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Tiny Health

Adult Gut Health Test

Tiny Health

Sample type: Stool

Requires fasting: No

At home test


Details

The Adult Gut Health Test gives you insights into the commensal and pathogenic species in the microbiome with accurate relative abundances. Shotgun metagenomics testing will give you strain-level resolution and data on the functional capacity of the microbiome from digestion to gut inflammation. This test is designed for adults.


  • Roseburia spp.
  • Prevotella spp.
  • Klebsiella pneumoniae
  • Blastocystis spp.
  • Cryptosporidium spp.
  • Giardia
  • Lactobacillus spp.
  • Bifidobacterium spp.
  • Candida spp.
  • Helicobacter pylori
  • Staphylococcus spp.
  • Citrobacter spp.
  • Campylobacter spp.
  • Enterobacter spp.
  • Yersinia enterocolitica
  • Streptococcus spp.
  • Firmicutes/bacteroidetes ratio
  • Firmicutes
  • Bacteroidetes
  • Vibrio cholerae
  • Entamoeba histolytica
  • Morganella spp.
  • Klebsiella spp.
  • Pseudomonas aeruginosa
  • Enterococcus faecium
  • Enterococcus faecalis
  • Bacteroides fragilis
  • Actinobacteria
  • Bacteroides spp.
  • Enterobacteriaceae
  • Proteobacteria
  • Ruminococcus gnavus
  • Vibrio spp.
  • Streptococcus agalactiae
  • Clostridioides difficile
  • Escherichia coli
  • Entamoeba dispar
  • Prevotella/Bacteroides Ratio
  • Streptococcus thermophilus
  • Bifidobacterium longum
  • Cyclospora cayetanensis
  • Methanobrevibacter smithii
  • Ruminococcus spp.
  • Acinetobacter baumannii
  • Ammonia Production
  • Bifidobacterium adolescentis
  • Bifidobacterium animalis
  • Bifidobacterium bifidum
  • Bifidobacterium breve
  • Branched Chain Amino Acid Production
  • Haemophilus influenzae
  • Histamine Production
  • Indolepropionic Acid (IPA) Production
  • Klebsiella oxytoca
  • Lactobacillus acidophilus
  • Lactobacillus casei
  • Lactobacillus fermentum
  • Lactobacillus gasseri
  • Lactobacillus paracasei
  • Lactobacillus plantarum
  • Lactobacillus reuteri
  • Lactobacillus rhamnosus
  • Lactobacillus salivarius
  • Prevotella copri
  • Proteobacteria/Actinobacteria Ratio
  • Shannon Diversity Index
  • Trimethylamine (TMA) Production
  • Secondary Bile Acid Production
  • Abundance Index
  • Acetate Capacity
  • Akkermansia spp.
  • Beta-Glucuronidase Capacity
  • Bifidobacterium infantis
  • Blautia spp.
  • Butyrate Capacity
  • Cellulose Digestion Capacity
  • Chitin Digestion Capacity
  • Clostridium perfringens
  • Escherichia dysenteriae
  • Escherichia flexneri
  • Xylooligosaccharides Digestion Capacity
  • Faecalibacterium spp.
  • Fructooligosaccharides Digestion Capacity
  • Fusobacteriota
  • GABA Breakdown
  • GABA Production
  • Galactooligosaccharides Digestion Capacity
  • Gut Resilience Score
  • Haemophilus parainfluenzae
  • Hexa-LPS Index
  • HMO-Digesting Species
  • Host DNA
  • Hydrogen Sulfide Index
  • Isomaltooligosaccharides Digestion Capacity
  • Lactobacillus brevis
  • Methane Production Capacity
  • Microbiome Age
  • Mucus Degradation Index
  • Oral Microbes
  • Overabundant Species
  • Oxalate Degradation
  • Oxygen Exposure Index
  • p-Cresol Production
  • Pectin Digestion Capacity
  • Phocaeicola dorei
  • Propionate Capacity
  • Protein Breakdown
  • Raoultella spp.
  • Resistant Starch Digestion Capacity
  • Richness Index
  • Salmonella enterica
  • Species Richness
  • Unconjugated Bile Acid Production
  • Urolithin-Producing Species
  • Vitamin B12 Production
  • Vitamin B2 Production
  • Vitamin B7 Production
  • Vitamin B9 Production
  • Vitamin K Production

Estimated days for results: Results should arrive 20 business days after the lab receives samples.

The Tiny Health Adult Gut Health Test is an at-home gut microbiome assessment powered by deep shotgun metagenomics which is the most comprehensive sequencing technology available for microbiome analysis.

Unlike 16S rRNA panels that identify only a narrow marker gene, shotgun metagenomics captures the full genetic landscape of the gut microbiome, providing species- and strain-level resolution across bacteria, viruses, fungi, archaea, and protozoan parasites down to 0.005% relative abundance. All samples are processed in a CLIA- and CAP-certified U.S. lab, and results are benchmarked to adult-specific reference ranges for clinically meaningful comparisons.

The test delivers a comprehensive picture of microbiome composition, microbial functional capacity, and gut inflammation markers covering relative abundance of 120,000+ microbial genomes, metabolic pathway activity, gut inflammation index, and health condition signatures drawn from current peer-reviewed research. These layered insights allow practitioners to move beyond symptom management and identify specific microbial drivers of digestive, immune, and metabolic dysfunction. Personalized recommendations for diet, probiotics, prebiotics, and lifestyle are generated based on each patient's unique microbiome profile, giving practitioners a ready-made framework to build or refine clinical protocols.

This test is well-suited for adults presenting with digestive symptoms such as bloating, constipation, diarrhea, or IBS/IBD; patients with chronic conditions including autoimmune disease, eczema, or allergies where gut involvement is suspected; individuals seeking optimization of performance or preventive wellness; and patients post-antibiotic use or following significant dietary changes.


20 business days


  • Gastrointestinal

Before You Start
  • Please read the provided test collection instructions.
  • Avoid antibiotics for 4 weeks before sample collection.
  • DO NOT discontinue any prescription medication without consulting your healthcare provider.

5 Days Before Collection
  • Stop using probiotic supplements.
  • DO NOT discontinue any prescription medication without consulting your healthcare provider.

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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