CDI's non-invasive diagnostic tool for identifying Fructose Malabsorption in both adult and pediatric GI patients.

Fructose, a natural sugar found abundantly in fruits, can sometimes be challenging for the body to absorb properly. When the enzymes necessary for breaking down fructose are lacking or insufficient, it leads to a condition known as Fructose Malabsorption. This condition can trigger a range of uncomfortable gastrointestinal symptoms, significantly impacting the quality of life of both adults and pediatric patients.

CDI offers the Hydrogen and Methane 6 Tube Breath Test for Fructose Malabsorption, a sophisticated, non-invasive diagnostic solution designed to cater to the needs of both adult and pediatric GI patients. This test is specifically engineered to detect the inability to absorb fructose efficiently, guiding healthcare providers in tailoring personalized treatment and dietary plans.

Why Choose CDI’s Breath Test for Fructose Malabsorption?

  • Comprehensive Insights: Our breath test measures the levels of hydrogen and methane gas produced by gut bacteria in response to unabsorbed fructose, offering direct insights into the presence of Fructose Malabsorption.
  • Symptom Relief: By accurately diagnosing this condition, our breath test paves the way for dietary adjustments and interventions that can alleviate symptoms such as bloating, diarrhea, and flatulence, enhancing patient comfort and quality of life.
  • Non-Invasive and Patient-Friendly: Designed with the patient’s comfort in mind, our breath test avoids the stress and discomfort associated with more invasive procedures, making it especially suitable for young patients.
  • Applicable to All Ages: The test is versatile and effective for diagnosing Fructose Malabsorption in adult and pediatric cases, ensuring comprehensive care across age groups.
  • Research-Validated: Backed by rigorous scientific validation, our breath test stands as a reliable tool in the diagnostic arsenal of gastroenterologists, supporting evidence-based treatment decisions.

The Hydrogen and Methane 6 Tube Breath Test for Fructose Malabsorption by CDI empowers healthcare providers to diagnose and manage Fructose Malabsorption accurately. Whether for adults or children experiencing GI discomfort, this test is a crucial step toward better gastrointestinal health and overall well-being.

Unlock the path to improved GI care with CDI’s breath test for Fructose Malabsorption. Discover how this innovative diagnostic solution can be integrated into your practice for enhanced patient outcomes.

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Taking the Fructose Malabsorption Breath Test

Your Fructose 6 Tube Kit Includes:

(1) Instructions for Use

(1) Laboratory Requisition Form

(1) Wrapped collection straw

(1) Fructose substrate packet

(6) Collection tubes in a vacuum-sealed pack

(1) Sample label card with 6 labels

(1) Prepaid return shipping label

(2) Bubble wrap bags for packaging of samples

Patients should follow the Instructions for Use in their kit for additional test instructions and updated information on return shipping.  Patients can also contact CDI’s dedicated customer service team at 888-258-5966 or customerservice@commdx.com with questions or concerns.

Instructional Guide
Important Reminders
  1. Be sure to check the expiration date of your test kit which is located on the outside of your kit next to the hourglass image displayed as YEAR/MONTH/DAY. Do not take your test if the expiration date has already passed and reach out to CDI to receive a new test kit.
  2. Samples are valid for two [2] weeks from sample collection and must be received at CDI’s lab within this timeframe. Please ship your kit back to CDI immediately after completing the test.
  3. Failure to follow these instructions can lead to an invalid result. You may still be billed for the test if the test is invalid due to patient error.
  4. Please be sure to thoroughly read the billing & insurance policies in these instructions as well as on your requisition form. Additional information can be found here on our website, www.commdx.com/insurance.
  5. If you have multiple test kits, please keep in mind that the full 24-hour preparation will need to be repeated between each test. We recommend spacing test apart by at least 24 hours.
Test Preparation

TEST RESTRICTIONS

  • Discontinue the use of any antibiotics for 4 weeks prior to taking the test.
  • Discontinue the use of any laxatives and/or promotility drugs (i.e. anything that helps aid in the movement of your bowels) for 1 week prior to taking the test.
  • Do not smoke or vape for at least 24 hours prior to the test, or any time during the test.
  • Do not sleep or exercise for at least 1 hour prior to taking the test or at any time during the test.

24 HOUR PREPARATION PERIOD

SUGGESTED SCHEDULE:

It may be convenient to begin the 24-hour preparation period in the morning so that you may follow the specific diet during the day, immediately followed by the fasting period during the night (which may include time spent sleeping).

12-HOUR DIET: PERMITTED FOODS ONLY

12-HOUR FASTING PERIOD

  • Do not ingest anything other than water while fasting or during the test.
  • You may take necessary prescribed medications cleared by your physician
  • Do not take any vitamins or supplements.
  • You may brush your teeth as you normally would.
  • You must be awake for at least 1 hour prior to starting the test.
8 Simple Steps for Fructose 6 Tube Breath Test

Please read carefully prior to taking your breath test:

  • CDI will submit a claim on your behalf for all commercial insurance plans. Most commercial insurance plans do not consider CDI as an in-network provider, therefore most patients will be responsible for the maximum out-of-pocket cost of $299 per breath test.
  • If your insurance provider is not listed on our website as an in-network provider, your claim will be billed as an out-of-network claim. It is the patient’s responsibility to contact their insurance provider to determine coverage. CPT codes and other information needed to determine coverage can be found on our website. Please note, our lab is separate from your healthcare provider, so if your healthcare provider is in-network, it does not mean that CDI is in-network. Please refer to our website for a list of in-network insurance providers.
  • CDI accepts all Medicare, Medicare Advantage, and Tricare government managed health insurance plans.
  • CDI does not accept Medicaid. If you are a Medicaid patient, you will be billed for the maximum out-of-pocket cost of $299 per breath test.
  • CDI offers convenient payment plans and financial hardship programs for those who qualify. Contact CDI’s customer service team at customerservice@commdx.com or visit our website for more information.
  • Insurance payments are applied to the registered cost of our test, $699. All non-covered costs are the patient’s responsibility. The maximum out-of-pocket cost will not exceed $299 per test.

If you wish to see how much your insurance provider will cover before you take your test, it is your responsibility to contact your insurance provider. Please make sure to inform your insurance provider CDI is out of network and provide the following codes:

  • CPT code: 91065 x 2 units
  • Tax ID #: 47-4725769
  • NPI #: 1831625342

Visit www.commdx.com/insurance for important information including a list of our in-network providers and billing & insurance FAQs.

Indications and Usage: The intended use of this device is for the collection of human breath samples to aid in the diagnosis of fructose malabsorption.

Contraindications: Patients with a known fructose allergy should not take this test. Patients with a low galactose diet should discuss with their healthcare provider prior to taking this test. Patients with diabetes should not use this test due to the amount of absorbable sugar and fasting required. Patients should discuss with their healthcare provider prior to ingesting the substrate.

Precautions: Patients with food allergies should take precaution before taking this test as most substrates do not come with food allergy labeling. Contact immediate medical assistance if you have signs of a possible allergic reaction: hives; difficulty breathing; swelling of face, lips, tongue, and throat. Any serious incident that occurs in relation to this device shall be reported to the manufacturer and the competent authority of the member state in which the patient is established.

Please consult with your healthcare provider if you have any health concerns, are on a specialty diet, and/or are on prescribed medications. Please do not discontinue taking any prescribed or over-the-counter (OTC) medications, including the ones listed in the Test Restrictions section, without consulting with your healthcare provider prior to taking this test.

* The substrate is provided “as is” and CDI makes no representations or warranties whatsoever, express or implied, including without limitation any implied warranty of merchantability or fitness for a particular purpose. Patients should consult with their healthcare provider before ingesting this substrate.

What’s in the Kit?

Your Fructose 6 Tube Kit Includes:

(1) Instructions for Use

(1) Laboratory Requisition Form

(1) Wrapped collection straw

(1) Fructose substrate packet

(6) Collection tubes in a vacuum-sealed pack

(1) Sample label card with 6 labels

(1) Prepaid return shipping label

(2) Bubble wrap bags for packaging of samples

Instructions for Use

Patients should follow the Instructions for Use in their kit for additional test instructions and updated information on return shipping.  Patients can also contact CDI’s dedicated customer service team at 888-258-5966 or customerservice@commdx.com with questions or concerns.

Instructional Guide
Important Reminders
  1. Be sure to check the expiration date of your test kit which is located on the outside of your kit next to the hourglass image displayed as YEAR/MONTH/DAY. Do not take your test if the expiration date has already passed and reach out to CDI to receive a new test kit.
  2. Samples are valid for two [2] weeks from sample collection and must be received at CDI’s lab within this timeframe. Please ship your kit back to CDI immediately after completing the test.
  3. Failure to follow these instructions can lead to an invalid result. You may still be billed for the test if the test is invalid due to patient error.
  4. Please be sure to thoroughly read the billing & insurance policies in these instructions as well as on your requisition form. Additional information can be found here on our website, www.commdx.com/insurance.
  5. If you have multiple test kits, please keep in mind that the full 24-hour preparation will need to be repeated between each test. We recommend spacing test apart by at least 24 hours.
Test Preparation

TEST RESTRICTIONS

  • Discontinue the use of any antibiotics for 4 weeks prior to taking the test.
  • Discontinue the use of any laxatives and/or promotility drugs (i.e. anything that helps aid in the movement of your bowels) for 1 week prior to taking the test.
  • Do not smoke or vape for at least 24 hours prior to the test, or any time during the test.
  • Do not sleep or exercise for at least 1 hour prior to taking the test or at any time during the test.

24 HOUR PREPARATION PERIOD

SUGGESTED SCHEDULE:

It may be convenient to begin the 24-hour preparation period in the morning so that you may follow the specific diet during the day, immediately followed by the fasting period during the night (which may include time spent sleeping).

12-HOUR DIET: PERMITTED FOODS ONLY

12-HOUR FASTING PERIOD

  • Do not ingest anything other than water while fasting or during the test.
  • You may take necessary prescribed medications cleared by your physician
  • Do not take any vitamins or supplements.
  • You may brush your teeth as you normally would.
  • You must be awake for at least 1 hour prior to starting the test.
8 Simple Steps for Fructose 6 Tube Breath Test

Billing & Insurance

Please read carefully prior to taking your breath test:

  • CDI will submit a claim on your behalf for all commercial insurance plans. Most commercial insurance plans do not consider CDI as an in-network provider, therefore most patients will be responsible for the maximum out-of-pocket cost of $299 per breath test.
  • If your insurance provider is not listed on our website as an in-network provider, your claim will be billed as an out-of-network claim. It is the patient’s responsibility to contact their insurance provider to determine coverage. CPT codes and other information needed to determine coverage can be found on our website. Please note, our lab is separate from your healthcare provider, so if your healthcare provider is in-network, it does not mean that CDI is in-network. Please refer to our website for a list of in-network insurance providers.
  • CDI accepts all Medicare, Medicare Advantage, and Tricare government managed health insurance plans.
  • CDI does not accept Medicaid. If you are a Medicaid patient, you will be billed for the maximum out-of-pocket cost of $299 per breath test.
  • CDI offers convenient payment plans and financial hardship programs for those who qualify. Contact CDI’s customer service team at customerservice@commdx.com or visit our website for more information.
  • Insurance payments are applied to the registered cost of our test, $699. All non-covered costs are the patient’s responsibility. The maximum out-of-pocket cost will not exceed $299 per test.

If you wish to see how much your insurance provider will cover before you take your test, it is your responsibility to contact your insurance provider. Please make sure to inform your insurance provider CDI is out of network and provide the following codes:

  • CPT code: 91065 x 2 units
  • Tax ID #: 47-4725769
  • NPI #: 1831625342

Visit www.commdx.com/insurance for important information including a list of our in-network providers and billing & insurance FAQs.

Additional Info

Indications and Usage: The intended use of this device is for the collection of human breath samples to aid in the diagnosis of fructose malabsorption.

Contraindications: Patients with a known fructose allergy should not take this test. Patients with a low galactose diet should discuss with their healthcare provider prior to taking this test. Patients with diabetes should not use this test due to the amount of absorbable sugar and fasting required. Patients should discuss with their healthcare provider prior to ingesting the substrate.

Precautions: Patients with food allergies should take precaution before taking this test as most substrates do not come with food allergy labeling. Contact immediate medical assistance if you have signs of a possible allergic reaction: hives; difficulty breathing; swelling of face, lips, tongue, and throat. Any serious incident that occurs in relation to this device shall be reported to the manufacturer and the competent authority of the member state in which the patient is established.

Please consult with your healthcare provider if you have any health concerns, are on a specialty diet, and/or are on prescribed medications. Please do not discontinue taking any prescribed or over-the-counter (OTC) medications, including the ones listed in the Test Restrictions section, without consulting with your healthcare provider prior to taking this test.

* The substrate is provided “as is” and CDI makes no representations or warranties whatsoever, express or implied, including without limitation any implied warranty of merchantability or fitness for a particular purpose. Patients should consult with their healthcare provider before ingesting this substrate.

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Frequently Asked Questions

Here are the answers to the most common questions regarding our fructose breath tests.  Patients can also contact our dedicated customer service department at 888-258-5966 or customerservice@commdx.com

What is fructose malabsorption?

Fructose malabsorption may be caused by deficient fructose carriers in the small intestine’s enterocytes. This results in an increased concentration of fructose in the entire small intestine. Fructose is a sugar that is found in many foods, usually fruits, honey, processed foods and foods with high fructose corn syrup and even some vegetables. Fructose is also found in table sugar, comprising 50% of it, with the other component being glucose.

Some people cannot completely absorb fructose in their small intestine. The excess, undigested fructose attracts water, often leading to diarrhea. Additionally, the undigested fructose is then carried to the large intestine or colon, where normal bacteria rapidly break it down. The breakdown of fructose in the large intestine causes bloating, gas, and other symptoms.

What are the symptoms of fructose malabsorption?

Patients suffering from fructose malabsorption experience a variety of symptoms, including:

  • Diarrhea
  • Abdominal cramps
  • Bloating
  • Gas
  • Nausea, and sometimes, vomiting
What is a hydrogen and methane breath test for fructose malabsorption?

A hydrogen and methane breath test is a reliable, non-invasive test for fructose malabsorption. Following a 12-hour fast and 12-hour dietary prep, the fructose malabsorption breath test measures the breakdown of a specific amount of fructose over the course of time by capturing breath samples at regular 40 minute intervals. In a person with fructose malabsorption, the fructose will not be completely absorbed in the small intestine, so it will reach the colon, where bacteria will break it down to hydrogen or methane that will be absorbed into the blood and will reach the lungs. Larger than normal amounts of exhaled hydrogen or methane measured during a breath test indicate that you aren’t fully digesting and absorbing fructose and may suffer from fructose malabsorption. Our fructose malabsorption hydrogen and methane breath test can be administered in-office or in the comfort of the patient’s own home.

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