Cellular energy and nutrients
Metabolomics (Metabolomix+/NutrEval).
Metabolomix+ reads the small molecules your cells produce as they turn food into energy. The upstream picture, in one collection.
By Genova Diagnostics · 132 biomarkers
Why it matters
Standard panels read concentrations. Metabolomics reads flow. The Metabolomix+ panel from Genova (also known as NutrEval) tells me how your cells are actually using the building blocks you give them — mitochondrial function, nutrient gaps, oxidative stress, neurotransmitter precursor status, fatty acid balance, and the heavy-metal load your detox pathways are working against. It is the single most informative urine-and-bloodspot collection available in functional medicine.
What I read for
Patterns across the organic acids that point to a specific bottleneck. A B-vitamin gap. A mitochondrial inefficiency. Bacterial overgrowth metabolites bleeding into the urine. Neurotransmitter precursor problems. The point is to localize the dysfunction so the intervention is targeted.
What it measures
Every marker in the panel.
See all 132 biomarkers
Organic Acids (urine)
- 2-Hydroxybutyric Acid
- 3-Hydroxybutyric Acid
- 3-Hydroxyisovaleric Acid
- 3-Indoleacetic Acid
- 4-Hydroxyphenylacetic Acid
- 4-Hydroxyphenylpyruvic Acid
- 5-Hydroxyindoleacetic Acid
- 8-Hydroxy-2-deoxyguanosine
- Adipic Acid
- Benzoic Acid
- Cis-Aconitic Acid
- Citric Acid
- Creatinine (Urine)
- D-Arabinitol
- Formiminoglutamic Acid
- Glutaric Acid
- Hippuric Acid
- Homovanillic Acid
- Isocitric Acid
- Kynurenic Acid
- Lactic Acid
- Malic Acid
- Methylmalonic Acid (MMA), Urine
- Orotic Acid
- Oxalic Acid
- Phenylacetic Acid
- Pyroglutamic Acid
- Pyruvic Acid
- Quinolinic Acid
- Suberic Acid
- Succinic Acid
- Tartaric Acid
- Urea
- Vanillylmandelic Acid
- Xanthurenic Acid
- a-Keto-b-Methylvaleric Acid
- a-Ketoglutaric Acid
- a-Ketoisocaproic Acid
- a-Ketoisovaleric Acid
Amino Acids (urine)
- 1-Methylhistidine
- 3-Methylhistidine
- Alanine
- Anserine
- Arginine
- Asparagine
- Aspartic Acid
- b-Alanine
- Carnosine
- Citrulline
- Cystathionine
- Cysteine
- Cystine
- Ethanolamine
- Gamma-aminobutyric acid
- Glutamic Acid
- Glutamine
- Glycine
- Histidine
- Isoleucine
- Leucine
- Lysine
- Methionine
- Ornithine
- Phenylalanine
- Phosphoethanolamine
- Phosphoserine
- Proline
- Sarcosine
- Serine
- Taurine
- Threonine
- Tryptophan
- Tyrosine
- Valine
- a-Aminoadipic Acid
Fatty Acids (bloodspot)
- % Omega-3
- % Omega-6
- % Omega-9
- % Saturated Fats
- AA/EPA Ratio
- Arachidonic C20:4w6, Blood Spot
- Behenic Acid
- Docosahexaenoic C22:6w3, Blood Spot
- Docosatetraenoic Acid
- Eicosapentaenoic C20:5w3, Blood Spot
- Elaidic Acid
- LA/DGLA Ratio
- Lignoceric Acid
- Linoleic C18:2W6, Blood Spot
- Nervonic Acid
- Oleic Acid
- Omega-3 Index
- Omega-6/Omega-3 Ratio
- Palmitic Acid
- Palmitoleic Acid
- Stearic Acid
- Tricosanoic Acid
Toxic Elements (urine)
- Aluminum
- Antimony
- Arsenic
- Barium
- Bismuth
- Cadmium
- Cesium
- Gadolinium
- Gallium
- Lead, Urine
- Mercury
- Nickel
- Niobium
- Platinum
- Thallium
- Thorium
- Tin
- Tungsten
- Uranium
Essential and Other Elements (urine)
- Calcium (Ca)
- Chromium
- Cobalt
- Copper, Urine
- Iron
- Lithium, Urine
- Magnesium (Mg)
- Manganese
- Molybdenum
- Potassium, Urine
- Rubidium
- Selenium, Urine
- Strontium
- Sulfur
- Vanadium
- Zinc, Urine
How to order this
Part of the Precision Partnership.
This panel runs as part of the Partnership baseline. You pay the lab fee at vendor cost, with no markup from the practice. I interpret the results into your written Plan as part of the ongoing relationship.