Digestive Health TestsMicrobial Organic Acids Urine Test (MOAT)

Microbial Organic Acids Urine Test (MOAT)
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Microbial Metabolites

Microbial Organic Acids Urine Test (MOAT)

£POA  Contact us for current pricing

Organic acids are byproducts of metabolic processes involved in energy production, detoxification, and the breakdown of neurotransmitters. When specific organic acids build up in the urine, it can indicate that something is interfering with these pathways. These imbalances may be linked to nutrient deficiencies, genetic enzyme issues, toxic exposure, or medication side effects.

The MOAT (Microbial Organic Acids Test) specifically evaluates compounds produced by bacteria and yeast. Elevated levels can suggest microbial imbalance or overgrowth in the digestive tract, such as bacterial or yeast dysbiosis.

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Who can benefit from this test?

Your practitioner may recommend this test if you have:

  • Suspected bacterial or yeast (Candida) overgrowth
  • Bloating, wind and digestive discomfort
  • Brain fog, fatigue or mood changes that may be gut-related
  • Sugar cravings or recurrent fungal symptoms
  • A preference for a simple at-home urine sample
  • A wish to assess gut microbial balance via metabolites

Learn more about this test

What the test involves

A simple urine sample collected at home, measuring metabolites produced by gut bacteria and yeast to reveal microbial imbalance.

This test measures:

  • 21 metabolites produced by gut bacteria and yeast
  • By-products of beneficial and harmful bacteria
  • Markers linked to Clostridia species
  • Candida, other yeasts and fungal or mould organisms
  • Signs of microbial imbalance (dysbiosis) in the gut

Frequently asked questions

The Microbial Organic Acid Test (MOAT) analyses 21 metabolites, including creatinine. It detects metabolic by-products from beneficial and harmful bacteria, Clostridia species, Candida, other yeasts, and fungal or mould organisms. This helps assess imbalances in the gut microbiome, commonly called dysbiosis.

2-Hydroxyhippuric, 2-Hydroxyphenylacetic, 3-Hydroxy-3-methylglutaric (CoQ10),
3-
Indoleacetic, 3-Methylglutaric, 3-Oxoglutaric,
4-
Cresol (C. difficile), 4-Hydroxybenzoic, 4-Hydroxyhippuric, 4-Hydroxyphenylacetic.

A urine sample is needed. Complete collection instructions will be provided with your test kit.

• Women should avoid collecting samples during menstruation.

• Limit fluid intake from 6 pm the night before collection to prevent sample dilution.

• Refrain from consuming alcohol for 48 hours before collection.

• Avoid apples, grapes, pears, cranberries, and any related juices or products for 24 hours prior.

• Do not take arabinogalactan, echinacea, reishi mushrooms, or ribose supplements for 48 hours before collection.

• Do not stop any prescribed medications without first consulting your healthcare provider.

The MOAT microbial organic acids test is suitable for individuals aged 3 years and above.

Please return your sample between Monday and Thursday using the courier service and the prepaid label in your test kit. Follow the provided shipping instructions carefully to ensure timely delivery.

If the day after your collection is not a working day in the UK, store your sample in the freezer and send it on the next available working day.

Tests typically take 2 to 3 weeks from the date you send them back. We will email you the results when we receive them.