{"title":"Gut","description":"\u003cp\u003eMicrobiome, gut flora, digestion and inflammation markers — mostly via stool.\u003c\/p\u003e","products":[{"product_id":"microbioom","title":"Microbiome","description":"\u003ch3 data-mce-fragment=\"1\"\u003eWhat is HOMA IR?\u003c\/h3\u003e\n\u003cp data-mce-fragment=\"1\"\u003eHOMA IR is a calculation used to estimate insulin resistance. It utilizes the fasting glucose and insulin concentrations in the blood. Insulin resistance indicates how well your body responds to insulin, the hormone that regulates your blood sugar level.\u003c\/p\u003e\n\u003ch3 data-mce-fragment=\"1\"\u003eWhy should you test HOMA IR?\u003c\/h3\u003e\n\u003cp data-mce-fragment=\"1\"\u003eTesting HOMA IR is useful for detecting early signs of insulin resistance. This is especially relevant for people with an increased risk of developing type 2 diabetes, metabolic syndrome, or heart diseases. It can also be beneficial for those who want to accurately monitor their health and take preventive measures.\u003c\/p\u003e\n\u003ch3 data-mce-fragment=\"1\"\u003eWhat does it indicate?\u003c\/h3\u003e\n\u003cp data-mce-fragment=\"1\"\u003eA HOMA IR score provides an indication of the body's efficiency in using insulin to remove glucose from the blood. It helps in identifying insulin resistance, a condition where higher levels of insulin are required to transport glucose to the cells.\u003c\/p\u003e\n\u003ch3 data-mce-fragment=\"1\"\u003eWhat does a high HOMA IR level mean?\u003c\/h3\u003e\n\u003cp data-mce-fragment=\"1\"\u003eA high HOMA IR level indicates insulin resistance, meaning your body has more difficulty removing glucose from your blood, despite the presence of insulin. This can be a precursor to type 2 diabetes and is associated with other metabolic disorders.\u003c\/p\u003e\n\u003ch3 data-mce-fragment=\"1\"\u003eWhat does a low HOMA IR level mean?\u003c\/h3\u003e\n\u003cp data-mce-fragment=\"1\"\u003eA low HOMA IR level suggests good insulin sensitivity, meaning your body can efficiently remove glucose from your blood and use it for energy. This is generally considered an indicator of good metabolic health.\u003c\/p\u003e\n\u003cp data-mce-fragment=\"1\"\u003e\u003cstrong\u003eInsulin (S), Glucose (NAF), HOMA index calculation\u003c\/strong\u003e\u003c\/p\u003e","brand":"RPSH","offers":[{"title":"Default Title","offer_id":52673984921946,"sku":null,"price":277.0,"currency_code":"EUR","in_stock":true}]},{"product_id":"4d-basispakket","title":"4D Basic Package","description":"\u003ch3\u003e\u003cstrong\u003eFor whom\u003c\/strong\u003e\u003c\/h3\u003e\n\u003cp\u003ePatients with mild symptoms present for no longer than 6 months or for a preventive intestinal health check.\u003c\/p\u003e\n\u003ch3\u003e\u003cstrong\u003eWhy\u003c\/strong\u003e\u003c\/h3\u003e\n\u003cp\u003eThis package offers a quick and efficient way to get a general overview of intestinal health and to detect potential problems early.\u003c\/p\u003e\n\u003ch3\u003e\u003cstrong\u003eWhat\u003c\/strong\u003e\u003c\/h3\u003e\n\u003cp\u003eA comprehensive basic analysis of intestinal health, including activity measurements and biomarkers.\u003c\/p\u003e\n\u003cp\u003eThe Basic Package consists of the following parameters:\u003c\/p\u003e\n\u003cdiv class=\"paragraph-green\"\u003e\n\u003cdiv class=\"uk-child-width-1-2@s uk-child-width-1-1 uk-grid\"\u003e\n\u003cdiv\u003e\n\u003ch4\u003e\u003cstrong\u003eIntestinal Biota\u003c\/strong\u003e\u003c\/h4\u003e\n\u003cp\u003e-\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/bacteroides-spp\/\"\u003e\u003cem\u003eBacteroides\u003c\/em\u003e group\u003c\/a\u003e incl. activity\u003cbr\u003e-\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/clostridium-differentatie\/\"\u003e\u003cem\u003eClostridia\u003c\/em\u003e group\u003c\/a\u003e incl. activity\u003cbr\u003e\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/proteobacteria\/\"\u003e\u003cem\u003e-Proteobacteria\u003c\/em\u003e group\u003c\/a\u003e incl. activity\u003cbr\u003e-\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/onderzoeken\/transient-darmbioom\/\"\u003e\u003cem\u003eTransient biota\u003c\/em\u003e\u003c\/a\u003e (culture)\u003cbr\u003e-\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/onderzoeken\/mycologie-gisten-en-schimmels\/\"\u003eMycology\u003c\/a\u003e (culture)\u003cbr\u003e-Colonization resistance\u003cbr\u003e-Type of dysbiosis\u003cbr\u003e-Severity of dysbiosis\u003cbr\u003e-Potency\u003cbr\u003e-Diversity\u003cbr\u003e-Total number of bacteria\u003cbr\u003e\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/ruminococcus-spp\/\"\u003e\u003cem\u003e-Ruminococcus\u003c\/em\u003e group\u003c\/a\u003e incl. activity\u003cbr\u003e-\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/prevotella-spp\/\"\u003e\u003cem\u003ePrevotella\u003c\/em\u003e group\u003c\/a\u003e incl. activity\u003cbr\u003e-\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/bifidobacterium-spp\/\"\u003e\u003cem\u003eBifido\u003c\/em\u003e group\u003c\/a\u003e incl. activity\u003cbr\u003e-\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/lactobacillus-spp\/\"\u003e\u003cem\u003eLactobacillus\u003c\/em\u003e group\u003c\/a\u003e incl. activity\u003cbr\u003e-\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/fusobacterium-spp-fusobacteria\/\"\u003e\u003cem\u003eFusobacteria\u003c\/em\u003e group\u003c\/a\u003e incl. activity\u003cbr\u003e-\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/onderzoeken\/parasitologie\/\"\u003eParasitology\u003c\/a\u003e (TFT)\u003cbr\u003e-\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/onderzoeken\/virulente-factoren-darmbioom-kwalitatief\/\"\u003eVirulence factors\u003c\/a\u003e\u003cbr\u003e-\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/onderzoeken\/helicobacter-pylori-kwalitatief\/\"\u003e\u003cem\u003eHelicobacter pylori\u003c\/em\u003e\u003c\/a\u003e\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv\u003e\n\u003ch4\u003e\u003cstrong\u003eBiomarkers\u003c\/strong\u003e\u003c\/h4\u003e\n\u003cp\u003e-Qualitative determination of the inflammatory markers \u003ca title=\"calprotectin\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/calprotectine\/\"\u003ecalprotectin\u003c\/a\u003e, \u003ca title=\"lactoferrin\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/lactoferrine\/\"\u003elactoferrin\u003c\/a\u003e, \u003ca title=\"hemoglobin\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/hemoglobine-feces\/\"\u003ehemoglobin\u003c\/a\u003e and \u003ca title=\"transferrin\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/transferrine\/\"\u003etransferrin\u003c\/a\u003e\u003cbr\u003e-\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/onderzoeken\/spijsvertering\/\"\u003e\u003cem\u003eDigestion \u003c\/em\u003e\u003c\/a\u003e(pH, starch, fats, muscle fibers)\u003cbr\u003e-\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/alfa-1-antitrypsine\/\"\u003eAlpha-1-Antitrypsin\u003c\/a\u003e\u003cbr\u003e-\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/pancreas-elastase\/\"\u003ePancreatic-elastase\u003c\/a\u003e\u003cbr\u003e-\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/secretorisch-iga\/\"\u003eSecretory IgA\u003c\/a\u003e\u003cbr\u003e-\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/zonuline-feces\/\"\u003eZonulin\u003c\/a\u003e (feces)\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cp\u003e\u003cimg src=\"https:\/\/www.rpsh.nl\/data\/cms_uploads\/files\/source\/Onderzoeken%20SAP%20-%20informatieve%20afbeeldingen\/4D-darm-tabel.jpg?1752168423925\" alt=\"\" width=\"600\" height=\"849\" class=\"loading\" data-was-processed=\"true\"\u003e\u003c\/p\u003e\n\u003ch2\u003eExample Result\u003c\/h2\u003e\n\u003cp\u003e\u003cimg src=\"https:\/\/www.rpsh.nl\/data\/cms_uploads\/files\/source\/Onderzoeken%20SAP%20-%20informatieve%20afbeeldingen\/4D%20Basispakket.png?1737633323461\" alt=\"\" width=\"500\" height=\"1243\" class=\"loading\" data-was-processed=\"true\"\u003e\u003c\/p\u003e","brand":"RPSH","offers":[{"title":"Default Title","offer_id":52692457193818,"sku":null,"price":625.0,"currency_code":"EUR","in_stock":true}]},{"product_id":"4d-orienterend-pakket","title":"4D Orientation package","description":"\u003ch3\u003e\u003cstrong\u003eFor whom\u003c\/strong\u003e\u003c\/h3\u003e\n\u003cp\u003ePatients who have very few to no symptoms and want to know about the basic microbial distribution in their gut.\u003c\/p\u003e\n\u003ch3\u003e\u003cstrong\u003eWhy\u003c\/strong\u003e\u003c\/h3\u003e\n\u003cp\u003eFor orientation of the main bacterial groups and their activities in the intestines, for preventive purposes.\u003c\/p\u003e\n\u003ch3\u003e\u003cstrong\u003eWhat\u003c\/strong\u003e\u003c\/h3\u003e\n\u003cp\u003eA determination of the main bacterial groups and their activity.\u003c\/p\u003e\n\u003cp\u003eThe Orientation package consists of the following parameters:\u003c\/p\u003e\n\u003cdiv class=\"paragraph-green\"\u003e\n\u003cdiv class=\"uk-child-width-1-2@s uk-child-width-1-1 uk-grid\"\u003e\n\u003cdiv\u003e\n\u003ch4\u003e\u003cstrong\u003eGut Biota\u003c\/strong\u003e\u003c\/h4\u003e\n\u003cp\u003e-\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/bacteroides-spp\/\"\u003e\u003cem\u003eBacteroides\u003c\/em\u003e group\u003c\/a\u003e incl. activity\u003cbr\u003e-\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/clostridium-differentatie\/\"\u003e\u003cem\u003eClostridia\u003c\/em\u003e group\u003c\/a\u003e incl. activity\u003cbr\u003e-\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/proteobacteria\/\"\u003e\u003cem\u003eProteobacteria\u003c\/em\u003e group\u003c\/a\u003e incl. activity\u003cbr\u003e-\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/onderzoeken\/transient-darmbioom\/\"\u003e\u003cem\u003eTransient biota\u003c\/em\u003e\u003c\/a\u003e (culture)\u003cbr\u003e-\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/onderzoeken\/mycologie-gisten-en-schimmels\/\"\u003eMycology\u003c\/a\u003e (culture)\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv\u003e\n\u003ch4\u003e\u003cstrong\u003eBiomarkers\u003c\/strong\u003e\u003c\/h4\u003e\n\u003cp\u003e-Qualitative determination of the inflammatory markers \u003ca title=\"calprotectine\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/calprotectine\/\"\u003ecalprotectin\u003c\/a\u003e, \u003ca title=\"lactoferrine\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/lactoferrine\/\" rel=\"noopener\"\u003elactoferrin\u003c\/a\u003e, \u003ca title=\"hemoglobine\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/hemoglobine-feces\/\" rel=\"noopener\"\u003ehemoglobin\u003c\/a\u003e and \u003ca title=\"transferrine\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/transferrine\/\"\u003etransferrin\u003c\/a\u003e\u003cbr\u003e-\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/onderzoeken\/spijsvertering\/\"\u003e\u003cem\u003eDigestion\u003c\/em\u003e\u003c\/a\u003e (pH, starch, fats, muscle fibers)\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cp\u003e\u003cimg src=\"https:\/\/www.rpsh.nl\/data\/cms_uploads\/files\/source\/Onderzoeken%20SAP%20-%20informatieve%20afbeeldingen\/4D-darm-tabel.jpg?1752168384286\" alt=\"\" width=\"600\" height=\"849\" class=\"loaded\" data-was-processed=\"true\"\u003e\u003c\/p\u003e\n\u003ch2\u003eExample Result\u003c\/h2\u003e\n\u003cp\u003e\u003cimg src=\"https:\/\/www.rpsh.nl\/data\/cms_uploads\/files\/source\/Onderzoeken%20SAP%20-%20informatieve%20afbeeldingen\/Orienterend%20onderzoek.jpg?1733495177686\" alt=\"\" width=\"500\" height=\"580\" class=\"loading\" data-was-processed=\"true\"\u003e\u003c\/p\u003e","brand":"RPSH","offers":[{"title":"Default Title","offer_id":52693274526042,"sku":null,"price":220.0,"currency_code":"EUR","in_stock":true}]},{"product_id":"4d-specialistisch-pakket","title":"4D Specialist package","description":"\u003ch3\u003e\u003cstrong\u003eFor whom\u003c\/strong\u003e\u003c\/h3\u003e\n\u003cp\u003ePatients with complex or chronic health problems who desire a comprehensive and holistic approach to their health.\u003c\/p\u003e\n\u003ch3\u003e\u003cstrong\u003eWhy\u003c\/strong\u003e\u003c\/h3\u003e\n\u003cp\u003eThis package is designed to thoroughly investigate complex health problems and develop a customized treatment plan.\u003c\/p\u003e\n\u003ch3\u003e\u003cstrong\u003eWhat\u003c\/strong\u003e\u003c\/h3\u003e\n\u003cp\u003eA highly detailed analysis, including specialized investigations of all possible disturbing factors within gut health, gut immunity, inflammation, digestive capacity, and potential pathogens and histamine.\u003c\/p\u003e\n\u003cp\u003eThe Specialist package consists of the following parameters:\u003c\/p\u003e\n\u003cdiv class=\"paragraph-green\"\u003e\n\u003cdiv class=\"uk-child-width-1-2@s uk-child-width-1-1 uk-grid\"\u003e\n\u003cdiv\u003e\n\u003ch4\u003e\u003cstrong\u003eGut Biota\u003c\/strong\u003e\u003c\/h4\u003e\n\u003cp\u003e\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/bacteroides-spp\/\"\u003e\u003cem\u003e-Bacteroides\u003c\/em\u003e group\u003c\/a\u003e incl. activity\u003cbr\u003e\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/clostridium-differentiatie\/\"\u003e\u003cem\u003e-Clostridia\u003c\/em\u003e group\u003c\/a\u003e incl. activity\u003cbr\u003e\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/proteobacteria\/\"\u003e\u003cem\u003e-Proteobacteria\u003c\/em\u003e group\u003c\/a\u003e incl. activity\u003cbr\u003e\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/onderzoeken\/transient-darmbioom\/\"\u003e\u003cem\u003e-Transient biota\u003c\/em\u003e\u003c\/a\u003e (culture)\u003cbr\u003e-\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/onderzoeken\/mycologie-gisten-en-schimmels\/\"\u003eMycology\u003c\/a\u003e (culture)\u003cbr\u003e-Colonization resistance\u003cbr\u003e-Type of dysbiosis\u003cbr\u003e-Severity of dysbiosis\u003cbr\u003e-Potency\u003cbr\u003e-Diversity\u003cbr\u003e-Total number of bacteria\u003cbr\u003e-\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/ruminococcus-spp\/\"\u003e\u003cem\u003eRuminococcus\u003c\/em\u003e group\u003c\/a\u003e incl. activity\u003cbr\u003e\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/prevotella-spp\/\"\u003e\u003cem\u003e-Prevotella\u003c\/em\u003e group\u003c\/a\u003e incl. activity\u003cbr\u003e\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/bifidobacterium-spp\/\"\u003e\u003cem\u003e-Bifido\u003c\/em\u003e group\u003c\/a\u003e incl. activity\u003cbr\u003e\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/lactobacillus-spp\/\"\u003e\u003cem\u003e-Lactobacillus\u003c\/em\u003e group\u003c\/a\u003e incl. activity\u003cbr\u003e\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/fusobacterium-spp-fusobacteria\/\"\u003e\u003cem\u003e-Fusobacteria\u003c\/em\u003e group\u003c\/a\u003e incl. activity\u003cbr\u003e\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/onderzoeken\/parasitologie\/\"\u003e-Parasitology\u003c\/a\u003e (TFT)\u003cbr\u003e\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/onderzoeken\/virulente-factoren-darmbioom-kwalitatief\/\"\u003e-Virulence factors\u003c\/a\u003e\u003cbr\u003e\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/onderzoeken\/helicobacter-pylori-kwalitatief\/\"\u003e\u003cem\u003e-Helicobacter pylori\u003c\/em\u003e\u003c\/a\u003e\u003cbr\u003e\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/akkermansia-muciniphila\/\"\u003e\u003cem\u003e-Akkermansia\u003c\/em\u003e\u003c\/a\u003e incl. activity\u003cbr\u003e\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/faecalibacterium-prausnitzii\/\"\u003e-Faecalibacteria\u003c\/a\u003e incl. activity\u003cbr\u003e-Yeasts and molds incl. activity\u003cbr\u003e\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/desulfovibrio-spp\/\"\u003e\u003cem\u003e-Desulfovibrio\u003c\/em\u003e group\u003c\/a\u003e incl. activity\u003cbr\u003e\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/oxalobacter-formigenes\/\"\u003e\u003cem\u003e-Oxalobacter\u003c\/em\u003e group\u003c\/a\u003e incl. activity\u003cbr\u003e\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/butyrivibrio-crossotus\/\"\u003e\u003cem\u003e-Butyrivibrio\u003c\/em\u003e group\u003c\/a\u003e incl. activity\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv\u003e\n\u003ch4\u003e\u003cstrong\u003eBiomarkers\u003c\/strong\u003e\u003c\/h4\u003e\n\u003cp\u003e\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/onderzoeken\/ontstekingsscreening-kwalitatief\/\"\u003e-Inflammation screening\u003c\/a\u003e (\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/pmn-elastase-polymorfonucleaire-elastase\/\"\u003ePMN elastase\u003c\/a\u003e and a qualitative determination of the inflammatory markers \u003ca title=\"calprotectine\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/calprotectine\/\" rel=\"noopener\"\u003ecalprotectin\u003c\/a\u003e, \u003ca title=\"lactoferrine\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/lactoferrine\/\" rel=\"noopener\"\u003elactoferrin\u003c\/a\u003e, \u003ca title=\"hemoglobine\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/hemoglobine-feces\/\" rel=\"noopener\"\u003ehemoglobin\u003c\/a\u003e and \u003ca title=\"transferrine\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/transferrine\/\" rel=\"noopener\"\u003etransferrin\u003c\/a\u003e)\u003cbr\u003e\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/onderzoeken\/spijsvertering\/\"\u003e\u003cem\u003e-Digestion \u003c\/em\u003e\u003c\/a\u003e(pH, starch, fats, muscle fibers)\u003cbr\u003e\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/alfa-1-antitrypsine\/\"\u003e-Alpha-1-Antitrypsin\u003c\/a\u003e\u003cbr\u003e\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/pancreas-elastase\/\"\u003e-Pancreatic elastase\u003c\/a\u003e\u003cbr\u003e\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/secretorisch-iga\/\"\u003e-Secretory IgA\u003c\/a\u003e\u003cbr\u003e\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/zonuline-feces\/\"\u003e-Zonulin\u003c\/a\u003e (feces)\u003cbr\u003e\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/histamine\/\"\u003e-Histamine\u003c\/a\u003e\u003cbr\u003e\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/beta-defensine-2\/\"\u003e-Beta-defensin 2\u003c\/a\u003e\u003cbr\u003e\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/epx-eosinofiele-proteine-x\/\"\u003e-EPX\u003c\/a\u003e (eosinophil protein x)\u003cbr\u003e\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/lysozyme\/\"\u003e-Lysozyme\u003c\/a\u003e\u003cbr\u003e\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/tryptofaan\/\"\u003e-Tryptophan\u003c\/a\u003e\u003cbr\u003e\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/onderzoeken\/vetzurenprofiel-darm\/\"\u003e\u003cem\u003e-Intestinal fatty acid profile\u003c\/em\u003e\u003c\/a\u003e (total fatty acids, acetic acid, relative acetic acid, propionic acid, relative propionic acid, butyric acid, relative butyric acid)\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cp\u003e\u003cimg src=\"https:\/\/www.rpsh.nl\/data\/cms_uploads\/files\/source\/Onderzoeken%20SAP%20-%20informatieve%20afbeeldingen\/4D-darm-tabel.jpg?1752168494130\" alt=\"\" width=\"600\" height=\"849\" class=\"loaded\" data-was-processed=\"true\"\u003e\u003c\/p\u003e\n\u003ch2\u003eSample result\u003c\/h2\u003e\n\u003cp\u003e\u003cimg src=\"https:\/\/www.rpsh.nl\/data\/cms_uploads\/files\/source\/Onderzoeken%20SAP%20-%20informatieve%20afbeeldingen\/Specialistisch%20onderzoek%201.jpg?1733764039173\" alt=\"\" width=\"400\" height=\"506\" class=\"loading\" data-was-processed=\"true\"\u003e\u003cimg src=\"https:\/\/www.rpsh.nl\/data\/cms_uploads\/files\/source\/Onderzoeken%20SAP%20-%20informatieve%20afbeeldingen\/Specialistisch%20onderzoek%202.jpg?1733764069836\" alt=\"\" width=\"400\" height=\"490\" class=\"loading\" data-was-processed=\"true\"\u003e\u003cimg src=\"https:\/\/www.rpsh.nl\/data\/cms_uploads\/files\/source\/Onderzoeken%20SAP%20-%20informatieve%20afbeeldingen\/Specialistisch%20onderzoek%203.jpg?1733764090699\" alt=\"\" width=\"400\" height=\"311\" class=\"loading\" data-was-processed=\"true\"\u003e\u003c\/p\u003e","brand":"RPSH","offers":[{"title":"Default Title","offer_id":52693325513050,"sku":null,"price":975.0,"currency_code":"EUR","in_stock":true}]},{"product_id":"4d-uitgebreid-pakket","title":"4D Extended package","description":"\u003ch3\u003e\u003cstrong\u003eFor whom\u003c\/strong\u003e\u003c\/h3\u003e\n\u003cp\u003ePatients with persistent generalized bodily complaints that present in the abdominal area, but also elsewhere, or those with an increased risk of health problems.\u003c\/p\u003e\n\u003ch3\u003e\u003cstrong\u003eWhy\u003c\/strong\u003e\u003c\/h3\u003e\n\u003cp\u003eThis package offers in-depth insight into gut health and is best suited for individuals whose chronic complaints have been present for less than a year.\u003c\/p\u003e\n\u003ch3\u003e\u003cstrong\u003eWhat\u003c\/strong\u003e\u003c\/h3\u003e\n\u003cp\u003eIn addition to the basic analysis, this package includes supplementary parameters that provide even more insight into gut health.\u003c\/p\u003e\n\u003cp\u003eThe Extensive package consists of the following parameters:\u003c\/p\u003e\n\u003cdiv class=\"paragraph-green\"\u003e\n\u003cdiv class=\"uk-child-width-1-2@s uk-child-width-1-1 uk-grid\"\u003e\n\u003cdiv\u003e\n\u003ch4\u003e\u003cstrong\u003eGut Biota\u003c\/strong\u003e\u003c\/h4\u003e\n\u003cp\u003e\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/bacteroides-spp\/\"\u003e\u003cem\u003e-Bacteroides\u003c\/em\u003e group\u003c\/a\u003e incl. activity\u003cbr\u003e\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/clostridium-differentiatie\/\"\u003e\u003cem\u003e-Clostridia\u003c\/em\u003e group\u003c\/a\u003e incl. activity\u003cbr\u003e\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/proteobacteria\/\"\u003e\u003cem\u003e-Proteobacteria\u003c\/em\u003e group\u003c\/a\u003e incl. activity\u003cbr\u003e\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/onderzoeken\/transient-darmbioom\/\"\u003e\u003cem\u003e-Transient biota\u003c\/em\u003e\u003c\/a\u003e (culture)\u003cbr\u003e-\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/onderzoeken\/mycologie-gisten-en-schimmels\/\"\u003eMycology\u003c\/a\u003e (culture)\u003cbr\u003e-Colonization resistance\u003cbr\u003e-Type of dysbiosis\u003cbr\u003e-Severity of dysbiosis\u003cbr\u003e-Potency\u003cbr\u003e-Diversity\u003cbr\u003e-Total number of bacteria\u003cbr\u003e-\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/ruminococcus-spp\/\"\u003e\u003cem\u003eRuminococcus\u003c\/em\u003e group\u003c\/a\u003e incl. activity\u003cbr\u003e\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/prevotella-spp\/\"\u003e\u003cem\u003e-Prevotella\u003c\/em\u003e group\u003c\/a\u003e incl. activity\u003cbr\u003e\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/bifidobacterium-spp\/\"\u003e\u003cem\u003e-Bifido\u003c\/em\u003e group\u003c\/a\u003e incl. activity\u003cbr\u003e\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/lactobacillus-spp\/\"\u003e\u003cem\u003e-Lactobacillus\u003c\/em\u003e group\u003c\/a\u003e incl. activity\u003cbr\u003e\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/fusobacterium-spp-fusobacteria\/\"\u003e\u003cem\u003e-Fusobacteria\u003c\/em\u003e group\u003c\/a\u003e incl. activity\u003cbr\u003e\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/onderzoeken\/parasitologie\/\"\u003e-Parasitology\u003c\/a\u003e (TFT)\u003cbr\u003e\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/onderzoeken\/virulente-factoren-darmbioom-kwalitatief\/\"\u003e-Virulence factors\u003c\/a\u003e\u003cbr\u003e\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/onderzoeken\/helicobacter-pylori-kwalitatief\/\"\u003e\u003cem\u003e-Helicobacter pylori\u003c\/em\u003e\u003c\/a\u003e\u003cbr\u003e\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/akkermansia-muciniphila\/\"\u003e\u003cem\u003e-Akkermansia\u003c\/em\u003e\u003c\/a\u003e incl. activity\u003cbr\u003e\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/faecalibacterium-prausnitzii\/\"\u003e-Faecalibacteria\u003c\/a\u003e incl. activity\u003cbr\u003e-Yeasts and molds incl. activity\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv\u003e\n\u003ch4\u003e\u003cstrong\u003eBiomarkers\u003c\/strong\u003e\u003c\/h4\u003e\n\u003cp\u003e\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/onderzoeken\/ontstekingsscreening-kwalitatief\/\"\u003e-Inflammation screening\u003c\/a\u003e (\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/pmn-elastase-polymorfonucleaire-elastase\/\"\u003ePMN elastase\u003c\/a\u003e and a qualitative determination of the inflammatory markers \u003ca title=\"calprotectin\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/calprotectine\/\" rel=\"noopener\"\u003ecalprotectin\u003c\/a\u003e, \u003ca title=\"lactoferrin\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/lactoferrine\/\" rel=\"noopener\"\u003elactoferrin\u003c\/a\u003e, \u003ca title=\"hemoglobin\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/hemoglobine-feces\/\" rel=\"noopener\"\u003ehemoglobin\u003c\/a\u003e and \u003ca title=\"transferrin\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/transferrine\/\" rel=\"noopener\"\u003etransferrin\u003c\/a\u003e)\u003cbr\u003e\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/onderzoeken\/spijsvertering\/\"\u003e\u003cem\u003e-Digestion \u003c\/em\u003e\u003c\/a\u003e(pH, starch, fats, muscle fibers)\u003cbr\u003e\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/alfa-1-antitrypsine\/\"\u003e-Alpha-1-Antitrypsin\u003c\/a\u003e\u003cbr\u003e\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/pancreas-elastase\/\"\u003e-Pancreatic elastase\u003c\/a\u003e\u003cbr\u003e\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/secretorisch-iga\/\"\u003e-Secretory IgA\u003c\/a\u003e\u003cbr\u003e\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/zonuline-feces\/\"\u003e-Zonulin\u003c\/a\u003e (feces)\u003cbr\u003e\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/histamine\/\"\u003e-Histamine\u003c\/a\u003e\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cp\u003e\u003cimg src=\"https:\/\/www.rpsh.nl\/data\/cms_uploads\/files\/source\/Onderzoeken%20SAP%20-%20informatieve%20afbeeldingen\/4D-darm-tabel.jpg?1752168463681\" alt=\"\" width=\"600\" height=\"849\" class=\"loaded\" data-was-processed=\"true\"\u003e\u003c\/p\u003e\n\u003ch2\u003eExample Result\u003c\/h2\u003e\n\u003cp\u003e\u003cimg src=\"https:\/\/www.rpsh.nl\/data\/cms_uploads\/files\/source\/Onderzoeken%20SAP%20-%20informatieve%20afbeeldingen\/Uitgebreid%201.jpg?1737562101887\" alt=\"\" width=\"400\" height=\"513\" class=\"loading\" data-was-processed=\"true\"\u003e\u003cimg src=\"https:\/\/www.rpsh.nl\/data\/cms_uploads\/files\/source\/Onderzoeken%20SAP%20-%20informatieve%20afbeeldingen\/Uitgebreid%202.jpg?1737562131584\" alt=\"\" width=\"400\" height=\"490\" class=\"loading\" data-was-processed=\"true\"\u003e\u003cimg src=\"https:\/\/www.rpsh.nl\/data\/cms_uploads\/files\/source\/Onderzoeken%20SAP%20-%20informatieve%20afbeeldingen\/Uitgebreid%203.jpg?1737562163515\" alt=\"\" width=\"400\" height=\"160\" class=\"loading\" data-was-processed=\"true\"\u003e\u003c\/p\u003e","brand":"RPSH","offers":[{"title":"Default Title","offer_id":52693481587034,"sku":null,"price":750.0,"currency_code":"EUR","in_stock":true}]},{"product_id":"alfa-1-antitrypsine-1","title":"Alpha-1 antitrypsin","description":"\u003cdiv class=\"content_text\"\u003e\n\u003cp\u003e\u003cstrong\u003eIndication\u003c\/strong\u003e: Detection of intestinal inflammations, Leaky Gut Syndrome, and food intolerances.\u003c\/p\u003e\n\u003cp\u003eAlpha-1-antitrypsin (α-1-antitrypsin) is an anti-inflammatory agent, produced in liver and intestinal cells. The liver produces 2 grams per day.\u003c\/p\u003e\n\u003cp\u003eIt is an acute-phase protein that, among other things, inhibits inflammatory enzymes and has anti-proteolytic effects. For example, α-1-antitrypsin inhibits the action of the enzyme elastase. Elastase breaks down elastin, an important component of connective tissue. Alpha-1-antitrypsin is measured in feces and is highly suitable for detecting inflammations at a very early stage.\u003c\/p\u003e\n\u003cp\u003e\u003cimg src=\"https:\/\/www.rpsh.nl\/data\/cms_uploads\/files\/source\/Onderzoeken%20SAP%20-%20informatieve%20afbeeldingen\/Alpha-1-antitrypsine.png?1584726719304\" alt=\"\" width=\"450\" height=\"285\" class=\"loaded\" data-was-processed=\"true\"\u003e\u003c\/p\u003e\n\u003cp\u003eNB: Alpha-1-antitrypsin increases over time as inflammation increases. However, α-1-antitrypsin will decrease if the inflammation increases beyond what α-1-antitrypsin can control. Therefore, the analytical value should always be assessed alongside inflammatory markers such as \u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/ontsteking-darmontstekingen-en-darmpermeabiliteit\/calprotectine\/\" rel=\"noopener\"\u003ecalprotectin\u003c\/a\u003e, \u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/ontsteking-darmontstekingen-en-darmpermeabiliteit\/pmn-elastase-polymorfonucleaire-elastase\/\" rel=\"noopener\"\u003ePMN Elastase\u003c\/a\u003e, \u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/ontsteking-darmontsteking-en-darmpermeabiliteit\/lysozyme\/\" rel=\"noopener\"\u003elysozyme\u003c\/a\u003e, \u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/ontsteking-darmontsteking-en-darmpermeabiliteit\/wrcrp\/\" rel=\"noopener\"\u003ewrCRP\u003c\/a\u003e and \u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/ontsteking-darmontsteking-en-darmpermeabiliteit\/lactoferrine\/\" rel=\"noopener\"\u003elactoferrin\u003c\/a\u003e.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"title\"\u003e\n\u003ch2\u003eReference Value\u003c\/h2\u003e\n\u003ctable style=\"height: 211px;\" width=\"498\"\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 168.45px;\"\u003e\n\u003cp\u003e\u003cspan style=\"text-decoration: underline;\"\u003eAlpha-1-antitrypsine\u003c\/span\u003e\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd style=\"width: 77.825px;\"\u003e\n\u003cp\u003e\u003cspan style=\"text-decoration: underline;\"\u003eMax.\u003c\/span\u003e\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd style=\"width: 232.925px;\"\u003e\n\u003cp\u003e\u003cspan style=\"text-decoration: underline;\"\u003eUnit\u003c\/span\u003e\u003c\/p\u003e\n\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 168.45px;\"\u003e\n\u003cp\u003eReference value\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd style=\"width: 77.825px;\"\u003e\n\u003cp\u003e\u0026lt; 27,5\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd style=\"width: 232.925px;\"\u003e\n\u003cp\u003emg\/dL\u003c\/p\u003e\n\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 168.45px;\"\u003e\n\u003cp\u003eTherapeutic value\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd style=\"width: 77.825px;\"\u003e\n\u003cp\u003e\u0026lt; 24,8\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd style=\"width: 232.925px;\"\u003e\n\u003cp\u003emg\/dL\u003c\/p\u003e\n\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 168.45px;\"\u003e\n\u003cp\u003eEmpirical value\u003c\/p\u003e\n\u003c\/td\u003e\n\u003ctd style=\"width: 315.95px;\" colspan=\"2\"\u003e\n\u003cp\u003elow value may indicate an exhausted response\u003c\/p\u003e\n\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/tbody\u003e\n\u003c\/table\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"title\"\u003e\n\u003ch2\u003eInterpretation of test results\u003c\/h2\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"content_text\"\u003e\n\u003cp\u003e\u003cem\u003eElevated value\u003c\/em\u003e\u003c\/p\u003e\n\u003cp\u003eThere is anti-inflammatory activity. Therefore, inflammatory processes are ongoing against which alpha-1-antitrypsin is deployed as an anti-inflammatory agent. This may indicate the presence of intestinal inflammations (ulcerative colitis, Crohn's disease), food intolerances (celiac disease), or increased permeability of the intestinal epithelium (Leaky Gut Syndrome)\u003c\/p\u003e\n\u003cp\u003e\u003cem\u003eLow value\u003c\/em\u003e\u003c\/p\u003e\n\u003cp\u003eA low value of alpha-1-antitrypsin indicates that there is no anti-inflammatory activity. Therefore, no inflammatory reactions are ongoing, or the inflammatory reactions are greater than the anti-inflammatory capacity. Alpha-1-antitrypsin deficiency can lead to pulmonary emphysema and, to a lesser extent, liver cirrhosis.\u003c\/p\u003e\n\u003cdiv class=\"title\"\u003e\n\u003ch2\u003eUseful additional diagnostics\u003c\/h2\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"content_text\"\u003e\n\u003cp\u003e-\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/onderzoeken\/ontstekingsscreening\/\" rel=\"noopener\"\u003eQualitative Inflammation package\u003c\/a\u003e (hemoglobin, transferrin, calprotectin, lactoferrin)\u003cbr\u003e-\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/ontsteking-darmontstekingen-en-darmpermeabiliteit\/calprotectine\/\" rel=\"noopener\"\u003eCalprotectin\u003c\/a\u003e (quantitative)\u003cbr\u003e-\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/ontsteking-darmontstekingen-en-darmpermeabiliteit\/pmn-elastase-polymorfonucleaire-elastase\/\" rel=\"noopener\"\u003ePMN Elastase\u003c\/a\u003e\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e","brand":"RPSH","offers":[{"title":"Default Title","offer_id":52693828239706,"sku":null,"price":45.0,"currency_code":"EUR","in_stock":true}]},{"product_id":"bacteriele-kolonisatie-van-de-dunne-darm-sibo","title":"Bacterial colonization of the small intestine (SIBO)","description":"\u003cdiv class=\"content_text\"\u003e\n\u003cp\u003e\u003cstrong\u003eIndication\u003c\/strong\u003e: Detection of metabolic disorder, functional disorder, and dysbiosis of the small intestine.\u003c\/p\u003e\n\u003cp\u003eThis so-called UriColour test is based on a color reaction between the substances Indican and Skatole in urine and a mixture of nitric acid. This test produces various distinct color reactions in a ring shape. The ring-shaped coloration can indicate an incipient metabolic disorder or a functional disorder. This test is particularly suitable for investigating whether there is dysbiosis in the small intestine.\u003c\/p\u003e\n\u003c\/div\u003e","brand":"RPSH","offers":[{"title":"Default Title","offer_id":52713161883994,"sku":null,"price":55.0,"currency_code":"EUR","in_stock":true}]},{"product_id":"basisscreening-darm","title":"Basic bowel screening","description":"\u003cdiv class=\"content_text\"\u003e\n\u003ch3\u003e\u003cstrong\u003eWhy\u003c\/strong\u003e\u003c\/h3\u003e\n\u003cp\u003eDetermination of the quantity and quality of intestinal microbiota and mucosal immunity, presence of inflammation and Leaky Gut, dysbiosis, and food allergy.\u003c\/p\u003e\n\u003ch3\u003e\u003cstrong\u003eWhat\u003c\/strong\u003e\u003c\/h3\u003e\n\u003cp\u003eA very comprehensive test package, compiled from several individual tests:\u003c\/p\u003e\n\u003cdiv class=\"paragraph-green\"\u003e\n\u003cdiv class=\"uk-child-width-1-2@s uk-child-width-1-1 uk-grid\"\u003e\n\u003cdiv\u003e\n\u003cdiv\u003e\n\u003ca title=\"spijsvertering\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/onderzoeken\/spijsvertering\/\"\u003e-Digestion\u003c\/a\u003e\u003cbr\u003e\u003ca title=\"pH\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/ph\/\"\u003e-pH\u003c\/a\u003e\u003cbr\u003e\u003ca title=\"resident darmbioom\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/onderzoeken\/resident-darmbioom\/\"\u003e-Resident gut microbiome\u003c\/a\u003e\n\u003c\/div\u003e\n\u003cdiv\u003e-\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/onderzoeken\/transient-darmbioom\/\"\u003eTransient gut microbiome\u003c\/a\u003e\u003cbr\u003e-\u003ca title=\"mycologie\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/onderzoeken\/mycologie-gisten-en-schimmels\/\"\u003eMycology\u003c\/a\u003e\u003cbr\u003e\u003ca title=\"mycologie\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/onderzoeken\/mycologie-gisten-en-schimmels\/\" rel=\"noopener\"\u003e-\u003c\/a\u003e\u003ca title=\"virulente factoren\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/onderzoeken\/virulente-factoren-darmbioom-kwalitatief\/\"\u003eVirulence factors gut microbiome\u003c\/a\u003e\n\u003c\/div\u003e\n\u003cdiv\u003e \u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv\u003e\n\u003ca title=\"alfa-1-antitrypsine\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/alfa-1-antitrypsine\/\"\u003e-Alpha-1-antitrypsin\u003c\/a\u003e \u003cbr\u003e\u003ca title=\"EPX\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/epx-eosinofiele-proteine-x\/\"\u003e-EPX\u003c\/a\u003e \u003cbr\u003e\n\u003cdiv\u003e-\u003ca title=\"secretorisch IgA\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/secretorisch-iga\/\"\u003eSecretory IgA\u003c\/a\u003e\n\u003c\/div\u003e\n\u003cdiv\u003e\n\u003ca title=\"bèta-defensine 2\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/beta-defensine-2\/\"\u003e-Beta-defensin 2\u003c\/a\u003e \u003c\/div\u003e\n\u003cdiv\u003e\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/zonuline-feces\/\"\u003e-Zonulin\u003c\/a\u003e\u003c\/div\u003e\n-\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/onderzoeken\/ontstekingsscreening\/\"\u003eInflammation screening\u003c\/a\u003e (a qualitative determination of inflammation markers: \u003ca title=\"calprotectine\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/calprotectine\/\"\u003ecalprotectin\u003c\/a\u003e, \u003ca title=\"lactoferrine\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/lactoferrine\/\"\u003elactoferrin\u003c\/a\u003e, \u003ca title=\"hemoglobine\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/hemoglobine-feces\/\"\u003ehemoglobin\u003c\/a\u003e and \u003ca title=\"transferrine\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/transferrine\/\"\u003etransferrin\u003c\/a\u003e)\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e","brand":"RPSH","offers":[{"title":"Default Title","offer_id":52713192063322,"sku":null,"price":335.0,"currency_code":"EUR","in_stock":true}]},{"product_id":"beta-defensine-3","title":"Beta-defensin 2","description":"\u003cp\u003eAn antimicrobial peptide. It is produced endogenously by neutrophilic granulocytes and is part of the innate immune system (first-line defense). It provides insight into the activity of non-specific mucosal immunity.\u003c\/p\u003e","brand":"RPSH","offers":[{"title":"Default Title","offer_id":52760369627482,"sku":null,"price":90.0,"currency_code":"EUR","in_stock":true}]},{"product_id":"closed-gut-leaky-gutscreening-en-slijmvliesimmuniteit","title":"Closed Gut\/Leaky Gut screening and mucosal immunity","description":"\u003cdiv class=\"title\"\u003e\n\u003ch3\u003eWhy\u003c\/h3\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"content_text\"\u003e\n\u003cp\u003eIn Europe, 25% of inhabitants suffer from gut-associated diseases. It often starts with the 'Closed Gut' phenomenon. Practically, this means malabsorption and an 85% inactive enteric nervous system.\u003c\/p\u003e\n\u003cp\u003eFurthermore, a Closed Gut creates an excess of noxae (ammonia derivatives), which cannot be adequately detoxified and cause shifts within the various biogenic amines. These ammonia derivatives occur under physiological conditions in animal organisms and have multiple functions; they act as neurotransmitters, co-factors or hormones.\u003c\/p\u003e\n\u003cp\u003eIn a Closed Gut, an increased toxin load causes a thickening of the connective tissue to protect the body. Figuratively speaking, the sluice gates close. This means that the therapeutic approach must be started differently than with Leaky Gut Syndrome.\u003c\/p\u003e\n\u003cp\u003eThe symptom pattern for a Closed Gut and Leaky Gut are similar, and therefore, based on symptom registration, the wrong therapeutic route can be chosen. For example, mucous membrane-strengthening measures (e.g., with glutamine) are counterproductive in a Closed Gut and often worsen the patient's symptoms. The diagnostics of the \u003cem\u003eClosed Gut\/ Leaky Gut screening and mucosal immunity\u003c\/em\u003e provide clarity about which therapeutic route is necessary.\u003c\/p\u003e\n\u003cp\u003eIf you have opted for a \u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/onderzoeken\/basisscreening-darm\/\"\u003e\u003cem\u003eBasic Gut Screening\u003c\/em\u003e\u003c\/a\u003e, the separate \u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/zonuline-feces\/\"\u003e\u003cem\u003ezonulin\u003c\/em\u003e test\u003c\/a\u003e provides insight into whether there is a Closed Gut or Leaky Gut.\u003c\/p\u003e\n\u003ch3\u003eWhat\u003c\/h3\u003e\n\u003cdiv class=\"paragraph-green\"\u003e\n\u003cp\u003e\u003ca style=\"font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 14px;\" title=\"alfa-1-antitrypsine\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/alfa-1-antitrypsine\/\" rel=\"noopener\"\u003e-Alpha-1-antitrypsin\u003c\/a\u003e\u003cbr\u003e\u003ca style=\"font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 14px;\" title=\"calprotectine\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/calprotectine\/\" rel=\"noopener\"\u003e-Calprotectin\u003c\/a\u003e\u003cspan style=\"color: #000000; font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 14px;\"\u003e\u003cbr\u003e\u003c\/span\u003e\u003ca style=\"font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 14px;\" title=\"zonuline\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/zonuline-feces\/\"\u003e-Zonulin\u003c\/a\u003e\u003cspan style=\"color: #000000; font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 14px;\"\u003e\u003cbr\u003e\u003c\/span\u003e\u003ca style=\"font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 14px;\" title=\"sIgA\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/secretorisch-iga\/\" rel=\"noopener\"\u003e-sIgA\u003c\/a\u003e\u003cspan style=\"color: #000000; font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 14px;\"\u003e\u003cbr\u003e\u003c\/span\u003e\u003ca style=\"font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 14px;\" title=\"bèta-defensine 2\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/beta-defensine-2\/\" rel=\"noopener\"\u003e-Beta-defensin 2\u003c\/a\u003e\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e","brand":"RPSH","offers":[{"title":"Default Title","offer_id":52760410685786,"sku":null,"price":285.0,"currency_code":"EUR","in_stock":true}]},{"product_id":"darmtherapiescreening","title":"Gut therapy screening","description":"\u003cdiv class=\"content_text\"\u003e\n\u003ch3\u003eWhy\u003c\/h3\u003e\n\u003cp\u003eThis test package provides information about the health and functioning of the gastrointestinal tract, complete with a determination of possible pathogens and the release of histamine and inflammatory reactions provoked by gluten.\u003c\/p\u003e\n\u003ch3\u003eWhat\u003c\/h3\u003e\n\u003cp\u003eThe 'Intestinal Therapy Screening' is a very extensive test package and includes the following individual tests:\u003c\/p\u003e\n\u003cdiv class=\"paragraph-green\"\u003e\n\u003cdiv class=\"uk-child-width-1-2@s uk-child-width-1-1 uk-grid\"\u003e\n\u003cdiv\u003e\n\u003cdiv\u003e\n\u003ca title=\"digestion\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/onderzoeken\/spijsvertering\/\"\u003e-Digestion\u003c\/a\u003e\u003cbr\u003e\u003ca title=\"pH\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/ph\/\"\u003e-pH\u003c\/a\u003e\u003cbr\u003e\u003ca title=\"resident intestinal microbiome\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/onderzoeken\/resident-darmbioom\/\"\u003e-Resident intestinal microbiome\u003c\/a\u003e\n\u003c\/div\u003e\n\u003cdiv\u003e-\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/onderzoeken\/transient-darmbioom\/\"\u003eTransient intestinal microbiome\u003c\/a\u003e\u003cbr\u003e-\u003ca title=\"mycology\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/onderzoeken\/mycologie-gisten-en-schimmels\/\"\u003eMycology\u003c\/a\u003e\u003cbr\u003e\u003ca title=\"mycology\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/onderzoeken\/mycologie-gisten-en-schimmels\/\" rel=\"noopener\"\u003e-\u003c\/a\u003e\u003ca title=\"virulence factors\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/onderzoeken\/virulente-factoren-darmbioom-kwalitatief\/\"\u003eIntestinal microbiome virulence factors\u003c\/a\u003e\u003cbr\u003e\u003ca title=\"Helicobacter pylori\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/helicobacter-pylori\/\"\u003e-\u003cem\u003eHelicobacter pylori\u003c\/em\u003e\u003c\/a\u003e\n\u003c\/div\u003e\n\u003cdiv\u003e\u003ca title=\"TFT parasitology\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/onderzoeken\/parasitologie\/\"\u003e-TFT parasitology\u003c\/a\u003e\u003c\/div\u003e\n\u003cdiv\u003e-\u003ca title=\"secretory IgA\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/secretorisch-iga\/\"\u003eSecretory IgA\u003c\/a\u003e\n\u003c\/div\u003e\n\u003cdiv\u003e\n\u003ca title=\"beta-defensin 2\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/beta-defensine-2\/\"\u003e-Beta-defensin 2\u003c\/a\u003e \u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv\u003e\n\u003ca title=\"alpha-1-antitrypsin\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/alfa-1-antitrypsine\/\"\u003e-Alpha-1-antitrypsin\u003c\/a\u003e \u003cbr\u003e\u003ca title=\"EPX\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/epx-eosinofiele-proteine-x\/\"\u003e-EPX\u003c\/a\u003e \u003cbr\u003e\u003ca title=\"histamine\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/histamine\/\"\u003e-Histamine\u003c\/a\u003e \u003cbr\u003e\u003ca title=\"pancreatic elastase\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/pancreas-elastase\/\"\u003e-Pancreatic elastase\u003c\/a\u003e \u003cbr\u003e\u003ca title=\"tryptophan\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/tryptofaan\/\"\u003e-Tryptophan\u003c\/a\u003e \u003cbr\u003e-\u003ca title=\"zonulin\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/zonuline-feces\/\"\u003eZonulin\u003c\/a\u003e\u003cbr\u003e\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/onderzoeken\/vetzurenprofiel-darm\/\"\u003e-Fatty acid profile intestine\u003c\/a\u003e \u003cbr\u003e-\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/onderzoeken\/ontstekingsscreening\/\"\u003eInflammation screening\u003c\/a\u003e (\u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/pmn-elastase-polymorfonucleaire-elastase\/\"\u003ePMN elastase\u003c\/a\u003e and a qualitative determination of inflammatory markers: \u003ca title=\"calprotectin\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/calprotectine\/\"\u003ecalprotectin\u003c\/a\u003e, \u003ca title=\"lactoferrin\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/lactoferrine\/\"\u003elactoferrin\u003c\/a\u003e, \u003ca title=\"hemoglobin\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/hemoglobine-feces\/\"\u003ehemoglobin\u003c\/a\u003e and \u003ca title=\"transferrin\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/transferrine\/\"\u003etransferrin\u003c\/a\u003e)\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e","brand":"RPSH","offers":[{"title":"Default Title","offer_id":52760429723994,"sku":null,"price":900.0,"currency_code":"EUR","in_stock":true}]},{"product_id":"darmtherapiescreening-plus","title":"Gut therapy screening plus","description":"\u003cdiv class=\"content_text\"\u003e\n\u003cdiv class=\"content_text\"\u003e\n\u003ch3\u003eWhat\u003c\/h3\u003e\n\u003cp\u003e\u003cem\u003eIntestinal Therapy Screening Plus\u003c\/em\u003e consists of the \u003cem\u003e\u003ca title=\"intestinal therapy screening\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/onderzoeken\/darmtherapiescreening\/\" rel=\"noopener\"\u003eIntestinal Therapy Screening\u003c\/a\u003e\u003c\/em\u003e and genetic research of the intestinal microbiota (\u003ca title=\"Firmicutes-Bacteroidetes ratio\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/onderzoeken\/firmicuten-bacteroidetes-ratio\/\" rel=\"noopener\"\u003e\u003cem\u003eFirmicutes\u003c\/em\u003e\/\u003cem\u003eBacteroidetes\u003c\/em\u003e ratio\u003c\/a\u003e and \u003cem\u003e\u003ca title=\"Mucin and butyrate formation\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/onderzoeken\/mucin-en-butyraatvorming-mucosaprotectieve-darmbiota\/\" rel=\"noopener\"\u003eMucin and butyrate formation \u003c\/a\u003e\u003c\/em\u003e(\u003cem\u003eFaecalibacterium\u003c\/em\u003e \u003cem\u003eprausnitzii\u003c\/em\u003e, \u003cem\u003eAkkermansia\u003c\/em\u003e \u003cem\u003emuciniphila\u003c\/em\u003e)). See individual tests for more information.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e","brand":"RPSH","offers":[{"title":"Default Title","offer_id":52760433525082,"sku":null,"price":1175.0,"currency_code":"EUR","in_stock":true}]},{"product_id":"firmicuten-bacteroidetes-ratio","title":"Firmicutes\/Bacteroidetes ratio","description":"\u003cdiv class=\"content_text\"\u003e\n\u003cdiv class=\"content_text\"\u003e\n\u003cdiv class=\"content_text\"\u003e\n\u003cdiv class=\"content_text\"\u003e\n\u003cdiv class=\"content_text\"\u003e\n\u003cp\u003eMultiple studies indicate a correlation between body weight and the \u003cem\u003eFirmicutes\/Bacteroidetes\u003c\/em\u003e ratio. The lower the proportion of \u003cem\u003eFirmicutes\u003c\/em\u003e and the higher the proportion of \u003cem\u003eBacteroidetes\u003c\/em\u003e, the lower the body weight. \u003cem\u003eFirmicutes\u003c\/em\u003e strains can provide short-chain carbohydrates and fatty acids as an additional energy source to the human body through the breakdown of undigested food components. An increased value in the number of \u003cem\u003eFirmicutes\u003c\/em\u003e leads to weight gain, especially when \u003cem\u003eBacteroidetes\u003c\/em\u003e are simultaneously decreased.\u003c\/p\u003e\n\u003cp\u003e \u003c\/p\u003e\n\u003cp\u003e\u003cimg src=\"https:\/\/www.rpsh.nl\/data\/cms_uploads\/files\/source\/Onderzoeken%20SAP%20-%20informatieve%20afbeeldingen\/Firm-bact.png?1600299369089\" alt=\"\" width=\"500\" height=\"341\" class=\"loaded\" data-was-processed=\"true\"\u003e\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e","brand":"RPSH","offers":[{"title":"Default Title","offer_id":52760497029466,"sku":null,"price":315.0,"currency_code":"EUR","in_stock":true}]},{"product_id":"lactoferrine","title":"Lactoferrin","description":"\u003cdiv class=\"content_text\"\u003eThis is a multifunctional protein and an essential component of the innate immune system. It is found in cow's milk and human breast milk. Lactoferrin is an iron-binding glycoprotein with antibacterial, antioxidant, antiparasitic, and antiviral properties. It inhibits pathogens and activates other enzymes to clear the remnants of pathogens.\u003cbr\u003eMeasuring lactoferrin in feces provides insight into immune deficiencies and gives a clear indication for initiating therapy for inflammations and immunodeficiencies.\u003c\/div\u003e","brand":"RPSH","offers":[{"title":"Default Title","offer_id":52760677024090,"sku":null,"price":85.0,"currency_code":"EUR","in_stock":true}]},{"product_id":"lysozyme","title":"Lysozyme","description":"\u003cdiv class=\"content_text\"\u003eThis is an enzyme, also known as muramidase, which attacks the wall of a gram-positive bacterium. Lysozyme is therefore an antibacterial defense, present in the gastrointestinal tract. It is secreted by granulocytes, macrophages, Paneth cells, and Brunner's glands, as well as normal colon crypt cells. The main source of fecal lysozyme is intestinal granulocytes. It is found in mucous membranes, tear fluid, blood, saliva, semen, and is often found in white blood cells. Lysozyme is useful for determining inflammatory activity in the large intestine rather than in the small intestine.\u003c\/div\u003e","brand":"RPSH","offers":[{"title":"Default Title","offer_id":52760679776602,"sku":null,"price":45.0,"currency_code":"EUR","in_stock":true}]},{"product_id":"maldigestie-malabsorptie","title":"Maldigestion\/malabsorption","description":"\u003cdiv class=\"content_text\"\u003e\n\u003cdiv class=\"content_text\"\u003e\n\u003cp\u003eThis test measures the parameters \u003ca title=\"pancreatic-elastase\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/pancreas-elastase\/\" rel=\"noopener\"\u003epancreatic elastase\u003c\/a\u003e and \u003ca title=\"bile_acids\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/galzuren\/\" rel=\"noopener\"\u003ebile acids\u003c\/a\u003e. This provides information about nutrient absorption, especially fats, and the functioning of the pancreas.\u003c\/p\u003e\n\u003cp\u003eThe pancreas produces the digestive enzyme elastase. In contrast to other protein-splitting enzymes, elastase remains active even after it has passed through the intestines. Therefore, by examining the elastase level in the stool, it can be determined whether the pancreas is functioning adequately.\u003cbr\u003eIf, due to a condition, insufficient enzymes reach the small intestine for proper food digestion, the body may not absorb nutrients well, especially fats.\u003c\/p\u003e\n\u003cp\u003eBile salts are produced in the liver and stored in the gallbladder. After consuming a meal, they are released into the small intestine where they are important for, among other things, breaking down fats. Under normal circumstances, more than 95% of bile salts are reabsorbed in the last part of the small intestine to return to the liver. An excess of bile salts in the intestine stimulates water secretion, which causes diarrhea.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e","brand":"RPSH","offers":[{"title":"Default Title","offer_id":52760682627418,"sku":null,"price":135.0,"currency_code":"EUR","in_stock":true}]},{"product_id":"resident-darmbioom","title":"Resident gut biome","description":"\u003cdiv class=\"content_text\"\u003e\n\u003cp\u003eThe human colon contains 10¹¹ bacteria per gram, making it home to the largest bacterial population in the body. Most of these are anaerobic.\u003c\/p\u003e\n\u003cp\u003eThe intestinal microbiota consists of a resident and a transient intestinal microbiota. These consist of aerobic, anaerobic, and micro-aerophilic intestinal bacteria.\u003c\/p\u003e\n\u003cp\u003eThe resident intestinal microbiota consists of intestinal bacteria that are absolutely necessary for the physiological processes in the intestines. Its exact composition develops in the first years of life and is as personal as a fingerprint.\u003c\/p\u003e\n\u003cp\u003eThe resident intestinal microbiota consists of the following bacteria:\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eAnaerobic bacteria: \u003cem\u003eBacteroides species, Bifidobacterium species\u003c\/em\u003e\n\u003c\/li\u003e\n\u003cli\u003eAerobic bacteria: \u003cem\u003eEscherichia coli\u003c\/em\u003e\u003cem\u003e, Enterococcus species\u003c\/em\u003e\n\u003c\/li\u003e\n\u003cli\u003eMicro-aerophilic bacteria: \u003cem\u003eLactobacillus species\u003c\/em\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch2\u003eResident anaerobic bacteria\u003c\/h2\u003e\n\u003cp\u003eOf the anaerobic bacteria, 25% consist of Bacteroides species. These have a beneficial effect on their host in the intestine. Numerically, they form the largest group of bacteria and are therefore an important part of colonization resistance. This means that pathogens do not get a chance to attach to the intestinal wall, because it is protected by resident bacteria, including Bacteroides species.\u003c\/p\u003e\n\u003cp\u003eIn particular, indigestible carbohydrates are converted by them into short-chain fatty acids and hydrogen. This makes this group of bacteria important in supporting Bifidobacteria. A good Bifidus intestinal microbiota is particularly dependent on a good Bacteroides intestinal microbiota. To support both groups of bacteria, there are no probiotics, but there are prebiotics, such as inulin.\u003c\/p\u003e\n\u003cp\u003eOutside the intestine, however, Bacteroides species are important clinical pathogens. They are found in most anaerobic infections, with or without abscess formation. The Bacteroides species contain the most antibiotic-resistant mechanisms of all anaerobic bacteria. They can adapt very well to new circumstances:\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eThey can adapt to the available nutrition\u003c\/li\u003e\n\u003cli\u003eThey have multiple pumping systems to pump away substances toxic to them\u003c\/li\u003e\n\u003cli\u003eThey can influence the host's immune system so that it tackles other competing pathogens.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eSome antibiotics to which Bacteroides are resistant include cefotaxime, clindamycin, metronidazole, carbapenems, and fluoroquinolones (e.g., gatifloxacin, levofloxacin, and moxifloxacin). Bifidobacterium species, like Bacteroides species, form a large part of the resident intestinal microbiota. They convert carbohydrates into short-chain fatty acids such as acetic acid, formic acid, succinate, and ethanol. This achieves a lower acidity of the intestinal environment, which counteracts putrefaction processes. Through the production of short-chain fatty acids, they work synergistically with Lactobacilli and Enterococci. Furthermore, they can split bile acids and inhibit the multiplication of transient bacteria. However, the amount of Bifidobacterium species decreases after the age of 50, which can lead to putrefaction processes and the intestinal microbiota becoming more susceptible to dysbiosis.\u003c\/p\u003e\n\u003ch2\u003eResident aerobic bacteria\u003c\/h2\u003e\n\u003cp\u003e\u003cem\u003eEscherichia coli\u003c\/em\u003e contributes to colonization resistance by producing antimicrobial substances. Furthermore, this bacterium stimulates the immune system of the intestines and contributes to the stabilization of the intestinal barrier. Therapeutically, this bacterium is used to improve mucosal immunity (sIgA, beta-defensin 2). It also removes oxygen from the food bolus and from the intestinal wall to ensure a stable anaerobic environment in the intestine, allowing for a balanced anaerobic intestinal microbiota with \u003cem\u003eBifidobacterium\u003c\/em\u003e and \u003cem\u003eBacteroides species\u003c\/em\u003e.\u003c\/p\u003e\n\u003cp\u003e\u003cem\u003eEnterococcus species\u003c\/em\u003e can convert carbohydrates into short-chain fatty acids that acidify the intestinal environment and inhibit the growth of transient bacteria. To support colonization resistance, they produce important bacteriostatic and bactericidal substances. They can also convert proteins. They are used therapeutically to improve mucosal immunity. They also remove oxygen from the food bolus and from the intestinal wall to maintain an anaerobic intestinal environment.\u003c\/p\u003e\n\u003cdiv class=\"title\"\u003e\n\u003ch2\u003eResident micro-aerophilic bacteria\u003c\/h2\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"content_text\"\u003e\n\u003cp\u003e\u003cem\u003eLactobacillus\u003c\/em\u003e species grow under oxygen-poor conditions. They are saccharolytic bacteria; they only convert carbohydrates. Their metabolic products prevent the growth of foreign germs such as \u003cem\u003eClostridium\u003c\/em\u003e and \u003cem\u003eProteus species\u003c\/em\u003e. This type of proteolytic intestinal microbiota (protein-loving species) is inhibited by the acidification of the intestinal environment and the production of bacteriocin.\u003c\/p\u003e\n\u003cp\u003eThe transient intestinal microbiota consists of:\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eAnaerobic bacteria: \u003cem\u003eClostridium species\u003c\/em\u003e\n\u003c\/li\u003e\n\u003cli\u003eAerobic bacteria: \u003cem\u003ePseudomonas species\u003c\/em\u003e, \u003cem\u003eEnterobacteriaceae\u003c\/em\u003e group 1 (including \u003cem\u003eProteus species\u003c\/em\u003e) and group 2 (including \u003cem\u003eKlebsiella species\u003c\/em\u003e, \u003cem\u003eEnterobacter species\u003c\/em\u003e)\u003c\/li\u003e\n\u003cli\u003eObligate pathogenic bacteria: \u003cem\u003eSalmonella species\u003c\/em\u003e, \u003cem\u003eShigella species\u003c\/em\u003e, \u003cem\u003eYersinia species\u003c\/em\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eAn important part of mapping the aerobic transient intestinal microbiota is the investigation of \u003cem\u003eEnterobacteria\u003c\/em\u003e. Here, the qualitative determination of the various species of \u003cem\u003eEnterobacteriaceae\u003c\/em\u003e is central. Within the \u003cem\u003eEnterobacteriaceae species\u003c\/em\u003e, there are a number of species that have various pathogenic properties. Some obligate pathogenic species from this family are \u003cem\u003eSalmonella\u003c\/em\u003e, \u003cem\u003eShigella\u003c\/em\u003e, and \u003cem\u003eYersinia\u003c\/em\u003e species. Urease-producing species like \u003cem\u003eProteus species\u003c\/em\u003e can increase serum ammonium concentrations in patients with impaired liver function. Various species of \u003cem\u003eEnterobacteriaceae\u003c\/em\u003e are involved in rheumatoid reactions, including \u003cem\u003eEnterobacter\u003c\/em\u003e and \u003cem\u003eKlebsiella species\u003c\/em\u003e.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e","brand":"RPSH","offers":[{"title":"Default Title","offer_id":52772679254362,"sku":null,"price":125.0,"currency_code":"EUR","in_stock":true}]},{"product_id":"secretorisch-iga","title":"Secretory IgA","description":"\u003cdiv class=\"content_text\"\u003e\n\u003cdiv class=\"content_text\"\u003eSecretory immunoglobulin A (sIgA) is part of the immune system in the intestines. It consists of two IgA antibodies linked by a peptide. It is produced in the intestinal wall by the plasma cells of the 'lamina propria'. The main function of IgA is to protect the body against the entry of various pathogens through its presence in tear fluid, colostrum, bile, and the glands of the respiratory and urinary tracts, and the gastrointestinal system. sIgA provides clarity about the quality of the gut-associated immune system.\u003c\/div\u003e\n\u003cdiv class=\"content_text\"\u003e\n\u003cp\u003eAn abnormal result, meaning too much or too little secretory IgA, indicates that the immune mechanism of the intestines is not functioning adequately.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e","brand":"RPSH","offers":[{"title":"Default Title","offer_id":52772733288794,"sku":null,"price":115.0,"currency_code":"EUR","in_stock":true}]},{"product_id":"spijsvertering","title":"Digestion","description":"\u003cp\u003eThis test determines the \u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/kleur\/\" rel=\"noopener\"\u003ecolor\u003c\/a\u003e, \u003ca title=\"consistentie\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/consistentie\/\" rel=\"noopener\"\u003econsistency\u003c\/a\u003e, \u003ca title=\"pH-waarde\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/ph\/\" rel=\"noopener\"\u003epH value\u003c\/a\u003e, and digestive capacity. Digestive capacity is determined by examining the amount of \u003ca title=\"spiervezels\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/spiervezels\/\" rel=\"noopener\"\u003emuscle fibers\u003c\/a\u003e, \u003ca title=\"zetmeel\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/zetmeel\/\" rel=\"noopener\"\u003estarch\u003c\/a\u003e, and \u003ca title=\"vetzepen\" href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/vetzepen\/\" rel=\"noopener\"\u003efatty soaps\u003c\/a\u003e present in the stool.\u003c\/p\u003e","brand":"RPSH","offers":[{"title":"Default Title","offer_id":52772791583066,"sku":null,"price":65.0,"currency_code":"EUR","in_stock":true}]},{"product_id":"transient-darmbioom","title":"Transient gut biome","description":"\u003cdiv class=\"content_text\"\u003e\n\u003cdiv class=\"content_text\"\u003e\n\u003cdiv class=\"title\"\u003e\n\u003cp\u003eThe human colon contains 10¹¹ bacteria per gram, making it the largest bacterial population in the body. Most of these are anaerobic.\u003c\/p\u003e\n\u003cp\u003eThe gut microbiota consists of a resident and a transient gut microbiota. These consist of aerobic, anaerobic, and microaerophilic gut bacteria.\u003c\/p\u003e\n\u003cp\u003eThe transient gut microbiota, also called passing gut microbiota, is ingested through food. It consists of bacteria that are tolerated to some extent, but they are generally not beneficial and some are pathogenic.\u003c\/p\u003e\n\u003cp\u003eThe transient gut microbiota consists of:\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eAnaerobic bacteria: \u003cem\u003eClostridium\u003c\/em\u003e \u003cem\u003especies\u003c\/em\u003e\n\u003c\/li\u003e\n\u003cli\u003eAerobic bacteria: \u003cem\u003ePseudomonas\u003c\/em\u003e \u003cem\u003especies\u003c\/em\u003e, \u003cem\u003eEnterobacteriaceae\u003c\/em\u003e group 1 (e.g. \u003cem\u003eProteus\u003c\/em\u003e \u003cem\u003especies\u003c\/em\u003e) and group 2 (e.g. \u003cem\u003eKlebsiella\u003c\/em\u003e \u003cem\u003especies\u003c\/em\u003e, \u003cem\u003eEnterobacter\u003c\/em\u003e \u003cem\u003especies\u003c\/em\u003e)\u003c\/li\u003e\n\u003cli\u003eObligate pathogenic bacteria: \u003cem\u003eSalmonella\u003c\/em\u003e \u003cem\u003especies\u003c\/em\u003e, \u003cem\u003eShigella\u003c\/em\u003e \u003cem\u003especies\u003c\/em\u003e, \u003cem\u003eYersinia\u003c\/em\u003e \u003cem\u003especies\u003c\/em\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eAn important part of mapping the aerobic transient gut microbiota is the examination of \u003cem\u003eEnterobacteria\u003c\/em\u003e. Here, the qualitative determination of the various \u003cem\u003eEnterobacteriaceae\u003c\/em\u003e species is central. Among the \u003cem\u003eEnterobacteriaceae\u003c\/em\u003e \u003cem\u003especies\u003c\/em\u003e, there are a number of species that have various pathogenic properties. Some obligate pathogenic species from this family are \u003cem\u003eSalmonella\u003c\/em\u003e, \u003cem\u003eShigella\u003c\/em\u003e, and \u003cem\u003eYersinia\u003c\/em\u003e species. Urease-producing species like \u003cem\u003eProteus species\u003c\/em\u003e can increase serum ammonia concentration in patients with impaired liver function. Various species of \u003cem\u003eEnterobacteriaceae\u003c\/em\u003e are involved in rheumatoid reactions, including \u003cem\u003eEnterobacter\u003c\/em\u003e and \u003cem\u003eKlebsiella\u003c\/em\u003e \u003cem\u003especies\u003c\/em\u003e.\u003c\/p\u003e\n\u003ch2\u003eTransient anaerobic bacteria\u003c\/h2\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"content_text\"\u003e\n\u003cp\u003eMost \u003cem\u003eClostridium\u003c\/em\u003e \u003cem\u003especies\u003c\/em\u003e grow under anaerobic conditions. An amount of \u0026lt; 10\u003csup\u003e4\u003c\/sup\u003e is acceptable for the intestinal environment. Due to their metabolic activity, using carbohydrates, proteins, and fats, they can cause burdens if the tolerance limit is exceeded. Especially the ability to split fats can be the cause of harmful substances. Often, an increased presence of \u003cem\u003eClostridia\u003c\/em\u003e is associated with a decreased amount of \u003cem\u003eBifidobacteria\u003c\/em\u003e and\/or \u003cem\u003eBacteroides\u003c\/em\u003e.\u003c\/p\u003e\n\u003cp\u003e\u003cem\u003eClostridium\u003c\/em\u003e \u003cem\u003edifficile\u003c\/em\u003e is a gram-positive, spore-forming bacterium and the main cause of diarrhea and colitis associated with antibiotics. The mortality in older people infected with this bacterium is approximately 25%. The bacterium is found in 5% of adults and 15 to 70% of children. The majority of infected hospital patients are asymptomatic carriers of the bacterium.\u003c\/p\u003e\n\u003cp\u003eAnother common species is \u003cem\u003eClostridium\u003c\/em\u003e \u003cem\u003eperfringens\u003c\/em\u003e. \u003cem\u003eC\u003c\/em\u003e. \u003cem\u003eperfringens\u003c\/em\u003e is a gram-positive, anaerobic, spore-forming, rod-shaped bacterium and causes necrotizing and histolytic toxins (lecithinases) and enzymes such as proteases and collagenases. \u003cem\u003eClostridium\u003c\/em\u003e \u003cem\u003eperfringens\u003c\/em\u003e triggers inflammatory processes. Infections with \u003cem\u003eC\u003c\/em\u003e. \u003cem\u003eperfringens\u003c\/em\u003e often occur due to the consumption of poorly chilled meat.\u003c\/p\u003e\n\u003cdiv class=\"title\"\u003e\n\u003ch2\u003eTransient aerobic bacteria\u003c\/h2\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"content_text\"\u003e\n\u003cp\u003eBacteria from the \u003cem\u003eEnterobacteriaceae\u003c\/em\u003e group 1 and 2 primarily metabolize proteins. They are more common in large-scale inflammations. They are burdensome for the liver due to the production of toxins, ammonia, and biogenic amines.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"title\"\u003e\n\u003ch2\u003eTransient obligate pathogenic bacteria\u003c\/h2\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"content_text\"\u003e\n\u003cp\u003eThe use of antibiotics increases the risk of a salmonella infection. These infections are more common in young children. The most common species are \u003cem\u003eS\u003c\/em\u003e. \u003cem\u003etyphimurium\u003c\/em\u003e, \u003cem\u003eS\u003c\/em\u003e. \u003cem\u003eheidelberg\u003c\/em\u003e, and \u003cem\u003eS\u003c\/em\u003e. \u003cem\u003eenteritidis\u003c\/em\u003e. Sources of salmonella infection include: contact with sick individuals, living in rural areas, recent (foreign) travel, contact with infected pets, and consumption of unpasteurized dairy products and undercooked meat. \u003cem\u003eShigella\u003c\/em\u003e \u003cem\u003especies\u003c\/em\u003e are also often responsible for intestinal infections causing diarrhea.\u003c\/p\u003e\n\u003c\/div\u003e","brand":"RPSH","offers":[{"title":"Default Title","offer_id":52772805345626,"sku":null,"price":95.0,"currency_code":"EUR","in_stock":true}]},{"product_id":"tryptofaan","title":"Tryptophan","description":"\u003cp\u003eL-tryptophan is one of the essential amino acids and is converted in the body into, among other things, serotonin, melatonin, and vitamin B3. It plays a role in weight regulation (sensation of hunger), well-being, and pain perception (serotonin), and sleep (melatonin).\u003c\/p\u003e","brand":"RPSH","offers":[{"title":"Default Title","offer_id":52772820517210,"sku":null,"price":130.0,"currency_code":"EUR","in_stock":true}]},{"product_id":"vetzurenprofiel-darm","title":"Fatty acid profile gut","description":"\u003cdiv class=\"content_text\"\u003e\n\u003cdiv class=\"content_text\"\u003e\n\u003cp\u003eShort-chain fatty acids play an important role in gut health. The short-chain fatty acids \u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/darmgezondheid\/azijnzuur\/\" rel=\"noopener\"\u003eacetic acid\u003c\/a\u003e (acetate), \u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/darmgezondheid\/propionzuur\/\" rel=\"noopener\"\u003epropionic acid\u003c\/a\u003e (propionate), and \u003ca href=\"https:\/\/www.rpsh.nl\/rpsh-analytic\/parameters\/darmgezondheid\/boterzuur\/\" rel=\"noopener\"\u003ebutyric acid\u003c\/a\u003e (butyrate) are formed by microbial fermentation of fibers. The gut biome uses various carbohydrates and fibers such as pectin, xylan, resistant starch, or inulin as sources. The ratio is highly dependent on the food consumed, and elevated or reduced levels of the individual fatty acids cannot necessarily be considered pathogenic. On the contrary, it is important that, generally, the ratio of the fatty acids is 3:1:1, approximately 60% acetic acid, 20-25% propionic acid, and 15-20% butyric acid.\u003c\/p\u003e\n\u003cp\u003eDietary measures have a significant influence on the synthesis of these short-chain fatty acids. Water-soluble fibers such as inulin are very suitable for stimulating the microbial synthesis of fatty acids. Water-insoluble fibers such as, for example, wheat bran can only be fermented to a limited extent, but are very important for binding substances that need to be excreted, such as toxins or conjugated hormones in the intestinal lumen. A balanced intake of water-soluble and insoluble fibers is therefore advisable.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e","brand":"RPSH","offers":[{"title":"Default Title","offer_id":52772873666906,"sku":null,"price":125.0,"currency_code":"EUR","in_stock":true}]},{"product_id":"zonuline-feces","title":"Zonulin","description":"\u003cdiv class=\"content_text\"\u003e\n\u003cdiv class=\"content_text\"\u003e\n\u003cdiv class=\"content_text\"\u003e\n\u003cdiv class=\"content_text\"\u003e\n\u003cdiv class=\"content_text\"\u003e\n\u003cp\u003eZonulin is a protein that is active in the intestinal epithelium. Zonulin reacts to exposure to gliadin and pathogenic bacteria. Gliadin, together with glutenin, forms the protein gluten.\u003c\/p\u003e\n\u003cp\u003eAs soon as zonulin is released by the epithelial cells, it is signaled by Immunoglobulin A, after which a reaction of the intestinal wall follows. The tight junction proteins between the cells of the intestinal wall loosen or break. The gliadins or pathogenic bacteria can now pass through the intestinal wall, after which dendritic cells, via the antigen-presenting cells, trigger T-cell activation.\u003cbr\u003eThis immune response causes inflammation of the cells of the intestinal wall, after which zonulin, tight junction proteins, pathogens, bacterial lipopolysaccharides, and inflammatory mediating cytokines can enter the lamina propria from the intestines. Subsequently, these substances enter the bloodstream, where they can induce neuroinflammation.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e","brand":"RPSH","offers":[{"title":"Default Title","offer_id":52772983013722,"sku":null,"price":140.0,"currency_code":"EUR","in_stock":true}]}],"url":"https:\/\/store.bloedcheckup.nl\/collections\/darm.oembed","provider":"BloedCheckup","version":"1.0","type":"link"}