News

Inside Mosaic Diagnostics: Clinical Applications of Organic Acids, Environmental, and Microbiome Testing

Publish Date

June 3, 2026

Overview

In this episode, Dr. Kate Kresge speaks with Mosaic Diagnostics CEO Scott Mattivi and Chief Medical Officer Dr. Kurt Woeller to explore how specialty laboratory testing is used in functional and integrative medicine. Mosaic Diagnostics offers tests such as organic acids, environmental exposure biomarkers, and microbiome assessments, which may help clinicians evaluate complex, multi-system presentations. These tools are typically used as part of a systems-based clinical framework, supporting pattern recognition rather than serving as standalone diagnostic tests. The discussion also explores how clinicians interpret multi-system lab data, the role of practitioner education, and how emerging technologies—such as AI-assisted tools—may support clinical efficiency and decision-making.

Objectives

Clinical Takeaways

  • Organic acids testing may offer a systems-level view of metabolism and support pattern recognition when interpreted in context (Gallagher, 2018).
  • Environmental testing may help identify exposure patterns, though clinical actionability varies (Warth, 2013; Owolabi, 2024).
  • Specialty lab testing is most effective when used to evaluate patterns across systems, rather than isolated biomarkers.
  • Practitioner education plays a key role in appropriate interpretation and application of these tests.
  • AI tools may enhance data interpretation and workflow efficiency but should be used alongside clinical expertise.