Which tests are worth doing, what common results mean, and gentle next steps so you can stop wasting money and start getting real answers.
If you’ve been up late researching diarrhea, reflux, itching, or chronic “mystery” symptoms—testing is the fastest way to stop guessing.
In this guide, you’ll learn:
You don’t need every test at once. Start with the next right step for your pet’s symptoms.
Download the Free Gut Health Starter Guide
Two pets can have the same symptoms—diarrhea, itching, reflux, anxiety—but completely different root causes. Testing doesn’t replace food, herbs, or lifestyle changes. Testing turns the lights on so you know where to begin.
This is the general order I follow to save time, money, and stress:
| Step | What we’re looking for | Best time to run it |
|---|---|---|
| 1) Parasites & pathogens | Hidden infections often missed on routine fecals (Giardia, Cryptosporidium, Clostridium, etc.). | Loose stool, intermittent diarrhea, new rescue, boarding/dog parks/travel. |
| 2) Digestion & absorption | Pancreatic output + nutrient absorption (TLI, B12, folate). | Weight loss, muscle loss, chronic diarrhea, “eating but not thriving.” |
| 3) Inflammation & gut immune function | Calprotectin, sIgA, elastase, zonulin, beta-glucuronidase, and anti-gliadin A | IBD suspicion, blood/mucus, chronic allergies/ears + gut issues. |
| 4) Microbiome mapping | Missing/overgrowth of bacteria and functional patterns (bile metabolism, immune tolerance). | Chronic reflux/bile vomiting, recurring flares, anxiety + gut, “nothing sticks.” |
| 5) Hair Tissue Mineral Analysis | Mineral patterns, stress physiology, metabolic speed, heavy metal burden. | Stuck, complex, chronic cases or sensitivity to “everything.” |
| 6) Nutrients & omegas | Vitamin D, B12/folate, omega-3 | Chronic inflammation, immune dysregulation, skin + gut patterns. |
| 7) Bloodwork & thyroid | CBC/chemistry + thyroid markers to rule out metabolic, liver, or thyroid drivers. | Always part of the foundation—especially in chronic cases. |
You don’t need every test at once. Start where it feels aligned.
| If your pet has… | Start with… | Then consider… |
|---|---|---|
| Loose stool that comes and goes or acute diarrhea | GI PCR parasite panel | Functional markers + microbiome if chronic |
| Morning bile vomit + chronic gut issues | Microbiome + functional markers | HTMA if stuck/sensitive |
| Skin allergies + gut issues | Microbiome | HTMA + functional markers |
| IBD diagnosis / blood or mucus | Functional markers + microbiome | HTMA + nutrients |
| “We’ve tried everything” | HTMA | Microbiome + systemic nutrients/omegas |
PCR stool testing detects DNA from organisms like Giardia, Cryptosporidium, and Clostridium—things routine fecal tests often miss. Skipping this step is one of the biggest reasons pets don’t heal.
Best first step for intermittent diarrhea and “mystery” flares.
Order GI Parasite/Giardia TestSupport comfort during diarrhea flares while you address the trigger. These supplements help repair gut inflammation and soothe the GI tract.
Shop Gut-Soothing ToolsGet the acute diarrhea guide that helps you support your pet while waiting for test results.
See Support OptionsThis panel helps us understand whether digestion and absorption are actually working—because if digestion is off, probiotics and diet changes often won’t fix the problem. Your veterinarian will need to do this blood test. Your pet needs to be fasted for 24 hours prior to blood collection.
| Marker | What it shows | Why it matters |
|---|---|---|
| TLI | Pancreatic enzyme output | Low can point to exocrine pancreatic insufficiency and poor digestion |
| B12 | Absorption + microbiome clues | Low commonly reflects malabsorption/dysbiosis patterns |
| Folate | Small intestinal function | Can shift with bacterial overgrowth patterns |
Supports breakdown and absorption when digestion feels “weak.”
View Digestive EnzymesWhole-food glandular support for chronic digestive stress patterns.
Explore Pancreatic SupportCalming tools can support motility, appetite, and gut resilience.
Explore Calming SupportThese markers tell us how the gut is functioning—not just what bacteria are there. This is where we can get very targeted with support.
| Marker | What it means (simple) | Supports I often use: |
|---|---|---|
| Calprotectin | Inflammation in the gut lining | MegaIgG/colostrum, boswellia/curcumin, slippery elm/marshmallow |
| Pancreatic elastase | Digestive enzyme output from the pancreas | Digestive enzymes, pancreatic support |
| Secretory IgA (sIgA) | Gut immune resilience (low = burnout, high = overreaction) | Low: mushrooms, S. boulardii, colostrum High: quercetin, omega support, peptides |
| Zonulin | Barrier integrity (“leaky gut” signal) | Glutamine, zinc, mushrooms, peptides |
| Beta-glucuronidase | Detox recycling (reabsorbing toxins/hormones) | Spore probiotics, liver/bile tools (milk thistle, phosphatidylcholine) |
This test is an at-home stool test that assesses gut function for dogs and cats. There are different options you can choose from.
Order a Gut Function TestMushrooms, anti-inflammatory support, targeted probiotics, and probiotic options.
Shop Gut Health Support
Microbiome testing tells us which bacteria are present, which are missing, and how the ecosystem is functioning—including bile-metabolizing bacteria (like Peptacetobacter hiranonis) that can impact reflux cycles.
Best for chronic reflux/bile vomiting, recurring flares, IBD patterns, anxiety + gut. This is an at-home stool test.
Order a Microbiome TestChoose based on testing and symptoms—avoid random stacking. You will receive recommendations after testing.
Shop Targeted ProbioticsOften used for loose stool patterns and dysbiosis support to help optimize the microbiome.
See Probiotic OptionsHTMA is a terrain test that helps explain why the gut keeps getting stuck—by revealing mineral patterns, stress physiology, metabolic speed, and heavy metal burden.
| Common Patterns | What it can look like: | What I often prioritize: |
|---|---|---|
| Low potassium | Constipation, slow motility, low resilience. | Mineral repletion + adrenal/nervous system support |
| High Ca:Mg | Stress patterns, tension, inflammation. | Magnesium support + calming foundations |
| Heavy metals | Sensitivity to supplements, stalled healing, chronic inflammation patterns. | Gentle detox + environmental cleanup (no aggressive protocols) |
Hair mineral analysis to assess minerals, stress physiology, and detox capacity. This is an at-home test.
Order a HTMA TestSupport drainage and bile flow before anything intense.
Shop Liver/Bile ToolsA favorite tool to support bile flow + cellular repair from Quicksilver Scientific.
Shop PhosphatidylcholineVitamin D supports immune tolerance, B12 and folate reflect absorption and dysbiotic patterns, and omega-3 testing helps us understand inflammatory balance—so we’re not guessing with fish oil dosing.
Foundational nutrients used in chronic inflammation and malabsorption patterns.
Explore NutrientsTesting first is ideal—supplement only with guidance. This is the test we recommend that is also the most affordable.
Order Vitamin D TestEven in holistic medicine, CBC/biochemistry/urinalysis and thyroid testing are essential. Gut symptoms can be thyroid, liver, or metabolic issues—and we don’t want to miss that. These can be done at your regular vet office. Also, check out Affordable Pet Lab for in-home options, where a technician is sent to your home to draw the blood to help alleviate stress on your pet.
You don’t have to do everything at once. Start with the next right step.
It walks you through the 5 core pillars of gut healing and how these tests fit into a complete, step-by-step plan.
Get the Free GuideIf you'd like more one-on-one support and personalized guidance, schedule a Gut Health Audit. We’ll review your pet’s symptoms, history, and any testing you already have. I’ll map out a personalized healing strategy you can take back to your vet that is clear and easy to follow.
Book a Gut Health AuditRemember: You Don’t Have to Guess
You don’t have to do everything at once. And you don’t have to do it alone. Testing doesn’t replace you as your pet’s advocate—it empowers you.
Disclaimer: This resource is intended for educational purposes only and does not replace individualized veterinary care. Always consult your veterinarian before making changes to your pet’s health regimen. The content provided herein may not be reproduced, copied, or distributed in any form without the express written permission of Dr. Katie Woodley and The Natural Pet Doctor. Unauthorized sharing or duplication is strictly prohibited. If you wish to apply ideas contained in thenaturalpetdoctor.com, you are taking full responsibility for your actions. Please consult your veterinarian for medical advice for your own pets. Dr. Katie Woodley cannot answer specific questions about your pet’s medical issues or make medical recommendations for your pet without first establishing a veterinarian-client-patient relationship. Links in the blog are typically affiliate links that let you help support us.
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