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Heather Vorce

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A SUCCESSFUL Case Study Involving Infertility and Nutritional Status

Posted by Heather Vorce on Mon, Jul 19, 2010 @ 12:36 PM

woman, health infertilityA 25 year old white female was dealing with prolonged infertility issues. She was also previously treated for Polycystic Ovarian Syndrome)

Case Summary:
In September 2003, this patient was very interested in becoming pregnant. She utilized Basal Body Temperature charting with adjunctive use of the LH ovulation kit. She and her husband were counseled on focused sex for five days before and three days after ovulation. After more than a year and a half of unsuccessful attempts at pregnancy, her physician recommended SpectraCell’s micronutrient testing. Almost two years later, her results returned gross deficiencies of:

  • Vitamin B1 (Thiamine)
  • Vitamin B6 (Pyridoxine)
  • Vitamin E (alpha-tocopherol)
  • Zinc
  • Serine
  • Glutamine
  • Coenzyme Q10
  • Glucose-Insulin interaction (consistent with insulin resistence frequently found in PCOS).
Her Antioxidant Function was remarkably low at 38.1% demonstrating increased potential for oxidative damage. All of the abnormalities were present despite her taking excellent prenatal vitamins, fish oil, chromium and NAC.

Based upon her deficiencies found with SpectraCell’s micronutrient testing, she was recommended adequate replacement for each of the deficiencies.

child, health, infertilityClinical Outcome:
She and her husband subsequently became pregnant very quickly (within a month) and attended her first obstetrics appointment. She delivered a 8lb. 7oz. viable baby boy at 38 and a half weeks by vaginal delivery.

As a result of performing SpectraCell’s micronutrient testing, the physician was able to identify key nutritional deficiencies in their patient which occurred despite the patient following a good diet and taking good prenatal vitamins and other nutritional supplements.

The physician was also able to safely supplement her during her pregnancy which helped facilitate optimal growth and development of an extremely healthy and happy baby.

Infertility, fertility, children, women's healthApproximatley 85% of women will become pregnant within one year of trying. This young lady had been unsuccessful for 21 months. If she had not become pregnant, she probably would have used fertility treatments, as do many women with PCOS. This patient is forever grateful for the existence and utilization of SpectraCell’s micronutrient testing.


If you or someone you know has had trouble conceiving, what have they tried?  Have the been successful?

Topics: SpectraCell, Nutrition, Fertility, infertility, Women's Health

Medicare Policy Disallows Assays for Micronutrient Testing

Posted by Heather Vorce on Wed, Jul 14, 2010 @ 11:00 AM

0389l0010 tubes of blood resized 600The medicare contractor for Region IV, Trailblazer Health Enterprises, recently proposed an unduly restrictive Local Coverage Determination (LCD) for laboratory tests to detect deficiencies of vitamins, minerals, and other nutritional components (4L-116AB “Assays for Vitamins and Metabolic Function”).  This would be the most restrictive policy in the nation regarding tests for vitamins and minerals, and is based upon premises which appear to be scientifically unsound. Unless this LCD is delayed or revised, the policy is scheduled to become effective August 16, 2010 and will limit physician's patient’s coverage to one vitamin, mineral or antioxidant test. In summary, this proposed policy states:

"Medicare considers vitamin assay panels (more than one vitamin assay) a screening procedure and therefore, non-covered. Similarly, assays for micronutrient testing for nutritional deficiencies that include multiple tests for vitamins, minerals, antioxidants and various metabolic functions are never necessary...Many vitamin deficiency problems can be determined from a comprehensive history and physical examination..."

SpectraCell has formally advised Trailblazer that this policy appears to be unreasonable, and is in conflict with current scientific and medical evidence.

It is well known that physicians often find it reasonable and necessary to order multiple tests to detect deficiencies of vitamins, minerals and antioxidants (and such a position is fully supported by the scientific literature).  On a routine basis, for example, physicians commonly order tests for vitamins B-12 and folate simultaneously, as is the case for vitamin D and calcium, or similarly for calcium, magnesium, and zinc.  On a less routine basis, physicians such as you who are particularly well-versed in the clinical relationships between nutritional deficiencies and disease processes may frequently find it reasonable and necessary to order a broader range of nutritional tests, including, for example (in addition to those mentioned above), varying combinations of vitamin A, vitamin C, vitamin K, vitamin E, vitamin B-1, vitamin B-6, copper, selenium, chromium, glutathione or coenzyme Q-10.  Each of these physician’s orders – based on the physician’s determination of medical necessity – would be denied coverage under the proposed Trailblazer policy solely because more than one test is requested.

If you agree with our position that this policy is unreasonable, we encourage you to express your opinion to Trailblazer.

Trailblazer Health Enterprises, LLC
Attention: Medical Directors
Executive Center III
8330 LBJ Highway
Dallas, TX 75243

Topics: SpectraCell, vitamin, nutrition testing, medicare