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521 North Argonne Road
Spokane Valley, WA, 99212
United States


Naturopathic Medicine in Spokane Valley, WA specializing in discovering the root cause of your chronic symptoms.  We utilize environmental medicine protocols and holistic treatments to treat chronic symptoms and autoimmune diseases.  


Dr. Julie George aims to provide you with knowledge to take control of your life.  Our blog provides information for you to become informed, aware, and able to make confident decisions.  


Filtering by Tag: fibromyalgia

OAT Testing And Why You Need It

DrJulie George

OAT Testing and Why You Need It.png

What is the OAT Test?

OAT Testing is also known as Organic Acid Testing. We have multiple laboratories that offer OAT panels, however, Great Plains Laboratories offers the most comprehensive test that we have seen. It is an accurate assessment of what is going on in your body. It evaluates over 70 urinary metabolites that can be useful in finding the cause of your chronic health symptoms.

If you have any health concerns then we recommend starting with an Organic Acids Test.

  • Attention Problems

  • Autism

  • Autoimmune Disorder

  • Chronic Pain

  • Depression

  • Digestive Problems

  • Fibromyalgia

  • Low Energy

  • Lyme Disease

  • Neurological Disorders

  • Poor Sleep

Sections of the Organic Acid Test

There are multiple sections within the Great Plains Organic Acid Test that can give us a lot of information. The Yeast and Fungal Markers will let us know if you are exposed to candida or certain molds in your environment. The Bacterial Markers look for dysbiosis within your GI tract. Clostridia Bacterial Markers help us evaluate for these toxins within your system that can be responsible for neurological and mental health symptoms. Oxalate Metabolites are often elevated in people with chronic pain, fibromyalgia, and vulvadenia. Glycolytic and Mitochondria Markers are useful in seeing how your mitochondria (energy production part of cell) are functioning. Ketones and Fatty Acids can also contribute to mitochondria dysfunction. Nutritional Markers are evaluated to see if you may have a deficiency in a nutrient. Glutathione status is evaluated which helps us learn about your detoxification system. Amino Acids Metabolites are also included to help us know if you may have a metabolic imbalance or inborn error in metabolism. Neurotransmitter health can be evaluated through the Phenylalanie and Tyrosine Metabolites, and/or Tryptophan Metabolites. Folate imbalance can also be evaluated through the Pyrimidine Metabolites. There are so many useful sections to this test that gives us a lot of information.

This test can point us in which steps to take next. For example if you have fungal and yeast markers elevated then we may need to perform a mycotoxin test next. If you are nutrient deficient then we may need to easily correct it with a professional grade supplement. If you have impaired detoxification status then we may want to look at your methylation cycle, toxic metals and/or nontoxic metal exposures. This test allows for us to find out what is going on without going on assumptions.

How Do I Get an OAT Test?

New Patient

If you are not a patient at Rivercreek Wellness in Spokane Valley, then we ask for you to call our office 509-919-1385 or Schedule Online. Once you have scheduled an appointment we will send you an invite to our PHR system and include your health questionnaire along with 4 consents. The first appointment will consist of taking a complete health history. At the end of the first appointment we will give you the test kit or we will have it mailed to you. We will do a second appointment about 3 weeks later to determine a health and/or treatment plan.

Existing Patient

We can discuss an Organic Acid Test on your next appointment or you may send us and email through your portal or call our office requesting a test kit. Follow Ups will be 3 weeks later to determine a treatment plan.

How Do I Prepare for an OAT Test?

OAT Testing is simple. We ask that if you are a woman and are having your cycle you wait to collect after menses. There are a few foods and juices we ask for you to avoid for 48 hours including apples, grapes, pears and cranberries. We also ask that you avoid arabinogalactan, echinacea, reishi, mushrooms, and ribose supplements for 48 hours prior to collection. The urine sample is collected on your first morning urine. The urine must be concentrated so we ask that you discontinue drinking water at 6pm the evening before. Once you have collected your urine and labeled the urine container, completed the requisition form, you will ship it through FedEx back to the laboratory.

What is the Cost of an OAT?

At Rivercreek Wellness we have you pay the testing company directly. If you have insurance then you will add your insurance information to the requisition and will be billed a LOWER price. If you do not have insurance then you will be charged the RETAIL price of the test. Testing prices may change from time to time, therefore we discuss all options with patients on their first visit or follow up visits.

Do I Need to Repeat an OAT?

Repeating an OAT is often individualized to each patients needs. It is often recommended to do a follow up OAT to recheck markers in the future. Each person’s testing will be individualized to their own health concerns. I recommend thinking about OAT testing as a yearly preventative test as well.