Metabolites in a urine sample
Organic acids are small molecules that show up in urine as the body processes food, microbes, and energy. The test is a morning or timed urine collection, shipped from home. It is not a blood count and not a diagnosis. Patterns across groups of acids are more meaningful than one starred metabolite with a blog post attached. The kit instructions matter, including what to avoid beforehand.
Organic acids test is ordered when the history has a question those patterns might narrow. It is an additional cost, said out loud before the kit is sent. Review visits often run 30 to 60 minutes depending on the plan. A free 20-minute consultation can decide if this snapshot is worth taking. The office is out of network, accepts HSA and FSA, and provides a superbill for the visit.
Microbial byproducts on the report
Some acids are associated with bacterial or yeast metabolism in the gut. A cluster of them can support a suspicion that gut health is part of the picture. A single mildly high acid does not prove an infection, and it does not name the organism the way a stool PCR might. GI-MAP stool testing is the closer tool when the question is which organism. The organic acids test hints. It does not identify a species.
People arrive having been told a yeast marker means a full antifungal plan. FRI does not treat one marker that way. The marker is set beside stool changes, diet, and other labs. If it stands alone, it may be watched or ignored. Dr. Sani Kohen would rather under-call a trendy metabolite than build a month of products on it.
Nutrient demand and mitochondrial strain
Other acids relate to how the body uses B vitamins and related cofactors, or to steps in energy metabolism that people shorthand as mitochondrial stress. A pattern can suggest a nutrient demand. It cannot tell you a dose, and this page will not invent one. Nutrition and supplementation comes after the pattern is agreed on, and it starts with food. A supplement, if used, has to match the acid pattern or a clear clinical question.
Chronic fatigue is a common reason patients ask for this test. Fatigue has many drivers, including sleep, thyroid, mood, anemia, and training load. An organic acids snapshot can add a metabolic angle. It cannot explain a life. Brain fog is similar: the test may contribute, and it may be the wrong test. The history decides.
A snapshot you talk through, then decide
The report is a moment. A hard training week, a stomach bug, or a new supplement can move metabolites. The visit says which shifts are worth acting on and which are likely noise. Nothing on the page is a permanent label. Repeating the test only makes sense if a repeat would change a decision.
You should leave with a short list, or with permission to do nothing. Doing nothing is a valid reading of a noisy snapshot. The Functional Medicine pillar includes that option. If the pattern points at a problem this test cannot settle, the next lab is named, whether that is stool, blood, or breath, instead of squeezing the urine page for answers it does not hold.
What a Organic Acids Test visit is like
Expect a home urine collection and a review that groups the acids instead of marching down every line. Bring what you ate, trained, and took in the days before collection if you remember it. Those details change how dramatic a marker looks. The discussion is allowed to end with no new product.
You will hear which section of the report relates to microbes, which to nutrient demand, and which to energy metabolism, in ordinary language. If a section is too uncertain to use, it is skipped. The goal is a decision you can remember, not a highlighted PDF.
Payment and first-visit logistics
Out of network, superbill, HSA/FSA. No referral. Bring imaging if a physician already ordered it after a crash. Do not wait on a lawyer to be examined if you are hurting, and do not expect us to manage the legal side of a claim.
The doctors are Drs. Sani and Tara Kohen. Biographies are on the about page. The clinic itself is on the office page. The complimentary consultation is 20 minutes if you want to compare this model with a high-volume office closer to Harbor Boulevard.
Westside shops, Eastside neighborhoods, and the 55
Costa Mesa is physically split. The Westside and the streets around the LAB and the action-sports shops mean standing, lifting, and a younger training culture. The Eastside and Mesa Verde are more residential. South Coast Plaza adds retail shifts on hard floors. The 55 freeway is the spine of the commute for people heading inland. Neck and low back complaints often belong to that freeway. Shoulder and knee complaints often belong to training or to a job on your feet. We ask which Costa Mesa, because the city is not one ergonomic story.
Action sports and gym culture also mean people arrive having already tried a lot of soft tissue. If you have had months of massage without a change in the movement that hurts, say what was actually done. ART and IASTM are specific tools. They are not a more expensive version of a general rub, and they are not always the right next step.
Reaching La Alameda from the 55
The usual drive is the 55 south to the 73, then toward Mission Viejo and La Alameda. From the Westside, some people prefer the 405 south to the 73. About 16 miles and 25 to 40 minutes. The address is 26400 La Alameda, Suite 100, Mission Viejo, CA 92691. Parking on site. Open Monday through Thursday, 9 to 6.
Afternoon returns to Costa Mesa on the 55 are slow. A morning visit is kinder to a fresh neck exam and to your schedule. Call (949) 312-1754. If you work a retail shift at South Coast Plaza, bring that standing schedule to the history. It changes how we dose a plantar fascia or low back plan.
Questions patients ask
Is the organic acids test a diagnosis?
No. It is a snapshot of metabolites to discuss. It does not name a disease, and a single high line is not a verdict.
Can it prove I have a yeast infection?
No. Microbial markers are hints. Identifying an organism is a different test. One yeast-associated acid does not start an antifungal plan by itself.
Will the report tell me which supplement dose to take?
No. It may suggest a nutrient demand. Doses and product names are not assigned from a metabolite star. Food comes first if a change is made.
Why order this instead of a stool test?
Order it when the question is metabolic byproducts and nutrient demand. Order a stool PCR when the question is which organisms are present. They are not interchangeable.
Related methods and problems for Costa Mesa
Organic Acids Test is one tool inside Functional Medicine. It is not booked as a standalone trick disconnected from the exam. These links are the neighboring methods and the problems that most often lead someone from Costa Mesa to ask about it.
- Organic Acids Test overview
The clinic-wide technique page, without a city attached.
- Costa Mesa chiropractor
Drive, neighborhoods, and the rest of the care offered to Costa Mesa patients.
- Functional Medicine
The pillar this method belongs to.
- GI-MAP Stool Testing
GI-MAP is a stool test that uses a PCR-style method to ask about microbes, including possible pathogens, and about selected markers of.
- Nutrition & Supplementation
Nutrition at Functional Restoration Institute starts with food. A supplement is added only when a lab or a clear clinical question calls.
- DUTCH Hormone Testing
The DUTCH test uses dried urine collected across a day to look at sex hormones, their metabolites, and the shape of cortisol.
- Functional Lab Testing
Functional lab testing is the visit where the history chooses a lab, instead of a cart of kits. DUTCH, a GI-MAP stool.
- Gut Health in this city
Digestion problems rarely arrive as one tidy symptom. Bloating, stool changes, and food reactions can travel together or take turns. This page.
