Dr. Gangemi utilizes many different types of laboratory testing available today. These range from the standard "medical" tests (usually involving blood drawn), to various other tests that not only measure disease/pathology, but functional problems…so the issues can be addressed before they get worse, or even occur. The following labs are available to patients and non-patients of Dr. Gangemi. If you are currently not a patient, you can order and pay for the test kit through the office. The fee includes a brief email or written overview with your results. All labs are non-invasive (no blood) and are simple in-home kits that you mail directly from your home to the lab.

For an order form and price information on the following lab tests, click here.

• HORMONAL TESTING
  Hormonal testing is done through Diagnos-Techs Laboratory in Washington and Sabre Science in CA.
  • Adrenal Stress Index
    The A.S.I. is a 1 day, 4 sample saliva test that will measure your adrenal function. Since your adrenal glands function with circadian rhythm, they should normally be secreting more cortisone in the morning than at night. This test will measure your cortisone level in the morning, noontime, afternoon, and around midnight. It will also provide the very important DHEA level. This lab test will also measure your Secretory IgA level, (the immune barrier of your gut), as well as gluten sensitivity.
  • Female Hormone Panel
    This is an 11 saliva sample test taken on specific days throughout your cycle. This test allows for optimal customization of treatment, as the ovarian cycle can be plotted throughout the entire month to see exactly what is occurring. This will measure your progesterone and estrogen on the 11 days taken, as well as an overall DHEA and testosterone level. The Sabre Science Comprehensive Female Panel combines 6 cortisol levels, 3 DHEA levels, and 1 testosterone level with 7 estradiol and 7 progesterone levels taken throughout the cycle. 6 mineral/electrolyte levels are also tested.
  • Post-menopause Hormone Test
    This test is so important for any post-menopausal woman. It will measure your DHEA, testosterone, progesterone, and all 3 estrogen levels. The PHP-1 will measure these levels with one saliva sample. The PHP-2 will measure two samples, taken on separate days. If you are on HRT, it is recommended that you cease use of your hormones for 24 hours (48 is ideal) to limit any contamination.
  • Male Hormone Test
    The male hormonal panel will measure your level of DHEA, Androstenedione, Testosterone, Dihydrotestosterone (DHT), Estrone and Progesterone through one saliva sample.
  • Male or Female Panel with Adrenal Stress Index and 6 Electrolytes
    This test measures cortisol levels every 4 hours, 3 DHEA levels, testosterone levels (3 male, 1 female) 1 estradiol, 1 progesterone, and 6 minerals (Ca, Mg, P, Na, Cl, K).
    
    In most cases, it is possible to "make your own hormone kit" to test certain levels of some tests, and certain levles of others by combining. This makes collection easier and is more cost effective if you choose to do more than one test. Contact us for information and pricing.
• DIGESTIVE ANALYSIS
  The digestive analysis measures for yeast, bacteria, multiple parasites, intestinal inflammation, enzyme activity, food allergies, and other measurements. This is a combination stool and saliva test that you do in the privacy of your own home. It is much more accurate and comprehensive than other stool tests that measure for fungus and parasite infection. The GI-2 also includes additional parasite testing for toxoplasma and IgA allergy testing for soy, casein, egg, and gluten (gluten is standard in the GI-1). This lab is run through Diagnos-Techs.
• ESTRONEX BREAST CANCER RISK ASSESSMENT
  The Estronex test measures the amount of 2-hydroxyestrone, the “good” estrogen, and 16-hydroxyestrone, the “bad” estrogen. The ratio of 2-OHE1 to 16-OHE1 provides a risk factor as studies have shown that women with low ratios have much higher rates of breast cancer. This is a simple urine test done through Metametrix Laboratory in Georgia.
  
  
• ORGANIC ACID TEST
  The organic acid test (OAT) evaluates over 60 compounds through a simple urine test. Categories tested include yeast and fungal metabolites, bacteria, Krebs cycle metabolites, neurotransmitters, amino acid metabolites, fatty acid metabolites, glycolysis, pyrimidines, and vitamins such as ascorbic acid. This is a great test to help provide insight to a wide variety of disorders. This test is performed by The Great Plains Laboratory in Kansas.
  
  
• AMINO ACID TEST
  This test is a 24-hour urine sample for 40+ amino acids. Results can provide valuable biochemical information about many disorders, including chronic fatigue, learning disabilities, depression and immune problems. With the precise results provided by Amino Acids Analysis, nutritional deficits, metabolic impairments, and amino acid transport disorders can be accurately identified and corrected. This test is performed by Great Smokies Lab in North Carolina.
  
  
• URINE TOXIC ELEMENTS TEST
  This lab is performed through Doctor’s Data Laboratory. This will measure for levels of aluminum, mercury, arsenic, tin, nickel, lead, antimony, cadmium, and other toxic metals through a urine test. In the office, we use a challenge substance such as DMSA to provoke excretion of these metals. DMSA will not be provided with the test kits; you must get it from your own physician.
  
  
• HAIR ANALYSIS
  The hair analysis test through Great Smokies tests for 12 heavy metals and 21 minerals. Today’s hair analysis tests are extremely accurate, verifying each result with indication if contamination was present.
  
  
• BONE RESORPTION
  This is a simple, direct urinary assay of pyridinium crosslinks and deoxypyridinoline, useful in identifying current rate of bone loss, lytic bone disease, and efficacy of bone support therapies. The Bone Resorption Assessment measures bone loss accurately and inexpensively, done through Great Smokies Lab.
  
  

Great Smokies Lab: www.gsdl.com
Diagnos-Techs Lab: www.diagnostechs.com

Sabre Science Lab: www.sabresciences.com
Doctor's Data Lab: www.doctorsdata.com
Metametrix Lab: www.metametrix.com
The Great Plains Lab: www.greatplainslaboratory.com