Thyroid Plus Test

Every test includes a GP and Functional Medicine Practitioner comment.

The thyroid is the body’s thermostat, controlling temperature, growth rate and energy use. It regulates the rate at which the body uses food and affects the operation of almost all bodily processes and organs. An under-functioning thyroid gland can result in a condition known as hypothyroidism.

Hypothyroidism is thought to be one of the most under-diagnosed conditions in the world today, affecting children, adolescents and adults.

This disorder can produce many diverse symptoms including fatigue, weight gain, depression and constipation. The thyroid gland can also over-secrete thyroid hormones, resulting in hyperthyroidism with symptoms ranging from weight loss and palpitations to anxiety and diarrhoea.

At Smart Nutrition we pride ourselves in offering the best cost possible for the thyroid plus test.

FAQs

The NutrEval test evaluates over 100 biomarkers. It assesses the body’s functional need for 40 antioxidants, essential fatty acids, amino acids, vitamins, minerals and digestive support, as well as other nutrients and markers including toxic minerals and digestive markers.

Test Panels and Marker Insights

Organic Acids (Urine)

•Malabsorption & Dysbiosis Markers: Indicators of bacterial and yeast imbalances in the gut microbiome.

•Cellular Energy & Mitochondrial Markers: Biomarkers reflecting carbohydrate and fatty acid metabolism, and the citric acid (Krebs) cycle.

•Neurotransmitter Metabolites: Downstream byproducts of serotonin, dopamine, norepinephrine, and epinephrine.

•Vitamin Markers: Functional indicators of vitamin cofactor levels.

•Toxin & Detoxification Markers: Assess the body’s ability to process and detoxify harmful substances.

•Oxalate Markers: Linked to kidney stone formation, oxidative stress, and metabolic dysfunction.

•Oxidative Stress Markers: Includes glutathione (whole blood), Coenzyme Q10 (serum), and oxidative damage markers such as lipid peroxides and 8-OHdG (urine).

Amino Acids (Plasma or Urine)

•Essential Amino Acids: Obtained through diet and critical for protein synthesis.

•Nonessential Amino Acids: Produced naturally by the body.

•Intermediary Metabolites: Byproducts of amino acid metabolism.

•B Vitamin Markers: Reflect the functional status of B vitamins in biochemical reactions.

•Urea Cycle Markers: Linked to nitrogen (ammonia) detoxification.

•Glycine/Serine Pathway Markers: Involved in methylation and serine-to-choline metabolism.

•Dietary Peptide Markers: Assess incomplete protein digestion and dietary intake of meat.

Essential and Metabolic Fatty Acids (RBCs)

•Omega-3 Fatty Acids: Vital for brain and cardiovascular health; anti-inflammatory.

•Omega-6 Fatty Acids: Support inflammation balance.

•Omega-9 Fatty Acids: Aid brain development, nerve health, and inflammation reduction.

•Saturated Fatty Acids: Linked to lipoprotein metabolism and adipose tissue inflammation.

•Monounsaturated Fats: Include omega-7 fats and unhealthy trans fats.

•Delta-6 Desaturase Activity: Evaluates enzyme efficiency in metabolising omega-3 and omega-6 fatty acids.

•Cardiovascular Risk Markers: Includes Omega-3 Index and specific fatty acid ratios.

Elemental Markers

•Nutrient Elements: Direct measurements of essential minerals like copper, zinc, magnesium, potassium, manganese, and selenium.

•Toxic Elements: Identifies recent (90-120 day) exposure to harmful metals such as lead, mercury, arsenic, and cadmium.

 

Oxidative stress

Cystine
Cysteine
Lipid peroxides
8-OHdG
Glutathione
Taurine
Citric acid
Cis-aconitic acid

Mitochondrial dysfunction

Glutathione
CoQ10
Magnesium
FIGLU
Methylmalonic acid
Glutaric acid
Lactic acid
Pyruvic acid
Citric acid
Cis-aconitic acid
Isocitric acid
α-Ketoglutaric acid
Succinic acid
Malic acid
Adipic acid
Suberic acid
Manganese

Omega imbalance

Mega-3 index
Omega 6/3 ratio
α-Linolenic acid
Arachidonic acid
Linoleic acid
γ-Linolenic acid
Dihomo-γ-linolenic acid

Toxic exposure

Lead
Mercury
α-Hydroxyisobutyric acid
α-Ketophenylacetic acid
Arsenic
Cadmium
Pyroglutamic acid
Orotic acid
Citric acid
Cis-aconitic acid
Isocitric acid
Glutaric acid

Methylation imbalance

Methylmalonic acid
Methionine
Glutathione
FIGLU
Sarcosine
Vanilmandelic acid
Arginine
Glycine
Serine
Creatinine

 

The following add on’s are available to add on at the bottom of this page.

ApoE
MTHFR
COMT
TNF-α

A saliva sample is required for these tests.

All samples for Genetic testing are completely destroyed after 1 month.

Blood and urine are required for the NutrEval test; if you choose any add on tests, these require a saliva sample.

An overnight fast is required for the blood draw. The blood sample needs centrifuging ( spinning at high speed) before it is returned to the lab. The clear top tube has to be frozen solid as does the amber transfer tube.  You can do this overnight but the samples must be sent the following day.

Samples should preferably be received at the laboratory within 24 hours of the blood draw. If your blood draw is later in the day and you need to freeze samples overnight then please send them the next day to arrive Monday to Thursday only.

Full instructions will be sent with your test kit.

 

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

Discontinue non-essential medications 4 days before test. Antibiotics, antifungals, amphetamines, acid blockers, fibrate and corticosteroids may impact results.

Please consult your GP before stopping any medication.

4 days before the test, please 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, please 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 over the preceding 24 hour period to collecting the samples.

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

 

2 years and above.

For younger children, we recommend you source a paediatric nurse for the blood draw. This is not a finger prick test. It requires 4 vials of blood.

 

Please return via a next day service Monday – Thursday only.

A courier option is sent with your test kit. You pay the laboratory directly for the return courier if you use the service. You can also make your own arrangements for returning your samples via a next day service.

 

 

23 working days.

Your test results will be emailed to you.

This sample report includes the bile acids and SCFA’s add on

Available Add-ons

To Book an appointment at one of our UK IBS clinics in London, Brighton, telephone or Skype  please call 01273 775480 or email [email protected]

To Book an appointment at one of our UK IBS clinics in London, Brighton, telephone or Skype  please call 01273 775480 or email [email protected]

To Book an appointment at one of our UK IBS clinics in London, Brighton, telephone or Skype  please call 01273 775480 or email [email protected]

To Book an appointment at one of our UK IBS clinics in London, Brighton, telephone or Skype  please call 01273 775480 or email [email protected]

ORDER YOUR TEST

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PUT YOURSELF to the TEST

Please do not return samples to the laboratories that may arrive after Wednesday 27th March and up to and including Monday 2nd April.

The laboratories are closed from the 28th March – 2nd April for the Easter Holiday.