Microbial Organic Acids Test + Yeast Culture & Sensitivity Test COMBO

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Microbial Organic Acids Test + Yeast Culture w/ Sensitivity Test COMBO

	General Description
	Analyte List
	Turn Around Time
	Specimen Requirements
	CPT Codes
	Kit Instructions
	Sample Report
	Order Test

General Description

This combo panel includes three tests for the presence of yeast. The Microbial Organic Acids Test measures yeast metabolites in the urine. In the Yeast Culture with Sensitivity Test, a culture is grown and the stool sample is examined under the microscope. If the yeast grows in culture, sensitivity of that yeast to prescription antifungals and to natural antimicrobials is determined. This information is valuable in directing therapy for yeast overgrowth.

Panel Includes

	Microbial Organic Acids Test (MOAT)
	Yeast Culture
	Microscopic Yeast Evaluation
	Sensitivity to prescriptive/natural agents

Benefits of the COMBO Test

	More information for weighing yeast treatment options
	Find out which type of anti-fungal will work best
	Discount for ordering both tests together
	Consultation concerning results is included with each test at The Great Plains Laboratory, Inc.

Treatment Options

Depending on test results, suggestions can include:

	Diet modification
	Diet supplementation, primarily with nutrients which increase the quantity of beneficial bacteria (e.g. lactobaccilli) in the gastrointestinal tract
	Oral antifungal or antibacterial (anaerobic) medications

Analyte List

For a complete list of the clinical significance of each metabolite, please click here.

Yeast/Fungal: Citramalic (methylmalic) acid, 5-hydroxymethyl-2-furoic acid, 3-oxoglutaric acid, Furan-2, 5-dicarboxylic acid, Furancarbonylglycine, Tartaric acid (hydroxymalic acid), Arabinose, Carboxycitric acid; Bacterial: 2-hydroxyphenylacetic acid, 4-hydroxyphenylacetic acid, HPHPA, 3- (3-hydroxyphenyl-3-hydroxypropionic acid), VMA (vanyl mandelic acid) analog; Additional Indicators: Glyceric acid, Glycolic acid, 3-hydroxy-3-methylglutaric (HMG) acid, Hydroxyhippuric acid, 3-indoleacetic acid, Hippuric acid, Phenylcarboxylic acid, Indole-like compound; Yeast (Mycology) culture: 48 possible yeast and fungal species; Yeast (microscopy ─ visible presence of yeast cells); Yeast sensitivity to: Fluconazole, Itraconazole, Ketoconazole, Nystatin, Berberine, Caprylic acid, Goldenseal, Oregano, Tanalbit, Undecylenic Acid, Uva Ursi; Bacterial sensitivity to: Amoxicillin, Ampicillin, Augmentin, Ciprofloxacin, Trimeth-sulfa, Berberine; Black Walnut; Caprylic Acid, Cats Claw, Citrus Seed Extract, Goldenseal, Oregano, Uva Ursi; For Staphylococcus aureus: Benzypenicillin, Oxacillin, Tetracycline, Trimeth-sulfa, Vancomycin, Berberine; Black Walnut; Caprylic Acid, Cats Claw, Citrus Seed Extract, Goldenseal, Oregano, Uva Ursi

Turn Around Time

The turn around time for this test is 2-3 weeks, unless unforeseen circumstances arise.

Specimen Requirements

5 mL of urine is the absolute minimum. 10 mL of urine is preferred. Tests may not be done in some cases if the preferred amount is not shipped. First morning urine before food or drink is preferred. Patient must avoid apples, grapes (including raisins), pears, cranberries and their juices 24 hours prior to the specimen collection. See detailed instructions below.

1 Tablespoon of stool is the absolute minimum. It is recommended that the patient discontinue antifungals 2 weeks prior to the collection of stool. Do not discontinue any medications without first consulting your physician.

CPT Codes

Microbial Organic Acids Test: 82570 83921*20

Yeast Culture w/ Sensitivity: 87102 87106 87184 87220

Kit Instructions

For Organic Acids Test and Yeast Culture with Sensitivity COMBO instructions please click here.