Our Tests
Our DECODE diagnostics for skin, gut, brain, hormones, toxicity, allergy, and microbiome testing empower integrative dermatology by providing accessible data to identify root causes of issues.



DEcode collection
The DECODE collection of at-home diagnostics helps you learn more about your skin condition and discuss your results with a professional from our network. Professionals include dermatologists, naturopathic doctors, DPA’s, and genetic counselors.
DECODE.MYHEALTH
Our high-sensitivity C-reactive protein (hs-CRP) test measures the level of C-reactive protein (CRP) in your blood, which is a marker of inflammation. CRP levels increase when there is inflammation or infection in the body, which could be due to a serious injury, skin condition such as psoriasis or rosacea, systemic disease, or pregnancy.
DISCOVER YOUR LEVEL OF INFLAMMATION FOR:
- Infections
- Chronic inflammation
- Auto-immune issues
- Cardiovascular disease related issues
DECODE.MYGUT
The gut microbiome and barrier influence your gut, skin and brain health. This test measures the diversity and profile of your gut microbiome, as well as the permeability (“leakiness”) and inflammation of your gut barrier using a fecal sample. Your DECODE provider will explain your data and suggest treatment options.
The MyGut microbiome test uses qPCR to quantify your key species (pathogens, commensals, fungi, as well as vitamin & short chain fatty acid producers), your microbiome diversity, key ratios of bacteria, and virulence factors of H. Pylori.
Our intestines (or gut) are colonized by a diverse collection of about 100 trillion bacteria, fungi and viruses commonly referred to as “microorganisms”. Collectively, they're known as the gut microbiome. The diversity of these microorganisms living in these colonies is highly dependent on your general health, diet, and lifestyle.
When the gut microbiome contains too many harmful bacteria and not enough friendly bacteria, an imbalance can occur. Gut bacteria can also be potentially harmful when the gut ecosystem undergoes abnormal changes. Such a gut microbiome imbalance (dysbiosis) can result in various health issues. Exposure to pollution, antibiotics, microplastics and other environmental toxins can also lead to dysbiosis.
The MyGut barrier test also measures three key biomarkers – zonulin, secretory Iga, and calprotectin - to detect “leaky gut” and gut inflammation.
Gut inflammation occurs when the intestinal lining becomes irritated, often leading to a condition known as leaky gut, due to the compromised intestinal barrier. This condition allows toxins and undigested food particles to pass into the bloodstream, often provoking an immune response or leading to skin flare-ups.
Root causes of gut inflammation include poor diet, chronic stress, food intolerances, and infections and antibiotics. Health consequences can be severe, resulting in autoimmune disorders, skin conditions (eczema and acne), digestive issues, and increased susceptibility to infections.
Common symptoms of leaky gut include bloating, gas, and abdominal pain, as well as food sensitivities and allergies. Individuals may also experience chronic fatigue, brain fog, and mood disorders like anxiety and depression.
Addressing these underlying causes is crucial for restoring gut health and preventing skin flare-ups. Note that any chronic skin or gut symptoms should be addressed by a doctor with a series of tests and a physical exam, not just a single home test!
DECODE.MYSKIN
Hormones are signaling molecules that are transported through the body and regulate your body and your behavior. When our hormone levels are not in balance, we often feel the effects. Examples include disrupted sleep, weight changes, body temperature feeling off, mood dysregulation, and more. Hormones can also affect many skin processes, including oil production, collagen production, and moisture levels. When hormone levels fluctuate, they can lead to skin issues like acne, dry skin, and wrinkles.
FOR EXAMPLE:
ESTROGEN
Helps produce collagen, elastin, and hyaluronic acid, which keep skin firm and plump. Estrogen levels decrease with age, which can lead to thinner, drier, less elastic skin, and wrinkles. During menopause, estrogen levels can drop suddenly, which can cause dry or itchy skin, acne, and sagging.
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PROGESTERONE
Stimulates the production of sebum, the skin's natural oil. Progesterone can also cause skin to swell, which can make pores look smaller. However, too much progesterone can lead to oil buildup and acne.
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TESTOSTERONE
Stimulates the sebaceous glands to produce sebum, which can lead to oily skin and acne. Testosterone levels are typically higher during menstruation, and hormonal acne can appear in the T-zone (forehead, nose, and chin) during puberty.
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CORTISOL
Produced by the adrenal glands in response to stress, high cortisol levels can lead to inflammation, which can make skin conditions like acne and eczema worse.
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Hormone dysregulation can happen at any point throughout life. Owing to the importance of our hormone levels and their effects on our skin, we may need to check our levels and so that a medical professional can provide insight into any imbalances and how to restore balance.
KEY MEASUREMENTS FOR THIS TEST INCLUDE:
- Estrogen, Progesterone and their ratio
- DHEA-S and Testosterone
- Cortisol
DECODE.MYHEALTH
Organic acids are products of the body’s metabolic pathways and can affect your overall health and skin through the skin-gut-brain-biome axis. The Organic Acids Test (OAT) provides a comprehensive nutritional and metabolic snapshot from one urine sample. Your DECODE provider will interpret your results and suggest treatment options.
The MyHealth Organic Acids Test (OAT) measure 76 organic acids from a urine sample using a combination of gas or liquid chromatography linked with mass spectrometry. The OAT provides useful information about how well an individual’s metabolic pathways are functioning.
Organic acids are products of the body’s metabolic pathways. Evaluation of these downstream metabolites from various metabolic pathways provides insight into important areas related to gut health, mitochondrial dysfunction, neurotransmitter status, indicators of detoxification and macronutrient breakdown and nutritional status. This makes organic acid testing a valuable tool to assess the functional need for essential nutrients (including vitamins and minerals), diet modification, antioxidant protection, detoxification, and other therapies.
Revealed imbalances may provide guidance around the underlying contributors (genetic or lifestyle/diet) to both symptoms and disease states – with improvement of associated symptoms and overall health when clinically addressed.
Overall, metabolic testing can be considered a first step in understanding more about your brain, gut, and skin health. Note that any chronic symptoms should be addressed by a medical provider and a physical exam, while a nutritional plan can be designed and supported by a qualified nutritionist.
DECODE.MYBRAIN
Neurotransmitters and other neurochemicals may play a role in the development and exacerbation of skin conditions:
STRESS
Stress, anxiety, and depression can trigger or worsen many inflammatory skin conditions, including acne, psoriasis, atopic dermatitis, contact dermatitis, alopecia areata, itch, and erythema. The COVID-19 pandemic provided evidence of this connection, with dermatologists reporting an increase in skin flares during that time.
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NEUROTRANSMITTERS
Some neurotransmitters implicated in mental illness, such as serotonin and gamma-aminobutyric acid (GABA), may also play a role in skin conditions like psoriasis and atopic dermatitis. Other neurotransmitters that may be involved in psoriasis include dopamine and norepinephrine.
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NEUROPEPTIDES
Immune-mediating neuropeptides may help treat inflammatory skin diseases like psoriasis. Neuropeptides can activate mast cells, which are immune cells that respond to stress and are often located near sensory nerves and blood vessels in the skin.
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DISCOVER YOUR DIURNAL BIOCHEMISTRY AND POTENTIAL NEUROCHEMICAL IMBALANCE TO OPTIMIZE:
- mood/stress
- sleep
- gut and skin health
- adrenal function
and how they can affect your skin health through the skin-gut-brain axis
DECODE.MYHEALTH
Heavy metals are chemical elements that are commonly found in the environment, and people are exposed to them daily. The amounts that people typically inhale, ingest, or touch are usually harmless, however, heavy metals can cause skin issues, including allergic reactions, chronic poisoning, and dermatitis:
ALLERGIC REACTIONS
When the body encounters a metal it's allergic to, skin cells pick up metal molecules that travel to the lymph nodes. The body then treats the metal as a foreign invader and mounts an immune response, which can cause symptoms like redness, itching, swelling, or a rash. These reactions can range from mild to severe, and each time the skin is exposed to the metal, it will react in the same way. Metals like nickel, chromium, cobalt, copper, and gold are common triggers for eczema and contact dermatitis.
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CHRONIC POISONING
Chronic poisoning from heavy metals like lead, mercury, arsenic, and cadmium can cause skin and nail symptoms like hardened patches of skin, unusual darkening of the skin, and white bands on the fingernails. Other symptoms of chronic poisoning include weakness, muscle aches, chills, and fever.
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DERMATISIS
Heavy metals like chromium, cobalt, and nickel can be found in cases of dermatitis and eczema, which can cause symptoms like redness, itching, dryness, and starch.
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DISCOVER YOUR EXPOSURE TO HEAVY METALS AND LEVELS OF ESSENTIAL ELEMENTS
BLOOD PROFILE
mercury (Hg), cadmium (Cd), zinc (Zn), copper (Cu), selenium (Se) and magnesium (Mg)
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URINE PROFILE
iodine (I), bromine (Br), lithium (Li), arsenic (As), selenium (Se), Cadmium (Cd), mercury (Hg) and creatinine (Crtn)
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WHY BLOOD AND URINE
We obtain more comprehensive information. For example, urinary cadmium is the best measure of accumulated exposure, while blood spot cadmium assesses only recent exposure.
DECODE.MYSKIN
This test looks for the presence of variants in 25 skin-related genes in order to help you better understand your skin and its chances of experiencing certain types of skin issues, as well as to provide helpful insight into what steps you might consider taking to better care for it.
THE TESTING WILL PROVIDE INSIGHT INTO:
- Oxidative Stress
- Sensitivity & Irritation
- Oiliness & Pimples
- Sun Exposure & Pigmentation
- Elasticity, Fine Lines & Wrinkles
DECODE.MYSKIN
This test looks for the presence of variants in 23 vitamin-related genes in order to help you better understand how your genes relate to your ability to absorb, deliver, convert and metabolize vitamins:
- A
- B6, B12
- C
- D
- E
And what this means for your skin health.
