At Home Lab Tests

SEE WHAT YOUR GUT IS ACTUALLY DOING

Your gut is the foundation of your energy, mood, immunity, hormones, and metabolism, and most of what drives symptoms there stays invisible until you measure it. Most testing measures one door. This measures three at once: the foods your immune system is reacting to, how leaky your gut barrier actually is, and the bacteria in your mouth, which you swallow down into your gut all day long and which almost nobody thinks to check. Hormone, thyroid, and metabolic markers layer on when you are ready. At home kits ship to your door, blood panels are drawn near you, each with an optional educational results review from Jess. United States only.

This is how you stay healthy and live a healthy long life.

Most are collected at home with a simple finger prick, saliva swab, dried urine, or stool sample. A few blood panels need a quick draw, either at a site near you or with a mobile phlebotomist who comes to you.

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Test, Do Not Guess

WHAT THESE TESTS REVEAL

Your gut lining is one cell thick. Tight junction proteins control what passes through: occludin seals the gaps, zonulin opens them. When those junctions loosen, bacterial toxins, undigested food, and waste leak into the bloodstream and set off chronic low-grade inflammation that shows up as fatigue, brain fog, breakouts, joint pain, mood swings, anxiety, and low mood, symptoms that almost never point straight at the gut.

Food sensitivities keep the lining irritated and prevent it from healing. Your mouth plays a role too: periodontal bacteria can travel to the gut and break down the same barrier from the other direction, and candida overgrowth damages the lining directly. Testing maps all three doors, your food triggers, your gut microbiome, and your oral bacteria, so you fix the right things in the right order instead of guessing for months.

This is also why we start with the gut. The hormone, thyroid, and metabolic systems sit downstream of it, and when the barrier calms and the inflammation driving it settles, those systems tend to follow. Many people watch their hormone markers move in a better direction as their gut heals, without ever targeting hormones directly. So the order here is deliberate: settle the gut first, then retest your hormone, thyroid, and metabolic panels to measure the shift instead of chasing each symptom on its own.

What Jess recommends

Round 1, start here

Begin with the gut anchor, the KBMO FIT 176 + Gut Barrier Panel and the Oral Microbiome Profile, which covers your food triggers, your gut barrier, and the bacteria in your mouth in one pass. At the same time, set a cheap baseline of a few foundational blood markers so you can watch them improve as your gut heals: vitamin D3, B12 and folate, an iron panel, A1c, hs-CRP, and a CBC. Add a cortisol level if stress, sleep, or fatigue is part of your picture. The blood markers all share one draw fee, so doing them together is the smart way to set your starting line.

A note on vitamin D3: it is really a hormone, not just a vitamin, and almost everyone runs low. If you already take a D3 supplement, test it now and then so you know you are actually in range and not overshooting.

Always start with the FIT 176, it sees the most. But if money is tight, you can step down: the FIT 132 still reads a deep slate of foods, the FIT 22 covers the usual suspects, and at the bare minimum the Gut Barrier Panel on its own still tells you whether your gut lining is leaking. Any of them gets you moving, and you can always widen the net later.

The Round 1 set

Food Sensitivity & GutFIT 176 + Gut Barrier PanelKBMO DiagnosticsFinger prickThe most comprehensive food sensitivity panel offered here, measuring IgG and complement mediated reactivity across 176 foods and additives alongside markers of gut barrier function. The widest view of which everyday foods may be provoking inflammation.
$468
Oral HealthOral Microbiome ProfileUS BioTekSaliva swabA profile of the bacterial ecosystem in your mouth, the entry point to the entire digestive tract. Valuable context for gum health, breath, and the well documented connection between the oral and gut microbiomes.
$153
Iron & NutrientsCardio IQ Vitamin D, 25-HydroxyQuest DiagnosticsBlood drawYour vitamin D3 status by way of 25-hydroxy D, the storage form. D3 is really a hormone, not just a vitamin, and it is foundational for immunity, mood, and bone health. Most people run low, and if you supplement D3 you will want to retest every few months to keep it in range.
$34
Iron & NutrientsVitamin B12 (Cobalamin) and Folate Panel, SerumQuest DiagnosticsBlood drawSerum B12 and folate, two nutrients central to energy, nerve function, and red blood cell production, measured together for context.
$23
Iron & NutrientsIron, TIBC and Ferritin PanelQuest DiagnosticsBlood drawIron, total iron binding capacity, and ferritin together, the full picture of your iron status and stores rather than a single value in isolation.
$22
Blood & MetabolicHemoglobin A1cQuest DiagnosticsBlood drawYour average blood sugar over the past three months in a single number, the standard marker for tracking metabolic and blood sugar trends.
$15
CardiovascularCardio IQ hs-CRPQuest DiagnosticsBlood drawHigh-sensitivity C-reactive protein, a sensitive marker of low-grade systemic inflammation widely used in cardiovascular risk assessment.
$21
Blood & MetabolicCBC (includes Differential and Platelets)Quest DiagnosticsBlood drawA complete blood count with differential and platelets, the foundational panel that reads your red cells, white cells, and clotting status in one draw.
$13

The blood markers all share one draw fee, so running them together is the cheapest way to set your baseline.

Round 1, detox support

It matters to move the heavy metals and accumulated junk out of the body, because that quiet load keeps the gut irritated and slows healing. So while the lining settles, Jess runs a round of the Results RNA Ultimate Body Detox, the intra-oral spray set he uses himself to gently clear it, alongside the binders and antioxidant support below. These are not part of the lab order, they are separate items Jess uses himself while the gut settles.

Then let the labs steer the next move. If your FIT and Gut Barrier results point to candida, or to a barrier leaky enough to let LPS slip through and drive inflammation, that is the signal to run the and starve the overgrowth from the diet side. Either way, pair it with the to rebuild the barrier as the inflammation settles, so the lining closes back up instead of staying leaky.

What Jess uses for detox

Tools Jess uses himself, shared for education, not medical advice. Talk to your own provider before starting anything.

Round 2, go deeper

If you are still not where you want to be after a few months, add the GI-MAP, a DNA stool map of exactly what is living inside your gut: candida, parasites, and dysbiosis. It targets what the basics did not resolve.

Gut HealthGI-MAP (GI Microbial Assay Plus)Diagnostic Solutions LaboratoryStool sampleA comprehensive DNA based stool analysis quantifying bacteria, yeast such as candida, parasites, and key markers of digestion, inflammation, and immune response. The flagship microbiome map and a cornerstone of any gut or candida workup.
$347

Retest as you heal

As the gut settles, this is where you see the payoff. The retest set keeps it lean and affordable: the FIT 22 in place of the wider 176, the Oral Microbiome Profile, and your Round 1 blood markers, so you can see how far you have come without repeating the biggest panels. When you are ready, add a fuller hormone, thyroid, and metabolic read too: the DUTCH panels for a complete hormone and cortisol picture, or targeted Quest panels for thyroid and sex hormones.

Food Sensitivity & GutFIT 22 + Gut Barrier PanelKBMO DiagnosticsFinger prickA focused panel covering 22 of the most commonly reactive foods plus markers of gut barrier function. An accessible entry into food sensitivity testing without losing the barrier insight.
$216
Oral HealthOral Microbiome ProfileUS BioTekSaliva swabA profile of the bacterial ecosystem in your mouth, the entry point to the entire digestive tract. Valuable context for gum health, breath, and the well documented connection between the oral and gut microbiomes.
$153
Iron & NutrientsCardio IQ Vitamin D, 25-HydroxyQuest DiagnosticsBlood drawYour vitamin D3 status by way of 25-hydroxy D, the storage form. D3 is really a hormone, not just a vitamin, and it is foundational for immunity, mood, and bone health. Most people run low, and if you supplement D3 you will want to retest every few months to keep it in range.
$34
Iron & NutrientsVitamin B12 (Cobalamin) and Folate Panel, SerumQuest DiagnosticsBlood drawSerum B12 and folate, two nutrients central to energy, nerve function, and red blood cell production, measured together for context.
$23
Iron & NutrientsIron, TIBC and Ferritin PanelQuest DiagnosticsBlood drawIron, total iron binding capacity, and ferritin together, the full picture of your iron status and stores rather than a single value in isolation.
$22
Blood & MetabolicHemoglobin A1cQuest DiagnosticsBlood drawYour average blood sugar over the past three months in a single number, the standard marker for tracking metabolic and blood sugar trends.
$15
CardiovascularCardio IQ hs-CRPQuest DiagnosticsBlood drawHigh-sensitivity C-reactive protein, a sensitive marker of low-grade systemic inflammation widely used in cardiovascular risk assessment.
$21
Blood & MetabolicCBC (includes Differential and Platelets)Quest DiagnosticsBlood drawA complete blood count with differential and platelets, the foundational panel that reads your red cells, white cells, and clotting status in one draw.
$13

The Science

Diseases these mouth microbes show up in

One row per condition, one circle per organism a study actually measured in it. Every circle is a link to that study on PubMed.

Diseases these mouth microbes show up in

Every circle is a link. Tap one to open the study on PubMed.

Alzheimer'sAaPgTdTfFnPiCrHs
Heart DiseaseAaPgTdTfFnPiCv
Heart Valve InfectionSsEc
High Blood PressurePgTdTf
DiabetesAaPgTdTf
Rheumatoid ArthritisAaPg
Multiple SclerosisPgEb
Kidney DiseasePgTdTf
Liver DiseasePgTdTfFn
Colorectal CancerFnFa
Pancreatic CancerAaPg
Esophageal CancerTfFa
Stomach CancerEb
Lung CancerPgTdTf
Bowel DiseasePgTdTf
Birth ComplicationsAaPgTdTfFnPi
Lung InfectionPgTdTfPa
Eye DiseasePg
Erectile DysfunctionPgTdTf
Implant FailurePa
Candida OvergrowthCaPg

The organisms

AaAggregatibacter actinomycetemcomitansx7
PgPorphyromonas gingivalisx17
TdTreponema denticolax11
TfTannerella forsythiax13
FnFusobacterium nucleatumx5
FaFusobacterium animalisx2
PiPrevotella intermediax4
CrCampylobacter rectusx1
EcEikenella corrodensx1
SmStreptococcus mutansx1
SsStreptococcus, oral speciesx1
CaCandida albicansx1
PaPseudomonas aeruginosax2
CvCytomegalovirus (CMV)x1
HsHerpes simplex virus 1 (HSV-1)x1
EbEpstein-Barr virus (EBV)x2

Some studies measured a panel of periodontal organisms rather than a single species. In those rows, every organism the panel covered gets a circle pointing at that study.

How endotoxin travels from your gut to everything else

LPS is a piece of the outer wall of certain gut bacteria. Follow it in four steps, from what raises it in your gut to the conditions researchers have measured it alongside. Four of those steps are exactly what the Gut Barrier Panel reads.

The endotoxin chain

One molecule, four steps. Every card links to the study it came from on PubMed.

1What raises the load

Lipopolysaccharide, LPS, is a piece of the outer wall of certain gut bacteria. These push how much of it is sitting in your gut.

2The barrier opens

Zonulin loosens the tight junctions holding your gut lining shut, and the wall stops being selective about what crosses.

Read the zonulin paper
3It crosses into your blood

A low grade, constant dose of bacterial endotoxin in circulation. Researchers named it metabolic endotoxemia, and it drives inflammation from the inside of the bloodstream out.

4Where it has been measured

Each one is a study that found circulating endotoxin tracking with the condition. Tap any card to read it.

A Gut Barrier Panel measures four steps of this chain directly: Candida, Zonulin, Occludin, and antibodies to LPS. This chart maps published associations. It is not a diagnosis and it does not predict what will happen to any one person.

Your gut barrier and what breaks it

The lining of your small intestine is only one cell thick, and proteins called tight junctions act as the seals between those cells. Occludin is one of those seals. Another protein, zonulin, can pull the junctions open. When they loosen (increased intestinal permeability), partly digested food, bacterial waste, and toxins start slipping through and setting off the immune system [1][2][3].

One of the most studied things that slips through is LPS (lipopolysaccharide), a toxin shed by certain gut bacteria. Even tiny amounts in the blood, called metabolic endotoxemia, are enough to drive chronic inflammation [4][5]. Higher LPS levels turn up across obesity, type 2 diabetes, fatty liver, and heart disease, which is why more research now points to the gut barrier as an upstream cause of inflammation rather than a side effect [4][5][6].

Your mouth seeds your gut (and why candida stalls)

Every time you swallow, you send a dose of your mouth straight down into your gut. All day, every day. That is not a metaphor, it is plumbing, and researchers who sequenced the same people's mouths and stools found oral bacteria routinely making the trip and taking up residence further down, far more so when disease is present [28]. Which means your mouth is not a separate system that happens to sit above your gut. It is the front door, and whatever is living behind it gets delivered.

So it works in both directions. A healthy mouth quietly seeds a healthy gut every day for no effort at all, which is why cleaning up your mouth is one of the cheapest upstream moves available to you. An inflamed one does the opposite. Your mouth has a barrier too, and with gum disease its bacteria and their toxins also get into the bloodstream. The worst of them, led by Porphyromonas gingivalis, does not stay put: it disrupts the gut itself, lowering tight junction proteins and driving the same endotoxemia [11][12][13]. P. gingivalis has also been found in clogged arteries and in more than 90 percent of Alzheimer's brains [21][22].

Candida makes it worse, and the two of them work together. Candida damages the intestinal lining directly with its toxin candidalysin [15], and up in the mouth it partners with P. gingivalis, building shared biofilms that hide the bacteria from your immune system and from your antifungals [14]. That is a genuine alliance, not two problems sitting side by side: the yeast gives the bacteria cover, the bacteria pry the barrier open, and together they hold it open. It is a big reason candida is so hard to shake, and why a damaged gut struggles to heal while the mouth is still inflamed.

This is the piece almost nobody checks. If you have done the gut work, held the diet for months, and your candida still will not go down, an inflamed mouth quietly re-seeding it from above is one of the first hidden reasons to rule out. That is exactly what the Oral Microbiome Profile screens for, and it is why it sits in Round 1 rather than in a list of extras.

Permeability, inflammation, and autoimmunity

If you are genetically prone to it, a leaky barrier is a recognized part of how autoimmune disease gets going. When undigested proteins, bacterial fragments, and toxins reach the bloodstream, the immune system can begin attacking its own tissue [3][7]. This is the work of Dr. Alessio Fasano, who discovered zonulin and showed how it acts as a doorway to inflammation and autoimmunity. Increased permeability has been documented in IBS, inflammatory bowel disease, and type 1 diabetes [10].

The gut-brain axis (anxiety, low mood, and depression)

Your gut and your brain are in constant two-way conversation: along the vagus nerve, through the immune system, and through the chemicals your gut bacteria make. That link has a name, the microbiota-gut-brain axis, and it is one of the most active areas in neuroscience right now [23][24].

The leaky barrier from the sections above is part of the story. When LPS and bacterial fragments cross into the bloodstream, the inflammation that follows does not stop at the gut wall. Researchers measuring immune responses to gut bacteria in people with major depression found the markers of a leaky barrier elevated, and proposed that translocation as part of the inflammatory picture of depression [25].

The most striking work runs the other direction. When gut bacteria from people with depression were transferred into animals raised germ-free, those animals took on depression-like behavior and shifts in metabolism that animals given healthy-donor bacteria did not [26][27]. That is not a claim that bacteria cause depression in a person, and nobody is making it. It means the gut is not a bystander in mood, and it is one of the few upstream variables you can actually measure and act on.

So this is a variable, a real one, and almost nobody checks it. Anxiety and depression are serious and they deserve real care from a licensed mental health professional. Nothing here replaces that, and a lab panel is not a diagnosis. But if you have been working on your mind for years and have never once looked at your gut, this is the door nobody opened.

Food sensitivities and why testing beats guessing

If you keep eating foods your immune system reacts to, the gut lining stays inflamed, feeding permeability and preventing healing [8][9]. Normally, finding your triggers means a long elimination diet: cutting out whole food groups and slowly reintroducing them. Testing skips most of that. You find out exactly which foods are the problem and just avoid those. The one exception is candida: if you have an overgrowth, you still need to avoid the foods that feed it while you bring it back into balance, regardless of your sensitivity results.

Signs you can check right now

Healthy gums do not bleed, ever. If yours bleed when you floss or brush, that is inflammation and one of the earliest signs of gum disease [16]. A thick white coating on your tongue can point to oral candida [17]. Three or more yeast infections in a year is candida about nine times out of ten [18]. Researchers are also taking candida's link to cancer seriously: it produces carcinogenic compounds like acetaldehyde, with the strongest evidence tying it to oral cancer [19][20].

What each test measures

The KBMO FIT panels (22, 132, or 176 foods), each paired with a Gut Barrier Panel, measure your immune reactivity to specific foods and additives plus how leaky the lining is. The GI-MAP is a DNA-based stool test that maps bacteria, yeast, parasites, and markers of digestion, inflammation, and immune activity, with optional add-ons for zonulin and StoolOMX. The Oral Microbiome Profile maps the bacteria in your mouth, including the periodontal pathogens. Three doors: your food, your gut, and your mouth.

What happened when Jess ran the Oral Microbiome Profile twice

Jess ran this exact profile on himself and it came back carrying red complex and orange complex, which is what most people's comes back carrying. He had no symptoms either time he tested, and his dentist had never mentioned it. It took a saliva sample to see it.

He ran one routine daily with no antibiotics: two oral probiotics (ProBiora and BLIS K12 and M18), a sonic toothbrush, a water flosser, nano hydroxyapatite toothpaste, and the rinses. On the retest the red complex was below the limit of detection and the remaining orange complex organism had dropped to a small fraction of where it started, well inside the healthy range.

The detail that made the difference: the zinc rinse went in the water flosser reservoir with warm water. A swished rinse touches the tooth surface, but the red complex lives down in the gum pocket where swishing never reaches. A water flosser drives the same solution under pressure straight into that pocket. Same products most people already own, completely different delivery.

Run it in three phases. Kill: zinc rinse in the reservoir while there is an active infection. Confirm: retest at around ninety days, because the test tells you when you are done, not the calendar. Repopulate: zinc out, gentle rinses only, probiotics at night after brushing so they settle on a clean surface and colonize. Clearing the red complex takes your good bacteria down with it, which is exactly what should happen, and exactly why phase three is not optional.

Two things belong in a good biological dentist's chair. Get your gum pockets measured by a good biological dentist, because the number decides the procedure: 1 to 3 mm gets gingival treatment, 4 mm and greater needs scaling and root planing, and complete biofilm disruption is the point of both. And start the protocol at least a day before that cleaning, not after, because the hours following a scaling are the most open window your mouth will have. One more thing nobody mentions: these organisms pass between people who share saliva, so if your result is positive, have your partner test and run it alongside you.

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The Science

EVERY CLAIM ON THIS PAGE, SOURCED

  1. Chelakkot C, Ghim J, Ryu SH. Mechanisms regulating intestinal barrier integrity and its pathological implications. Exp Mol Med. 2018. nature.com
  2. Al-Sadi R, et al. Occludin regulates macromolecule flux across the intestinal epithelial tight junction barrier. Am J Physiol Gastrointest Liver Physiol. 2011. PMC3119114
  3. Fasano A. Zonulin and its regulation of intestinal barrier function: the biological door to inflammation, autoimmunity, and cancer. Physiol Rev. 2011. physiology.org
  4. Page MJ, Kell DB, Pretorius E. The role of lipopolysaccharide-induced cell signalling in chronic inflammation. 2022. sagepub.com
  5. Influence of a high-fat diet on gut microbiota, intestinal permeability and metabolic endotoxaemia. 2012. PubMed 22717075
  6. Endotoxemia of metabolic syndrome: a pivotal mediator of meta-inflammation. PubMed 25162769
  7. Fasano A. Leaky gut and autoimmune diseases. Clin Rev Allergy Immunol. 2012. springer.com
  8. Associations between food-specific IgG antibodies and intestinal permeability biomarkers. Front Nutr. 2022. frontiersin.org
  9. Food-specific IgGs are highly increased in the sera of patients with inflammatory bowel disease and are clinically relevant to the pathogenesis. 2018. PMC6207831
  10. Camilleri M. Leaky gut syndrome: myths and management. Gastroenterol Hepatol (NY). 2024. PMC11345991
  11. Socransky SS, Haffajee AD, et al. Microbial complexes in subgingival plaque. J Clin Periodontol. 1998. Wiley
  12. Oral administration of P. gingivalis induces dysbiosis of gut microbiota and impaired barrier function. PLoS One. 2015. PMC4517782
  13. Can oral bacteria affect the microbiome of the gut? J Oral Microbiol. 2019. tandfonline.com
  14. Adhesive protein-mediated cross-talk between Candida albicans and Porphyromonas gingivalis in dual-species biofilm. Sci Rep. 2019. nature.com
  15. Candida albicans-induced epithelial damage mediates translocation through intestinal barriers. 2018. PMC5989070
  16. Gum (periodontal) disease: causes, symptoms and treatment. Cleveland Clinic. clevelandclinic.org
  17. Candida infection: thrush. Cedars-Sinai. cedars-sinai.org
  18. A comprehensive overview of Candida albicans as the leading pathogen in vulvovaginal candidiasis. PMC12471164
  19. Is Candida albicans a contributor to cancer? A critical review based on the current evidence. 2023. PubMed 37028206
  20. Fermentative 2-carbon metabolism produces carcinogenic levels of acetaldehyde in Candida albicans. 2013. PubMed 23445445
  21. Dominy SS, et al. Porphyromonas gingivalis in Alzheimer's disease brains: evidence for disease causation and treatment with small-molecule inhibitors. Sci Adv. 2019. science.org
  22. Porphyromonas gingivalis: a potential trigger of neurodegenerative and cardiovascular disease. Front Immunol. 2025. frontiersin.org
  23. Cryan JF, O'Riordan KJ, Cowan CSM, et al. The microbiota-gut-brain axis. Physiol Rev. 2019. PubMed 31460832
  24. Foster JA, McVey Neufeld KA. Gut-brain axis: how the microbiome influences anxiety and depression. Trends Neurosci. 2013. PubMed 23384445
  25. Maes M, Kubera M, Leunis JC. The gut-brain barrier in major depression: intestinal mucosal dysfunction with an increased translocation of LPS from gram negative enterobacteria (leaky gut) plays a role in the inflammatory pathophysiology of depression. Neuro Endocrinol Lett. 2008. PubMed 18283240
  26. Kelly JR, Borre Y, O'Brien C, et al. Transferring the blues: depression-associated gut microbiota induces neurobehavioural changes in the rat. J Psychiatr Res. 2016. PubMed 27491067
  27. Zheng P, Zeng B, Zhou C, et al. Gut microbiome remodeling induces depressive-like behaviors through a pathway mediated by the host's metabolism. Mol Psychiatry. 2016. PubMed 27067014
  28. Schmidt TS, Hayward MR, Coelho LP, et al. Extensive transmission of microbes along the gastrointestinal tract. eLife. 2019. PubMed 30747106

These references support the educational mechanisms described above. They are not claims that any test diagnoses, treats, or cures disease.

How It Works

FROM ORDER TO ANSWERS

01
Choose and check out
Pick your labs, add an optional results review, and pay through secure checkout.
02
Jess places the order
Jess orders your test through the lab network and the kit ships to your door.
03
Collect or get drawn
Take your sample at home and mail it back in the prepaid packaging, or for a blood panel, visit a draw site or have a mobile phlebotomist come to you.
04
Results and review
Your results come back, with the educational review you selected if you added one.

Order Your Labs

BUILD YOUR LAB ORDER

Choose your labs, pick a shipping speed and an optional results review, and complete your details. Every fee is shown before you pay, and the test itself is passed through at our cost with no markup. We add a flat order handling fee for placing and managing your order, plus your optional review.

Live in NY, NJ, RI, or HI?

Those states require a treating provider to order lab tests, so our lab network cannot place an order there, kits and blood draws included. It is where you live that matters, not where you order from. You still have two clean paths.

1. Order through your own provider. A good functional medicine doctor, or an in-state telehealth provider, can order these same panels. Reach out and Jess will tell you exactly which tests to request so you are not guessing.

2. Already have results? Jess can still review them. However you get your labs, get his educational, root-cause read of your markers: , or . The review is education, not diagnosis, so it is available in every state.

1. Choose Your Labs

Pick one or more. Prices shown are the lab plus its pass-through fees. Shipping or a blood draw, a flat order handling fee, your optional review, and tax are added below. United States only.

Looking for a lab that is not listed here? Message Jess and he will see what he can do for you.

3. Results Review With Jess

An educational wellness review of your markers with lifestyle and nutrition context. Not a diagnosis or medical advice.

4. Who The Test Is For

The lab requires the legal name, date of birth, and gender of the person being tested, used for accurate reference ranges. Your sensitive details are encrypted, sent privately to Jess to place your order, and never stored in your browser.

5. Your Address

United States addresses only. At home kits are mailed here, and this is the address tied to your order for any blood draw requisition. We cannot place lab orders, kits or blood draws, for residents of New York, New Jersey, Rhode Island, or Hawaii, where state law requires a treating provider to order the test.

Select a lab above to see your itemized total.

Before You Order

LAB TESTING QUESTIONS

How does ordering a lab here work?

You choose your labs and complete the intake here, then pay through our secure checkout. Jess places the order with the lab. For at home tests the kit ships directly to your address, where you collect your sample with a finger prick, saliva swab, dried urine, or stool sample and mail it back in the prepaid packaging. For blood panels you get a requisition and have your blood drawn at a site near you or by a mobile phlebotomist who comes to you. Either way, your results come back through Jess, along with any review you selected.

Do I need my own functional medicine doctor to order?

No. A licensed physician in the lab ordering network authorizes the requisition, which is what the lab authorization fee covers. You do not need to bring your own provider.

Who can order, and where do you ship?

Lab testing is available to adults 18 and older with a United States shipping address only, except residents of New York, New Jersey, Rhode Island, and Hawaii. Those states require a treating provider to order lab tests, so the lab network cannot place an order there, and because that rule is tied to where you live it applies to blood draws too, not just shipped kits. The labs accept United States samples only, so we cannot ship kits internationally.

Why is shipping charged per lab?

Each at home lab is fulfilled by its own provider (KBMO Diagnostics, US BioTek, Diagnostic Solutions Laboratory, and Precision Analytical), so each kit ships separately and carries its own shipping. Blood panels through Quest Diagnostics do not ship a kit, they use an electronic requisition, so they carry no shipping fee, only the one time blood draw fee for your whole order.

How do the blood draw tests work?

Some panels, like the Quest Diagnostics blood tests, need a small blood sample that a phlebotomist has to draw, so they are not collected at home. You can either walk in to a partner draw site near you with your requisition, or choose a mobile draw where a phlebotomist comes to your home or work. One flat draw fee covers every blood test in your order, no matter how many you choose, and there is no kit to ship or mail back.

What is the results review?

It is an educational wellness review of your markers with lifestyle and nutrition context, plus questions to bring to a good functional medicine doctor. Both options are one flat fee for your whole order: the written review is a single write-up covering every lab you ordered, and the live walkthrough is a single 30 minute call covering all of your results. It is educational support, not a medical diagnosis or treatment.

Are lab orders refundable?

Once an order is placed with the lab it cannot be refunded, because the test is a hard cost the moment it is ordered. Please choose carefully before checking out.

Do you mark up the lab tests?

No. We never mark up the test itself, you pay the lab's own cost. On top of that we add one flat lab order handling fee for placing and managing your order, the lab's own pass-through fees and shipping, an optional results review only if you choose one, and a small card-processing line. Every one of these is itemized before you pay.

How is my information handled?

Your intake, including date of birth and address, is encrypted, sent only to Jess so the order can be placed, and is never stored in your browser. Sensitive details are deliberately kept out of the payment processor, and if you choose to save your details to your account they are encrypted there too. See the privacy policy for more.

Lab testing and any results review offered here are for educational and wellness purposes and are not medical diagnosis, treatment, or a substitute for care from a licensed physician. Testing is available to United States residents 18 and older only. Read the full disclaimer.