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Metabolic Analysis Markers (Urine)

Optimal range:   3.8 - 12.1 mmol/mol creatinine

5-OH-indoleacetic Acid is a breakdown product of serotonin that is excreted in the urine. Serotonin is a hormone found at high levels in many body tissues. Serotonin and 5-OH-indoleacetic Acid are produced in excess amounts by carcinoid tumors, and levels of these substances may be measured in the urine to test for carcinoid tumors.

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Metabolimix+, Genova Diagnostics

Optimal range:   3.8 - 12.1 mmol/mol creatinine

5-OH-indoleacetic Acid (5-HIAA) is a downstream metabolite of serotonin, which is formed from the essential amino acid tryptophan. Most blood serotonin and urinary 5-HIAA comes from serotonin formation outside of the CNS, primarily the liver and enterochromaffin cells in the gastrointestinal tract. Serotonin is further metabolized by monoamine oxidase to become 5-HIAA.

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Organic Acids, Comprehensive, Quantitative, Quest Diagnostics

Optimal range:   8 - 69 mmol/mol creatinine

Pyroglutamate (or 5-Oxoproline) is an intermediate in the glutathione metabolism and a marker of glutathione deficiency.

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Hormone & Urinary Metabolites Assessment Profile, Doctor's Data

Optimal range:   35 - 105 ng/mg Creat/Day

Pregnenetriol is a metabolite of 17a-pregnenolone, an intermediary resulting from the hydroxylation of pregnenolone by CYP17A1 enzyme.

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Lyme Testing

Optimal range:   0 - 0 Units

Two types of antibodies are detected in the Western blot test.

This particular marker is called 58 KD (IGG) Band and hence is a IgG antibody marker. IgG antibodies are a sign of an older infection. In contrast, IgM antibodies reflect a relatively recent infection. 

IgM antibodies usually disappear after eight weeks post-exposure. 
IgG remains in the serum for a very long time. 

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Androgens and Metabolites (Urine) - DUTCH, Precision Analytical Laboratory – DUTCH Test Interpretation Guide

Optimal range:   6 - 30 ng/mg

5a-Androstanediol is a testosterone metabolite that is more androgenic than b-Androstanediol. It is metabolized via the 5-alpha metabolic pathway (= increased 5α-reductase activity). In contrast, the 5-beta metabolism makes androgens less potent.

Increased 5a-reductase activity may be accompanied by clinical signs of androgenicity (excess facial hair growth, scalp hair loss, acne, irritability, oily skin, prostate issues in men...etc).

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Hormone & Urinary Metabolites Assessment Profile, Doctor's Data

Optimal range:   2.5 - 15 ng/mg Creat/Day

5A-AD is a metabolite of 5αDHT.

Research suggests:

- that postmenopausal women may experience low levels of this metabolite.

- elevations of this pathway in females maybe due to PCOS and hirsutism.

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Androgens and Metabolites (Urine) - DUTCH, Precision Analytical Laboratory – DUTCH Test Interpretation Guide

Optimal range:   0 - 6.6 ng/mg

5a-DHT is a testosterone metabolite. 

5a-DHT is essential for the development of the male sex characteristics before birth, particularly the formation of the external genitalia. In the adult, 5a-DHT is needed to develop and maintain male gender characteristics, such as facial hair, deep voice, and muscle growth. In women, 5a-DHT may induce the onset of puberty and causes the body and pubic hair growth.

Increased 5a-DHT levels are found in about 40% of patients with idiopathic hirsutism and 35% of patients with polycystic ovarian syndrome (=PCOS).

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Advanced Dried Urine Hormone Profile, NutriPATH

Optimal range:   0.28 - 1.52 µg/g creatinine

5a-DHT is a testosterone metabolite. 

5a-DHT is essential for the development of the male sex characteristics before birth, particularly the formation of the external genitalia. In the adult, 5a-DHT is needed to develop and maintain male gender characteristics, such as facial hair, deep voice, and muscle growth. In women, 5a-DHT may induce the onset of puberty and causes the body and pubic hair growth.

Increased 5a-DHT levels are found in about 40% of patients with idiopathic hirsutism and 35% of patients with polycystic ovarian syndrome (=PCOS).

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Androgens and Metabolites (Urine) - DUTCH, Precision Analytical Laboratory – DUTCH Test Interpretation Guide

Optimal range:   5 - 25 ng/mg

5a-DHT is a testosterone metabolite. 

5a-DHT is essential for the development of the male sex characteristics before birth, particularly the formation of the external genitalia. In the adult, 5a-DHT is needed to develop and maintain male gender characteristics, such as facial hair, deep voice, and muscle growth. In women, 5a-DHT may induce the onset of puberty and causes the body and pubic hair growth.

Increased 5a-DHT levels are found in about 40% of patients with idiopathic hirsutism and 35% of patients with polycystic ovarian syndrome (=PCOS).

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ZRT Laboratory (Urinary Neurotransmitters), ZRT Laboratory

Optimal range:   0.71 - 2.46 ug/g Cr

5a-Dihydrotestosterone (5a-DHT), a potent androgen, is a crucial marker in the ZRT Laboratory Urinary Neurotransmitters panel, underscoring its significance in male health and hormonal research. 5a-DHT, derived from testosterone via the enzyme 5-alpha reductase, plays a key role in male physiology, including the development of male characteristics, maintenance of prostate health, and regulation of hair growth.

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Hormone & Urinary Metabolites Assessment Profile, Doctor's Data

Optimal range:   0.4 - 4 ng/mg Creat/Day

5A-DHT is converted from testosterone by 5-α reductase in the ovaries and peripherally in fat tissue.

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