IBS Resolve IBS Therapy with Nicola Warran in Bromley

Prices

Charges & Current Laboratory Test Fees

My Charges

Initial Appointment 1 Hour £90
In Person or by Skype/Phone

Follow up Appointment Charge £75
In Person or by Skype/Phone

Please Note the Following: This follow up charge includes a 30 minute consultation to run through your test results but also includes my time in analysing your test results, researching your particular case, discussions with lab technicians if necessary in both the UK and US, suitable individualised product recommendations if i feel this is necessary and any necessary GP letters written.

Payment to be made by Cash (in person only) or Bank Transfer - An invoice will be sent following your appointment with payment details.

If you are unable to keep your appointment for any reason please advise me asap and we can reschedule this. If you wish to cancel the appointment please provide me with 48 hours notice.

** PLEASE NOTE IF YOU WISH TO BOOK A TEST WITHOUT A CONSULTATION THERE WILL BE A £25 ADMIN CHARGE FOR THIS. THE RESULTS WILL BE RETURNED TO ME AND I CAN THEN FORWARD THESE TO YOU. **

I do not, however, generally advise this because you will need a qualified person to be able to interpret the tests.


My Charges, Laboratory Testing & Prices. labtesting

Digestive System Laboratory Testing

This page details the current tests I can offer you. If there is another test you have seen with one of the labs that you are interested in please contact me and we can arrange this.

These are the main tests that I feel will give you the best results in looking at your digestive issues but there are numerous other tests available.

For Current Lab Test Prices please click here. Please note the labs do increase their prices from time to time so these prices are subject to change (hopefully not by much and I try to keep up to date with these changes!)

For details how to order please contact me and I will send you details.

1) GI-MAP (Microbial Assay Plus) – Stool Test

The GI Microbial Assay Plus (GI-MAP) is a very good stool test which was designed to assess a patient’s microbiome from a single stool sample, with particular attention to microbes that cause disease or that disrupt normal microbial balance in the GI flora and contribute to illness.

This test will look for the following information in your stool sample but we are basically looking for H Pylori, Parasites. Toxins, Pathogenic Bacteria and yeast/fungal overgrowth.

• Pathogenic bacteria, toxins, parasites and viruses
• Commensal bacteria
• Bacterial autoimmune triggers
• Dysbiotic bacteria
• Opportunistic parasites
• Yeast, fungi and moulds
• Secretory IgA (sIgA)
• Anti-gliadin sIgA
• Pancreatic elastase 1
• Lactoferrin
• Faecal Occult blood

This test looks for the DNA of the offenders, something NHS tests do not always do. If you have previously been tested for parasites on the NHS, it is more likely this test may find something the NHS test could not find because of its use of PCR DNA technology.

Parasites such as Dientamoeba Fragilis (a parasite I personally had) and Blastocystis Hominis, cause IBS symptoms but are not looked for by the NHS stool test.

Pathogenic Bacteria such as Klebsiella, Citrobacter freundii or Pseudomonas Aeruginosa can be a hidden cause of IBS which is why testing can be an invaluable tool.

Candida Albicans or other species of yeast such as Geotrichum can be a contributory cause of IBS and the GI-Map test identifies the presence of any of these yeasts.

Click here to view more details and see a sample test:-


My Charges, Laboratory Testing & Prices. breathtest

2) Lactulose Breath Test for SIBO

The Lactulose breath test involves following a very strict 24 hour prep diet and then a 12 hour fast. The diet will ensure there are no fermentable fibres in your system that could mess up the results. You have to follow it strictly or the results may not be valid.

You then breathe into a tube to get your base line reading, drink a solution of lactulose and then take further readings for 3 hours. No test is 100% accurate.

Please be aware that some people (about 5%) are hydrogen sulphide producers which this test does not look for. There is currently no test (November 2016) for hydrogen sulphide although researchers are looking into developing one currently, however, there are distinctive patterns on the breath test that may indicate this bacteria.

Please click here to read further information about the breath test



3) Genova Diagnostics - Microbiology Profile

This test uses one stool sample and evaluates stool for levels of beneficial flora, (Bifidobacterium, E.Coli, Lactobacillus) and looks for imbalanced and dysbiotic flora plus a mycology (yeast culture). Commensal or beneficial bacteria are very important to a healthy gut.

This is a good, cheaper, little test if you want to look at your levels of bacteria but please be aware this test does not look for pathogenic bacteria, viruses, parasites, and anti inflammatory markers.

Please click here for more details:-


4) UBIOME Gut microbiome test

This one is really interesting and more for your own knowledge. It is not intended to diagnose but it gives you some great info about your own personal gut microbiome for your own research purposes!

To order this test please click here. This link should get you 15% off the Ubiome gut bacteria stool test which is currently $89.

There is a $20 shipping charge outside of the US (approx £15) and it cost me approximately £3.50 to return it.

For more info on the Ubiome Test please click here for their FAQ


5) Candida - Stool or Urine Test

Candida is a very clever organism and can switch from a yeast to a fungus in a bid to survive and secretes toxic chemicals to protect itself. Candida has the ability to damage brain structure/function, decrease anti-inflammatory capabilities, damage red blood cells and create vitamin B5, B6 and Niacin deficiencies. Most people have some Candida in the gut which is kept under control with normal flora. However, it is very opportunistic and things like antibiotics, birth control, steroids, stress can all help Candida proliferate. It can live anywhere where there is a mucosal lining, such as the mouth, sinuses, gut, vagina, genitals and the anus.

Candida symptoms include Impaired memory, brain fog, lethargy, apathy, depression, irritability, anxiety attacks, cravings for alcohol and sugar, headache, migraine, PMS, itchy skin, Constipation or Diarrhoea, Vaginosis, thrush, athletes foot, oral thrush (white tongue)

Like many parasites, SIBO and pathogenic bacteria, Candida can cause intestinal permeability of the mucosal gut barrier leading to food sensitivities and potential auto immune issues.

If you present with any of the above symptoms, it may be worth getting tested for Candida. However, many people who believe they have Candida often have a gut infection or parasite instead and find the Candida diet does not help them. Without the testing they will not know.


There are two ways of testing for Candida, either stool testing or Organic acid urine testing.

Click here to view more details and see a sample stool test:-

Click here for more details of the urine Organix dysbiosis profile


Other Useful Tests

6) Organic Acid Comprehensive Test (OAT) – Urine Test

This is similar to the dysbiosis test above but includes other markers such as energy production, detoxification, B vitamin status, neurotransmitter breakdown or intestinal microbial activity. The test looks for metabolites in our urine that signal a block or metabolic inhibition, basically these shouldn’t really be in our urine ! These metabolites can indicate nutritional deficiencies, enzyme deficiencies, toxicity etc and some are indicative of intestinal bacterial or yeast overgrowth.

Abnormally high levels of these micro-organisms can cause or worsen behaviour disorders, hyperactivity, movement disorders, fatigue and immune function. The cause of these high levels may include: oral antibiotic use, high sugar diets, immune deficiencies, and genetic factors. If abnormalities are detected using the OAT, treatments can include supplements, such as vitamins and antioxidants, or dietary modification.

Further details can be found here.


7) Adrenal Stress Profile

Adrenal Fatigue is a much overlooked condition in the UK. This is a 4 x saliva test that can detect imbalances in the daily circadian rhythm of the stress hormones, Cortisol and DHEA.

This saliva test can detect imbalances in the daily circadian secretions of the stress hormones cortisol and DHEA. Imbalances in these hormones can indicate an inappropriate response that can negatively impact energy levels, emotions, and many other health complaints. These include anxiety, chronic inflammatory conditions, allergies, chronic fatigue syndrome, insomnia, depression, migraines, headaches, recurrent infections, menstrual difficulties and infertility. If your adrenals are fatigued it makes life much harder, and also harder to heal from gut conditions.

For further information click here


8) IGG Profile - Food Sensitivity Test

This test can be done at home. It is a blood draw which is a finger prick test. You will need to prick your own finger and draw blood and fill 4-5 circles on a test kit with blood so you must be happy to do this (its easy I’ve done it!)

For a sample report please click here


Current Lab Test Prices (2018 Prices)



1) GI-MAP (Microbial Assay Plus) – STOOL TEST - £295

2) Lactulose Breath Test for SIBO - £155

3) Genova Diagnostics - Microbiology Profile – DIG 07 - £100

4) Ubiome Gut Test - $89 – approx £70) plus $20 shipping charge outside of the US (approx £15)

5) Candida Test - GI-MAP (Microbial Assay Plus) – STOOL TEST - £295



The Organic Acids Test (OAT) (Urine Test)
Genova Organix Dysbiosis Profile – Code 0097 - £199

6) Organic Acid - Organix Comprehensive Profile
Genova Code 0091 – URINE TEST - £279

7) Adrenal Stress Profile - 4 X SALIVA SAMPLES –
Genova END01 - £85

8) IGG Profile – Food Sensitivity Test - £150

Click here to purchase Matula tea for h pylori eradication


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