I am huge ordering provider for Vibrant labwork and VW speciality testing and order Vibrant testing on almost every patient I see. I cannot share how much I am disappointed in the loss of the individual micronutrient and ENA 11 panel testing options from Vibrant America. You are boxing providers and patients into either paying $420 for an enormous micronutrient panel or $360 for an enormous autoimmune zoomer OR not getting this information at all. This is not right and this directly damages patient care for providers and patients who rely on Vibrant as a primary testing source. This will force me to look for other places to get cash pay labs because I know for sure that 95% of my patients are not going to pay for those pricey panels on top of all the other costs associated for FM care, all of which is out of pocket.

I love Vibrant and have used your tests for years and given your company likely well over a hundred thousand in revenue in recent years. But these changes of moving more and more labs into these expensive giant panels while doing price increases every single January is making it harder and harder to keep using Vibrant for our patients who already have difficulty paying for all the elements of FM care. Seeing that I can no longer add micronutrients or autoimmune markers to my labs without asking patients to shell out another $700 plus is a grave disappointment. This is going to force me to look at other lab companies for cash pay labs. Already Vibrant is getting increasingly more expensive and forcing me and my practice to utilize other more affordable functional tests for more of our patients.

Also, the new reports are too busy and too confusing with all the summaries at the top and material repeated twice. The legacy reports were SO MUCH cleaner and easier to read. You can find a happy medium by incorporating the NHANES reference range additions and some additional explanatory content from the new reports and keeping the format of the legacy reports. Gut Zoomer and total toxin reports are worse in the new format than legacy. The system categories for Gut Zoomer are gone and many sources of toxins are taken out of explanations for total toxin reports. I am not thrilled with the new formats.

I hope your team gives providers the chance to order individual micronutrients and ENA 11 panel again in VA. In fact I wish you would make more labs available in VA like the EBV panel, Candida antibodies etc. Forcing patients to buy expensive panels for almost everything is not a long term win for patient care. People cannot afford it. Vibrant is an excellent lab, but already your tests are consistently among the most expensive tests on the market for EVERY functional medicine test category out of a pool of several good reputable labs. Please do not drive business away from faithful doctors like myself because of a push to keep tying the hands of providers on what we can individually order and forcing us and our patients to buy enormous expensive panels or not get the labs at all.

Ryan Turnewitsch, ND, IFMCP - Reboot Functional Health Care, VA