Goldendale Chiropractor | Goldendale chiropractic care | WA | Labratory Testing

           Goldendale Chiropractic & Natural Medicine

bringing "health" to our community...naturally!



Dennis L Carver, DC    TreePerson_Office_Logo.jpg Katherine Walker, ND  

Ann Anderson, LAc

Lori Carsey, LMP                           Shelley Grable, LMP



Labratory Testing

We order many different blood, urine and saliva tests.  Please bring in any lab tests you have in the past few years, as this information helps to create a better understanding of your health issues.   Saliva testing is gaining popularity in the health field as the information helps to better understand their Estrogen, Progesterone, and Testosterone levels, along with DHEA and Cortisol.  This type of testing can also be used for many other conditions. We also order chemistry screens, cholesterol, blood sugar, food allergy, environmental chemical testing, parasite testing, and thyroid testing.  We use blood, urine, salvia and stool testing.

Saliva testing is an easy and noninvasive way of assessing your patient's hormone status and balancing needs, and is proving to be the most reliable medium for measuring hormone levels.Appreciating the reliability of saliva testing is based on understanding the difference between steroid hormones in saliva and in serum. This difference is based on whether or not the hormones are bound to proteins in the medium used for testing. The majority of hormones exist in one of two forms: free (5%) or protein bound (95%). It is only the free hormones that are biologically active, or bio-available, and available for delivery to receptors in the body. Those which are protein bound do not fit the receptors and are considered non-bioavailable. When blood is filtered through the salivary glands, the bound hormone components are too large to pass through the cell membranes. Only the unbound hormones pass through and into the saliva. What is measured in the saliva is the bioavailable hormone, the clinically relevant portion which will be delivered to the receptors in the tissues of the body.

Salivary hormone levels are expected to be much lower than serum levels, as only the unbound hormones are being measured. When healthcare providers measure serum hormone levels and prescribe hormone replacement therapy based on those results, patients are often overdosed. If the patients are then tested using saliva, the results are extraordinarily high, and confusion results from a lack of correlation between the two methods.

This discrepancy becomes especially important when monitoring topical, or transdermal, hormone therapy. Studies show that this method of delivery results in increased tissue hormone levels (thus measurable in saliva), but no parallel increase in serum levels. Therefore, serum testing cannot be used to monitor topical hormone therapy.

According to Wikipedia - "Saliva testing is a diagnostic technique that involves laboratory analysis of saliva to identify markers of endocrine, immunologic, inflammatory, infectious, and other types of conditions. Saliva is a useful biological fluid for assaying steroid hormones such as cortisol, genetic material like RNA, proteins such as enzymes and antibodies, and a variety of other substances. Saliva testing is used to screen for or diagnose numerous conditions and disease states, including Cushing’s disease, anovulation, HIV, cancer, parasites, hypogonadism, and allergies. Notably, salivary testing has even been used by the U.S. government to assess circadian rhythm shifts in astronauts before flight and to evaluate hormonal profiles of soldiers undergoing military survival training.

Proponents of saliva testing cite its ease of collection, safety, non-invasiveness, affordability, accuracy, and capacity to circumvent venipuncture as the primary advantages when compared to blood testing and other types of diagnostic testing. Additionally, since multiple samples can be readily obtained, saliva testing is particularly useful for performing chronobiological assessments that span hours, days, or weeks.

Saliva testing is not just the subject of immense research, but it also serves as a valuable diagnostic tool evidenced by three decades’ use in clinical practice. Initial studies focused primarily on detection of steroid hormones and antibodies in the saliva. Recent applications emphasize the development of increasingly sophisticated techniques to detect additional proteins, genetic material, and markers of nutritional status. According to Wong, scientists are now viewing saliva as “a valuable biofluid…with the potential to extract more data than is possible currently with other diagnostic methods."


Goldendale Chiropractor | Labratory Testing. Dr. Dennis Carver is a Goldendale Chiropractor.