Plan B for PANS

For the parent of a child with PANS or PANDAS

The tests your doctor probably isn't running.

If your child was just diagnosed with PANS or PANDAS — or you suspect it — this is the complete list of tests they need. Every one explained in plain language. Every one you can order yourself if you have to.

We are not doctors. We are parents who have been where you are. We have watched our kids change overnight. We have sat across from pediatricians who told us to "wait and see." We have learned, slowly and at great cost, that most of the testing your child needs is testing your standard pediatrician has never heard of.

This page is the workup we wish someone had handed us on day one. Print it. Take it to the doctor. Demand each test. If they won't run it, we'll show you how to get it yourself.

How to actually get them

Most parents don't have a doctor who'll order these. You don't need one.

Here's the secret: doctors respond differently when a parent shows up informed, with specifics, and a clear plan. Name the tests, and most will order at least the standard, insurance-covered ones. The rest you order yourself — almost everything on this page can be ordered without your pediatrician — then bring the results back.

There are three routes, and most families use all three. Each test below lists exactly where to order it.

1

Self-order blood tests

No doctor · ~most of this page

Order online, get a lab requisition signed by their physician network, walk into a LabCorp or Quest draw site, results come to you. This covers most of the bloodwork here — vitamin D, ferritin, CBC, immunoglobulins, ASO / anti-DNase B, thyroid, histamine + tryptase.

2

Mail-in kits, done at home

No doctor · collected at home

A kit arrives, you collect at home (saliva, stool, urine, or a nasal swab), mail it back. This is the route for the tests a draw site can't do.

*Run an AncestryDNA or 23andMe raw-data file through StrateGene (free) for methylation SNPs. Note: 23andMe went through bankruptcy and its database was sold — AncestryDNA or Nebula Genomics are privacy-safer ways to get the same raw file.

3

A telehealth provider for the rest

One visit · orders anything

A few specialty tests (full IGeneX tickborne panels, the immune workup that leads to IVIG) need a clinician's requisition. A PANS-literate telehealth provider can order all of them in a single visit — far easier than convincing a skeptical pediatrician. Many tickborne labs also allow direct ordering in most states.

Not sure which tests your kid needs, or the cheapest route for each? A Plan B Synthesis builds the exact list, prioritized, with where to order every one.

Then upload them

A test result is only as good as what you do with it.

Upload your results and Minta tells you what actually matters — which findings are significant, what they mean for your child, and why. Then she brings every result together under one umbrella — labs, symptoms, and history — and hands you a clear direction with a why behind every step, not a pile of disconnected numbers no one connected.

You don't need all of these at once. Start with a few, upload them, and let Minta lead you out.

Why this exists

What's actually wrong with your child can be measured.

PANS and PANDAS look like sudden-onset OCD, intrusive thoughts, rage, regression, food refusal, tics, sleep loss — out of nowhere, often after an infection. It's not a "phase." It's an inflammatory immune response in the brain, almost always triggered by something measurable: an infection, a toxin, a mold exposure, or an underlying biochemical vulnerability. Standard pediatric workups miss almost all of it because the tests aren't part of standard care.

There are six categories of testing every PANS/PANDAS kid should have. Each tells a different part of the story.

At a glance

The six categories of testing.

N°. 01

Infectious triggers

7 tests · the most common cause

N°. 02

Immune function

5 tests · how the immune system is responding

N°. 03

Biochemistry & nutrients

7 tests · the Walsh-aligned methylation, mineral & nutrient workup

N°. 04

Toxins & environment

4 tests · mold, heavy metals, biofilm infections

N°. 05

Gut & digestion

4 tests · the second brain, often the root

N°. 06

Genetic blueprint

1 test · once, forever, IntellxxDNA

Category 01

Infectious triggers

Almost every PANS/PANDAS case is triggered by an infection — usually one your child has already had, often months or years ago, that the body never fully cleared. Strep is the most common (the “S” in PANDAS), but it’s far from the only one. These tests find what triggered your child’s flare and what may still be active.

N°. 01

Strep titers — ASO + anti-DNase B

The two antibody tests for strep exposure. Run both.

What it findsPast or ongoing exposure to strep bacteria. ASO peaks 3–6 weeks after infection. Anti-DNase B peaks 6–8 weeks after. Together they catch what one alone misses.
Why it mattersStrep is the original PANDAS trigger. Even a "silent" strep infection — one your child never had a fever or sore throat for — can drive an antibody attack on the brain.
Cost~$50–100 · usually covered by insurance
Order yourselfUlta Lab Tests · Request A Test · Walk-In Lab
Why doctors skip: Most pediatricians think strep is only an acute illness. They don’t know that strep antibodies can drive PANDAS months after the infection is gone.
N°. 02

Mycoplasma pneumoniae — IgG + IgM

The second most common PANS trigger.

What it findsRecent or past mycoplasma infection. Mycoplasma is the bug behind "walking pneumonia" — but it can also drive PANS without ever causing visible illness.
Why it mattersIf positive, often responds beautifully to a long course of azithromycin. Many kids with "PANS that won't resolve" have undertreated mycoplasma underneath.
Cost~$50–80 · often covered
Order yourselfUlta Lab Tests · Quest Direct
Why doctors skip: Most pediatricians associate mycoplasma only with pneumonia. They don’t realize it’s the second-leading PANS trigger.
N°. 03

EBV panel — VCA IgG, VCA IgM, EBNA, Early Antigen

Epstein-Barr Virus reactivation. The four-panel — not just one.

What it findsWhether your child has had EBV (most have — it causes mono) and whether it's reactivated. Reactivation is what matters in chronic PANS.
Why it mattersEBV reactivation is a major driver of chronic PANS, especially in kids with fatigue, brain fog, swollen glands. Treatable with antivirals + immune support.
Cost~$150–250 for the full four-panel
Order yourselfUlta Lab Tests · Quest Direct
Why doctors skip: Doctors think EBV is "just mono" and call the test "useless because everyone’s positive." They run one antibody instead of four and miss reactivation.
N°. 04

HHV-6, Parvovirus B19, CMV

The other common viral PANS triggers.

What it findsThree additional viruses that can trigger or maintain PANS: Human Herpes Virus 6 (roseola), Parvovirus B19 (slap-cheek), Cytomegalovirus.
Why it mattersIf any are reactivated, they’re treatable. HHV-6 in particular is often missed and is implicated in long-COVID and chronic neuroinflammation.
Cost~$150–300 for the bundle
Order yourselfUlta Lab Tests · Quest Direct
N°. 05

Tick-borne panel — Lyme, Babesia, Bartonella

Specialty labs only. Do not let your doctor talk you into a standard ELISA.

What it findsActive or recent infection with Lyme and common co-infections. Specialty labs use Western blot, FISH, and PCR with much higher sensitivity than standard hospital tests.
Why it mattersLyme and Bartonella mimic PANS exactly. Many kids labeled PANS have a missed tick-borne infection. Standard ELISA misses 50%+ of cases. Specialty labs catch what’s actually there.
Cost~$400–800 · rarely covered by insurance, worth it
Order yourselfIGeneX · Galaxy Diagnostics · T-Lab · most allow direct ordering in many states
Why doctors skip: Most pediatricians are taught that Lyme is rare and only causes a bullseye rash. Both are false. The CDC ELISA is the wrong test for chronic Lyme.
N°. 06

MRSA & MARCoNS — deep nasal swab

Drug-resistant staph in the nasal cavity. The hidden infection most pediatricians don't know to test for.

What it findsTwo related infections: MRSA (methicillin-resistant Staph aureus) and MARCoNS (multiple-antibiotic-resistant coagulase-negative staph). Both colonize deep in the nasal passages and hide behind a biofilm that ordinary antibiotics can’t penetrate.
Why it mattersThese bugs pump inflammatory toxins into the bloodstream around the clock. They’re a chronic driver of neuroinflammation — and a frequently-missed piece in PANS kids with any mold exposure history. Treatable with BEG nasal spray and/or targeted antibiotics, but only once identified.
Cost~$200
Order yourselfMicrobiology DX ships a swab kit; you do the swab at home and return.
Why doctors skip: 99% of pediatricians have never heard of MARCoNS. Even when MRSA is found in a standard nasal swab, the implication for neuroinflammation is rarely connected to the PANS picture.
N°. 07

Cunningham Panel — only if pursuing IVIG

A diagnostic test we don't routinely recommend.

What it findsFive antibodies (anti-D1, anti-D2L, anti-tubulin, anti-lysoganglioside, CaMKII) that some researchers associate with PANS autoimmunity.
Why we rarely run itMisses 20–40% of clinically-confirmed PANS kids (high false-negative rate). A negative result doesn't rule out PANS. A positive result doesn't unlock a unique treatment. Costs ~$925.
When to do itIf you are pursuing IVIG and your insurance company requires Cunningham documentation for prior authorization. That is the only scenario where it's worth the cost.
Cost~$925 · rarely covered
LabMoleculera Labs · requires a doctor’s order
Category 02

Immune function

PANS is fundamentally an immune disorder — the immune system has gone after the brain. These tests tell you how your child's immune system is functioning, whether it's deficient, whether it's autoimmune, and whether IVIG might help.

N°. 08

IgG subclasses — 1, 2, 3, 4

The most important immune test most pediatricians never run.

What it findsDeficiency in one of the four IgG subclasses. Kids can have a "normal" total IgG but a critical subclass deficiency that explains recurrent infections.
Why it mattersSubclass deficiency is the single biggest predictor of IVIG response. If positive, IVIG is a high-leverage treatment and insurance will often cover it.
Cost~$150 · usually covered
Order yourselfUlta Lab Tests · Quest Direct
Why doctors skip: Only immunologists order this routinely. Your pediatrician may not know it exists.
N°. 09

Total IgA, IgM, IgE

The other immunoglobulins — round out the immune picture.

What it findsIgA deficiency (very common, often missed); high IgE (allergy/mast cell); low IgM (acute infection response problem).
Why it mattersIgA deficiency makes mucosal infections worse and is found in ~1 in 600 people. If you're treating PANS triggers but the kid keeps getting reinfected, this often explains why.
Cost~$80
Order yourselfUlta Lab Tests
N°. 10

Inflammation panel — hs-CRP, ANA, C3, C4

High-sensitivity inflammation markers + autoimmune screen.

What it findshs-CRP catches low-level inflammation that regular CRP misses. ANA screens for autoimmunity. Complement levels (C3, C4) show whether the immune system is being consumed by inflammation.
Why it mattersThese give a baseline you can track. Drops in C3/C4 with rising hs-CRP often predict flares before they happen.
Cost~$100 · usually covered
Order yourselfUlta Lab Tests
N°. 11

CBC with differential

Basic blood count — but read the differential carefully.

What it findsRed/white cells, platelets, plus the breakdown of white-cell types. Low absolute neutrophils, high eosinophils, or elevated basophils each tell a different story.
Why it mattersElevated absolute basophils is a Walsh-framework marker for undermethylation. Most doctors ignore basophils entirely.
Cost~$30
Order yourselfAvailable at any DTC lab
N°. 12

CIRS panel — TGF-β1, C4a, MMP-9, MSH, VEGF

The Shoemaker biotoxin illness panel. Run if any mold or water-damaged building exposure.

What it findsChronic Inflammatory Response Syndrome — the specific inflammatory pattern of mold/biotoxin illness. Elevated TGF-β1 and MMP-9 are hallmarks.
Why it mattersIf positive, your child has biotoxin illness on top of (or instead of) PANS. Different treatment protocol. Often what's actually driving "PANS that won’t get better."
Cost~$300–500
Order yourselfLabCorp via a Shoemaker-certified practitioner — see survivingmold.com for a directory
Category 03

Biochemistry & nutrients

This is the Walsh Research Institute workup — biochemical individuality. Every PANS kid has nutrient imbalances driving their symptoms. Copper toxicity drives intrusive thoughts. Pyrrole disorder drives stress intolerance. Undermethylation drives OCD. These tests find which biochemical pattern your child fits, and what to do about it.

N°. 13

Whole-blood histamine

The master methylation marker. Must be whole blood, not serum.

What it findsHistamine stored in white blood cells. High = undermethylator. Low = overmethylator. Both have different symptoms and need different treatments.
Why it mattersUndermethylators with OCD/intrusive thoughts often get worse on methylfolate. Overmethylators with anxiety often get worse on niacin. Without histamine, you're guessing.
Cost~$80
Order yourselfUlta Lab Tests · search "histamine, whole blood"
Why doctors skip: Comes from the Walsh / Pfeiffer Treatment Center world. Standard psychiatry doesn’t teach it.
N°. 14

Urinary kryptopyrroles — HPL test

The pyrrole disorder test. Walsh's discovery.

What it findsElevated kryptopyrroles in urine. When elevated, they bind and remove zinc + B6 from the body, leaving the child chronically depleted in both.
Why it mattersPyrrole disorder shows up as: stress intolerance, irritability, poor short-term memory, sound/light sensitivity, no dream recall, frequent infections. Treatable with zinc + P-5-P + GLA. If your kid has this, missing it is the single biggest blind spot you can have.
Cost~$95
Order yourselfDHA Laboratory · Direct Healthcare Access — both allow direct ordering
Important: Sample is light- and air-sensitive. Must be frozen immediately and shipped overnight on dry ice.
N°. 15

Zinc + Copper + Ceruloplasmin

The copper overload workup. Critical for OCD-presenting PANS.

What it findsWhether your child has copper overload — a Walsh biotype that drives intrusive thoughts, anxiety, racing thoughts, hyperactivity. Ceruloplasmin lets you calculate "free copper" — the neurotoxic fraction.
Why it mattersCopper/zinc ratio above 1.2 is concerning. Above 1.4 is significant. Treated with zinc, molybdenum, manganese, B6, vitamin C — gentle, well-tolerated, often life-changing for OCD kids.
Cost~$120 for the trio
Order yourselfUlta Lab Tests
N°. 16

Homocysteine + MMA + RBC folate

The methylation cycle workup — three together tells the story.

What it findsHomocysteine = how well methylation is working overall. MMA = whether B12 is reaching cells. RBC folate = folate stored in cells (not just serum).
Why it mattersOptimal homocysteine in kids is 5–7. Above 9 is functionally elevated even though "lab normal" goes to 10+. High homocysteine + normal B12 + normal folate = MTHFR/methylation problem.
Cost~$100
Order yourselfUlta Lab Tests
N°. 17

Vitamin D 25-OH

The most undertreated deficiency in PANS.

What it findsStored vitamin D. Optimal for PANS kids is 60–80 ng/mL — much higher than the "normal" range of 30+.
Why it mattersVitamin D is one of the most powerful immune modulators. Low D is correlated with autoimmune disease, increased infection, and worse PANS outcomes.
Cost~$40
Order yourselfAny DTC lab
N°. 18

Ferritin + full iron panel

Not just hemoglobin. Ferritin is the storage form.

What it findsHow much iron your child has stored. Optimal ferritin in kids is 50+; many PANS kids are at 15–30. Ferritin can be low even when hemoglobin is normal.
Why it mattersLow ferritin impairs sleep, mood, focus, dopamine production, and immune function. Often the silent driver of "PANS won’t get better."
Cost~$50
Order yourselfAny DTC lab
N°. 19

Full thyroid — TSH, free T3, free T4, TPO antibodies

Not just TSH. Most pediatricians stop at TSH and miss the picture.

What it findsWhether the thyroid is producing hormone (free T3, T4) and whether the immune system is attacking it (TPO antibodies — Hashimoto’s screen).
Why it mattersAutoimmune thyroid disease is common in PANS families. Even subclinical hypothyroidism crushes a kid’s mood, energy, and immune function.
Cost~$120
Order yourselfAny DTC lab
Category 04

Toxins & environment

Mold, heavy metals, and environmental toxins are massively underdiagnosed in PANS. A kid living in a water-damaged building, or with heavy-metal exposure, will not get better until the exposure is identified and addressed.

N°. 20

Mycotoxin urine panel

Mold toxin testing. The single most important environmental test for any kid with a mold-exposure history.

What it findsMycotoxins (ochratoxin, gliotoxin, aflatoxin, trichothecenes, etc.) being excreted in urine. Active exposure produces measurable levels.
Why it mattersMycotoxin illness causes brain inflammation that looks exactly like PANS. Treatable — but only once identified. Remediation + binders + glutathione support.
Cost~$300–400
Order yourselfRealTime Labs · Mosaic Diagnostics — both require a practitioner signature; most functional-medicine telehealth services will order
N°. 21

HTMA — Hair Tissue Mineral Analysis

A long-term mineral pattern plus toxic-metal screen.

What it findsAverage mineral and toxic-metal levels over the past 3–4 months. Shows patterns that blood tests miss: copper hiding in tissue, aluminum displacing magnesium, cadmium displacing zinc.
Why it mattersGives you the metabolic-type picture (fast vs slow metabolizer) and a baseline you can re-test 6–9 months later to see if minerals are rebalancing.
Cost~$100–150
Order yourselfTrace Elements · ARL — many HTMA practitioners take direct clients
N°. 22

Provoked urine toxic metals

DMSA or DMPS challenge — pulls metals out so you can measure them.

What it findsHeavy metals stored in tissue — lead, mercury, arsenic, cadmium, aluminum — that don’t show up in casual blood or urine testing.
Why it mattersA high-positive HTMA finding for a metal should be confirmed with provoked urine before chelation. Confirms what’s actually mobile in the body.
Cost~$200–300
Order yourselfDoctor required (DMSA is prescription). Functional-medicine telehealth practitioners will order.
N°. 23

Home mold testing — ERMI or HERTSMI-2

Don't forget to test the house. Test the kid AND the building.

What it findsMold species and quantities in your home’s dust. ERMI gives a comprehensive species panel; HERTSMI-2 is a focused 5-species version specifically for CIRS-relevant molds.
Why it mattersTreating mycotoxin illness without removing the exposure is impossible. If a HERTSMI-2 scores above 11, the building is unsafe to occupy.
Cost~$150–300
Order yourselfEnviroBiomics · Mycometrics — both ship a dust-collection cloth, no doctor needed
Category 05

Gut & digestion

The gut and the brain are connected. Most PANS kids have measurable gut dysbiosis, leaky gut, candida, or stealth pathogens that drive inflammation and feed the brain symptoms.

N°. 24

GI-MAP stool test

The most comprehensive functional stool test.

What it findsBacterial pathogens, opportunists, parasites, fungal overgrowth, beneficial flora, digestive markers, inflammation markers (calprotectin, zonulin = leaky gut), pancreatic function.
Why it mattersFinds the hidden gut infections (Klebsiella, Pseudomonas, H. pylori, gut Strep, Blastocystis) that drive systemic inflammation and brain symptoms.
Cost~$370
Order yourselfDiagnostic Solutions Lab — practitioner required; functional-medicine telehealth services order it
N°. 25

Organic Acids Test — OAT

A urine test that maps metabolism. Surprisingly powerful.

What it findsCandida and yeast markers (arabinose), Clostridia markers (HPHPA — drives dopamine excess), oxalate (a hidden driver of brain inflammation), neurotransmitter precursors, B-vitamin status, mitochondrial function.
Why it mattersSingle most-information-dense test we run. Catches Clostridia-driven dopamine excess (a common cause of OCD/intrusive thoughts in PANS) that nothing else finds.
Cost~$300
Order yourselfMosaic Diagnostics — practitioner required
N°. 26

Celiac panel — tTG IgA, total IgA, EMA

Rule out celiac BEFORE going gluten-free.

What it findsAutoimmune celiac disease. Total IgA matters — IgA-deficient kids can have false-negative tTG.
Why it mattersCeliac and PANS coexist often. If you go gluten-free first, you can’t test celiac for months because the antibodies disappear. Test first, then go GF.
Cost~$80
Order yourselfAny DTC lab
N°. 27

Food sensitivities — IgG + IgE panels

Two different tests for two different things.

What it findsIgE: true allergy (immediate, anaphylaxis-style). IgG: delayed sensitivity (inflammation, gut symptoms, mood). Both matter in PANS.
Why it mattersMany PANS kids have multiple food triggers driving inflammation. Identifying and removing the worst offenders calms the immune system.
Cost~$300–600
Order yourselfVibrant Wellness · Cyrex — practitioner required
Category 06

The genetic blueprint

Run once. Use for life. A DNA panel tells you which biochemical pathways are predisposed to weakness — methylation, detox, neurotransmitter, inflammation — so every supplement and treatment decision can be tailored.

N°. 28

23andMe / AncestryDNA — the DIY entry point

The cheapest way to read your child's methylation SNPs. Almost everyone should start here.

What it findsA consumer kit gives you a raw genotype file. Run that file (free) through StrateGene (Dr. Ben Lynch) or Genetic Genie and you get a methylation report — MTHFR, COMT, MAO-A, CBS, MTRR, VDR and the rest of the SNPs that drive PANS biochemistry.
Why it mattersFor about $100 you get ~90% of the actionable methylation picture — which B-vitamin forms your child can actually use, how fast they clear dopamine and histamine, where detox is throttled. Run once, use for life.
Order yourselfAncestryDNA or 23andMe → download raw data → upload to StrateGene / Genetic Genie. No doctor needed.
Cost~$99–129 for the kit · interpretation is free
Why doctors skip: 23andMe went through bankruptcy and its database was sold. If privacy concerns you, AncestryDNA or Nebula Genomics give the same raw file. The value is the raw data + StrateGene, not the brand.
N°. 29

Amy Yasko Nutrigenomic Panel — the curated protocol

A purpose-built methylation/detox panel that comes with a ready-made protocol.

What it finds~30 SNPs hand-picked by Dr. Amy Yasko specifically for the methylation + detox + gut-brain pathway her whole protocol is built around — CBS, MTHFR, MTRR, MTR, BHMT, COMT, MAO-A, SUOX, NOS and more.
Why it mattersUnlike a raw 23andMe file, it comes with Yasko’s interpretation framework and a step-by-step supplement protocol. Good for complex methylation/detox kids where you want a done-for-you roadmap, not just data.
Why it might NOT be for youPricier, narrower than a full panel, and built around Yasko’s own supplement line (a conflict of interest to keep in mind). If you only want the SNP data, 23andMe → StrateGene is far cheaper and covers the same core genes.
Cost~$495 · includes interpretation
Order yourselfHolistic Health (Yasko) — direct, no practitioner needed.
N°. 30

IntellxxDNA — the clinical-grade panel

The most comprehensive option — when a practitioner is guiding treatment.

What it finds~700 clinically annotated SNPs across methylation, detox, neurotransmitter, inflammation, mitochondrial, histamine handling, and toxin processing.
Why it mattersTells you which methylation form your child can use, how fast their COMT clears dopamine (impacts OCD treatment), how well detox handles metals and mold — annotated by functional-medicine physicians with clinical decision support.
Why upgrade from 23andMe23andMe → StrateGene gives you the major SNPs cheaply and DIY. IntellxxDNA goes further — more genes, clinically curated, with decision support — worth it when a practitioner is actually steering treatment off the results. (GX Sciences is a similar practitioner-ordered panel.)
Cost~$500–700 · one-time, for life
Order yourselfIntellxxDNA — practitioner required; many functional-medicine telehealth services will order it

Which one — and why

All three read the same DNA. The difference is curation, cost, and who orders it — not the underlying genes.

  • ›Start: 23andMe / AncestryDNA → StrateGene (~$100, DIY). Covers the major methylation SNPs. Right for almost everyone, first. You rarely need more.
  • ›Step up: Yasko panel (~$495). When you want a curated interpretation anda ready protocol, and you’re working the methylation/detox angle. Just know it’s tied to her supplements.
  • ›Clinical: IntellxxDNA / GX Sciences (~$500–700, practitioner). When a practitioner is steering treatment off the results and wants clinical-grade annotation.

Bottom line: you almost never need more than one. Start with 23andMe → StrateGene; upgrade only if a practitioner is guiding you or you want a done-for-you protocol.

When your doctor pushes back

How to demand these tests.

Most pediatricians have never heard of half this list. They will tell you it’s unnecessary. They will tell you to wait and see. They are wrong, and you are not.

Use this script — or print this page

"My child has been diagnosed with PANS / PANDAS. I’d like to order a comprehensive workup that includes infection triggers, immune function, biochemistry, environmental toxins, gut function, and a one-time genetic panel. I have a list of every test and the reasoning for each one. I’d like you to order what you’re comfortable ordering. Anything you won’t order, I’ll order through a direct-to-consumer lab — but I’d like the results to come back to your office so we can review them together."

Doctors respond differently when a parent shows up informed, with specifics, and with a clear plan. Most will order at least the standard insurance-covered tests if you can name them. The rest you order yourself, then bring back the results.

If your doctor won’t order them

Get them yourself.

Most of the tests on this page can be ordered without a doctor’s prescription. The standard chemistry, serology, and antibody tests (everything Quest and LabCorp run) are available direct-to-consumer in most states. Functional-medicine tests (Mosaic, Diagnostic Solutions, etc.) require a practitioner signature — but functional-medicine telehealth services like Rupa Health make this fast and cheap.

Ulta Lab Tests
ultalabtests.com

Quest panel ordering, no doctor needed, deeply discounted prices. The best general-purpose DTC lab for the standard tests on this page.

Strep titers · Mycoplasma · EBV · Vit D · Ferritin · Histamine · CBC · CMP · Thyroid
Quest Direct
questhealth.com

Quest's own direct-to-consumer portal. Slightly more expensive than Ulta but goes through Quest's site.

Same menu as Ulta · Easier insurance reimbursement
Walk-In Lab
walkinlab.com

LabCorp partner. Good for LabCorp-specific draws when your local hospital uses LabCorp instead of Quest.

Most standard panels · IgG subclasses · CIRS markers
IGeneX
igenex.com

The gold-standard tick-borne disease lab. Direct consumer ordering allowed in many states.

Lyme · Babesia · Bartonella · Anaplasma · Erlichia · Rickettsia
DHA Laboratory
dhalab.com

Pyrrole disorder testing (the HPL test). Walsh-recommended lab. Direct order, ships kit to you.

Kryptopyrroles (HPL) · Histamine
Microbiology DX
microbiologydx.com

MARCoNS / MRSA deep nasal swab. Ships a swab kit; you do the swab at home and return it.

MARCoNS culture · MRSA · Antibiotic sensitivities
EnviroBiomics
envirobiomicslab.com

Home mold testing — ERMI and HERTSMI-2. You collect dust with a Swiffer-like cloth and mail it in.

ERMI · HERTSMI-2 · Mold species DNA
Rupa Health
rupahealth.com

A clearinghouse for ALL the functional-medicine tests (Mosaic, Diagnostic Solutions, Vibrant, Cyrex, RealTime, etc.). A practitioner from their network can order anything for a flat fee.

GI-MAP · OAT · Mycotoxin · IgG foods · Cyrex · ANY functional test
Function Health
functionhealth.com

Membership-based functional-medicine telehealth. Monthly fee includes a comprehensive panel and a practitioner to interpret.

Membership model · Practitioner included · Good if you want guidance

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