A Root Cause Medicine Approach
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December 13, 2020

Toxin Testing 101: The Different Types of Toxin Testing & How to Get Started

Medically Reviewed by
Updated On
September 25, 2024

Toxins can be found in a variety of everyday products, but the toxic particulates from wildfire smoke and the toxins and molds found in indoor air have led to increased toxin exposure for many people. These toxins cause a variety of health issues, including increased inflammation and decreased immunity. Needless to say, adequate detoxification is crucial for immune health!

So how to get started with testing?

We’ve partnered with Dr. Amy Nett MD, IFMCP to explain how she approaches toxin testing & targeted detoxification. Dr. Nett presented at the 28th Annual A4M World Congress. In case you missed it, we’re sharing the testing highlights below and will also be linking to her talk, β€œImmune Resilience in a Toxic World: How to Build Targeted Testing & Detoxification Plans”, once the recording is available!

‍

Step 1: Start with comprehensive blood work & gut testing.

Testing for toxins should begin with comprehensive blood work and gut testing.

For comprehensive blood work, pay particular attention to kidney and liver markers. Check nutrient markers, and also inflammatory markers like CRP-hs.

For gut testing, try a stool analysis, SIBO Breath test, an organic acids test, and an intestinal permeability assessment.

Step 2: Add further testing if needed: Mycotoxins, Environmental Toxins, Heavy Metals.

Depending on these results and the patient’s symptoms, further testing can be performed to detect urinary mycotoxins, environmental toxins, and/or heavy metals. These are the three main toxin categories for testing. These tests usually require stool, blood, or urine samples and are typically analyzed via liquid chromatography and mass spectrometry.

Another Option: Testing for oxidative stress, 8-hydroxy-2’-deoxyguanosine (8-OHdG).

8-OHdG is one of the major products of DNA oxidation, serving as a biomarker of oxidative stress. High levels may be associated with increased risk of cancers, Alzheimer’s and rheumatoid arthritis.

While you won’t know the source of the toxicity, you’ll be able to detect the presence of it, and can start a detox protocol from there. This is a great method if the toxin testing isn’t showing toxicity, however the patient is experiencing symptoms (the β€œdescription doesn’t match the picture”) or if the patient is not able to afford the specialty toxin testing.

[youtube]

Some labs that offer oxidative stress include: Doctor’s Data’s 8-OHdG marker, Genova’s Oxidative Stress Profile and Organix Comprehensive Panel, and Precision Analytical as part of the DUTCH Plus and DUTCH Complete panels.

When deciding on testing, we know it can be overwhelming with so many options! Our partner labs offer a variety of tests, so we created these quick comparison guides for you below.

Here are the most common toxin tests we’ve seen practitioners order through the Rupa Labs Portal.

Gut Health Testing

1. Stool

2. SIBO

3. Organic Acids

4. Intestinal Permeability

Toxin Testing

1. Urinary Mycotoxins

2. Environmental Toxins

3. Heavy Metals

‍

To dive in deeper, watch Dr. Nett’s presentation!

‍

Toxins can be found in a variety of everyday products, and exposure to particulates from wildfire smoke and indoor air pollutants may contribute to increased toxin exposure for many people. These toxins might be associated with various health concerns, such as increased inflammation and changes in immune function. Supporting the body's natural detoxification processes is important for maintaining overall health!

So how to get started with testing?

We’ve partnered with Dr. Amy Nett MD, IFMCP to explain how she approaches toxin testing & targeted detoxification. Dr. Nett presented at the 28th Annual A4M World Congress. In case you missed it, we’re sharing the testing highlights below and will also be linking to her talk, β€œImmune Resilience in a Toxic World: How to Build Targeted Testing & Detoxification Plans”, once the recording is available!

‍

Step 1: Start with comprehensive blood work & gut testing.

Testing for toxins can begin with comprehensive blood work and gut testing.

For comprehensive blood work, pay particular attention to kidney and liver markers. Check nutrient markers, and also inflammatory markers like CRP-hs.

For gut testing, consider a stool analysis, SIBO Breath test, an organic acids test, and an intestinal permeability assessment.

Step 2: Add further testing if needed: Mycotoxins, Environmental Toxins, Heavy Metals.

Depending on these results and the individual’s symptoms, further testing can be performed to detect urinary mycotoxins, environmental toxins, and/or heavy metals. These are the three main toxin categories for testing. These tests usually require stool, blood, or urine samples and are typically analyzed via liquid chromatography and mass spectrometry.

Another Option: Testing for oxidative stress, 8-hydroxy-2’-deoxyguanosine (8-OHdG).

8-OHdG is one of the major products of DNA oxidation, serving as a biomarker of oxidative stress. High levels may be associated with increased risk of certain health conditions.

While you won’t know the source of the toxicity, you’ll be able to detect the presence of it, and can start a detox protocol from there. This is a great method if the toxin testing isn’t showing toxicity, however the individual is experiencing symptoms (the β€œdescription doesn’t match the picture”) or if the individual is not able to afford the specialty toxin testing.

[youtube]

Some labs that offer oxidative stress include: Doctor’s Data’s 8-OHdG marker, Genova’s Oxidative Stress Profile and Organix Comprehensive Panel, and Precision Analytical as part of the DUTCH Plus and DUTCH Complete panels.

When deciding on testing, we know it can be overwhelming with so many options! Our partner labs offer a variety of tests, so we created these quick comparison guides for you below.

Here are the most common toxin tests we’ve seen practitioners order through the Rupa Labs Portal.

Gut Health Testing

1. Stool

2. SIBO

3. Organic Acids

4. Intestinal Permeability

Toxin Testing

1. Urinary Mycotoxins

2. Environmental Toxins

3. Heavy Metals

‍

To dive in deeper, watch Dr. Nett’s presentation!

‍

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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