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Genova Diagnostics

Intestinal Permeability Assessment

Genova Diagnostics

Sample type: Urine

Requires fasting: Yes

At home test


Details

The Intestinal Permeability Assessment directly measures the ability of two non-metabolized sugar molecules to permeate the intestinal mucosa. It assesses small intestinal absorption and barrier function in the bowel to help diagnose malabsorption and intestinal permeability/leaky gut.


  • Lactulose Percent Recovery
  • Mannitol Percent Recovery
  • Lactulose/Mannitol Ratio

Estimated days for results: Results should arrive 21 business days after the lab receives samples.


21 business days


View here

Before You Start
  • Please read the test collection instructions carefully.
  • This test uses lactulose and mannitol. It is not recommended if you are on a galactose/lactose-restricted diet or have had allergic reactions to lactulose or sugar alcohols (such as mannitol, sorbitol, or xylitol).
  • Use caution if you are diabetic, as lactulose can affect blood sugar levels.
  • If you have glucosuria, uncontrolled diabetes, or take medications that increase urinary glucose (e.g., Invokana), consult your doctor before completing this test.

3 Days Before Collection
  • Avoid the following medications. DO NOT discontinue any prescription medications without first consulting your healthcare provider.
    • Aspirin and other NSAIDs (e.g., ibuprofen)
    • Laxatives
    • Antacids containing aluminum or magnesium hydroxide (e.g., Maalox, Equate, Milk of Magnesia, Rolaids, Mylanta)
    • Medications that contain sorbitol and/or mannitol

Night Before Collection
  • Do not eat or drink anything for at least 8 hours before beginning the test.
  • Discontinue non-essential supplements and medications until after the test is completed. DO NOT discontinue any prescription medications without first consulting your healthcare provider.
  • Freeze the gel freezer pack for at least 4 hours before shipping.

Day of Collection
  • Do not eat or drink for 2 hours after consuming the Lactulose/Mannitol drink mix.
  • After the first 2 hours, you may eat and drink but must avoid any foods or beverages that contain fructose, lactose, mannitol, or other sugar alcohols. 
    • Fruits and fruit juices
    • Jams, jellies, honey
    • Soft drinks and sweeteners with high-fructose corn syrup or agave syrup
    • All dairy products
    • Mushrooms, beans, and legumes (including peanuts)
    • Vegetables
    • Chewing gum
    • Reduced-calorie sweeteners, candy, and cough drops

State restrictions:

Patient can't order this test if they are located in Hawaii, Puerto Rico, New Jersey, New York, or Rhode Island

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