Dr. Rigobert Kefferputz

Organic Acids Test (OAT) on Salt Spring Island

A metabolic snapshot from a single urine sample.

The Organic Acids Test (OAT) is one of the most comprehensive functional tests available. A single urine sample provides insight into over 70 metabolic markers, covering gut health, mitochondrial function, neurotransmitter metabolism, nutrient status, oxalate levels, and detoxification capacity.

Organic acids are metabolic byproducts excreted in urine. Elevated or depressed levels of specific organic acids can reveal dysfunction in key metabolic pathways that standard blood tests don't assess. The OAT is particularly valuable because it captures a broad metabolic picture in one test, from yeast and bacterial overgrowth markers to mitochondrial energy production, B-vitamin status, and neurotransmitter turnover.

I frequently use the OAT as a starting point for complex cases where symptoms are widespread and the root cause isn't clear. Research in the journal Clinical Chemistry has demonstrated that urinary organic acid analysis can detect metabolic abnormalities in patients with normal standard bloodwork. If you're dealing with fatigue, brain fog, mood issues, or digestive problems that haven't been explained by conventional testing, the OAT often reveals what's been missed.

Results are interpreted in the context of your full clinical picture. Elevated Candida metabolites might point to yeast overgrowth. Low CoQ10 markers might explain persistent fatigue. Neurotransmitter metabolite patterns can inform treatment for anxiety or depression. I use OAT results to build targeted protocols using supplementation, dietary changes, and antimicrobial treatment where indicated.

Why Organic Acids Test (OAT)

Comprehensive Snapshot

Over 70 metabolic markers from a single urine sample, covering gut, brain, energy, and detox pathways.

Uncover Hidden Dysfunction

Detects metabolic issues that standard blood tests routinely miss, including subclinical yeast and bacterial overgrowth.

Guide Targeted Treatment

Results translate directly into actionable protocols for supplementation, diet, and antimicrobial therapy.

Who Organic Acids Test (OAT) Is For

Chronic Fatigue

Brain Fog & Cognitive Issues

Mood Disorders (Anxiety, Depression)

Digestive Issues

Suspected Yeast Overgrowth

Nutrient Deficiencies

Mitochondrial Dysfunction

Children with Behavioral Concerns

Autism Spectrum Conditions

Complex, Multi-System Symptoms

Sample Report

Organic Acids Test (OAT), sample report from Mosaic Diagnostics

What to Expect

1

First Morning Urine

You collect your first morning urine at home using a provided collection kit. No fasting or special preparation is required.

2

Ship the Sample

The sample is shipped to the lab using the prepaid shipping materials included in the kit.

3

Results in 2-3 Weeks

The lab analyzes over 70 organic acid markers. Results typically return within 2-3 weeks with a detailed report.

4

Comprehensive Review

I walk you through each section of the report, explain what the markers mean for your health, and design a treatment plan based on the findings.

Frequently Asked Questions

Ready to get started?

Book a consultation and I'll build a treatment plan tailored to your health goals.