Organic Acid Test – Reimagined MD

Organic Acid Test

Organic acids are metabolic intermediates that are produced in pathways of central energy production, detoxification, neurotransmitter breakdown, or intestinal microbial activity. Marked accumulation of specific organic acids detected in urine often signals a metabolic inhibition or block. The metabolic block may be due to a nutrient deficiency, an inherited enzyme deficit, toxic build-up or drug effect. Several of the biomarkers are markers of intestinal bacterial or yeast overgrowth.

The Organix® Comprehensive nutritional test profile provides vital patient information from a single urine specimen. This organic acids nutritional test is valuable for determining:

  • Functional vitamin and mineral status
  • Amino acid insufficiencies like carnitine and NAC
  • Oxidative damage and antioxidant need
  • Phase I & Phase II detoxification capacity
  • Functional B-complex vitamin need
  • Neurotransmitter metabolites
  • Mitochondrial energy production
  • Methylation sufficiency
  • Lipoic acid and CoQ10 status
  • Markers for bacterial and yeast overgrowth

Here’s a list of the most commonly asked questions regarding the lab test kit.

Please do not stop any of your medications before collecting your sample unless we have specifically told you to do so. If you have specific concerns, please contact our office..

Step 1: Write your first and last name, date of birth, gender and date of collection on the Test Requisition Form (located in the pouch on top of the Specimen Collection Kit Box), as well as on the clear-cap plastic vial, using a permanent marker. To ensure accurate test results you must provide all the requested information.

Step 2: Empty bladder before going to bed at night. Do not collect this urine.

Step 3: Collect urine (if any) during the night and first morning urine into a clean container.

Step 4: Pipette urine, using a fresh disposable pipette, into the clear-cap plastic vial to the 12 ml mark (DO NOT OVERFILL). Screw the cap on tightly.

Step 5: Dispose of remaining urine.

Step 6: Freeze the clear-cap plastic vial and ice pack.

Step 1: Place the frozen urine specimen, frozen ice pack, and absorbent pad into the biohazard bag.

Step 2: Staple payment to the bottom right-hand corner of the completed Test Requisition Form and complete the Personal Health Assessment Form; Fold and place them in the side pocket of the biohazard bag.

Step 3. Seal the biohazard bag, place it into the specimen collection kit box, and close the box

Genova Diagnostics has partnered with Federal Express for all domestic shipments of their specimen collection packs. Please send specimens via FedEx® (for domestic customers) using the shipping bag and billable stamp (airbill) provided with the test specimen collection pack (unless otherwise specified on the test instructions). To schedule a pickup call 1-800-GO-FEDEX (1-800-463-3339) or visit their website at  Other lab companies will give you specific directions, as well.

Reimagined MD does not accept insurance.  Some companies like Genova Diagnostics accept all commercial insurance plans. You will need to check with your insurance provider to see if the test would be covered by your specific plan.

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