Advanced Metabolic Testing: Data-Driven Wellness

What is Advanced Metabolic Testing?

At Arrache Precision Health, we believe that “standard” labs often miss the nuanced data required to resolve complex symptoms. Advanced Metabolic Testing utilizes specialized functional diagnostics to evaluate cellular health, gut microbiome diversity, and hormonal balance. Courtney Arrache, DNP uses this data to move beyond symptom management and address the biological root causes of your health concerns.

Our Three Essential Diagnostic Kits

We have selected three gold-standard laboratory tests to provide the highest level of clinical clarity.

1. Adrenal Functional Testing (The DUTCH Complete)

This is the premier test for evaluating “stress-related fatigue.” It provides a comprehensive look at your adrenal hormones and their metabolites to understand how your body is processing stress.

  • Ideal Candidates:
    • New parents experiencing “first-time” fatigue after a child’s birth.
    • Individuals facing exhaustion following significant life stressors (e.g., intense work projects, graduate school, or major life transitions).
    • Those with “tired but wired” feelings or disrupted sleep patterns.
  • What it Measures: Cortisol awakening response, DHEA-S, and sex hormone metabolites.

2. GI & Microbiome Analysis (The GI-MAP)

This test is designed for “functional” GI disorders—issues that persist despite normal standard medical imaging. It identifies pathogens, bacterial imbalances, and inflammatory markers.

  • Ideal Candidates:
    • Chronic heartburn, bloating, gas, or upset stomach.
    • Long-standing GI issues that have never been fully detected by traditional testing.
    • Individuals with a history of frequent antibiotic use or lingering issues after going gluten-free.
  • What it Measures: Microbial DNA, parasitic infections, and markers of gut inflammation and digestion.

3. Organic Acids Testing (The OAT)

The OAT is a unique metabolic “snapshot” of your cellular health. It is particularly effective for understanding how your metabolism affects your brain function and mood.

  • Ideal Candidates:
    • Individuals struggling with “brain fog,” focus, or mood fluctuations.
    • Those experiencing mild anxiety or super-mild depression.
    • People with metabolic issues who want to understand their nutrient processing.
    • Note: This is not intended for the management of medically diagnosed severe mental health disorders.
  • What it Measures: Neurotransmitter metabolites, vitamin markers, and yeast/fungal overgrowth.

The Precision Process

  1. Selection: During your consultation, we identify which of the three kits aligns with your primary symptoms (Fatigue, GI Upset, or Mood/Focus).
  2. Collection: These tests are designed for ease of use. Depending on the kit, samples are collected via urine, saliva, or a one-day stool sample—all from the comfort of your home.
  3. Analysis: Once the lab processes your kit, we meet for a deep-dive review to explain your results and design a high-impact, personalized protocol.

Is This Right for You?

Advanced testing is an investment in targeted data. It is most beneficial for patients who are ready to implement lifestyle changes and supplement programs based on their biological evidence. We prioritize transparency and will only recommend testing that we believe will provide actionable insights for your health journey.