These advanced assessments reveal how your gut, hormones, metabolism, and immune system are truly functioning to help us identify hidden imbalances causing dysfunction that contribute to symptoms and can lead to health struggles as you age.

Cortisol 4x sampled over the day
DHEA-S: An anabolic hormone that balances
Cortisol/DHEA ratio: Indicator of stress resilience or burnout
Secretory IgA: Key immune marker showing how stress is impacting gut/immune defenses
Melatonin: Your sleep hormone, showing nighttime regulation
Sex hormones: Estrogen, progesterone, and testosterone
Low energy, poor recovery, or "tired but wired" feeling
Weight gain around the belly despite diet and exercise
Sleep problems (difficulty falling asleep, staying asleep, or waking refreshed)
PMS, menopausal hot flashes, or low libido
Anxiety, irritability, or mood swings
Frequent illness or low immunity
Feeling sluggish in the morning or more alert at nighttime

Bacterial pathogens (ex: C. difficile, Salmonella, Shigella, E. coli)
Parasitic pathogens (protozoa, Giardia, Cryptosporidium, Entamoeba)
Viral pathogens (Norovirus, Rotavirus, Adenovirus)
H. pylori (including virulence factor genes)
Normal bacterial flora (balance of beneficial bacteria)
Phyla microbiota distribution (relative abundance across major phyla)
Opportunistic bacteria (overgrowths that disrupt balance)
Autoimmune triggers (anti-gliadin IgA for gluten sensitivity)
Fungi/yeast (Candida)
Viruses
Worms
Calprotectin (inflammation)
Secretory IgA (immune function in gut mucosa)
Elastase-1 (pancreatic enzyme sufficiency)
Occult blood (bleeding)
Beta-glucuronidase (detox/estrogen recycling marker)
Antibiotic resistance genes (insight into resilience against therapies)
Low energy, poor recovery, or "tired but wired" feeling
Weight gain around the belly despite diet and exercise
Sleep problems (difficulty falling asleep, staying asleep, or waking refreshed)
PMS, menopausal hot flashes, or low libido
Anxiety, irritability, or mood swings
Frequent illness or low immunity
Feeling sluggish in the morning or more alert at nighttime

Zonulin: A protein that modulates the opening of tight junctions in the intestinal lining. Elevated levels indicate compromised barrier function and increased intestinal permeability.
Diamine Oxidase (DAO): The main enzyme responsible for breaking down dietary histamine in the gut. Low levels suggest impaired histamine clearance and potential histamine intolerance.
DAO: Histamine Ratio: Assesses the balance between histamine production and clearance. A low ratio indicates histamine overload relative to breakdown capacity.
Food reactions, especially to histamine-rich foods (wine, cheese, leftovers, fermented foods)
Headaches or migraines
Flushing, itching, or hives after meals
Bloating, abdominal pain, or diarrhea not explained by standard food sensitivities
Skin issues (eczema, psoriasis, rashes)
Autoimmune flares or chronic inflammation
Fatigue, insomnia, or mood swings tied to histamine imbalance

Indican: Marker of protein digestion and bacterial putrefaction in the gut. Elevated levels suggest poor protein breakdown or dysbiosis.
Total Bile Acids: Indicates liver and gallbladder function, bile flow, and fat digestion. Elevated levels may reflect sluggish bile excretion or liver stress.
8-OHdG: A sensitive marker of oxidative stress and DNA damage. High levels suggest excessive free radical activity and increased cellular aging risk.
Bloating, gas, or foul-smelling stools (protein maldigestion, dysbiosis)
Fatty stools or discomfort after high-fat meals (poor bile flow)
Fatigue or sluggish detox capacity
Premature aging signs (hair thinning, dull skin, wrinkles, poor recovery
Chronic stress or toxin exposure
Headaches, joint pain, or low recovery after exertion
Skin issues (acne, eczema, rashes)
Brain fog, poor memory, or difficulty concentrating

Inflammatory reactivity to 176 foods and chemicals across these categories. Each item is scored as low, moderate, or high reactivity, helping identify which foods may be fueling inflammation.
Fruits, vegetables
Grains
Beans, nuts & legumes
Seafood, meats & poultry
Dairy
Food chemicals (preservatives, colorings)
Flavor enhancers
Miscellaneous items
Chronic bloating, diarrhea, constipation, or IBS-like symptoms
Migraines or headaches
Fatigue or low energy
Joint pain or arthritis-like symptoms
Skin problems (eczema, hives, rashes, psoriasis)
Brain fog, irritability, or mood swings
Flare-ups of autoimmune or inflammatory conditions

InsideTracker is trusted by 100,000+ customers
You own this data for the rest of your life. You get your own login so you can bring it to doctors appointments, order more in the future, and measure your own progress long after working with us.
Standard of care and traditional insurance models in the U.S. Healthcare system most often don’t allow for measurement of inflammation, hormone, apoB, and other important markers that we feel are vital for your health.
Order at the link below. One of your Alta coaches will reach out with next steps to set up your account
Schedule your blood draw at any local lab partner, such as Quest Diagnostics. Or you can have a mobile blood draw (available in some states for an extra fee)
Kat will receive a notification when your labs are back, so she can reach out with any next steps.

The information provided by Alta Coaching, Andrew Hayes, and Kat Best is for educational purposes only and is not intended to diagnose, treat, cure, or prevent any disease. Always consult with your physician or other qualified healthcare provider before making changes to your diet, exercise, or health regimen.
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