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NutrEval – Your Comprehensive Health MOT

NutrEval – Your Comprehensive Health MOT

The NutrEval profile is the most comprehensive health MOT available.

One step up from our Basic MOT – the ONE test (code GNUT04)  The Nutreval is our most comprehensive test with the broadest evaluation available for checking your nutrient status.

The NutrEval test can detect imbalances that may precede abnormal findings on standard laboratory panels hence identifying the need for changes which may be specific nutrients, diet modification, antioxidant protection, detoxification and possible other therapies.

Whether you are looking to check for deficiencies, addressing a chronic condition or are aiming for optimal health and wellness or perhaps you’re a sports professional looking to improve your personal best this test covers all of your needs

By doing this test you will gain an indepth understanding of your diet and nutrient status enabling you to better manage all of your diet and supplementation needs.

This test gives insight into the following areas

Antioxidants
B-vitamins
Essential minerals
Toxic minerals
Essential fatty acids and bad fats
Amino acids
Some digestive markers

It does this by assessing the following

Metabolic Analysis (urine organic acids)
Urine Amino Acid Analysis (essential and non-essential amino acids, plus intermediary metabolites)
Essential and Metabolic Fatty Acids (red blood cell essential and non-essential fatty acids, including Omega-3 and Omega-6 fatty acids)
Oxidative Stress Analysis (blood and urine biomarkers that are indicative of oxidative stress)
Minerals  (both essential and toxic)
Homocysteine and Vitamin D

What is being measured?

1 Metabolic Analysis Markers (urine organic acids)

By measuring 39 key organic acids it is possible to evaluate gastrointestinal function, cellular energy production, neurotransmitter processing, and functional need for vitamins, minerals, and co-factors.

Digestive markers

Malabsorption Markers: Indoleacetic Acid, Phenylacetic Acid.

Bacterial Dysbiosis Markers: Dihydroxyphenylpropionic Acid, 3-Hydroxyphenylacetic Acid, 4- Hydroxyphenylacetic Acid, Benzoic Acid, Hippuric Acids.

Yeast/Fungal Dysbiosis Markers: Arabinose, Citramalic Acid, Tartaric Acid.

Cellular Energy & Mitochondrial Metabolites;

Carbohydrate Metabolism: Lactic Acid, Pyruvic Acid, b-OH-Butyric Acid

Energy Metabolism: Citric Acid, Cis-Aconitic Acid, Isocitric Acid, a-ketoglutaric Acid, Succinic Acid, Malic Acid, b-OH-b-Methylglutaric Acid.

Fatty Acid Metabolism: Adipic Acid, Suberic Acid.

Neurotransmitter Metabolites; Vanilmandelic Acid, Homovanillic Acid, 5-OH-Indoleacetic Acid, 3-Methyl-4-OH-phenylglycol, Kynurenic Acid, Quinolinic Acid, Kynurenic /Quinolinic Ratio.

Vitamin Markers; a-Ketoadipic Acid, a-ketoisovaleric Acid, a-Ketoisocaproic Acid, a-keto-b-Methylvaleric Acid, Formiminoglutamic Acid, Glutaric Acid, Isovalerylglycine, Methylmalonic Acid, Xanthurenic Acid, 3-Hydroxypropionic Acid, 3-Hydroxyisovaleric  Acid.

Toxin & Detoxification Markers; a-Ketophenylacetic Acid (from Styrene), a-Hydroxyisobutyric Acid (from MTBE), Orotic Acid, Pyroglutamic Acid.

Tyrosine Metabolism; Homogentisic Acid, 2-Hydroxyphenylacetic Acid

2. Urine Amino Acid Analysis

Amino Acid Analysis measuring 40 amino acids to evaluate dietary protein adequacy, digestion, absorption, amino acid transport, metabolic impairments, and nutritional deficits; including essential vitamins, minerals, and amino acids.

Nutritionally Essential Amino Acids; Arginine, Histidine, Isoleucine, Leucine, Lysine, Methionine, Phenylalanine, Taurine, Threonine, Tryptophan, Valine.

Nonessential Protein Amino Acids; Alanine, Asparagine, Aspartic Acid, Cysteine, Cystine, y-Aminobutyric Acid, Glutamic Acid, Glutamine, Proline, Tyrosine.

Other markers assessed by this part of the NutrEval test

B Vitamin Markers: a-Aminoadipic Acid, a-Amino-N-butyric Acid, b-Aminoisobutyric Acid, Cystathionine, 3-Methylhistidine.

Urea Cycle Markers: Ammonia, Citrulline, Ornithine, Urea, Creatinine Concentration

Glycine/Serine Metabolites: Glycine, Serine, Ethanolamine, Phosphoethanolamine, Phosphoserine, Sarcosine.

Dietary Peptide Related Markers; Anserine (dipeptide), Carnosine (dipeptide), 1-Methylhistidine, b-Alanine

Markers for Urine Representatives; Glutamine/Glutamate, Ammonia, Arginine/Ornithine.

Urine representativeness index

3 Essential and Metabolic Fatty Acids

Essential & Metabolic Fatty Acid Assessment measures the levels of fatty acids in red blood cell membranes that affect cellular communication and the inflammatory cascade as well as impacting on cardiovascular health, energy and aging.

Omega 3 Fatty Acids: a-Linolenic, Eicosapentaenoic, Docosapentaenoic, Docosahexaenoic, % omega 3s

Omega 6 Fatty Acids: Linoleic, y-Linolenic, Dihomo-y-linolenic, Arachidonic, Docosatetraenoic, Eicosadienoic, % omega 6s.

Omega 9 Fatty Acids: Oloeic, Nervonic, % omega 9s

Saturated Fatty Acids: Palmitic, Stearic, Arachidic, Behenic, Tricosanoic, Lignoceric, Pentadecanoic, Margaric, % Saturated Fats.

Monounsaturated Fats

Omega 7 Fats: Palmitoleic, Vaccenic.

Trans Fat: Elaidic.

Delta-6 Desaturase Activity: Linoleic/DGLA

Cardiovascular Risk :Omega 6s/Omega 3s, AA/EPA, Omega 3 Index.

4 Oxidative Stress Markers

Oxidative Stress Analysis is a sensitive tool to evaluate the body’s anti-oxidant reserves, the presence of oxidative injury, and CoQ10.

Glutathione (whole blood), Lipid Peroxides (urine), 8-OHdG (urine), Coenzyme Q10 Ubiquinone (plasma)

5 Essential minerals and heavy metals – Elemental Markers

Elemental Analysis in red blood cells is a reliable means to identify short-term toxic metal exposure and to evaluate intracellular nutrient mineral status.

Nutrient Elements; Copper, Magnesium, Manganese, Potassium, Selenium, Zinc

Toxic Elements/heavy metals; Lead, Mercury, Antimony, Arsenic, Cadmium, Tin

6 Vitamin D (serum)
25-OH Vitamin D

7 Homocysteine

8 Add ons

Available SNPs (optional add ons) to this test are MTHFR, COMT, TNF-α, and APOE. x – These will be added to the check out soon – please enquire for now if you are interested in these.

Age range this test is suitable for

Adults and children 2 years and above.

Children need to be potty trained and out of nappies. The sample must not be contaminated with urine or fibres from nappies.

Specimen requirements

Blood and Urine. Saliva if completing the Genomics add on test.

You will need to arrange for a blood sample to be collected by a nurse at your G.P. service or at a private clinic or hospital. Any fee for this service is not included in with the test fee.

NOTE: Blood samples require centrifugtion and seperation within an alloted time frame. Please ensure this is possible at referring phlebotomy location, or schedule an appointment at our phlebotomy location in London/Surrey. We can help you find a suitable location if necessary

See instructions inside test kit for details

Age suitability for the test

Suitable for age 2 years and above.

Before Taking this Test

Abnormal kidney function or use of diuretics may influence test results.

Discontinue non-essential medications (4 days before test) Please consult your G.P. before stopping any medication. Antibiotics, antifungals, amphetamines, acid blockers, fibrate and corticosteroids may impact results.

4 days before the test avoid artificial sweeteners and MSG. If medically appropriate, non-essential medications, supplements, and nutrient fortified foods/beverages should be discontinued. Please consult your practitioner before stopping any supplements.

24 hours before taking the test eat your usual diet. Avoid over-consuming any single food or extreme diets. Seafood must be avoided. Fluid intake should be limited to 1.5 litres of fluid.

An overnight fast is required prior to having the blood test.

Urine sample must be completely frozen prior to having blood sample taken.

Returning your sample

You will need to send your sample back to the lab via a next day postal service – If you are in the UK, Royal mail offer a suitable next day service. If you are outside of the UK then please check with your postal service for options. The cost of the test does not cover the return postage.

Please note that samples should only be posted on Monday – Thursday so that they do not arrive over the weekend when the lab is closed.

A courier returns option is offered by the lab and details will be included in with your test kit. This is an optional service and the cost is not included in with the test fee. Details about payment, should you wish to take up this offer, are included with the courier details.

Turn-Around Time

21Days

All sample reports are for representational and educational purposes only. Biomarkers, references ranges, results, and all other data may differ from actual reports. All data included in no way represents an actual patient. Any comparisons of results to actual patients, is completely incidental.

Smart Nutrition NutrEval Sample Report