Claude AIs interpretation of OAT, & suggested supplements. Much of this converges with ChatGPTs interpretation & suggestions. I intentionally took OAT (organic acids test) during peak POIS & food sensitivity symptoms.
Supplement Recommendations Based on Organic Acids Test ResultsPrimary ConcernsFungal/Yeast OvergrowthMultiple elevated fungal markers including citramalic acid (61), 3-oxoglutaric acid (66), furancarbonylglycine (7.9), and tartaric acid (61)
High glycolic acid (87) without proportional oxalic acid elevation suggests fungal metabolism
Mitochondrial DysfunctionElevated succinic acid (8.7) indicates respiratory complex 2 dysfunction
Elevated 3-methylglutaric acid (0.73) suggests impaired leucine metabolism
Neurotransmitter ImbalanceElevated HVA/VMA ratio (1.

indicates decreased conversion of dopamine to norepinephrine
Detoxification IssuesElevated 2-hydroxyhippuric acid (1.1) indicates salicylate exposure or metabolism issues
Recommended Supplement Regimen1. Anti-Fungal SupportCaprylic Acid: 1000mg twice daily
Justification: Natural medium-chain fatty acid with antifungal properties effective against Candida and Aspergillus species identified in the test results
Berberine: 500mg three times daily
Justification: Botanical compound with broad-spectrum antimicrobial activity, particularly effective against fungal overgrowth
High-Potency Multi-Strain Probiotic: 50+ billion CFU daily
Justification: Helps restore microbial balance to counter fungal overgrowth; specifically mentioned in the test interpretation
2. Mitochondrial SupportCoenzyme Q10: 200mg daily
Justification: Essential for mitochondrial electron transport chain function; directly addresses the elevated succinic acid (respiratory complex 2 marker)
L-Carnitine: 1000mg twice daily
Justification: Supports fatty acid transport into mitochondria; recommended in test interpretation for 3-methylglutaric acid elevation
Riboflavin (B2): 100mg daily
Justification: Cofactor for mitochondrial function; specifically recommended for methylglutaric acid elevation in the test interpretation
Nicotinamide (B3): 500mg daily
Justification: Precursor to NAD+, essential for mitochondrial energy production; specifically recommended in test interpretation
3. Neurotransmitter SupportVitamin C: 1000mg twice daily
Justification: 1) Patient's level is below mean (12); 2) Required cofactor for dopamine ?-hydroxylase (addresses elevated HVA/VMA ratio)
Copper Glycinate: 2mg daily
Justification: Essential cofactor for dopamine ?-hydroxylase enzyme; addresses elevated HVA/VMA ratio
4. Detoxification SupportN-Acetyl Cysteine (NAC): 600mg twice daily
Justification: Precursor to glutathione; supports detoxification pathways and helps address the 2-hydroxyhippuric acid elevation
Calcium-D-Glucarate: 500mg twice daily
Justification: Supports phase II detoxification and glucuronidation pathways for clearance of toxins
5. Vitamin OptimizationPyridoxal-5-Phosphate (B6): 50mg daily
Justification: Low pyridoxic acid (0) indicates B6 deficiency; active form is more bioavailable
Pantothenic Acid (B5): 500mg daily
Justification: Level is below optimal (2.2 vs reference mean)
Calcium Citrate: 250mg with meals
Justification: Helps bind oxalates in the GI tract to reduce absorption; beneficial with elevated oxalic acid (88)
6. Additional SupportMagnesium Glycinate: 300mg daily
Justification: Supports over 300 enzymatic reactions including mitochondrial energy production; helps address muscle symptoms from oxalate issues
Vitamin E (mixed tocopherols): 400 IU daily
Justification: Antioxidant support recommended in test interpretation for oxalate issues and mitochondrial dysfunction
Implementation RecommendationsStaged Introduction: Introduce supplements gradually over 2 weeks to monitor tolerance
Priority Sequence:
Begin with antifungal protocol (probiotics first, then gradually add caprylic acid and berberine)
Next add mitochondrial support (CoQ10, L-carnitine)
Follow with vitamin support and detoxification support
Diet Modifications:
Consider low oxalate diet (avoid spinach, soy, nuts, berries)
Eliminate potential exposure to synthetic salicylates (aspartame)
Consider food sensitivity testing due to bacterial markers
Follow-up Testing:
Repeat Organic Acids Test in 3 months to evaluate efficacy
Consider GPL-TOX testing as recommended in interpretation to assess toxic chemical exposure contributing to mitochondrial dysfunction