Functional Labs Order Form Name First Last Email PhoneDate of Birth Month Day Year Functional Health PanelsSelect oneAntioxidant & Nutrient PanelCardio Metabolic OptimizationStress & Aging PanelUltimate Wellness PanelAntioxidant & Nutrient Add-ons Cortisol AM - $49 DHEA Sulfate - $49 MTHFR Gene Mutation - $109 Homocysteine - $69 Heavy Metals Profile - $109 Celiac Disease Antibody Screen - $79 Food Allergens - $149 GI Profile, Stool PCR - $209 Stress & Aging Add-ons MTHFR Gene Mutation - $109 Serotonin - $69 Heavy Metals Profile - $109 GI Profile, Stool PCR - $209 Ultimate Wellness Add-ons Total Glutathione - $79 Oxidized LDL - $59 Total