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BBloedCheckupLab made simple
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    • Custom test request
    View all tests
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    View all at-home tests
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Stool

Closed Gut/Leaky Gut screening and mucosal immunity

Distinguishes Closed Gut from Leaky Gut. Analyzes mucosal integrity and gut immunity.

€ 285,00

Feces Home Test

How it works

View instructions
  1. 01

    Receive your test kit

    Collect a small sample with the spatula

  2. 02

    Take the sample

    Place the sample in the provided tube

  3. 03

    Mail back to the lab

    Return via medical mail to the lab

  4. 04

    Receive your result

    Digitally by email once the analysis is complete.

View instructions

Why

In 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.

Furthermore, 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.

In 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.

The 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 Closed Gut/ Leaky Gut screening and mucosal immunity provide clarity about which therapeutic route is necessary.

If you have opted for a Basic Gut Screening, the separate zonulin test provides insight into whether there is a Closed Gut or Leaky Gut.

What

-Alpha-1-antitrypsin
-Calprotectin
-Zonulin
-sIgA
-Beta-defensin 2

Insufficient evidence in mainstream medicine

The underlying condition or the clinical significance of this test is insufficiently supported within mainstream Dutch medicine.

Rationale for this test

Het concept 'Closed Gut' is geen erkend ziektebeeld binnen de Nederlandse reguliere geneeskunde en komt niet voor in NHG-standaarden of FMS-richtlijnen. De beschreven pathofysiologie (verdikking connectief weefsel door ammoniakderivaten, 85% inactief enteraal zenuwstelsel) heeft geen wetenschappelijke basis in de reguliere geneeskunde. Hoewel enkele individuele markers zoals calprotectine en alfa-1-antitrypsine wel klinisch gevalideerd zijn voor specifieke darmaandoeningen, is de combinatie en interpretatie binnen het 'Closed Gut versus Leaky Gut'-framework niet evidence-based.

Do not interpret a result from this test as a diagnosis, and always discuss with your GP which regular diagnostics are appropriate for your symptoms.

Independent information sources

We recommend consulting these independent sources before ordering a preventive health check.

  • Client brochure PGO (NVvPG, September 2023)

    Brochure on preventive health checks: careful choice, reliability, pros and cons, checklist.

  • RIVM — Health tests

    Independent information about preventive health checks from the National Institute for Public Health and the Environment.

  • Thuisarts.nl

    Reliable patient information about illnesses and complaints from Dutch GPs (NHG).

  • Allesovertesten.nl (NVKC)

    Public-facing website of the Dutch Society for Clinical Chemistry with explanations of blood tests and laboratory values.

Frequently asked questions

Answers to what people usually want to know.

View instructionsFull instructions with visual guidance
How does the stool test work from A to Z?

After ordering we ship the kit to your home. You collect a small sample with the included scoop, keep it cool and return it in the envelope. You receive the result digitally by email.

How do I collect a clean sample?

Lay plastic film over the toilet or use a clean container. Scoop from the middle of the stool and avoid contact with urine or toilet water.

How much stool do I need?

A small scoop with the included spoon is enough — about half a teaspoon. More is not better.

How long can I keep the sample before shipping?

Maximum 24 to 48 hours in the fridge. Send as soon as possible and preferably early in the week, not just before the weekend.

Should I avoid medication or food before collection?

Some analyses (like calprotectin) ask you to avoid NSAIDs or certain supplements 24-48 hours before collection. Check the instructions with your kit for the exact preparation for your test.

When and how do I receive my result?

Stool analyses typically take about a week after the lab receives your sample. You get an email with a link to your digital result, including explanation per value.

How do I return my sample to the lab?

In the included return envelope with free medical shipping. Drop it in the mailbox; the lab processes your sample as soon as it arrives. For some tests it's important to send it the same day — the instructions make this clear.

What if I have questions or something doesn't work?

Feel free to contact us via WhatsApp, email or phone. We're happy to help you before, during or after your test. If the collection doesn't work, we'll arrange a solution or send new materials — no hassle.

View all frequently asked questions

Didn't find what you're looking for? Request a custom test

Need help?

We're here for you. Send a message and we'll respond as soon as we can.

WhatsAppWhatsApp+31 412 236 961E-mailinfo@bloedcheckup.nlCollection points1,000+ across the Netherlands

Weekdays 09:00 – 17:00 · Outside hours we reply a bit later

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My experience was very positive. I needed to pass several very specific tests. They provide 24/7 customer support. They were friendly and prompt.

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Received a packet with everything needed, went to a walk in clinic (Amsterdam DC Clinic) where my blood was drawn and I was out the door within 5 minutes, and then after posting the samples, received results 2 days later. Results were easy to understand as well. Amazing service, would highly recommend!

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