Should I Be Checked For Micronutrient Deficiency
Checking for nutrient deficiency is a very controversial subject in medicine partly because there are no published (in well-respected journals), double blinded, randomized controlled studies to prove that such deficiencies directly impact a particular patient's symptoms or disease processes (with some exceptions such as an iron deficiency anemia, low magnesium, low calcium, low Vit D).
However, checking for a deficiency is not a bad idea for patients who have unexplained symptoms.
Below is an example of a posting for Spectra Cell test.
Results of such tests should be discussed with your physician and nutritionist to determine its importance in your health.
http://wholehealthchicago.com/2012/04/02/can-i-be-tested-for-nutritional-deficiencies-2/
Can I Be Tested for Nutritional Deficiencies?
This is a fairly common question in our office and the short answer is yes. It’s easy to understand the curiosity. You’ve cleaned up your eating habits, buying all those fruits and veggies. Whole grains, even. And more fish (oh, those omegas!) than you ever dreamed of eating when you were a kid.
On your kitchen counter sits a row of supplements you dutifully swallow each morning, maybe twice a day if the bottle tells you to. Is all that nutrition’s really getting into you? Are your efforts worthwhile?
With these investments, your nutritional status is likely solid, all the effort paying off. But keeping in mind that each of us is metabolically unique, know that some of us absorb nutrients better than others, have individual nutritional needs, or burn through certain vitamins more quickly.
If you’d like to see some hard data, a comprehensive test is available that measures your levels of an impressive array of micronutrients. The bad news is that you’ll have to pay for this test out-of-pocket, though you can always submit an insurance claim yourself and try your luck at reimbursement. The same holds true if you have a Health Savings Account where you work. You should be paid back…but nothing is predictable in health care these days.
It’s worth noting that the price of this test has dropped dramatically since it was first developed. And while you personally may prefer to spend its $373 test price tag on a meal at Charlie Trotter’s, this is one case in which you’re getting a lot of test for your health care dollar.
Spectra Cell Laboratories has been performing micronutrient testing for years using a patented technique called Functional Intracellular Analysis, which measures how an individual nutrient is being processed inside a cell. The test is performed on your lymphocytes, one type of white blood cell. Some researchers believe cellular analysis is superior to measuring levels of nutrients inserum or plasma because testing these latter two doesn’t determine if the nutrient accomplishing anything.
Here’s a list of what’s measured in the Spectra Cell test (pour yourself another coffee–it’s lengthy):
Vitamin A
B complex vitamins
B-1 (thiamine)
B-2 (riboflavin)
B-3 (niacinamide)
B-6 (pyridoxine)
B-12 (cobalamin)
Folic acid
Pantothenate
Biotin
B-1 (thiamine)
B-2 (riboflavin)
B-3 (niacinamide)
B-6 (pyridoxine)
B-12 (cobalamin)
Folic acid
Pantothenate
Biotin
Vitamin C
Amino acids and metabolites
Serine
Glutamine
Asparagine
Choline
Inositol
Carnitine
Serine
Glutamine
Asparagine
Choline
Inositol
Carnitine
Fatty acids
Oleic acid
Oleic acid
Minerals
Calcium
Magnesium
Zinc
Copper
Manganese
Calcium
Magnesium
Zinc
Copper
Manganese
Antioxidants
Glutathione
Cysteine
Coenzyme Q-10
Selenium
Alpha lipoic acid
Glutathione
Cysteine
Coenzyme Q-10
Selenium
Alpha lipoic acid
The test also measures these specific cellular functions:
Carbohydrate metabolism (abnormalities point to increased diabetes risks)
Glucose-insulin interaction
Fructose sensitivity
Chromium
Glucose-insulin interaction
Fructose sensitivity
Chromium
Total antioxidant function
Low levels of antioxidants are linked to increased susceptibility to chronic degenerative diseases.
Cellular immunity function
This measures your cell-mediated immune system performance (T-cell proliferation), a systemic measure of your general health (higher = better).
This measures your cell-mediated immune system performance (T-cell proliferation), a systemic measure of your general health (higher = better).
When the results are returned (we send them by email with the test attached, followed by a hard copy), SpectraCell also provides a list of recommended supplements and dosing levels. If you have a lot of deficiencies, I generally encourage you to schedule a visit with one of our nutritionists,Marla Feingold or Seanna Tully. If you have just one or two low results, you can purchase the supplements in our apothecary or at your local health food store.
Anticipating your next question: why doesn’t health insurance cover this? The quick answer is that everyone with health insurance would want to have this test and health insurance companies want to keep your money for themselves. The longer answer is that your health insurance has very specific guidelines on what they’ll allow for screening tests (generally covered are those that everyone should have, like cholesterol levels) and diagnostic tests, those needed in the diagnosis of a specific illness.
Your insurance would cover one or two of these nutrient tests if I were using them to diagnose a specific illness, but they draw the line at my ordering them all. They also add some interesting roadblocks. If, for example, I were to order the five antioxidant tests (separately, about $450), they’d likely request a letter from me with an explanation—what exactly was I trying to diagnose?
If you’re interested in having the micronutrient test, call WholeHealth Chicago and schedule a “lab only.” One of our assistants will call you to verify that we have a SpectraCell test kit in stock. Overnight fasting (no food after midnight) is recommended to improve accuracy. You’ll come in, we’ll draw some blood, and you’ll receive documentation for submission to your insurance carrier or Health Savings Account.
Be well,
David Edelberg, MD
Tagged with: functional intracellular analysis, lab test, nutritional deficiencies, Spectra Cell Laboratories
Posted in Blog, C, Knowledge Base, N
Posted in Blog, C, Knowledge Base, N
Thank you so much! Plain talk with specific information. That is so rare.
I live in Connecticut but heard about your practice from my younger sister, so I signed up for your newsletter.
Patricia
I frequently encounter comments like your cardiologist’s when something is introduced that is beyond a doctors area of expertise. Similar comments occur when it comes to food sensitivity testing, salivary hormone testing, and urinary measurements of neurotransmitters. The attitude “if I didn’t learn it in medical school, it can’t be real” is really not a helpful stance for any physician to take. SpectraCell is a CLIA certified lab, meaning it meets very strict govenment standards about how a lab should operate and tests run. I strongly doubt if your cardiologist has actually sat down and read how the technique was developed, the standards they follow, etc., etc. Being an authority figure, you’re accepting his opinions as “facts” (as he does himself)
I would be willing to get the test done and then go to Chicago for nutritional evaluation once the results are complete. I’m located 80 minutes from New York City.
I think either this or the Individual Optimal Nutritional test (by Genova) would be worthwhile. You should also be tested for borderline hypothyroidism and adrenal fatigue, two frequently overlooked causes of tiredness in MS patients
Sarah
When patients tell me of back pain and ‘entire body is tense’ sort of phrasing, I think of fibromyalgia with chronic fatigue. Psychiatrists virtually never check for this and treat patients for years with antidepressants. Ask your GP about fibromyalgia (which may go by a different name in Scotland, myalgic encepahlomyelitis
Dr E
Sorry to hear abut your health challenges.