Dr. Riley Smith

Told everything looks normal — but you knew better

You were told your labs were “normal.”
Your body says otherwise.

Choose one of 15 focused tests, on your terms — and I read every result myself.

Together they cover 700+ biomarkers — built to catch what your standard panels have been missing.

Your burnout is biological and I can show you the proof.

16k+

Patient Visits

20

Years Clinical Experience

5+

Treatment Pathways

Still waiting for a real answer?

Now you can find out for yourself.

If any of that sounds like you, you’re who I built this for. Wherever you start — with what you’re feeling or with a test you already have in mind — the point is the same: to make sense of what your body has been trying to tell you.

Three steps, start to finish

Here's how it works.

Discover your test

Start with what you're feeling, or choose your test by name.

Build your order

Choose your level of detail and how your results reach you, then see your investment.

Collect at home

A simple sample on your terms, then mail it back — your answers follow.

Recognize what your body is doing?

Find the test that reads what you feel.

Everything here is to help you make sense of what you’re feeling. Find the test that fits, then choose the level of detail that works for you — Basic for a focused read, or Advanced for the full picture. I’ll set your choice in the builder below, where you place your order.
Hormones Adrenal · cortisol · sex hormones
Track A — Adrenal & cortisol rhythm
Symptoms I might feel

I wake up tired no matter how long I sleep. I get a second wind at night I can’t switch off. By mid-morning I’m running on caffeine. Afternoons flatten me. Small stresses land harder than they should.

Biomarkers measured

At the Basic level, cortisol four times across the day — the morning-to-night rhythm. At the Advanced level, the full stress axis — the cortisol awakening response, free cortisol and cortisone through the day, plus cortisol metabolites and DHEA-S.

Track B — Full sex hormones + metabolites
Symptoms I might feel
My cycle has shifted, stopped or turned unpredictable. My drive is gone. Weight settles around my middle and won’t move. My mood swings without warning. Brain fog, hot flashes or night sweats have crept in.
Biomarkers measured
At the Basic level, six core hormones — estradiol, progesterone, testosterone, DHEA and two cortisol points — with the progesterone-to-estrogen ratio. At the Advanced level, the full map: ten estrogen markers with their detox metabolites, progesterone, eight androgens and their ratios.
Symptoms I might feel
My energy tanks even when I eat and sleep well. The weight won’t move no matter what I do. I get shaky, foggy or irritable between meals. Sugar and carb cravings run the show. Bouncing back after exertion takes forever.
Biomarkers measured
At the Basic level, eleven organic-acid markers — how you turn food into energy and where nutrients run thin (B12, B6, biotin, glutathione, plus gut and oxidative signals). At the Advanced level, 100+ markers across six systems: metabolic processing, amino-acid and protein metabolism, nutrition, stress and mood, toxic impacts and microbial metabolites. Two more panels sit here too — the weight drivers (TSH, testosterone, cortisol) and the cardiovascular set (hs-CRP, HbA1c, triglycerides, cholesterol, HDL, LDL).
Symptoms I might feel
I ache in ways I can’t explain. Mornings I’m puffy, swollen or stiff. My skin flares — breakouts, rashes or redness. I catch everything going around. Foods that used to be fine now bother me. I feel wired and inflamed and can’t settle.
Biomarkers measured
The broad screen reads where the body is carrying load — oxidative DNA damage (8-OHdG), gut putrefaction (indican), bile-acid clearance and metabolic strain (uric acid). From there you go after the source.
Pinpoint the driver — pick the one that fits
Endocrine-disrupting toxins — Advanced: Toxin Detect (26)
Mold — Advanced: Mycotox Profile (11)
Stress chemistry — Advanced: Neurotransmitters
Cardiovascular inflammation — Basic: Heart Health Panel (hs-CRP)
Symptoms I might feel

I bloat within an hour of eating. My digestion is unpredictable — constipation, looseness or both. Gas, cramping or discomfort most days. Certain foods wreck me. My gut feels like it’s running my mood and my energy.

Biomarkers measured
At the Basic level, a stool culture maps beneficial, imbalanced and dysbiotic bacteria plus yeast, with the agents each responds to. At the Advanced level, qPCR reads the whole terrain — pathogens, commensal and keystone species, opportunists and overgrowth, fungi and yeast, parasites, the digestion-and-immune markers, the zonulin permeability marker and antibiotic-resistance genes.
Ready to choose?

Build your order.

This is where you order. Pick your test and your format, and your investment is set.
Step 1

Pick your test.

Your level comes with the test you choose — and you’ll see exactly what it measures.

Adrenal Stress Profile Basic

Your cortisol read four times across the day, so you can see the rhythm your stress response is running.

Measures: cortisol four times across the day — the morning-to-night rhythm.

Men's Health Complete Basic

The six-hormone panel, ordered for men.

Measures: estradiol, progesterone, testosterone, DHEA and two cortisol points, with the progesterone-to-estrogen ratio.

Women's Health Complete Basic

The six-hormone panel, ordered for women.

Measures: estradiol, progesterone, testosterone, DHEA and two cortisol points, with the progesterone-to-estrogen ratio.

DUTCH Plus Advanced

The complete hormone picture in one test.

Measures: the full stress axis plus estrogens with their detox metabolites, progesterone, androgens and their ratios.

Organic Acids Test Basic

A metabolic snapshot — how you turn food into energy and where nutrients run thin.

Measures: (Basic): 11 organic-acid markers — B12, B6, biotin, glutathione, plus gut and oxidative signals.

Weight Loss Panel Basic

The drivers behind weight that won’t move.

Measures: the thyroid-and-stress drivers — TSH, testosterone, cortisol.

Heart Health Panel Basic

Your cardiovascular and metabolic markers in one read.

Measures: hs-CRP, HbA1c, triglycerides, cholesterol, HDL, LDL.

Inflammation Panel Basic

The broad screen of where the body is carrying load.

Measures: cortisol four times across the day — the morning-to-night rhythm.

Food Sensitivity Panel Basic

Immune reactions across 96 foods.

Measures:  IgG immune reactions across 96 foods.

184 IgG Food Sensitivity Panel Advanced

Immune reactions across 184 foods, spanning ten groups.

Measures: cortisol four times across the day — the morning-to-night rhythm.

Toxin Detect Advanced

Your everyday chemical exposure load.
Measures: 26 endocrine-disrupting chemicals — phthalates, bisphenols, VOCs, parabens and pesticides.

Mycotox Profile Advanced

Mold-toxin exposure.

Measures: 11 mold toxins — aflatoxin, ochratoxin, trichothecenes, zearalenone and more.

Neurotransmitters Advanced

The brain chemistry behind mood, stress and sleep.

Measures: neurotransmitter balance including the kynurenine inflammatory pathway.

Microbiology Profile Basic

A stool culture mapping your gut bacteria and yeast.

Measures: beneficial, imbalanced and dysbiotic bacteria plus yeast, with the agents each responds to.

GI Map with Zonulin Advanced

A qPCR read of the whole gut terrain.

Measures: pathogens, commensals, opportunists, fungi, parasites, digestion-and-immune markers, the zonulin barrier marker and antibiotic-resistance genes.

Step 2

Pick your format.

Choose how much help you want making sense of your results — a written report, a video walkthrough or a live one-on-one call. Your investment updates as you choose.

Includes personalized written lifestyle recommendations and a lifetime practitioner discount on pharmaceutical-grade supplements.

Your order

Choose a test and a format

HSA / FSA eligible · processed by trusted functional labs

Includes personalized written lifestyle recommendations and a lifetime practitioner discount on pharmaceutical-grade supplements.

Your order

Choose a test and a format

HSA / FSA eligible · processed by trusted functional labs

Includes personalized written lifestyle recommendations and a lifetime practitioner discount on pharmaceutical-grade supplements.

Your order

Choose a test and a format

HSA / FSA eligible · processed by trusted functional labs

Includes personalized written lifestyle recommendations and a lifetime practitioner discount on pharmaceutical-grade supplements.

Your order

Adrenal Stress Profile · Essential · Basic

HSA / FSA eligible · processed by trusted functional labs

Includes personalized written lifestyle recommendations and a lifetime practitioner discount on pharmaceutical-grade supplements.

Your order

Adrenal Stress Profile · Enhanced · Basic

HSA / FSA eligible · processed by trusted functional labs

Includes personalized written lifestyle recommendations and a lifetime practitioner discount on pharmaceutical-grade supplements.

Your order

Adrenal Stress Profile · Complete · Basic

HSA / FSA eligible · processed by trusted functional labs

Includes personalized written lifestyle recommendations and a lifetime practitioner discount on pharmaceutical-grade supplements.

Your order

Men's Health Complete · Essential · Basic

HSA / FSA eligible · processed by trusted functional labs

Includes personalized written lifestyle recommendations and a lifetime practitioner discount on pharmaceutical-grade supplements.

Your order

Men's Health Complete · Enhanced · Basic

HSA / FSA eligible · processed by trusted functional labs

Includes personalized written lifestyle recommendations and a lifetime practitioner discount on pharmaceutical-grade supplements.

Your order

Men's Health Complete · Complete · Basic

HSA / FSA eligible · processed by trusted functional labs

Includes personalized written lifestyle recommendations and a lifetime practitioner discount on pharmaceutical-grade supplements.

Your order

Women's Health Complete · Essential · Basic

HSA / FSA eligible · processed by trusted functional labs

Includes personalized written lifestyle recommendations and a lifetime practitioner discount on pharmaceutical-grade supplements.

Your order

Women's Health Complete · Enhanced · Basic

HSA / FSA eligible · processed by trusted functional labs

Includes personalized written lifestyle recommendations and a lifetime practitioner discount on pharmaceutical-grade supplements.

Your order

Women's Health Complete · Complete · Basic

HSA / FSA eligible · processed by trusted functional labs

Includes personalized written lifestyle recommendations and a lifetime practitioner discount on pharmaceutical-grade supplements.

Your order

DUTCH Plus · Essential · Advanced

HSA / FSA eligible · processed by trusted functional labs

Includes personalized written lifestyle recommendations and a lifetime practitioner discount on pharmaceutical-grade supplements.

Your order

DUTCH Plus · Enhanced · Advanced

HSA / FSA eligible · processed by trusted functional labs

Includes personalized written lifestyle recommendations and a lifetime practitioner discount on pharmaceutical-grade supplements.

Your order

DUTCH Plus · Complete · Advanced

HSA / FSA eligible · processed by trusted functional labs

Includes personalized written lifestyle recommendations and a lifetime practitioner discount on pharmaceutical-grade supplements.

Your order

Organic Acids Test · Essential · Basic

HSA / FSA eligible · processed by trusted functional labs

Includes personalized written lifestyle recommendations and a lifetime practitioner discount on pharmaceutical-grade supplements.

Your order

Organic Acids Test · Enhanced · Basic

HSA / FSA eligible · processed by trusted functional labs

Includes personalized written lifestyle recommendations and a lifetime practitioner discount on pharmaceutical-grade supplements.

Your order

Organic Acids Test · Complete · Basic

HSA / FSA eligible · processed by trusted functional labs

Includes personalized written lifestyle recommendations and a lifetime practitioner discount on pharmaceutical-grade supplements.

Your order

Weight Loss Panel · Essential · Basic

HSA / FSA eligible · processed by trusted functional labs

Includes personalized written lifestyle recommendations and a lifetime practitioner discount on pharmaceutical-grade supplements.

Your order

Weight Loss Panel · Enhanced · Basic

HSA / FSA eligible · processed by trusted functional labs

Includes personalized written lifestyle recommendations and a lifetime practitioner discount on pharmaceutical-grade supplements.

Your order

Weight Loss Panel · Complete · Basic

HSA / FSA eligible · processed by trusted functional labs

Includes personalized written lifestyle recommendations and a lifetime practitioner discount on pharmaceutical-grade supplements.

Your order

Heart Health Panel · Essential · Basic

HSA / FSA eligible · processed by trusted functional labs

Includes personalized written lifestyle recommendations and a lifetime practitioner discount on pharmaceutical-grade supplements.

Your order

Heart Health Panel · Enhanced · Basic

HSA / FSA eligible · processed by trusted functional labs

Includes personalized written lifestyle recommendations and a lifetime practitioner discount on pharmaceutical-grade supplements.

Your order

Heart Health Panel · Complete · Basic

HSA / FSA eligible · processed by trusted functional labs

Includes personalized written lifestyle recommendations and a lifetime practitioner discount on pharmaceutical-grade supplements.

Your order

Inflammation Panel · Essential · Basic

HSA / FSA eligible · processed by trusted functional labs

Includes personalized written lifestyle recommendations and a lifetime practitioner discount on pharmaceutical-grade supplements.

Your order

Inflammation Panel · Enhanced · Basic

HSA / FSA eligible · processed by trusted functional labs

Includes personalized written lifestyle recommendations and a lifetime practitioner discount on pharmaceutical-grade supplements.

Your order

Inflammation Panel · Complete · Basic

HSA / FSA eligible · processed by trusted functional labs

Includes personalized written lifestyle recommendations and a lifetime practitioner discount on pharmaceutical-grade supplements.

Your order

Food Sensitivity Panel · Essential · Basic

HSA / FSA eligible · processed by trusted functional labs

Includes personalized written lifestyle recommendations and a lifetime practitioner discount on pharmaceutical-grade supplements.

Your order

Food Sensitivity Panel · Enhanced · Basic

HSA / FSA eligible · processed by trusted functional labs

Includes personalized written lifestyle recommendations and a lifetime practitioner discount on pharmaceutical-grade supplements.

Your order

Food Sensitivity Panel · Complete · Basic

HSA / FSA eligible · processed by trusted functional labs

Includes personalized written lifestyle recommendations and a lifetime practitioner discount on pharmaceutical-grade supplements.

Your order

184 IgG Food Sensitivity Panel · Essential · Advanced

HSA / FSA eligible · processed by trusted functional labs

Includes personalized written lifestyle recommendations and a lifetime practitioner discount on pharmaceutical-grade supplements.

Your order

184 IgG Food Sensitivity Panel · Enhanced · Advanced

HSA / FSA eligible · processed by trusted functional labs

Includes personalized written lifestyle recommendations and a lifetime practitioner discount on pharmaceutical-grade supplements.

Your order

184 IgG Food Sensitivity Panel · Complete · Advanced

HSA / FSA eligible · processed by trusted functional labs

Includes personalized written lifestyle recommendations and a lifetime practitioner discount on pharmaceutical-grade supplements.

Your order

Toxin Detect · Essential · Advanced

HSA / FSA eligible · processed by trusted functional labs

Includes personalized written lifestyle recommendations and a lifetime practitioner discount on pharmaceutical-grade supplements.

Your order

Toxin Detect · Enhanced · Advanced

HSA / FSA eligible · processed by trusted functional labs

Includes personalized written lifestyle recommendations and a lifetime practitioner discount on pharmaceutical-grade supplements.

Your order

Toxin Detect · Complete · Advanced

HSA / FSA eligible · processed by trusted functional labs

Includes personalized written lifestyle recommendations and a lifetime practitioner discount on pharmaceutical-grade supplements.

Your order

Mycotox Profile · Essential · Advanced

HSA / FSA eligible · processed by trusted functional labs

Includes personalized written lifestyle recommendations and a lifetime practitioner discount on pharmaceutical-grade supplements.

Your order

Mycotox Profile · Enhanced · Advanced

HSA / FSA eligible · processed by trusted functional labs

Includes personalized written lifestyle recommendations and a lifetime practitioner discount on pharmaceutical-grade supplements.

Your order

Mycotox Profile · Complete · Advanced

HSA / FSA eligible · processed by trusted functional labs

Includes personalized written lifestyle recommendations and a lifetime practitioner discount on pharmaceutical-grade supplements.

Your order

Neurotransmitters · Essential · Advanced

HSA / FSA eligible · processed by trusted functional labs

Includes personalized written lifestyle recommendations and a lifetime practitioner discount on pharmaceutical-grade supplements.

Your order

Neurotransmitters · Enhanced · Advanced

HSA / FSA eligible · processed by trusted functional labs

Includes personalized written lifestyle recommendations and a lifetime practitioner discount on pharmaceutical-grade supplements.

Your order

Neurotransmitters · Complete · Advanced

HSA / FSA eligible · processed by trusted functional labs

Includes personalized written lifestyle recommendations and a lifetime practitioner discount on pharmaceutical-grade supplements.

Your order

Microbiology Profile · Essential · Basic

HSA / FSA eligible · processed by trusted functional labs

Includes personalized written lifestyle recommendations and a lifetime practitioner discount on pharmaceutical-grade supplements.

Your order

Microbiology Profile · Enhanced · Basic

HSA / FSA eligible · processed by trusted functional labs

Includes personalized written lifestyle recommendations and a lifetime practitioner discount on pharmaceutical-grade supplements.

Your order

Microbiology Profile · Complete · Basic

HSA / FSA eligible · processed by trusted functional labs

Includes personalized written lifestyle recommendations and a lifetime practitioner discount on pharmaceutical-grade supplements.

Your order

GI Map with Zonulin · Essential · Advanced

HSA / FSA eligible · processed by trusted functional labs

Includes personalized written lifestyle recommendations and a lifetime practitioner discount on pharmaceutical-grade supplements.

Your order

GI Map with Zonulin · Enhanced · Advanced

HSA / FSA eligible · processed by trusted functional labs

Includes personalized written lifestyle recommendations and a lifetime practitioner discount on pharmaceutical-grade supplements.

Your order

GI Map with Zonulin · Complete · Advanced

HSA / FSA eligible · processed by trusted functional labs

Want to read results you already have?

Optional enhancements.

Conventional bloodwork analysis

$97

I read the standard bloodwork you already have and tell you what it’s actually saying.

Functional lab results analysis

$147

Covers up to three functional lab results from the last six months. Available on both levels, and combinable with the $97 enhancement.

Want the whole picture in one view?

Pricing at a glance.

Format
Basic
Advanced
Essential
$197
$497
Enhanced
$297
$597
Complete
$397
$697

Every format includes personalized written lifestyle recommendations and a lifetime practitioner discount on pharmaceutical-grade supplements.

Curious how the whole process works?

You run your own health data, on your own terms.

Choose your test

Start with what you're feeling, or pick your test by name.

Build your order

Set your level of detail and how your results reach you, then check out.

Collect at home

Your kit arrives with everything you need. The sample depends on your test — a finger prick, saliva, stool or hair.

Mail it back

Seal your sample in the prepaid mailer and send it to the lab.

Get your answers

I read every result myself and walk you through what it means.

Processed by trusted functional labs · HSA / FSA eligible

Wondering what this looks like for someone like you?
Sense that one test isn't the whole story?

When you're ready to go further.

One test tells you what’s going on. Reversing it is deeper work — and that’s where we go further, together.

Burnout to Balance® is my most in-depth, one-on-one program. Instead of a single snapshot, we run multiple labs over an extended period, track how your biology actually responds and adjust your plan as you change. Burnout that took years to build doesn’t unwind in one result — it unwinds through the 5R Method™, with me alongside you the whole way.

Start with one test today. When you’re ready for the full path, this is where it leads.

Got questions before you order?

Answers, first.

How is this different from seeing my doctor or using a lab service?

You collect your sample at home, on your terms, and I read every result myself — not an algorithm and not a generic report. A standard appointment gives you twelve minutes and a referral. This gives you a focused test built to catch what conventional panels miss, with a real person telling you what it means for you.

No. You order directly here — choose your test, complete your order and your kit ships to you. There’s nothing to arrange with another provider first.
Basic is the focused read — one method and the core markers for the question you’re asking. Advanced opens up far more markers across more systems, for when you want the full picture. If you’re not sure, start with what you’re feeling in the section above and the symptom you pick will point you to the test that fits.
They’re not different tests — they’re three levels of guidance on the same results. Essential is a clear written report. Enhanced adds a recorded video walkthrough where I take you through what your results mean. Complete adds a one-on-one live Zoom call where we go over everything together. Every level also includes personalized written lifestyle recommendations and a lifetime practitioner discount on pharmaceutical-grade supplements.
It’s quick and simple, and the method depends on your test — a finger prick, saliva, stool or hair. Your kit arrives with everything you need and clear instructions, and you mail it back in the prepaid mailer.
Yes — ordering is available nationwide, and the whole process runs by mail, so you can do it from wherever you are — except residents of New York, New Jersey and Rhode Island.
You get them explained. I read every result myself and tell you what it means for your body, not just where the numbers fall. The format you choose — Essential, Enhanced or Complete — sets how much of that walkthrough you receive.
Turnaround depends on the test and the lab, but most results come back within about two to three weeks of the lab receiving your sample. I’ll let you know what to expect for your specific test when you order.
Yes. Every test is processed by established, accredited functional labs — recognized names like DUTCH and GI-MAP — the same labs trusted across functional medicine.
Your results belong to you — putting your health data back in your own hands is the whole point. They come back to you directly, and I review them as your practitioner. Your information isn’t sold or used for marketing, and the lab that processes your sample handles it under its own privacy and security standards.
These tests are typically HSA/FSA eligible, so you can usually put those funds toward your order — it’s worth checking with your provider, since plans vary. Functional medicine lab tests are self-pay and aren’t covered by insurance plans, which keeps your order direct and on your terms.
Yes. The optional enhancements let me review results you already have — $97 for conventional bloodwork, or $147 for up to three functional lab results from the last six months. You can add either when you order.
If you order the wrong test or need to make a change, reach out before your kit ships, and my team and I will do our best to sort it out for you. Once a kit has shipped or your sample is on its way to the lab, the order can’t be refunded — the lab work is already in motion by then.
Not at all — this is a one-time order, and where you take it from there is your choice. Some people use it to finally understand one thing. Others go deeper from there. Either way, the test and what it tells you are yours.
Ready to find out for yourself?

Start with one test.

You’ve spent long enough being told you’re fine while your body said otherwise. One test is where that changes — where the guessing ends and the answers begin. Choose the one that fits what you’re feeling, and finally find out what your body’s been trying to tell you.

These tests and any information provided are for educational and informational purposes only. They are not intended to diagnose, treat, cure or prevent any disease and are not a substitute for care from your licensed healthcare provider.

Dr. Riley Smith, LAc · DACM · DiplOM

Find Your Best First Step

Seven quick questions. I'll match you with the care that actually fits what you're dealing with — no guessing required.

Start

Before we begin

Tell us where to send your results

Question 1

Where are you located?

Acupuncture is available in-person at our San Diego clinic only. All other services are fully virtual.

Question 2

What best describes what you're dealing with?

Pick the option that feels most like your primary concern right now.

Question 3

How long have you been dealing with this?

Question 4

What kind of support resonates most right now?

Go with your gut — there's no wrong answer here.

Question 5

How urgently do you need support?

Question 6

How do you feel about working with a provider virtually?

Coaching and lab services are 100% virtual. Acupuncture is in-person only.

Question 7

What level of investment feels realistic right now?

This helps match you to the right entry point — not a commitment.