Test Descriptions

The following is an explanation of the various tests offered by Dr. Chene

GENOMIC TESTING
This helps to highly individualize your prevention plan and is personalized medicine at it's best. There are various panels available at Dr. Chene's office to check for risk factors and genetic tendencies that you can do something about. 

Cardiogenomics panel is for heart, stroke, and some forms of Alzheimer's risk. 

Detoxigenomics panel check's your liver's genes for the ability to detoxify the chemicals in our environment as well as medications. This is particularly important as studies have demonstrated that this is not only a risk for degenerative neurological diseases (such as Parkinson's) but also cancer risk. 

Immunogenomics panel is for inflammation and the immune system. 

Osteogenomics for osteoporosis risk from genetic tendencies. 

All panels are run at a fully accredited state of the art laboratory and confidentiality is protected by law so that insurance companies cannot even supeona this data.

ULTRASOUND SCREENING OF NECK ARTERIES 
Checks the carotid arteries to help reduce the risk of stroke.

ULTRASOUND SCREENING OF ABDOMINAL AORTA
Checks for aneurysm. This important to know about ahead of time as they can be repaired to prevent ruptures, which are usually fatal.

ANKLE-BRACHIAL INDEX
Measures the ratio or arm and leg blood pressure with ultrasound which can be helpful for detecting vascular disease and heart risk.

OXIDATIVE STRESS
This checks for the type and amount of "free radical" damage that is occurring in your body. Free radicals are unstable molecules that studies have shown increase the risk for cancer, heart disease, stroke, cataracts, kidney failure, some forms of arthritis, macular degeneration (loss of sight in old age), wrinkles etc. Since this is related with so many parameters of unhealthy aging, I recommend it for everyone at least once a year. Dr. Chene can tell you what you need to lower your oxidative stress.

HOMOCYSTEINE  
This is an amino acid that is undesirably high in an estimated 25% of the population. Too much of this puts you at higher risk for heart disease, stroke, and some forms of dementia, including alzheimers. This is well supported in the scientific literature, however as the treatment is natural there has been minimal if any attention paid to this by most clinicians because there is no drug being promoted. This is a risk factor that is generally easy and inexpensive to fix. Dr. Chene prefers that her patients be at the low risk level rather than average level and will tell you what can do to bring the level down.

VAP PANEL
The VAP (Vertical Auto Profile), is a better cholesterol test that provides valuable information about "light" and "dense" particle ratios that can identify hidden heart disease risk. The VAP Test identifies twice as many people at risk than routine cholesterol tests, including those with inherited risk factors who often develop premature heart disease.   Between 30-50% of persons who suffer heart attacks have a "normal" cholesterol test by routine testing. The additional information in the VAP profile improves the detection of heart disease risk from about 40 percent to 90 percent, and  provides a foundation for patient-specific treatment plans.

FIBRINOGEN
This checks for the amount of fibrin in the blood. Too much fibrin can cause blood to clot too readily and increase the risk of heart attack, venous thrombosis, pulmonary embolism, stroke from blood clots.

INSULIN LEVEL
High levels of this hormone not only put you at risk for diabetes, obesity, heart disease, and some forms of cancer as well. This hormone level can be improved with a specific way of eating.

LIPOPROTIEN A
Heart Disease is the leading cause of death in our country and therefore we try to screen everyone for all modifiable risk factors such as this one.

C-REACTIVE PROTIEN
This is the High-sensitivity form of CRP which is considered a risk factor for heart disease.

LIVER PANEL
Can check for hidden liver disease and help alert for problems with liver function.

METABOLIC PANEL
Includes Sodium, Potassium, Glucose, Carbon Dioxide, BUN and Creatinine (kidney function), etc.

THYROID STIMULATING HORMONE
Screens for thyroid problems.

FREE T4
This checks the part of thyroxine (a thyroid hormone) that is active in the blood. It's important to check the "free" portion as most of this hormone is bound to protein and therefore inactive.

FREE T3
This checks the active portion of the thyroid hormone that is able to act on the cell. Some people do not convert the T4 to T3 and will still feel hypothyroid in spite of normal TSH and Free T4.

CBC
Is a complete blood count with white blood cells, red blood cells, platelets, indices, and measurement of the different types of white blood cells (lymphocytes,basophils, eosinophils, monocytes, neutrophils etc. that are necessary for immune function)

PSA
The prostate specific antigen helps detect prostate cancer.

CERVICAL CANCER SCREENING
We use the Thin-Prep type "Pap" test as this has a higher accuracy rate and is better at differentiating early cervical lesions.

HPV
Testing for high risk human papilloma viruses is also available.

 

Additional Tests Offered

AMAS (Anti-Malignan Antibody Screen)
This test is used for early cancer detection. According to published studies in peer reviewed journals, it is statistically more accurate than any other tumor marker we currently have. It may detect cancer up to 19 months before it is detectable by CT scan etc. This test is used at some of the large corporations as part of their annual executive wellness testing as early detection often means higher survival rate when it comes to cancer. This is also of use to check if a cancer has been completely removed surgically and to monitor for early recurrence in cancer survivors.

HEART SCAN-CT for calcium score (computerized tomography)
Measures the amount of calcified plaque of the arteries in the heart. This is a non invasive test useful for detecting some cases of symptomless heart disease. Remember that a heart attack is often the first symptom in many people.

POST MENOPAUSAL HORMONE PANEL 
Checks the active portion of the hormones, estrogen, estrone, estriol, progesterone, testosterone and DHEA. The active (or free fraction) part of the hormone is what's meaningful as the total level does not show the active amount.

FEMALE HORMONE PANEL
For pre-menopausal women and tests up to 11 samples of the 6 above hormones to show what the levels are at various times in the cycle.

MALE HORMONE PANELS
Checks the active portion of the hormones testosterone, progesterone, DHEA, and also metabolites of testosterone, androstendedione, and estrogen.

ESTROGEN METABOLISM TEST
This checks whether your body is metabolizing the estrogen (we still have some even post menopause) down the preferred healthy 2-OH pathway. Research shows that women with a ration of less than 2 have a higher risk of breast cancer. This is a useful test because we can help this pathway if necessary and thereby reduce a woman's risk of the most common female cancer.

CORTISOL LEVEL TEST 
This can check your body's stress hormone. This is also helpful for detecting some causes of chronic fatigue or episodic fatigue during the day.

NEUROTRANSMITTER TESTING
Checks levels of chemicals that affect brain and nervous system function. Replenishing the natural precursors of these when low can help reduce anxiety, depression and appetite. It can also help balance disorders of ADD and hyperactivity in many cases.

ENERGY CYCLE TESTING
This test checks each step of the Citric Acid (formerly called Kreb's) Cycle for energy metabolism in your body. If there is too much of a certain metabolite it indicates a lack of the co-factors nutrients necessary to go on to the next step. This test is very useful in cases of chronic fatigue and fatigue in general.

FOOD ALLERGY TESTING
This is helpful for many cases of Irritable Bowel Syndrome, inflammation of the bowel, allergy and some cases of fatigue. The IgG is tested to check for delayed sensitivity as this is the type of allergy that is hard for people to determine themselves (the immediate reaction is usually easy for patients to figure out).  

CELIAC TESTING
This is a stool test for gluten intolerance. It is important to detect it early, ideally before the intestinal lining becomes damaged.

COMPLETE DIGESTIVE STOOL ANALYSIS
This test is to check digestion of protein, fats, carbohydrates and byproducts of yeast and unhealthy bacteria overgrowth . It checks many parameters and is very comprehensive.

COMPLETE PARASITOLOGY TESTING
This testing can detect the parasites, eggs, and antigens to various parasites and is done by a lab known for it's excellence in this area as accuracy of these tests is often dependant on lab experience and frequency of tests run.

CANDIDA ANTIBODIES
This tests for antibodies to candida and if levels are high, treatment will be recommended. Complete stool testing is also available for this with cultures.

URINE N-TELOPEPTIDE (NTX TEST) 
This test checks for active bone loss to determine if what a person is doing is adequate to prevent further loss. The Bone Density Test recommended for women age 50 and over tells what loss has already occurred but doesn't answer the question of whether it is still occurring or if treatment is working early on.

FREE FATTY ACID TESTING
This tests the levels of the essential fatty acids in your blood and the ratios. Fatty acid balance is important for heart health and to reduce inflammation as well as brain and nerve function.