Your blood tests might be “normal”.
That doesn’t mean they’re optimal.
Functional and Nutrigenomic Testing
NHS reference ranges are designed to flag disease, they're wide, population-based, and built to catch the most serious problems. They were never designed to tell you whether your body is working well.
Functional testing looks at many of the same markers, plus others the NHS doesn't routinely test, through a much narrower, optimal-health lens.
For people who've been told everything is "fine" but don't feel fine, this is often where real answers start.
A scientist's perspective
Before training as a nutritional therapist, I spent years in research, as scientist at GSK and for my doctorate looking into how cells respond to cancer causing agents, working with lab data daily. That background shapes how I use testing now: I see it as a powerful tool for building a more precise, personalised picture, not a magic diagnostic box, and not something everyone needs.
Good nutritional therapy can absolutely work without any testing at all, built on history, symptoms and pattern recognition. But where there's complexity, where progress has stalled, or where a client wants to understand the "why" behind their plan, testing can shorten the road considerably.
It means we're not guessing.
A few of the functional tests I work with
Gut health
GI-MAP (GI Microbial Assay Plus)
A DNA-based stool test that looks at your gut microbiome, pathogens, parasites, digestive function and gut inflammation markers.
Thyroid health
Full thyroid panel
TSH, Free T3, Free T4, reverse T3 and thyroid antibodies. For when "normal" results don't match how you feel.
Hormones
DUTCH (Dried Urine Test for Comprehensive Hormones)
A detailed picture of sex hormones, adrenal hormones (cortisol pattern) and how your body is metabolising them.
Energy & metabolism
Organic Acids Test (OAT)
A urine test looking at energy production, yeast overgrowth and neurotransmitter pathways — useful for unexplained fatigue.
Nutrients & metabolism
NutrEval
A comprehensive nutritional and metabolic panel. Vitamins, minerals, amino acids, fatty acids, oxidative stress and antioxidant status.
Food & sensitivities
Food sensitivity & intolerance testing
An honest look at what these tests can (and can't) tell you — and what I recommend instead.
Genetics
Nutrigenomic testing
A one-off DNA test looking at genetic variants that influence how you process nutrients, detoxify, and respond to diet and lifestyle.
Hormonal Symptoms
PMS or PMDDIrregular, heavy, or painful periodsPerimenopause or menopause symptomsHot flushes and night sweatsLow libidoMood changes linked to the cycleFertility challenges
Low Energy & Fatigue
Persistent tirednessAfternoon energy crashesFeeling “wired but tired”Burnout and overwhelmDifficulty waking or unrefreshing sleep
Digestive Concerns
BloatingConstipation or diarrhoeaIBS symptomsAcid refluxNausea or indigestionExcessive gasSuspected food intolerancesOngoing digestive discomfort
Gut & Immune Issues
Frequent or recurring infectionsSkin issues such as acne, eczema or psoriasisAutoimmune conditionsLow immune resilienceChronic inflammation
Mood & Cognitive Symptoms
Anxiety or low moodBrain fogIrritabilityDifficulty concentratingMemory issuesFeeling mentally “sluggish”
Weight & Metabolic Challenges
Difficulty losing weightUnexplained weight gainBlood sugar swingsSugar cravingsIssues with fullness or appetite regulation
Thyroid-Related Symptoms
Hair thinning or lossDry skinSensitivity to coldSlow metabolismMood changesFatigue despite normal test results
Skin & Inflammatory Symptoms
Acne, eczema, or rosaceaHives or rashesJoint painMuscle achesMigraines or recurring headaches
Sleep Difficulties
Trouble falling or staying asleepRestless or broken sleepEarly morning wakingFeeling unrefreshed despite enough hours
Nutrient Imbalances
Low iron, B12 or vitamin DImmune weaknessCravingsMuscle weaknessTingling or numbness
Detoxification Issues
Sensitivity to alcohol, caffeine or medicationsHeadaches triggered by smells or productsFatigue linked to toxin exposureDifficulty tolerating perfumes, cleaning products or pollution