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The CAM Psychiatrist at Work  |  81

          Additional Labs
          Depending on the patient’s symptoms and information gathered
          from interviews and questionnaires, I may order:
           −  Genova One Test or Organix Test (Genova Diagnostics,
             www.integrativepsychiatry.net): This takes the guesswork
             out of knowing which nutrients a client needs for optimal
             health. The test provides information about oxidative stress
             and energy production by looking at potential insufficiencies
             of a group of nutrients, including B vitamins, carnitine, NAC
             (N-Acetyl-Cysteine), lipoic acid, and CoQ10.
           −  The Genova NutrEval (www.genovadiagnostics.com) or
             Metametrix (www.metametrix.com) ION panel
             (Individualized Optimum Nutrition) includes the organic
             acid urine test and a blood draw. It measures specific plasma
             or blood cell levels of vitamins, minerals, amino acids, fatty
             acids and toxic minerals such as mercury, lead and cadmium.
           −  Food Allergy IgG Panel: 90 Foods. This tests for IgG
             (immunoglobulin G) antibodies for 90 different foods. IgG
             antibodies are indicative of allergic reaction.
           −  Heavy Metals Testing (mercury, lead, etc.): This can be done
             through hair tests and if further investigation is needed,
             provocative urine testing can be used (the patient takes a
             substance that provokes the heavy metal to leave the body
             through the urine) (www.gdx.net, www.doctorsdata.com).
           −  Urine Neurotransmitter Tests: (NeuroSciences—
             www.neurorelief.com, or Sanesco—www.sanesco.net). These
             tests require some skill in interpreting since there isn’t a
             linear relationship between urine and blood levels. Good
             resources for information on nutritional and functional
             approaches are the books New Optimum Nutrition for the Mind
             by Patrick Holford (go.Amedeo.com/twn) and The UltraMind
             Solution (go.Amedeo.com/kwq) by Mark Hyman, M.D.
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