Testing Newsletter – April 2013 Welcome Nutrition Geeks has now formally changed its name to Invivo Clinical - welcome to the new Invivo Clinical Testing newsletter. In this issue find out about - Important Update – changes to GI Effects stool test markers - The Stress Tests – which tests to consider when faced with a chronically stressed client - Case Study – fit and healthy 35 year old male with great diet, but increasing fatigue - Research and news – including education programme focus for April and May 2013 IMPORTANT UPDATE We have recently been advised by Metametrix Laboratories that due to the relevant licensing agreement no longer being in place, anti-gliadin IgA will no longer be included as a marker in GI Effects Profiles. This marker was found in both the 2100 GI Effects Comprehensive Profile and the 2120 GI Effects Chemistries Profile. If you want to evaluate gliadin sensitivity you can use the Celiac Profile, and the Adrenal Stress Index Plus also includes a salivary anti-gliadin IgA marker. We apologise for any inconvenience this may cause. If you have any questions regarding this change please email mycontact@invivoclinical.co.uk Featured Tests When a client is experiencing chronic stress it can manifest itself in many ways – energy levels, digestive function, and skin complaints to name but a few. But the key functional imbalance we are usually trying to address is to support adrenal function – ensuring adequate cofactors and reducing stress levels to reduce demand. There are a number of tests we can use to understand where our protocol should focus – Adrenal Stress Index (and Plus version), Organix organic acids, and Amino Acids profiles. Adrenal Stress Index (and Plus version) – this measures DHEA and cortisol levels over a 24 hour period to help evaluate adrenal function and determine if there are relatively high or low levels of these important hormones. The plus version also includes SIgA and salivary anti-gliadin markers for additional immune and digestive function insight. Organix Organic Acids – within the organic acids test there are markers for adrenaline, noradrenaline, dopamine and serotonin metabolism. These can help a clinician assess whether catecholamine turnover is up-regulated or in a depleted state. Furthermore, indicators of amino acid and functional B-vitamin status can help assess whether co-factors or the amino acid raw materials may be factors in the catecholamine status. Amino Acids Profiles – the amino acids are the building blocks of neurotransmitters and the catacholamines. These can often become depleted due to the allostatic load on a client. Looking at levels can help assess which specific raw materials a patient may require. Case Study Client Goals Clinical Symptoms Other Test Results Medical History Metametrix Tests Used Intervention 35 year old male, high stress job, BMI 22.7 Overcome fatigue Reduce anxiety Address poor response to stress Increasing anxiety and fatigue; developing muscle tremors, twitches Plasma Minerals, red blood call magnesium and Essential Fatty acids No major operations or illnesses Adrenal Stress Index Test – showed elevated cortisol throughout the day relative to upper reference limits, but relatively low cortisol at night Organix Organic Acids – a number of indications for poor energy metabolism including: - low levels of citrate, cis-aconitate and isocitrate to fuel citric acid cycle - elevated xanthurenate indicated vitamin B6 deficiency - low homovanillate indicating depleted resources for catecholamine metabolism Amino Acid 20-analyte Bloodspot – showed low levels of numerous amino acids including all BCAAs, tyrosine, histidine, arginine and taurine Designs for Health Complete Multi (with copper and iron) – to provide core nutrients for adrenal stress response Designs for Health Magnesium Malate Chelate – Magnesium required for ATP and neurotransmitter production Designs for Health Vitamin D Synergy – to restore vitamin D to optimal levels for general health and wellbeing Designs for Health Adrenotone Plus – a vitamin and adaptogenic herb blend for endocrine and HPA Axis support Custom Amino Blend – formulated based on the recommendations arising from the Amino Acid test results Research and Product News When indivdiuals are dealing with chronic stress situations the digestive system often suffers due to the activation of the sympathetic nervous system. Medication may be used to help alleviate symptoms such as indigestion – but what are consequences of this? Richard Lord discusses in this short summary article http://www.metametrixinstitute.org/post/2010/03/22/Acid-Blocking-Medication-AGood-or-Bad-Idea.aspx While exercise may help alleviate the symptoms of stress, too much exercise can have an additive effect. This review article provides an evidence-based review of the consequences of overtraining and implications for adrenal insufficiency. http://www.omicsgroup.org/journals/2165-7025/2165-7025-3-125.pdf Education Programme Our education programme for 2013 is now underway, offering one series of webinars looking at how to use Metametrix tests and Designs for Health supplements in practice, and a second series of webinars examining case studies of real patients. Our focus for April and May is The Stress Factor – working with clients experiencing chronic stress. For more information about the programme, including how to sign up and get access to downloads of the webinars we’ve run so far please go to http://www.invivoclinical.co.uk/catalogue_main.php?catID=9478. Invivo Clinical is now launched! Nutrition Geeks has now formally changed its name to Invivo Clinical. We hope you are enjoying using our new look website at www.invivoclinical.co.uk - please let us know what you think on Facebook or Twitter. We will be making further improvements to the functionality of the website over the coming weeks, but we’ll always tell you about those on email before they happen. Our address and phone details haven’t changed but please start using our new email addresses: For questions and more information about orders and payments contact Sophie, at info@invivoclinical.co.uk For technical support including discussion of test results contact Angela at support@invivoclinical.co.uk For account management support including information about tests and help with any aspect of using Invivo Clinical products and services contact Ann by phone on 07401 287 826 or email mycontact@invivoclinical.co.uk