Diet, and Supplements. Rupa Health. https://www.rupahealth.com/post/a-functional-medicine-iron-deficiency-anemia-protocol-comprehensive-testing-therapeutic-diet-and-supplements
  25. Cloyd, J. (2023, August 21). Thyroid Hormone Testing Guide: A Comprehensive Review of How to Test for Thyroid Hormones. Rupa Health. https://www.rupahealth.com/post/thyroid-hormone-testing-guide-a-comprehensive-review-of-how-to-test-for-thyroid-hormones
  26. Cloyd, J. (2023, October 24). How Do You Interpret Your Ferritin Blood Test Results? Rupa Health. https://www.rupahealth.com/post/how-do-you-interpret-your-ferritin-blood-test-results
  27. Cloyd, J. (2023, December 11). How to Interpret Your CRP Blood Test. Rupa Health. https://www.rupahealth.com/post/how-to-interpret-your-crp-blood-test
  28. Cloyd, J. (2024, January 19). Understanding the Role of Kidney Function Tests in Comprehensive Health Assessments. Rupa Health. https://www.rupahealth.com/post/understanding-the-role-of-kidney-function-tests-in-comprehensive-health-assessments
  29. Cloyd, J. (2024, January 22). Interpreting Liver Enzyme Tests: ALT, AST, and ALP in Liver Health Monitoring. Rupa Health. https://www.rupahealth.com/post/interpreting-liver-enzyme-tests-alt-ast-and-alp-in-liver-health-monitoring
  30. Cloyd, J. (2024, January 25). What is the Gut Microbiome? Rupa Health. https://www.rupahealth.com/post/what-is-the-gut-microbiome
  31. Cloyd, J. (2024, April 10). Hormones Affecting Sleep (w/ Lifestyle and Dietary Strategies). Rupa Health. https://www.rupahealth.com/post/hormones-affecting-sleep-w-lifestyle-and-dietary-strategies
  32. Cloyd, J. (2024, August 30). Iron-Binding Capacity Explained: What High TIBC Results Indicate. Rupa Health. https://www.rupahealth.com/post/iron-binding-capacity-explained-what-high-tibc-results-indicate
  33. Cloyd, K. (2023, September 7). Unlocking Hormonal Health: A Comprehensive Guide to Understanding and Choosing the Right Hormonal Testing for Your Patients. Rupa Health. https://www.rupahealth.com/post/unlocking-hormonal-health-a-comprehensive-guide-to-understanding-and-choosing-the-right-hormonal-testing-for-your-patients
  34. Cloyd, K. (2023, October 4). Inflammation and Gut Health: Understanding the Impact on Overall Well-Being. Rupa Health. https://www.rupahealth.com/post/inflammation-and-gut-health-understanding-the-impact-on-overall-well-being
  35. Cloyd, K. (2023, December 20). Interpreting Oxidative Stress Markers. Rupa Health. https://www.rupahealth.com/post/interpreting-oxidative-stress-markers
  36. Cloyd, K. (2024, January 17). Understanding Nutritional Deficiencies: When to Utilize Micronutrient Testing. Rupa Health. https://www.rupahealth.com/post/understanding-nutritional-deficiencies-when-to-utilize-micronutrient-testing
  37. Coleman, E. (2024, April 8). Hormonal Imbalance - All You Need to Know in 2024. Rupa Health. https://www.rupahealth.com/post/hormonal-imbalance-all-you-need-to-know-in-2024
  38. Cooley, K., Szczurko, O., Perri, D., et al. (2009). Naturopathic Care for Anxiety: A Randomized Controlled Trial ISRCTN78958974. PLoS ONE, 4(8), e6628. https://doi.org/10.1371/journal.pone.0006628
  39. Creedon, K. (2022, March 18). 8 Ways To Prevent Osteoporosis As You Age. Rupa Health. https://www.rupahealth.com/post/a-functional-medicine-approach-to-osteoporosis
  40. Creedon, K. (2022, July 14). Simple lifestyle changes that can help keep high blood pressure under control. Rupa Health. https://www.rupahealth.com/post/simple-lifestyle-changes-that-can-help-control-high-blood-pressure
  41. DeCesaris, L. (2022, June 6). What Is Gut Dysbiosis? 7 Signs To Watch For. Rupa Health. https://www.rupahealth.com/post/how-your-gut-bacteria-affects-your-overall-health
  42. DeCesaris, L. (2022, August 8). Worried About Your Thyroid Health? Ask Your Doctor For These 3 Thyroid Labs. Rupa Health. https://www.rupahealth.com/post/treating-the-thyroid-naturally
  43. DeCesaris, L. (2024, January 19). The Psychology of Lab Results on Patient Adherence. Rupa Health. https://www.rupahealth.com/post/the-psychology-of-lab-results-on-patient-adherence
  44. Decesaris, L. (2022, August 30). 10 Signs You Should Try An Elimination Diet. Rupa Health. https://www.rupahealth.com/post/how-to-do-an-elimination-diet
  45. DePorto, T. (2023, January 5). Electrolytes Imbalance: Symptoms & How to Treat It. Rupa Health. https://www.rupahealth.com/post/electrolytes
  46. DePorto, T. (2023, January 31). Glutathione Health Benefits: The Master Antioxidant. Rupa Health. https://www.rupahealth.com/post/glutathione-health-benefits-the-master-antioxidant
  47. Diorio, B. (2022, October 25). How to Balance Adrenaline Levels Naturally. Rupa Health. https://www.rupahealth.com/post/adrenaline
  48. Easthope, A. (2022, April 26). 11 Common Causes Of Low Male Testosterone (And How To Fix Them). Rupa Health. https://www.rupahealth.com/post/an-integrative-medicine-approach-to-low-male-testosterone-hypogonadism
  49. Garrison, K. (2024, April 30). How to Measure Ferritin Levels Using Lab Testing. Rupa Health. https://www.rupahealth.com/post/how-to-measure-ferritin-levels-using-lab-testing
  50. Greenan, S. (2021, September 17). 94% Of Americans Are Deficient In This Nutrient. Are You One? Rupa Health. https://www.rupahealth.com/post/the-american-epidemic-of-micronutrient-related-malnutrition
  51. Greenan, S. (2021, October 22). How Functional Medicine Providers Look at "Optimal" Lab Values. Rupa Health. https://www.rupahealth.com/post/how-functional-medicine-provider-look-at-optimal-lab-ranges
  52. Greenan, S. (2021, November 17). The 8 Most Common Signs Of A Food Sensitivity. Rupa Health. https://www.rupahealth.com/post/a-functional-medicine-approach-to-food-sensitivities-testing-and-treatment
  53. Hamalainen, R. (2019, May 20). What is a Naturopathic Doctor and When Should I See One? Rupa Health. https://www.rupahealth.com/post/what-is-a-naturopathic-doctor-and-when-should-i-see-one
  54. Henry, E. (2021, July 12). Stool Testing 101: A Complete Guide to the Top 3 Gut Health Tests. Rupa Health. https://www.rupahealth.com/post/stool-testing-101-a-complete-guide-to-the-top-4-microbiome-tests
  55. Henry, E. (2021, July 16). A Functional Medicine Approach to Thyroid Hormone Labs. Www.rupahealth.com. https://www.rupahealth.com/post/a-functional-medicine-approach-to-thyroid-hormone-labs
  56. Holick, M. F., Binkley, N. C., Bischoff-Ferrari, H. A., et al. (2011). Evaluation, treatment, and prevention of vitamin D deficiency: an Endocrine Society clinical practice guideline. The Journal of Clinical Endocrinology and Metabolism, 96(7), 1911–1930. https://doi.org/10.1210/jc.2011-0385
  57. Khakham, C. (2023, March 28). An integrative medicine approach to kidney disease. Rupa Health. https://www.rupahealth.com/post/an-integrative-medicine-approach-to-kidney-disease
  58. Khakham, C. (2023, April 6). Understanding Your Risk of Cardiovascular Disease With Functional Medicine Labs. Rupa Health. https://www.rupahealth.com/post/understanding-your-risk-of-cardiovascular-disease-with-functional-medicine-labs
  59. Khakham, C. (2023, May 15). Boosting Your Patient’s Immunity Through Gut Health: Testing, Nutrition and Supplements. Rupa Health. https://www.rupahealth.com/post/the-gut-microbiome-and-immunity-how-integrative-approaches-can-boost-immune-function
  60. Khakham, C. (2023, July 10). Understanding Environmental Toxins and Their Impact on Health. Rupa Health. https://www.rupahealth.com/post/understanding-environmental-toxins-and-their-impact-on-health
  61. Khakham, C. (2023, July 11). How to Explain The Benefits of Cash Pay Labs to Your Patients. Rupa Health. https://www.rupahealth.com/post/how-to-explain-the-benefits-of-cash-pay-labs-to-your-patients
  62. Khakham, C. (2023, September 27). Top causes of iron deficiency anemia in adults: How to test and diagnose. Rupa Health. https://www.rupahealth.com/post/top-causes-of-iron-deficiency-anemia-in-adults-how-to-test-and-diagnose
  63. Khakham, C. (2023, October 5). Can Vitamin D Affect The Risk of Having a Major Cardiovascular Event? Rupa Health. https://www.rupahealth.com/post/can-vitamin-d-affect-the-risk-of-having-a-major-cardiovascular-event
  64. Kresge, K. (2023, March 21). An Integrative Medicine Team Approach to Treating Anxiety. Rupa Health. https://www.rupahealth.com/post/an-integrative-medicine-team-approach-to-treating-anxiety
  65. LoBisco, S. (2022, August 17). The Thyroid Gut Connection: How to Nourish Your Microbiome for Better Thyroid Health? Rupa Health. https://www.rupahealth.com/post/thyroid-gut-connection
  66. LoBisco, S. (2022, September 16). Gut-Brain Axis: Understanding The Gut-Brain Connection. Rupa Health. https://www.rupahealth.com/post/gut-brain-axis
  67. LoBisco, S. (2022, November 16). Progesterone Imbalance: Signs & Treatments. Rupa Health. https://www.rupahealth.com/post/progesterone-imbalance-signs-treatments
  68. Malani, S. (2023, February 22). Inflammatory Markers 101: How To Interpret. Rupa Health. https://www.rupahealth.com/post/inflammatory-markers-101-what-do-they-mean
  69. Nair, R., & Maseeh, A. (2012). Vitamin D: The "sunshine" vitamin. Journal of Pharmacology & Pharmacotherapeutics, 3(2), 118–126. https://doi.org/10.4103/0976-500X.95506
  70. Nehring, S. M., Patel, B. C., & Goyal, A. (2023). C Reactive Protein (CRP). National Library of Medicine; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK441843/
  71. Neibling, K. (2023, March 20). Health Problems Linked to Vitamin D Deficiency. Rupa Health. https://www.rupahealth.com/post/health-problems-linked-to-vitamin-d-deficiency
  72. Neibling, K. (2023, March 24). Why Functional Medicine Practitioners Focus on Gut Health. Rupa Health. https://www.rupahealth.com/post/why-functional-medicine-practitioners-focus-on-gut-health
  73. Orbeta, R. (2022, June 6). 10 Type 2 Diabetes Risk Factors You May Not Know About. Rupa Health. https://www.rupahealth.com/post/what-causes-type-2-diabetes
  74. Preston, J. (2023, February 23). Functional Medicine Treatment for Malabsorption Syndrome. Rupa Health. https://www.rupahealth.com/post/functional-medicine-treatment-for-malabsorption-syndrome
  75. Preston, J. (2023, June 21). An integrative medicine approach to food allergies: Specialty testing and treatment options. Rupa Health. https://www.rupahealth.com/post/an-integrative-medicine-approach-to-food-allergies-specialty-testing-cross-contamination-and-treatment-options
  76. Preston, J. (2023, August 24). How to Test Progesterone Levels and Increase Progesterone Naturally. Rupa Health. https://www.rupahealth.com/post/how-to-test-progesterone-levels-and-increase-progesterone-naturally
  77. Preston, J. (2023, September 13). A functional medicine protocol for fatigue: Lab testing, nutrition, and helpful supplements. Rupa Health. https://www.rupahealth.com/post/a-functional-medicine-protocol-for-fatigue-lab-testing-nutrition-and-helpful-supplements
  78. Preston, J. (2023, September 22). Addressing Inflammation in Chronic Diseases: A Functional Medicine Perspective. Rupa Health. https://www.rupahealth.com/post/addressing-inflammation-in-chronic-diseases-a-functional-medicine-perspective
  79. Preston, J. (2024, February 7). Iron 101: RDA, Iron-Rich Foods, and Supplementation. Rupa Health. https://www.rupahealth.com/post/iron-101-rda-iron-rich-foods-and-supplementation
  80. Reproductive Hormones. (2022, January 23). Endocrine Society. https://www.endocrine.org/patient-engagement/endocrine-library/hormones-and-endocrine-function/reproductive-hormones
  81. Robinson, K. (2024, June 28). Living Well with Hemochromatosis: Understanding and Managing Iron Overload. Rupa Health. https://www.rupahealth.com/post/living-well-with-hemochromatosis-understanding-and-managing-iron-overload
  82. Seely, D., Szczurko, O., Cooley, K., et al. (2013). Naturopathic medicine for the prevention of cardiovascular disease: a randomized clinical trial. Canadian Medical Association Journal, 185(9), E409–E416. https://doi.org/10.1503/cmaj.120567
  83. Sizar, O., Khare, S., Goyal, A., et al. (2023, July 17). Vitamin D Deficiency. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK532266/
  84. Snider, P., & Zeff, J. (2019). Unifying Principles of Naturopathic Medicine Origins and Definitions. Integrative Medicine: A Clinician's Journal, 18(4), 36–39. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7219457/
  85. Stanford, J. (2024, April 18). What is Inflam-Aging? Rupa Health. https://www.rupahealth.com/post/what-is-inflam-aging
  86. Stover, C. (2024, August 14). Is Functional Medicine Covered by Insurance? Rupa Health. https://www.rupahealth.com/post/is-functional-medicine-covered-by-insurance
  87. Sweetnich, J. (2023, February 24). The Importance of Testing DHEA Levels. Rupa Health. https://www.rupahealth.com/post/evidence-based-health-benefits-of-dhea
  88. Sweetnich, J. (2023, February 28). How to Balance Cortisol Levels Naturally. Rupa Health. https://www.rupahealth.com/post/how-to-balance-cortisol-levels-naturally
  89. Sweetnich, J. (2023, February 28). Testosterone Testing 101. Rupa Health. https://www.rupahealth.com/post/testosterone-testing-101
  90. Sweetnich, J. (2023, April 5). Top 5 Labs for Patients Experiencing Hair Loss. Rupa Health. https://www.rupahealth.com/post/top-5-labs-for-patients-experiencing-hair-loss
  91. Sweetnich, J. (2023, May 4). Vitamin D 101. Rupa Health. https://www.rupahealth.com/post/vitamin-d-101-testing-rdas-and-supplementing
  92. Sweetnich, J. (2023, May 9). Vitamin C 101: Understanding Testing, RDAs, and The Benefits of Supplementation. Rupa Health. https://www.rupahealth.com/post/vitamin-c-101
  93. Sweetnich, J. (2023, June 23). 3 Functional Medicine Labs That Can Help Individualize Treatment Options for Patients With Adrenal Dysregulation. Rupa Health. https://www.rupahealth.com/post/the-impact-of-stress-on-adrenal-health-and-how-to-manage-it-with-integrative-medicine
  94. Sweetnich, J. (2023, June 30). Top 5 Antioxidants That Can Improve Your Health and How To Test Your Patient's Levels. Rupa Health. https://www.rupahealth.com/post/top-5-antioxidants-to-improve-your-health
  95. Viswanathan, T. (2019, October 12). The Cost of Functional Medicine Lab Testing & Diagnostics. Rupa Health. https://www.rupahealth.com/post/the-cost-of-functional-medicine-lab-testing-diagnostics
  96. Vitamin D and Cancer. (2017). National Cancer Institute. https://www.cancer.gov/about-cancer/causes-prevention/risk/diet/vitamin-d-fact-sheet
  97. Vojdani, A. (2022, April 25). The Importance of Detecting Autoimmune Diseases During Preclinical and Clinical Stage. Rupa Health. https://www.rupahealth.com/post/the-importance-of-detecting-autoimmune-diseases-during-preclinical-and-clinical-stage
  98. Wartella, E. A. (2010). Overview of health and diet in America. National Library of Medicine; National Academies Press (US). https://www.ncbi.nlm.nih.gov/books/NBK209844/
  99. Watson, J., Jones, H. E., Banks, J., et al (2019). Use of multiple inflammatory marker tests in primary care: using Clinical Practice Research Datalink to evaluate accuracy. British Journal of General Practice, 69(684), e462–e469. https://doi.org/10.3399/bjgp19x704309
  100. Weinberg, J. L. (2022, March 18). Fatigue, Weight Gain, Depression, And Brain Fog Are Common Signs Of This Autoimmune Disease. Rupa Health. https://www.rupahealth.com/post/a-functional-medicine-approach-to-hashimotos-disease
  101. Weinberg, J. L. (2022, March 31). How to tell if you have an estrogen imbalance. Rupa Health. https://www.rupahealth.com/post/a-functional-medicine-approach-to-estrogen-imbalance
  102. Weinberg, J. L. (2022, September 7). An Integrative Medicine Approach to Hypothyroidism. Rupa Health. https://www.rupahealth.com/post/understanding-hypothyroidism-and-how-to-treat-it-naturally
  103. Weinberg, J. L. (2023a, January 24). Functional Medicine Treatment for Graves' Disease. Rupa Health. https://www.rupahealth.com/post/functional-medicine-treatment-for-graves-disease
  104. Weinberg, J. L. (2023b, February 2). 9 Hormone Imbalances That Can Hinder Weight Loss. Rupa Health. https://www.rupahealth.com/post/9-hormone-imbalances-that-can-hinder-weight-loss
  105. Weinberg, J. L. (2023c, February 7). A Functional Medicine Protocol for Hyperthyroidism. Rupa Health. https://www.rupahealth.com/post/5-functional-medicine-labs-that-can-assist-a-root-cause-treatment-for-hyperthyroidism
  106. Weinberg, J. L. (2024a, March 14). The Impact of Stress on Inflammation: Coping Strategies for a Healthier Life. Rupa Health. https://www.rupahealth.com/post/the-impact-of-stress-on-inflammation-coping-strategies-for-a-healthier-life
  107. Weinberg, J. L. (2024b, August 7). Understanding High Glucose Levels and How to Manage Them. Rupa Health. https://www.rupahealth.com/post/understanding-high-glucose-levels
  108. Yoshimura, H. (2023a, March 30). The Importance of Running Comprehensive Metabolic Panel (CMP) on Your Patients. Rupa Health. https://www.rupahealth.com/post/the-importance-of-running-comprehensive-metabolic-panel-cmp-on-your-patients
  109. Yoshimura, H. (2023b, June 7). The Gut Microbiomes Role in Skin Health. Rupa Health. https://www.rupahealth.com/post/the-gut-microbiomes-role-in-skin-health
  110. Yoshimura, H. (2023c, July 17). Using Functional Medicine As Personalized Medicine. Rupa Health. https://www.rupahealth.com/post/using-functional-medicine-as-personalized-medicine
  111. Yoshimura, H. (2023d, October 3). Digging Deeper: How Root Cause Medicine Addresses Chronic Health Issues. Rupa Health. https://www.rupahealth.com/post/digging-deeper-how-root-cause-medicine-addresses-chronic-health-issues
  112. Yoshimura, H. (2024, March 11). Primary Aldosteronism: Pathophysiology, Diagnosis, and Management. Rupa Health. https://www.rupahealth.com/post/primary-aldosteronism-pathophysiology-diagnosis-and-management
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