skip to Main Content

Our New Office is now open 3.5 miles away from our prior office.  Subscribe with your Email for Updates and Discounts.

Take a Deep Dive Into Your Unique Neurotransmitter Production

  Neurotransmitters play an important role for our Moods and Well-Being.
  Neurotransmitter levels can be altered due to Poor Nutrition, Genetics, and Stress Hormones 
  NT Testing in Urine can aid in predicting which Supplements will help you feel your best. 

Neurotransmitter Production Pathway Assessment

Diet and Genetics can influence aspects of neurotransmitter production. NT testing may help identify production pathways compromised by genetics.

Neurotransmitters Tested

Inhibitory NT’s: Serotonin and GABA.  Excitatory NT’s:  Epinephrine, Norepinephrine, Dopamine, and Glutamate.  Other Markers Include  Histamine, Glycine and PEA.  

Enhancing the Hormone - NT - GI Connection

Two key NT’s: Serotonin & Glutamate are essential for GI Tract function.  Female GABA is linked to Progesterone, and Dopamine is connected Testosterone in both genders.

Video Library: Neurotransmitters

Presented by New Image
Physician Gregory P. Zengo, MD


Athens, Atlanta Georgia Neurotransmitter Testing and Treatment

The Perfect Compliment to Saliva Hormone Testing

At New Image, our core service is Saliva Testing and Bio-Identical hormone balancing.  Most of our new patients feel improved after that initial step.  However, in some cases, detailed NT testing can reveal other actionable imbalances that can fine-tune your results. This is especially true of many of our younger patients (20’s-30’s) and patients who have previously taken antidepressants and had incomplete results.

Over time, stress can change our delicate brain chemistry balance creating new symptoms.  Extroverts can become Introverts.  Positive people sometimes gain a more negative outlook.  Free spirits transition into slower,  more calculating, or withdrawn people.  Neurotransmitter testing and treatment can give us an opportunity to look into these subtle stress-induced changes and resolve those symptoms.

Our gonadal and adrenal hormones are affected by stress and those imbalances can lead to neurotransmitter production alterations.  Also, poor quality modern poor quality diets do little to supply these pathways with nutrients over time, causing symptoms which establishment medicine often labes “Adult ADD”, Anxiety Disorder, or Major Depression.  Those diagnoses trigger prescriptions for psychoactive medications which often have more side effects than benefits.

“Neurotransmitter” compounds have a number of functions in the body.  It can refer to a substance that transmits and impulse in a nerve synapse.  For our purposes, it also refers to a group of substances that play key roles in many tissues other than nerve endings..  Serotonin, the neurotransmitter that is most likely to be a household name since the advent of serotonin reuptake inhibitor neurotransmitters (Prozac, Zoloft) is the most frequently addressed neurotransmitter compound in conventional, drug-based medicine, but also is prevalent throughout your GI tract, which can also signal the brain.

Neurotransmitter Testing is useful to Evaluate…
–Opportunity for Targeted Neurotransmitter precursor supplements
–Status of your Production Pathways that may be influenced by genetics.
–Nutritional impact on Neurotransmitter Expression

Many essential metabolic pathways involve neurotransmitters.  Any roadblocks to production can create negative symptoms. Neurotransmitter assays can be important additional information once salivary hormone panels and lifestyle stressors are addressed.

NT testing is a valuable additional input to Genomic analysis. Mutations in important gene loci like DHFR, NOS, and MTHFR all affect neurotransmitter production pathways. If you have anMTHFR mutation, neurotransmitter testing and further genomic testing are crucial to identify how you can best navigate around that MTHFR roadblock safely and effectively.

NT testing cannot diagnose a specific disease by itself at the present time, it is still one of our most beneficial second-line “fine tuning” tests to fully work toward understanding and relieving the symptoms caused by chronic stress.   NT testing may also help patients on certain neurotransmitter pathway altering drugs taper off or adjust their therapy.  It takes an experienced physician to assess medications and symptoms to fully understand when an NT test will be helpful, as well when an NT test will NOT be helpful. We never recommend a test you don’t need.

Why You Should Consider Neurotransmitter Testing at New Image

Patients whose main symptoms are lack of drive, irritability, moodiness, food & alcohol cravings, and depressive symptoms can also benefit from looking at their neurotransmitter production.  Patients ideal for this testing include:

  • Patients on SSRI, SNRI and other antidepressants who also have side effects and wish to taper off.
  • Patients on benzodiazepine anti-anxiety medication who wish to taper off.
  • People who have tried and failed these medications in the past but still have symptoms
  • People who are hormonally balanced but still have some lingering issues with drive, irritability, moods, and energy levels.
  • People who currently take neurotransmitter precursor supplements (5-HTP, GABA, Glutamine, L-Tyrosine) and want to adjust their supplement dosing.
  • People who are concerned that a medication they are taking might be interfering with neurotransmitter production.  This is a very common “behind-the-scenes” cause of “side effects” attributed to medication use.

A simple spot urine test can be done in the same kit as the saliva test which reveals production of the following stimulatory neurotransmitters:

  • Glutamate
  • Dopamine
  • Norepinephrine
  • Epinephrine

And the stabilizing or inhibitory neurotransmitters:

  • Serotonin
  • GABA

And these specialty neurotransmitters:

  • Glycine
  • Histamine
  • PEA

Results are reported in 2-3 weeks.  Typically balancing of hormones can also stabilize many of these neurotransmitters.  Also, dietary improvements can ensure that we have enough raw materials to produce these essential mediators.  When these interventions are not enough, targeted neurotransmitter precursors are prescribed along the the cofactors that support the production pathways.  Patients who start taking targeted neurotransmitter precursors often feel improved in 1-2 weeks and many then choose to taper off some of their medications that affect their neurotransmitter production.  Neurotransmitter testing is rarely covered by insurance, but only costs $209 for all 6 neurotransmitter levels.

The New Image Difference

With over 20 years of experience in Georgia, Dr. Zengo and New Image are experts in every service we offer.  Whether it is Female Hormone

Balance for pre-menopause or cyclic symptoms, fixing the ravages of stress on your body clock as measured by adrenal cortisol levels throughout the day, testosterone in men, or thyroid balance in both sexes, our goal is to help you feel your best without drugs or any substances that are foreign to the body.  

Dr. Zengo founded New Image out of his OB/GYN practice back in 2001 and has expanded and focused our services on Bio-Identical diagnosis and treatment of stress hormone imbalances like no other medical practice can do.  Our promise to you is to never use expensive, proprietary supplements or testing.  Everything we sell is below list price and below the national average for an integrative medicine practice like ours.  Our goal is to always provide an honest assessment of your needs and formulate a treatment plan that is reasonable, and provides value in addition to results.

You know you are getting the most cutting edge care since everything offered at New Image is evidence-based.  Dr. Zengo teaches everything he practices and reviews the medical literature constantly to update our protocols while the training curriculum at PracticalCME Medical Training is updated at the same time.