Follow-Up Walsh Protocol Assessment — Biotype Labs with Report

This follow-up Walsh Protocol assessment is for established patients who have already completed an initial biotype assessment and are now repeating the core biotype-related labs included on the Comprehensive Biotype Panel.

This option is intended for patients who need a focused follow-up Walsh Protocol review of updated lab results, current symptoms, prior assessment findings, and response to the original nutrient or supplement plan.

The purpose of this follow-up is to determine whether the original biochemical pattern appears to be improving, persisting, shifting, or requiring a change in the plan. This may be especially important for patients previously assessed with patterns such as copper overload, pyroluria, undermethylation, overmethylation, or related nutrient imbalances.

What This Follow-Up Includes

This service includes physician review of the submitted follow-up questionnaire or symptom update, review of updated biotype-related labs, comparison with the prior assessment when available, preparation of a written follow-up report, and an updated supplement or treatment plan.

A phone call is included to review the report, answer questions, and discuss next steps.

The fee covers the physician review, lab interpretation, written report, updated assessment, plan preparation, and phone discussion.

Labs Reviewed

This option is intended for follow-up review of the biotype-related labs included on the Comprehensive Biotype Panel.

These may include zinc, copper, ceruloplasmin, whole blood histamine, vitamin D, homocysteine, CBC, CMP, and urinary pyrroles when applicable.

The report may address changes in copper/zinc balance, ceruloplasmin, free copper pattern, histamine-related methylation tendency, vitamin D status, homocysteine, blood count markers, metabolic markers, pyrrole-related patterns, and other relevant findings from the submitted panel.

Copper Overload Consultation Follow-Up

This option may be appropriate for patients who previously showed signs of copper overload or copper/zinc imbalance and need repeat lab review to determine whether copper, zinc, ceruloplasmin, or free copper patterns are improving.

A copper overload consultation follow-up may help clarify whether the current plan should be continued, adjusted, slowed down, or changed based on updated labs and symptoms.

Pyroluria Consultation Follow-Up

This option may also be appropriate for patients previously assessed with pyroluria or pyrrole-related symptoms. Follow-up testing and symptom review may help determine whether zinc, B6-related support, antioxidant support, or related nutrient strategies appear to be helping.

A pyroluria consultation follow-up may be useful when symptoms have improved only partially, supplement tolerance has changed, or updated labs suggest the need to adjust the plan.

Undermethylation Consultation Follow-Up

This option may be appropriate for patients previously assessed with undermethylation or suspected undermethylation based on symptoms, whole blood histamine, homocysteine, or related clinical patterns.

An undermethylation consultation follow-up may help determine whether the current nutrient plan remains appropriate, whether homocysteine or histamine-related markers require closer attention, or whether additional testing may be needed.

When This Option Is Appropriate

This follow-up Walsh Protocol assessment is appropriate when the main purpose of the follow-up is to review updated biotype-related labs and symptoms after an initial assessment.

It may be useful when the patient has been following a nutrient or supplement plan and needs to know whether the lab pattern is improving, persisting, shifting, or suggesting the need for a change in the plan.

This option may also be appropriate when symptoms have improved only partially, new symptoms have appeared, supplement tolerance has changed, or dosing needs to be reconsidered based on repeat testing.

Lab Review Options

Labs ordered through Second Opinion Physician or already in expected format — $199

Select this option when the follow-up labs are ordered through Second Opinion Physician or are already available in the expected Comprehensive Biotype Panel format. This allows the results to be reviewed efficiently in relation to the prior assessment and plan.

Patient providing outside labs — $299

Select this option when the patient is providing labs from another physician, clinic, or laboratory source. Outside labs require additional review time because results may come from different laboratories, different dates, different formats, incomplete panels, or unrelated testing that must be sorted before the report can be prepared.

What This Follow-Up Does Not Include

This option does not include a full new patient assessment, methylation panel interpretation, toxic burden assessment, comprehensive functional medicine review, emergency care, psychiatric crisis care, medication management, or ongoing case management.

If a methylation panel is also being reviewed, the Follow-Up Consultation + Updated Assessment — Biotype Labs + Methylation Panel option is more appropriate.

If a broader review of toxic burden, complex outside testing, digestive markers, hormones, mold-related testing, inflammatory markers, or multiple unrelated lab panels is needed, a more comprehensive consultation option may be more appropriate.

Note: This follow-up assessment is for established patients only. The report and recommendations are based on the submitted symptom update, available lab results, prior information when available, and physician review.

Recommendations may need to be modified over time based on symptoms, tolerance, follow-up testing, and clinical response.