Lab Test

Locations

Bellevue - 425-378-1800 

Puyallup / Tacoma - 253-847-7646 

 

If you have had a lab test done in the pass 2 years please either email it to drlenynd@gmail.com for Telehealth visit or if you have an in person office visit with Dr. Leny please bring it during your initial visit 

If you do not have any lab test within the pass 2 years, lab test will be determined if needed during the office visit by Dr. Leny 

Hormone Panels :

Noninvasive Sample Collection

Patients can collect their samples in the convenience of their own home and mail their samples straight to the laboratory for their provider to receive the results.

Clinical Validity

Today saliva is understood to be the Gold Standard for measuring unbound, active hormone levels in the human body. 

Chronobiology

Because hormone levels fluctuate over time, noninvasive sample collection allows us to measure at specified time intervals to create a more accurate assessment of hormone levels throughout a day or month. A provider may take these results to compare different periods of patient treatment or other physiological states – such as on hormone replacement therapy. Since patients collect their samples themselves, it is uniquely convenient for patients to collect multiple samples without the hassle or pain of a visit to the lab for a blood draw.

Saliva Testing Advantages

Saliva testing specifically measures free, unbound hormone levels. This is because saliva-producing, or acinar, cells only allow unbound steroid hormones into the salivary ducts. This eliminates the need to estimate how much circulating hormone is present in a patient’s body.

If measuring total hormone levels in serum, calculations are required to estimate levels of free hormone. Even then, the levels are estimates and are not predictably reliable measures of free hormone activity at the tissue level. The advantage of salivary testing is created a useful picture of biologically active levels of hormones at the tissue and cellular level.

Dynamic, Chronobiological Measurements

In order to accurately study how hormones affect a patient, it is necessary to look at hormone levels dynamically. In other words, hormone fluctuations are just as important as their level at any given one point in time. The practice of including a time component to the evaluation of a patient is called chronobiology. There are many well known chronobiological processes: sleep/wake cycles, seasonal mood changes, a woman’s monthly menstrual cycle, etc.

The hormones that influence many of the cycles in our lives can be viewed as markers to check if our body is in a healthy state from a standpoint of chronobiology. For example, multiple sample outpatient saliva testing allows a clinician to monitor the hormone regulation of a woman over her entire monthly cycle! This information can have profound diagnostic significance and can lead to therapeutic strategies which may be overlooked by one sample testing of her hormones.

All major steroid hormones, and select peptide hormones, and antibodies can be readily detected and measured with reproducible results from a patient’s saliva. Enzyme-linked immunosorbent assay (ELISA) is the most prevalent laboratory technique utilized in measuring hormones, antigens, and antibodies within the saliva. The process involves using a prepared solution of antibody that is specific for a substance. The saliva sample is exposed to the solution that has the known antibody. If the substance tested for is present in the saliva, the antibody will bond to the substance and an enzyme linked chemical reaction will notify the scientist via a change in color. These test results may be designed to provide either qualitative (“positive” vs. “negative”) results or quantitative results 

With these things in mind, saliva analysis through ELISA is an excellent alternative to blood serum testing, as it is is clinically applicable, and scientifically accepted to study a patient’s chronobiology, while also being more economical.


Food Allergy and Sensitivity Testing:

Food Sensitivity Testing 


Food Allergy Testing 


Inhalant Allergies 


Candida 


Celiac 


Comprehensive urinary patient metabolic biochemistry profile that reflects how well the body is obtaining and utilizing nutrients


Environmental pollutant Test 


Mycotoxin



Total Vitamine D for bone strength and may have implications on other medical conditions including osteoporosis, cancer, multiple sclerosis, and type 1 and type 2 diabetes

How it Works:

In person Office Visit 

Telehealth Office visit 

How it Works:

How it Works: 

In person Office Visit 


Telehealth Office Visit 


COVID-19 Testing 

How it Works: