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Labs & Testing

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Labs & Testing

URL slug: /labs-testing Meta title: Comprehensive Lab Testing | Functional Medicine Labs | Salado, TX Meta description: Functional medicine lab testing in Central Texas. Hormone panels, metabolic markers, gut testing, food sensitivities, nutrient analysis. Salado, TX. Target keywords: functional medicine labs Salado TX, comprehensive lab testing Central Texas, hormone testing Temple TX, GI-MAP testing near me, specialty labs Salado

Labs That Actually Answer the Question

Your doctor ordered a CBC and CMP. Maybe a TSH. Everything came back "normal." They said you're fine.

But you don't feel fine. You're exhausted, you can't lose weight, your gut is a mess, your brain feels foggy, and you know something is wrong.

If you're looking for comprehensive functional medicine lab testing near you, this is what we do every day in Central Texas. Here's the problem: Standard labs are designed to catch disease, not optimize health. If your TSH is 4.2, you're "normal" — even though optimal is closer to 1.0 and you feel terrible. If your fasting glucose is 98, you're "fine" — even though you're likely insulin resistant and nobody checked your insulin.

At Rooted Health Clinic, we don't settle for "normal." We look for what's actually driving your symptoms. And that requires the right labs — not just the basic ones insurance approves.

How I Approach Lab Testing

I don't hammer you with $1,000 in labs on day one. We're systematic. We start with what's most common and most foundational, then escalate if needed.

Baseline for almost everyone:

  • Metabolic markers: fasting insulin, fasting glucose, HbA1c, lipid panel

  • Expanded thyroid panel: free T3, free T4, total T3, total T4, TSH

  • Basic inflammatory markers: high-sensitivity CRP

  • Complete blood count (CBC), comprehensive metabolic panel (CMP)

This gives me a clear picture of metabolic health, thyroid function, inflammation, and basic organ function. For a lot of patients, this is where the answer lives.

If something doesn't add up, we go deeper:

  • Reverse T3, thyroid antibodies (TPO, TG)

  • Hormone panels (testosterone, estradiol, progesterone, DHEA-S, cortisol)

  • Advanced inflammatory and autoimmune markers

  • Nutrient deficiencies (vitamin D, B12, folate, iron panel, magnesium)

  • Viral reactivation markers (EBV, HHV-6, CMV)

  • Specialized functional medicine testing (gut, food sensitivities, toxins)

The principle is simple: start with what's most likely, then expand based on clinical suspicion and your symptoms. We're cost-conscious. We're thorough. But we're not wasteful.

Types of Labs We Use

Standard Lab Testing (Through Quest, LabCorp, or Direct Labs)

Metabolic & Diabetes Markers:

  • Fasting insulin (this is critical and almost never checked)

  • Fasting glucose

  • HbA1c (average blood sugar over 3 months)

  • HOMA-IR calculation (insulin resistance index)

  • Lipid panel (cholesterol, triglycerides, HDL, LDL, particle size if needed)

Thyroid Testing:

  • TSH (standard, but limited)

  • Free T3 and Free T4 (active thyroid hormones)

  • Total T3 and Total T4

  • Reverse T3 (when conversion is suspected)

  • Thyroid antibodies: TPO, thyroglobulin (for Hashimoto's or Graves')

Hormone Panels:

  • Testosterone (total and free) — men and women

  • Estradiol, progesterone (women)

  • DHEA-S (adrenal function)

  • Cortisol (serum, salivary, or 24-hour urine depending on clinical picture)

  • LH, FSH (when evaluating menopause, PCOS, hypogonadism)

Inflammatory & Autoimmune Markers:

  • High-sensitivity CRP (hs-CRP)

  • ESR (sedimentation rate)

  • ANA (antinuclear antibody screen)

  • Rheumatoid factor, anti-CCP (if joint symptoms)

  • Specific autoimmune panels when clinically indicated

Nutrient Status:

  • Vitamin D (25-OH)

  • Vitamin B12, methylmalonic acid (MMA) if B12 deficiency suspected

  • Folate

  • Iron panel: serum iron, ferritin, TIBC, iron saturation

  • Magnesium (RBC magnesium preferred over serum)

  • Homocysteine (methylation, cardiovascular risk, B-vitamin status)

Viral & Infectious Disease Markers:

  • Epstein-Barr Virus (EBV): VCA IgG, VCA IgM, Early Antigen IgG, Nuclear Antibody

  • HHV-6, CMV, other herpesviruses as indicated

  • Lyme disease testing (if clinical suspicion)

Specialized Functional Medicine Testing

GI-MAP (Comprehensive Stool Test):

  • DNA-based identification of bacteria, parasites, fungi, viruses

  • Markers of gut inflammation and immune function

  • Zonulin (leaky gut marker)

  • Pancreatic elastase (digestive enzyme production)

  • Calprotectin (intestinal inflammation)

SIBO Breath Testing:

  • Lactulose or glucose breath test

  • Identifies small intestinal bacterial overgrowth (hydrogen- or methane-producing)

Food Sensitivity Testing:

  • IgG/IgA panels for delayed immune reactions (different from IgE allergies)

  • Common triggers: gluten, dairy, eggs, soy, nuts, etc.

  • Useful for identifying hidden inflammatory triggers

Organic Acids Testing (OAT):

  • Urine-based metabolic snapshot

  • Mitochondrial function markers

  • Neurotransmitter metabolites

  • Yeast/fungal overgrowth markers

  • Nutrient cofactor deficiencies

  • Oxalate levels

Micronutrient Testing:

  • Intracellular vitamin and mineral analysis

  • Functional nutrient status (not just serum levels)

  • Useful for chronic fatigue, cognitive issues, immune dysfunction

Mycotoxin Testing:

  • Urine-based mold toxin detection

  • For patients with suspected CIRS (chronic inflammatory response syndrome)

  • Especially if history of water damage, mold exposure, or unexplained chronic illness

Heavy Metal Testing:

  • Baseline or provoked urine testing for lead, mercury, arsenic, cadmium

  • When environmental exposure or toxin burden is suspected

DUTCH Test (Dried Urine Test for Comprehensive Hormones):

  • Detailed hormone metabolite analysis

  • Cortisol patterns throughout the day

  • Estrogen metabolism pathways

  • Useful for complex hormone cases

How Lab Pricing Works

Members get discounted lab pricing. We don't mark up labs. We order through affordable direct labs or negotiate cash pricing with Quest/LabCorp.

Typical cost ranges (cash pricing, no insurance):

  • Basic metabolic panel + thyroid panel: $50-150

  • Comprehensive hormone panel: $150-350

  • GI-MAP stool test: $300-400

  • SIBO breath test: $200-250

  • Food sensitivity panel: $200-300

  • Organic acids test: $250-400

  • DUTCH hormone test: $300-400

We're transparent. You know the cost before we order. You approve it. No surprise bills.

Why I Order Labs Differently Than Most Doctors

I order what you need, not what insurance approves. Insurance-based medicine limits testing to what's "medically necessary" by their definition. That usually means waiting until you're sick enough to diagnose a disease. I'm trying to catch and fix dysfunction before it becomes disease.

I interpret labs in context, not in isolation. A TSH of 2.8 might be "normal," but if your free T3 is low and you're exhausted, that's not optimal. A fasting glucose of 95 is "normal," but if your fasting insulin is 18, you're insulin resistant. Context matters.

I look for patterns, not just individual numbers. Your thyroid antibodies are positive, your CRP is elevated, your vitamin D is low, and you have gut symptoms — that's a pattern. That tells me something about immune dysregulation and inflammation. One abnormal marker is a data point. Multiple abnormal markers tell a story.

I retest to track progress. Labs aren't a one-time snapshot. We retest every 3-6 months (depending on the issue) to see if treatment is working, if values are trending in the right direction, if we need to adjust the plan.

Who This Is For

  • You've been told your labs are "normal" but you don't feel normal

  • You want comprehensive testing that goes beyond the basics

  • You have complex symptoms (fatigue, gut issues, hormones, weight, inflammation) and nobody has found the cause

  • You're tired of being told "everything looks fine" when you know it's not

  • You want a doctor who will actually investigate instead of just guessing

What to Expect

First visit: We discuss your symptoms, history, and what's already been tested. I explain what labs I recommend and why. You approve before we order anything.

Lab draw: Most labs can be done at Quest or LabCorp. Some specialty tests are done at home (urine, stool, saliva) and mailed to the lab.

Lab review visit: We go through every result together. I explain what each marker means, what the pattern suggests, and what we're going to do about it. This is not a 5-minute "everything's fine" conversation — it's a detailed review.

Follow-up testing: We retest as needed to track progress and adjust treatment.

Pricing

| Service | Cost | |---------|------| | Adult Membership | $245/month | | Pediatric Membership (0-17) | $185/month | | Senior Membership (65+) | $225/month | | Lab testing | Priced transparently, ordered as needed |

Your membership covers the visits, the interpretation, and the treatment planning. Labs are separate but discounted.

If You're Ready for Answers

Stop guessing. Start testing. Let's figure out what's actually going on.

📞 Call: 254-780-0023 📍 Visit: 1401 N Stagecoach Rd, Salado, TX 76571 🌐 Book Online: rootedhealthclinic.com/book-online

Rooted Health Clinic serves patients in Salado, Temple, Belton, Killeen, Georgetown, Round Rock, and throughout Central Texas.

 
 
 

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Dr. Matt Altman MD PLLC

 

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