Diagnostic Testing

Conveniently located to serve the areas of Miami, FL

Functional Medicine Diagnostic Testing is essential for identifying underlying imbalances and root causes of health issues, rather than just diagnosing diseases. It provides a detailed, 3-dimensional view of how various body systems function, helping to detect nutrient deficiencies, hormonal imbalances, inflammation, and early markers of chronic conditions, just to name a few. This approach enables Dr. Shapiro to create personalized treatment plans to optimize health, prevent disease, and promote long-term wellness.

“Comprehensive diagnostic testing, correlated with a patient’s symptoms, is the cornerstone of functional medicine, and is essential for uncovering the root cause rather than just managing symptoms.”

– Dr. Jason Shapiro

About Heart Health

Your heart works around the clock, circulating oxygen-rich blood to every organ in your body. Our comprehensive lipid testing goes beyond standard cholesterol panels done at your PCP’s office and can provide deeper insight into your cardiovascular risk. By identifying early signs of arterial changes through advanced testing, you can take proactive steps to optimize heart health through personalized programs that include targeted supplements, prescribed medication (when necessary), heart-healthy nutrition, and lifestyle changes.

  • Apolipoprotein B (ApoB)
  • Calcium Score CT Scan
  • HDL Cholesterol
  • High-Sensitivity C-Reactive Protein (hs-CRP)
  • Homocysteine
  • LDL Cholesterol
  • Lipoprotein (a)
  • NMR lipid profile testing
  • Non-HDL Cholesterol
  • Total Cholesterol
  • Total Cholesterol / HDL Ratio
  • Triglycerides
  • Uric Acid

Thyroid

Your thyroid is the control center for metabolism, energy production, and hormonal balance. Even subtle imbalances can lead to fatigue, weight changes, brain fog, and mood disturbances. Standard thyroid testing done at your PCP’s office often misses key dysfunctions, but our comprehensive analysis includes markers like TSH, Free T3, Free T4, Reverse T3, and thyroid antibodies that can uncover underlying issues. Identifying and addressing these imbalances early allows for targeted interventions to restore optimal thyroid function and cellular metabolism.

  • Iodine
  • Reverse T3
  • Selenium
  • Thyroid Peroxidase Antibodies
  • Thyroid Stimulating Immunoglobulin
  • Thyroid Ultrasound
  • Thyroid-Stimulating Hormone
  • Thyroid-Stimulating Hormone Receptor Binding Antibody
  • Thyroglobulin Antibodies
  • Thyroxine (T4) Free
  • Thyroxine-Binding Globulin
  • Triiodothyronine (T3) Free

Cancer Detection

Cancer often develops silently, with warning signs appearing only in later stages. Advanced testing may detect early markers of inflammation, immune dysfunction, and genetic predispositions associated with increased risk. Our early detection, screening, and prevention strategies play a crucial role in reducing cancer risk and promoting long-term health.

  • Cologuard ® (at-home screening test for colorectal cancer)
  • Complete Blood Count (detects blood cancers like leukemia or lymphoma)
  • Galleri ® (multi-cancer detection test)
  • Prostate Specific Antigen (PSA)

Female Health

Hormonal balance is essential for overall well-being, influencing everything from energy levels and metabolism to mood and reproductive health. Our comprehensive female health panels provide insight into hormonal imbalances that may contribute to fatigue, weight fluctuations, menstrual irregularities, metabolic dysfunction, and more. Identifying these imbalances early allows for personalized strategies to optimize hormone function, support fertility, and enhance long-term health.

  • Anti-Mullerian Hormone
  • DHEA-Sulfate
  • DUTCH Complete™ Test
  • Estradiol
  • Estrone
  • Follicle Stimulating Hormone
  • Insulin-like Growth Factor (IGF-1)
  • Iron Study
  • Luteinizing Hormone
  • Methylation Testing
  • Progesterone
  • Prolactin
  • Sex Hormone Binding Globulin
  • Testosterone, Free
  • Testosterone, Total
  • Thyroid Hormone Testing
  • Urine hCG (pregnancy)

Male Health

Hormonal health plays a vital role in energy, metabolism, muscle mass, mood, and overall longevity. Our male health panels assess critical biomarkers that identify imbalances contributing to fatigue, weight gain, reduced performance, or other health concerns. By understanding these key indicators, targeted strategies can be implemented to optimize hormone levels, support vitality, and promote long-term well-being.

  • DHEA-Sulfate
  • Dihydrotestosterone (DHT)
  • DUTCH Complete™ Test
  • Estradiol
  • Follicle Stimulating Hormone
  • Free Testosterone
  • Insulin-like Growth Factor (IGF-1)
  • Luteinizing Hormone
  • Methylation Testing
  • Prolactin
  • Prostate Specific Antigen (PSA)
  • Semen Analysis
  • Sex Hormone Binding Globulin
  • Total Testosterone

Metabolism Profile

Metabolic health affects everything from energy levels to weight management and disease prevention. Subtle imbalances in blood sugar, insulin resistance, and inflammation can contribute to long-term health risks like diabetes, obesity, high blood pressure, and heart disease. Our advanced testing helps detect these issues early, allowing for personalized interventions that improve metabolic efficiency and overall vitality.

  • CRP-highly sensitive
  • Ferritin
  • Fasting Insulin
  • Hemoglobin A1c (HbA1c)
  • Homocysteine
  • Leptin
  • Uric Acid

Nutrient Profile

Every cell in your body relies on essential vitamins, minerals, and antioxidants to function optimally. Deficiencies in key nutrients can contribute to fatigue, poor immune function, inflammation, and chronic disease risk. Our comprehensive nutrient panel helps identify imbalances, allowing for personalized dietary and supplementation strategies to restore optimal health, energy, and resilience.

  • Calcium
  • Calcium
  • Cellular Micronutrient Assay (CMA)
  • Chromium
  • Ferritin
  • Folate
  • Iodine
  • Iron Study
  • Magnesium
  • Methylation Testing
  • Micronutrient
  • MTHFR, DNA
  • Potassium
  • Selenium
  • Vitamin B12
  • Vitamin D
  • Zinc

Adrenal Health

Chronic stress and aging accelerate cellular damage, impact hormone balance, and contribute to inflammation, all of which can lead to fatigue, cognitive decline, and chronic disease. Measuring key adrenal biomarkers provides insight into how stress and aging are affecting your body.

  • Cortisol
  • DHEA-Sulfate
  • DUTCH Complete™ Test
  • Insulin-like Growth Factor (IGF-1)

Liver

Your liver is a critical organ responsible for detoxification, metabolism, and nutrient storage. It filters toxins, processes hormones, and supports digestion, making its health essential for overall well-being. Our list of key biomarkers can identify early signs of dysfunction, inflammation, or overload. By optimizing liver function through targeted supplements, detoxification protocols, and nutrition and lifestyle strategies, you can optimize liver function, improve energy levels, and support metabolic health.

  • Alanine Transaminase
  • Alkaline Phosphatase
  • Albumin
  • Aspartate Aminotransferase
  • Gamma-glutamyl Transferase
  • Total Bilirubin
  • Total Globulin
  • Total Protein

Kidneys

Your kidneys play a critical role in filtering waste, balancing electrolytes, and regulating blood pressure. These vital organs help maintain hydration, remove toxins, and support overall metabolic function. Our list of biomarkers provides insight into kidney function and detects early signs of dysfunction. By monitoring kidney health, you can take proactive steps to support filtration efficiency, reduce toxin buildup, and promote long-term wellness.

  • Blood Urea Nitrogen
  • BUN / Creatinine Ratio
  • Calcium
  • Chloride
  • Creatinine
  • Cystatin C
  • Estimated Glomerular Filtration Rate
  • Potassium
  • Sodium

Pancreas

The pancreas is essential for both digestion and blood sugar regulation, producing enzymes that break down food and hormones like insulin to maintain glucose balance. Our list of biomarkers can help assess pancreatic function and detect early signs of metabolic disorders, inflammation, or pancreatic enzyme deficiencies. Understanding these biomarkers allows for targeted supplements, nutrition, and lifestyle interventions to support pancreatic health and overall metabolic stability.

  • Amylase
  • Elastase-1 (GI MAP ® microbiome stool testing)
  • Insulin
  • Lipase

Heavy Metals & Toxins

Environmental exposure to heavy metals, pesticides, BPAs from plastics, and industrial chemicals can accumulate in the body over time, disrupting endocrine, neurologic, immune, and metabolic functions. Our comprehensive heavy metal and environmental toxin testing panel helps identify toxic burdens, allowing for targeted detoxification strategies and lifestyle modifications to support long-term health and resilience.

  • Aluminum
  • Arsenic
  • Cadmium
  • Copper
  • Lead
  • Mercury
  • PBAs
  • PFAS
  • Selenium
  • Zinc

Blood

Your blood is the lifeline of your body, delivering oxygen, nutrients, and immune support while removing waste and toxins. Our comprehensive blood panels can reveal early signs of anemia, infection, clotting disorders, immune function, and overall metabolic health, allowing for proactive interventions to optimize energy, immunity, and cardiovascular function.

  • ABO Group and Rhesus (Rh) Factor
  • Hematocrit
  • Hemoglobin
  • Mean Corpuscular Hemoglobin (MCH)
  • Mean Corpuscular Hemoglobin Concentration (MCHC)
  • Mean Corpuscular Volume (MCV)
  • Mean Platelet Volume (MPV)
  • Platelet Count
  • Red Blood Cell Count
  • Red Cell Distribution Width (RDW)
  • White Blood Cell Count
  • White Blood Cell Differential

Urine Tests

Urine analysis (UA) provides valuable insight into kidney function, hydration and electrolyte status, metabolic health, and potential infections. When indicated, regular monitoring helps identify imbalances before they become serious, supporting overall health and well-being.

  • Albumin, Urine
  • Appearance, Urine
  • Bilirubin
  • Color, Urine
  • Glucose, Urine
  • Granular Casts
  • Ketones, Urine
  • Leukocytes
  • Nitrite, Urine
  • Occult Blood, Urine
  • pH, Urine
  • Protein, Urine
  • Red Blood Cell, Urine
  • Specific Gravity, Urine
  • White Blood Cell, Urine

Brain Health

Your brain controls every function in your body, from memory and mood to movement and metabolism. Our list of key biomarkers can provide early insights into cognitive function, neurological resilience, inflammation, and cerebrovascular circulation. Monitoring these biomarkers in conjunction with neuroimaging and behavioral cognitive assessments allows for targeted interventions to support brain health, reduce the risk of neurodegenerative diseases, and optimize cognition and neuroplasticity.

  • Amyloid Beta 40
  • Amyloid Beta 42
  • Amyloid-Tau-Neurodegeneration (ATN) Profile
  • Apolipoprotein E (ApoE)
  • Beta-Amyloid 42/40 Ratio
  • Brain-Derived Neurotrophic Factor (BDNF)
  • Methylation Testing
  • Neurofilament Light Chain (NfL)
  • P-tau217
  • Urine Neurotransmitter Testing

Allergies & Sensitivities

Active food and environmental allergies/sensitivities are well-known contributors to chronic inflammation, digestive issues, skin conditions, and even metabolic dysfunction. Allergy and Sensitivity Testing can identify hidden triggers associated with your current symptoms. Eliminating these identified triggers supports symptom reduction and optimization of immune function, digestion, and overall metabolic health.

  • Comprehensive Environmental Allergy Testing
  • Comprehensive Food Allergy Testing
  • IgG Food Explorer™ (Diagnostic Solutions Lab)

Sexual Health

Screening for sexually transmitted diseases (STDs) is an important part of disease prevention in patients with an active sexual lifestyle involving multiple partners. Proactive screening allows for early detection and precise treatment recommendations.

  • Chlamydia (urine testing)
  • Gonorrhea (urine testing)
  • Hepatitis B surface antigen (HBsAg)
  • Hepatitis C antibody testing
  • Herpes Simplex Virus 1 and 2 (IgG antibody test)
  • HIV 1 & 2 (p24 antigen, HIV antibodies)
  • Syphilis (RPR or VDRL testing)
  • Trichomoniasis

Biological Age

Biological Age testing can determine how quickly your body is aging on a cellular level, which often differs from your chronological age. Cellular aging is influenced by your lifestyle, environment, nutrition, and metabolic health, just to name a few. TruDiagnostic™ analyzes biomarkers linked to inflammation, metabolism, and DNA methylation to assess your health and longevity. By understanding your biological age, you can make targeted lifestyle, nutritional, and metabolic changes to slow aging, boost resilience, and optimize wellness.

  • TruDiagnostic ™ (epigenetic biologic age testing)

References

  1. Nugent C, Chandra A. Infertility and Impaired Fecundity in Women and Men in the United States, 2015-2019. National Health Statistics Reports Number. 2024;202. https://www.cdc.gov/nchs/data/nhsr/nhsr202.pdf
  2. Lambring CB, Siraj S, Patel K, Sankpal UT, Mathew S, Basha R. Impact of the Microbiome on the Immune System. Critical reviews in immunology. 2019;39(5):313-328. doi:https://doi.org/10.1615/CritRevImmunol.2019033233
  3. CDC. About the Division for Heart Disease and Stroke Prevention. National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP). Published May 24, 2024. Accessed May 28, 2024. https://www.cdc.gov/nccdphp/divisions-offices/about-the-division-for-heart-disease-and-stroke-prevention.html#:~:text=CDC
  4. National Institute of Diabetes and Digestive and Kidney Diseases. Adrenal Insufficiency & Addison’s Disease | NIDDK. National Institute of Diabetes and Digestive and Kidney Diseases. Published March 22, 2019. https://www.niddk.nih.gov/health-information/endocrine-diseases/adrenal-insufficiency-addisons-disease
  5. Vetter TR, Schober P, Mascha EJ. Diagnostic Testing and Decision-Making. Anesthesia & Analgesia. 2018;127(4):1085-1091. doi:https://doi.org/10.1213/ane.0000000000003698