Advanced Organic Acids Testing & Clinical Interpretation

Stop guessing. Start understanding.

For when blood tests and doctors tell you you’re “normal” — but you still don’t feel right.

Advanced Organic Acids Testing and root-cause-informed analysis for fatigue, brain fog, digestive issues, poor stress tolerance and complex chronic symptoms.

Whether you’re struggling with chronic fatigue, brain fog, digestive issues, poor stress tolerance, recurrent infections, inflammation, hormonal imbalances or symptoms nobody has been able to explain, important clues may be hidden within your biochemistry.

Start The Metabolic Review — £1,199 View the interpretation dashboard

Secure Stripe checkout · Intake questionnaire sent after payment · Includes test kit, report and consultation

Not sure if this is right for you? Ask a private question before starting.

£1,199 all-inclusiveOrganic Acids Test kit, clinical interpretation, written report, consultation and recovery strategy

Not a lab reportPractitioner-written interpretation

76 markers analysedRead through your full case history

What happens after payment?

You receive the intake questionnaire and next-step instructions.
Your Organic Acids Test kit is arranged.
Your case history and results are reviewed together.
You receive your written interpretation and recovery strategy.
You review the findings and priorities in consultation.

✓Suitability: this service is not for urgent, severe or rapidly worsening symptoms. Please contact your GP, specialist or emergency services where appropriate.

✓Not included: this service does not provide medical diagnosis, emergency care, prescriptions or replacement for GP/specialist advice.

✓Purchase made in error? contact us immediately. Refunds may be limited once the test has been ordered or case work has begun.

The real value isn’t the test. It’s the interpretation.

The Organic Acids Test is one of the most useful functional medicine tools available, offering insight into mitochondrial health, nutrient status, gut microbial activity, detoxification pathways, neurotransmitter balance and more.

But a result on its own is not an explanation. Many practitioners simply send results and highlight what is high or low. That is not what The Metabolic Review does.

Before your test is interpreted, your symptoms, health history, lifestyle factors, environmental exposures, medications, supplements and previous health challenges are reviewed. Your results are then read through the lens of your full case history.

No generic computer reportNo marker chasingNo supplement upsellClinical pattern recognition

Interactive sample analysis

Everything your body is telling us — read on one screen.

This sample shows how your lab markers, questionnaire answers, system scores and practitioner interpretation come together in one clear view.

It shows what you receive: not a generic lab printout, but a practitioner-written interpretation of your full picture.

41/ 100

Metabolic capacity

Reduced

18of 76

Markers flagged

Across 6 systems

72index

Oxidative stress

Elevated

63index

Microbial imbalance

Elevated

74index

Nervous-system load

High

System analysis

Six systems scored and ranked

Capacity map

Mitochondrial energy38/100

Impaired

Oxidative defence34/100

Depleted

Neurotransmitters45/100

Low output

Gut terrain42/100

Imbalanced

Stress resilience33/100

Depleted

Interpretation engine

How your results are turned into meaning

Synthesis

Organic acid markersMitochondrial, microbial, nutrient and oxidative stress signals

→

QuestionnaireSymptoms, history, stress load and recovery capacity

→

Clinical planSequenced priorities rather than marker chasing

Your report joins the science and your story into one usable strategy.

01 / Input

Raw test data

76 markers

Mitochondrial & energy

Lactate HIGH

28.4

Pyruvate HIGH

3.9

L-Malate HIGH

2.8

Adipate HIGH

9.8

Oxidative stress

8-Hydroxy-2-deoxyguanosine HIGH

6.2

Pyroglutamate HIGH

B-vitamin cofactors

Methylmalonate HIGH

2.7

Xanthurenate HIGH

1.6

Neurotransmitter metabolites

Homovanillate LOW

1.9

5-HIAA LOW

2.2

Quinolinate HIGH

3.4

Gut microbial / dysbiosis

Arabinose HIGH

Tartarate HIGH

6.1

p-Cresol HIGH

+ 52 further markers reviewed in the full report.

Read & written by a practitioner

Not one cause — multiple stressors converging on reduced metabolic capacity.

The pattern a software report can miss — reviewed, interpreted and written by a practitioner.

Marker layer: what is abnormal?

The raw marker layer highlights mitochondrial pressure, oxidative stress, neurotransmitter disruption and gut microbial signals — but it does not stop there.

The four interconnected drivers

Impaired mitochondrial energyFatigue, brain fog and poor recovery

Chronic nervous-system stressYears of pressure on reserves

Ongoing immune burdenRecurrent viral load and inflammatory demand

Gut-mediated inflammationMicrobial imbalance depleting nutrients

The order of treatment

Phase OneRestore energy production & build resilience

Phase TwoReduce microbial burden & support detoxification

Phase ThreeConsolidation, recovery & long-term resilience

Report excerpt

“The aim is not to stimulate energy artificially. It is to restore your ability to produce energy naturally.”

Laura Di Giorgio-YatesRegistered Nutritional Therapist

CNHCBANTIFMANTA

02 / Input

Your health story

Intake

71/100

Symptom burden

High — fatigue and cognitive load dominate.

Primary concern

Persistent fatigue, brain fog and poor recovery.ONSET ~18 MONTHS · WORSENING

How you rated your symptoms

Energy levels2/10

Brain fog8/10

Sleep quality3/10

Current stress load7/10

Exercise recovery2/10

History & context

Recurrent viral infectionsProlonged occupational pressureSignificant emotional traumaBegan after a virusPushes through fatigue

Daily patterns

Often skips breakfastHigh caffeineIrregular sleepLittle recovery time

Clinical weighting

What gets prioritised first

Mitochondrial supportFirst

Sleep rhythm / recoveryFirst

Oxidative stress supportEarly

Gut terrainNext

Antimicrobial workDelayed

Explore how context changes the plan

See how your priorities can change.

Adjust the example inputs below to see why the same lab marker can mean different things depending on sleep, stress, training load and recovery capacity.

Protein consistency45%

Sleep rhythm38%

Training load72%

Detox pressure22%

Readiness score

Example practitioner logic

Capacity has to come before intensity.

The current pattern suggests the first phase should prioritise energy production, sleep rhythm, protein consistency and nervous-system recovery before aggressive microbial or detox work.

Mitochondrial support first Do not overtrain Build tolerance before detox

Symptom-to-marker example

Tap a symptom to see what may be connected.

Symptoms that feel random can start to make more sense when they are mapped against biochemical patterns.

Linked interpretation

Crushing fatigue → reduced cellular energy capacity

Fatigue is mapped against mitochondrial markers, fatty-acid metabolism and B-vitamin cofactor demand. The interpretation prioritises energy production before deeper gut or detox work.

LactatePyruvateMethylmalonateAdipate

Treatment sequence builder

See why the order of treatment matters.

Many people try to address everything at once. This example shows why your report sequences recovery rather than forcing too much too soon.

Mitochondrial foundationProtein, cofactors, sleep rhythm and ATP support.

Nervous-system regulationPacing, breathwork, recovery blocks and reduced allostatic load.

Gut terrain supportDietary diversity, digestive rhythm and microbiome tolerance.

Aggressive antimicrobial / detoxPowerful work, but poorly tolerated if capacity is low.

24Overload risk

Good sequencing starts with capacity.

A well-sequenced plan starts with mitochondrial and nervous-system support, reducing the chance of asking too much of the body too soon.

Symptom tracer

Tap symptoms. See what may be connected.

Select the symptoms that look familiar. Relevant example markers will light up and show how a practitioner moves from symptoms → markers → likely driver → first action.

Raw markers

Tap a symptom

A selection of the 76 Organic Acids Test markers. Selected symptoms illuminate the markers that matter for the pattern.

The explanation chain

Select one or more symptoms to assemble the reasoning from symptom → markers → driver → first action.

How recovery may be sequenced over time.

Use the sliders to see why phase order matters. This is illustrative, but the principle is central to the review: capacity first, deeper work second, resilience third.

TimelineWeek 0 · starting point

Plan adherence100%

Week 0 — starting point

41/100 capacity

Baseline

Your starting point before support begins.

Illustrative only. Individual recovery varies with history, adherence and clinical context.

See the standard before you start.

This is the difference between receiving raw lab data and receiving a practitioner-written interpretation that shows what matters, why it matters and what to do first.

Start the review View sample interpretation

This is not a lab report

Because numbers alone don’t tell the whole picture.

The Metabolic Review

What makes this different

Your results are interpreted through your story.

✓The same marker can mean very different things depending on the person behind the results.
✓Your symptoms, history, lifestyle, medication, supplements and previous health challenges are considered before conclusions are drawn.
✓The report connects the dots between your symptoms, your history and your test results.
✓The aim is to uncover likely underlying drivers and create a clear, prioritised plan — not overwhelm you with data.

What’s included

A complete clinical interpretation, not just a urine test.

The service is designed to turn complex biochemical data into a readable, practical strategy you can understand and act on.

Comprehensive case review

A detailed assessment of your symptoms, health history, lifestyle, medications, supplements, environmental factors and current challenges through a health questionnaire. The more detail provided, the better the interpretation.

Organic Acids Test kit

Laboratory analysis providing insight into 76 markers across mitochondrial energy production, gut microbial activity, nutrient status, detoxification, oxidative stress and related pathways.

Personalised clinical interpretation report

Not a generic computer-generated report. A practitioner-written analysis explaining what your results may mean, which findings matter most and how different systems may be interacting.

Bespoke recovery strategy

A clear, prioritised action plan tailored to your case, helping you understand where to focus first rather than trying to fix everything at once.

What the OAT can explore

Functional markers that may help explain the bigger pattern.

View a sample clinical interpretation ↗

The Organic Acids Test is not used to diagnose disease. It is used to add biochemical context to your symptoms and history.

✓Mitochondrial energy production
✓Gut dysbiosis patterns
✓Yeast and fungal metabolites
✓Clostridia and bacterial metabolites
✓Nutritional deficiencies and cofactors
✓Neurotransmitter pathway markers
✓Detoxification pathways
✓Oxidative stress
✓Oxalate metabolism
✓Fat metabolism

Your practitioner

Laura Di Giorgio-Yates

Registered Nutritional Therapist · Functional Medicine

The Metabolic Review is led personally by Laura Di Giorgio-Yates. Every Organic Acids Test is read and interpreted by her — never run through a generic software report. Her focus is the chronic, complex picture that conventional testing so often calls “normal”: persistent fatigue, burnout, post-viral illness, hormonal disruption and stubborn digestive symptoms.

Having recovered from ME/CFS herself, Laura understands fatigue from the inside as well as the clinic — how the nervous system, nutrition and metabolic capacity interact, and why recovery has to be sequenced rather than forced. She trained with the Institute for Functional Medicine and works to root-cause principles, reading your results through your full history rather than chasing isolated markers.

✓Root-cause functional medicine across all body systems, not symptom management
✓Nutritional therapy tailored to your biochemical individuality
✓Nervous-system-aware recovery, paced to what your body can integrate
✓Interpretation grounded in your case history, not a list of highs and lows

CNHC Registered BANT Member IFM · Functional Medicine

Practitioner registration is verifiable via the CNHC accredited register. This service provides nutritional and functional-medicine support; it does not provide medical diagnosis or replace GP or specialist care.

Investment

Advanced testing, clinical interpretation and a clear plan.

The price reflects the test, the clinical review, the written interpretation, the consultation and the bespoke recovery strategy.

Organic Acids Testing & Clinical Interpretation

For fatigue, brain fog, digestive symptoms, poor stress tolerance and complex chronic symptoms.

£1,199

Because true health recovery starts with understanding what your body has been trying to tell you.

✓Comprehensive case history review
✓Organic Acids Test kit and lab analysis
✓76 markers reviewed in context
✓Personalised clinical interpretation report
✓Bespoke recovery strategy
✓Supplement guidance with no brand affiliation or product upsell

Secure Stripe checkout. Receipt sent automatically. If you purchase in error and the test has not been ordered or case work has not begun, contact us immediately.

Not sure if this is suitable? Ask a private question before starting.

Start The Metabolic Review — £1,199