Ajax Harwood Clinic
Urinary organic acids test (OAT)
This test is rarely useful for the reasons people usually ask about it.
What this test is
This urine test measures many chemicals called organic acids. In babies and children with a rare inherited condition, this test is a real and useful tool. A genetics specialist usually orders it. The test is also sold as a general wellness test. Some call it a 'dysbiosis' test. In that version, it claims to find yeast or bacteria overgrowth in your gut. It also checks nutrient levels. The claim is that this explains symptoms like fatigue or digestion problems. A careful review looked at this specific use. It found no good evidence that the test finds yeast or bacteria overgrowth. Testing people with general symptoms this way often gives misleading results. Your symptoms deserve a proper look. This test is not a reliable way to find the cause. The exception is a specific concern about an inherited metabolism problem.
Want to see the full clinical reasoning? The reference we use for this test is open to anyone — it is detailed and written for clinicians, and you are welcome to read it.
Open the clinician reference →Looking for other tests, or more on a condition an ND raised? Explore ask.ajaxharwoodclinic.com →
General health information for Ajax Harwood Clinic patients and the public — not medical advice, and not a substitute for seeing your own doctor. Last reviewed 2026-09-23.