If you have had a lab test done in the pass 2 years please either email it to drlenynd@gmail.com for Telehealth visit or if you have an in person office visit with Dr. Leny please bring it during your initial visit 

If you do not have any lab test within the pass 2 years, lab test will be determined if needed during the office visit by Dr. Leny 

Hormone Panels :

Book your Desired (Hormone, Allergy or Parasite) Test Online using the link. 

1. Fill out your intake form and consent that will be reviewed. 

2. You may purchase the test kit that is requested for you that will be sent to your email

3.  Once your order the test kit. A generated test requisition will be sent to you with additional detailed of the test kit. 

4. The test kit arrives in 3-5 business days. 

5.  Follow the Test kit direction

6. Mail your samples 

7. Your test result are completed in 5-7 business days. 

8. Your test result will be sent to you via HIPPA Compliant Electronic Medical Record. A notification will be emailed to you when your test result is ready. 

Comprehensive Adrenal Functional Test $132.00 :

Cortisol levels should be at their highest level 30 minutes after waking up in the morning, decreasing gradually over the course of the day, reaching their lowest point at bedtime. The resulting curve or pattern allows health care providers to pinpoint issues with adrenal gland function. Alterations in this pattern can results in symptoms related to stress, fatigue and insomnia. DHEA levels naturally decline with age, although alterations can be seen as part of the stress response.

SIgA measured in the saliva primarily provides insight into the body’s stress response, however there is some evidence that activated B cells can migrate from GALT to salivary glands, which could potentially demonstrate systemic inflammation and possibly link GI pathology via salivary sampling.

Elevated levels of sIgA are associated with an upregulated, active immune or inflammatory response, and may be reflective of acute psychological and/or physical stressors. Chronic alcoholics, heavy smokers, and those with oropharyngeal carcinoma have also shown elevations in salivary sIgA.

Decreased levels of sIgA are commonly seen in individuals with low immune system functioning, and are a sign of chronic, ongoing psychological and/or physical stress (HPA axis dysfunction) to the body which has depleted sIgA reserves. SIgA declines with age, and can be seen with some chronic gastrointestinal disorders. Persistent low levels can help to explain why people can’t shift an immune problem like allergies, chronic skin conditions or infections. Lower levels have been associated with increased risk for periodontal disease and caries.

Useful for:

• Feeling stressed 

• Fatigue 

• Insomnia 

• Nervousness/Irritability 

• Salt/Sugar cravings 

• Dizzy spells 

• Headaches 

• Decreased stamina 

• Burn out 

• Chronic disease 

• Anxiety/depression 

Comprehensive Hormone Male or Female $176.00 :
The Comprehensive Hormone Profile reports hormone levels, and also calculates the Progesterone (Pg)/Estradiol (E2) ratio, which assesses the relationship between estradiol, which can drive cellular proliferation, and progesterone, which mitigates that growth and potentiates cellular differentiation. 

Hormones are powerful molecules essential for maintaining physical and mental health. We frequently think of estrogen as being a female hormone, and testosterone as being a male hormone. But men AND women make both, plus several more that need to be in balance for optimum health. An imbalance of any one hormone can throw your physical and mental health out of balance, causing aggravating and even serious health problems. 

One size does not fit all when it comes to hormones. For decades western medicine has prescribed hormone replacement therapy as if everyone needed the same thing and the same amount. Nothing could be further from the truth. Your hormones are like your fingerprints and in order to achieve optimal health, you need to know what your specific imbalances are. Female and male hormone tests can help identify these imbalances. 

There are several ways to test for hormones (saliva, serum and urine). Saliva is the best method to test the active/bioavailable portion of hormones, which are reflective of tissue levels. If your patient is seeking bio-identical hormone replacement (BHRT), you'll need to know active hormone levels. In addition, if using a topical (transdermal) hormone preparation for treatment, saliva testing is the most accurate tool to measure and monitor hormone status. 

Useful for: 

Women Experiencing: Hot flashes, Night sweats, Breast tenderness, Irritability, Forgetfulness, Irregular menstrual cycles, Vaginal dryness, Urinary incontinence, Uterine fibroids, Increased facial / body hair, Acne. 

Men Experiencing: Decreased libido, Erectile dysfunction, Loss of stamina, Decrease in mental sharpness, Reduced muscle size, Increased moodiness, Metabolic syndrome, Prostate enlargement or cancer, Hot flashes, Irritability, 

Men or Women Experiencing: Weight gain, High blood sugar, Elevated lipids (cholesterol and/or triglycerides), Insomnia, Fatigue, Fibromyalgia, Decreased stamina, Anxiety/Depression, Chronic disease.

Comprehensive Female Hormone Plus Profile $210.00 :

The Comprehensive Plus Hormone Profile reports hormone levels and also calculates two important ratios. The Estrogen Quotient is a simple ratio of the cancer protective E3 relative to the proliferative estrogens E1 and E2, to assess breast cancer risk. The Pg/E2 ratio assesses the relationship between estradiol, which can drive cellular proliferation, and progesterone, which mitigates that growth and potentiates cellular differentiation. 

Hormones are powerful molecules essential for maintaining physical and mental health. We frequently think of estrogen as being a female hormone, and testosterone as being a male hormone. But men AND women make both, plus several more that need to be in balance for optimum health. An imbalance of any one hormone can throw your physical and mental health out of balance, causing aggravating and even serious health problems. 

One size does not fit all when it comes to hormones. For decades western medicine has prescribed hormone replacement therapy as if everyone needed the same thing and the same amount. Nothing could be further from the truth. Your hormones are like your fingerprints and in order to achieve optimal health, you need to know what your specific imbalances are. Female and male hormone tests can help identify these imbalances. 

There are several ways to test for hormones (saliva, serum and urine). Saliva is the best method to test the active/bioavailable portion of hormones, which are reflective of tissue levels. If your patient is seeking bio-identical hormone replacement (BHRT), you'll need to know active hormone levels. In addition, if using a topical (transdermal) hormone preparation for treatment, saliva testing is the most accurate tool to measure and monitor hormone status. 

Useful for: 

Research indicates this profile could be considered for those with 

• increased risk of developing breast cancer

• history of breast cancer or other hormonally sensitive cancers 

• Personal or family history of autoimmune disease 

• PCOS

250 Food Sensitivity Test $199.00 :

The IgG Food Explorer by Diagnostic Solutions Laboratory is an Elisa-based multiplex food sensitivity test measuring total IgG antibodies to a plethora of foods. IgG Food Explorer evaluates over 250 food antigens using a simple at-home collection. Results help practitioners personalize diet and lifestyle guidance for their patients to reduce and eliminate symptoms related to adverse food reactions.

Why Test for Food Sensitivities?

Elevated IgG antibodies can promote systemic (whole-body) inflammation, leading to a variety of unwanted symptoms. IgG Food tests immunoglobulin (IgG) antibodies to a variety of common foods. This extensive food sensitivity test can help practitioners pinpoint which foods may be driving symptoms and best prioritize and individualize a diet and lifestyle plan for patients. Usually, eliminating foods that promote an IgG antibody response can reduce stress on the immune system, lower whole-body inflammation, and help heal the gut. An antibody-guided elimination diet is more reliable and preferable than generalized diet plans or exclusion diets based on food journaling and diet history alone. IgG Food Explorer provides in-depth insight into adverse food reactions and the symptoms they create. IgG Food Explorer Tests Antibody Response to Over 250* Food Extracts. Molecular antigens for wheat gliadin and cow's milk are also included for enhanced insight into the sensitivity of those two potentially immunogenic foods.

What Patients Can Benefit from Food Sensitivity Testing?

Food sensitivities are common and on the rise. As a result, most people can benefit from food sensitivity testing. The IgG food sensitivity testing can help patients who wish to optimize their health and those who have experienced chronic symptoms for years. The range of symptoms related to food sensitivities is vast and varies for each patient.

150 Allergy Test $199.00 :

IgE Allergy Test is a comprehensive blood test measuring IgE antibodies to a plethora of foods and environmental allergens. The IgE Allergy tests over 150 allergens at the extract and component level, making it the most extensive and affordable functional medicine allergy test available. Plus, the entire panel is a simple at-home collection using just a few drops of blood.

What is Immunoglobulin E (IgE)?

IgE is a class of human immunoglobulins or antibodies. Normally, the function of IgE is to fight parasitic infections.

IgE antibodies are misdirected in allergic individuals to fight harmless substances like pollen, mite particles, or common foods. Elevated IgE antibodies are necessary for allergies (immediate, Type 1 immune responses) to occur.

Parasite Culture with PCR Test $179.00 : 

The Culture, PCR + Parasitology profile is an important non-invasive diagnostic tool that permits practitioners to objectively evaluate the status of beneficial and imbalanced commensal bacteria, pathogenic bacteria, yeast/fungus and parasites by culture, PCR, and other gold standard methods.. Precise identification of pathogenic species and susceptibility testing greatly facilitates selection of the most appropriate pharmaceutical or natural treatment agents.

Bacteriology

A good balance of beneficial microflora has been known to be associated with health benefits since the turn of the century. 

Balance of Lactobacilli, Bifidobacteria and beneficial E. coli bacteria are important to the functional health of the gut, and as a consequence, to the whole organism. The benefits identified include inhibition of microbial pathogens, prevention and treatment of antibiotic-associated diarrhea, prevention of travelers' diarrhea, reduction of lactose intolerance symptoms, reduction in serum cholesterol levels, enhancement of the immune system, and inhibition of the proliferation of Candida albicans. Research has shown that improved biological value of food can be achieved through the activity of Lactobacilli and Bifidobacteria which have been reported to produce folic acid, niacin, thiamin, riboflavin, pyridoxine, biotin and vitamin K.

In a healthy balanced state of intestinal flora, the beneficial bacteria make up a significant proportion of the total microflora. However, in many individuals we see an imbalance of beneficial bacteria and an overgrowth of non-beneficial or even pathogenic microorganisms—dysbiosis. This can be due to a variety of factors including:

• Daily exposure to chemicals in our drinking water that are toxic to friendly bacteria

• The use of antibiotics

• Chronic consumption of highly processed foods (low in fiber, high in sugar)

• High stress levels

Patients may present with chronic symptoms such as irritable bowel syndrome, autoimmune diseases such as rheumatoid arthritis, fatigue, chronic headaches and allergies to a variety of foods.

Antimicrobial susceptibility testing to prescriptive and natural agents is also performed for appropriate cultured bacterial species at no additional charge. This provides the clinician with important and specific clinical information to help plan an appropriate treatment protocol.

Yeast

Infection with yeast species can cause a variety of symptoms, both intra- and extra-gastrointestinal, and in many cases, may escape suspicion as a pathogenic agent. Controversy remains as to the relationship between Candida infection and episodes of recurrent diarrhea. However, episodes of yeast infection after short-term and long-term antibiotic use have been identified in patients with both gastrointestinal and vaginal symptoms.

There is some evidence linking yeast infections with more chronic extra-gastrointestinal conditions. Studies suggest that the production of antibodies against Candida albicans may contribute to atopic dermatitis in young adults. Other studies have identified the potential role of candidiasis in chronic fatigue syndrome.

Identification of abnormal levels of specific yeast species in the stool is an important diagnostic step in therapeutic planning for the patient with chronic gastrointestinal and extra-gastrointestinal symptoms.

Antimicrobial susceptibility testing to prescriptive and natural agents is also performed for appropriate cultured fungal species at no additional charge. This provides the clinician with useful clinical information to help plan an appropriate treatment protocol.

Parasitology

Parasites are the missing diagnosis in the genesis of many chronic health problems, including diseases of the gastrointestinal tract and endocrine system."

While parasitic infection may be an underlying etiological factor in several chronic disease processes, doctors often do not consider the potential for parasitic involvement because signs and symptoms of parasitic infection often resemble those of other diseases. However, it has been shown that parasite testing is a reasonable approach to the detection of causative agents for chronic gastrointestinal disorders.

Most Americans are inclined to believe that parasitic infection is a rare and exotic occurrence, limited to those who have traveled to distant, tropical lands. However, for a number of reasons, there has been an increase in the incidence of parasitic infection in this country. These may include:

• Contamination of the water supply

• Increased use of daycare centers

• Increased travel to, and visits from, countries where parasitic infection is endemic

• Household pets

• Consumption of exotic and uncooked foods

• Antibiotic use

Signs and symptoms of parasitic infection vary from one individual to another. The more common are constipation, diarrhea, bloating, gas, symptoms of irritable bowel syndrome, arthralgias, myalgias, anemia, increased allergic reactions, skin lesions, agitation and anxiety, difficulty with sleep, decreased energy, malnutrition and decreased immune function. Infection can occur by four different pathways. These routes include:

• Contaminated food or water

• Insect vectors

• Sexual contact

• Passage through the skin and nose

Useful for:

• Gastrointestinal Symptoms

• Autoimmune Disease

• Fatigue

• IBD/IBS

• Inflammation

• Food Sensitivities

• Nutritional Deficiencies

Quest Diagnostic Lab Cash Patient Special at Highlands Naturopathic Physician, LLC

1. Book your desired blood test online

2. Fill out the intake and consent form

3. You will receive your lab requisition after you have purchased the lab test that was prescribed for you

4. You will also be given a link to schedule your blood draw at the closest Quest Diagnostic location 

5. Your test result will be sent via HIPPA compliant electronic medical record with an email notification when your test result is ready to view 

6. For technical support for hour Lab Requisition contact (866) 807-3828

Annual Lab Test $37.74 :

Alanine Aminotransferase (ALT)

Albumin

Albumin/Globulin Ratio

Alkaline Phosphatase (ALP)

Aspartate Aminotransferase (AST)

BUN/Creatinine Ratio

Band Neutrophils

Band Neutrophils (%)

Basophils

Basophils (%)

Blasts

Blasts (%)

Blood Urea Nitrogen

Calcium

Carbon Dioxide

Chloride

Creatinine

Eosinophils

Eosinophils (%)

Estimated Glomerular Filtration Rate

Globulin (Calculated)

Glucose (Blood)

HDL Cholesterol

Hematocrit

Hemoglobin

LDL Cholesterol

Lymphocytes

Lymphocytes (%)

Mean Corpuscular Hemoglobin (MCH)

Mean Corpuscular Hemoglobin Concentration (MCHC)

Mean Corpuscular Volume

Mean Platelet Volume (MPV)

Metamyelocytes

Metamyelocytes (%)

Monocytes

Monocytes (%)

Myelocytes

Myelocytes (%)

Neutrophils

Neutrophils (%)

Non-HDL Cholesterol

Nucleated RBC

Nucleated RBC (%)

Platelet Count

Potassium

Promyelocytes

Promyelocytes (%)

Protein, Total

RBC (Blood)

Reactive Lymphocytes

Red Cell Distribution Width (RDW)

Sodium

Total Bilirubin

Total Cholesterol

Total Cholesterol / HDL Ratio

Triglycerides

WBC (Blood)

Prostate Specific Antigen Free and Bound Test $23.61: 

PSA, Free and Total - This test is crucial for men over 50 with total PSA levels between 4.0 and 10.0 ng/mL, as it helps estimate the likelihood of prostate cancer. The % free PSA measurement can assist in deciding whether a biopsy is necessary, potentially avoiding unnecessary procedures.

Elevated PSA levels can indicate both benign and malignant conditions of the prostate. For men aged 50 or older, combining PSA tests with digital rectal exams enhances early detection of prostate cancer. After complete tumor resection, PSA levels should drop to undetectable levels, but may increase again if the disease recurs or if residual disease is present. Therefore, monitoring PSA levels is beneficial in managing prostate cancer patients.

Who should consider this test?

Men over 50, especially those with PSA levels between 4.0 and 10.0 ng/mL, or those undergoing prostate cancer treatment and monitoring.

Thyroid Panel $37.74 :

Free T3, Free T4, Reverse T3 and Thyroid-Stimulating Hormone

How it Works:

1. Your lab requisition/ lab order form will be given to you during your in person visit/ Telehealth visit 

2. Schedule your blood draw appointment https://www.labcorp.com/labs-and-appointments to the near location 

3. Present your requisition to the phlebotomist 

4. You will receive a copy of your test result via email

5. Follow up appointment  will be to evaluate your lab test and customize your treatment protocol

COVID-19 Testing 

How it Works:

1. You will receive  your requisition during your in person or Telehealth appointment

2. Testing may vary depending on what test is needed for the symptoms your are experiencing to be able to properly treat you

3. Patients may get the RT-PCR test via nasal swab test or the IgG and IgM antibody panel via blood/ serum

4. Your lab test result will be evaluated during your follow up appointment to customize your treatment protocol