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For practitioners · The TDG programme

From intake to retest,
one pathway.

This is how the Test, Don’t Guess programme runs in practice, step by step. It shows the structure, with a link at each step to the page that explains it. If you have read the manual, this is the system it describes, running.

  1. Before any test

    Intake: the Case File

    Six forms (the Case File) for a first consultation, or thirteen (the Full Investigation) for a full programme. Lines of enquiry are added only when a specific test is planned: HTMA, methylation, SIBO, environmental exposure, DUTCH collection day.

  2. Output of the intake

    The Health Status Report

    Domain scores from the questionnaires, ranked working hypotheses, blood results read against evidence-graded bands, a GP list, and a test priority order. At this stage there are no supplement doses.

  3. Decision

    Test choice

    Only the tests whose result would change what happens next. Sometimes that is five; often it is two or three; sometimes it is none.

  4. One result at a time

    A consultation per test

    Each result is explained when it arrives, in its own session, rather than in one rushed call at the end. Anything that belongs with the GP goes there first.

  5. Bringing it together

    The Clinical Summary Report

    Findings across all the tests and the history: which agree, which to set aside, and what the priority order is.

  6. The plan

    The written protocol

    Four parts: food (the Metabolic Nature plate), lifestyle (sleep, stress, daily routine), movement, and supplements. Each supplement has a reason, a duration, an evidence grade and a point at which it stops.

  7. Follow-through

    Check-ins at 6 and 12 weeks

    Progress reviewed, the protocol adjusted, and messages answered in between.

  8. Did it work?

    Retest

    Retest the markers that matter, and judge any change against the normal day-to-day variation for that test before calling it real.

    ↺ Then back to step 03 if the picture has changed.

Eight steps. The retest loops back to test choice when the picture has changed.

Step by step

What happens at each step, and where to read more

01

Intake: the Case File

The Case File is six forms: health story, symptom burden, lifestyle, medicines and supplements, Metabolic Nature, and measurements. The Full Investigation adds seven more (psychosocial health, allostatic load, physical activity, posture and movement, a three-day food log, a blood sugar screen and breathing). Every submission is read by a person.

02

The Health Status Report

The report is a set of hypotheses, not a diagnosis. The scores come from questionnaires, and a missing answer stays missing rather than being guessed.

03

Test choice

Blood chemistry, GI-MAP, DUTCH Plus, Metabolomix+ and the HealthBeings IgG food panel (286 foods), plus specialist tests when a line of enquiry calls for one. The coverage table shows what each test measures directly, where it only gives a clue, and where it doesn’t look at all.

04

A consultation per test

Each test has its own interpretation guide.

05

The Clinical Summary Report

Patterns are read across tests, not one marker at a time.

06

The written protocol

Food, lifestyle, movement and supplements, in that order.

07

Check-ins at 6 and 12 weeks

Past and current clients use one page to reorder, ask a question or book a call.

08

Retest

A change is only real if it is bigger than that test’s normal day-to-day variation.

What this page shows

The structure

  • The order of the steps, and why each one comes where it does
  • What the client completes, and what they receive
  • Where the GP comes first
  • How a change is judged at retest

What it doesn’t

The tools

  • The scoring behind the Health Status Report
  • The analyser rules for each test
  • The protocol and report templates
  • Those are what the practitioner licence covers

Founding practitioners

Use this system with your own clients

The Case File, the Health Status Report and the clinical summary tools, used under licence with your own clients. There are five founding places, with no setup fee. The practitioner page is still being written, so for now write to me directly and we’ll arrange a call.

Ask about a founding place The TDG Clinical Manual