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Genetic Testing

Genetic Testing: Your Complete Guide to Understanding DNA and Health

Genetic testing is a powerful tool that examines your DNA to help identify your risk for various health conditions, explain symptoms, and guide treatment plans. It offers personalized insights across many areas of health including cancer, metabolism, hormones, mental health, and more.



What Is Genetic Testing?

Genetic testing looks at your genes, chromosomes, or proteins to detect changes or mutations. It can help:

  • Diagnose hereditary conditions
  • Predict future health risks
  • Guide medication and treatment choices
  • Understand traits or ancestry



Types of Genetic Tests

1. Single-Gene Tests
Detect mutations in one gene. Example: BRCA1/2 for breast cancer risk.

2. Multi-Gene Panels
Analyze several genes related to one condition. Example: Cancer or cardiac risk panels.

3. Whole Exome/Genome Sequencing (WES/WGS)
Looks at either all protein-coding genes (exome) or the entire genome for rare or unexplained conditions.

4. Polygenic Risk Scores (PRS)
Estimate the likelihood of developing conditions like heart disease or diabetes based on multiple gene variants.

5. Pharmacogenomics
Tailor medications to your genetic profile. Example: CYP450 enzyme testing for antidepressants.

6. Methylation and Epigenetic Panels
Evaluate how your genes are expressed, influenced by nutrition and environment. Example: MTHFR, COMT.

7. Proteomic and Organ Age Tests
Assess biological age and organ function based on protein markers in your blood.



Genetic Testing by Health System

Cancer
BRCA1/2, CHEK2, and Lynch syndrome panels help assess hereditary cancer risks.

Hormonal Health
Methylation genes like MTHFR and COMT can affect hormone metabolism and detox pathways.

Mental Health & Neurology
Risk scores for conditions like depression, Alzheimer’s, and ADHD. Also includes neurotransmitter gene testing.

Immunity & Autoimmunity
WES and immune gene panels help diagnose primary immune deficiencies and autoimmune tendencies.

Metabolism & Cardiovascular
Includes HFE gene for iron metabolism (hemochromatosis) and LDL receptor genes for cholesterol issues.

Pharmacogenomics
Genes that affect how you respond to medications, reducing trial and error.

Reproductive Health
Tests for fragile X, cystic fibrosis, and thalassemia help with family planning and fertility treatment.



Why Genetic Testing Matters

  • Preventive Power: Identify risks early and take preventive actions
  • Precision Medicine: Choose the right drug and dose for your body
  • Holistic Insights: Understand how genes interact with nutrition, hormones, and lifestyle
  • Family Health: Clarify inherited risks for family members



Limitations and Considerations

  • Not all genetic variants are well understood
  • Genetic findings need clinical interpretation
  • Privacy concerns and potential insurance implications
  • Results may not change treatment or guarantee disease prediction



Emerging Trends in Genetic Testing

  • Polygenic scores to assess lifetime risk of common diseases
  • Proteomic blood tests to monitor organ aging
  • Whole-genome testing becoming more affordable and accessible



Fun Fact

Genetic carrier screening for thalassemia and sickle cell is now standard in many prenatal visits, helping to prevent future health complications in children.



Conclusion
Genetic testing provides a deeper look into your body’s blueprint and health potential. Whether you're aiming to prevent disease, find answers to chronic symptoms, or optimize performance, understanding your genes is the foundation of personalized health.

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