Eterna Integrative Team
The Organic Acids Test: When “All Your Labs Are Normal” but You Still Don’t Feel Like Yourself
You’ve changed your diet. You’ve tried the supplements. You’ve ruled out thyroid problems, anemia, and even had your hormones checked.
Yet something still feels off.
You’re tired but can’t sleep. You crave sugar but don’t know why. Your digestion’s unpredictable. Your mood feels unstable for no clear reason. And meanwhile, there’s a good chance you’ve been told, “All your labs are normal.” But what if the issue isn’t what standard labs are missing—it’s where they’re looking?
Enter: The Organic Acids Test (OAT Test)
Think of the OAT Test as a metabolic fingerprint, a snapshot of how your body is running its inner machinery. Instead of just measuring what’s in your blood at a moment in time, the OAT looks at what your cells are leaving behind — the organic acids excreted in your urine. These are the chemical byproducts of countless reactions happening in your mitochondria, detox pathways, gut microbiome, and brain.
When these compounds build up or drop too low, they offer powerful clues about what’s going wrong upstream.
What an OAT Can Reveal (That Routine Labs Don’t)
Many of the symptoms people chalk up to “stress,” “aging,” or “hormones” actually stem from metabolic traffic jams that the OAT can illuminate:
- Low energy & brain fog → May reflect mitochondrial dysfunction, nutrient depletion, or toxic buildup.
- Anxiety, mood swings, or poor focus → Can signal neurotransmitter imbalances linked to gut bacteria or B-vitamin metabolism.
- Digestive issues, bloating, or cravings → Might point to yeast or bacterial overgrowth, even when stool tests look “normal.”
- Poor sleep or inflammation → Often trace back to impaired detox pathways or oxidative stress.
It’s not a diagnosis—it’s a map. And when you can see the map, you stop wandering in the dark.
Why Symptoms Alone Can Be Misleading
You can have fatigue from adrenal stress, mitochondrial dysfunction, low carnitine, or a gut imbalance that’s hijacking your metabolism.
Those all feel the same. But the solution for each one is entirely different.
That’s what makes the OAT test so powerful: it connects the dots between your symptoms and your systems. It shows whether your body is producing, converting, and clearing the nutrients and neurotransmitters that actually drive energy, mood, and metabolism.
How the Test Works
It’s pretty simple: just a single urine sample collected at home.
In that small sample, over 70 markers are analyzed to give insight into:
- Energy metabolism – how efficiently your mitochondria turn food into fuel
- Detoxification pathways – how well your body clears toxins and byproducts
- Neurotransmitter balance – how dopamine, serotonin, and related pathways are functioning
- Oxidative stress – whether your cells are under excessive damage
- Microbial overgrowth – signs of yeast or bacteria producing harmful compounds
- Vitamin and nutrient status – especially B-vitamins, carnitine, and CoQ10
It’s like seeing the missing half of your health story.
Who Might Benefit from an OAT
If you’ve ever felt like you’re doing “all the right things” but not feeling any better, this test can be a game-changer. I often recommend it for people who experience:
- Unexplained fatigue or burnout
- Anxiety, brain fog, or low motivation
- Hormone imbalances (PMS, PCOS, perimenopause)
- Digestive problems with no clear cause
- Chronic inflammation or autoimmunity
- Stubborn weight changes despite healthy habits
The Bigger Picture
Symptoms are your body’s language of imbalance. The OAT simply helps you translate what your body’s been trying to say all along.
When we understand the “why” behind fatigue, cravings, or anxiety, we can target healing at the root—not just manage symptoms.
And that’s when real transformation begins.
Ultimately, the Organic Acids Test isn’t about finding more things “wrong” with you—it’s about uncovering the why behind how you feel. If you’ve been searching for answers and feel like something is being missed, this test might be the missing link between where you are and where your body is trying to go.