What is the purpose of this test?
To evaluate for intestinal dysbiosis by measuring the levels of organic acids that are byproducts of bacterial or fungal metabolism.
What type of test is this?
A Urine test.
How do I get this test?
Your clinician will give you this test kit at your appointment.
What will I find within the test kit?
Inside the test kit you will find the following:
- Instructions for sample collection and how to return it to the lab (prepaid shipping).
- A requisition form.
- The lab contact information should you have any test-specific questions (see bottom of this pamphlet for Lab contact info as well)
How do I fill out the requisition order for this test?
Within your test kit you will find a requisition form. Please update accordingly (as per below) and ensure that you include your updated requisition form within your kit when you send it back to the lab
Please complete the following on this form:
Billing Options: Check off the option of “Bill Healthcare Professional Practitioner Account.”
Potential ICD-9/ICD-10 Codes and Conditions: DO NOT add any information here.
Date Final Sample Collected: Fill in the date you collected your urine.
Put a checkmark next to the “Organix Dysbiosis Profile #0097”test in the red boxlocated on the top right hand side of this form.
**Do not mark any other tests**
Please complete the following on the “Patient – Fill Out This Side” part of the form:
Patient Information box: Fill in your information.
Medicare Information Section: DO NOT add any insurance information here.
Payment Information Section: DO NOT add any payment information here.
Patient/Responsible Party Acknowledgement: Print, date, and sign.
How do I prepare in terms of diet, supplements, and medications?
- It is not necessary to discontinue nutritional supplements prior to this test.
- Decrease fluid intake to avoid excessive dilution of the urine:
- For adults, restrict intake to three 8-ounce glasses or less for 24 hours prior to testing.
- Make sure that no more than 8 ounces of fluid are consumed after 8:00 p.m. the evening prior to urine collection.
Is the timing of this test important?
- Do not collect urine during menstruation.
- Make sure to freeze the clear-cap plastic vial and ice pack prior to collecting your sample.
- For best results, the lab should receive your sample(s) within 48 hours of shipping it. Therefore, your test kit is MUST be shipped on Monday, Tuesday, or Wednesday AM (latest) in order to ensure delivery by Friday.
**The lab does not receive or process samples on the weekend**
When will I see the results?
Results are generally sent to us within one to three weeks after the lab receives the kit back from you. Your clinician will review the results and then notify you.
Where can I get more information on this test??
Information about the Lab that runs this test is located on your requisition form.
If you have further/additional questions, please contact The Great Plains Laboratory, Inc directly
https://www.greatplainslaboratory.com
Email: customerservice@gpl4u.com or Phone Number Toll Free: 800-288-0383
