What is a CDSA Test?

A Comprehensive Digestive Stool Analysis (CDSA), or sometimes just CSA, is a test that gives us an insight into how well your gut is functioning. Think of it as a deep dive into your digestive health, showing us what’s going on in your gut.

What Can We Learn from a CDSA Test?

A CDSA tells us all about the diversity of your gut microbiome – in other words, the types of bacteria living in your digestive system. It helps us spot any imbalances (known as dysbiosis) in the large bowel, as well as identify potential gut pathogens like yeasts, bacteria, or parasites that could be behind digestive troubles like diarrhoea, constipation, bloating, or gas.

The test also reveals other important digestive markers, giving us a snapshot of your bowel’s health, showing inflammation, and telling us how well you’re digesting fats and proteins. With the gut microbiome now known to play a big role in overall health, keeping it balanced is key. Poor digestion and an unhealthy gut flora can contribute to a wide range of health issues.

How Do I Take a Stool Sample?

A CDSA is a simple, non-invasive way to get a good look at your digestive health. Depending on what we’re testing for, you may need to provide one stool sample, or if we’re checking for parasites, it could be three. Don’t worry, the kit comes with everything you need, including gloves, sample collectors, and containers, along with clear instructions.

What Conditions and Symptoms Can a CDSA Test Help With?

The CDSA can shed light on a variety of issues, including:

• Any digestive problems (such as diarrhoea, constipation, or bloating)
• Chronic joint pain (e.g. rheumatoid or osteoarthritis)
• Autoimmune diseases – bowel health is key here
• Inflammatory or irritable bowel disease
• Nutritional deficiencies due to poor absorption
• Food sensitivities
• Persistent abdominal pain
• Identifying harmful microorganisms like yeast, parasites, and bacteria

How Much Does a CDSA Test Cost?

There are six levels of CDSA testing (Levels 1, 2, 3, 3+, 4, 4+, and 5), with each level offering different markers to help guide us in creating a tailored treatment plan for your gut. During your naturopathic or nutritional consultation, we’ll decide which level is the most suitable for your needs.

As the testing is done in the U.S., we have to convert the cost to USD. Prices range from around AU$130 for Level 1 to AU$669 for the most comprehensive test.

6 Most Commonly Asked Questions About the CDSA Test:

Ready to Take Control of Your Gut Health?

Don’t let digestive issues hold you back any longer! A Comprehensive Digestive Stool Analysis (CDSA) can provide the insights you need to restore balance and improve your overall well-being. Whether you’re dealing with bloating, gas, or ongoing gut discomfort, this test helps identify the root cause and guide a tailored treatment plan just for you.

Take the first step towards better gut health today.

Book your CDSA test with Sue at Handcrafted Health in Neutral Bay or via Telehealth. Not sure if this test is right for you? Schedule a free Discovery Call now and get the answers you need.

Your health starts here – make your appointment today!

The Cortisol Awakening Response

The Cortisol Awakening Response (CAR) test is a specialised evaluation designed to measure the rise and fall of cortisol levels during the first hour after waking. Cortisol, the body’s primary stress hormone, plays a crucial role in our overall stress response and daily function.

To perform the test, you will need to collect saliva samples at several key intervals: immediately upon waking, 30 minutes later, and 60 minutes after waking. Additional samples are then taken at 12:00 pm, 4:00 pm, and 8:00 pm to track your cortisol levels throughout the day. The results provide an in-depth look at how your body reacts to stress upon waking and as the day progresses.

Other Adrenal Tests

In addition to the CAR test, another useful assessment is the Adrenal Hormone Profile, which is a non-invasive saliva and urine test. This profile monitors the levels of cortisol and DHEA-S over the course of a day, providing a comprehensive view of adrenal function. It is especially recommended for individuals who experience symptoms such as:

• Anxiety
• Depression
• Mood swings
• Insomnia
• Headaches
• Low energy
• Stress
• Hormonal imbalance
• Fatigue
• Blood glucose dysregulation

Which Adrenal Hormones are Tested?

The two primary hormones evaluated in these tests are cortisol and DHEA-S. Abnormal levels of these hormones can indicate both acute and chronic mental or physical stress.

DHEA-S: This hormone naturally declines with age in both men and women. When DHEA levels are low, it often leads to imbalances in oestrogen, testosterone, and progesterone, contributing to various health problems. Symptoms of reduced DHEA-S levels include:

• Fatigue
• Poor immune function
• Weight gain
• Accelerated ageing
• Memory loss and difficulty concentrating

Cortisol: This is the most potent hormone produced by the adrenal glands. Under normal conditions, we produce around 30mg of cortisol per day, but during periods of intense stress, this can rise to 200mg. Cortisol plays a key role in:

• Immune function
• Blood sugar regulation
• Maintaining vascular tone
• Bone metabolism
• Carbohydrate, protein, and fat metabolism

Make A Move Today

If stress is affecting your health, a Cortisol Awakening Response (CAR) test could be a valuable step towards understanding and managing your symptoms. The test can be conducted alongside a Nutritional or Naturopathic consultation to assess your overall health and develop a personalised approach.

To begin your journey towards better health, book an appointment today with Sue in Neutral Bay or arrange a Telehealth consultation. Bookings are available online through the website

Frequently Asked Questions about the Cortisol Awakening Response (CAR) Test

Frequently Asked Questions about

FOOD ALLERGY AND SENSITIVITY TESTING

What is Hair Tissue Mineral Analysis (HTMA)?

Hair Tissue Mineral Analysis (HTMA) is a simple, non-invasive test that gives you insights into the mineral content of your body. By analysing a small sample of your hair, HTMA measures the levels of both toxic and nutrient minerals present. It’s a reliable way to check for imbalances or toxic build-ups that could be affecting your health.

Why Test for Minerals?

Minerals are often called the “spark plugs” of life because they’re essential for keeping your body functioning properly. They play a role in everything from keeping your bones and teeth strong to balancing your hydration and pH levels. Minerals also support muscle contractions, nerve activity, enzyme reactions, and energy production.

When minerals are out of balance, it can lead to a range of health issues. Toxic metals can build up in your body, throwing off your mineral levels and potentially worsening symptoms of various health conditions.

Why Use Hair and Not a Blood Sample?

Hair is an easy and pain-free sample to collect, and it gives more consistent results than blood in certain cases. After being exposed to toxic minerals, they only remain in your bloodstream for 48-72 hours before getting stored in tissues like your hair. This storage provides a better picture of your long-term mineral levels.

Blood levels of certain minerals can fluctuate throughout the day, depending on factors like diet. Hair samples, however, reflect your mineral status over time, showing what’s going on inside your cells.

What Health Conditions Can HTMA Help With?

HTMA can help uncover mineral imbalances that may be contributing to a variety of health issues, including:

• Hyperactivity and learning difficulties in children
• Migraines, headaches, and trouble concentrating
• High cholesterol and blood pressure
• Thyroid problems such as fatigue, insomnia, and weight changes
• Adrenal stress causing mood swings, early morning waking, and energy slumps
• Metabolic issues like weight gain and blood sugar dysregulation
• Skin conditions like psoriasis and dermatitis

How is the Hair Sample Taken?

For the test, the hair needs to be clean, uncoloured, and untreated. Use stainless steel scissors to cut small amounts of hair from the back of your head, as close to the scalp as possible. If your hair is shorter than 4cm, the entire length should be used for the sample.

How Much Hair is Needed for HTMA?

The lab requires about 0.5g of hair, which is roughly equivalent to a heaped tablespoon.

What if My Hair is Dyed?

If your hair is coloured or treated, it’s best to wait six to eight weeks and use the freshly grown, untreated hair for testing. Hair treatments can interfere with the accuracy of the test results for some minerals.

Hormones & Your Health:

Is Your Body’s ‘Orchestra’ Out of Tune?

Hormones play a key role in keeping your body running smoothly, much like an orchestra where every instrument needs to be in harmony. But, let’s be real, life can throw us some curveballs, leaving that orchestra a little out of tune. Is your body’s ‘orchestra’ playing the right notes, or could it use a little adjustment?

Wondering How Many Hormones You Can Test For?

There are plenty of hormones that could be out of balance, but some major players are more commonly tested. Could any of these apply to you?

How Do I Test My Estrogen, Progesterone, and Testosterone Levels?

The DUTCH (Dried Urine Test for Comprehensive Hormones) test is your go-to for a deep dive into your estrogen, progesterone, and testosterone levels. It’s a top tool for spotting hormonal imbalances.

What Else Does a DUTCH Test Cover?

A DUTCH test doesn’t stop at sex hormones. It also checks other markers that might be linked to mood, sleep, stress, and general wellbeing. Here’s what else it looks for:

• Oxidative stress & glutathione: Linked to inflammation.
• Melatonin: A key player in sleep issues.
• B12 & B6 levels: Important for metabolism.
• Neurotransmitters: Think serotonin, dopamine, and the rest – all crucial for mood stability.

How Do You Take a DUTCH Test?

The best part? You can collect the samples right from home and ship them off for analysis. Simple, right? This test is a game-changer when it comes to addressing hormonal imbalances, fatigue, stress, adrenal health, and more.

What’s a Urinary Metabolite Test?

This one measures how well your body is breaking down and getting rid of estrogen. Done within the DUTCH test, it’s valuable for spotting hormone imbalances that could affect both men and women. Efficient estrogen metabolism is key to keeping things balanced and lowering potential risks.

Struggling With Sleep?

If you’re tossing and turning at night, it might be time to check your melatonin levels. Melatonin, produced by the pineal gland, kicks off your body’s sleep cycle. But with age, or due to too much screen time, melatonin levels can drop, making it harder to sleep. Testing your melatonin levels might be the answer if sleep disturbances are becoming an issue.

Think Your Thyroid’s Out of Whack?

You could be right. Stress can wreak havoc on your thyroid, and thyroid problems are especially common in women, particularly as they age. Symptoms of thyroid imbalance often include weight changes, tiredness, and mood swings.

Thyroid Symptoms:

• Underactive Thyroid (Hypothyroidism): Dry skin, fatigue, weight gain, slow heart rate, heavy periods, and depression.
• Overactive Thyroid (Hyperthyroidism): Fast metabolism, rapid heartbeat, nervousness, weight loss, and more frequent bowel movements.

How Can You Test Your Thyroid?

A blood test is the answer here. The Thyroid Hormone Profile checks for various hormones, including TSH, T4, T3, Reverse T3, and thyroid antibodies.

Disclaimer:

The information provided here is for educational purposes only and is not a substitute for professional medical advice. Always consult with a healthcare professional for specific concerns related to your health.

Lactulose Breath Test for SIBO: What You Need to Know

Did you know that Small Intestinal Bacterial Overgrowth (SIBO) is a major cause of Irritable Bowel Syndrome (IBS), and that IBS affects around 20% of Australians? That’s a staggering number of people dealing with bloating, discomfort, and irregular bowel habits. But here’s the good news: there’s a simple, non-invasive test that can give you answers and guide you towards better health. Enter the Lactulose Breath Test.

SIBO occurs when there’s an abnormal overgrowth of bacteria in the small intestine. Unlike the large intestine, which is packed with bacteria (and is supposed to be), your small intestine should have a relatively low bacterial population. When bacteria migrate or overgrow in the small intestine, it can lead to all kinds of issues—most commonly IBS symptoms. This bacterial overgrowth can cause an imbalance in your gut, leading to digestive issues that are hard to ignore.

What Are the Symptoms of SIBO?

SIBO can manifest in several ways, and not all of them are obvious. The most common symptoms include:

• Altered bowel habits: This could mean diarrhoea, constipation, or alternating between the two.
• Bloating and flatulence: Excessive gas and a bloated belly are major signs of bacterial overgrowth.
• Abdominal discomfort: This ranges from mild discomfort to more severe pain or cramping.

Other, less common symptoms may include:

• Weight changes: Both weight gain and unexplained weight loss can be indicators.
• Nausea: Some people experience a general feeling of sickness.
• Lethargy: The body’s inability to properly absorb nutrients can leave you feeling constantly tired.

While these symptoms are quite varied, they all have one thing in common: they make everyday life tough. Managing SIBO and IBS can be frustrating and time-consuming, but it doesn’t have to be that way. A tailored treatment plan, based on accurate testing, can make all the difference.

What Exactly Is a Lactulose Breath Test?

The Lactulose Breath Test is designed to detect the gases produced by bacteria in the small intestine—specifically hydrogen and methane. When bacteria feed on sugars in your gut, they release these gases. By measuring the levels of hydrogen and methane in your breath after consuming a lactulose solution (a type of sugar), the test can determine whether bacterial overgrowth is present.

The test is simple, painless, and non-invasive. You drink a solution, breathe into a tube at regular intervals, and your breath is analysed to track the gases produced over time. The whole process takes about two to three hours, and it’s something you can even do from the comfort of your home.

Hydrogen and Methane Breath Tests: What’s the Difference?

There are two types of breath tests: hydrogen and methane. Each of these gases provides different information about your gut health.

• Hydrogen: High levels of hydrogen in your breath are usually associated with diarrhoea-predominant SIBO. This means that the bacteria in your small intestine are producing hydrogen gas as they break down carbohydrates, which can lead to loose stools.
• Methane: Elevated levels of methane, on the other hand, are often linked to constipation. Methane-producing bacteria can slow down gut motility, resulting in sluggish bowel movements or even full-blown constipation.

Some people have mixed SIBO, where both hydrogen and methane are elevated, meaning they may experience a combination of diarrhoea and constipation.

Why Is a Breath Test Important?

Getting tested for SIBO is crucial for a few reasons:

• Accurate diagnosis: Many people with IBS may actually have SIBO, but without testing, it’s impossible to know for sure. A SIBO diagnosis opens up more targeted treatment options.
• Targeted treatment: Once you know whether hydrogen or methane is dominant in your gut, you can take a more precise approach to treatment. For example, antibiotics that target hydrogen-producing bacteria may not be as effective against methane-producers.
• Evidence-based dietary plans: The results of your breath test can help guide dietary changes that significantly improve symptoms. Studies show that a targeted diet, informed by breath tests, provides long-term relief for up to 75% of people with IBS.

What Happens After the Test?

Once you’ve completed the test and received your results, the next step is crafting a personalised treatment plan. This usually involves a combination of dietary changes, supplements, and sometimes antibiotics.

• Dietary changes: Many people with SIBO benefit from a Low-FODMAP diet, which reduces the intake of certain types of carbohydrates that feed the bacteria in your small intestine. You might also be advised to avoid certain sugars that are difficult for the gut to digest, such as lactose and fructose.
• Supplements: Some people find relief by incorporating digestive enzymes or probiotics into their daily routine. Digestive enzymes can help break down food more efficiently, while probiotics may help to rebalance the gut microbiome.
• Antibiotics: In some cases, doctors prescribe a short course of antibiotics to target the bacterial overgrowth. Rifaximin is a common choice for hydrogen-dominant SIBO, while neomycin is often used for methane-dominant cases.

How Long Does It Take to See Improvement?

One of the most frustrating things about SIBO is how long it can take to see results. After taking the test and following a treatment plan, some people experience relief within a few weeks, while others may need several months of ongoing treatment and dietary adjustments.

If your symptoms persist or return after treatment, it’s possible you’re dealing with SIBO relapse, which can happen if the underlying causes aren’t fully addressed. Relapses are more common than people realise, so it’s important to stay in touch with your healthcare provider and make adjustments as needed.

7 FAQs About SIBO and the Lactulose Breath Test

Disclaimer:

The information provided in this article is for educational purposes only and is not intended to replace professional medical advice. Always consult with a qualified healthcare provider for personalised recommendations and treatment options.