Benefits of Saliva Hormone Testing and Blood Spot its
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At Live Forever Health, getting diagnostic check is super simple. Our at-home testing options bring precision diagnostics right to your doorstep, providing accurate results tailored to your unique health needs.

Baseline Health Panels:

SALIVA

SALIVA TESTING

 

Saliva testing is a non-invasive collection method where patients collect their saliva in plastic tubes in order to measure hormones like cortisol, estrogens, progesterone, and androgens. This non-invasive saliva collection is ideal for patients because it allows them to collect their sample in the privacy of their home or office.

 

 

Why Do We Test Hormones in Saliva?

Steroid hormones in the bloodstream are 95-99% bound to carrier proteins, and in this form are unavailable to target tissues. Saliva testing measures the amount of hormone available to target tissues – the bioavailable amount. For this reason, saliva testing better relates to specific symptoms of excess or deficiency, and is a good option for monitoring hormone therapy.

 

 

Some analytes cannot be tested using immunoassays, the methodology used for most of our saliva testing. For that reason, Live Forever Health developed an LCMS Saliva Steroid Profile using liquid chromatography/tandem mass spectrometry (LC-MS/MS). This profile tests a broad range of bioavailable hormones and hormone metabolites in one convenient saliva sample collection. LCMS testing allows for accurate reporting of estrogens down to extremely low levels, such as those seen in men, children, and people using aromatase inhibitors, and includes a test for ethinyl estradiol, 3 hormone blockers, and melatonin. To learn more about what you can test with our LCMS Saliva Steroid Profile, view our LCMS Provider Data Sheet.

 

 

Live Forever Health is one of the first labs to measure hormones in saliva, and helped establish the method that made saliva hormone testing commercially viable for health care providers and patients around the globe.

 

 

Best Practices for Saliva Testing

Live Forever Health measures hormones from a single morning sample, which represents the peak of daily hormone production – the optimal time to measure.

 

 

Today’s Most Advanced Saliva Testing

 

 

Ranges Adjusted for Supplementation
Unlike other labs, patients do not need to stop hormone supplementation to use Live Forever Health’s testing because we have ranges adjusted for age, menstrual status and supplementation types. This is the ideal method for tracking the effectiveness of hormone treatments.

 

 

No Pooling
Live Forever Health does not pool patient samples, meaning that we don’t mix multiple daily samples together to get an average hormone level. Instead we measure hormones from a single morning sample, which represents the peak of daily hormone production – the optimal time to measure.

 

 

Extraction
Live Forever Health is the only lab to perform an extraction process for saliva testing, which separates hormones from background contamination. This is the only way to assure accurate test results for low-concentration hormones such as estradiol.

 

 

Setting Industry Standards
Live Forever Health initiated and manages the industry-wide standards program called the Saliva Proficiency Inter-laboratory Testing Program – which enables laboratories to regularly evaluate and improve saliva testing accuracy.

Dried Blood Test

 

BLOOD SPOT TESTING

 

Dried blood spot is a form of collection where patients place blood drops on a filter card after a finger prick with a lancet. Once dry, blood spot cards are extremely stable for shipment and storage, and the dried blood format offers excellent correlation with serum tests.

 

 

Why Measure in Blood Spot?

Blood spot is ideal for measuring hormones and other analytes such as insulin, blood lipids, Vitamin D, thyroid hormones, and elements like magnesium. It offers distinct advantages over serum because it eliminates the need for a blood draw – saving patients time and money.

 

Live Forever Health developed the science for accurately measuring hormones in dried blood spot and is currently one of the only labs to offer this method commercially.

 

 

No Needles, No Office Visit

Live Forever Health convenient blood spot collection eliminates blood draw needles, blood draw fees and the need to see a phlebotomist. Patients can collect their sample at home at the time that suits them. Research also shows that blood spot is more accurate than serum for measuring blood hormone levels in patients supplementing topically.

 

 

Unlike other labs, patients do not need to stop hormone supplementation to use Live Forever Health’s testing because we have ranges adjusted for age, menstrual status and supplementation types. This is the ideal method for tracking the effectiveness of hormone treatments.

Saliva + Blood

Saliva testing is a non-invasive collection method where patients collect their saliva in plastic tubes in order to measure hormones like cortisol, estrogens, progesterone, and androgens. This non-invasive saliva collection is ideal for patients because it allows them to collect their sample in the privacy of their home or office.

 

Dried blood spot is a form of collection where patients place blood drops on a filter card after a finger prick with a lancet. Once dry, blood spot cards are extremely stable for shipment and storage, and the dried blood format offers excellent correlation with serum tests.

 

Specialty Lab Panels:

Neurotransmitters

NEUROTRANSMITTERS

 

Learn if you’re in the 86% of Americans who have suboptimal neurotransmitter levels.

Neurotransmitters are chemical messengers used by the nervous system to relay information from one nerve to another.

 

Optimal neurotransmitter balance is required to maintain proper health. 

 

Imbalances can cause the brain and the body to be over- or under-stimulated, producing neurological or psychological symptoms.

 

An Unmatched Collection of Tests

 

Live Forever Health has determined that while parent neurotransmitters are helpful in assessing precursor availability, interpreting results based on those levels alone can result in undertreatment, treatment of the wrong part of the system, or overtreatment with direct precursors. It’s only by looking at the parent neurotransmitters with downstream metabolites that you can tell whether there is a systemic pattern.

 

Given the importance of these levels to correct interpretation of neurotransmitter results and subsequent treatment plans, Live Forever Health Laboratory includes a range of 14 neurotransmitters and metabolites in its testing. This essential collection of tests is available only from Live Forever Health – and not from any other lab.

 

How a Dysregulated Nervous System Impacts Health

Genetics, environment, chemicals and nutritional deficiencies are a few factors that can impact neurotransmitter production. Once out of balance, the nervous system begins to compensate – which, in time, can lead to neurological or psychological symptoms.

 

Some of the more common psychological conditions today are known to be accompanied by neurotransmitter imbalances. However, it’s also possible for individuals to present with similar symptoms yet have unique foundational imbalances. Testing helps clarify these root issues.

 

Common neurotransmitter-related causes of health issues often involve the following scenarios:

 

Anxiety & Depression

Neurotransmitter imbalances are often associated with anxiety and depression, specifically Glutamate (panic attacks), PEA, Histamine, Serotonin, as well as Epinephrine & Norepinephrine. Learn how Epinephrine & Norepinephrine affect chronic stress.

 

Chronic Fatigue

An imbalance between excitatory and inhibitory neurotransmitters can lead to persistent fatigue.

 

Impulsivity

GABA, Dopamine and Serotonin are three chemical messengers commonly linked to disorders like ADD, ADHD & OCD.

 

Insomnia

Imbalances in Glutamate, Histamine, Dopamine, GABA and Serotonin are often linked to sleep disturbances and insomnia.

 

PMS or PMDD

Imbalances in Serotonin, Dopamine, Norepinephrine and GABA are often involved in cases of PMDD (pre-menstrual dysphoric disorder) and severe PMS.

 

A Dynamic Duo: Testing Hormones with Neurotransmitters

In the neurological system, hormones are synergistic with neurotransmitters – modulating their production, signaling and metabolism. Because of this complex interplay, testing hormones and neurotransmitters together is an ideal way to generate a more precise clinical assessment.

 

This combined testing gives practitioners a diagnostic edge over the traditional psychological inventory and offers the advantage of zeroing in on which therapies are best suited for individual patients – cutting down on the time-consuming process of trial-and-error for identifying treatment options.

 

Testing Elements with Neurotransmitters

Heavy metals are damaging to brain health. They disrupt neurotransmitter function and create oxidative stress that is detrimental to nerve cells, contributing to mood disorders, poor memory and dementia. Identifying exposure to heavy metals may be key to assessing and treating mood disorders and preventing neurodegenerative diseases.

 

In contrast, nutritional elements are generally protective for brain health. Lithium acts directly on the brain by slowing the progression of dementia and stabilizing mood, while elements like iodine and selenium act indirectly by supporting healthy thyroid and brain function.

 

Most Complete Neurotransmitter Testing

Live Forever Health is the only lab to offer a 24-hour equivalent in four easy collections – resulting in a more accurate assessment of individual neurochemistry.

 

Most Convenient Method for Urine Testing

Live Forever Health’s dried urine method offers a discreet, at-home testing alternative and eliminates the hassles of all-day jug urine collection. Patients collect urine on a filter strip up to four times during the day. Dried strips are shelf-stable for 30 days and easy to mail back to the lab for analysis.

 

Neurotransmitters Testing

To restore the vital balance of neurotransmitters, we first need a detailed, accurate measurement of their levels. Not just numbers, but an assessment that offers real meaning.

 

Neurotransmitters Test Kit Includes:

Neurotransmitters Dried Urine: GABA, Glu, Gly, DA, Epi, NE, HIST, 5-HT, PEA, DOPAC, HVA, 5-HIAA, NMN, VMA, Trp, Kyn, 3-OHKyn, Tau, Gln, His, N-MeHist, Tyra, KynAc, Xanth, Tyr, Crtn

 

Neurotransmitters + Saliva Steroids Dried Urine: GABA, Glu, Gly, DA, Epi, NE, HIST, 5-HT, PEA, DOPAC, HVA, 5-HIAA, NMN, VMA, Trp, Kyn, 3-OHKyn, Tau, Gln, His, N-MeHist, Tyra, KynAc, Xanth, Tyr, Crtn Saliva: E2, Pg, T, DS, C

 

Neurotransmitters + Urine Diurnal Hormones (UDH) I Dried Urine: GABA, Glu, Gly, DA, Epi, NE, HIST, 5-HT, PEA, DOPAC, HVA, 5-HIAA, NMN, VMA, Trp, Kyn, 3-OHKyn, Tau, Gln, His, N-MeHist, Tyra, KynAc, Xanth, Tyr, Free Cortisol x 4, Free Cortisone x 4, Crtn

 

Neurotransmitters + UDH II Dried Urine: GABA, Glu, Gly, DA, Epi, NE, HIST, 5-HT, PEA, DOPAC, HVA, 5-HIAA, NMN, VMA, Trp, Kyn, 3-OHKyn, Tau, Gln, His, N-MeHist, Tyra, KynAc, Xanth, Tyr, Free Cortisol x 4, Free Cortisone x 4, Melatonin (MT6s) x 4, Crtn

 

Neurotransmitters + UDH III Dried Urine: GABA, Glu, Gly, DA, Epi, NE, HIST, 5-HT, PEA, DOPAC, HVA, 5-HIAA, NMN, VMA, Trp, Kyn, 3-OHKyn, Tau, Gln, His, N-MeHist, Tyra, KynAc, Xanth, Tyr, Free Cortisol x 4, Free Cortisone x 4, Melatonin (MT6s) x 4, NE x 4, Epi x 4, Crtn

Hormone Metabolites

 

URINE HORMONES & ESTROGEN METABOLITES

 

Hormones that don’t break down properly in the body can increase the risk for certain cancers – like breast cancer.

Urinary hormone metabolites testing provides a unique diagnostic view that no other hormone testing offers.

 

 

Because it assesses both parent hormones and their corresponding metabolites, it reveals how the body is breaking down key hormones like estrogens, progestogens, androgens, cortisol and melatonin.

 

 

This testing gives insight into whether we are fully detoxifying our hormones, which is important because some hormones can be carcinogenic if they don’t break down properly – leaving us more at risk for a variety of diseases, like cancer.

 

 

Why the Focus on Estrogen Metabolism?

A growing conversation in the medical community centers on estrogen metabolism and the risk for hormone-driven cancers. With every published study, there is increasing evidence that the amount of estrogen we make and how our bodies process (metabolize) this estrogen has significant implications for cancer risk. In women, this is breast cancer. In men, it’s prostate cancer.

 

 

Measuring hormone levels, as well as the resulting by-products (metabolites) is a simple, non-invasive way to better understand our risks.

 

 

When is it a good idea to consider urinary hormone metabolite testing? In cases where someone has:

  • Family history of hormone-dependent cancers – like breast or prostate cancer
  • Normal saliva cortisol levels but still experiencing symptoms of adrenal dysfunction
  • Symptoms of hormonal imbalance such as weight gain and insomnia
  • Symptoms of PCOS, such as acne and excess facial hair
  • Symptoms of menopause and ready to begin hormone replacement therapy
  • Symptoms of estrogen dominance while on physiological replacement dosages of therapy
 

Most Complete Urine Hormone Testing

While other labs offer similar testing, Live Forever Health’s urine hormone testing is the most complete available.

 

More Tests:
With 44 unique markers, Live Forever Health’s urine hormone profiles are more comprehensive than any other lab’s.

 

More Estrogens:
Live Forever Health assesses a total of 13 estrogens, including 2-Methoxy and 2-Hydroxy, 4-Hydroxy and 4-Methoxy and 16a-Hydroxy estrogens. We test more 4-Hydroxy metabolites than any other lab.

 

More Androgens:
Live Forever Health assesses a total of 8 androgens, which is more than most labs offer.

 

BPA:
Live Forever Health is one of few labs to include an assessment of BPA in its urine hormone testing.

 

Diurnal Cortisol:
Live Forever Health provides diurnal patterns for both cortisol and cortisone, which help get to the root of stress-related issues. It’s also ideal for those unable to collect a saliva sample for diurnal cortisol.

 

Diurnal Melatonin:
Diurnal Melatonin: Live Forever Health is the only lab to include a diurnal pattern for melatonin, which helps evaluate sleep-related issues.

 

Most Convenient Method for Urine Testing

Live Forever Health’s dried urine method offers a discreet, at-home testing alternative and eliminates the hassles of all-day jug urine collection. Patients collect urine on a filter strip at four time points during the day. Dried strips are shelf-stable for 30 days and easy to mail back to the lab for analysis.

 

Urine Metabolites Testing

To restore the vital balance of hormones, we first need a detailed, accurate measurement of hormone levels. Not just numbers, but an assessment that offers real meaning.

 

Urine Metabolites Test Kit Includes:

Estrogen Essential Profile – Dried Urine: Estrogens (13), Crtn, Androgens (8), Glucocorticoids (4), Crtn

 

Sex Steroid Metabolites – Dried Urine: Estrogens (13), Progestogens (7), Androgens (8), Glucocorticoids (4), Crtn

 

Sex Steroid Metabolites + UDH II – Dried Urine: Estrogens (13), Progestogens (7), Androgens (8), Glucocorticoids (4), Free Cortisol x 4, Free Cortisone x 4, Melatonin (MT6s) x 4, Crtn

 

Blood Spots

BLOOD SPOT TESTING

 

Dried blood spot is a form of collection where patients place blood drops on a filter card after a finger prick with a lancet. Once dry, blood spot cards are extremely stable for shipment and storage, and the dried blood format offers excellent correlation with serum tests.

 

 

Why Measure in Blood Spot?

Blood spot is ideal for measuring hormones and other analytes such as insulin, blood lipids, Vitamin D, thyroid hormones, and elements like magnesium. It offers distinct advantages over serum because it eliminates the need for a blood draw – saving patients time and money.

 

Live Forever Health developed the science for accurately measuring hormones in dried blood spot and is currently one of the only labs to offer this method commercially.

 

 

No Needles, No Office Visit

Live Forever Health convenient blood spot collection eliminates blood draw needles, blood draw fees and the need to see a phlebotomist. Patients can collect their sample at home at the time that suits them. Research also shows that blood spot is more accurate than serum for measuring blood hormone levels in patients supplementing topically.

 

 

Unlike other labs, patients do not need to stop hormone supplementation to use Live Forever Health’s testing because we have ranges adjusted for age, menstrual status and supplementation types. This is the ideal method for tracking the effectiveness of hormone treatments.

Dried Urine

DRIED URINE TESTING

 

Dried urine is a form of collection where patients saturate a filter card with a urine sample. Once dry, urine cards are extremely stable for shipment and storage, and this method eliminates the need for jug urine collection.

 

Why measure in urine? Urine testing is the best way to measure adrenal and sex steroid hormone by-products and their respective metabolic pathways, providing a gauge for understanding the body’s hormone metabolism. Urine testing is also the preferred method for testing elements like iodine and heavy metals like arsenic and cadmium. Additionally, it’s the most common method for testing neurotransmitters.

 

Accurately measuring hormones in dried urine is another scientific first pioneered by Live Forever Health.

 

 

Most Convenient Collection

Live Forever Health’s discreet dried urine collection eliminates the hassles – and embarrassment – of jug urine collection.

 

Easiest Method for Urine Testing

Live Forever Health’s dried urine method offers a discreet, at-home testing alternative and eliminates the hassles of all-day jug urine collection. Patients collect urine on a filter strip up to four times during the day. Dried strips are shelf-stable for 30 days and easy to mail back to the lab for analysis.

 

Unlike other labs, patients do not need to stop hormone supplementation to use Live Forever Health’s testing because we have ranges adjusted for age, menstrual status and supplementation types. This is the ideal method for tracking the effectiveness of hormone treatments.

Additional Add-On Test