When your symptoms are complex, overlapping, and resistant to standard treatment, we need more than bloodwork. Our advanced testing toolkit examines the systems that routine labs don't reach — your microbiome, your stress response, your hormonal rhythms, and your cellular metabolism, among others.
Below are some of our most commonly ordered advanced panels. Your physician will recommend the specific testing that makes sense for your case.
An advanced microbiome analysis that goes far beyond a basic stool test. We examine the composition of your gut bacteria, the presence of pathogens, your digestive efficiency, inflammatory markers, and gut-brain axis function.
If your mental health symptoms have a gut component — and they often do — this is how we find it. Anxiety, depression, brain fog, skin issues, and autoimmune conditions frequently have roots in gut dysfunction that no one has investigated.
The protective species that support digestion, produce short-chain fatty acids, regulate inflammation, and maintain the gut barrier.
Harmful organisms including H. pylori, C. difficile, and other clinically significant pathogens that drive GI symptoms and systemic inflammation.
Candida and other fungal species that contribute to bloating, brain fog, sugar cravings, and immune suppression.
A 4-point cortisol and DHEA assessment that maps your stress response across an entire day — morning, midday, afternoon, and evening. This test reveals whether chronic stress has disrupted your HPA axis, the communication loop between your brain and adrenal glands that governs energy, sleep, mood, weight, and immune function.
If you're exhausted but can't sleep, wired but can't focus, or gaining weight despite doing everything "right" — this is often where the answer is hiding. The cortisol-to-DHEA ratio tells us how depleted your system actually is.
A comprehensive metabolic snapshot from a single urine sample. Organic acids are the byproducts of cellular metabolism — they reveal nutrient deficiencies, neurotransmitter metabolites, mitochondrial function, detoxification capacity, and cellular health at a level that blood tests simply cannot reach.
This single test often tells us more about what's happening at the cellular level than most conventional panels combined. It's particularly valuable for patients with treatment-resistant fatigue, mood disorders, brain fog, and unexplained symptoms.
Krebs cycle intermediates that tell us if your mitochondria are producing ATP efficiently or struggling. Often the answer for chronic, unexplained fatigue.
Downstream metabolites of serotonin, dopamine, norepinephrine, and GABA — the biochemical reality behind mood, motivation, focus, and anxiety.
Functional markers for B vitamins, CoQ10, vitamin C, and other cofactors — shows whether your cells are actually using these nutrients.
The most comprehensive hormone test available. Unlike standard blood tests that capture a single snapshot, the DUTCH test measures hormone levels and their metabolites through dried urine samples collected over a full day — revealing not just how much of each hormone you produce, but how your body processes and clears them.
This is the test we reach for when patients have symptoms that don't match their bloodwork — unexplained fatigue, stubborn weight gain, mood instability, menstrual irregularities, or hormonal symptoms that persist despite "normal" labs.
How your body breaks down estrogen through three distinct pathways — critical for assessing breast cancer risk, PMS, endometriosis, and estrogen dominance.
True progesterone production over time — not just a single-point blood draw that can miss luteal phase deficiency and ovulatory dysfunction.
Full androgen production and metabolism — reveals PCOS patterns, adrenal androgen excess, and 5-alpha reductase activity.
Each of these panels is powerful on its own. But the real value is in how they connect — revealing how your body functions as an integrated system, not a collection of isolated numbers.
View our foundational lab panel — the starting point for every treatment plan.
Advanced lab testing is available only to Twin Village Health members. Become a member to unlock the deepest level of diagnostic testing we offer.
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