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Mosaic Diagnostics

Comprehensive Stool Analysis

Mosaic Diagnostics

Sample type: Stool

Requires fasting: No

At home test


Details

The Comprehensive Stool Analysis measures key markers of digestion, absorption, and intestinal function, including a comprehensive bacteriology and yeast culture to detect beneficial, imbalanced, and dysbiotic flora. Mosaic Diagnostics uses gold-standard methods, such as PCR, to identify infectious pathogens and parasites, and perform antimicrobial susceptibility testing on cultured bacterial and fungal species to recommend prescriptive and natural agents.


  • Fasciola hepatica
  • Fasciolopsis buski
  • Hookworm
  • Yeast Culture
  • Taenia spp.
  • Chilomastix mesnili
  • Entamoeba hartmanni
  • Iodamoeba buetschlii
  • Entamoeba polecki
  • Blastocystis spp.
  • Balantidium coli
  • Hymenolepis nana
  • Hymenolepis diminuta
  • Dipylidium caninum
  • Diphyllobothrium latum
  • Butyrate
  • Pancreatic Elastase 1
  • Strongyloides stercoralis
  • Enterobius vermicularis
  • Capillaria philippinensis
  • Red Blood Cells, Stool
  • White Blood Cells, Stool
  • Cryptosporidium spp.
  • Giardia
  • Trichuris trichiura
  • Entamoeba coli
  • Endolimax nana
  • Dientamoeba fragilis
  • Ascaris lumbricoides
  • Enterotoxigenic E. coli
  • Campylobacter spp.
  • Salmonella spp.
  • Shiga-like toxin E. coli stx1
  • Shiga-like toxin E. coli stx2
  • E. coli o157
  • Vibrio cholerae
  • Secretory IgA
  • Pentatrichomonas hominis
  • Norovirus GI/GII
  • Entamoeba histolytica
  • Adenovirus 40/41
  • Lactoferrin, Stool [Mass/Volume]
  • Lysozyme
  • Carbohydrates
  • Muscle fibers
  • Mucus
  • Vegetable fibers
  • Cystoisospora belli
  • Pollen
  • Charcot-leyden crystals
  • Paragonimus westermani
  • Heterophyes heterophyes
  • Clonorchis sinensis
  • Capillaria hepatica
  • Retortamonas intestinalis
  • Enteromonas hominis
  • Rotavirus A
  • Shigella spp.
  • Clostridioides difficile
  • Total Short-Chain Fatty Acids
  • Calprotectin, Stool
  • Acetate %
  • Butyrate %
  • Propionate %
  • Valerate %
  • Bacteria Culture
  • Bacterial Sensitivities
  • Occult Blood, Stool
  • pH, Stool
  • Fat Stain
  • Yeast Sensitivities

Estimated days for results: Results should be available within 31 business days after samples are received at the lab.

Why Conduct a Comprehensive Stool Analysis?
The Comprehensive Stool Analysis + Parasitology (CSAP) is an essential diagnostic tool that enables practitioners to assess the status of beneficial and imbalanced commensal bacteria, pathogenic bacteria, yeast/fungus, and parasites. The identification of pathogenic species and susceptibility testing assists in the selection of the most suitable pharmaceutical or natural treatment agents.

The Comprehensive Stool Analysis test measures: 
  • Digestion and absorption of nutrients (Pancreatic Elastase, Muscle Fibers, and Vegetable Fibers)
  • Elimination efficiency of undigested food residues and toxins
  • Assessment of the gut microbiome, measuring levels of healthy bacterial flora versus potentially pathogenic bacteria species, yeast, and parasites
  • Culture and sensitivities of pathogenic yeast and bacteria
  • Infectious pathogens (EIA evaluation for Campylobacter, Enterohemorrhagic E. coli cytotoxin, Giardia lamblia, and Cryptosporidium)
  • Indices and markers of intestinal immune function (Secretory IgA)
  • Indices and markers of inflammation (Calprotectin, Lactoferrin, and Lysozyme)
  • Indices and markers of intestinal physiology and of intestinal health (Presence of RBC, WBC, Mucus, Occult Blood, Fecal pH, and Short Chain Fatty Acids)

Efficient remediation of GI dysfunctions involves a comprehensive approach that includes elimination of pathogens and irritants, supplementation of hydrochloric acid, pancreatic enzymes, and pre- and probiotics, and repair of the mucosal barrier.


31 business days


View here

Before You Start
  • Read the test collection instructions here.
  • You will collect samples on one, two, or three separate days. Your healthcare provider will tell you how many days to collect.
  • Samples must be collected at least 12 hours apart.
  • Samples must be shipped within 5 days of the second collection.
  • Ship your samples Monday - Wednesday only.
  • It is best to start your collection over the weekend so you can ship on time.
  • DO NOT collect samples while menstruating or actively bleeding from hemorrhoids.

4 Weeks Before Collection
  • Avoid the following procedures: 
    • Colonoscopy
    • Barium enema

2 Weeks Before Collection
  • Avoid the following medications. DO NOT discontinue any prescription medications without first consulting your healthcare provider.
    • Antibiotics
    • Antiparasitics
    • Antifungals
    • Probiotic supplements
    • Proton pump inhibitors (PPI)
    • Bismuth

48 Hours Before Collection
  • Avoid the following foods and medications. DO NOT discontinue any prescription medications without first consulting your healthcare provider.
    • Digestive enzymes
    • Antacids
    • Iron supplements
    • Over 250 mg daily of Vitamin C
    • Aspirin or other NSAIDs
    • Activated charcoal
    • Bentonite clay
    • Betaine HCl
    • Mineral oil
    • Castor oil
    • Glycerin-based laxatives, enemas, or suppositories

24 Hours Before Collection 
  • DO NOT use suppositories or mineral oil before sample collection.
  • If you have trouble producing stool, you may use one of the following: 
    • Oral phosphate soda laxatives (e.g., Fleet)
    • Magnesium citrate
    • Psyllium fiber
    • Enemas using distilled water only

State restrictions:

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

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