Great Plains Laboratory Clinician Manual

Clinician
Information
Manual
The Great Plains Laboratory, Inc.
11813 W. 77th St.
Lenexa, Kansas 66214
CustomerService@GPL4U.com
www.GreatPlainsLaboratory.com
913-341-8949 Toll-Free 800-288-0383
Your Representative
___________________________________
Account Representative
___________________________________
Direct Line
___________________________________
Mobile
___________________________________
E-mail
Revised: 7/13/2015
Clinician Information Manual

Getting Started with Lab Testing
Introduction to The Great Plains Laboratory, Inc.

Test Kit Order Form
Additional Resources Available on Our Website
Brochures Available on Our Website
GPL3 and GPL4 Panels
Clinical Lab Test Recommendations
Top 5 Recommended Tests

Clinical Significance of the Organic Acids Test
Test & Pricing Information
Physician Test Price List

Patient Test Price List
Test Descriptions
Turn-Around Times and Specimen Collection
Insurance Billing, CPT & ICD-9 Codes
Insurance Overview
Insurance Coverage Verification Guide
CPT Codes for Insurance Billing (Individual Tests & Test Panels)
ICD-9 Codes for Insurance Billing
Sample Test Requisition Form
Nutritional Supplements
Distributor Price List

New Client Form
Introduction to Integrative Medicine for Mental Health (IMMH)
Introduction to IMMH & IMMH Website

Recommended Testing for Mental Health Patients
Introduction to Zeebra Formulations
Practitioner Supplement Recommendations
William Shaw, Ph.D., Director
11813 West 77th Street, Lenexa, KS 66214
(913) 341-8949
Fax (913) 341-6207
www.GPL4U.com
Getting Started With Lab Testing
Getting Started
With Lab Testing
Introduction to The Great Plains Laboratory, Inc.

Welcome to The Great Plains Laboratory, Inc., where customer service is our number one
priority. Our friendly staff is dedicated to helping both medical practitioners and patients to
achieve their maximum potential through accurate and informative laboratory testing. As a
client, you will appreciate the personal, one-on-one service that sets our laboratory apart from
the rest. We hope you will take advantage of the new clinical tests we have to offer based on
the latest research.
Our laboratory staff works diligently with medical practitioners and individual patients to ensure
that test results are thoroughly understood. Our knowledgeable customer service
representatives are available by phone and by email to answer questions and to provide clear
advice about how to order our tests. Our clients receive the maximum value for their test
results, which includes a professional consultation.
At The Great Plains Laboratory, Inc., we have coupled advanced technology with friendly
assistance to offer the most complete, reliable, and understandable laboratory testing available.
We look forward to working with you soon.
Sincerely,
William Shaw, Ph.D.

Laboratory Director
Website: www.GPL4U.com
E-mail: CustomerService@GPL4U.com
KitOrderForm
Faxto:9133245262
ClinicName:
PhysicianName:
PhysicianPhone:
PhysicianTitle:
PhysicianEmail:
PhysicianFax:
ClinicStreetAddress:
ClinicCity,State&Zipcode:
Quantity TestKits
Quantity TestKits
URINEKITS
BLOODKITS
AminoAcidsUrineTestRandomCollection
AminoAcidsPlasmaTest(USonly)
AminoAcidsUrineTest24HrCollection
AdvancedCholesterolTest
IgEFoodAllergyBasicTest
IgEInhalantAllergyBasicTest
Gluten/CaseinPeptidesTest
GPLTOXProfile
MetalsUrineTestRandomCollection
MicrobialOrganicAcidsTest(MOAT)
OrganicAcidsTest(OAT)
PhospholipaseA2ActivityTest
UricAcidTestRandomCollection
CReactiveProteinTest(hsCRP)
CeliacDiseaseTest
IgGFoodAllergyTestw/Candida
IgGAsianFoodAllergyTestw/Candida
IgEFoodAllergyEssential(12)Test
IgGFoodAllergyTest+IgEFoodAllergyEssential(12)Test
PrealbuminTest
StreptococcusAntibodiesProfile
VitaminDTestSerum
KryptopyrroleTest(USonly)
IgEAllergyAdvancedCombinedTest
MetalsUrineTest24HrorTimedCollection
UricAcidTest24HrCollection
IgEFoodAllergyAdvancedTest
IgEInhalantAllergyAdvancedTest
CeruloplasminTest
Copper/ZincProfile
ComprehensiveFattyAcidsTest(US&Canadaonly)
PorphyrinsTest
STOOLKITS
MetalsFecalTest
IgGFoodAllergyTestw/CandidaDriedBloodSpot(DBS)
IgGAsianFoodAllergyTestw/Candida(DBS)
ImmuneDeficiencyProfile
YeastCulturew/SensitivityTest
MetalsRedBloodCellTest
ComprehensiveStoolAnalysis
COMBOKITS
MOAT+YeastCulturew/SensitivityTestCombo
OAT+AminoAcidsUrineTestComboRandom___24hr___
OAT+IgGFoodAllergyTestw/CandidaDBSCombo
OAT+IgGFoodAllergyTestw/CandidaSerumCombo
MetalsWholeBloodTest
VitaminDTestDriedBloodSpot(DBS)
SALIVAKITS
HormonesComprehensivePanel
HormonesComprehensivePlusPanel
HormonesShortComprehensivePanel
OTHERMATERIALS
OAT+YeastCulturew/SensitivityTestCombo
GPLInformationGuides
GPL3:OAT+IgGFoodAllergyTestDBS+MetalsHair
PediatricCollectionBags
GPL4DBS:OAT+IgGFoodAllergyTestw/Candida
HAIRKIT
+MetalsHair+PhospholipaseA2ActivityTest
GPL4Serum:OAT+IgGFoodAllergyTestw/Candida
MetalsHairTest
+RedBloodCell+PhospholipaseA2ActivityTest
COMPREHENSIVETESTPANELS
ComprehensiveAutismPanel
ComprehensiveAD(H)DPanel
ComprehensiveTourettes&TicsPanel
ComprehensiveFibromyalgia&CFSPanel
ComprehensiveWellnessPanel
ComprehensiveMentalHealthPanel
BASICTESTPANELS
BasicAutismPanel
BasicAD(H)DPanel
BasicTourettes&TicsPanel
BasicFibromyalgia&CFSPanel
BasicWellnessPanel
BasicMentalHealthPanel
Additional Resources Available on Our Website

Free Webinars
The Great Plains Laboratory, Inc. uses the power of the internet to bring educational conferences into the comfort of your
home. These webinars are educational seminars conducted by a wide range of experts on the topic of biomedical treatment
and testing. The information is designed to provide useful information about the clinical manifestations that occur in certain
disorders. The presenters draw from years of clinical experience to bring you important, helpful information about various
situations that can occur in the body to create illness and disease. The presentations explain the topic in detail using language
that is easy to understand. These live webinars are given frequently throughout the year. Specific dates can be found listed on
the Upcoming Webinars section of our home page.
Sign Up to Receive Email Updates

Emails will include information regarding new and updated tests, conferences, and webinars. A special publication called
BioMed Today E-Newsletter is sent out quarterly in addition to the e-mails and includes a featured topic and related
articles about new and updated discoveries in the biomedical field as well as upcoming events, discussions, tips, recent
news, and other resources. Visit E-mail Sign Up under Upcoming Events on our website to sign up.
Books and DVDs

We offer a variety of educational books and DVDs including Dr. Shaws books: Biological Treatments for Autism and
PDD and Autism: Beyond the Basics. To place an order, go to GPL Bookstore under Resources on our website.
Integrative Medicine for Mental Health (IMMH) Clinician Registry & Resources
Integrative medicine for mental health is a whole body approach utilizing multiple fields of medicine and nutritional
sciences. The Integrative Medicine for Mental Health website contains a Registry where medical professionals are listed
as resources to the community. Clinician Registry eligibility is exclusive to practitioners who have either attended an
IMMH Conference or after viewing the IMMH Conference DVD. Visit www.IMMH.org for more information.
Educational Conferences
The Great Plains Laboratory, Inc. regularly hosts, sponsors, and attends conferences around the world. These events
provide patients and practitioners with the opportunity to learn more about the latest research and the clinical significance
of tests and treatments. The conferences hosted by GPL provide an opportunity to learn about the complex metabolic
pathways that are affected in particular disorders, and about environmental and genetic influences that are contributing to
the symptoms of disease. To find out where GPL is participating in a conference, visit Upcoming Events on our website.
Clinician Educational Seminars

The Great Plains Laboratory, Inc. frequently hosts clinician educational seminars designed to improve the scope of
practice. We provide useful tools for practitioners to understand the various influences that complicate metabolic
pathways and explain the connection in our test results. Using the latest research on specific compounds and metabolites,
we bring new insight to the disease process. The practitioner will gain an understanding of the clinical significance of
biomedical testing and a clear comprehension of the appropriate treatment. To find out when and where our next clinician
educational seminar will be held, visit Upcoming Events on our website.
Sample Patient Health History Form

This is a template available for you to use to obtain patient information and assess overall health.
Four Weeks to Dairy-Free

This educational resource is to help those who are trying to embark on a casein-free (CF) or dairy-free diet. The guide
contains information on how to get started, a list of foods that contain casein and their alternatives, recipes, meal ideas,
and more. The daily instructions included in the guide can provide a smooth transition to a dairy-free lifestyle.
Patient Price List

This resource is available for download. When placing kit orders, you can request sets of 12 for waiting room material.
Brochures Available on Our Website

Test Brochures
Upgraded Organic Acids Test

Now With Additional Markers
The Organic Acids Test
The Organic Acids Test (OAT) provides
a metabolic snapshot based on the
products the body discards through the
urine. These small, discarded organic
acid molecules are byproducts of human
cellular activity, the digestion of foods, and
the metabolism of gastrointestinal flora.
At certain levels, organic acids in urine
may be indicators of toxicity or markers
of the function of metabolic pathways.
Levels of yeast or gastrointestinal bacteria
metabolites are compared to normal
levels of human metabolites, providing an
assessment of yeast and bacterial activity.
The Organic Acids Test includes 74 urinary
metabolites (including creatinine) and two
neurotransmitter ratios. Recently, two new
markers of genetic disease were added to
the panel, one of which has been linked to
autism.
(913) 341-8949
Fax (913) 341-6207
www.GPL4U.com
Oxalate Control
Understanding IgE Reactions
levels of organic acids in their

system. Factors which can cause
or affect the intestinal yeast
overgrowth include oral antibiotic
use, excessive sugars in the diet,
selective or combined immune
deficiencies, genetic and other
factors.
Patients and physicians have reported

significant improvement upon treatment
including: decreased fatigue, regular
bowel movements, increased energy
and alertness, increased concentration,
improved verbal skills, less hyperactivity,
better sleep patterns, and decreased
abdominal pain.
Besides the new markers, the OAT still

evaluates other important compounds
including Krebs cycle metabolites and
neurotransmitters. This reliable test detects
the overgrowth of yeast and a bacteria
species, Clostridia, commonly missed
by conventional culture methods. These
organisms and their metabolites can
produce or magnify symptoms of many
medical conditions. Identification of a
yeast or bacterial overgrowth paired with
a successful treatment can increase the
probability of recovery.
AD(H)D
Alzheimers Disease
Anxiety Disorders
Aspergers Syndrome
Autism Spectrum Disorders
Chronic Fatigue
Colitis and Crohns Disease
Depression
Down Syndrome
Endometriosis
Fibromyalgia
The Importance of IgE Testing

Elimination of IgE-positive foods and reduction of exposure to inhalant allergens can
bring about major improvements in many symptoms and disorders triggered by food
and environmental sources. The Great Plains Laboratory, Inc. (GPL) offers both basic
and advanced serum tests for specific IgE antibodies to a wide range of allergens.
The advanced tests of 93 foods and 69 inhalants increase the probability that
a patient may identify numerous allergy triggers. In the IgE Inhalant Allergy
Advanced Test, we have included Candida and Thimerosal markers.
Learning Disabilities
Movement Disorders
Multiple Sclerosis
Obsessive Compulsive Disorder

Recurrent Infections
Tic Disorders
Tourette Syndrome
(continued on page 2)
Although IgE allergies are associated with immediate and therefore easily
discernible reactions, not all IgE responses are so clear. Testing is an important
adjunct to the patients symptom reporting in identifying triggers.
http://patienteducation.upmc.com/Pdf/
LowOxalateDiet.pdf
Test results show which foods and inhalants are associated with elevated
IgE antibodies that may cause reactions. These results help guide health
practitioners in customizing therapies for their patients.
Gastrointestinal Disorders,
Diarrhea or Constipation
I believe the Great Plains

IgG Food Allergy Test is
a phenomenal tool that I
A free phone consultation with our nutritional consultant

is available to practitioners and patients with physician
approval.
practice on a daily basis

to help treat patients
for a wide variety of
symptoms like headaches,
Better receptive and expressive
IBS, fatigue, abdominal
language
pain, dermatitis, hair loss,
Increased imitation skills
joint pain, acne, thyroid
Increased sociability
disorders, and vitamin
Decreased rigidity
deficiencies. I believe I am
Better sleep
a better physician due to
Reduced self-abusive behavior
this testing transforming
Increased imaginary play
Oxalates in the urine are much higher in

individuals with autism than in normal children
(Figure 1). As a matter of fact, 36% of the
children on the autism spectrum had values
higher than 90 mmol/mol creatinine, the
value consistent with a diagnosis of genetic
hyperoxalurias while none of the normal
children had values this high. 84% of the
Easy to Understand Results
have implemented in my
Benefits reported by parents

using low oxalate diet
according to Susan Owens
Improved gross and fine motor skills
Better counting ability
36% of the children on the autism

spectrum had values higher than 90 mmol/
mol creatinine, the value consistent with
a diagnosis of a genetic hyperoxaluria.
my ability to properly
Improved cognition
Decreased bed wetting
diagnose and treat patients
Less frequent urination
effectively.
Improved handwriting
Bridget, M.D.
Less fatigue and more energy

And many others
Organic Acids Test - Oxalates
Organic Acids Test
For more information or to request a test kit, contact us

Phone: (913) 341-8949 Fax: (913) 341-6207 Toll Free: 1-800-288-0383
www.greatplainslaboratory.com E-mail: customerservice@GPL4U.com
OAT Oxalates Brochure

06/05/13
IgE Food & Inhalant Allergy Tests
Page 1
Organic Acids Test Brochure

8/22/12
Oxalates and Autism

A brand new diet is being extensively used to
treat children with autism and other disorders.
Oxalate and its chemically similar form oxalic
acid are widely used in industry. A researcher
named Susan Owens discovered that the use
of a diet low in oxalates markedly reduced
symptoms in children with autism and PDD.
For example, the mother of an autistic son
reported that he became more focused and
calm, that he played better, that he walked
better, and had a reduction in leg and feet pain
after being on a low oxalate diet. Prior to the
low oxalate diet, her child could hardly walk
up the stairs. After the diet, he walked up the
stairs very easily. Many hundreds of children
with autism throughout the world are now
being placed on this diet with good results.
06/18/14
gE Food & nha ant

A ery Tests
Organ c Ac ds Test
OAT
Page 1
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Human IgG is separated into four subclasses denoted IgG1, IgG2, IgG3, and IgG4.9
Each subclass varies in abundance and biological function. IgG1 and IgG3 are
predominantly responsible for antibody protection against reinfection. IgG2
antibodies are opsonic (marking a pathogen for ingestion and destruction) and
develop in response to carbohydrate polysaccharide antigens. IgG4 molecules
function as skin-sensitizing immunoglobulins and are thought to block antibodies
produced in response to chronic exposure to antigens.
Antigen Binding Sites
Fab Region
Fc Region
Immunoglobulin
Figure 1 Structure
Clinical Usefulness
(913) 341-8949
Our two test options, plasma and urine amino acids

analyze 40 amino acids and provide a detailed explanation
of the causes and possible consequences of detected
abnormalities, along with nutritional recommendations.
By using The Great Plains Laboratory, Inc. you will receive the benefits
of testing and free consultations with experts, ongoing free e-mail
and phone support, high quality control, detailed explanation of
results, and easy testing procedures.
Most people receive substantial vitamin D through sunlight exposure. Vitamin D

can also come from supplementation and diet; however, there are very few foods
that naturally contain vitamin D. Some foods that contain vitamin D are fatty fish,
fish liver oil, and eggs.
The Vitamin D Test at The Great Plains Laboratory, Inc. can help to determine if
sun exposure is adequate, if dietary vitamin D is sufficient, and can assess the
likelihood of malabsorption or liver disease.
Vitamin D Deficiency By Population

The NHANES provided data on the vitamin D nutritional status of the US
population. Approximately 9% of the pediatric population, representing
7.6 million US children and adolescents, were vitamin D deficient, and 61%,
representing 50.8 million US children and adolescents, did not have optimal levels
of vitamin D. Generally, younger people had higher vitamin D levels than older
people, males had higher levels than females, and non-Hispanic whites had higher
levels than Mexican Americans, who in turn had higher levels than non-Hispanic
blacks. Depending on the population group, 1-9% had levels <11 ng/mL, 8-36%
had levels <20 ng/mL, and the majority (50-78%) had levels <30 ng/mL.
Amino acids
are the building
blocks of all
structural proteins
essential for life.
Test Description
The Vitamin D Test is available in a dried blood spot (DBS) or as a serum assay that
quantitates 25-hydroxyvitamin D2 and 25-hydroxyvitamin D3 metabolites. The
metabolite 25-hydroxyvitamin D is the major circulating form of vitamin D in
the body and the best indicator of a patients true vitamin status due to its long
half-life of 2-3 weeks. The major biologic function of vitamin D is to maintain the
normal blood levels of calcium and phosphorus involved in bone mineralization.
Vitamin D also influences expression of more than 2,000 genes, including those
responsible for regulation of cellular proliferation, cell differentiation, apoptosis,
1
Fax (913) 341-6207
Vitamin D
Even with a very

complete and
balanced diet,
nutrients have
to be properly
digested to
transport vitamins
to different parts
of the body.
The Great Plains Laboratory, Inc. can check metal levels in hair, urine, blood, and
stool, using samples appropriate for each specific situation.
Determining the Best Testing Method

Hair is ideal for the initial evaluation because of easy sample collection procedures,
accuracy, and economic price. As blood transports metals to body tissues and hair
follicles, toxic elements get incorporated and excreted in the hair tissue.
Levels of healthy bacterial flora versus

presence of potentially pathogenic bacteria
species, yeast and parasites
Culture and sensitivities of pathogenic yeast
and bacteria
Estrogen
Estradiol
Estriol
Estrone
Progesterone
Osteoporosis
Poor Immunity
Sleep Disorders
Tic Disorder
Tourettes Syndrome
Weak Nails
(913) 341-8949
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Testosterone
DHEA
Cortisol
Measuring hormone levels is an important proactive step in health

maintenance. Many vague symptoms result from hormone imbalance and
can be treated if properly identified.
Symptoms of the reproductive and menopausal years

Breast pain and/or tenderness
Cysts and lumps (breast, uterine)
Fibrocystic breasts
Depression / insomnia
Irregular menstrual cycles

Hot flashes
Weight gain
Brain fog
Why is male sex hormone balance important?

Hormone Markers:
Testosterone
Estradiol
Progesterone
DHEA
Cortisol
Clostridium Difficile
Infectious pathogens: ( EIA evaluation for

Campylobacter, Enterohemorrhagic E.coli
cytotoxin, Giardia lamblia, Cryptosporidium)
Indices and markers of intestinal immune
function (fecal sIgA)
Testosterone is the primary male sex hormone and is released in pulses

throughout the day. Testosterone production rises during puberty. After 35, free
testosterone becomes less available due to increased testosterone-binding
proteins and decrease in testosterone-releasing cells. Low testosterone levels
or high stress in mens early 20s or 30s may cause symptoms similar to going
through the natural decline of testosterone.
DHEA is the precursor to both female and male sex hormones, as well
as to the stress hormone cortisol. The balance of testosterone with other
estrogens, progesterone, DHEA, and cortisol influences mens health. Higher
estrogen levels with low testosterone levels have been correlated with an
increased risk of prostate problems. High cortisol and DHEA can increase
anxiety, lower immunity and destablize blood sugar, as well as the risk of
cardiovascular disease.
Symptoms of declining testosterone:
Indices and markers of inflammation

(lysozyme and lactoferrin levels)
Erectile dysfunction
Decrease mental ability
Insulin resistance
Decreased sex drive
Indices and markers of intestinal physiology

and of intestinal health (presence of RBC,
WBC, mucus, occult blood, fecal pH, and
short chain fatty acids analysis).
1
Lethargy
Weight gain
Difficult Urination
Prostate enlargement
Decline in muscle
strength and mass
Bone loss
ng/dl
1000
800
600
400
200
0
20 25 30 35 40 45 50 55 60 65 70
Decline in testosterone by age
Hormone Health & Your Body
11/26/13
Comprehens ve
Stoo Ana ys s
Hormones
Essent a Fatty Ac ds
Disorder Brochures
sonalized Testing and Treatment
cal routine lab work often falls short of uncovering

le abnormalities which can have a profound effect
ealth. Unless accurately addressed, this vicious cycle
continue to inhibit the various biochemical pathways
ssary for proper neurological and immune function.
resulting complications contribute to, and may even
e, the symptoms of autism.
chieve optimal results, it is critical that potential

medical issues be assessed and included as part
he overall treatment programs for individuals
h autism spectrum disorders.
school, work, or home, resulting in academic or professional

based clinical laboratory offering testing for nutritional
failures,
factors in chronic illnesses such as autism, ADD,
andpoor social skills, low-self-esteem, depression, antisocial
behaviors, or substance abuse.
fibromyalgia. We provide a variety of metabolic
tests
such as immune deficiency evaluation, amino acid,
AD(H)D is considered to be a persistent and chronic
essential fatty acid, cholesterol levels, metal toxicity,
condition for which biomedical intervention can be helpful.
and food allergy tests.
Once the biological causes of AD(H)D are addressed, it may
possible to reduce or eliminate drug therapy.
Recommended Tests for Autism Spectrum be
Disorders:
Advanced Cholesterol Profile
Comprehensive Stool Analysis
Copper/Zinc Profile
Ferritin Test
Gluten/Casein Peptides Test
mprehensive laboratory testing can identify the

siological imbalances that contribute to autism
point to an individualized treatment approach.
tments are designed to restore the body to
nce and optimize function through nutritional
port, diet, detoxification, and reduction of toxic
ronmental influences.
Evaluating the Patient

The Great Plains Laboratory,
Inc. is dedicatedAutism
to assisting
Understanding
healthcare practitioners make a difference by helping The integrative approach to evaluation and treatment
Traditionally, the diagnosis of autism has been based
children, adults, and families achieve their maximum
of and
physical
and psychological
symptoms begins with
on the observation of behavior,
treatment
focused
potential through quality laboratory testing. Our
identifying
multiple
underlying factors that may
primarily on alleviating challenging
behaviors.
However,
laboratory provides the most reliable, comprehensive,
there is a very real biomedicalbe
component
to the
disorderinflammation, immune
responsible:
digestion,
and understandable scientific results, using the latest
in which underlying medical issues
oftenhormone
cause orlevels, oxidative stress, toxicities,
reactions,
technology and proven techniques.
Without treatment, AD(H)D can lead to profound distress at

The Great Plains Laboratory, Inc. is a research-
IgG Food Allergy Test w/ Candida

Immune Deficiency Profile
Metals Hair
Organic Acids Test
Streptococcus Antibodies Profile
Vitamin D Test
AD(H)D
Autism Spectrum
Disorders
contribute to autistic behavior.

microbial infections, and the psychological and spiritual
state of the individual.
Some of the most common problems include gastroRecommended
Tests
forovergrowth
AD(H)D: of Candida and Clostridia,
intestinal
(GI)
Address the Underlying Causes of AD(H)D
Advanced Cholesterol
Profito
le detoxify environmental toxins, and
inability
Many children with AD(H)D have one or more of the following
development
of food intolerances and/or allergies.
Amino Acids Urine
Test
nutritional or metabolic
imbalances:autism
mineral and
vitamin testing, diet,
Treating
through
These
physical
factors limit
thein 50 Americans are estimated
Comprehensive Fatty
Acids
Test and environmental
Approximately
one
deficiencies, toxic metal accumulation, improper diet, hidden
nutrients
available to the brain and body, resulting
and
supplementation
Comprehensive Stool
Analysis
to have fibromyalgia, or between 3 and 6 million
infections, chronic yeast
overgrowth,
or food sensitivities.
in damage to cellular, metabolic, and central nervous
Copper / Zinc Profile
people in the U.S.
system functioning.
Methods of treatment should involve a combination of
Ferritin Test
biomedical treatments, nutritional supplementation, and
- American
College
of Rheumatology
Every individual
with autism exhibits
unique
behavioral
Gluten / Casein Peptides
Test
diet modification. This treatment can be implemented
and w/
cognitive
IgG Food Allergy Test
Candidasymptoms with varying degrees of severity.
in conjunction with behavior modification, medication,
It isfrom
necessary
towe
care
for the whole patient, not just the
children and
adults
suffering
AD(H)D,
have
The Great PlainsIn
Laboratory,
Inc.
is a research-
found profound
nutrient
ciencies
biochemical
disease.and
An evaluation
of each patients biochemistry and
based clinical laboratory
offering testing
fordefi
nutritional
abnormalities.
science
is now
available
to explore
nutritional
needs
is essential for effective treatment. The
factors in chronic illnesses
such asThe
autism,
ADD,
and
these unique
metabolic
profiles
andisbegin
to understand
goal
to restore
health for the long-term, not just reduce
fibromyalgia. We provide
a variety
of metabolic
tests
ourciency
individualized
biochemical
fingerprints. Treating
symptoms.
such as immune defi
evaluation,
amino acid,
the underlying biochemistry addresses the core of the
essential fatty acid, cholesterol levels, metal toxicity,
problem. I believe this is preferable
to only
providingbegins with an analysis of the
Treatment
of
depression
hormones, and food allergy tests.
temporary relief of symptomspatients
throughbiochemical
medication.
profile, focusing on any abnormalities
I had fibromyalgia/chronic
syndrome (FM/CFS)
The Great Plains Laboratory,
Inc. is dedicatedfatigue
The Nutritional
Approach to Treating
suffered with
problems,
varying degrees
to assisting healthcareand
practitioners
makedigestive
a difference
Eating Disorders
of pain,
by helping children, adults,
andanxiety,
familiesdepression,
achieve theiretc., for more than 13
Every treatment plan needs to be specific for each
years. Every
after
work I was exhausted. Some
maximum potential through
qualityevening
laboratory
testing.
individual and should start with a comprehensive
days
wasnt
able to
go to work. Now, I have been
Our laboratory provides
theImost
reliable,
comprehensive,
biochemical evaluation. Then the nutrition-based
mostlyc symptom-free
more than three years and
and understandable scientifi
results, using thefor
latest
treatment can be implemented in conjunction
have
lots of energy.
technology and proven
techniques.
Fibromyalgia
& Chronic Fatigue
Depression
with traditional treatments, including individualized
The Great PlainsDepression

Laboratory, Inc. is dedicated to
assisting healthcare practitioners make a difference
Depression is a collection of unpleasant emotional and
by helping children,
adults, and families achieve
physical symptoms that can be disabling. The underlying
their maximum potential
through
quality
issues that
contribute
to laboratory
depression are different in each
testing. Our laboratory
provides
thebe
most
reliable,
patient
and must
identifi
ed to effectively treat the
comprehensive, and
understandable
scientific results,
disorder.
Potential contributors
include: sleep disorders,
using the latest technology
and proven
techniques.
toxic chemical
exposure,
poor digestion, food allergies /
Resources, Inc.
Amino Acids Urine Test
C-Reactive Protein
WhatTest
is AD(H)D?
Addressing the underlying causes

of AD(H)D
Metals Hair Test Common symptoms can also include eczema, diarrhea,
lifestyle change, and counseling to help the patient achieve

maximum potential.
constipation, rashes, dark eye circles, and visible stomach

pain.[1]
Organic Acids Test
Our laboratory provides the most reliable, comprehensive,

technology and proven techniques. Free webinars are
available on our website.
Vitamin D Test
technology and proven techniques.
Evaluating the Patient

Clinical assessment of a patients symptoms, a thorough
medical history, and appropriate laboratory testing are the
foundation for an effective treatment plan that can lead to
customerservice@GPL4U.com
restoration of a normal life.
www.GPL4U.com
(913) 341-8949
Fax (913) 341-6207
(913) 341-8949
Fax (913) 341-6207
(913) 341-8949
Fax (913) 341-6207
from341-8949
these illnesses, remember there is hope. It
(913)
Read
the article
at: www.immh.org/anorexia
isnt the diagnosis that you
should
be concerned
Fax (913) 341-6207
with, but rather the things you can change.
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www.GPL4U.net
www.GPL4U.net
AD H D
Aut sm Spectrum
D sorders
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Fax (913) 341-6207
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www.linkedin.com/company/the-great-plains-laboratory-inc.
Inattention
Facial grimacing
Obsessive-compulsive
symptoms such as intrusive
thoughts or worries and
repetitive behaviors
Shoulder shrugging
Head or shoulder jerking
F bromya g a &
Chron c Fat gue
Cholesterol Balance
Deficiency & Excess
Low cholesterol has been connected to
depression, anxiety, bipolar disorder and
statistically higher frequency of violent
behavior, suicide, Parkinsons disease,
and cancer mortality. Susceptibilities to
tuberculosis and gastrointestinal infections are
also associated with lower cholesterol levels.
Most significantly, the death rate is doubled in
older adults with lower total cholesterol and
stroke and cataracts rates are higher.
Hyperactivity and impulsivity
Perhaps the most dramatic and disabling tics are those that result in self-harm
such as punching oneself in the face, or vocal tics including coprolalia (uttering
swear words) or echolalia (repeating the words or phrases of others).
Early symptoms of TS are almost always noticed first in childhood, with the
average onset between the ages of 7 and 10. TS occurs in all ethnic groups,
and males are affected three to four times more often than females. Although
TS can be a chronic condition with symptoms lasting a lifetime, most people
with the condition experience their worst symptoms in their early teens, with
improvement occurring in the late teens and early adulthood.
Cholesterol is a sterol essential to life and

is found in every animal cell. Cholesterol is
part of our cellular structure and protects our
tissues. Many people fear and focus on high
cholesterol levels, yet never focus on low
cholesterol levels, which can have negative
health effects. Like everything in nature,
balance is the key.
An estimated 200,000
Americans have a severe
form of TS, and as many
as one in 100 individuals
exhibit milder and less
complex symptoms
High cholesterol is statistically associated with

greater risk of cardiovascular disease (CVD),
but less well known is the association of low
cholesterol with poor health and many chronic
disorders. Recent studies have suggested
strongly that lower cholesterol does not
guarantee a long life or high quality of life.
What is Tic Disorder?

Chronic tic disorder, also known as Chronic Motor Tic Disorder involves quick,
uncontrollable movements or vocal outbursts. The condition is more common
than Tourettes syndrome; however, it is not common as transient tic disorder.
Transient tic disorder is a temporary condition in which a person makes one
or many brief, repeated, difficult-to-control movements or noises (tics). Often
considered a mild form of Tourettes syndrome, tics look like nervous behavior,
appear to get worse with stress, and do not occur during sleep.
The Great Plains Laboratory, Inc. (GPL) offers

the Advanced Cholesterol Profile. This profile
is used to determine whether a cholesterol
deficiency is present or if cholesterol is
elevated. This profile also determines if
the body is eliminating potentially toxic
homocysteine and determines risk factors for
vascular disease and/or neurological disease.
Tourette
& Tic
Disorders
What is OCD?
Obsessive-Compulsive Disorder (OCD) is an anxiety disorder
characterized by recurrent, unwanted thoughts (obsessions) and/ or
repetitive behaviors (compulsions). The relationship between OCD
and Tourettes syndrome is well documented and was included in the
original description of TS reported in 1885. Modern-day literature supports
the genetic relationship between TS and OCD also, with the percentage
of OCD in TS reported ranges from 30% to 90%. Interestingly, the clinical
features in patients with TS often appear different than in patients with primary
OCD; for example, the manifestation of images and impulses tend to be sensory
issues such as concern with appearance, fear of saying or doing something
wrong, need to know or remember, and self-injurious behaviors. These
differences have led several researchers to conclude that TS + OCD is more
closely related to TS and may represent a subset of the disorder.
ADHD
Tourettes Syndrome, Tic Disorder, & OCD

07/26/13
contribute to depression and point to an

individual treatment approach to restore
normal mood.
www.GPL4U.net
Depress on &
B po ar D sorder
Eat ng D sorders
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What is Tourettes Syndrome?

Tourettes syndrome (TS) is a neurological disorder characterized
by repetitive, stereotyped, involuntary movements and vocalizations
called tics. Many individuals with TS experience additional
neurobehavioral problems. Some characteristics include:
Eye blinking and other vision
irregularities
Comprehensive laboratory testing can
(913) 341-8949
identify the physiological imbalances that
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Tourettes Syndrome, Tic Disorder, & OCD
OCD
Benefits of Cholesterol
Cholesterol serves several important roles
in metabolism: it is a key constituent of all
cell membranes and provides the structural
framework of vitamin D and adrenal and sex
hormones, as well as for bile acids which
help digest fat and increase absorption of fat
Depression
soluble vitamins. Most cholesterol is made in

the liver and is so crucial to metabolism that,
if necessary, it can be synthesized from either
fatty acids or glucose.
The Brain is the Most Cholesterol-Rich

Organ in the Body
Cholesterol synthesized in the brain is the
primary component of the myelin that surrounds
each nerve cell as a protective sheath. Loss of
myelin from disease or injury inevitably causes
neurological damage. Both neurons and glial
(support) cells in the central nervous system
(CNS) contain unbound cholesterol as an
integral part of their cell membranes.
Low Cholesterol Associated with

Mental Disorders & Mortality in Elderly
Cholesterol & Cardiovascular Disease

High cholesterol may be associated with
the onset of CVD, but cholesterol may be
deposited as a patch on inflamed or injured
blood vessels, particularly coronary arteries.
Macrophages scavenge cholesterol along
with other cell debris and may become foam
cells which accumulate in artery walls and
cause atherosclerotic streaks. Assessments of
inflammation such as C-reactive protein (test
available at GPL) or homocysteine level have
been suggested as better predictors of CVD
risk.
Understanding the health consequences of

lower cholesterol has been aided by studying
serious genetic disorders that prevent
cholesterol synthesis in the body. Low cholesterol has been connected to greater risks
of suicide, accidents, violence, and mood
disorders, such as depression.
Cholesterol levels may influence serotonin
activity in the brain. Serotonin is the
neurotransmitter associated with mood,
Homocysteine (Hcy) is a non-protein, nonstructural amino acid that is generated by

metabolism of methionine, an essential amino
acid. Homocysteine can be recycled back to
methionine with folic acid and vitamin B-12 as
co-factors.
Tourette s T c & OCD
underlying
and bacterial problems, I started feeling better than

I had felt in years. I found outClinical
that eating
organically
Treatment
of Anorexia Nervosa
grown foods and meats free Merits
of antibiotics
growth- by James Greenblatt, M.D.
More and
Attention
hormones is important. Also, vitamins, minerals, and
More than 30 percent of patients with anorexia nervosa
herbal supplements played a role in my recovery.
become chronically ill within 10 years. Ten percent die
within 10 years and 20 percent die within 20 years. We
If you are among the millions
of people
who
suff
er
should
do better
than
prescribing
drugs that dont work.
- Yvonne Keeny, Executive Director, Fibromyalgia Coalition

International
Individuals with eating disorders have the highest

mortality rates out of all the mental illnesses. In the
U.S., as many as 10 million women and 1 million men
battle anorexia or bulimia, and many others struggle
with binge eating disorder or compulsive overeating.
Eating Disorders
sensitivities, nutritional deficiencies, immune reactions,

medications and therapy if needed.
that may be contributing to symptoms. Test results can help
After trying the drug route, I researched non-drug
levels,
oxidative
stress,
inflammation, and the
Beneficial Tests for Patients with Depression
Tests Beneficial hormone
for Patients
with
Eating
Disorders
medical practitioners create a treatment plan designed to
solutions and found out many existed.
psychological and spiritual state of the patient.
A nutritional approach transforms the treatment
restore balance and optimize function through nutritional
eating disorders
from conventional
hit-or-miss
support and diet. This integrative approach can enhance
Amino Acids Plasma
Testhelped even more wasofI learned
Amino Acids Plasma Test
physiological
imbalances that
Understanding the complete
What
aboutIdentifying
the yeast
Understanding and evaluating nutritional
Is Depression an Epidemic?
and reinforce traditional
trials to individually focused interventions
Comprehensive Fatty
Acids TestI contacted Themedication
Comprehensive Fatty Acids Test
AD(H)D is a neurobehavioral developmental
disorder treatment methods, increasing the
connection.
Great
Plains
Laboratory,
contribute to depression
causes of eating disorders
factors in fibromyalgia and chronicfatigue
chance
of recovery.
Depression
has a profound impact on society. According
based on laboratory analysis.
Gluten/Casein
Peptides
Test
Comprehensive Stool
that
typically
presents itself during
childhood
and is
Comprehensive
Stool Analysis
Inc. Analysis
and asked for a physician referral to do the testing.
to the
characterized
by a persistent pattern of inattention and /
IgG Food Allergy
Test w/ Candida
Copper/Zinc Profile
Copper/Zinc Profi
le World Health Organization, depression is the
I did have a yeast overgrowth plus a bacterial infection
leading cause of disability in the U.S. for people ages 15or hyperactivity, as well as forgetfulness, poor impulse
Metals Hair Test
Gluten/Casein Peptides
in my Test
gastrointestinal tract. I discovered I was sensitive
44. Depression can affect anyone but is most common in
control, and distractibility. About 60% of children diagnosed
to house
dust, certain foods, molds, and chemicals.
w/ Candida
Organic Acids Test
women.
Mental
Health
America
reports
$31
billion
worth
with AD(H)D retain the condition as adults. Many cases
Metals Hair Test Also, I had hypothyroidism and some hormonal and
Metals Hair Test
Vitamin D Test
of productive time is lost each year to depression among
may be caused by trauma, toxic exposure, food allergies or
Organic Acids Testmineral deficiencies.
Organic Acids U.S.
Testworkers. Mood-altering drugs are being dispensed at
intolerances, or nutritional deficiencies.
Our laboratory provides the most reliable, comprehensive,
Vitamin D Test
Vitamin D Testrecord levels. Unfortunately, antidepressants do not work for
Within a few weeks of starting treatment for the yeast
everyone and many have frequent, unwanted side effects.
James Greenblatt, Director of Comprehensive Psychiatric
Recommended-Dr.
testing
for Fibromyalgia include:
Cho estero
De c en y &
Chron c D sorders
www.GPL4U.com
As girls mature to women, hormonal changes

orchestrate the process leading to the beginning
of menstruation. There are two phases during
a womans menstrual cycle, the first phase
is considered the estrogen-dominant phase
(prior to ovulation), and the second phase
is progesterone-dominant (post-ovulation).
The monthly shifts between estrogen to
progesterone are crucial to a womans health.
DHEA is the precursor to both female and male sex hormones and is
released with cortisol under stress conditions.
Candida Albicans
06/18/14
Heavy Meta s
Seizures
Muscular Weakness
Women normally produce small amounts of testosterone. This male

hormone helps women stay strong, fit and sexually active, and may protect
against breast cancer and cardiovascular disease.
Heavy Metals Testing

06/18/14
Obsessive-Compulsive
Disorder
The Comprehensive Stool Analysis detects the presence of pathogenic yeast,

parasites, and bacteria, which could be contributing to chronic illness and
neurological dysfunction. It provides helpful information about prescription and
natural products effective against specific microorganism strains detected in the
sample. The test also evaluates beneficial bacteria levels, intestinal immune
function, overall intestinal health (presence of occult blood, short chain fatty
acids analysis, pH, mucus, and other criteria), and inflammation markers.
Elimination efficiency of undigested food

residues and toxins
Inborn Errors of Metabolism

Kidney Stones
Movement Disorders
Our dedication to customer service shows that we

care about our clients continuous well-being and
progress after doing our tests.
Hormone Markers:
About the Test
Absorption of nutrients (cholesterol,

carbohydrates, steatocrit %)
Failure to Thrive
Gastrointestinal Problems
Why analyze female sex hormones?
For example, excessive yeast produces toxic metabolites, which can pass
through the blood-brain barrier and alter neurological functioning causing
brain fog, behavior problems, and learning difficulties. Exposure to certain
pathogens can cause the formation of antibodies that can interfere with the
brain in predisposed individuals, causing problems with motor function. Excess
of toxic by-products of certain bacteria can interfere with neurotransmitters
and cause fatigue. Beneficial bacteria, on the other hand, helps with vitamin
absorption and preventing infections.
Nutrients digestion (chymotrypsin,

triglycerides, muscle fibers, vegetable fibers)
Urine and fecal tests are most sensitive after taking a chelating agent. Chelating
agents help extract heavy metals deposited in the tissues and bone. These tests
are also important for evaluating the efficiency of chelating treatments since they
measure levels of metals excreted from the tissues during the chelation. Urine and
fecal element tests are not recommended unless using a chelating agent before
sample collection.
Dermatitis
Chronic Fatigue
Checking levels of amino acids is an integral part of any metabolic

and nutritional evaluation. Low levels of amino acids can increase
the susceptibility and risk of various diseases, complicate healing
processes, and cause fatigue and general discomfort.
The Importance of Understanding Hormone & Bodily Changes
Comprehensive Stool Evaluation Will Give You Specific

Information About The Following Digestive Criteria:
The blood test is best for detecting recent heavy metals poisoning and for
measuring levels of minerals in the body.
Cardiovascular Problems
Amino acid imbalances are frequent underlying causes of metabolic,

as well as gastrointestinal, neurological, and movement disorders.
Hormone Health & Your Body
At The Great Plains Laboratory, Inc., you will receive the benefit of testing with
experts, easy testing procedures, detailed test interpretations, and ongoing free
e-mail and phone support.
The hair test also provides exact ratios between nutrients and toxic metals. The
results show levels of 39 toxic and essential elements and 5 ratios.
Depression
Amino acids are the building blocks of all structural proteins essential
for life. They play an important role in neurotransmitter functioning,
cholesterol and carbohydrate metabolism, and inflammatory and
detoxification processes. They also help form glutathione, the main
antioxidant controlling detoxification and neutralizing free radicals in
the body.
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The negative role of abnormal intestinal microorganisms in gastrointestinal

disorders is widely known. However, research also shows the relationship
between the gastrointestinal and other systems in the body, such as the
neurological, hepatic, and immune systems.
It is equally important to measure levels of minerals, which play an essential part

in numerous physiochemical reactions within body cells. These reactions include
receiving nutrients, filtering, emulsifying, absorbing vitamins, transforming
energy, eliminating toxins, and many others. Toxic overload and metabolic
imbalances favor minerals depletion.
What is the Role of Amino Acids in the Body?
Am no Ac ds Test
V tam n D
Many chronic disorders come from digestive problems and inadequate nutrient
absorption. Even with a very complete and balanced diet, nutrients have to be
properly digested to transport vitamins to different parts of the body. Proper
gastrointestinal functioning also ensures elimination of toxic molecules, microbes
and undigested food particles from the body to prevent infections, toxic reactions,
allergies, and other health problems.
Why is Metals Testing Important?
Checking levels of amino

acids is an integral part
of any metabolic and
nutritional evaluation.
Recommended for:
Autism Spectrum Disorders
06/18/14
The Importance of the Comprehensive Stool Analysis
Metals testing is important for measuring toxic metals that can impede
development and normal brain functioning, as well as measuring levels of
minerals essential for normal growth and good health.
www.GPL4U.com
Amino Acids Test
07/09/14
Key to maintaining A Healthy Digestive System
Test results frequently show high heavy metal levels coupled with low mineral
levels in people with developmental and neurological disorders, chronic fatigue,
as well as apparently healthy individuals not feeling at 100 percent.
Fax (913) 341-6207
Our dedication to customer service shows that we care about our

clients continuous well-being and progress.
Specimen Requirements: First morning urine (most concentrated), 5

mL or 1 lavender-top tube of whole blood (overnight fasting).
Comprehensive Stool Analysis:
Many symptoms of heavy metals poisoning are identical to symptoms of

neurological and psychiatric disorders; therefore, it is difficult or impossible to
identify their cause without expert laboratory testing.
(913) 341-8949
The Great Plains Laboratory, Inc. Amino Acids Test offers

important clinical data on metabolic, nutritional, and
neurological disorders, directly or indirectly dependent
on the amino acids levels and metabolism evaluated in
the test.
Vitamin D is essential for the formation, growth, and repair of bones. Vitamin D is
necessary for normal calcium absorption and immune function. It also improves
muscle strength and helps reduce inflammation.
The Vitamin D
Test can help
to determine if
sun exposure
is adequate, if
dietary Vitamin
D is sufficient,
and to assess
the likelihood of
malabsorption or
liver disease.
Benefits of The Great Plains Laboratory

Amino Acids Test
Approximately 70% of American children do not get enough vitamin D. If

childhood deficiencies are not corrected, they could lead to early development of
diabetes, high blood pressure, cardiovascular disease, or any of several forms of
cancer. Deficiency is also prevalent in infants who are solely breastfed and who do
not receive vitamin D supplementation. Adults of all ages who have darker skin
(increased skin melanin) or who always wear sun protection or limit their outdoor
activities, such as homebound elderly persons, are also prone to vitamin D deficits.
The clinical usefulness of IgG food testing was illustrated in an early article
published by an otolaryngologist who reported that the majority of his patients
had substantial health improvements after eliminating foods found positive by IgG
food allergy testing10. The study demonstrated a 71% success rate for all symptoms
achieving at least a 75% relief. Of particular interest was the group of patients
with chronic, disabling symptoms, unresponsive to other intensive treatments.
Symptoms most commonly improved (75%-100%) on the elimination diets
included asthma, coughing, ringing in the ears, chronic fatigue, headaches, gas,
bloating, diarrhea, skin rash and itching, and nasal congestion. The most common
IgG food allergies were to cows milk, garlic, mustard, egg yolk, tea, and chocolate.
A recent study reported that 93% of non-celiac, gluten-sensitive patients showed
anti-gliadin IgG antibody disappearance after a six-month adherence to a glutenfree diet. The IgG disappearance was closely related to a significant improvement
of both gastrointestinal and extra-intestinal symptoms.11
Amino Acids Test
Detect the Malfunctioning of Your Bodys Building Blocks
Vitamin D deficiency has been linked to increased risk for many common and
serious diseases, including some common cancers, diabetes, cardiovascular
disease, and osteoporosis. Studies suggest that exposure to sunlight, which
enhances the production of vitamin D in the skin, prevents many chronic diseases.
What is IgG?
The Most Common Vitamin Deficiency in the US
IgG is the major antibody found in serum. IgGs are composed of two fragment
antigen binding (Fab) regions that contain the antigen binding sites and the Fc
region, which is responsible for most of the biologic activity of the antibodies
(Figure 1). An antigen is a substance that causes the immune system to produce
an antibody that specifically reacts with it. IgG-mediated reactions to food antigens
may be delayed by several hours or days, whereas IgE food antibody reactions are
quite immediate.
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Today, with increasing pollution levels, the presence of toxic metals in the
environment is constantly growing. Chemical products, fertilizers, industrial paint,
building materials, fish, silver dental fillings, and vaccines are just some of the
sources of heavy metals in everyday life. Toxic metals may normally be present in the
body in very low levels, but continuous exposure or metabolic abnormalities can
cause accumulation of heavy metals in body tissues, and subsequently, in the brain.
OAT & Yeast Combo
Vitamin D
gG Food A ergy
Test w/ Cand da
Metals Testing: Hair, Blood, Urine and Fecal
G uten/Case n
Pept des Test
www.GPL4U.com
IgG Food Allergy Tests
Heavy Metals and Your Health
Toxic metals,
can affect
development,
neurological
functioning, and
overall health.
Fax (913) 341-6207
08/19/14
Oxa ate Contro
(913) 341-8949
About IgG Food Testing

Immunoglobulin G (IgG) food testing is a useful guide for structuring elimination
diets for patients with many chronic conditions. Individuals with neurological,
gastrointestinal, movement, and behavioral disorders often suffer from IgG food
sensitivities. People may continue to eat offending foods unaware of their potential
adverse effects. Symptoms associated with food sensitivities may occur hours or
days after the offending food was eaten because IgG food antibodies remain for a
much longer time than traditional IgE antibodies. Elimination of IgG-positive foods
may improve symptoms of irritable bowel syndrome, autism, AD(H)D, cystic fibrosis,
rheumatoid arthritis, and epilepsy, according to numerous clinical studies.1-8 The
93 foods tested for in the IgG Food Allergy Test w/ Candida include most classes
of problem foods that can be eliminated from a patients diet. The Great Plains
Laboratory offers a comprehensive Western food panel as well as an Asian panel. The
Asian panel includes specific foods common to Asian cuisine, such as certain spices
and twice as many seafood items as the Western panel. Sampling requires at least 2
mL of serum or 3 dried blood spots.
Oxalate and its acid form oxalic acid are organic

acids that are primarily from three sources:
the diet, from fungus such as Aspergillus and
Penicillium and possibly Candida (1-9), and
also from human metabolism (10).
Oxalic acid is the most acidic organic acid
in body fluids and is used commercially to
remove rust from car radiators. Antifreeze
(ethylene glycol) is toxic primarily because it is
converted to oxalate in the body. Two different
types of genetic diseases are known in which
oxalates are high in the urine. The genetic
types of hyperoxalurias (type I and type II) can
be determined from the Organic Acids Test
done at The Great Plains Laboratory, Inc. (page
4-5). Foods especially high in oxalates include
spinach, beets, chocolate, peanuts, wheat
bran, tea, cashews, pecans, almonds, berries,
and many others. Oxalates are not found in
meat or fish at significant concentrations. Daily
adult oxalate intake is usually 80-120 mg/d; it
can range from 44-1000 mg/d in individuals
who eat a typical Western diet. A complete
list of high oxalate foods is available on the
internet at:
IgG Food Allergy Test with Candida
(continued on page 3)
High levels of IgE antibodies indicate that the patient is likely to experience
physiological effects from ingesting foods or inhaling environmental allergens to
which they are sensitive.
Elimination of
IgE-positive
allergens can
bring about major
improvements in
many symptoms.
children on the autism spectrum had oxalate

values outside the normal range (mean 2 sd).
None of the children on the autistic spectrum
had elevations of the other organic acids
associated with genetic diseases of oxalate
metabolism, indicating that oxalates are high
due to external sources.
What are Oxalates?
IgE tests measure levels of the IgE antibodies. When the IgE antibodies bind to specific
receptors of mast cells and other white blood cells, an allergic reaction occurs.
A Major New Factor In Autism Therapy
A classic, or Type I, allergy causes immediate reactions to foods/inhalants

characterized by redness, swelling, and heat in the body as a response to elevated
blood levels of Immunoglobulin E (IgE). IgE is one of several antibody types and
is normally present in very small amounts. Human responses to both food and
inhalant antigens vary widely but increase with production of specific IgE. The
severity of allergic response is due to a combination of genetic background and
extent of exposure to allergens. Exposure to microbes, various foods, and the
surrounding environment may all provoke IgE allergies.
Recommended for the

Following Disorders & Diseases:
Once any abnormalities are detected, there

is a variety of options available to treat the
condition. Treatments include antifungal
or antibacterial products, probiotic
supplementation, vitamins, antioxidants
and dietary modification.
Other Important Markers
Importance of the
Organic Acids Test
The Organic Acids Test (OAT) offers the
most complete and accurate evaluation of
intestinal yeast and bacteria. These factors
are of critical importance in neurological,
gastrointestinal, and movement disorders.
Abnormal toxic metabolites of these
microorganisms can cause or worsen
behavior disorders, hyperactivity,
movement disorders, affect energy levels
and immune function. Yeast can attach
to the intestinal wall causing leaky gut
syndrome, which can cause or magnify
food allergies, impede absorption of
vitamins and minerals, and cause intestinal
disorders. Many people with chronic
illness, allergic conditions, and neurological
disorders often have one or more abnormal
New markers, same great quality, same specimen requirements
Cho estero
De c en y & Aut sm
While eating disorders begin as preoccupation with

food and weight, they ultimately become brain-based
disorders of profound malnutrition with extreme
physiological consequences.
A common misperception in the medical community is
that eating disorders are purely psychological and do
not have a biological component. Treatment typically
emphasizes psychotherapy and counseling with little
attention to nutritional deficits that may underlie what
appears to be entirely behavioral.
www.GPL4U.com
913-341-8949
This innovative and valuable panel by the Great Plains Laboratory (GPL) provides an
excellent and accurate description of the patients overall health in regards to their
metabolism, vitamins and mineral levels, food allergies and metal toxicity. Testing for
organic acids, IgGs, food allergies and metals is crucial to detect any malfunctioning
within the body. With the GPL3 panel, no blood draw is required. Included in the panel are:
Organic Acids Test
Food Intolerance
The Organic Acids Test (OAT) provides a metabolic snapshot based on the products the body
discards through the urine. These small, discarded organic acid molecules are byproducts of human
cellular activity, the digestion of foods, and the metabolism of gastrointestinal flora. The Organic
Acids Test includes 74 urinary metabolites, including 9 yeast markers, 8 bacterial markers, 3 oxalate
markers, 3 Glycolytic cycle markers, 6 Krebs cycle markers, 7 neurotransmitter markers, 1 folate
metabolism markers, 8 fatty acid oxidation markers, 8 vitamin markers, 3 indicators of detoxification,
14 Amino Acid metabolites and 1 bone metabolite. This makes it the most comprehensive Organic
Acids test available anywhere.
IgG Dried Blood Spot - Food Allergies

IgG (immunoglobulin G) testing is a useful guide for structuring elimination diets in many chronic
conditions. Individuals with neurological, gastrointestinal, and movement disorders often suffer
from IgG food allergies. IgG Food allergies do not usually release histamine but cause inflamation
and elevated C-reactive protein. The 93 foods tested in the IgG Food Allergy Test w/ Candida can
identify problem foods so they can be eliminated from the patients diet.
Metals Hair
Gastrointestinal Imbalance
The metals test is important for measuring toxic metals that can impede development and normal
brain functioning, as well as measuring levels of minerals essential for normal growth and good
health. The results indicate levels of 39 toxic and essential elements, 5 ratios and includes an
individualized interpretation.
Today, with increasing pollution levels, the presence of toxic metals in the environment is constantly
growing. Chemical products, fertilizers, industrial paint, building materials, fish, silver dental fillings,
and vaccines are just some of the sources of heavy metals in everyday life. Toxic metals may normally
be present in the body in very low levels, but continuous exposure or metabolic abnormalities can
cause accumulation of heavy metals in body tissues, and subsequently, in the brain.
Value for your money:

Please call your GPL representative to inquire about the different billing options available for the GPL3.
Metal Toxicity
Recommended for the following conditions:

AD(H)D
Chemical Exposure
Multiple Sclerosis
Allergies
Chronic Fatigue
OCD
Alzheimers Disease
Depression
Schizophrenia
Autism
Digestive Disorders
Seizure Disorders
Bipolar Disorder
Eating Disorders
Tourette Syndrome
Candida & Bacteria Overgrowth
Fibromyalgia
Tics disorders and more.
www.GPL4U.com
913-341-8949
The value of the GPL4 panel comes from the superior and comprehensive analysis it
provides from a single urine sample and 3 blood tube samples testing for organic acids,
vitamins and mineral levels, food allergies, metal toxicity and Vitamin D. The GPL4 panel
provides an excellent assessment of an individuals metabolism and is targeted to find any
irregularities that are directly related to numerous conditions. Included in the panel are:
Organic Acids Test
Vitamin D
The Organic Acids Test (OAT) provides a metabolic snapshot based on the products the body
discards through the urine. These small, discarded organic acid molecules are byproducts of human
cellular activity, the digestion of foods, and the metabolism of gastrointestinal flora. The Organic
Acids Test includes 74 urinary metabolites, including 9 yeast markers, 8 bacterial markers, 3 oxalate
markers, 3 glycolytic cycle markers, 6 Krebs cycle markers, 7 neurotransmitter markers, 1 folate
metabolism markers, 8 fatty acid oxidation markers, 8 vitamin markers, 3 indicators of detoxification,
14 amino acid metabolites and 1 bone metabolite. This makes it the most comprehensive Organic
Acids test available anywhere.
IgG - Food Allergies Serum

IgG (immunoglobulin G) testing is a useful guide for structuring elimination diets in many chronic
conditions. Individuals with neurological, gastrointestinal, and movement disorders often suffer
from IgG food allergies. IgG Food allergies do not usually release histamine but cause inflamation
and elevated C-reactive protein. The 93 foods tested in the IgG Food Allergy Test w/ Candida can
identify problem foods so they can be eliminated from the patients diet.
Food Intolerance
RBC Metals*
The Red Blood Cell (RBC) Test is an invaluable diagnostic method for assessing insufficiency or
excess of elements that have important functions within cells or on blood cell membranes. Analysis
of red blood cells provides the best diagnostic tool for assessing the status of elements that have
important functions inside cells or on blood cell membranes. Our RBC test provides analysis of 13
essential elements and 5 toxic metals. It is highly recommended for checking levels of deficiency of
minerals and acute exposure to heavy metals.
*The Metals Hair Test is also offered in place of the RBC Metals Test for the Metals Toxicity section in the GPL4 Panel.
Vitamin D
Gastrointestinal Imbalance
Vitamin D is essential for the formation, growth, and repair of bones. Vitamin D is necessary for
normal calcium absorption and immune function. It also improves muscle strength and helps reduce
inflammation. The Vitamin D Test at The Great Plains Laboratory, Inc. measures both D2 and D3 and
can help to determine if sun exposure is adequate, if dietary vitamin D is sufficient, and to assess the
likelihood of malabsorption.
Value for your money:

Please call your GPL representative to inquire about the different billing options available for the GPL4.
Recommended for the following conditions:

AD(H)D
Allergies
Alzheimers Disease
Autism
Bipolar Disorder
Candida & Bacteria Overgrowth
Chemical Exposure
Chronic Fatigue
Depression
Digestive Disorders
Eating Disorders
Fibromyalgia
Multiple Sclerosis
OCD
Schizophrenia
Seizure Disorders
Tourette Syndrome
Tics disorders and more.
Clinical Lab Test

Recommendations
.com
(913) 341-8949
Fax (913) 341-6207
www.GPL4U.com
Top Recommended Tests

For Patients with Chronic Illnesses
The Great Plains Laboratory, Inc. (GPL) recommends the following tests for a multitude of
conditions including: bowel disorders, mental health conditions, autoimmune disorders,
autism spectrum disorders, and many other chronic illnesses.
Organic Acids Test (OAT)

GPLs Organic Acids Test (OAT) is the most comprehensive in the market with over 70 markers. It is a snapshot
of the patients metabolism that measures and addresses: yeast and bacteria overgrowth, glutathione and
antioxidant status, vitamin levels and deficiencies, quinolinic acid production (marker for potential brain toxicity
reaction), fatty acid metabolism, in-born errors of metabolism including oxalate and amino acid dysfunction,
neurotransmitters, and Krebs cycle abnormalities.
The OAT, a non-invasive test using a first-morning urine sample, reliably detects the overgrowth of yeast and the
bacterial species Clostridia difficile, which often are not detectable by conventional culture methods. As well as
being markers for microbial growth, abnormally high levels of metabolites from yeast and gastrointestinal bacteria
may be toxic and can contribute to symptoms of many chronic illnesses. GPL is the only lab providing values for
both the Clostridia difficile byproduct 4-Cresol and the marker for other toxic Clostridia species known as HPHPA.
There is also a marker for the beneficial bacteria byproduct DHPPA, which provides a reliable ratio of the bodys
good flora compared to the harmful.
Our OAT is the only lab test with an oxalate section in an organic acids test. Excess oxalates have been implicated
in conditions ranging from kidney stones to fibromyalgia, vulvodynia, and autism. The OAT includes glycolic and
glyceric acids in the oxalate section, which can differentiate between genetic and nutritional components in
disturbed oxalate metabolism.
4- 30
0.88
0.5- 10
4- 20
> 800
273466
Requisition #:
Physician:
Date of Collection:
07/30/2012
Patient Age:
Time of Collection:
08:00 AM
Patient Sex:
Print Date:
08/02/2012
Patient Name:
Metabolic Markers in Urine
Certain uses of the compounds arabinose, citramalic, tartaric, 3-oxoglutaric, carboxycitric,

3,4-dihydroxyphenylpropionic
(DHPPA), and 3-(3-hydroxyphenyl)-3-hydroxypropionic
273466
07/30/2012 in our Organic Acids Test and Microbial Organic
(HPHPA) acids in their application to autism
Reference Range
Patient
Reference Population - Females Under Age 13
Acids Test are protected
by U.S. Patent # 5,686,311, granted Nov. 11, 1997.
Value
Reference Range
Patient
Value
(mmol/mol creatinine)
Intestinal Microbial Overgrowth

Yeast and Fungal Markers
1
Citramalic
5-Hydroxymethyl-2-furoic
3-Oxoglutaric
Furan-2,5-dicarboxylic
Furancarbonylglycine
Tartaric
Arabinose
Carboxycitric
Tricarballylic
Requisition #:
Requisition #:
Patient Name:
5.3
3.1
30
7.4
0.52
22
3.1
273466
3.9
0.50
8.6
0.07
11
4-Hydroxyphenylacetic
12
4-Hydroxybenzoic
13
4-Hydroxyhippuric
14
Hippuric
15
3-Indoleacetic
16
Succinic
17
HPHPA (Clostridia Marker)
18
4-Cresol (C. difficile)
19
DHPPA (Beneficial Bacteria)
1.3
0.86
0.08
41
3-Hydroxybutyric
42
Acetoacetic
Malabsorption and Bacterial Markers

34
Indicators
of Detoxification
Patient
Reference Range
1.1
0.45
30
16
43
4-Hydroxybutyric
44
Ethylmalonic
45
27
Methylsuccinic
0.09
2.0
717
11
377
46
Adipic
Suberic
15
48
Sebacic
227
148
76
63
0.73
0.29
6.1
H
Nutritional Markers
4.1
10
59
60
2-Hydroxyisovaleric
3.8
4.315
H
61
4.4
2-Oxoisovaleric
62
5.5
3-Methyl-2-oxovaleric
63
4.1
377
9.7
0.37
0.29
148
64
59
26
1.1
200
101
0.41
Vitamin B5
51
Vitamin B2 (Riboflavin)
52
Glutaric
53
Ascorbic
10
Vitamin Q10 (CoQ10)
01/08/14
54
3-Hydroxy-3-methylglutaric
55
N-Acetylcysteine (NAC)
Biotin (Vitamin H)
56
Methylcitric
5.5
1.2
3.8
0.63
2.4
0.00
5.5
0.00
2.0
0.03
4.4
4.1
39
2-Hydroxyisocaproic
3.2
0.08
2-Oxoisocaproic
0.08
63
1.1
0.70
0.07
0.07
0.54
0.05
0.05
0.03
0.03
0.30
0.28
0.27
2.3
0.51
0.06
1.1
0.59
8.1
2.8
12
0.95
1.6
11
18
6.4
1.7
7 300
2 761
68
70
71
L
73
74
3.0
Page 1 of 9
0.45
Phenylpyruvic
2.7
2.7
Homogentisic
13
13
0.04
4-Hydroxyphenyllactic
N-Acetylaspartic
0.35
0.35
Malonic
0.82
0.82
3-Methylglutaric
0.07
3-Hydroxyglutaric
55
Phosphoric
4.9
0.38
0.38
0.11
L
0.12
1.7
0.11
0.12
0.06
0.59
2.8
1.7
1.6
18
55
3-Methylglutaconic
0.09Metabolites
Bone
76
3.0
Phenyllactic
0.63
Mandelic
75
Glutathione Precursor and Chelating Agent
3.2
2-Oxo-4-methiolbutyric
72
Vitamin C
66
69
Pantothenic (B5)
1.2
65
Organic Acids Test - Nutritional and Metabolic Profile
52
0.36
0.55
67
Vitamin B6
0.36
2.4
4.6
9.5
52
0.88
1.2
63
2-Hydroxyhippuric
1.2
2.4
3.4
Vitamin B12
Pyridoxic (B6)
7.0
242
Amino
Acid Metabolites
0.55
Testing performed by The Great Plains Laboratory, Inc., Lenexa, Kansas. The Great Plains Laboratory has developed and determined the
6.2
performance characteristics of this test.49
This test Methylmalonic
has not been evaluated
by the U.S. FDA; the FDA does not currently regulate
such testing.
50
Orotic
6.1
39
58
0.45
16
15
47
0.08
2.0
Value
9.0
57
Pyroglutamic
1.3
07/30/2012
Date of Collection:
8.6
9.0
Date of Collection:
Physician:
0.50
Metabolic Markers
in Urine
3.6
0.07
Physician:
Patient Name:
7.4
Ketone and
56Fatty
H Acid
242 Oxidation
10
The GPL Organic Acids Test analyzes markers for a number of functional vitamin deficiencies,
including riboflavin, coenzyme Q10, vitamin B12, and biotin. We are the only laboratory with
direct measurement of vitamin C, vitamin B5, and vitamin B6 via urine sample. In addition,
phosphate is an indirect indicator of vitamin D status.
1.7
0.09
1 000 -
4.9
2761
(913) 341-8949
Fax (913) 341-6207
www.GPL4U.com

GPLs IgG Food Allergy Test identifies sensitivities to 93 foods, including those
commonly eaten as well as several that are used as substitutes for common
trigger foods. IgG antibodies have a much longer half life than the traditional
IgE allergy, and symptoms may occur hours or days after the offending food has
been consumed. Our test also detects IgG antibodies to Candida, a common
yeast species, at no additional charge. Candida overgrowth in the gut may
contribute to food allergies and sensitivities by allowing absorption of partially
digested proteins (peptides), triggering antibody production to foods.
IgG food allergy testing is beneficial for the following conditions: AD(H)D, asthma,
autism, autoimmune and inflammatory disorders, celiac disease, Crohns disease,
diabetes, fatigue, irritable bowel syndrome, migraines, obesity, rheumatoid
arthritis, sleep disorders, and many others.
Date of Collection:
Time of Collection:
Print Date:
est + C. albicans, S. cerevisiae (94)
1.62
High
Egg White
Egg Yolk
Candida Albicans
Milk
Yeast, Bakers *
Yeast, Brewers *
1.92
Whey
Yogurt
Casein
2.50
Cheese
Beef
Goat Cheese
2.01
Lemon
Strawberry
Sorghum
2.16
Moderate
Mozzarella Cheese
2.44
Cranberry
Wheat
4.28
Wheat Gluten
Celery
2.26
Grapefruit
Lettuce
3.92
Garlic
Rye
4.07
2.84
2.37
2.04
2.38
2.17
1.59
2.69
12.84
2.43
3.57
1.98
3.13
Barley
Cocoa
Kidney Bean
Gliadin
Requisition #:
Millet
Patient
Corn Name:
Patient Age:
Low
Sex:
Pinto Bean
Green Bean
Buckwheat
Honey
Chicken
Salmon
Onion
Tomato
Watermelon
Apple
Pear
Pineapple
Pecan
Blueberry
Carrot
Broccoli
Dairy
Banana
Radish
Eggplant
Turkey
Green Pepper
Flax
Cabbage
Cashews
Grape
Pumpkin
3.06
8.40
Lamb
Buckwheat
3.24
Casein
7.15
Corn
3.60
Cheese
7.05
Gliadin
3.95
Goat Cheese
5.91
Millet
3.84
Milk
9.39
Oat
2.11
Mozzarella Cheese
4.65
Rice
1.70
Whey
8.13
Rye
3.88
Yogurt
7.27
Sorghum
5.09
Wheat Gluten
4.34
Wheat
4.72
Legumes - Beans and Peas

Garbanzo Bean
1.96
Green Bean
3.34
Fish
Kidney Bean
4.19
Cod Fish
1.79
Lentil
1.28
Crab
0.99
Lima Bean
1.22
Halibut
1.85
Pea
1.36
Lobster
1.49
Pinto Bean
3.46
Salmon
2.89
Soybean
1.69
Sardine
1.30
Shrimp
0.99
Fruit
Apple
2.60
Apricot
1.81
Meat/Fowl
Banana
2.39
Beef
Chicken
Tuna
1.98
6.39
Blueberry
2.45
Coconut
1.96
Egg White
13.63
Cranberry
4.90
Egg Yolk
12.91
Grape
2.06
Lamb
3.25
3.05
Grapefruit
4.16
Pork
1.68
Lemon
5.40
Turkey
2.26
Orange
2.25
Nuts and Seeds
Papaya
1.78
Almond
1.86
Peach
1.67
Cashews
2.12
Pear
2.60
Flax
2.18
Pineapple
2.59
Hazelnut
1.45
Plum (Prune)
1.69
Peanut
3.77
Strawberry
5.33
Pecan
2.56
Watermelon
2.66
Grains
Barley
Pistachio
2.66
Sesame
2.85
3.61
Mushroom
Date of Collection:
We utilize random split-sample

testing by an independent laboratory to guarantee the accuracy
Time of Collection:
and reliability of our IgG panels.
To
date, all results have corresponded precisely to those obtained
Print Date:
by other, more expensive leading food and environmental
allergy testing facilities.
Requisition #:
Physician Name:
Sesame
Comprehensive
IgG Food Allergy Test + C. albicans, S. cerevisiae (94)
Pistachio
Cane Sugar
Casein
Potato
Cheese
Orange
Goat Cheese
5.91
Millet
9.39
Oat
Mozzarella Cheese
4.65
Rice
Whey
8.13
Rye
Yogurt
7.27
Sorghum
Spinach
Oat
Beet
Patient Name:
Date of Collection:
GPLs IgG Food Allergy Test results are provided inPatient

a semi-quantitative
report which shows
Time of Collection:
Age:
sensitivities in a low, moderate, and high range versus
results from other laboratories that are Print Date:
Sex:
Buckwheat
3.24
shown in a yes / no7.15
report. Our
with food options
Corn results provide rotation diet recommendations
3.60
7.05
Gliadinnew food reactions.
3.95
that patients can use
to prevent
Comprehensive IgG Food Allergy Test + C. albicans, S. cerevisiae
Milk
Wheat Gluten
Garbanzo Bean
1.96
Green Bean
3.34
Fish
Kidney Bean
4.19
Cod Fish
Lentil
1.28
Crab
Lima Bean
1.22
Halibut
Pea
1.36
Lobster
Pinto Bean
3.46
Salmon
Soybean
1.69
Sardine
Fruit
Lenexa, Kansas. The Great Plains Laboratory has developed and determined
Apple
s not been evaluated by the U.S. Food and Drug Administration.
Wheat
Shrimp

Apricot
2.60
1.81
Meat/Fowl
Banana
2.39
Beef
Blueberry
2.45
Chicken
Coconut
1.96
Egg White
Cranberry
4.90
Egg Yolk
01/08/14
Dairy
At the Great Plains Laboratory, we perform several different methods of quality controls to
ensure the accuracy and reliability of our IgG analysis. We perform a quality control check
using a positive control specimen on each coated micro titer plate lot before we ever put it into
production. By performing the control throughout the lot, we obtain a high level of precision.
To guarantee that there are no false positives reported, we run a no matrix specimen (buffer) on
each batch. Additionally, we incorporate 2 negative controls (no antigen) and 1 positive control
on each individual specimenPhysician
that we
run.
Name:
8.62
Print Date:
Comprehensive IgG Food Allergy Test + C. albicans, S. cerevisiae (94)
Quality Control
Reactivity Summary
Peanut
Time of Collection:
Sex:
Unlike most other laboratories that test food sensitivities based only on IgG4, GPL offers an affordable measure
of total IgG (IgG1, IgG2, IgG3, and IgG4), providing a more comprehensive and accurate representation of adverse
food-based reactions. IgG4 antibodies do not activate the immune factor termed complement and are incapable of
causing inflammation. Thus, total IgG analysis is far more clinically useful than IgG4 alone.
1.98
2.24
Date of Collection:
Patient Age:
GPL uses an enzyme-linked immunosorbent assay (ELISA) method to measure IgG antibodies in human serum
and dried blood spots (DBS) against offending foods and Candida. The test as a DBS collection is a very easy and
convenient alternative for patients and practitioners who do not have access to a phlebotomist. The specimen can be
collected from the convenience of home and shipped to our laboratory for analysis.
Physician Name:
1.67
Physician Name:
Patient Name:
Testing performed by The Great Plains Laboratory, Inc., Lenexa, Kansas. The Great Plains Laboratory has developed and determined
the performance characteristics of this test. This test has not been evaluated by the U.S. Food and Drug Administration.
Methodology
Requisition #:
Tuna
3.84
2.11
Dairy
Casein
Cheese
Goat Cheese
Milk
Mozzarella Cheese
Whey
Yogurt
1.70
3.88
5.09
4.34
4.72
1.79
0.99
1.85
1.49
Garbanzo Bean
2.89
Green Bean
Kidney Bean
Lentil
Lima Bean
Pea
Pinto Bean
Soybean
Fruit
Apple
1.30
0.99
1.98
6.39
3.05
13.63
12.91
Buckwheat
7.15
Corn
7.05
Gliadin
5.91
Millet
9.39
Oat
4.65
Rice
8.13
Rye
7.27
Sorghum
1.96
Wheat Gluten
Wheat
3.34
Fish
4.19
Cod Fish
1.28
Crab
1.22
Halibut
1.36
Lobster
3.46
Salmon
1.69
Sardine
2.60
Shrimp
Tuna
.com

A classic, or Type I, allergy causes immediate reactions to foods/inhalants characterized by
redness, swelling, and heat in the body as a response to elevated blood levels of Immunoglobulin
E (IgE). The symptoms produced by IgE can be subtle and similar to those seen with other
immunoglobulins. GPL offers a serum-based IgE Food Allergy Test that analyzes either 25 (Basic)
or 93 foods (Advanced).
We offer an IgE Inhalant Test that analyzes 36 (Basic) or 69 inhalants (Advanced). The Advanced
IgE Inhalant Test increases the ability of the practitioner to identify numerous offending foods
and/or inhalants, including Thimerosal and Candida which are commonly associated with
neurological, gastrointestinal, and movement disorders.
The use of our IgE Food and Inhalant Allergy Tests can identify sources of allergic reaction to
reduce inflammation, asthma, hives, skin rashes, and other allergic reactions. Elimination of
IgE positive foods and inhalant exposure can bring major improvements in many symptoms or
disorders triggered by common allergens.
Our FDA-approved method of technology maximizes the ability to identify IgE-mediated allergy
response with high specificity and traceability to World Health Organization standards. We perform
several different methods of quality control to ensure the accuracy and reliability of our analysis.
Gluten / Casein Peptides Test

The Great Plains Laboratory is the only lab in the U.S. with an in-house opiate peptides method
that follows federal laboratory regulations. Our peptides test indicates an inability to completely
digest wheat, rye, barley, and milk proteins. Casomorphin is derived from dairy and gliadorphin
is derived from wheat and other gluten-contaminating grains. Individuals who have difficulty
digesting these opiate peptides may experience altered behavior, lack of focus, sleepiness, or
aggression after consumption. Studies show that intolerance to gluten is the cause of multiple
mental disorders, including schizophrenia.
The test indicates sensitivity even when a patient has no IgE- or IgG-mediated response to these
foods, and helps determine whether dietary modifications should be part of an integrated
treatment plan. If either of the peptide results is abnormal, both gluten (from gliadorphin) and
casein (from casomorphin) should be eliminated. Our Gluten/Casein Peptides Test uses the ELISA
method, which is highly specific to the nanogram level (one-billionth of a gram). To accomplish
this, casomorphin and gliadorphin are custom-synthesized to be able to define the very sensitive
standard curve that is required.
01/08/14
LAB#:
PATIENT:
ID:
SEX:
AGE:
77th Street, Lenexa, KS 66214

11813 West
< 8.0
(913) 341-8949
< 0.080
< 0.020
< 2.0
< 0.15
Heavy metal toxicity, caused by increasing levels of pollution
and the use of
< 1.0
chemicals in industry, is a growing threat to our health
and the development
< 0.40
< 0.005 lead, arsenic, and
of our children. High levels of toxic metals such as mercury,
< 0.010
uranium that are deposited in body tissues and subsequently
in the brain may
< 0.005
< 0.060
cause significant developmental and neurological damage.
< 0.40
< 0.20
< 0.30
The GPL Metals Hair Test is an inexpensive and noninvasive
evaluation of
< 1.0
Fax (913) 341-6207
www.GPL4U.com
Metals Hair Test
LAB#:
PATIENT:
ID:
SEX:
AGE:
< 0.080
< 0.020
< 2.0
< 0.15
< 1.0
< 0.40
< 0.005
< 0.010
< 0.005
< 0.060
< 0.40
< 0.20
< 0.30
< 1.0
39 toxic and essential elements and includes five ratios. The test includes a
total toxic representation, adding weighted factors for each metal. The most
toxic lead, arsenic, cadmium, and mercury
weigh more and increase the
125- 370
representation more.
12- 30
12- 90
As protein is synthesized in the hair follicle, elements12-are40incorporated

permanently into the hair with no further exchange8.0with16other tissues. Scalp
100- 190
0.20- of
0.55one to two cm per
hair is easy to sample, and because it grows an average
0.26- 0.50
month, it contains a temporal record of element metabolism
and exposure
0.030- 0.10
0.050- 0.13
to toxic elements. Synthesis of hair protein concentrates
heavy metals such as
LAB#:
0.60- 4.0
mercuryPATIENT:
to levels 250 times higher than blood.
0.25- 1.3
ID:
< 8.0
< 0.080
< 0.020
< 2.0
< 0.15
< 1.0
< 0.40
< 0.005
< 0.010
< 0.005
< 0.060
< 0.40
< 0.20
< 0.30
< 1.0
125- 370
12- 30
12- 90
12- 40
8.0- 16
100- 190
0.20- 0.55
0.26- 0.50
0.030- 0.10
0.050- 0.13
0.60- 4.0
0.25- 1.3
0.007- 0.023
160- 250
0.95- 1.7
0.16- 1.0
45500- 53000
0.16- 0.80
0.013- 0.035
8.0- 19
0.045- 0.065
0.016- 0.18
0.040- 1.0
4- 30
0.88
0.5- 10
4- 20
> 800
V06.99
0.007- 0.023
160- 250
0.95- 1.7
0.16- 1.0
45500- 53000
0.16- 0.80
0.013- 0.035
8.0- 19
0.045- 0.065
0.016- 0.18
0.040- 1.0
SEX:
AGE:
< 8.0
4- 30
0.88
0.5- 10
4- 20
> 800
V06.99
125- 370
12- 30
12- 90
12- 40
8.0- 16
100- 190
0.20- 0.55
0.26- 0.50
0.030- 0.10
0.050- 0.13
0.60- 4.0
0.25- 1.3
0.007- 0.023
160- 250
0.95- 1.7
0.16- 1.0
45500- 53000
0.16- 0.80
0.013- 0.035
8.0- 19
0.045- 0.065
0.016- 0.18
0.040- 1.0
About us
The Great Plains Laboratory, Inc. (GPL) is a research-based clinical laboratory offering testing for nutritional
factors in chronic illnesses worldwide. We are dedicated to assisting healthcare practitioners make a difference by
helping children, adults, and families achieve their maximum potential through quality laboratory testing.
We are always happy to hear from our clients and welcome your questions, comments, or suggestions. Were
available to provide consultations for physicians, and help find a medical practitioner in your area.
4- 30
email: customerservice@GPL4U.com
web: www.GPL4U.com phone: (913) 341-8949
0.88
V06.99
0.5- 10
4- 20
> 800
We are providers for Blue Cross Blue Shield, Cigna, Tricare, and United Healthcare.
www.GPL4U.com

01/08/14
Blue Cross Blue Shield, Cigna, Tricare, and UnitedHealthcare logos are Registered Trademarks of their respective companies. Use of these names and logos
represents the Great Plains Laboratory, Inc.s coverage status with these insurance carriers. The Great Plains Laboratory Inc. is not affiliated with or sponsored
by Blue Cross Blue Shield, Cigna, Tricare, or UnitedHealthcare.
The Clinical Signicance

of the Organic Acids Test
The Organic Acids Test (OAT) provides an accurate metabolic
snapshot of what is going on in the body. Besides offering
the most complete and accurate evaluation of intestinal
yeast and bacteria, it also provides information on important
neurotransmitters, nutritional markers, glutathione status,
oxalate metabolism, and much more. The test includes
74 urinary metabolite markers that can be very useful for
discovering underlying causes of chronic illness.
Patients and physicians report that treating yeast and bacterial
abnormalities reduces fatigue, increases alertness and energy,
improves sleep, normalizes bowel function, and reduces
hyperactivity and abdominal pain.
The Great Plains

Requisition #:
Patient Name:
Physician:
Metabolic Mark
ers in Urine
tion #:
Requisi
Patient
Name:
Patient
Patient
19
Glyceric
20
Glycolic
21
Oxalic
Sex:
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Laboratory, Inc.
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Tryptophan Meta
36
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04/09/15
Page 1
1.2
- Nutritional and
Metabolic Profi
le
Page 2 of 8
(913) 341-8949
Fax (913) 341-6207
www.GPL4U.com
The following pages list the 74 metabolite markers of the Organic Acids Test. Included is the name of the metabolic marker, its clinical
significance, and usual initial treatment.
INTESTINAL MICROBIAL OVERGROWTH
Yeast and Fungal Markers
Citramalic Acid
Elevated citramalic acid is produced mainly by Saccharomyces species or Propionibacteria overgrowth.

High-potency, multi-strain probiotics may help rebalance GI flora.
5-Hydroxy-methyl-furoic Acid
A metabolite produced by Aspergillus and possibly other fungal species in the GI tract. Prescription or
natural antifungals, along with high-potency, multi-strain probiotics, may reduce overgrowth levels.
3-Oxoglutaric Acid
Indicates a possible yeast overgrowth in the GI tract. High-potency, multi-strain probiotics may help
rebalance GI flora.
Furan-2,5-dicarboxylic Acid
natural antifungals, along with high-potency, multi-strain probiotics, may reduce overgrowth levels.
natural antifungals, along with high-potency, multi-strain probiotics, may reduce overgrowth.
Tartaric Acid
Produced by action of Candida hyaluronidase on the intercellular cement, hyaluronic acid. Oxidation of
the hyaluronic acid breakdown by white blood cell hypochlorite produces tartaric acid and arabinose.
Antifungal treatment and high-potency, multi-strain probiotics may help rebalance GI flora.
Arabinose
Produced by action of Candida hyaluronidase on the intercellular cement, hyaluronic acid. Oxidation of
the hyaluronic acid breakdown by white blood cell hypochlorite produces tartaric acid and arabinose.
Antifungal treatment and high-potency, multi-strain probiotics may help rebalance GI flora.
Carboxycitric Acid
Elevated yeast/fungal metabolites indicate overgrowth in the GI tract. Prescription or natural

antifungals, along with high-potency, multi-strain probiotics, may reduce overgrowth.
Tricarballylic Acid
A chemical byproduct released from fumonisins during passage through the gastrointestinal tract.
Fumonisins are fungal toxins produced primarily by F. verticillioides. Elevated levels can be caused by
the intake of corn or corn-based food contaminated with fumonisins.
Bacterial Markers
Hippuric Acid
A bacterial product of phenylalanine metabolism. Most hippuric acid in urine is derived from microbial
breakdown of chlorogenic acid, a common substance found in beverages and in many fruits and
vegetables. Higher levels indicate GI bacterial overgrowth that can be reduced with natural antibacterial agents and/or high-potency, multi-strain probiotics.
2-Hydroxyphenylacetic Acid
Elevated 2-hydroxyphenylacetic acid is associated with intestinal bacteria overgrowth. High-potency,

multi-strain probiotics may help rebalance GI flora.
4-Hydroxybenzoic Acid
A marker for intestinal dysbiosis. Results may also show elevated values as a result of ingestion of
foods such as jams and pie fillings containing paraben preservatives. The use of probiotics and the
exclusion of paraben-containing foods is the first treatment consideration.
4-Hydroxyhippuric Acid
A glycine conjugate of 4-hydroxybenzoic acid, a metabolite of paraben preservatives. May be elevated

after exposure to paraben antimicrobials in certain foods and cosmetics. Intake of fruits containing
polyphenols rich in anthocyanins, flavonols, and hydroxycinnamates may increase this compound in
the urine. Avoid exposure to parabens.
DHPPA in urine indicates intake of chlorogenic acid, a common substance in beverages and many fruits
and vegetables. Harmless or beneficial bacteria such as Lactobacilli, Bifidobacteria, and E. coli increase
DHPPA
(dihydroxyphenylpropionic acid) the breakdown of chlorogenic acid to DHPPA, so high values are mainly associated with increased
amounts of these species in the GI tract.
Clostridia Bacterial Markers

4-Hydroxyphenylacetic Acid
A tyrosine metabolic product of GI bacteria. Elevated levels are associated with bacterial overgrowth
or small bowel disease. May also indicate celiac disease.
HPHPA (3-(3-hydroxyphenyl)-3hydroxypropionic acid)
An elevated value indicates an overgrowth of certain Clostridia bacteria in the GI tract including
C. sporogenes, C. caloritolerans, and C. botulinum. This metabolite is commonly elevated in autism,
psychiatric disorders, and GI disorders. This metabolite inhibits the enzyme dopamine-betahydroxylase, leading to a derangement of neurotransmitter balance.
4-Cresol
An elevated value indicates an overgrowth in the GI tract of C. difficile. This metabolite is commonly
elevated in autism, psychiatric disorders, and GI disorders. This metabolite inhibits the enzyme,
dopamine-beta-hydroxylase, leading to a derangement of neurotransmitter balance.
3-Indoleacetic Acid
3-Indoleacetic acid is a tryptophan byproduct of the following Clostridia species: C. stricklandii, C.

lituseburense, C. subterminale, and C. putrefaciens. Very high amounts of this metabolite derived from
tryptophan may indicate a depletion of tryptophan needed for other physiological functions.
OXALATE METABOLITES
Glyceric Acid
Elevated in genetic hyperoxaluria type II. Normal values of glyceric acid rule out genetic causes of
significant elevation of oxalic acid in urine.
Glycolic Acid
Very elevated in genetic hyperoxaluria type I. Normal values of glycolic acid rule out genetic causes of
significant elevation of oxalic acid in urine. This genetic disease can be confirmed by DNA testing at the
Mayo Clinic.
Oxalic Acid
Elevated oxalic acid may be associated with dysbiosis from Aspergillus, Penicillium, and possibly
Candida, or from high doses of vitamin C. If yeast or fungal markers are elevated, antifungal therapy
may reduce oxalates. Elevated oxalic acid may also result from anti-freeze (ethylene glycol) poisoning.
GLYCOLYTIC CYCLE METABOLITES
Lactic Acid
Elevated by a number of nonspecific influences, such as vigorous exercise, bacterial overgrowth of the
GI tract, shock, poor perfusion, B-vitamin deficiency, mitochondrial dysfunction or damage, and anemia,
among others. Tiglylglycine is a more specific indicator of mitochondrial dysfunction or damage. The
possibility of an inborn error of metabolism increases when the lactic acid value exceeds 300 mmol/
mol creatinine. There are many inborn errors of metabolism that are present with elevated lactic acid,
including disorders of sugar metabolism, pyruvate dehydrogenase deficiency, and mitochondrial
disorders.
Pyruvic Acid
Elevated by a number of non-specific factors, including vigorous exercise, bacterial overgrowth of

the GI tract, shock, poor perfusion, B-vitamin deficiency, mitochondrial dysfunction or damage, and
anemia, among others. High pyruvic acid indicates the possibility of an inborn error of metabolism
when the value exceeds 100 mmol/mol creatinine.

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MITOCHONDRIAL MARKERS - KREBS CYCLE METABOLITES

Succinic Acid
An elevated result may indicate a relative deficiency of riboflavin and/or coenzyme Q10. Also
produced by bacterial degradation of unabsorbed glutamine supplement. Low levels may indicate
the need for leucine/isoleucine supplementation. Suggest supplementation with riboflavin and/or
coenzyme Q10.
Fumaric Acid
Increased urinary fumaric acid may be due to impaired Krebs cycle function, a defect in the enzyme
fumarase, or in mitochondrial function. To support mitochondrial function, supplement with
coenzyme Q10, nicotinamide adenine dinucleotide (NAD+), L-carnitine and acetyl-L-carnitine,
riboflavin, nicotinamide, biotin, and vitamin E.
Malic Acid
Slightly elevated values usually indicate a higher need for nutrients such as niacin and coenzyme
Q10. When malic acid is simultaneously elevated with citric, fumaric, and 2-ketoglutaric acids, a
mitochondrial energy pathway dysfunction is strongly suggested.
2-Oxoglutaric Acid
Increased values in urine may be due to dietary vitamin deficiencies or the intake of 2-ketoglutaric acid
as a supplement. The conversion of 2-oxoglutaric acid to succinyl-CoA requires coenzyme A (derived
from pantothenic acid), flavin adenine dinucleotide (FAD) derived from riboflavin, and thiamine.
Aconitic Acid
Aconitase, the enzyme that metabolizes citric and aconitic acids, is dependent upon glutathione.
Elevated in mitochondrial disorders (e.g. Complex I and Pierson Syndrome). Elevated aconitic acid may
indicate an additional requirement for reduced glutathione.
Citric Acid
Elevations may be due to increased intake of citric acid-containing foods or result from intestinal
yeast-producing citric acid, or perhaps inhibiting the human citric acid cycle. Increased citric acid
may also indicate depletion of glutathione, which is required for the enzyme, aconitase to metabolize
both aconitic and citric acids. If pyroglutamic acid values are low, consider supplements containing
glutathione, or n-acetyl-cysteine.
MITOCHONDRIAL MARKERS - AMINO ACID METABOLITES

3-Methylglutaric Acid
3-Methylglutaconic
Significant increase is due to a reduced ability to metabolize the amino acid, leucine. This abnormality
is found in the genetic disease, methylglutaconic aciduria and in mitochondrial disorders.
3-Methylglutaconic acid may also be elevated. Supplementation with coenzyme Q10, niacin,
L-carnitine and acetyl-L-carnitine, riboflavin, nicotinamide, biotin, and vitamin E may be useful.
3-Hydroxyglutaric
Marker of glutaryl CoA dehydrogenase deficiency. This enzyme is involved in the breakdown of
lysine, hydroxylysine, and tryptophan, and is associated with the genetic disease, glutaric aciduria
type 1. Elevated 3-hydroxyglutaric acid may occur in combination with glutaric and glutaconic acids.
Symptoms of glutaryl CoA dehydrogenase deficiency are varied. Some individuals appear normal,
while others display encephalopathy, autism, cerebral palsy, and additional neurological abnormalities.
Treatment includes adherence to a diet low in lysine and supplementation with carnitine.
NEUROTRANSMITTER METABOLISM
Phenylalanine and Tyrosine Metabolites
HVA and VMA
HVA (homovanillic acid), a dopamine metabolite, and VMA (vanillylmandelic acid), a metabolite of
epinephrine and norepinephrine, are often elevated due to stress increasing catecholamine output
from the adrenal gland, or from lead toxicity. Elevated HVA may also result from the intake of L DOPA,
dopamine, phenylalanine, or tyrosine, or due to Clostridia metabolites.
HVA/VMA Ratio
An elevated ratio is often the result of a decreased conversion of dopamine to norepinephrine by the
enzyme, dopamine beta-hydroxylase. Inhibition of this enzyme is commonly caused by Clostridia byproducts, including HPHPA, 4-cresol, and 4-hydroxyphenylacetic acid.
Continued on the next page
Tryptophan Metabolites
5-Hydroxyindoleacetic Acid
Metabolite of the neurotransmitter, serotonin. Elevated values may result from supplementing
tryptophan or 5 hydroxy tryptophan (5-HTP). Low values may indicate inadequate production of the
neurotransmitter, serotonin. Often slightly elevated by ingestion of foods high in serotonin, such as
avocado, banana, tomato, plum, walnut, pineapple, or eggplant. High values are found in carcinoid
syndrome.
Quinolinic Acid
Increased values in urine may be caused by various factors such as chronic inflammation from
microbial infections, central nervous system degeneration, excessive tryptophan supplementation,
or even exposure to phthalates. Reduce excess quinolinic acid by eliminating tryptophan
supplementation and also reduce exposure to infections and environmental pollutants. Brain damage
induced by quinolinic acid can be mitigated by supplements containing acetyl L-carnitine, melatonin,
B6, turmeric, and garlic.
Kynurenic Acid (KYNA)
The most common causes of elevated kynurenic acid are the use of tryptophan supplements and
the presence of chronic infections. Very high urine values are found in genetic disorders involving
kynureninase deficiency.
Quinolinic Acid / 5-HIAA Ratio
A high ratio indicates excessive inflammation due to recurrent infections, excessive tryptophan intake,
immune overstimulation, excessive adrenal production of cortisol, or excessive exposure to phthalates.
PYRIMIDINE METABOLITES - FOLATE METABOLISM

Uracil
Because folic acid is involved as a methyl donor in the conversion of uracil to thymine, elevated uracil
may indicate a defect in folic acid metabolism. Elevated uracil is found in about 10% of children with
autism.
Thymine
Slightly elevated urinary thymine has no clinical significance. High values are associated with
inflammatory diseases and cancer. Elevated pyrimidines and elevated thymine have been reported in
dihydropyrimidine dehydrogenase deficiency, a rare genetic disease, which has been associated with
seizures and autism.
KETONE AND FATTY ACID OXIDATION

3-Hydroxybutyric Acid
Acetoacetic Acid
Ketones, such as 3-hydroxybutyric and acetoacetic acids, are the end-products of rapid or excessive
fatty acid breakdown. Common causes of elevated ketones are prolonged fasting, protein malnutrition,
high fat diet, vitamin B12 deficiency, severe GI Candida overgrowth, and pulmonary infections.
A moderate urinary increase in 4-hydroxybutyric acid may be due to intake of dietary supplements
containing 4-hydroxybutyric acid, also known as gamma-hydroxybutyric acid. Very high levels may
indicate the genetic disorder involving succinic semialdehyde dehydrogenase deficiency.
Adipic Acid
Slightly elevated adipic acid may result from excessive ingestion of gelatin or other junk food
containing adipic acid as an additive. Elevated adipic acid may also indicate an abnormality in fatty
acid metabolism. Dietary supplements containing L-carnitine or L-acetyl-carnitine may be beneficial.
Suberic Acid
Sebacic Acid
Ethylmalonic Acid
Methylsuccinic Acid
Increased urinary products of the omega fatty acid metabolism pathway may be due to carnitine
deficiency, fasting, or increased intake of triglycerides from coconut oil, or some infant formulas. Very
elevated values may indicate a genetic disorder. Fatty acid oxidation defects are associated with
hypoglycemia and lethargy. Regardless of cause, intake of dietary supplements containing L-carnitine
or acetyl-L-carnitine may improve clinical symptoms.

04/09/15
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www.GPL4U.com
NUTRITIONAL MARKERS
Methylmalonic Acid
(Vitamin B12)
Slightly elevated methylmalonic acid is commonly associated with vitamin B12 deficiency, or other
factors such as pernicious anemia, GI bacterial metabolism, malabsorption, or gastroenteritis in very
young infants. Very elevated values may indicate a genetic disorder.
Pyridoxic Acid
(Vitamin B6)
A major metabolite of vitamin B6. High pyridoxic acid indicates high recent intake of vitamin B6.
Because some individuals may require very high doses of vitamin B6, high values do not necessarily
indicate the need to reduce vitamin B6 intake. Low values are associated with low B6 status, high
oxalates, and/or low neurotransmitters.
Pantothenic Acid
(Vitamin B5)
An essential vitamin (vitamin B5). High pantothenic acid indicates high recent intake of pantothenic
acid. Since some individuals may require very high doses of pantothenic acid, high values do not
necessarily indicate the need to reduce pantothenic acid intake.
Glutaric Acid
(Vitamin B2)
Elevation indicates riboflavin deficiency (vitamin B2), a common factor in moderate urinary increases
of glutaric acid. Other possible factors include fatty acid oxidation defects and metabolic effects of
valproic acid (Depakene), or celiac disease. The probability of a genetic disease is higher with very high
values. The use of dietary supplements containing riboflavin and coenzyme Q10 may improve clinical
symptoms. This compound may be elevated in about 10% of children with autism.
Ascorbic Acid
(Vitamin C)
Commonly elevated by supplementation. High values are usually of no concern, except in individuals
with extremely high intake (>2000 mg/day), in whom ascorbic acid may be converted to oxalic acid,
increasing the risk of kidney stones. It is unlikely that elevated vitamin C will contribute to kidney
stone formation if oxalic acid is in the normal range.
The precursor of coenzyme Q10 and cholesterol. Slightly increased values may be caused by
3-Hydroxy-3-methylglutaric Acid gastrointestinal yeast overgrowth. A moderate increase in urine HMG may also indicate decreased
(Coenzyme Q10)
synthesis of coenzyme Q10. Certain cholesterol-lowering drugs may inhibit the synthesis pathway and
result in high HMG values. Very elevated values may be caused by the genetic disorder, HMG aciduria.
N-Acetylcysteine Acid
A powerful antioxidant that increases the glutathione reserves in the body. Together with glutathione,
acetylcysteine directly binds to toxic metabolites. Although acetylcysteine may be beneficial under
certain conditions, excessive use of the supplement could be harmful.
Methylcitric Acid
(Biotin (Vitamin H)
Elevation usually indicates a biotin deficiency (Vitamin H). Biotin deficiency may be due to
malabsorption, excessive intake of raw egg white, dietary deficiency, or dysbiosis. Higher levels may
indicate the presence of genetic disorders involving biotin-dependent enzymes and may require biotin
supplementation at very high doses.
INDICATORS OF DETOXIFICATION
Glutathione
Pyroglutamic Acid
Pyroglutamic acid is a metabolite of glutathione. Glutathione serves as an antioxidant and is also

conjugated to toxic compounds in the liver. Elevated values are most commonly caused by glutathione
deficiency due to toxic exposure, such as acetaminophen toxicity. Elevated pyroglutamic acid may
also result from a genetic disorder, metabolic effects of certain antibiotics, or intake of certain infant
formulas. Supplementation with liposomal glutathione or N-acetyl-cysteine can raise glutathione
levels. Selenium is essential to the antioxidant activity of glutathione; usually, adequate selenium can
be obtained from a quality multivitamin.
Elevated 2-hydroxybutyric acid is a byproduct of the breakdown of the sulfur amino acid metabolite,
cystathionine, which may be formed in excess during oxidative stress or when toxic exposures increase
the need for detoxification. When glutathione is depleted by excessive toxic exposure, pyroglutamic
acid may also be elevated. High values of 2-hydroxybutyric acid may also be associated with the onset
of diabetes mellitus or significant alcohol intake. This compound may also be elevated in certain
genetic diseases such as lactic acidosis, glutaric aciduria type II, dihydrolipoyl dehydrogenase (E3)
deficiency, and propionic aciduria.
Continued on the next page
Ammonia Excess
Orotic Acid
Elevations are most commonly associated with ammonia toxicity. Elevated ammonia may result from
drug toxicity to the liver, viral liver infection, gastrointestinal bleeding, or inborn errors of ammonia
metabolism. Confirmation of a genetic disorder requires testing plasma amino acids.
Aspartame, Salicylates, or GI bacteria

2-Hydroxyhippuric Acid
A conjugate of the amino acids, glycine and hydroxybenzoic acid (salicylic acid). Intake of aspirin
(salicylates) or the growth of salicylate-producing gastrointestinal bacteria may elevate levels. Also
increased after the ingestion of the artificial sweetener, aspartame (Nutrasweet).
AMINO ACID METABOLITES

2-Hydroxyisovaleric Acid
2-Oxoisovaleric Acid
3-Methyl-2-oxovaleric Acid
2-Hydroxyisocaproic Acid
2-Oxoisocaproic Acid
A moderate increase of branched-chain amino acid metabolites in urine may result from lactic acidosis,
episodic ketosis, or deficiencies of the vitamins, thiamine or lipoic acid. Elevated 2-hydroxyisocaproic
acid in urine has also been linked to short bowel syndrome. A significant increase of branched-chain
amino acid metabolites is associated with the genetic disorders, maple syrup urine disease (MSUD)
and pyruvate dehydrogenase deficiency. Patients with slight to moderate elevations may use dietary
supplements containing thiamine to improve clinical symptoms.
2-Oxo-4-methiolbutyric Acid
Elevated in an inborn error of methionine metabolism. Confirmation of the genetic disorder requires
testing of plasma amino acids.
Mandelic Acid
Increased by dietary phenylalanine or phenylalanine supplementation, but also due to exposure

to styrene, a toxic environmental compound. Significant elevation is found in the genetic disorder,
phenylketonuria (PKU). A plasma phenylalanine test will rule out PKU.
Phenyllactic Acid
A metabolite of phenylalanine. Elevated values indicate increased intake of dietary phenylalanine or

the heterozygous carrier status (homozygosity) for the genetic disease, phenylketonuria (PKU). Values
observed in clinically diagnosed PKU typically exceed 200 mmol/mol creatinine.
Phenylpyruvic Acid
Moderate elevations may result from intake of phenylalanine, from genetic carrier status for PKU, or
from a deficiency in production of biopterin, a cofactor required for phenylalanine metabolism. Very
high values are associated with the genetic disease, PKU.
Homogentisic Acid
Homogentisic acid is elevated in the genetic disorder, homogentisic aciduria (alkaptonuria). Slight
increases may indicate the heterozygous genetic carrier state of the disease.
4-Hydroxyphenyllactic Acid
Increased values are commonly associated with tyrosinemias, which can result from immature
development of enzyme synthesis in infants or genetic deficiencies. Slight increases may be due to
increased tyrosine intake, bacterial gut metabolism, short bowel syndrome, or liver disease.
N-Acetylaspartic Acid
Elevated N-acetylaspartic acid is due to the genetic disorder, Carnavans disease, a potentially fatal
disease causing spongy degeneration of the brain.
Malonic Acid
Associated with the genetic disorders, malonyl-CoA decarboxylase deficiency and malonic aciduria
with normal malonyl-CoA decarboxylase activity. Slightly elevated values in urine are unlikely to be
clinically significant.
MINERAL METABOLITES
Phosphoric Acid
Phosphate urinary excretion is directly proportional to dietary intake. Processed foods high in
phosphate include: sodas, candy, ice cream, chocolate, mayonnaise, frozen pizza, commercially baked
goods, and meats. Excess phosphate is also associated with hyperparathyroidism, vitamin D-resistant
rickets, immobilization following paraplegia or fracture due to bone resorption, vitamin D intoxication,
blood lead levels above 1.5 ppm, renal tubular damage, familial hypophosphatemia, and metabolic
acidosis. Low urinary phosphate is most common in low phosphate intake and in vitamin D deficiency.

04/09/15
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Page 1 of 8
Organic Acids Test - Nutritional and Metabolic Profile
thi
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Glu
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Test & Pricing

Information
Physician Price List

Nutritional, Environmental, and Metabolic Assessments
Organic Acids Test (OAT) (74) Urine
Microbial Organic Acids Test (MOAT) (21) Urine
Physician Billing
Price*
Patient Cash
Price**
List Price***
Out-of-Network Down
Payment****
$239
$159
$299
$199
$599
$449
$120
$90
$135
$27
Advanced Cholesterol Profile Serum
$85
$110
Amino Acids Test - Plasma or Urine (24 hr. or Random) (43)
$199
$229
Insurance Not Available
C-Reactive Protein Test (hs-CRP) Serum
$55
$70
$85
Ceruloplasmin Test Serum
$60
$85
$95
$19
Comprehensive Fatty Acids Test Serum
$209
$239
$299
$60
(when ordered with the OAT/MOAT)
$199 ($149)
$219 ($169)
$129
$129
$99 ($39)
$99 ($39)
$55
$70
$85
$17
$65 ($29)
$65 ($29)
$85 ($39)
$17 ($8)
$48
$58
$99
$20
Physician Billing
Price*
Patient Cash
Price**
List Price***
Out-of-Network Down
Payment****
GPL-TOX (Toxic Organic Chemical Profile)

Kryptopyrrole Test Urine
Phospholipase A2 Activity Test (PLA2)
Prealbumin Test Serum
Uric Acid Test (24 hr. or Random) Urine
Vitamin D Test Serum or Dried Blood Spot (DBS)

DNA Methylation Pathway
DNA Methylation Pathway Profile Dried Blood Spot (DBS)
Stool Tests
Comprehensive Stool Analysis with Parasitology
Yeast Culture w/ Sensitivity Test
Hormone Tests
Hormones Comprehensive Panel
Hormones Comprehensive Plus Panel
Hormones Short Comprehensive Panel
$17
$429
$459
Physician Billing
Price*
Patient Cash
Price**

List Price***
Out-of-Network Down
Payment****
$295
$140
$345
$170
$599
$225
$92
$45
Physician Billing
Price*
Patient Cash
Price**
List Price***
Out-of-Network Down
Payment****
$215
$225
$225
$275
$255
$325
$51
$65
$195
$215
$225
$45
Physician Billing
Price*
Patient Cash
Price**
List Price***
Out-of-Network Down
Payment****
IgG Food Allergy Test w/ Candida (94) Serum or Dried Blood Spot (DBS)
IgG Asian Food Allergy Test w/ Candida (94) Serum or Dried Blood Spot (DBS)
$165
$165
$219
$219
$325
$325
$65
$65
Celiac Disease Test Serum
$85
$109
$165
$33
Gluten / Casein Peptides Test Urine
$85
$110
$119
$24
IgE Allergy Advanced Combined Test (93 / 69) Serum
$700
$729
$800
$160
Food Allergies, Sensitivities, and Immune System
IgE Food Allergy Essentials Test (12) Serum
$75
$75
$119
$24
IgE Food Allergy Basic Test (25) Serum

IgE Food Allergy Advanced Test (93) Serum
$219
$449
$270
$479
$379
$579
$76
$116
IgE Inhalant Allergy Basic Test (36) Serum

IgE Inhalant Allergy Advanced Test (69) Serum
$219
$349
$270
$379
$379
$449
$76
$90
Immune Deficiency Profile Serum

Streptococcus Antibodies Profile Serum
$179
$55
$239
$70
$299
$85
$60
$17
Physician Billing
Price*
Patient Cash
Price**
List Price***
Out-of-Network Down
Payment****
Metals Hair Test (39)

Copper Test Serum
$115
$35
$140
$35
$250
$60
$50
$12
Copper / Zinc Profile Serum
$135
$165
$215
$43
Metals Fecal Test (13)
$115
$140
$250
$50
Metals Red Blood Cell Test (18)
$235
$285
$360
$72
Metals Urine (24 hr., Timed or Random) Test (37)
$165
$185
$299
$60
Metals Whole Blood Test (20)
$180
$210
$320
$64
Porphyrins Profile Urine
$85
$109
$145
$29
Zinc Test Serum
$35
$35
$60
$12
Metals and Essential Elements
Physician Billing
Price*
Patient Cash
Price**
List Price***
Out-of-Network Down
Payment****
OAT + Amino Acids Urine Test Combo Urine

OAT + IgG Food Allergy Test w/ Candida Combo Urine & Serum or Dried Blood Spot
(DBS)
OAT + Yeast Culture w/ Sensitivity Test Combo Urine & Stool
$425
$515
$899
$180
$399
$499
$699
$140
$319
$399
$699
$140
MOAT + Yeast Culture w/ Sensitivity Test Combo Urine & Stool
$239
$299
$549
$110
GPL3: Organic Acids Test + Metals Hair + IgG Dried Blood Spot (DBS)
$514
$559
$949
$190
$562
$599
$1048
$210
$682
$699
$1,158
$232
$279
$444
$89
Combo Tests
GPL4-DBS: Organic Acids Test + IgG Food Allergy Test + Metals Hair + Phospholipase A2
Activity Test
GPL4-Serum: Organic Acids Test + IgG Food Allergy Test + Red Blood Cell +
Phospholipase A2 Activity Test
IgG Food Allergy Test w/ Candida + IgE Food Allergy Essentials Test Serum
Test Panels
$225
Physician Billing Price*
Patient Cash
Price**
List Price***
Out-of-Network Down
Payment****
$1,495
$1,835
$2,599
$492
$894
$1,094
$1,667
$305
$1,716
$2,070
$3,124
$597
$808
$988
$1,367
$273
$1,686
$2,070
$3,124
$597
$753
$918
$1,268
$254
$1,188
$1,457
$2,376
$447
$599
$749
$1,068
$214
$1,366
$1,655
$2,440
$488
$723
$878
$1,248
$250
$1,570
$1,895
$2,714
$515
$1,007
$1,217
$1,666
$333
Comprehensive Autism Panel

Ferritin Test

Metals Hair Test
Organic Acids Test

Vitamin D Test

Metals Hair Test
Organic Acids Test
Basic Autism Panel

Comprehensive AD(H)D Panel


Ferritin Test
Metals Hair Test

Organic Acids Test
Vitamin D Test

Metals Hair Test
Organic Acids Test
Basic AD(H)D Panel

Comprehensive Tourettes & Tics Panel

Ferritin Test
Metals Hair Test

Organic Acids Test
Vitamin D Test
Basic Tourettes & Tics Panel

Ferritin Test

Metals Hair Test
Organic Acids Test

Comprehensive Fibromyalgia & CFS Panel

C-Reactive Protein Test

Metals Hair Test
Organic Acids Test

Vitamin D Test
Basic Fibromyalgia & CFS Panel

Metals Hair Test

Organic Acids Test
Comprehensive Wellness Panel

Ferritin Test
Metals Hair Test
Organic Acids Test

Vitamin D Test
Basic Wellness Panel

Metals Hair Test

Organic Acids Test
Comprehensive Mental Health Panel


Metals Hair Test
Organic Acids Test

Vitamin D Test
Basic Mental Health Panel


Metals Hair Test

Organic Acids Test
* Physician billing is unavailable in New Jersey and Rhode Island.

** Payment must be submitted with sample. We accept checks, money orders, wire transfers, and all major credit cards.
*** Price commonly billed to insurance. See insurance section on website or Test Requisition Form for exceptions.
**** Out-of-network down payment (approx. 20% of list price) due upon submission (no up-front payment for in-network billing: some BCBS, Tricare, and Medicare).
All prices are subject to change without prior notice.
Revised 07/10/15
Patient Price List

Nutritional, Environmental, and Metabolic Assessments
Cash Price*
List Price**
Out-of-Network Down
Payment***
$299
$599
$120
$199
$449
$90
$110
$135
$27
Amino Acids Test Plasma or Urine (24 hr. or Random) (43)
$229
$70
$85
$17
$85
$95
$19
$239
$299
$60
$219 ($169)
$129
$99 ($39)

Uric Acid Test (24 hr. or Random) Urine
Vitamin D Test Serum or Dried Blood Spot (DBS)
$70
$65 ($29)
$58
$85
$85 ($39)
$99
$17
$17 ($8)
$20
DNA Methylation Pathway
Cash Price*
List Price**
Out-of-Network Down
Payment***
Kryptopyrrole Test Urine

Phospholipase A2 Activity Test (PLA2)
DNA Methylation Pathway Profile Dried Blood Spot (DBS)
$459
Cash Price*
List Price**
Out-of-Network Down
Payment***
Comprehensive Stool Analysis with Parasitology
$345
$599
$92
$170
$225
$45
Cash Price*
List Price**
Out-of-Network Down
Payment***
$225
$255
$51
Stool Tests
Hormones Tests
$275
$325
$65
$215
$225
$45
Cash Price*
List Price**
Out-of-Network Down
Payment***
IgG Food Allergy Test w/ Candida (94) Serum or Dried Blood Spot (DBS)
$219
$325
$65
IgG Asian Food Allergy Test w/ Candida (94) Serum or Dried Blood Spot (DBS)
$219
$325
$65
$109
$165
$33
$110
$119
$24
IgE Allergy Advanced Combined Test (93 / 69) Serum
$729
$800
$160
IgE Food Allergy Essentials Test (12) Serum
$75
$119
$24
Food Allergies, Sensitivities, and Immune System
$270
$379
$76
$479
$579
$116
$270
$379
$76
$379
$449
$90
$239
$299
$60
$70
$85
$17
Cash Price*
List Price**
Out-of-Network Down
Payment***
$140
$250
$50
Copper Test Serum
$35
$60
$12
$165
$215
$43
$140
$250
$50
$285
$360
$72
Metals Urine (24 hr., Timed or Random) Test (37)
$185
$299
$60
$210
$320
$64
$109
$145
$29
Zinc Test Serum
$35
$60
$12
Metals and Essential Elements
Cash Price*
List Price**
Out-of-Network Down Payment***
OAT + Amino Acids Urine Test Combo Urine
$515
$899
$180
OAT + IgG Food Allergy Test w/ Candida Combo - Urine & Serum or Dried Blood Spot (DBS)
$499
$699
$140
OAT + Yeast Culture w/ Sensitivity Test Combo Urine & Stool
$399
$699
$140
MOAT + Yeast Culture w/ Sensitivity Test Combo Urine & Stool
$299
$549
$110
GPL3: Organic Acids Test + Metals Hair + IgG Dried Blood Spot (DBS)
$559
$949
$190
GPL4-DBS: Organic Acids Test + IgG Food Allergy Test + Metals Hair + Phospholipase A2 Activity Test
$599
$1048
$210
GPL4-Serum: Organic Acids Test + IgG Food Allergy Test + Red Blood Cell + Phospholipase A2
Activity Test
$699
$1,158
$232
IgG Food Allergy Test w/ Candida + IgE Food Allergy Essentials Test Serum
$279
$444
$89
Cash Price*
List Price**
Out-of-Network Down Payment***
Combo Tests
Test Panels
Comprehensive Autism Panel:
Ferritin Test

Metals Hair Test
Organic Acids Test

Vitamin D Test
$1,835
$2,599
$492
Metals Hair Test

Organic Acids Test
$1,094
$1,667
$305
$2,070
$3,124
$597
$988
$1,367
$273
$2,070
$3,124
$597
$918
$1,268
$254
$1,457
$2,376
$447
$749
$1,068
$214
$1,655
$2,440
$488
$878
$1,248
$250
$1,895
$2,714
$515
$1,217
$1,666
$333
Basic Autism Panel



Ferritin Test
Metals Hair Test

Organic Acids Test
Vitamin D Test
Metals Hair Test

Organic Acids Test
Basic AD(H)D Panel


Ferritin Test
Organic Acids Test

Vitamin D Test
Metals Hair Test

Ferritin Test
Metals Hair Test

Organic Acids Test



Metals Hair Test
Organic Acids Test

Vitamin D Test

Metals Hair Test

Organic Acids Test

Ferritin Test
Metals Hair Test

Organic Acids Test
Vitamin D Test

Metals Hair Test

Organic Acids Test


Metals Hair Test

Organic Acids Test
Vitamin D Test


Metals Hair Test

Organic Acids Test
All prices are subject to change without prior notice.

* Payment must be submitted with sample. We accept checks, money orders, wire transfers, and all major credit cards.
** Price commonly billed to insurance. Some BCBS plans are not considered in-network, see insurance section on website or Test Requisition Form for exceptions.
*** Out-of-network down payment (approx. 20% of list price) due upon submission (no up-front payment for in-network billing: some BCBS, Tricare, and Medicare).
Revised 07/10/15
Test / Turn Around Time

2 - 4 weeks
Amino Acids Urine Test (43)

Amino Acids Plasma Test (43)
2 - 4 weeks
C-Reactive Protein Test (hs-CRP)

1 - 3 weeks
Description
Total cholesterol, Apolipoprotein A-1 (Apo A-1), Apolipoprotein B (Apo B), Lipoprotein (a) (Lp (a)), Homocysteine
Alanine, Beta-Alanine, Alpha-Aminoadipic, Alpha-Aminobutyric, Gamma-Aminobutyric, Beta-Aminoisobutyric, Ammonia, Anserine, Arginine, Asparagine, Aspartic,
Carnosine, Citrulline, Cystathionine, Cysteine, Cystine, Ethanolamine, Glycine, Glutamic, Glutamine, Histidine, Homocysteine, Hydroxyproline, Isoleucine,
Leucine, Lysine, Met Sulfoxide, Methionine, 1-Methylhistidine, 3-Methylhistidine, Ornithine, Phenylalanine, Phosphoethanolamine, Phosphoserine, Proline,
Sarcosine, Serine, Taurine, Threonine, Tryptophan, Tyrosine, Valine, Urine Only Creatinine and Urea
High Sensitivity C-Reactive Protein
Celiac Disease Test (2 - 4 weeks)
Transglutaminase Antibody, Confirmatory test for Celiac Disease
Ceruloplasmin Test (1 - 3 weeks)
Ceruloplasmin
Total Saturated, Total Monounsaturated, Total Polyunsaturated, Total Omega 3, Total Omega 6, Total Fatty Acids. Omega 3 Series: Alpha-Linolenic,
Eicosapentaenoic, Docosapentaenoic, Docosahexaenoic. Omega 6 Series: Linoleic, Gamma-Linolenic, Dihomo-Gamma-Linolenic, Arachidonic,
Docosapentaenoic, Docosatetraenoic. Omega 9 Series: Eicosatrienoic. Monosaturated Series: Lauroleic, Myristoleic, Palmitoleic, Hexadecenoic, Vaccenic,
Oleic, Nervonic. Saturated: Caprylic, Lauric, Myristic, Palmitic, Stearic, Arachidic, Docosanoic, Tetracosanoic, Hexacosanoic. Branched-chain: Pristanic,
Phytanic. Ratios: Triene-to-Tetraene.
Bacterial culture: 73 potential species of imbalanced and dysbiotic bacteria, 4 species of beneficial bacteria. Yeast (Mycology) culture: 48 potential yeast and
fungal species. Parasite isolation: 22 potential parasites. Digestion and Absorption markers: Elastase, Fat Stain, Muscle Fibers, Vegetable fibers, and
Carbohydrates. Inflammation markers: Lysozyme, Lactoferrin, White Blood Cells, Mucus. Immunology: Secretory Immunoglobulin A (sIgA). Short Chain Fatty
Acids: Acetate, Propionate, Butyrate, Valerate. Intestinal Health markers: Red Blood Cells, pH, Occult Blood, Yeast (microscopy). Yeast sensitivity to:
Fluconazole, Itraconazole, Nystatin, Flucytosin, Berberine, Caprylic acid, Uva Ursi, Goldenseal, Tanalbit, Oregano. Bacterial sensitivity to: Augmentin,
Cefpodoxime, Cefuroxime, Ciprofloxacin, Tetracycline, Trimeth-sulfa, Berberine, Black Walnut, Caprilic Acid, Cats Claw, Goldenseal, Mastica, Oregano, Uva Ursi
1 - 3 weeks

2 - 4 weeks
Copper Test (1 - 3 weeks)
Copper
Copper / Zinc Profile (1 - 3 weeks)
Bound Copper, Unbound Copper, Total Copper, Zinc, Ceruloplasmin
DNA Methylation Pathway Profile
ACAT / 1-02, AHCY 1/2/19, BHMT 1, 3, 4, 8, CBS C699T/ A360A/ N212N, COMT V158M, H62H, 61, MAO A/ R297R, MTHFR C677T/A1298C/3, MTR/ A2756G,
MTRR, A66G/H595Y/K350A/R415T/S257T/11, NOS / D298E, SHMT/ C1420T, SUOX/ S370S, VDR Taq1/ Fok1
5 6 weeks

1 - 2 weeks
Gliadorphin (peptide from wheat) and Casomorphin (peptide from dairy products)
GPL3 (2 - 3 weeks)
See Organic Acids Test (OAT) (74), Metals Hair Test (39) and IgG Food Allergy Test w/ Candida (94)
GPL4-DBS (2 - 3 weeks)
See Organic Acids Test (OAT) (74), IgG Food Allergy Test w/ Candida (94), Metals Hair Test (39) and Phospholipase A2 Activity
GPL4-Serum (2 - 3 weeks)
See Organic Acids Test (OAT) (74), IgG Food Allergy Test w/ Candida (94), Metals Red Blood Cell Test (18) and Phospholipase A2 Activity
GPL-TOX (11) (1 2 weeks)
2-,3-,4-Methylhippuric Acid (2MHA, 3MHA,4MHA), 2,4-Dichlorophenoxyacetic Acid (2,4D), 2-Hydroxyisobutyric Acid (2HIB), 3-Phenoxybenzoic Acid (3PBA),
Diethylphosphate (DEP), Dimethylphosphate (DMP), Monoethyl Phthalate (MEP), N-acetyl phenyl cysteine (NAP), Phenylglyoxylic Acid (PGO), Thiodiglycolic
Acid (TDG), Tiglyglycine (TG)

1 - 3 weeks

1 - 3 weeks
Hormone Short Comprehensive Panel

1 - 3 weeks
Estradiol, Progesterone, Testosterone, DHEA, am/noon/evening/pm Cortisol

Estrone, Estradiol, Estriol, Progesterone, Testosterone, DHEA, am/noon/evening/pm Cortisol
Estradiol, Progesterone, Testosterone, DHEA, am /pm Cortisol
IgE Allergy Advanced Combined Test

See IgE Food Allergy Advanced Test (93) and IgE Inhalant Allergy Advanced Test (69) for test descriptions.
(93 / 69)
1 - 2 weeks
IgE Food Allergy Essentials Test (12)

1 - 2 weeks
Almond, Beef, Chicken, Corn, Egg White, Milk, Orange, Peanut, Shrimp, Soybean, Tomato, Wheat
IgE Food Allergy Basic Test (25)

1 - 2 weeks
IgE Food Allergy Advanced

Test (93)
1 - 2 weeks
IgE Inhalant Allergy Basic Test (36)

1 - 2 weeks
IgE Inhalant Allergy Advanced

Test (69)
1 - 2 weeks
Almond, Apple, Barley, Bean (White), Beef, Chicken, Chocolate, Corn, Egg (Whole), Garlic, Milk, Oat, Onion, Orange, Peanut, Pork, Potato, Rice, Shellfish Mix
(Cod, Shrimp, Mussel, Tuna, Salmon), Soybean, Tomato, Tuna, Vegetable Mix (Green Bean, White Bean, Carrot, Potato), Wheat, Yeast (Bakers)
Almond, Apple, Apricot, Asparagus, Avocado, Banana, Barley, Beef, Beet, Blueberry, Broccoli, Buckwheat, Cabbage, Cane Sugar, Carrot, Casein, Cashews,
Celery, Cheese, Chicken, Coconut, Cod Fish, Cocoa, Coffee, Corn, Crab, Cranberry, Eggplant, Egg White, Egg Yolk, Flax, Garbanzo Bean, Garlic, Gluten, Goats
Milk Cheese, Grape, Grapefruit, Green Bean, Green Pepper, Halibut, Hazelnut, Honey, Kidney Bean, Lamb, Lemon, Lentil, Lettuce, Lima Bean, Lobster, Mango,
Milk, Millet, Mushroom, Oat, Onion, Orange, Papaya, Pea, Peach, Peanut, Pear, Pecan, Pineapple, Pinto Bean, Pistachio, Plum, Pork, Potato, Pumpkin, Radish,
Raisin, Rice, Rye, Salmon, Sardine, Sesame, Shrimp, Soybean, Spinach, Strawberry, Sunflower, Sweet Potato, Tomato, Turkey, Tuna, Walnut, Watermelon,
Wheat, Whey, Yogurt, Yeast (Bakers), Yeast (Brewers), Zucchini
Alder (Speckled), Alternaria, Ash (White), Aspergillus, Beech (American), Bermuda Grass, Birch (Common Silver), Box Elder (Maple), Burning Bush, Cat,
Cladosporium, Cocklebur, Cockroach, Cottonwood Tree, Dog, Elm (White), Hickory (White), House Dust, Lambs Quarters, Marsh Elder (Rough), Meadow
Fescue, Mite (D. Farinae), Mugwort, Nettle, Oak (White), Orchard Grass/Cocksfoot, Penicillium, Pigweed, Pine Ponderosa, Plantain (English), Privet, Ragweed
(Short), Rye (Perennial), Sheep Sorrel, Sycamore (American), Timothy Grass
Acacia, Alder (Smooth), Alternaria, Amoxicillin, Ash (White), Aspergillus, Bahia Grass, Bermuda Grass, Bluegrass (Kentucky), Box Elder (Maple), Brome Grass,
Candida, Cat, Cedar (Mountain), Cladosporium, Cocklebur, Cockroach, Corn (Cultivated), Cottonwood Tree, Cypress (Bald), Dockweed (Yellow), Dog, Elm (American
and Fall Blooming), Ferret, Fescue (Meadow), Gerbil, Goldenrod, Hickory (White), House Dust, Iodine Bush, Johnson Grass, Lambs Quarters, Maple (Red), Marsh
Elder (Rough), Mexican Tea, Mite (D. Farinae), Mouse, Mulberry (Red and White), Nettle, Oak (Live, White, and Red), Oats, (Cultivated), Oat Grass Tall, Pecan Tree,
Penicillium, Pigweed (Spiny and Rough), Plantain (English), Poplar (White), Privet, Rabbit, Ragweed (Giant and Short), Rye (Cultivated), Rye Grass (Perennial), Salt
Cedar, Salt Grass, Sheep Sorrel, Sweet Gum, Sycamore, Timothy Grass, Tree of Heaven, Walnut (Black), Western Water Hemp, Wheat (Cultivated), Willow (Black)
IgG Food Allergy Test w/ Candida (94) Almond, Apple, Apricot, Asparagus, Avocado, Bakers Yeast (Saccharomyces cerevisiae), Banana, Barley, Beef, Beet, Blueberry, Brewers Yeast
(Saccharomyces cerevisiae),Broccoli, Buckwheat, Cabbage, Candida albicans, Cane Sugar, Carrot, Cashews, Casein, Celery, Cheese, Chicken, Cocoa, Coconut,
Cod fish, Coffee, Corn, Crab, Cranberry, Eggplant, Egg White, Egg Yolk, Flax, Garbanzo Beans, Garlic, Gliadin, Goats Milk Cheese, Grape, Grapefruit, Green
Bean, Green Pepper, Halibut, Hazelnut, Honey, Kidney Bean, Lamb, Lemon, Lentil, Lettuce, Lima bean, Lobster, Milk, Millet, Mozzarella Cheese, Mushroom, Oat,
Onion, Orange, Papaya, Pea, Peach, Peanut, Pear, Pecan, Pineapple, Pinto Bean, Pistachio, Plum (Prune), Pork, Potato, Pumpkin, Radish, Rice, Rye, Salmon,
Sardine, Sesame, Shrimp, Sorghum, Soybean, Spinach, Strawberry, Sunflower, Sweet Potato, Tomato, Tuna, Turkey, Wheat Gluten, Walnut, Watermelon,
Wheat, Whey, Yogurt
1 - 2 weeks
IgG Food Allergy Test w/ Candida + IgE

See IgG Food Allergy Test w/ Candida and IgE Food Allergy Essentials Test for test descriptions.
Food Allergy Essentials Test
1 - 2 weeks
IgG Asian Food Allergy Test

w/ Candida (94)
1 - 2 weeks

1 - 3 weeks
Kryptopyrrole Test
Abalone, Adzuki Bean, Almond, Apple, Bamboo Shoot, Banana, Barley, Beef, Black Pepper, Bonito, Buckwheat, Burdock (Gobo), Cabbage, Candida albicans,
Carrot, Casein, Cauliflower, Celery, Cheese, Cherry, Chestnut, Chicken, Clam, Cocoa, Coconut, Coffee, Corn, Crab, Cucumber, Curry Powder, Duck, Egg,
Eggplant, Garlic, Ginger, Grape, Green Bean, Green Pepper, Green Tea, Honey, Jack Mackerel, Kiwi, Kombu (Kelp), Lamb, Laver (Nori), Lettuce, Lotus Root,
Mackerel, Mango, Melon, Milk, Miso, Mushroom-Enoki, Mushroom-Shiitake, Mustard, Oat, Olive, Onion, Oolong Tea, Orange, Oyster, Pacific Saury, Pea, Peach,
Peanut, Pear, Pineapple, Pistachio, Pork, Potato, Pumpkin, Radish-Daikon, Red Pepper, Rice, Rye, Salmon, Sardine, Seaweed (Wakame), Sesame, Shrimp,
Soybean, Spinach, Squid, Strawberry, Sunflower, Sweet Potato, Tomato, Tuna, Vanilla Bean, Wheat, Wheat Gluten, Whey, Yeast (Brewers), Yogurt
Immunoglobulins IgA, IgM, IgE, IgG and IgG Subclasses 1, 2, 3 and 4, and Zinc
Kryptopyrrole
2 - 3 weeks

2 - 3 weeks
Toxic: Antimony, Arsenic, Beryllium, Bismuth, Cadmium, Copper, Lead, Mercury, Nickel, Platinum, Thallium, Tungsten, Uranium
Nutritional: Calcium, Magnesium, Sodium, Potassium, Copper, Zinc, Manganese, Chromium, Vanadium, Molybdenum, Boron, Iodine, Lithium, Phosphorus, Selenium,
Strontium, Sulfur, Barium, Cobalt, Iron, Germanium, Rubidium, Zirconium. Ratios: Calcium/Magnesium, Sodium/Potassium, Zinc/Copper, Zinc/Cadmium,
Calcium/Phosphorus Toxic: Aluminum, Antimony, Arsenic, Beryllium, Bismuth, Cadmium, Lead, Mercury, Platinum, Thallium, Thorium, Uranium, Nickel, Silver, Tin,
Titanium
2 - 3 weeks

2 - 3 weeks
Metals Urine Test (37)

2 - 3 weeks

2 - 3 weeks
Microbial Organic Acids Test (MOAT) (21)

1 - 2 weeks
Microbial Organic Acids Test + Yeast

Culture w/ Sensitivity Test Combo
2 - 3 weeks
Organic Acids Test (OAT) (74)

1 - 2 weeks
Organic Acids Test +

Amino Acids Urine Test Combo
Nutritional: Boron, Chromium, Calcium, Copper, Iron, Magnesium, Manganese, Molybdenum, Phosphorus, Potassium, Selenium, Vanadium, Zinc Toxic:
Arsenic, Cadmium, Lead, Mercury, Thallium
Nutritional: Boron, Calcium, Chromium, Cobalt, Copper, Iron, Magnesium, Manganese, Molybdenum, Phosphorus, Potassium, Selenium, Sodium, Strontium,
Sulfur, Vanadium, and Zinc Toxic: Aluminum, Antimony, Arsenic, Barium, Beryllium, Bismuth, Cadmium, Cesium, Gadolinium, Lead, Mercury, Nickel, Palladium,
Platinum, Tellurium, Thallium, Thorium, Tin, Tungsten, Uranium
Nutritional: Calcium, Copper, Lithium, Magnesium, Manganese, Molybdenum, Selenium, Strontium, Zinc Toxic: Arsenic, Barium, Cadmium, Cobalt, Lead,
Mercury, Nickel, Platinum, Silver, Thallium, Uranium
Citramalic, 5-Hydroxymethyl-2-Furoic, 3-Oxoglutaric, Furan-2,5-Dicarboxylic, Furancarbonylglycine, Tartaric, Arabinose, Carboxycitric, Tricarballylic, 2Hydroxyphenylacetic, 4-Hydroxyphenylacetic, 4-Hydroxybenzoic, 4-Hydroxyhippuric, HPHPA (Clostridia marker), 4-Cresol, DHPPA (beneficial bacteria), Hippuric,
3-Indoleacetic, 3-Hydroxy-3-methylglutaric, 2-Hydroxyhippuric, Creatinine
See Microbial Organic Acids Test and Yeast Culture w/ Sensitivity Test for test descriptions.
Citramalic, 5-Hydroxymethyl-2-furoic, 3-Oxoglutaric, Furan-2,5-dicarboxylic, Furancarbonylglycine, Tartaric, Arabinose, Carboxycitric, Tricarballylic, 2-Hydroxyphenylacetic, 4Hydroxyphenylacetic, 4-Hydroxybenzoic, 4-Hydroxyhippuric, Hippuric, 3-Indoleacetic, Succinic, HPHPA (Clostridia marker), 4-Cresol (C. difficile), DHPPA (beneficial bacteria),
Glyceric, Glycolic, Oxalic, Lactic, Pyruvic, 2-Hydroxybutyric, Fumaric, Malic, 2-Oxoglutaric, Aconitic, Citric, Homovanillic Acid (HVA), Vanillmandelic Acid (VMA), HVA/VMA
Ratio, 5-Hydroxyindoleacetic (5-HIAA), Quinolinic, Kynurenic, Quinolinic / 5-HIAA Ratio, Uracil, Thymine, 3-Hydroxybutyric, Acetoacetic, 4-Hydroxybutyric, Ethylmalonic,
Methylsuccinic, Adipic, Suberic, Sebacic, Methylmalonic (Vitamin B12), Pyridoxic (Vitamin B6), Pantothenic (Vitamin B5), Glutaric (Vitamin B2-Riboflavin), Ascorbic (Vitamin C),
3-Hydroxy-3-methylglutaric (Vitamin Q10-CoQ10), N-Acetylcysteine (Glutathione precursor and chelating agent), Methylcitric (Vitamin H-Biotin), Pyroglutamic, Orotic, 2Hydroxyhippuric, 2-Hydroxyisovaleric, 2-Oxoisovaleric, 3-Methyl-2-oxovaleric, 2-Hydroxyisocaproic, 2-Oxoisocaproic, 2-Oxo-4-methiolbutyric, Mandelic, Phenyllactic,
Phenylpyruvic, Homogentisic, 4-Hydroxyphenyllactic, N-Acetylaspartic, Malonic, 3-Methylglutaric, 3-Hydroxyglutaric, 3-Methylglutaconic, Phosphoric, Creatinine
See Organic Acids Test and Amino Acids Urine Test for test descriptions.
1 - 3 weeks
Organic Acids Test + IgG Food Allergy

See Organic Acids Test and IgG Food Allergy Test w/ Candida for test descriptions.
Test w/ Candida Combo
1 - 3 weeks
Organic Acids Test + Yeast Culture w/

See Organic Acids Test and Yeast Culture w/ Sensitivity Test for test descriptions.
Sensitivity Test Combo
2 - 3 weeks

1 - 2 weeks
Porphyrins Profile
Prealbumin Test
(2 - 3 weeks)
(1 - 3 weeks)

1 - 3 weeks
Uric Acid Test (1 - 3 weeks)
Phospholipase A2 Activity
Coproporphyrin I and III (CP), Heptacarboxy (7-CP), Hexacarboxy (6-CP), Pentacarboxy (5-CP), Precoproporphyrin (PreCP), Uroporphyrins (UP)
Prealbumin
DNase antibodies in serum (ADB); Antistreptolysin O titer (ASO)
Uric Acid, Creatinine
Vitamin D Test: Serum

25-Hydroxyvitamin D2 (ergocalciferol), 25-Hydroxyvitamin D3 (cholecalciferol)
Vitamin D Test: Dried Blood Spot (DBS)
Serum: 2 - 3 weeks DBS: 3 - 4 weeks

2 - 3 weeks
Yeast (Mycology) culture: 48 possible yeast and fungal species; Yeast (microscopy - visible presence of yeast cells); Yeast sensitivity to: Berberine, Caprylic
Acid, Uva Ursi , Tannic Acid, Oregano, Undecylenic Acid, Citrus Seed Extract, Nystatin, Fluconazole, Itraconazole, Ketoconazole
Zinc Test (2 - 3 weeks)
Zinc
PLEASE NOTE: *SST tubes are not sent in international test kits - Navy blue top tubes with (no additive) are provided in international test kits.
Revised 07/10/15
Turn-Around-Times and Specimen Collection
Turn-Around-Times
and Specimen
Collection
70mLUrineCollectionCup
4Tubes
4Tubes
4Tubes
1SerumSeparatortube(goldtop)
3SerumSeparatortubes(goldtop)
Notubes/DBSBloodCollectionCard
GPLTOX(ToxicOrganicChemicalProfile)
Gluten/CaseinPeptidesTest
HormonesComprehensivePanel
HormonesComprehensivePlusPanel
HormonesShortComprehensivePanel
IgEFoodAllergyEssentialsTest(12)
IgEFoodAllergyBasicTest(25)
IgEFoodAllergyAdvancedTest(93)
IgEInhalantAllergyBasicTest(36)
IgEInhalantAllergyAdvancedTest(69)
IgEAllergyAdvancedCombinedTest(93/69)
IgGFoodAllergyTestw/Candida Serum
IgGFoodAllergyTestw/Candida DBS
IgGFoodAllergyTestw/Candida+IgEFoodAllergy
EssentialsTest
ImmuneDeficiencyProfile
KryptopyrroleTest(USAonly)
MetalsWholeBloodTest
2Bluetoptubes(PotassiumEDTA)
MetalsUrineTest
2Bluetoptube(noadditive)
Amberplasticvial(w/additive),frozen,packonice
1Bluetoptube(PotassiumEDTA)
1whiteorbluecappedtubeprovided,nomorethan7days
old
Collectfromnapeoftheneck
MetalsRedBloodCellTest
MetalsHairTest
MetalsFecalTest
CopperTest
Copper/ZincProfile
CReactiveProteinTest(hsCRP)
DNAMethylationPathwayProfile
FerritinTest(onlyavailableinpanels)
2yellow,1green,1white(frozen),nomorethan5daysold
1SerumSeparatortube(goldtop)ForUS1
Bluetoptube(noadditive)CanadaGelPouch
ComprehensiveStoolAnalysis(CSAP2)
ComprehensiveFattyAcidsTest(USA&Canada)
CeliacDiseaseTest
CeruloplasminTest
AminoAcidUrineTest(43)
70mLUrineCollectionCup,Bluespecimenvialtothefill
line,packonice
1Lavendertop(EDTA)tube;(overnightfast)mixedwithacid
tube
AdvancedCholesterolProfile
AminoAcidPlasmaTest(USAonly)
TypeofTube/Vial
Test
FirstMorn.Urine,24hrortimed
urineFreezeSample
PackedCells
Hair
Stool
Serum
Urine
WholeBlood
Serum
Serum
Serum
Serum
DriedBloodSpot
Serum
FirstMorningUrineFreeze
Sample
Sample
CollectsalivaFour(4)timesin
oneday
oneday
oneday
Serum
Serum
Serum
Serum
Serum
Serum
Serum
DriedBloodSpot
Stool
Serum
Serum
Serum
FirstMorningUrineor24hr
UrineFreezeSample
Plasma
Serum
TypeofSpecimen
2mL
Requested
Amount
4mL
FillLine
4mL
10mL
7mL
3mL
40mL
50mL
.25grams
1gram
2mLPk
4mLPkCells
Cells
1/2full
3mL
8mL
7mL
2mL
EachTube
3/4full
EachTube
3/4full
EachTube
3/4full
2mL
5mL
8mL
5mL
8mL
12mL
1mL
5spots
EachTube
3/4full
EachTube
3/4full
EachTube
3/4full
1mL
2mL
6mL
3mL
5mL
10mL
.5mL
3spots
23weeks
23weeks
23weeks
23weeks
13weeks
23weeks
23weeks
12weeks
12weeks
12weeks
12weeks
12weeks
12weeks
12weeks
12weeks
12weeks
710businessdays
710businessdays
710businessdays
12weeks
10mL
5mL
13weeks
13weeks
13weeks
45Weeks
13weeks
24weeks
13weeks
12weeks
3mL
4mL
1mL
5spots
3mL
FillLine
2mL
13weeks
13weeks
24Weeks
24Weeks
24Weeks
TurnAroundTime
10mL
5mL
2mL
3mL
.5mL
3spots
2mL
1mL
20mL,blue
25mL,blue
vialtofill
vialtofillline
line
2mL
3mL
1mL
2mL
1mL
Absolute
Minimum
3mL
TurnAroundTimes&SpecimenRequirements
1Amberplasticvial,noadditive(lightsensitive)
MicrobialOrganicAcidsTest(MOAT)(20)
OrganicAcidsTest(72)
PhospholipaseA2ActivityTest
PrealbuminTest
PorphyrinsProfile
StreptococcusAntibodiesProfile
UricAcidTest(24HrorRandom)
Sample
Sample
Sample
Serum
Urine
Serum
FirstMorningUrineor24hr
FreezeSample
TypeofSpecimen
10mL
1mL
10mL
3mL
.5mL
5mL
2mL
5mL
10mL
10mL
10mL
Requested
Amount
5mL
5mL
5mL
Absolute
Minimum
13weeks
13weeks
23weeks
13weeks
12weeks
12weeks
12weeks
TurnAroundTime
YeastCulturew/SensitivityTest
1greenororangecappedtubeprovided,nomorethan7
23weeks
Stool
FillLine
daysold
VitaminDTestSerum
Serum
1mL
2mL
23weeks
VitaminDTestDBS
DriedBloodSpot
3spots
5spots
34weeks
ZincTest
Serum
1mL
2mL
13weeks
Pleasenote:ForInternationalTestKitsBlueTopTubesaresentinplaceofSerumSeparatorTubes(goldtop).Updated7/13/15
TypeofTube/Vial
Test
TurnAroundTimes&SpecimenRequirements
Specimen Collection & Shipping Instructions

The following test instructions are available for download on our website at
www.greatplainslaboratory.com/home/eng/sample.asp.
All test instructions are shipped with each kit.
Blood Tests & Phlebotomy Blood Draw Instructions

Comprehensive Stool Analysis (Thermo bag version)
Comprehensive Stool Analysis (Styrofoam version)
DMSA Challenge Test for Heavy Metal Poisoning
Dried Blood Spot (DBS) Test
Metals Fecal Test
Metals Hair Test
Organic Acids Test (OAT) + IgG Food Allergy w/ Candida Test Combo (DBS)
Organic Acids Test (OAT) + IgG Food Allergy w/ Candida Test Combo (Serum)
Organic Acids Test (OAT) + Yeast Culture w/ Sensitivity Test Combo
Urine Tests (Thermo bag version)
Urine Tests (Styrofoam version)
Test Panels Instructions (U.S. Only)
Blood Draw Service Options

If you do not have a phlebotomist and are interested in ordering blood tests:
We recommend using Any Lab Test Now. Visit www.anylabtestnow.com/locations to find a

location near you.
For the Los Angeles and Orange County Areas: (MPS) Mobile Phlebotomy Services can do blood draw
from your home. The cost is $80. Call 909-985-5562 to make appointment. Standard hours of operation
are 6:00 a.m. to 3:00 p.m.
Other options (We recommend contacting these service providers first as we cannot guarantee that they will
provide blood draw services):
LabCorp or Quest Diagnostics
We recommend that physicians set up an account and advise the laboratory prior to referring patients for blood draw
services. We also recommend taking a GPL test kit to the laboratory and discussing the process together.
Local Hospital
Childrens Hospital
Urgent Care
Local Medical School
Suggestions from patients insurance company
An associate in another office that has a phlebotomist
Phlebotomists customarily charge a fee for the blood draw, which most insurances companies cover.
For the IgG Food Allergy Test, try the popular and convenient dry blood spot instead that you can
perform in-home.
Insurance Billing,
CPT & ICD-9 Codes
Revised
7/10/15
Insurance Overview
Provider
Blue Cross Blue Shield
(BCBS)
Contracted Plans
BCBS of Illinois
BCBS of Kansas City
PPO
BCBS of Minnesota
BCBS of Vermont
BCBS of Illinois: Comprehensive Stool

Analysis not covered*
Capital Blue Cross, Highmark, and
Blue Shield of California: IgG Food
Allergy Test w/ Candida not covered*
Blue Cross of Idaho PPO
Federal Employee
Program
Blue Shield of California*

*Blue Shield Covered
Highmark Blue Shield

of Pennsylvania
California and plans that

begin with ID# XEK
are Non-Contracted
Plans, see guidelines
below.
Keystone Health Plan

West - Pennsylvania
(HMO)
Highmark West Virginia
Capital Blue Cross

of Pennsylvania
Contracted
Insurance
Providers
Restrictions
Carefirst BCBS
includes Maryland,
Washington DC, and
parts of Northern
Virginia
Tricare
Tricare Prime
Tricare Standard
Tricare for Life
Medicare
Medicare
Medicare Advantage PPO
*These tests must be paid in full at the time of

Service
Tests not covered: Microbial Organic

Acids Test, Porphyrins Profile,
Kryptopyrrole Test, Comprehensive
Fatty Acids Test. Hormones Panels
cannot be billed for Tricare South
Medicare Advantage HMO
For non-eligible tests, refer to the
Advance Beneficiary Notice (ABN)
included in the Test Requisition Form
Medicare/Medicare Advantage does not pay for tests for which the documentation, including the
patient record, does not support that the tests were reasonable or necessary, and does not cover
routine screening tests. It is the responsibility of the ordering physician to document and maintain
the medical necessity of each test in the patients medical record.
Requirements:
Comprehensive Stool Analysis requires payment of $94.44
Signed ABN required (see Test Requisition Form)
Provider
Non-contracted Blue
Cross Blue Shield
(BCBS)
Anthem Blue Cross of
California
Blue Cross of
Massachusetts HMO
Cigna
Harvard Pilgrim
Tufts
United Healthcare
Non-Contracted
Plans
Non-Covered Tests
Eligibility
All Non-Contracted plans will require a 20% down
payment (see price list)
Any restricted plans or tests must pay in full at the
time of service
Restrictions
Contracted Insurance Providers and
Non-Covered Plans
IgG Food Allergy Test not covered for:
Anthem BCBS of California
BCBS of North Carolina
The Great Plains Laboratory files the insurance claim on behalf of the patient. Some insurance
companies provide payment and Explanation of Benefits (EOB) to the patients directly. If the
patient is paid directly, the endorsed check and EOB must be forwarded to The Great Plains
Laboratory (endorse back of check: Pay to the order of The Great Plains Laboratory and sign).
Amino Acids Plasma or Urine Test
Kryptopyrrole Test
We are not in-network with any of these plans and will not bill to these insurance carriers.
Full cash price payment required and must be submitted with specimens. A receipt will be sent to the patient.
HMO plans (except those listed
Aetna
UMR
above)
All non-eligible plans (see above)
United Healthcare of the River Valley
Non-Covered Plans
BCBS of Florida
BCBS of Iowa
BCBS of Arizona
BCBS of Texas
Humana
Wellmark BCBS of Iowa
Medicaid
Silver Direct Access (a plan under
Anthem Blue Cross of California)
Wellmark BCBS of South Dakota
GEHA
For any questions regarding insurance coverage, please call 913-341-8949 or 913-754-0459
Always call your insurance provider to confirm benefits as insurance coverage is subject to change. Patients are responsible for any
deductibles, copayments, cost shares, coinsurance, or balance. If for any reason your insurance company deems your lab work as a noncovered or medically unnecessary service, you will be responsible for the full amount of the charge.
We are currently applying for in-network coverage with several individual BCBS state programs. Please check our website for updated
information at www.GPL4U.com/Insurance_Overview. Also available at this location is our insurance coverage verification guide to assist in
determining coverage.
NOTE: Insurance is filed in the state where the referring physicians NPI is registered, or where the referring physician's NPI is currently located.
Page 1 of 1
Revised 07/10/15
Guide to Determining Insurance Coverage

By calling your insurance provider, you can verify your coverage and gather information to determine any
out-of-pocket expenses. This is not a guarantee of coverage or reimbursement from your insurance plan; rather, it is
meant to be a guide to determining whether to file insurance or to pay cash price. The Great Plains Laboratory will file
insurance for both contracted and non-contracted insurance plans (see insurance overview for participating carriers).
Before You Call

Have the following ready when you call your insurance company:
1) Your Insurance Card You will need the ID number and group number
2) CPT (Current Procedural Terminology) Codes On the next page of this guide
3) Diagnosis (ICD-9) Codes Must obtain these from your physician
4) The Great Plains Laboratory, Inc. Tax ID number is 48-1192412
5) The Great Plains Laboratory, Inc. NPI number is 1942282496
When You Call

1) Document Your Call
Insurance Representatives Name:__________________Date of Call:____________Time of Call:______
2) Verify Coverage
A) Tell the representative that you would like to verify coverage of laboratory tests. If they ask if this is medical
or routine, inform them it is medical.
B) Provide the gathered information above (see Before You Call)
3) Ask the following questions:

A)
B)
C)
D)
Is the test covered? Yes No If the answer is no you will need to pay the discounted cash price
How much of my deductible is remaining? $____________
What is my co-insurance? (Usually 20%-50%) __________
How much of my annual out-of-pocket expense is remaining? $____________
If your deductible or co-insurance is higher than the total cash amount, it is recommended to pay the cash price
then file with your insurance company once youve received your billing statement from the Great Plains
Laboratory. If the test is not covered, then pay the lower cash price.
CPT Codes
Revised 5/23/13
Test
CPT Code(s)
Comprehensive Hormone Panel
82670 84144 84402 82626 82530*4
Comprehensive Plus Hormone Panel
82679 82670 82677 84144 84402 82626 82530*4

82272 82492 82656 83516 83631 83986 85549 87045 87046
87102 87177*2 87209*2 87328 87329 89125 89160

CBC Test w/ Differential Serum
Comprehensive Stool Analysis Stool

Copper Test Serum
GPL3
GPL4-DBS
GPL4-Serum
IgE Allergy Advanced Combined Test (93/69) Serum
IgG Food Allergy Test w/ Candida (94) Serum/DBS
IgG Asian Food Allergy Test w/ Candida (94) Serum/DBS
Metals Urine Test (38)
OAT + Amino Acids Urine Test Combo - Urine
OAT + IgG Food Allergy Test w/ Candida Combo
Urine & Serum/Dried Blood Spot (DBS)
Short Comprehensive Hormone Panel
Uric Acid Test Urine
Vitamin D Test Serum/DBS
Yeast Culture w/ Sensitivity Test Stool
Zinc Test Serum
82172*2 82465 83090 83695 83718

82139*1 82140 82492 84540
86141
85027
82492
82390
82544*30 No Medicare Coverage
No Medicare Coverage
82525
82390 82525 84630
82570 83519*2 No Medicare Coverage
82108 82131 82300 82507 82525 82570 83018*28 83150 83497 83605
83655 83735 83785 83825 83885 83921*63 83945 84100 84207 84210
84255 84585 84591 84630 86001*93 86628 86671*2 No Medicare
Coverage
82108 82131 82300 82306 82507 82525 82542 82570 83018*28 83150
83497 83605 83655 83735 83785 83825 83885 83921*63 83945 84100
84207 84210 84255 84585 84591 84630 86001*93 86628 86671*2 No
Medicare Coverage
82131 82175 82300 82306 82310 82495 82507 82525 82542 82570
83015 83018*4 83150 83497 83605 83655 83735 83785 83825
83921*63 83945 84100 84132 84207 84210 84255 84585 84591 84630
86001*93 86628 86671*2
82670 84144 84402 82626 82530*4
82679 82670 82677 84144 84402 82626 82530*4
82670 84144 84402 82626 82530*2
86001*93 86628 86671*2 No Medicare Coverage
86001*93 86628 86671*2 No Medicare Coverage
82784 82785 82787*4 84630
82175 82300 82525 83015 83655 83825 83885
82108 82300 82525 83018*28 83655 83735 83785 83825 83885 84100
84255 84630 No Medicare Coverage
82175 82300 82310 82495 82525 83015 83018*4 83655 83735 83785
83825 84100 84132 84255 84630
82108 82175 82300 82495 82525 82570 83018 83540 83655 83735
83785 83825 83885 84100 84133 84255 84300 84630 No Medicare
Coverage
82310 82495 82525 83018*7 83655 83735 83825 84132 84255 84285
82570 83921*20
82131 82507 82570 83150 83497 83605 83921*63 83945 84207 84210
84585 84591
82131 82139*1 82140 82507 82492 82570 83150 83497 83605
83921*63 83945 84207 84210 84540 84585 84591
86001*93 86628 86671 82131 82507 82570 83150 83497 83605
83921*63 83945 84207 84210 84585 84591
84120*6
84134
82670 84144 84402 82626 82530*2
83883 86215
84560
87102 87106 87184 87220
84630
CPT Codes: Test Panels

Basic Autism Panel
82272 82492 82656 83516 83631 83986 85549 87045 87046 87102 87177*2
87209*2 87328 87329 89125 89160 No Medicare Coverage
82570 83519*2
86001*93 86628 86671*2
Metals Hair Test
82108 82300 82525 83018*28 83655 83735 83785 83825 83885 84100 84255 84630
Organic Acids Test
82131 82507 82570 83150 83497 83605 83921*63 83945 84207 84210 84585 84591

82172*2 82465 83090 83695 83718
82272 82492 82656 83516 83631 83986 85549 87045 87046 87102 87177*2
Copper/Zinc Profile
82390 82525 84630
Ferritin Test
82728
82570 83519*2
86001*93 86628 86671*2
82784 82785 82787*4 84630
Metals Hair Test
82108 82300 82525 83018*28 83655 83735 83785 83825 83885 84100 84255 84630
Organic Acids Test
82131 82507 82570 83150 83497 83605 83921*63 83945 84207 84210 84585 84591
83883 86215
Vitamin D Test
82306 82542
Basic AD(H)D Panel

82544*30
82570 83519*2
86001*93 86628 86671*2
Metals Hair Test
82108 82300 82525 83018*28 83655 83735 83785 83825 83885 84100 84255 84630
Organic Acids Test
82131 82507 82570 83150 83497 83605 83921*63 83945 84207 84210 84585 84591
Page 1 of 5
Revised 01/15/14

82172*2 82465 83090 83695 83718
82139*1 82140 82492 84540
82544*30
82272 82492 82656 83516 83631 83986 85549 87045 87046 87102 87177*2
Copper/Zinc Profile
82390 82525 84630
Ferritin Test
82728
82570 83519*2
86001*93 86628 86671*2
Metals Hair Test
82108 82300 82525 83018*28 83655 83735 83785 83825 83885 84100 84255 84630
Organic Acids Test
82131 82507 82570 83150 83497 83605 83921*63 83945 84207 84210 84585 84591
83883 86215
Vitamin D Test
82306 82542

82172*2 82465 83090 83695 83718
Ferritin Test
82728
86001*93 86628 86671*2
Metals Hair Test
82108 82300 82525 83018*28 83655 83735 83785 83825 83885 84100 84255 84630
Organic Acids Test
82131 82507 82570 83150 83497 83605 83921*63 83945 84207 84210 84585 84591
83883 86215

82172*2 82465 83090 83695 83718
82139*1 82140 82492 84540
82272 82492 82656 83516 83631 83986 85549 87045 87046 87102 87177*2
Copper/Zinc Profile
82390 82525 84630
Ferritin Test
82728
82570 83519*2
86001*93 86628 86671*2
82784 82785 82787*4 84630
Metals Hair Test
82108 82300 82525 83018*28 83655 83735 83785 83825 83885 84100 84255 84630
Organic Acids Test
82131 82507 82570 83150 83497 83605 83921*63 83945 84207 84210 84585 84591
83883 86215
Vitamin D Test
82306 82542
Page 2 of 5
Revised 01/15/14

82570 83519*2
86001*93 86628 86671*2
Metals Hair Test
82108 82300 82525 83018*28 83655 83735 83785 83825 83885 84100 84255 84630
Organic Acids Test
82131 82507 82570 83150 83497 83605 83921*63 83945 84207 84210 84585 84591

82139*1 82140 82492 84540
86141
82272 82492 82656 83516 83631 83986 85549 87045 87046 87102 87177*2
82570 83519*2
86001*93 86628 86671*2
Metals Hair Test
82108 82300 82525 83018*28 83655 83735 83785 83825 83885 84100 84255 84630
Organic Acids Test
82131 82507 82570 83150 83497 83605 83921*63 83945 84207 84210 84585 84591
Vitamin D Test
82306 82542

82544*30
86001*93 86628 86671*2
Metals Hair Test
82108 82300 82525 83018*28 83655 83735 83785 83825 83885 84100 84255 84630
Organic Acids Test
82131 82507 82570 83150 83497 83605 83921*63 83945 84207 84210 84585 84591

82172*2 82465 83090 83695 83718
82139*1 82140 82492 84540
82544*30
Copper/Zinc Profile
82390 82525 84630
Ferritin Test
82728
82570 83519*2
86001*93 86628 86671*2
Metals Hair Test
82108 82300 82525 83018*28 83655 83735 83785 83825 83885 84100 84255 84630
Organic Acids Test
82131 82507 82570 83150 83497 83605 83921*63 83945 84207 84210 84585 84591
Vitamin D Test
82306 82542
Page 3 of 5
Revised 01/15/14

82139*1 82140 82492 84540
82544*30
82570 83519*2
86001*93 86628 86671*2
Metals Hair Test
82108 82300 82525 83018*28 83655 83735 83785 83825 83885 84100 84255 84630
Organic Acids Test
82131 82507 82570 83150 83497 83605 83921*63 83945 84207 84210 84585 84591

82172*2 82465 83090 83695 83718
82139*1 82140 82492 84540
82544*30
82272 82492 82656 83516 83631 83986 85549 87045 87046 87102 87177*2
Copper/Zinc Profile
82390 82525 84630
82570 83519*2
86001*93 86628 86671*2
Metals Hair Test
82108 82300 82525 83018*28 83655 83735 83785 83825 83885 84100 84255 84630
Organic Acids Test
82131 82507 82570 83150 83497 83605 83921*63 83945 84207 84210 84585 84591
Vitamin D Test
82306 82542
Page 4 of 5
Revised 01/15/14
ICD-9 Codes
Abnormal chemistry
790.6
Abnormal weight gain
783.1
Abnormal findings
796
ADD, without hyperactivity
314
ADHD, with hyperactivity
314.01
Adrenal disorder
255.8
Adrenal hypofunction
255.5
Allergic rhinitis
477
Allergic rhinitis
477
Allergies
995.3
Anxiety
300
Anxiety, generalized
300.02
Asthma, unspecificied; with acute exacerbation
493.92
Asthma, unspecified, with status asthmaticus
493.91
Asthma, unspecified;unspecified
493.9
Autoimmune disease
279.4
Bipolar
296.8
Candidiasis (insurance usually asks for two numbers)
112; 112.85
Celiac
579
Chronic fatigue syndrome
780.71
Constipation
564
Corticoadrenal insufficiency
255.4
Crohns
555
Delayed milestones
783.42
Depression
311
Depression, neurotic
300.4
Depression, recurrent
296.32
Depression psychosis, unspecified
296.2
Dermatitis
692.4
Diarrhea
787.91
Disorder of thyroid
246.9
Disorders of amino-acid transport and metabolism
270
Disorders of urea cycle metabolism
270.6
Disturbances of sulphur-bearing amino-acid metabolism
270.4
Dysmenorrhea
625.3
Endocrine disorder
259.9
Fatigue, weakness and lethargy
780.79
Please note that these change often and may need to be verified.
Revised 1/1/10
Fibromyositis/myalgia
729.1
Flatulence/bloating
787.3
Following psychotherapy and other treatment for mental disorder
V66.3
Following psychotherapy and other treatment for mental disorder
V67.3
Food allergy
693.1, 692.5
Functional diarrhea
564.5
Gastroenteritis, diarrhea
558.9
Gastrointestinal symptoms
787.9
Headache
784
Hyperglycemia
790.29
Hyperlipidemia
272.4
Hyperlipidemia, mixed
272.2
Hypersomnia due to mental disorder
327.15
Hypersomnia with sleep apnea
780.53
Hypoglycemia
251.2
Hypothyroidism
244.9
Immune disorders
279.9
Immunodeficiency, unspecified
279.03
Insomnia
780.52
Insomnia due to mental disorder
327.02
Irritable bowel syndrome
564.1
Irritable colon (Colitis)
564.1
Lipoprotein deficiencies
272.5
Malabsorption
579.9
Malabsorption of carbohydrates metabolism disorder
277.9
Metal Toxicity
985.9
Migraine, classical
346
Migraine, variants
346.2
Nutritional deficiency, unspecified
269.9
Obesity
278
Obesity, morbid
278.01
Observation for suspected mental condition
V71.09
Other mental disorders
V11.8
Other mental problems
V40.2
Other specified drug-induced mental disorders
292.8
Other specified mental disorders and developmental handicaps
V79.8
Other specified transient mental disorders due to conditions classified elsewhere
293.8
Other suspected mental condition
V71.09
Personal history of mental disorder
V11.8
Revised 1/1/10
Rhinitis due to pollen
477
Special screening for mental disorders and developmental handicaps
V79
Stomach dysfunction
536.9
Unspecified disorder of amino-acid metabolism
270.9
Unspecified disorder of calcium metabolism
275.4
Unspecified disorder of carbohydrate transport and metabolism
271.9
Unspecified disorder of lipoid metabolism
272.9
Unspecified disorder of metabolism
277.9
Unspecified disorder of mineral metabolism
275.9
Unspecified mental disorder and developmental handicap
V79.9
Unspecified mental or behavioral problem
V40.9
Unspecified mental retardation
319
Revised 1/1/10
Sample Test
Requisition Form
800-288-0383
www.GPL4U.com
Test Requisition Form

Information in RED is required to process sample.
Please print clearly.
Patient Information
First Name
Last Name
Address
City
Country
Male Female
Phone
Date of Birth (MM/DD/YYYY)
State
Zip
Age
Weight
Our laboratory does not accept specimens from patients who reside in or physicians who practice in the state of New York.
Person Responsible for Charges
(If different than above)
First Name
Last Name
Address
City
Country
State
Home Phone
Zip
Cell Phone
E-mail
Physician Information
(Signature required to process sample)
First Name
Last Name
Credentials
Institution
Address
City
Country
State
Phone
Zip
Fax
E-mail
NPI
Physician Signature
REQUIRED
ICD-9 Codes (required for insurance)
Method of Payment & Insurance Information (select one)

Bill Insurance (Non-Contracted) Must enclose 20% down payment
See price list attached for amount due and select payment type below.
Bill Insurance (Contracted)
See Insurance Overview on page 3 to determine whether your

insurance is considered contracted, non-contracted, or non-covered.
Medicare/Medicare Advantage must fill out Advance Beneficiary
Notice of Noncoverage (ABN) form.
Self Pay Must enclose full payment (select payment method below)
Check Money Order PayPal Visa MasterCard American Express Discover
Amount: $_______________________
Credit Card #: _______________________________________ Exp. Date: ________ Security Code: _____
MUST FILL OUT

TEST ORDERS ON
REVERSE
Name on Card: ____________________________________ Signature: ______________________________

Bill Physician Physicians Name: __________________________________________________________
Primary Insurance
(include photocopy of insurance card (both sides)
Secondary Insurance (include photocopy of insurance card (both sides)
Company & Plan Name (ex. BCBS of Kansas City)
Company & Plan Name (ex. BCBS of Kansas City)
Insurance Company Address
Insurance Company Address
City
State
Zip
City
State
Insurance Company Phone (required)
Insurance Company Phone (required)
Name of Insured
Name of Insured
Date of Birth of Insured (MM/DD/YYYY)
Patient Relationship to Insured
Date of Birth of Insured (MM/DD/YYYY)
Self Spouse Child Other

Subscriber #
Group #
Zip
Patient Relationship to Insured
Self Spouse Child Other

Subscriber #
Group #
I authorize and request payment of medical benefits be made directly to The Great Plains Laboratory for the requested lab work on this
Form. I authorize the release of any medical information necessary to process this claim. I understand that any reimbursement checks
and explanation of benefits (EOBs) received by the patient must be submitted to The Great Plains Laboratory. I agree to be personally and
fully responsible for any portion of the claim not covered by my insurance and agree to make such payment within 30 days. A service
charge of 1.5% per month may be charged on balances over 30 days. I permit a copy of this to be used in place of the original.
Patient/Guarantor Signature:
Date (MM/DD/YYYY):
Internal Use Only: O ____ A ____ DE ____ C ____ SR ____ Carevoyant # ______________ F ____ M ____ E ____ I ____ DR _________
Page 1 of 5
Revised 07/10/15
Date and time of collection REQUIRED to process specimens.
STOP
URINE:
Collection Date: __________ Time: ________

Has urine been frozen? Yes No
AM PM
STOOL 1: Collection Date: __________ Time: ________ AM PM

STOOL 2: Collection Date: __________ Time: ________ AM PM
BLOOD: Collection Date: __________ Time: ________ AM PM
URINE
HAIR:
Collection Date: __________ Time: ________
AM PM
BLOOD, SERUM & HAIR
Amino Acids Test (43) Random Collection 24 Hr. Total vol. ____ mL
Kryptopyrrole Test
Metals Urine Test (38) (select type of collection)
Random
Timed
# of hrs. _____________ Total vol. _________ mL
24 Hr. Total vol. __________ mL

Pre or
Post Provoking agent __________ dosage ________
Microbial Organic Acids Test (MOAT) (21) (included in OAT)

Organic Acids Test (OAT) (74)
Porphyrins Profile
Uric Acid Test Random Collection 24 Hr. Total vol. ____ mL
Other _______________________________________________
STOOL
Comprehensive Stool Analysis x 2
Metals Fecal Test (13) Pre or Post
Provoking agent _____________ dosage___________
Does the patient have dental amalgams?
Yes
No; If so, how many? ____

Other _______________________________________________
COMBO TEST ORDERS *

Microbial Organic Acids Test + Yeast Culture w/ Sensitivity Test
Combo
Organic Acids Test + Amino Acids Urine Test Combo
Random Collection
24 Hr. Total vol. ____ mL
Amino Acids Plasma Test (43) (requires overnight fast)

C-Reactive Protein Test (hs-CRP)
Celiac Disease Test (Transglutaminase)
Ceruloplasmin Test
Comprehensive Fatty Acids Test (requires overnight fast and frozen sample)
Copper Test
IgE Allergy Advanced Combined Test (93 foods & 69 inhalants)
IgE Food Allergy Essential Test (12)
IgE Food Allergy Basic Test (25)
IgE Food Allergy Advanced Test (93)
IgE Inhalant Allergy Basic Test (36)
IgE Inhalant Allergy Advanced Test (69)
IgG Food Allergy Test w/ Candida - Dried Blood Spot (DBS) (94)
IgG Food Allergy Test w/ Candida - Serum (94)
IgG Asian Food Allergy Test w/ Candida - Dried Blood Spot (DBS) (94)
IgG Asian Food Allergy Test w/ Candida - Serum (94)
Metals Test: Hair (39) Whole Blood (20) Red Blood Cell (18)
Prealbumin Test
Vitamin D Test - Dried Blood Spot (DBS)
Vitamin D Test - Serum
Zinc Test
Other _______________________________________________
TEST PANEL ORDERS
Organic Acids Test + IgG Food Allergy Test w/ Candida Dried
Blood Spot (DBS) Combo
Basic Autism Panel

Basic AD(H)D Panel
Organic Acids Test + IgG Food Allergy Test w/ Candida Serum

Combo
Organic Acids Test + Yeast Culture w/ Sensitivity Test Combo
GPL3: Organic Acids Test + Metals Hair + IgG Dried Blood Spot
GPL4-DBS: Organic Acids Test + IgG Food Allergy Test w/ Candida
+ Metals Hair + Phospholipase A2 Activity Test
GPL4-Serum: Organic Acids Test + IgG Food Allergy Test w/
Candida + Red Blood Cell + Phospholipase A2 Activity Test
IgG Food Allergy Test w/ Candida + IgE Food Allergy Essential Test
* Combo discounts only apply for kits that arrive in same FedEx Clinical Pak

NOTE: Individual tests

included in these panels
can be found on the
Price List.
GPL is required by law to maintain the privacy of your Protected Health Information. The complete privacy policy can be found online at www.gpl4u.com/privacy
May we use your test data for research purposes without any identifying information being released? Yes
No
If yes, please fill the boxes below as applicable to this patient.

ADD/ADHD
Alzheimers
Aspergers
Autistic symptoms
Chronic fatigue
Colitis
Crohns disorder
Depression
Down syndrome
Fibromyalgia
Irritable bowel
Multiple sclerosis
OCD
PDD
Psychosis
Schizophrenia
Tourette syndrome
Tic Disorder
Other (please list): _______________________________________________________________________________________________________________
Check here if you do not wish to receive future mailings and research updates from the Great Plains Laboratory, Inc.
Name: _______________________________________________ Signature:____________________________________ Date: ______________

Page 2 of 5
Revised 07/10/15
Revised
7/10/15
Insurance Overview
Provider
Blue Cross Blue Shield
(BCBS)
Contracted Plans
BCBS of Illinois
BCBS of Kansas City
PPO
BCBS of Minnesota
BCBS of Vermont
BCBS of Illinois: Comprehensive Stool

Analysis not covered*
Capital Blue Cross, Highmark, and
Blue Shield of California: IgG Food
Allergy Test w/ Candida not covered*
Blue Cross of Idaho PPO
Federal Employee
Program
Blue Shield of California*

*Blue Shield Covered
Highmark Blue Shield

of Pennsylvania
California and plans that

begin with ID# XEK
are Non-Contracted
Plans, see guidelines
below.
Keystone Health Plan

West - Pennsylvania
(HMO)
Highmark West Virginia
Capital Blue Cross

of Pennsylvania
Contracted
Insurance
Providers
Restrictions
Carefirst BCBS
includes Maryland,
Washington DC, and
parts of Northern
Virginia
Tricare
Tricare Prime
Tricare Standard
Tricare for Life
Medicare
Medicare
Medicare Advantage PPO
*These tests must be paid in full at the time of

Service
Tests not covered: Microbial Organic

Acids Test, Porphyrins Profile,
Kryptopyrrole Test, Comprehensive
Fatty Acids Test. Hormones Panels
cannot be billed for Tricare South
Medicare Advantage HMO
For non-eligible tests, refer to the
Advance Beneficiary Notice (ABN)
included in the Test Requisition Form
Medicare/Medicare Advantage does not pay for tests for which the documentation, including the
patient record, does not support that the tests were reasonable or necessary, and does not cover
routine screening tests. It is the responsibility of the ordering physician to document and maintain
the medical necessity of each test in the patients medical record.
Requirements:
Comprehensive Stool Analysis requires payment of $94.44
Signed ABN required (see Test Requisition Form)
Provider
Non-contracted Blue
Cross Blue Shield
(BCBS)
Anthem Blue Cross of
California
Blue Cross of
Massachusetts HMO
Cigna
Harvard Pilgrim
Tufts
United Healthcare
Non-Contracted
Plans
Non-Covered Tests
Eligibility
All Non-Contracted plans will require a 20% down
payment (see price list)
Any restricted plans or tests must pay in full at the
time of service
Restrictions
Contracted Insurance Providers and
Non-Covered Plans
IgG Food Allergy Test not covered for:
Anthem BCBS of California
BCBS of North Carolina
The Great Plains Laboratory files the insurance claim on behalf of the patient. Some insurance
companies provide payment and Explanation of Benefits (EOB) to the patients directly. If the
patient is paid directly, the endorsed check and EOB must be forwarded to The Great Plains
Laboratory (endorse back of check: Pay to the order of The Great Plains Laboratory and sign).
Kryptopyrrole Test
We are not in-network with any of these plans and will not bill to these insurance carriers.
Full cash price payment required and must be submitted with specimens. A receipt will be sent to the patient.
HMO plans (except those listed
Aetna
UMR
above)
All non-eligible plans (see above)
United Healthcare of the River Valley
Non-Covered Plans
BCBS of Florida
BCBS of Iowa
BCBS of Arizona
BCBS of Texas
Humana
Wellmark BCBS of Iowa
Medicaid
Silver Direct Access (a plan under
Anthem Blue Cross of California)
Wellmark BCBS of South Dakota
GEHA
For any questions regarding insurance coverage, please call 913-341-8949 or 913-754-0459
Always call your insurance provider to confirm benefits as insurance coverage is subject to change. Patients are responsible for any
deductibles, copayments, cost shares, coinsurance, or balance. If for any reason your insurance company deems your lab work as a noncovered or medically unnecessary service, you will be responsible for the full amount of the charge.
We are currently applying for in-network coverage with several individual BCBS state programs. Please check our website for updated
information at www.GPL4U.com/Insurance_Overview. Also available at this location is our insurance coverage verification guide to assist in
determining coverage.
NOTE: Insurance is filed in the state where the referring physicians NPI is registered, or where the referring physician's NPI is currently located.
Page 3 of 5
Revised 07/10/15
(A) Notifier(s):
(B) Patient Name:
(C) Identification Number:
ADVANCE BENEFICIARY NOTICE OF NONCOVERAGE (ABN)

NOTE: If Medicare doesnt pay for the tests in section (D) below, you may have to pay.
Medicare does not pay for everything, even some care that you or your health care provider have good reason to think you need. We expect
Medicare may not pay for the tests in section (D) below.
(D)
(E) Reason Medicare May Not Pay:

Comprehensive Stool Analysis:
Lysozyme, Short Chain Fatty
Acids, Secretory IgA, Occult Blood
Medicare does not pay for experimental or research use tests.
$299.00
Medicare never pays for these tests.
$94.44

Medicare does not consider these tests to be medically necessary
Medicare does pay for the Organic Acid Test, but does not pay
for the combo.
Medicare does not pay for this test for my condition.
$219.00
$119.00
$119.00
$379.00
$579.00
$379.00
$449.00
$325.00
$325.00
$129.00
$245.00
$245.00
$345.00
$299.00
$305.00
$99.00

IgE Food Allergy Essential Test
IgE Food Allergy Basic Test
IgE Food Allergy Advanced Test
IgE Inhalant Allergy Basic Test
IgE Inhalant Allergy Advanced Test
IgG Asian Food Allergy Test
Kryptopyrrole Test
Metals Fecal Test
Metals Hair Test
Metals Red Blood Cell Test
Metals Urine Test
Metals Whole Blood Test

OAT + IgG Food Allergy Test
w/ Candida Combo
Vitamin D Test
(F) Estimated Cost:
$699.00
$99.00
WHAT YOU NEED TO DO NOW:
Read this notice, so you can make an informed decision about your care.
Ask us any questions that you may have after you finish reading.
Choose an option below about whether to receive the tests listed above in section (D).
Note: If you choose Option 1 or 2, we may help you to use any other insurance that you might have, but Medicare
cannot require us to do this.
(G) OPTIONS: Check only one box. We cannot choose a box for you.
OPTION 1. I want the tests listed above. You may ask to be paid now, but I also want Medicare billed for an official
decision on payment, which is sent to me on a Medicare Summary Notice (MSN). I understand that if Medicare doesnt pay, I
am responsible for payment, but I can appeal to Medicare by following the directions on the MSN. If Medicare does pay,
you will refund any payments I made to you, less co-pays or deductibles.
OPTION 2. I want the tests listed above, but do not bill Medicare. You may ask to be paid now as I am responsible for
payment. I cannot appeal if Medicare is not billed.
OPTION 3. I dont want the tests listed above. I understand with this choice I am not responsible for payment, and I
cannot appeal to see if Medicare would pay.
(H) Additional Information:

This notice gives our opinion, not an official Medicare decision. If you have other questions on this notice or
Medicare billing, call 1-800-MEDICARE (1-800-633-4227/TTY: 1-877-486-2048).
Signing below means that you have received and understand this notice. You also receive a copy.
(I) Signature:
(J) Date:
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control
number. The valid OMB control number for this information collection is 0938-0566. The time required to complete this information collection is estimated
to average 7 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and
review the information collection. If you have comments concerning the accuracy of the time estimate or suggestions for improving this form, please write
to: CMS, 7500 Security Boulevard, Attn: PRA Reports Clearance Officer, Baltimore, Maryland 21244-1850.
Form CMS-R-131 (03/08)
Page 5 of 5
Form Approved OMB No. 0938-0
Revised 07/10/15
Nutritional
Supplements
ORDER
Distributor
Prices
Product
PACKAGES
Code
Description
Nutritional Support Starter Package

(BNP, CLMG, CLOL, ANTX & ZNCP-180)
Syndion Nutritional Support Starter
Package (SYND-P, CLOL & CLMG)
Yeast Control Package - Liquid
(GLDN-L, UVA-L, BWAL, & ALL-L)
NSSP
SNSP
YCPL
ANTIOXIDANTS (cont)
Amt.
Retail Distrib. Qty.

Price
Price
1 pack
$133.00
$93.10
1 pack
$123.00
$86.10
1 pack
$85.00
$59.50
MULTI-VITAMINS
BNP
DRES
ONE-30
SYND-C
SYND-P
SSM-U
SSV
Basic Nutrients Plus

Daily Resource
One n Only
Syndion Capsules
NEW!
Syndion Powder
BrainChild S.S. II Minerals - Unflavored
BrainChild S.S. II Vitamins - Lemon Lime
BCOM
BIOT
FOLN
MFOL
NIAC-100
NIAC-500
P5PM
VB1
VB12-L
VB6
VITA
VITC
VITC-C
VITC-T
VITD-L
VITD
VITE
VITE-L
VITK-60
B-Complex
Biotin 1000 mcg
Folinic Acid 400 mcg
Methyl-Folate 1000 mcg
Niacin, 100 mg
Niacinamide 500 mg
P-5-P with Magnesium
Vitamin B1 Thiamine 100 mg
Methyl-Mate - Liquid Methylcobalamin
Vitamin B6, 50 mg
Micellized Vitamin A 5025 IU
Vitamin C Chewable 250 mg
Buffered Vitamin C
Vitamin C Powder from Tapioca
Micellized Vitamin D 1000 IU
Vitamin D 1000 IU
Vitamin E 400 IU
Aqua-E Vitamin E
Vitamin K2 (Menatetrenone) 5 mg
CALC-180
CALI
CAL-P
CLMG
CLMG-C
CMTE
CPRI
IODC
IRNI
LITH
LITH-60
MAGC-120
MAG-P
MAGI
MLBDI
POTI
SLNM
SELL
ZNCR
ZNCI
ZNCP
ZNCP-180
Chelated Calcium
Liquid Calcium - Ionic
Calcium Citrate Powder
Calcium Chewable w/Magnesium
Cal/Mag Citrate
Chelate-Mate - Ionic
Liquid Copper - Ionic
Iodine Complex, 6.25
Liquid Iron - Ionic
Liquid Lithium - Ionic
Lithium Orotate
Chelated Magnesium 235 mg
Magnesium Citrate Powder
Liquid Magnesium - Ionic
Liquid Molybdenum - Ionic
Liquid Potassium - Ionic
Chelated Selenium 250 mg
Selenium Liquid 250 mcg
Chelated Zinc 50 mg
Liquid Zinc - Ionic
Zinc Picolinate 50 mg
Zinc Picolinate 25 mg
180 caps
240 caps
30 caps
180 caps
188 g
32 oz
32 oz
$26.00
$44.00
$15.00
$59.00
$69.00
$54.50
$54.50
$18.20
$30.80
$10.50
$41.30
$48.30
$54.50
$54.50
$19.00
$10.00
$13.00
$27.00
$6.00
$9.00
$22.00
$5.00
$35.00
$8.00
$18.00
$7.00
$22.00
$30.00
$21.00
$8.00
$22.00
$40.00
$21.00
$13.30
$7.00
$9.10
$18.90
$4.20
$6.30
$15.40
$3.50
$21.00
$5.60
$12.60
$4.90
$15.40
$21.00
$14.70
$5.60
$15.40
$28.70
$14.70
$29.00
$29.00
$18.00
$29.00
$22.00
$43.00
$20.00
$14.00
$20.00
$26.00
$21.00
$24.00
$27.00
$29.00
$20.00
$20.00
$12.00
$13.00
$14.00
$21.00
$13.00
$18.00
$20.30
$20.30
$12.60
$20.30
$15.40
$30.10
$14.00
$9.80
$14.00
$18.20
$14.70
$16.80
$18.90
$20.30
$14.00
$14.00
$8.40
$9.10
$9.80
$14.70
$9.10
$12.60
VITAMINS
90 caps
100 tabs
120 caps
120 caps
100 tabs
100 caps
100 caps
100 tabs
30 ml
100 tabs
1 fl. oz
100 tabs
180 caps
150 g
1 fl. oz
100 soft gels
100 soft gels
8 fl. oz
60 caps
MINERALS
180 caps
16 fl oz
300 g
250 tabs
250 caps
16 fl oz
50 ml
90 caps
50 ml
50 ml
60 caps
120 caps
300 g
16 fl oz
50 ml
50 ml
90 caps
2 fl oz
60 caps
50 ml
60 caps
180 caps
ANTIOXIDANTS
ANTX
COEQ
GLUT
LGSH-L
Antioxidant Formula
Coenzyme Q-10 25 mg w/L-Taurine
L-Glutathione 75 mg
Essential GSH-Liposomal Glutathione
Mental Health Support =
7797 Quivira Road,
180 caps
60 caps
60 caps
4 fl oz
$35.00
$21.00
$20.00
$60.00
$24.50
$14.70
$14.00
$42.00
Total
Code
Description
Amt.
NAC
NADH
PYC-120
UBIQ
N-Acetyl Cysteine 500 mg

NADH 5 mg
Pycnogenol 25 mg
Ubiquinol 100 mg
5HTP
ALC
CAR
CARN
GABA
GLTM
GLY
LYS
SAMe
TAUR
TYRO
5 HTP 50 mg
Acetyl-L-Carnitine 500 mg
L-Carnitine 250 mg
L-Carnosine 500 mg
GABA 500 mg
L-Glutamine 500 mg
Glycine 500 mg
L-Lysine 500 mg
SAMe 200 mg (Physician Referred)
L-Taurine 500 mg
Tyrosine 500 mg
BALP
CLOC
CLOC-L
CLOL
CLOL-NLM
CLOL-S
EPO
UO3-120
VFFO-L
Balance Plus
Carlson's Cod Liver Oil 1000 mg
Carlson's Cod Liver Oil 1000 mg
Carlsons Cod Liver Oil (lemon flavored)
Carlsons Cod Liver Oil (unflavored)
Nordic Naturals Cod Liver Oil (strawberry)
Evening Primrose Oil
Ultra Omega-3 Fish Oil
Carlson's Very Finest Fish Oil
CLTR
PROB-60
PROB
SBC
PBP
THBC
THBD
THER
VSL3-C
Culturelle 10 billion cells

30 caps
Probiotic Support Formula
60 caps
Probiotic Support Formula
30 caps
Saccharomyces Boulardii
50 caps
NEW! 15 packets
Pro-Bio Premium
Ther-Biotic Complete (Physician Referred)
60 caps
Ther-Biotic Detox Support(Phys. Referred) 60caps
Theralac
30 caps
VSL#3 Capsules
60 caps
CNDX-120
DIZ-100
INT-120
INTP-120
NFEN
ZYME-CHEW
Candex
DiZorb
NEW!
Interfase (Physician Referred)
Interfase Plus (Physician Referred)
Houstons No-Fenol
Houstons No-Fenol Chewable
Houstons AFP Peptizyde
Houstons AFP Peptizyde Chewable
Houstons TriEnza
Houstons TriEnza Chewable
Houstons Zyme Prime
Houstons Zyme Prime Chewable
AIF-120
AIF-CHEW
MLRN
MIMM
A & I Formula
A & I Formula Chewable
Monolaurin 600 mg
Transfer Fact. Multi-Immune (Phys. Ref.)
ALL-C
ALL-L
ARCH
BWAL
CDF
CYF
CURC
Allimax Allicin Capsules

Allimax Liquid
Artichoke Extract
Black Walnut Extract Liquid
Candida Defense Formula
Candida Yeast Formula
Curcumin 250
60 caps
60 tabs
120 caps
60 soft gels

Price
Price
$22.00
$30.00
$38.00
$58.00
$15.40
$21.00
$26.60
$40.60
$20.00
$30.00
$17.00
$21.00
$15.00
$9.00
$12.00
$12.00
$48.00
$12.00
$16.00
$14.00
$21.00
$11.90
$14.70
$10.50
$6.30
$8.40
$8.40
$33.60
$8.40
$11.20
$21.00
$14.00
$20.00
$35.00
$35.00
$24.00
$19.00
$37.00
$35.00
$14.70
$9.80
$14.00
$24.50
$24.50
$16.80
$13.30
$25.90
$24.50
$22.00
$47.00
$26.00
$21.00
$52.00
$43.00
$52.00
$45.00
$48.00
$17.60
$32.90
$18.20
$14.70
$36.40
$30.10
$36.40
$31.50
$42.00
$49.00
$16.00
$48.00
$32.00
$25.00
$38.00
$25.00
$38.00
$48.00
$44.00
$24.00
$38.00
$34.30
$11.20
$33.60
$22.40
$17.50
$26.60
$17.50
$26.60
$33.60
$30.80
$16.80
$26.60
$34.00
$15.00
$33.00
$45.00
$23.80
$10.50
$23.10
$31.50
$33.00
$33.00
$13.00
$20.00
$29.00
$25.00
$24.00
$23.10
$23.10
$9.10
$14.00
$20.30
$17.50
$16.80
Total
AMINO ACIDS
100 caps
60 caps
60 caps
30 caps
60 caps
60 caps
100 caps
100 caps
60 tabs
100 caps
100 caps
ESSENTIAL FATTY ACIDS

90 soft gels
100 soft gels
250 soft gels
500 ml
500 ml
8 fl. oz
100 soft gels
120 soft gels
500 ml
PROBIOTICS
ENZYMES
NFEN-CHEW
PEPT-AFP
PEPT-CHEW
TRI-180
TRI-CHEW
ZYME
120 caps
100 caps
120 caps
120 caps
90 caps
180 tabs
90 caps
180 tabs
180 caps
180 tabs
90 caps
180 tabs
IMMUNE SUPPORT
120 caps
60 tabs
90 caps
60 caps
BOTANICAL EXTRACTS
NEW!
NEW!
Lenexa, KS 66215 Phone: (913) 754-0458 Fax: (913) 248-7609

Web: www.nbnus.com
E-mail: info@nbnus.com
30 caps
10 ml
60 caps
1 fl oz
90 caps
2 oz
100 caps
Toll Free: 1-877-575-2467
ORDER
Distributor
Prices
Product
BOTANICAL EXTRACTS (cont)

Code
Description
Amt.
GLDN
GLDN-L
GSE-L
MCT
MILT
OLXT
ORGL
PARA
SMTO-L
THEA
UVA
UVA-L
Goldenseal Extract 125 mg

Goldenseal Extract Liquid
Grapefruit Seed Extract Liquid
M.C.T. Liquid
Milk Thistle 200 mg
Olive Leaf Extract 500 mg
Oreganol P73
Parasite Formula
Samento (Cat's Claw)
L-Theanine 100 mg
Uva Ursi 250 mg
Uva Ursi Extract Liquid
AKG
CHAR
CHOL
DMG
ESC
INOS
MAL
MELA-60
TMG
TRUF
Alpha-Ketoglutaric Acid
Activated Charcoal
Sonic Cholesterol (Physician Referred)
DMG-125 mg (Dimethylglysine)
Epsom Salts Cream
Inositol Powder
Malic Acid 500 mg
Melatonin 1 mg
TMG Powder (Trimethylglycine)
TruFiber Powder

Price
Price
30 caps
1 fl. oz
2 fl. oz
8 fl. oz
60 caps
60 caps
60 soft gels
2 fl. oz
30 ml
60 caps
60 caps
1 fl. oz
$17.00
$20.00
$12.50
$14.00
$20.00
$17.00
$31.00
$25.00
$48.00
$19.00
$13.00
$20.00
$11.90
$14.00
$8.75
$9.80
$14.00
$11.90
$21.70
$17.50
$33.60
$13.30
$9.10
$14.00
$16.00
$10.00
$32.00
$26.00
$15.00
$34.00
$12.00
$7.00
$12.00
$33.00
$11.20
$7.00
$19.20
$18.20
$10.50
$23.80
$8.40
$4.90
$8.40
$23.10
SPECIALTY PRODUCTS
60 caps
90 caps
120 caps
100 tabs
2 oz
10 oz
100 caps
60 tabs
60 g
6.2 oz
DETOXIFICATION
Bio-Chelat
BIOC
100 ml
45 caps
120 caps
30 supp
DMSA-100 DMSA 100 mg (Physician Referred)

DMSA-25 DMSA 25 mg (Physician Referred)
DTXM
Detoxamin 750 mg
COCO
DARI
DARI-C
EGPZ
KCSC
PBPE
RPP
XGMP
XGMS
XYKT
XYLI
XYSM
Coconut Oil
DariFree Potato Milk
DariFree Chocolate Potato Milk
Ener-G Foods Wylde Pretzels
KinniTOOs Choc. Sand. Cremes Cookies
Gorge Delights Pear Bar
Rice Protein Plain
Spry Peppermint Gum w/ Xylitol
Spry Spearmint Gum w/ Xylitol
Sugar Free Ketchup
Smart Sweet XYLITOL
Sugar Free Maple Syrup
$39.00 $27.30
$41.00 $28.70
$32.00 $22.40
$240.00 $168.00
FOOD / COOKING
32 oz
Makes 6 qts
Makes 5 qts
8 oz
8 oz
40 g
21 oz
10 pc. pack
10 pc. pack
10 oz
1.5 lbs
8.5 oz
$18.00
$12.00
$12.00
$4.00
$6.00
$1.75
$18.00
$1.25
$1.25
$6.00
$14.00
$6.00
$14.40
$10.60
$10.60
$3.20
$4.80
$1.40
$14.40
$1.00
$1.00
$4.80
$11.20
$4.80
PERSONAL CARE
DEOC
DEOL
DEOU
ECO
REPL
XNSL
XTHP
XTHP-BGUM
T. Naturals Deodorant Stick - Citrus Sport

T. Naturals Deodorant Stick - Lavender
T. Naturals Deodorant Stick - Unscented
eco All-Natural Body Sunscreen
All Natural Bug Repellent
Spry Nasal Wash
Spry Toothpaste Tube w/ Xylitol
Branam Kids Bubblegum Toothpaste
55 g
55 g
55 g
3.5 oz
4 oz
1.5 oz
4 oz
5 oz
$6.00
$6.00
$6.00
$17.00
$12.00
$8.00
$5.50
$7.00
$4.80
$4.80
$4.80
$13.60
$9.60
$6.40
$4.40
$6.50
SUBTOTAL
TAX (8.9% for KS residents only)

DISCOUNT (when applies)
SHIPPING
TOTAL
Total
Ordered by:
First Name:
Middle Name:
Last Name:
Address:
State / Province:
City:
Zip/Postal Code:
Country:
Fax:
Phone:
E-Mail:
Ship to (if different):

First Name:
Middle Name:
Last Name:
Address:
State / Province:
City:
Zip/Postal Code:
Country:
Fax:
Phone:
E-Mail:
Notes:
Payment Method
Amount To Be Charged:
Money order
$
Check*
Credit Card (check one)
*Make checks payable to New Beginnings Nutritionals. 7797 Quivira Rd., Lenexa, KS 66216
MasterCard
Visa
American Express
Discover
Account #
Name as it appears on card:
Exp. Date
Card Code
Unopened products may be returned within 30 days of purchase.

Shipping charge will not be refunded and all returned items are subject
to a 10% restocking fee. Items cannot be returned after 30 days from
the date of purchase. Probiotics may not be returned for any reason.
6/15/12
Quality Gluten/Casein Free Nutritional Supplements

7797 Quivira Road,
Lenexa, KS 66215 Phone: (913) 754-0458 Fax: (913) 248-7609

Web: www.nbnus.com
Toll Free: 1-877-575-2467
Helping Children, Adults, and Families Make a Difference
New Beginnings Nutritionals

7797 Quivira Road, Lenexa, KS 66215 Phone: (913) 754-0458 Fax: (913) 248-7609
Toll Free: 1-877-575-2467
Introduction to Integrative Medicine for Mental Health
Introduction to
Integrative Medicine
for Mental Health

The Integrative Medicine approach to treating mental health disorders utilizes multiple fields of
medicine, nutritional sciences and biochemistry. This approach is supported by peer reviewed
studies and successful clinical practice.
Integrative Medicine for Mental Health (IMMH) seeks to improve the health and well-being of
those affected with mental health disorders by recognizing that individual biochemistry plays a
significant role in the way a patient responds to treatment. Traditional and specialized
laboratory testing provide a roadmap to identify underlying causes and guide treatment to
relieve symptoms.
It is important to recognize that seemingly unrelated health issues can profoundly affect mental
functioning. For example under-functioning thyroid, hormonal imbalances, nutritional
deficiencies, food and environmental allergies, chemical sensitivities, infections, and exposure
to environmental toxins all can influence mental health.
Linus Pauling coined the term Orthomolecular Medicine as a treatment for disease and in
particular, mental health. Traditional psychiatric and behavioral therapies can be greatly
enhanced by understanding the bodys unique biochemistry and incorporating the right
nutrients, in the proper amounts and form to support systemic functions. Molecules that support
optimal mental functioning include vitamins, minerals, trace minerals, amino acids, essential
fatty acids, enzymes and more.
In previous generations, our foods contained much higher concentrations of nutrients than
todays food sources. Mega-farming, fast food, immune system dysfunction, exposure to
infectious conditions and the daily exposure to thousands of environmental chemicals all
contribute to imbalanced brain chemistry. Our cultural climate of fast-paced, high stress and
sedentary lifestyles greatly influences the prevalence of mental health disorders.
The zeebra formulations supplement line has been designed to meet the unique needs of
individuals who suffer from a variety of mental health related disorders and is exclusively
available through New Beginnings Nutritionals www.nbnus.com.
The goal of this program is to advance the knowledge and improve the practice and treatment of
mental health disorders by providing support to the mental health practitioner. IMMH offers a
wealth of knowledge on research-based therapies through conferences, workshops, webinars,
newsletters and other web-based resources. For updates, news and to contribute content
please visit www.immh.org.
Website: www.immh.org
E-mail: info@integrativemedicineformentalhealth.com
Website: www.immh.org
This website provides important information and resources for you and for patients seeking
IMMH trained practitioners.
The following is available on the website:
Clinician Registry
IMMH Clinician Manual
Password protected for Great Plains Laboratory clients only.
Contact your account representative for more information.
Upcoming Conferences and Workshops
Recorded Webinars
Books and DVDs
Scientific Research and Articles
Newsletter Sign-Up
Other Resources
Recommended Testing for Mental Health Patients

Through The Great Plains Laboratory, Inc.
Copper/Zinc Profile
Metals Hair Test
Organic Acids Test
Vitamin D Test

Metals Hair Test
Organic Acids Test
Other GPL Testing

Celiac Disease Test
Metals Hair, Urine & Stool Tests
Uric Acid Test
Testing to Consider Through Traditional Labs*
Complete Blood Count (CBC) Test
Comprehensive Chemistry Panel
Dehydroepiandrosterone-Sulfate (DHEA-S) Test
Ferritin Test
Thyroid Panel (TSH, T3, T4)
*Unlike comprehensive biomedical testing, routine lab work often fails to
uncover subtle abnormalities which can have a profound effect on health.

7797 Quivira Road
Lenexa, KS 66216
Phone: (913) 754-0458
Fax: (913) 248-7609
Toll Free: (877) 575-2467
Whatarezeebraformulationsallabout?
ZeebraformulationsisanewproductlinebeingdistributedexclusivelybyNewBeginningsNutritionals.This
productlineisdesignedtomeettheuniqueneedsofindividualswhosufferfromavarietyofmentalhealth
relateddisordersincludingdepression,anxiety,bipolar,OCD,eatingdisorders,etc.Thesenewproductsand
formulationsaremadeavailableunderthecarefuldirectionofDr.JamesGreenblatt,achildandadult
psychiatristwhohasbeensuccessfullytreatingpatientswithmentalhealthdisordersforover20yearsusing
anintegrativemedicalapproach
WhoisDr.JamesGreenblatt?
JamesM.Greenblatt,M.D.isaduallyboardcertifiedchildandadultpsychiatristandistheFounderand
MedicalDirectorofComprehensivePsychiatricResources(CPR),anintegrativepsychiatrypractice.Dr.
GreenblattreceivedhismedicaldegreeandcompletedhisadultpsychiatryresidencyatGeorgeWashington
UniversityinWashingtonD.C.,andcompletedafellowshipinchildandadolescentpsychiatryatJohnsHopkins
MedicalSchool.Dr.GreenblattisanAssistantClinicalProfessoratTuftsUniversityMedicalSchool,
DepartmentofPsychiatry.Forover20years,Dr.GreenblatthasbeenaleaderinIntegrativeMedicine,
lecturingthroughoutNorthAmericaonthescientificevidencefornutritionaltreatmentsinpsychiatryand
eatingdisorders.Dr.GreenblattnowservesasMedicalConsultantforMentalHeathDisordersforNew
BeginningsNutritionals.Inhissuccessfulpractice,Dr.Greenblattincorporatesspecializedlaboratorytesting,
dietarychanges,nutritionalsupplementsandotherbiomedicaltherapieswithtraditionaltreatmentsand
therapiestoimprovethetreatmentoutcomesofhispatients.
Whatdoesthenamezeebramean?
ThewordzeebraismnemoniccreatedfromDr.Greenblattsworkondepressionwhichemphasizesthat
everyaspectofapersonmind,bodyandspiritneedstobeinvestigated.Themostcriticalconceptto
understandisthatjustasthestripepatternoneveryzebraiscompletelyunique,eachindividualalsohasa
completelyuniquebiochemistrythatneedstobeexploredthroughtestingbeforeeffectivetreatmentscanbe
applied.Withmentalhealthdisorders,justasinautism,aonesizefitsallapproachisnoteffective.
Whatzeebraproductsareavailablenow?
BalancePlus(Omega3,6,and9s)
DailyResource(wholefoodbasedmultivitamin)
DiZorb(HClandpepsindigestiveenzyme)
IodineComplex(IodineandIodide)
ZincSync(zincsufficiencytastetest)
MethylFolate
Niacin100mg
Niacinamide500mg
LTyrosine500mg
LithiumOrotate
Arethesetheonlyproductshelpfulformentalhealthdisorders?
No.ManyotherproductswithintheNewBeginningsproductlinecanbeeffectivelyusedtosupporthealthy
mentalfunctioning.VisittheMentalHealthSupportproductcategoryfromthehomepageoftheNew
BeginningsNutritionalswebsiteforcomprehensivelistofsupportingproducts.
Aretheseproductsgoodfortheautismpopulationaswell?
WiththeexceptionoftheDailyResourceMultivitamin,whichcontainscopper,zeebraproductscanbeused
forindividualswithautismbecausetheycontainthesamepurityandhighstandardsthatarefoundintheNew
Beginningsproductline.Itisrecommendedthatyoufirstseektherecommendationofyourhealthcare
practitionerforappropriateproductanddosagerecommendations.
HowdoIlearnmoreaboutintegrativemedicinefortreatingmentalhealth
disorders?
Visitwww.IMMH.organdsignuptoreceiveafreeenewsletterthatwillincludevitalinformation(upcoming
conferences,freewebinars,research,etc.)relatedtomentalhealthissues.
7797 Quivira Road, Lenexa, KS 66216

Contact us for product information, pricing and support
Web: www.nbnus.com E-mail: info@nbnus.com
Toll Free: 877-575-2467
Practitioner Supplement Recommendations

Physician Information:
Patient
Date
Date:
__________________________
Name: __________________________
of Birth: __________ Weight: _________
Zeebra Formulations
_____Daily Resource 4 capsules, 2x daily with food
_____ Methyl-Folate 2 capsules daily with food
_____ Niacin, 100 mg 1-3 tablets daily
_____ Niacinamide 500 mg 1-4 capsules daily
_____ Iodine Complex 1 capsule daily with food
_____ Lithium Orotate 1 capsule daily with food
_____ ZincSync Read recommended use in catalog or at www.nbnus.com
_____ Tyrosine 1-4 capsules daily, between meals
_____ Balance Plus 3 capsules daily with food
_____ DiZorb 1-2 capsules after start of meal, do not take on empty stomach
Related Products
_____ Methyl-Mate/ Methylcobalamin 5 drops daily, hold under tongue 1 min. before swallowing
_____ Buffered Vitamin C 2 or more capsules daily
_____ Mycellized Vitamin D 5 drops per day
_____ Vitamin D 1000 IU 2-5 soft gels daily with meals
_____ Liquid Lithium- Ionic Adults: 10 drops daily with food; Children: 3-5 drops daily with food
_____ Chelated Magnesium 1-2 capsules, 2x daily with or without food
_____ Magnesium Citrate Powder 1 scoop, 3x daily with meals
_____ Liquid Magnesium- Ionic 1.5 tsp in juice, 2x daily
_____ Liquid Zinc 10 drops daily with food, take separate from calcium
_____ Zinc Picolinate 50 mg 1 capsule daily, taken separate from calcium
_____ Zinc Picolinate 25 mg 1-2 capsules daily, taken separate from calcium
_____ L-Glutathione 1-2 caps daily
_____ 5 HTP 1-2 caps daily between meals
_____ GABA 1-4 capsule daily
_____ L-Glutamine 1-2 capsules daily
_____ Glycine 1-2 capsules daily with food
_____ L-Taurine 1-2 capsules daily
_____ Evening Primrose Oil 1 gelcap daily with food
_____ Ultra Omega-3 Fish Oil 1-2 gelcaps daily with food
_____ Very Finest Fish Oil 1-2 tsp daily with food
_____ Houstons AFP Peptizyde Capsules 1-2 capsules before eating, not to exceed 9 daily
_____ Houstons TriEnza Capsules 2 capsules with or just before each meal
_____ Epsom Salts Cream 1 or more grams to fatty areas, 2x daily
_____ Inositol Powder -1 tsp daily
_____ Melatonin 1 mg 2-4 tablets, 30 minutes prior to bedtime
_____ Other _____________________________________________
_____ Other _____________________________________________

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Great Plains Laboratory Clinician Manual

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Clinician

Clinician Information Manual

Introduction to The Great Plains Laboratory, Inc.

Clinical Lab Test Recommendations

Top 5 Recommended Tests

Test & Pricing Information

Physician Test Price List

Turn-Around Times and Specimen Collection

Insurance Billing, CPT & ICD-9 Codes

Sample Test Requisition Form

Distributor Price List

Introduction to Integrative Medicine for Mental Health (IMMH)

Introduction to IMMH & IMMH Website

William Shaw, Ph.D., Director

11813 West 77th Street, Lenexa, KS 66214

Fax (913) 341-6207

Getting Started With Lab Testing

Getting Started with Lab Testing

Introduction to The Great Plains Laboratory, Inc.

William Shaw, Ph.D.

Getting Started with Lab Testing

Additional Resources Available on Our Website

Sign Up to Receive Email Updates

Books and DVDs

Clinician Educational Seminars

Sample Patient Health History Form

Four Weeks to Dairy-Free

Patient Price List

Getting Started with Lab Testing

Brochures Available on Our Website

Upgraded Organic Acids Test

Fax (913) 341-6207

Understanding IgE Reactions

levels of organic acids in their

Patients and physicians have reported

Besides the new markers, the OAT still

Autism Spectrum Disorders

Colitis and Crohns Disease

The Importance of IgE Testing

Obsessive Compulsive Disorder

I believe the Great Plains

A free phone consultation with our nutritional consultant

practice on a daily basis

Better receptive and expressive

IBS, fatigue, abdominal

pain, dermatitis, hair loss,

Increased imitation skills

joint pain, acne, thyroid

disorders, and vitamin

a better physician due to

Reduced self-abusive behavior

this testing transforming

Increased imaginary play

Oxalates in the urine are much higher in

Easy to Understand Results

Benefits reported by parents

36% of the children on the autism

diagnose and treat patients

Less frequent urination

Less fatigue and more energy

Organic Acids Test - Oxalates

Organic Acids Test

For more information or to request a test kit, contact us

OAT Oxalates Brochure