Pam Hamby RN

3/19/2010 10:27:18 AM #

Is the testing mentioned the best way to identify candida overgrowth?

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Nathan Goodyear

3/19/2010 11:19:46 AM #

I too am glad to hear.  We will know that we are making progress when the AMA and others invite you also.  Keep up the good fight.

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Elizabeth Redmond, PhD, MMSc, RD, LD

3/19/2010 4:06:24 PM #

Thanks Nathan, I will let you know when the AMA calls.

Pam in regards to candida D-Arabinitol (DA) is a metabolite of most pathogenic Candida species, in vitro as well as in vivo. The rate of arabinitol appearance in the body from any source equals the urinary arabinitol excretion rate and is directly proportional to the concentration ratio of arabinitol to creatinine in serum or urine. In addition, positive DA results have been obtained several days to weeks before positive blood cultures.
Besides urine DA Metametrix also offers the GI Effects Stool Profile that measures  and identifies yeast and fungi in the stool. The microbial population is measured using DNA-PCR, allowing for the ability to accurately detect and identify organisms that cannot be cultured or are extremely difficult to grow under laboratory conditions. Though some laboratories use culture methods it has been found to have significant transport issues. Candida proliferates in the nutrient broth used to keep the sample alive during transport and storage prior to culture. The growth during this stage can lead to inaccurate results. PCR uses formaline which ‘fixes’ the sample so the results are identical to the original sample not representative of the changes in transport.

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Caraline Trotter

3/25/2010 10:46:15 PM #

Can RDs order these tests?

How much support do you provide for RDs/clinicians new to integrative and laboratory testing?

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Elizabeth Redmond, PhD, MMSc, RD, LD

3/26/2010 9:49:22 AM #

Yes RDs can order these tests. Though regulations vary from state to state, so it is best to call our client services department if you would like to get specifics; They are at: 800.221.4640 or inquiries@metametrix.com. In regards to support we offer extensive support. We have many online and written resources, as well as several clinical support specialist who are available to go over your patients test results and discuss what the results represent.  We understand that learning  these  tests can be complicated so we are here to help.

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David

5/14/2010 11:58:45 PM #

Are the GI Effects stool test able to assess candida overgrowth or microbial dysbiosis in the small intestine as well as the colon? Or is it just the large intestine?

Other than urine D-Arabinitol, are there any other accurate markers of candida? From what I understand, D-Arabinitol does not necessarily have to be elevated to have a candida overgrowth. (please correct me if I am wrong)

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Dr. Tim Jackson, DPT

9/20/2011 10:16:57 PM #

I've been disappointed with Metametrix. I have a Doctorate degree in Physical Therapy yet they are telling me the State doesn't allow me order this test from them.  Yet, I know a ph.d. with NO license in anything who is ordering tests from them and no m.d. signing off on it.  Also know an occupational therapist for crying out loud ordering them.  Answers have not been consistent and no one returns my message.  

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