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Genova Diagnostics · Metabolomics
Organic Acids · Mitochondria · Neurotransmitters · Detoxification

Metabolomics.
Biology's diary.

Metabolomics measures the chemical fingerprints of biological processes — the organic acids, amino acids and fatty acids that reveal what is actually happening inside your cells. It is the test that answers why — not just what.

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125+Metabolomic markers
8Biological domains
#3000Genova Panel ID
What Metabolomics Measures

Eight biological domains in one test

The core distinction

Standard blood tests measure whether vitamins and minerals are present in the blood. Metabolomics measures whether your biological pathways are actually functioning — the downstream metabolic consequences of enzymatic activity. These are fundamentally different questions with different clinical implications.

Mitochondrial function — Krebs cycle intermediates, carnitine, CoQ10
Neurotransmitter metabolism — serotonin, dopamine, noradrenaline markers
B-vitamin functional status — methylmalonate (B12), xanthurenic acid (B6), FIGLU (folate)
Oxidative stress & detoxification — 8-OHdG, glutathione, phase II capacity
Amino acid metabolism — 40 amino acids, protein bottlenecks, nitrogen balance
Gut health markers — indican, D-arabinitol, dysbiosis indicators in urine
Two metabolomics options

NutrEval® vs Organix® Comprehensive

NutrEval FMV #3000

The complete metabolomics panel. Blood + urine. 125+ markers across all six domains including amino acids, fatty acids, vitamins and minerals. The primary investigation tool for complex presentations.

Organix® Comprehensive

Urinary organic acids only — focused on mitochondrial function, neurotransmitter metabolites, detoxification and gut health. No blood draw required. Cost-effective when the specific clinical question is metabolic. Also available as Metabolomix+ (urine-only version of NutrEval).

When to Use Metabolomics

The test that answers why.

Primary Indication

Chronic Fatigue & ME/CFS

Krebs cycle organic acids reveal exactly where in energy production the blockage lies — succinate accumulation, carnitine insufficiency, CoQ10 depletion. The mechanistic level that standard blood panels cannot reach.

Primary Indication

Treatment-Resistant Depression

Neurotransmitter metabolites (HIAA for serotonin, HVA and VMA for dopamine) provide objective measurement of neurotransmitter system function — explaining why SSRIs may not work and what the biochemical bottleneck is.

Primary Indication

Complex Multi-System Disease

Long COVID, fibromyalgia, MCAS and other complex presentations where the mechanism is unknown. The metabolomics pattern frequently reveals the biological system under greatest stress — guiding the GCR hierarchy.

NutrEval + Alzheimer's Assessment

For cognitive investigation, NutrEval is combined with p-Tau217 (Alzheimer's Assessment #5400). NutrEval reveals the modifiable mechanisms — mitochondrial dysfunction, homocysteine, neurotransmitter metabolism. p-Tau217 measures amyloid risk. Together they provide risk stratification plus a personalised intervention plan.

Questions

Metabolomics explained

Metabolomics measures the chemical fingerprints of biological processes — the small molecules (organic acids, amino acids, fatty acids) that reveal what is actually happening inside your cells. The NutrEval FMV #3000 from Genova Diagnostics measures 125+ markers across six domains: mitochondrial function, neurotransmitter metabolism, B-vitamin functional status, amino acids, fatty acids and oxidative stress.

Organix® Comprehensive is a urinary organic acids panel focused on mitochondrial function, neurotransmitter metabolites, detoxification capacity and gut microbiome markers. NutrEval (FMV #3000) is the broader metabolomics panel including Organix data plus amino acids, fatty acids, vitamins, minerals and oxidative stress. Organix is a cost-effective targeted option when the specific clinical question is metabolic and no blood draw is desired.

NutrEval metabolomics is the primary diagnostic tool at MediBalans for chronic fatigue, cognitive impairment, treatment-resistant depression, neurological symptoms and complex multi-system disease. It is the test that answers why — not just what. Krebs cycle organic acid patterns reveal exactly where in energy production the blockage lies.

Yes. The blood draw requires 10–12 hours of fasting. The urine sample is first morning urine. Detailed instructions are included with the kit. Organix® Comprehensive is urine-only and requires no blood draw — suitable when a venous draw is not possible.

Yes. NutrEval requires a blood draw at a local laboratory near you (we guide you on this) plus urine collected at home. Organix® and Metabolomix+ are urine-only with home collection and international shipping. All consultations and results reviews are conducted in English via video call.

Related

Complete the metabolic picture

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Find out what your cells are doing.

Book a consultation to determine whether NutrEval or Organix® metabolomics is the right diagnostic step for your situation.

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