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Lab instructions

During your recent visit, lab tests were ordered by Dr. Judd. Below you will find a list of common labs and instructions on how to get them completed, so we can address the root cause of why you feel the way you do.

We included doctor’s notes for the GI Map, Dutch Test and NutrEval. Please read these notes in combination with the Details provided in the links.

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GI Map

The Gastrointestinal Microbial Assay Plus + Zonulin (GI-MAP+Zonulin) is a test designed to measure a patient’s gastrointestinal microbiota DNA. It detects microbes that may be disturbing normal microbial balance or contributing to illness, as well as indicators of digestion, absorption, inflammation, and immune function.

  • Doctor’s Notes expand_more

    Do this test first
    Stop any probiotics 4 days prior to doing test
    Collect Mon-Thurs to avoid the weekend

    For the requisition you will need to complete your demographics/patient info and date of collection, do not fill out the insurance or credit card information because if you have the test you have already paid for it.

    Write your name, DOB, and date of collection on the specimen bottle prior to collection

    You will need to collect stool on white tray

    Once you have the sample, you will use the scooper in the specimen bottle to put the sample into the specimen bottle. You need to make sure you collect from 4 different areas of the stool and not just one area. When you see the red fluid rise to the red line on the bottle you have added enough

    Shake bottle vigorously, place in biohazard bag, along with requisition, then place it back in the box, and ship off via FedEx

    You can either call FedEx for a pick up or you can drop it off at a FedEx location. If you drop it off, be sure to drop it off before 4pm.

    To order & more details:


The DUTCH Complete provides a complete assessment of hormonal health. By measuring a patient’s sex hormones, adrenal hormones, and melatonin, along with their metabolites, this test can help identify symptoms of hormonal imbalances.

  • Doctor’s Notes expand_more

    Notes for women only:
    If you still have a menstrual cycle you will need to buy ovulation kits. You can find these at a pharmacy (CVS, Walgreens, or you can purchase on Amazon)

    You will need to start testing for ovulation a week after your menstrual cycle has ended. Once you get a positive on the ovulation strip, you will do the Dutch test between day 5-7 after the positive ovulation test.

    Notes for men & women:
    Collect Mon-Wed

    You will need to avoid avocado, bananas, and fava beans 48 hours before collecting

    You will need to limit you fluid intake on the day you start your collection. <32oz on day 1, and <8oz between the waking sample and 2-hrs after waking sample

    No alcohol or caffeine while doing this test

    You will need to write your name, date of collection, time of collection, and day of cycle on each sample card

    1st sample will be collected at dinnertime (sample card says dinnertime at 5pm but you will do it whatever time you have dinner)

    2nd sample will be collected at bedtime (sample card says 10pm but you will do it whenever bedtime is for you)

    3rd sample will be collected upon waking, don’t lay in bed or snooze alarm. Make sure to get up an do sample within 10 minutes of waking.

    4th sample will be collected 2 hours after your waking sample. (example. If you did the waking sample at 8am, you will do the 4th sample at 10am) Timing is important so please collect at the 2-hour mark from your waking sample or the results may not be accurate.

    5th sample- this sample you will only collect if you get up to use the restroom in the middle of the night, if you don’t, don’t worry about it because it’s an extra sample.

    Once you have collected all samples you will need to allow them to dry for 24 hours prior to shipping.

    You will ship via UPS and you can either call for a pick up or you can drop it off

    To order & more details:



The NutrEval® Plasma measures over 100 biomarkers to evaluate nutritional imbalances and insufficiencies and the presence of certain toxins.

  • Doctor’s Notes expand_more

    When you receive the kit, you do not need to open it. Just bring it in with you to your lab draw appointment along with your urine. There are different tubes in there that we will process in the office to make it less confusing for you.

    You will need to stop all supplements 4 days prior to lab draw

    You will need to limit your fluid intake to <48oz, 24 hours before the collection

    You will need to fast overnight. You can drink more water once you have collected your urine sample. The lab needs your urine to be as concentrated as possible. Diluted urine can results in rejection and you will need to recollect.

    The only step I will need you to follow on the instruction sheet  is Step 1.- Under COLLECT URINE

    You will collect your first morning urine in the cup I provide. If you wake up in the middle of the night within 6 hours of your usual wake up time, then you will collect that urine, refrigerate it, and then collect the first morning urine all in the same cup.

    We will take care of the processing in our office

    To order & more details:


The MycoTOX Profile measures a patient’s exposure to eleven different mycotoxins (toxins from mold) and makes recommendations for detoxification treatments.

  • Key Details expand_more
    • Do not collect your sample while menstruating.
    • You will collect your sample upon waking.
    • Freeze your sample before shipping.
    • Your sample may only be shipped Monday through Thursday.
  • Preparation & Timing expand_more
      • Save the cardboard test kit box – you will use this to ship back your sample.
      • If your practitioner has ordered Mosaic Diagnostics tests with multiple sample types, consult THIS DOCUMENT to determine the order in which you should collect your samples.
      • DO NOT collect your sample while menstruating.
      • Avoid taking the following items for 72 hours prior to
        • collection.
        • Glutathione
        • Charcoal
        • Bentonite clay
        • Other binders
        • DO NOT discontinue any prescription medications without consulting your healthcare practitioner.
      • Fasting is not required.
        • Fasting for 12 hours before collection may increase mycotoxin excretion.
      • The day of collection
        • You will collect your sample upon waking.
        • DO NOT eat or drink prior to collecting your sample.
      • If you are taking mycophenolate mofetil (CellCept/Myfortic),
        • Online Registration
        • Check the box on the online test registration that states “Patient is taking mycophenolate mofetil.”



The Metabolomix+ analyzes nutritional biomarkers to assess the need for nutritional supplements and digestive support.


and Fatty Acids

The Essential & Metabolic Fatty Acids test is an add-on to the Metabolomix+.



Array 10

The Cyrex Array 10 measures immune response to 180 different raw foods, modified foods, and food additives.



The Cyrex GAM profile assesses the overall production of IgG, IgA, and IgM in the body to provide information about a patient’s general immunity.


Array 5

The Cyrex Array 5 measures autoantibodies, which indicate the presence of an autoimmune disease, as well as tissue damage due to autoimmune disease.

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