Your advanced microbiome & gut health test

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This premium and specialist test is used as part of an advanced practitioner overview of your gut health. 

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Our Advanced Gut Health test is popular for those with long-standing gut issues. It uses a combination of 16s rRNA sequencing, qPCR testing and culturing to give comprehensive and extensive insight into gut health via a non-invasive stool sample. The test measures an extensive list of key markers, such as calprotectin and secretory IgA, as well as zonulin to provide insightful results for those who want to investigate more than our Essential Test.

 

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Download instructions

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Dear

Congratulations on getting this far. I have reviewed your symptom survey and test results to create your personalised program.

Please read through my commentary below and watch the video above to understand more about your results.

The recommendations are appropriate for your symptoms such as x, y, z, while dealing with any underlying imbalances, via food, lifestyle and supplement changes. 

Key findings

When viewing your test results, keep in mind that the microbiome is a new and complex area of science. You do not need to see ‘out-of-range’ markers as a diagnosis. Rather, see them as suggestions to focus on a particular aspect of health.

Your in-range markers include:

1. A good stool pH - this helps prevent pathogenic (unfriendly) bacteria from colonising the colon.
2. Good microbiome diversity - one of the most important metrics of gut health.
3. Good levels of butyrate producing bacteria - butyrate helps maintain a healthy gut wall.
4. Normal levels of potentially pathogenic (unfriendly) bacteria
5. Normal levels of candida
6. No parasitic infections
7. Normal pancreatic elastase (indicating normal production of digestive enzymes from the pancreas)
8. Normal calprotectin (indicating no inflammation)
9. Normal zonulin (indicating no leaky gut)
10. Negative for H Pylori (a bacteria that colonises the stomach)

Your out-of-range markers include:

1. An acidic stool pH - this may indicate carbohydrate maldigestion.
2. An alkaline stool pH - this may be related to low levels of bacteria such as Bifidobacteria and butyrate producing bacteria.
3. Low microbiome diversity
4. A high dysbiosis index (meaning a high level of imbalance in the microbiome)
5. Low levels of Bifidobacteria and key butyrate-producing (friendly) bacteria
6. Elevated levels of potentially pathogenic (unfriendly) bacteria
7. Elevated levels of hydrogen sulphide producing bacteria - often resulting in high levels of flatulence
8. High levels of histamine-producing bacteria - often associated with diarrhoea and abdominal pain
9. High levels of methanobrevibacter - often associated with constipation
10. High levels of candida 
11. A positive result for the parasite Blastocystis hominis.  There are several subtypes of this organism, not all of which need addressing.
12. A positive result for the parasite Dientamoeba fragilis.
13. High secretory IgA (indicating immune activity)
14. Low secretory IgA (indicating compromised immunity in the gut)
15. Low pancreatic elastase (indicating low production of digestive enzymes from the pancreas)
16. Elevated calprotectin (indicating inflammation)
17. Elevated zonulin (indicating leaky gut)
18. Positive for H Pylori (a bacteria that colonises the stomach)

To learn more about your out-of-range markers, visit the ‘Out of range’ page on your dashboard.

We recommend informing your GP about the low pancreatic elastase marker, as they may like to investigate this further. This can often be the result, however, of a bacterial imbalance in the small intestine.

We recommend informing your GP about the positive H Pylori marker, as they may like to investigate this further.

We recommend informing your GP about the elevated Calprotectin marker, as they may like to investigate this further.

Your recommendations

The primary aims of your program are to support the growth of the beneficial, gut microbiome regulating bacteria, lower the levels of the less beneficial organisms, and to support the immune system along the gut lining.

You can find the key features of your program in your dashboard. These include:

• Food: The Modified Healthpath Plate: I have selected this food plan for you, please follow it for 6-8 weeks. It is similar to the low FODMAP diet, and removes common antagonists while we target your imbalances with supplements and lifestyle changes.

• Food: The Healthpath Plate: A diverse diet is the best investment to long term health. Use this food plan as inspiration after following the restricted diet. Go to Food for both food plans. 

• Supplements: I have hand-picked supplements, based on your test results and symptoms. Go to Supplements to learn more.

• Resources: I’ve included additional educational material, also based on your symptoms and test results. Take some time to read and watch these, as education is key to the next steps of your journey. Go to Resources.

I recommend that you follow this program for 8 - 12 weeks, using the Modified Healthpath plate first, changing gradually to the Healthpath plate from 6-8 weeks onwards.  

I have selected these from our library of evidence-based food plans, designed to improve gut health. This isn’t a prescription, instead the plans should act as a guide.

If you see foods that are a trigger for your symptoms, please feel free to swap them for others and aim to reintroduce later. Learn about our food approach

Additional suggestions

In light of your symptoms of heartburn, you may like to look into a device called an IQoro. This is a neuromuscular training device and may help to improve the severity of these symptoms by strengthening the lower  oesophageal sphincter. You can learn more about it here: IQoro 

In light of your symptoms, you may like to look into an App called Nerva. Nerva uses clinically proven hypnotherapy techniques, delivered via an app, to help you 'fix' the miscommunication between your gut and brain. It has clinical research to show it is as effective as the Low FODMAP diet in those with IBS. Learn more about it here: https://try.nervaibs.com/

Given your history/test results/medications/nature of your symptoms, you may find it beneficial to work with a practitioner. I would recommend **add name** from our team, as they are very experienced with *xxx*. 

Meet our team though, to pick the practitioner that feels right for you. Learn about our consultations here.

While these results are indicating areas to support, they don’t offer a clear reason for your symptoms. It may be beneficial to test the bacterial balance in the small intestine with a SIBO breath test, particularly if your bloating is happening within 1 hour of eating. Learn about our tests

Given your results, it may be beneficial to test the bacterial balance in the small intestine with a SIBO breath test, particularly if your bloating is happening within 1 hour of eating. Learn about our tests

However, the supplements I’ve picked for you will help to rebalance the small intestine if you wanted to move forward without testing further.

What happens next

Grab a cuppa, and take some time to read through your results. Explore the recommendations and resources I’ve provided for you, in your dashboard. This is a great way to set yourself up for success.

Your plan has everything you need to get started. But we’re here to help if you need us.

Register for our support groups, run online, twice a month. 

Learn more about our service and the options available.

As a final point, remember that test results are just one piece of your health puzzle. The best way to feel great is through small, targeted actions—and you have everything you need here to get started.

In health,

Martin Cohen

Important disclaimer: 

While testing can be helpful in finding the underlying reasons for your symptoms, they’re only one part of the picture and we don’t recommend using the results in isolation. Our products are not intended to diagnose, treat, cure or prevent any disease. If you are pregnant, nursing, planning on becoming pregnant, taking medication, or seeking diagnoses for a medical condition, consult with a qualified Functional Medicine practitioner and your local GP.

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Biovis Diagnostik is one of the world’s leading laboratories in gut health testing, offering microbiome analysis and SIBO testing. They use cutting-edge 16s rRNA sequencing technology and qPCR testing to give detailed information about gastrointestinal health. Biovis is one of the only laboratories to quantify results by writing the colony form in units, as opposed to percentages only, which allows a deeper understanding of bacterial samples.

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