Access Labs

Elevated prolactin may suppress GnRH, lowering LH, FSH, and testosterone. Five hormone patterns a single marker may miss. #FunctionalMedicine #LabTesting

IgG shows exposure to a food. It does not always show a reaction to it. Dr. Mitch Ghen explains when to order IgG and when IgE is the answer.

Most practices stay with a lab they've outgrown because switching feels like too much paperwork. It doesn't have to be. Thanks, Janiece Caceres. #FiveStarReview

1,200 mg of ibuprofen daily for 6 weeks raised LH while total testosterone stayed normal. The pattern gives it away. #MensHealth hubs.la/Q04xZ6k50

Your patient cut sugar. The pathway may still be running. The body makes its own fructose from glucose. #MetabolicHealth #LabTesting

The boxed warning on low-dose vaginal estrogen is gone. FDA begun approving labeling changes in February. Dr. Mitch Ghen on treating GSM without fear.

Fast replies are easy. Closing the loop isn't. Janee Blain on her Account Manager, Jennifer. #FiveStarReview #ClientCare

What if fructose isn't mainly fuel, but a conservation signal? Chris Mearns on metabolic dysfunction. #MetabolicHealth  hubs.la/Q04xmBLs0

IgE answers the immediate question. IgG reflects exposure over time. Two food antibody tests, two different questions. #FoodAllergy #LabTesting

A normal LDL doesn't mean low risk. ApoB, Lp(a) and hs-CRP can add context beyond a standard lipid panel. Dr. Mitch Ghen on residual risk. #LabTesting

Fast results only help if someone answers when you have a question about them. Thanks for the review, Brittnee Conner. #ProviderExperience #AccessLabs

A single layer of cells separates the gut from the bloodstream. Dysbiosis can raise zonulin, which loosens the tight junctions. LPS and food antigens cross, the immune system reacts, and inflammation can go systemic.

A normal LDL doesn't mean low risk. ApoB, Lp(a) and hs-CRP can add context beyond a standard lipid panel. Dr. Mitch Ghen on residual risk. #LabTesting

"We couldn't imagine using another lab for our patients." Rejuven8 Medical. The name in their review: Sheala. #FiveStarReview #FunctionalMedicine

Stress hormones suppress immunity. Why patients get sick after flying may not be the seatmate. Dr. Monisha Bhanote. #TravelMedicine hubs.ly/Q04v-9zj0

Dopamine is less about pleasure, more about pursuit.  It drives the wanting, not the liking, which is why a patient can compulsively want what they no longer enjoy.  So low drive is a signal. And a lot of what blunts it is testable: thyroid, iron, vitamin D, cortisol.

Plenty of heart attacks happen at normal cholesterol. True. But that is not a reason to write off LDL. It is a reason to look past a basic lipid panel. Lp(a), ApoB, and hs-CRP catch risk that standard cholesterol can miss.

Less than a week out. Access Live with Dr. Mark Gordon: The Fallacy of Laboratory Reference Ranges. Monday, August 31, 12 PM ET. Register: hubs.la/Q04vr81b0

"One of the best labs I have worked with in my 21 years in the medical field."  Sarah Christensen on Access Labs, and on Kendyl, who keeps the help quick.  Thank you, Kendyl.

A dopamine rush is not the same as joy. Dopamine chases, serotonin settles, oxytocin connects. Full episode on YouTube. hubs.la/Q04v4KF_0