Collection Process: Pyrroles in Urine
AAL URINARY DAPS TEST
Step one: Visit a practitioner trained to understand the pyrrole result for a patient interview and request form.
Step two: Take your request form to your nearest collection agency which collects for Pyrroles in Urine (Urinary DAPS Test) link for agencies from AAL site https://www.apanlabs.com/collection-centres-brisbane/
Step three: Complete the request form fully including the payment page for the testing process. The Collection agency will charge you, on the day, for the collection, storage and transport costs.
Step three: First time test? Have the test before you commence zinc supplements or, if on them, cease zinc supplements five days before your test. Follow up test? Please DO NOT cease Zinc if it is a follow up test.
Step three: Take your specimen pot to the toilet and half fill it with urine. Screw the lid on firmly and wrap the pot in the foil provided and return it to the desk.
The Collection Centre will note the time of collection on the request form.
Step Four: The collection centre will freeze your pot immediately and arrange transport, on dry ice, to the Laboratory.
Check the Collection centre is sending your sample to the laboratory stated on your request form. Only AAL provides the correct separation of pyrroles in urine from other contaminants. If it is sent to another laboratory you will have to pay for another test.
Step five: On receipt of the urine sample the testing payment will be processed by the Laboratory. Testing will not commence until payment is processed.
The sample cannot be used after three weeks frozen so you will have to pay for a retest if you do not have your correct payment details. This will delay commencement of an accurate treatment program.
Step six: The Laboratory will upload your results into your file at your doctor/ health practitioner clinic. Any abnormal results of Pyrrole, Urobilinogen or other extreme results seen in the Urinary DAPS test will be passed on by AAL to your doctor/ health practitioner urgently, who will call you in.
Step seven: Return to your doctor/health practitioner to discuss your treatment plan based on all your test results.
Step eight: Repeat the pyrrole test (and any other tests needed), when required, to monitor how you are responding to your treatment.
SUPPLEMENTARY NOTES ON COLLECTION PROCESS.
List Medications used with Rheumatoid Arthritis and/and Urinary Tract Infections as they can interfere with the test, as does Rifampicin which changes the urine to a red/mauve colour. If on these medications consult your physician as you will need to complete the course and/or abstain for a wash out period of 4 weeks prior to collecting a sample. For some, this is not possible. List statin drugs on the request form, as some block Urobilinogen production.
Blood does NOT affect the test result, so spotting at the beginning or end of menstrual cycle will not interfere with the result. It is NOT recommended to collect during peak menstruation.
Interference: Very high levels of urinary bilirubin DO also interfere with the Pyrroles measure. However, this is rare and you will be informed if this is the case. The time of collection needs to be noted on the form to help account for obtained Urobilinogen levels.
SAMPLE COLLECTION RULES
As Pyrroles in Urine are waste products they are not stable. To protect your sample to get the most accurate results please ensure you follow these collection rules.
The supplied specimen jar must be immediately covered with foil to protect it from UV light and heat and from incidental high energy electromagnetic radiation (EMR).
The sample is to be frozen immediately and kept covered and frozen from the time of collection till the time of testing in the laboratory.
Samples are transported in dry ice to keep the relative temperature below freezing (at -30oC).