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

What to Expect
First Morning Urine
You collect your first morning urine at home using a provided collection kit. No fasting or special preparation is required.
Ship the Sample
The sample is shipped to the lab using the prepaid shipping materials included in the kit.
Results in 2-3 Weeks
The lab analyzes over 70 organic acid markers. Results typically return within 2-3 weeks with a detailed report.
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
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Ready to get started?
Book a consultation and I'll build a treatment plan tailored to your health goals.