Functional Testing for Candida: The Organic Acids Urine Test

I have only started to use this form of urine testing more recently, and have found it an excellent way to assess dysbiosis (bad bacteria build-up).

Urinary organic acids are assayed in a patient’s urine and come from the metabolic conversion of the person’s dietary protein, fats and carbohydrates intake, in addition to compounds of bacterial origin, this test can provide a unique chemical profile of a patient’s cellular health. The organic acids urine test measures the actual overflow or build-up of organic acid products in a person’s urine. There are various organic acid tests which can assess quite a wide range of different physiological processes including intestinal dysbiosis, energy production, nutrient cofactor requirements and even a person’s neurotransmitter (brain hormone) metabolism. Like with other functional Candida tests, I have discovered that carefully reviewing a patient’s medical history as well as their lab results, in this case it is their urinary organic acid levels, I can discover the dysfunction in their metabolic system and then create a comprehensive plan of treatment that has been customized for each individual patient.

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The main yeast and fungal dysbiosis marker in the urine I check for elevation in particular is D-arabinitol. Here is a brief overview of this organic acid urinary marker and what it means. The treatment consideration for a urinary elevation of D-arabinitol is something we’ll cover in a different section.

The Arabinitol Marker

Evidence from multiple studies by independent investigators has led to the recommendation that high urinary levels of the sugar alcohol, D-arabinitol, be used as a reliable biomarker for the more invasive forms of a candida overgrowth.

D-Arabinitol is a metabolite (A substance necessary for or taking part in a particular metabolic process) of candida, and a high level of this marker is associated with invasive candidiasis. D-arabinitol is produced from dietary carbohydrates when yeasts are rapidly growing in the low oxygen (anaerobic) environment of the small intestine.

Because D-arabinitol is a sugar found in sweet apples, grapes, and pears, these fruits and their products are best strictly avoided 24 hours prior to urine collection to avoid any false positive test results. Can you now understand why sweet fruits are not the best of foods to consume when you commence the Candida Crusher Program, in particular those who have a severe case of a yeast infection?

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Proper Collection for the Organic Acids Urine Test

Collect a spot urine or a first-morning void urine specimen, or take a specimen from a 24hr urine collection container. Then transfer a 10ml sample of this specimen into the clean container supplied for preservation and transportation to your functional laboratory. Avoid all dietary supplements for two days before you complete this test.