Organic Acids Test (Includes Candida Fungus)
The Organic Acids Test (OAT) offers a comprehensive metabolic snapshot of a patient’s overall health with 76 markers. It provides an accurate evaluation of intestinal yeast and bacteria. Abnormally high levels of these microorganisms can cause or worsen behavior disorders, hyperactivity, movement disorders, fatigue and immune function. Many people with chronic illnesses and neurological disorders often excrete several abnormal organic acids in their urine. The cause of these high levels could include oral antibiotic use, high sugar diets, immune deficiencies, acquired infections, as well as genetic factors.
Our Organic Acids Test also includes markers for vitamin and mineral levels, oxidative stress, neurotransmitter levels, and is the only OAT to include markers for oxalates, which are highly correlated with many chronic illnesses.
Organic acids are chemical compounds excreted in the urine of mammals that are products of metabolism. Metabolism is the sum of chemical reactions in living beings by which the body builds new molecules and breaks down molecules to eliminate waste products and produce energy. Organic acids are organic compounds that are acidic. Organic acids are substances in which carbon and hydrogen are always present but which may also contain the elements of oxygen, nitrogen, sulfur, and phosphorus as well.
The names of most organic acids contain the suffix –ic, followed by the word “acid” such as lactic acid. Every organic acid has one or more conjugate bases named with the suffix –ate. Thus, the conjugate base of lactic acid is lactate. Many times, the name of the organic acid and its conjugate base(s) are used interchangeably when discussing physiology and biochemistry, such as lactate or lactic acid. The most common chemical groups associated with organic acids are carboxylic acids which are present in the conjugate base form at neutral pH, 7.0, the pH of the inside of most living cells. Organic acids with one carboxylic acid have one conjugate base while some organic acids may have two or three carboxylic acids and two or three conjugate bases.
If abnormalities are detected using the OAT, treatments can include supplements, such as vitamins and antioxidants, or dietary modification. Upon treatment, patients and practitioners have reported significant improvement such as decreased fatigue, regular bowel function, increased energy and alertness, increased concentration, improved verbal skills, less hyperactivity, and decreased abdominal pain. The OAT is strongly recommended as the initial screening test.
TEN REASONS TO DO AN ORGANIC ACIDS TEST
REASON #1
The OAT evaluates for various fungal toxins, including specific markers for candida, as well as other fungus such as mold and yeast. Many individuals rely on stool testing for candidiasis diagnosis. However, a stool test is often negative for candida overgrowth detection, while the OAT often detects the presence of candida and yeast toxins (authors experience). The OAT is overall more sensitive for candida analysis because it is detecting chemical production within the digestive system that is reflective of these organism’s metabolic activity, and tissue invasion along the mucosal lining of the gut. The organic acid arabinose, often elevated on the OAT, is linked to this process of mucosal invasion. Some of candida toxins can create problems with brain function including memory, attention, and focus.
REASON #2
The OAT evaluates for specific toxins related to various clostridia bacteria. Clostridia bacteria such as Clostridia difficile (C. diff.) can lead to digestive problems and poor health (1). For example, certain strains of C. diff. produce virulence factors which cause inflammation, bleeding, and diarrhea within the digestive system. However, there are other clostridia toxins that work outside the digestive system. The main toxins evaluated on the OAT linked to different strains of clostridia are HPHPA and 4-cresol (2). Both HPHPA and 4-cresol can inhibit a dopamine converting enzyme leading to excess dopamine in the brain and nervous system (3).
High dopamine can form toxic compounds that adversely affect brain cells. Long-standing elevation of these dopamine related compounds such as DOPAC (and dopamine-o-quinone, a compound not measured on the OAT) are known to trigger free radical damage within the brain. The elevation of the neurotransmitter dopamine can also cause mood instability, and other cognitive problems. In severe cases, the presence of these clostridia toxins can trigger aggressive and self-injury behavior from high amounts of dopamine. This is a common scenario in special needs individuals such as those with autism. Evaluating for clostridia organic acid toxins is essential for anyone struggling with a developmental disorder, mental health problems, and neurological diseases.
REASON #3
The information from the OAT helps to prioritize treatment intervention decisions, along with symptoms and clinical history, between candida (fungus) and clostridia (bacteria). Treating for candida alone when clostridia bacteria toxins of HPHPA and 4-cresol are present may lead to significant problems aggravating the digestive system, but also leading to adverse changes in neurochemicals affecting behaviors, cognitive abilities, mood, and mental stability.
REASON #4
The OAT evaluates for high oxalate (a.k.a. oxalic acid). Oxalate is a compound found in many foods such as nuts (e.g., almonds), fruit (e.g., berries) and certain vegetables (e.g., spinach). Oxalate can also be produced by candida overgrowth, aspergillus mold, as well as certain metabolic imbalances linked to deficiency in oxalate metabolizing enzymes. High oxalate is often associated with joint and muscle pain but can lead to bladder and bowel discomfort as well. Severe cases of oxalate accumulation can cause kidney stones. Oxalate can trap heavy metals such as mercury, lead, and arsenic in the body and lead to mineral imbalances.
REASON #5
The OAT evaluates for mitochondrial imbalances. The mitochondria are the energy factories of our cells producing large amounts of adenosine triphosphate (ATP). ATP acts as energy currency for our body. Mitochondria are often stressed because of toxins from candida, bacteria, oxalate, heavy metals, and environmental chemicals. Mitochondrial dysfunction is common in many chronic health disorders.
REASON #6
The OAT evaluates for imbalances in dopamine and norepinephrine (4). The relationship between these two important brain chemicals is critical for attention, focusing, mood, calmness, and other functions of the nervous system.
REASON #7
The OAT evaluates for deficiency of excess of serotonin, an important brain chemical for mood, fine and gross motor skills, calmness, and sleep. There are other markers evaluated on the OAT that can indicate toxic stress in the brain and nervous system. One of these potentially toxic compounds is called quinolinic acid (QA). Elevated QA can be toxic in the brain triggering increase receptor activity that allows for increase influx of calcium into a brain cell. This mechanism can lead to a host of cell problems causing or contributing to brain cell death and destruction. For these reasons, it is beneficial to perform an OAT before implementing high dose amino acid L-tryptophan supplementation which is often used to assist with sleep or some mental health disorders.
REASON #8
The OAT evaluates for two specific chemicals related to folate metabolism. Folate is linked to the methylation cycle that supports the inner workings of the cells related to DNA function and metabolism. Poor folate metabolism can lead to cognitive problems.
REASON #9
The OAT evaluates for various nutritional markers such as vitamin B6, vitamin B5, vitamin C, CoQ10, as well as N-Acetylcysteine (NAC). NAC is necessary as a precursor for the antioxidant glutathione.
REASON #10
The OAT evaluates for glutathione deficiency. Glutathione is a powerful antioxidant in our cells and protects against toxicity. The lack of glutathione leads to oxidative stress within the brain and nervous system which causes poor attention, focusing, and overall cognitive challenges. Glutathione deficiency can also compromise immune system health. Glutathione is a necessary compound involved liver detoxification of chemicals.