Organic Acid Testing

Over 70 metabolic markers from a single urine sample. See what is happening inside your body at the cellular level.

Understanding the OAT

The Metabolic Snapshot Standard Blood Work Misses

The Organic Acids Test (OAT) is one of the most comprehensive metabolic assessments available in functional medicine. It measures organic acid metabolites in urine that reflect the function of key metabolic pathways including energy production, neurotransmitter metabolism, detoxification, and microbial activity in the gut.

Standard blood work often comes back normal for patients who still feel terrible. The OAT fills that gap. It reveals dysfunction at the cellular level that conventional testing overlooks, giving our providers the data needed to build a precise, targeted plan.

At Meridian Integrative Wellness, organic acid testing is a cornerstone of our functional medicine evaluations. Whether you are dealing with chronic fatigue, digestive issues, mood disorders, or unexplained symptoms, the OAT helps us identify what is actually driving the problem so we can address it at the source.

Person reviewing health results with a wellness professional
Signs You May Need This Test

When Standard Testing Falls Short

If your blood work comes back normal but you still do not feel right, the OAT can uncover what is being missed. These are the most common signs that organic acid testing may provide the answers you need.

Unexplained Fatigue

Persistent low energy that does not improve with sleep, often pointing to mitochondrial dysfunction or nutrient depletion.

Brain Fog

Difficulty concentrating, poor memory, and mental cloudiness that interfere with work and daily decision-making.

Chronic Digestive Issues

Bloating, gas, irregular bowel movements, or food sensitivities that suggest microbial imbalance or gut dysfunction.

Mood Disturbances

Anxiety, depression, or irritability that may be linked to neurotransmitter metabolite imbalances detectable in organic acids.

Nutrient Deficiencies

Symptoms like muscle cramps, poor wound healing, or brittle nails that persist despite a reasonable diet.

Recurrent Yeast or Fungal Issues

Frequent candida overgrowth, thrush, or fungal infections that indicate underlying microbial imbalance.

Unexplained Muscle or Joint Pain

Widespread discomfort without clear structural cause, often linked to oxalate metabolism or mitochondrial dysfunction.

What the OAT Measures

Over 70 Markers in One Test

The OAT evaluates metabolic byproducts that reveal how well your body is performing at the cellular level. Abnormal levels point to specific, actionable dysfunction.

  • Mitochondrial dysfunction reducing cellular energy production
  • Yeast and fungal overgrowth in the gastrointestinal tract
  • Bacterial dysbiosis disrupting normal metabolic pathways
  • Elevated oxalate levels from dietary or metabolic sources
  • Neurotransmitter metabolite imbalances affecting mood and cognition
  • B-vitamin and cofactor deficiencies impairing enzymatic function
  • Detoxification pathway impairment limiting toxin clearance
Lab analysis and metabolic testing
Your Results, Your Plan

What Happens After Your OAT

Your OAT results are reviewed in detail by our providers, who translate the data into a clear, actionable protocol tailored to your specific metabolic needs.

01

Comprehensive OAT Analysis

A simple urine test that measures over 70 metabolic markers, providing a detailed snapshot of how your body is functioning at the cellular level.

02

Personalized Functional Medicine Protocol

Based on your OAT results, our providers build a targeted plan addressing the specific metabolic imbalances identified in your test.

03

Gut Restoration Protocol

If microbial markers are elevated, a structured protocol to rebalance yeast, bacteria, and support intestinal barrier repair.

04

Mitochondrial Support

Targeted nutrients including CoQ10, L-carnitine, and B-vitamins to restore cellular energy production when mitochondrial markers are flagged.

05

Neurotransmitter Optimization

Amino acid and cofactor support to address serotonin, dopamine, and GABA metabolite imbalances revealed by the test.

06

Detoxification and Nutrient Repletion

Protocols to support phase I and phase II detoxification pathways alongside targeted supplementation for identified deficiencies.

Simple Collection, Powerful Insight

The OAT requires a single first-morning urine sample collected at home. Our team walks you through the process and schedules a full review of your results once they are available.

Get the Answers Standard Testing Misses

One test. Over 70 markers. A clear path forward. Book your organic acid test today.