Skin Condition Testing & Evaluation

Testing That Goes Beyond the Surface

We use a targeted panel of functional medicine tests to find what's actually driving your skin symptoms.

Standard allergy tests and basic bloodwork rarely tell the full story for patients with chronic skin conditions. The root causes of conditions like eczema, rosacea, psoriasis, and chronic hives are often found in areas that conventional labs don't routinely look at — the gut microbiome, food immune responses, organic acid metabolism, mold and environmental toxins, and infectious loads.

We select from the following testing options based on your symptoms and history. Not every patient needs every test. Your initial consultation helps us prioritize what will give us the most useful information.

• Eczema / Atopic Dermatitis
• Psoriasis
  
• Rosacea
  
• Chronic Acne
  
• Hives / Urticaria
  
• Contact Dermatitis
  
• Seborrheic Dermatitis
  
• Skin Rashes of Unknown Origin
  
• Skin symptoms related to mold or environmental exposure
• Skin flares linked to food sensitivity or autoimmune activity

Skin prick and intradermal testing are simple in‑office procedures that briefly expose your skin to tiny amounts of everyday airborne substances such as dust, molds, pet dander, and pollens. By watching how your skin responds over the next several minutes, we can quickly see which environmental factors are stirring up your immune system and potentially feeding into ongoing fatigue.

Why it matters for fatigue:

• Hidden reactions to common exposures can keep your immune system on high alert, quietly draining your energy day after day.

• If your energy, brain fog, or other symptoms seem to ebb and flow with seasons, locations, or indoor environments, unrecognized allergen sensitivity is often part of the puzzle.

• Identifying and reducing these triggers helps lower background inflammation so deeper causes of fatigue are easier to uncover and treat.

🧫 Comprehensive Stool Analysis

Comprehensive stool testing looks at what is happening inside your digestive tract, including the balance of gut bacteria, signs of inflammation, digestion and absorption, and the presence of organisms like yeast or parasites. By analyzing these markers together, we can see whether your gut is supporting your energy levels or quietly working against them.

Why it matters for fatigue:

• Disrupted gut bacteria, low digestive function, or low‑grade infections can create constant immune stress that leaves you feeling depleted.

• Inflammation in the gut often shows up as bloating or irregular stools, but it can also drive whole‑body symptoms like fatigue, brain fog, and aches.

• Pinpointing and correcting these hidden imbalances helps your body absorb nutrients better, calm inflammation, and free up more energy for daily life.

We use targeted blood testing to evaluate immune responses and active or latent infections that are commonly overlooked in standard labs. This includes:

• Fungal antibodies — identifying systemic or localized fungal involvement (e.g., Candida, other fungi)
• Mold-related immune markers — IgE and IgG reactivity to specific mold species
• Bacterial antibodies — including markers for chronic low-grade infections
• Viral panels — including Epstein-Barr Virus (EBV), which is associated with immune dysregulation and inflammatory skin responses
• Celiac antibody panel — tTG-IgA, DGP, and total IgA to evaluate gluten-related immune activity, which is linked to dermatitis herpetiformis and other skin manifestations

Why it matters for skin: These infections and exposures can suppress or overstimulate the immune system in ways that directly manifest in the skin. Identifying them allows for targeted treatment rather than guesswork.

🍎 Alletess 184-Food IgG Sensitivity Panel

The Alletess 184 panel measures IgG antibody reactions to 184 common foods using a blood sample. Unlike IgE-based allergy testing (which detects immediate reactions), IgG testing identifies delayed immune responses — reactions that may occur hours or days after eating, making them difficult to connect to symptoms without testing.

Foods tested include common triggers like dairy, gluten, eggs, nuts, soy, and dozens of others across all major food categories.

Why it matters for skin: Delayed food sensitivities are one of the most frequent hidden drivers of eczema, acne, hives, and rosacea flares. Many patients see dramatic improvement simply by eliminating their specific reactive foods — but without the panel, identifying those foods through elimination alone can take months.

⚗️ Organic Acids Test (OAT)

The OAT is a urine-based functional test that measures over 70 metabolic markers. It provides a detailed picture of cellular energy production, gut microbial activity (including yeast and bacteria metabolites), neurotransmitter metabolism, detoxification capacity, and nutritional status.

Key markers include oxalates, yeast overgrowth indicators (arabinose), bacterial metabolites, mitochondrial function, B-vitamin status, and oxidative stress markers.

Why it matters for skin: Many patients with chronic skin conditions have underlying metabolic imbalances — nutrient deficiencies, yeast overgrowth, or detoxification bottlenecks — that are invisible on standard labs but clearly visible on the OAT. Addressing these can significantly accelerate skin healing.

Why We Test More Than One Thing

Skin conditions rarely have a single cause. In most cases, two or three overlapping factors are at work simultaneously — a gut imbalance combined with a food sensitivity and a mold exposure, for example. Testing one category at a time not only takes longer, it often leads to partial results.

By running a targeted combination of these tests at once, we can see the full picture of what your body is dealing with and prioritize the most impactful interventions first.

Start with a free discovery call. We'll talk through your situation, explain what testing makes sense, and let you know exactly what to expect.

Available Remotely Throughout North Carolina You don't have to be in Wilmington to work with us. Most of our testing can be completed through a local lab draw near you or with at-home collection kits, and consultations are available by telehealth. We currently serve patients across North Carolina. 

Consultations and test review appointments are available via telehealth for patients across North Carolina.