Organic acid test
Functional Metabolic Snapshot
₹4,500
The layer inside the metabolic pathways that everything else misses.
The Organic Acid Test is a urine-based functional test that measures byproducts of metabolic activity. It reveals what is happening inside your mitochondria, your vitamin and mineral synthesis pathways, your detoxification processes, and your gut bacterial activity, in real time. It finds what bloodwork cannot.
Price
₹4,500
Urine kit. Home collection.
Sample type
Urine
First morning urine collection. Kit sent to your home. No blood draw required.
Best used with
The blood panel
Tanya uses the OAT alongside the blood panel for a complete functional and biochemical picture, each reveals what the other misses.
The insight
What bloodwork misses
The OAT shows what is happening inside the engine room, not just the output the blood test captures.
What it measures: inside the pathways themselves
Standard blood tests measure what is circulating in your blood. The Organic Acid Test measures the byproducts of metabolic reactions, the exhaust of your cellular machinery. This makes it uniquely sensitive to functional dysfunction that bloodwork normalises long before it becomes a clinical issue.
Mitochondrial function
How efficiently your mitochondria are producing energy, and which specific steps in the Krebs cycle and electron transport chain are impaired. The root of chronic fatigue that bloodwork cannot explain.
Metabolic pathway activity
The functional state of your carbohydrate, fat, and amino acid metabolism pathways. Reveals metabolic bottlenecks that drive symptoms like brain fog, weight resistance, and poor recovery.
Vitamin and mineral synthesis
Whether your body is actually utilising the vitamins and minerals it has. A person can have normal blood levels of B12 and still show functional B12 deficiency on the OAT, because the issue is at the pathway level, not the supply level.
Neurotransmitter metabolism
Byproducts of dopamine, serotonin, and norepinephrine metabolism, showing whether your nervous system has the raw material and the enzymatic capacity to produce and regulate these compounds.
Detoxification and oxidative stress
Markers of oxidative damage, glutathione depletion, and Phase II liver detoxification capacity. Reveals toxic burden that never shows up on standard liver function tests.
Gut bacterial and yeast activity
Organic acid byproducts from specific bacterial and fungal species in the gut. The OAT often catches gut dysbiosis and candida overgrowth that microbiome sequencing misses, because it measures metabolic activity, not just presence.
Why Tanya uses this: the test that finds what bloodwork misses
Blood tests are a snapshot of what is circulating. They are exceptional at identifying deficiencies, inflammatory load, and organ function. But they normalise early-stage mitochondrial dysfunction, subclinical B-vitamin depletion, and gut metabolic imbalances for years before those issues become clinically visible.
The OAT catches those patterns early, in the pathway activity itself, not in the downstream consequences. This is why Tanya uses it alongside the blood panel for any client presenting with chronic fatigue, unexplained symptoms, or a blood panel that looks broadly normal but whose biology clearly is not functioning optimally.
When Tanya recommends the OAT
- Chronic fatigue or poor energy that blood tests cannot explain
- Brain fog and cognitive symptoms without obvious blood markers
- Persistent gut issues not fully explained by the microbiome test
- Nutrient deficiencies that persist despite supplementation
- Complex cases where the blood panel is broadly normal but symptoms are not
- Anyone wanting the most complete functional picture of their biology
Urine collection kit delivered to your home
The Organic Acid Test is a key part of the Biology By Design diagnostic suite. Book your test below and the BbD team will contact you to coordinate collection and schedule your session.
What will be included
- Urine collection kit delivered to your home
- First morning urine collection, full instructions in kit
- Lab pickup from your home
- Comprehensive organic acid report across all six domains
- BbD team review, results interpreted alongside your blood panel
Home sample collection and test kits are currently available within India only.
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