What's tested

What’s Measured & How to Read It

This is a targeted functional test, not a large biomarker panel. It tracks three breath gases across eight timepoints:

Hydrogen (H2): a rise of 20 ppm or more over baseline by 90 minutes suggests SIBO. Hydrogen-dominant patterns are often linked with looser stools and diarrhea.

Methane (CH4): a peak of 10 ppm or more at any point is methane-positive (methanogen overgrowth / IMO), strongly associated with constipation and slower transit.

Combined H2 + CH4: total gas trend across all eight timepoints.

CO2: measured for quality assurance to confirm valid samples

Results are read as the change over baseline (H2) and the peak level (CH4) to classify hydrogen-positive, methane-positive, or negative.

Sample Collection

This is an at-home breath test. You will receive a kit with detailed instructions. You collect the sample in the privacy of your home and ship it back in the pre-paid envelope.

See Breath Sample Collection Instructions

Lab panel details

  • Sample type: Breath

  • HSA/FSA: Accepted

  • Results: Emailed to you

  • Preparation: No fasting required

  • Meets treatment requirements:

How it works

Purchase your tests

Purchase this test and any other tests you'd like online. A healthcare provider will review and approve your test requests; no healthcare provider visit is required.

Provide your sample

A collection kit will be mailed directly to you. Follow the included instructions to provide your sample, then ship it back to our lab using the prepaid return packaging.

Get your results

Our partnered facilities will process your lab work. Test results typically arrive within 14 business days, and you'll receive an email as soon as they arrive.

Lab panels designed by Board Certified Medical Practitioners

All of our expertly built lab panels are designed by a team of Board Certified Medical Practitioners who lead the charge in preventative medicine.

More expert built panels

Lab work FAQs

Please read our FAQs page to find out more.

How soon do I need to return my specimen samples?

Plan to complete your collection early in the work week and be sure to ship your pack within 24 hours of collection to ensure specimens are viable.

You should also note that some collection packs contain materials that expire (this date is printed on the box label). Plan to collect and return your pack well before that date or within 45 days of receiving the collection pack, whichever comes first. If the pack is not returned within this timeline, we may not be able to complete your test.

How quickly will my lab results arrive?

Your lab results will typically arrive within two weeks, though processing time may vary based on the size and complexity of your panel. Rest assured, once your results are ready, they will be securely delivered to your email.

Does Marek Diagnostics accept insurance?

Marek Diagnostics is a cash-pay service. Our platform offers direct access to comprehensive testing without the limitations, denials, or delays imposed by insurance companies. If traditional insurance covered the kind of proactive, high-quality lab work we offer, Marek Diagnostics wouldn’t need to exist. 

However, many clients successfully use their HSA/FSA to cover their testing costs. Marek Diagnostics is partnered with TrueMed for convenient deployment of HSA/FSA funds at checkout.

Why can’t I order labs in New York, New Jersey, or Rhode Island?

Due to state regulations, Quest services are not available to residents of NY, NJ, or RI when ordered through our platform. If your address is in one of these states, you'll be notified at checkout and won’t be able to complete your order for restricted items.

You can still purchase:

  • Supplements, apparel, and other non-lab items

Not sure which items are restricted? The checkout system will alert you automatically, or you can contact our team for assistance.

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