Maintaining a healthy gut is very essential for overall well being because gut is home to trillions of microorganisms, which are known as Gut Microbiome. These microbiomes contains various types of gut bacteria which influences your digestion, inflammation, and immunity of the body.
However, when this delicate digestive ecosystem in your gut gets imbalanced, you will start seeing symptoms of unhealthy gut.
That is why it is important to identify this imbalance in your gut health with science backed pathology lab tests for gut health. These are called as Gut microbiome testing or Gut flora testing, or blood test for for gut health.
At Makes You Eat by Dt. Foram Modi, in our client onboarding journey of our therapeutic gut repair diet plan, we prescribe these gut health tests so that we know the root cause behind health issues, gut inflammation, and even leaky gut.
In this gut health blog, we will explore various gut health tests in India that are recommended and also explain how they play an important role in identifying signs of an unhealthy gut.
At Makes You Eat by Dt. Foram Modi, we follow strict editorial guidelines to write all our health blogs & content. All content is written & reviewed for medical accuracy by our head nutritionist – Dt. Foram Modi. If you in case notice any information misleading or need a change in any statement, you may request for a correction.
Gut Health Tests in India
There are various types of pathology lab tests that are required to identify and assess overall gut health quality and know the balance of gut bacteria and microbiome in your body.
These tests are divided into several categories, which includes blood based marker tests which provide important information about inflammation in gut, nutrient absorption and metabolic problems which might be due to poor gut functioning.
Then there are some nutrient marker tests for gut health, which includes Vitamin B12, Vitamin D and many such, which are important to assess long term digestive problems. In the below infographic, we have mentioned various types of gut health tests that are commonly done –
- Inflammation Markers (Gut Inflammation Tests)
- Micronutrient Absorption Tests
- Gut-Immune System Tests
- Liver and Digestive Support Tests
- Metabolic Markers Influenced by Gut Microbiome
Let’s now discuss each of these lab test in detail –
Inflammation Markers Gut Health Tests
The very important pathology tests are Inflammation marker test or in other words gut inflammation tests. Many men and women suffer in Mumbai, India with chronic digestive problems such as bloating, gut irritation, IBS and imbalance of gut microbiome.
All these are related to a low grade inflammation or acute inflammation in the body. It is important to understand that when your internal lining of gut becomes irritated, it causes imbalance in gut microbiome. And as a result, your immune system may release some inflammatory markers into the bloodstream.
And that’s what we need to detect these conditions with gut inflammation tests. These tests detect systemic inflammation and includes two commonly used tests such as hs-CRP and ESR. Let’s go into the detail.
As a inflammation nutritionist in Mumbai, dietitian Foram Modi always recommend these low-cost and highly effective blood tests before she onboard any client to her online therapeutic gut repair diet plans.
hs-CRP (High Sensitivity C-Reactive Protein) Test for Gut Health
The hs-CRP gut health test is done to measure small levels of C-reactive protein. It is a protein created by liver when there happens an inflammation in the body. This gut health test is more sensitive than regular CRP test, that is why it is called as high sensitivity C-reactive protein test.
Dietitians for gut in India, such as Dt. Foram Modi, often recommend this lab test to diagnose metabolic syndrome, autoimmune disease, and chronic gut infections. If you have increased levels of hs-CRP, it may indicate that body is having an inflammatory stress. It can be linked with microbiome imbalance and inflammation in digestive system.
Fasting is usually not required for this lab test. Around our nearby area like Kandivali, Malad to our dietitian clinic in Borivali, Mumbai, we see the cost of hs-CRP gut health test ranges from Rs. 700 to Rs. 1000 depending on the laboratories and home collection service fees.
ESR (Erythrocyte Sedimentation Rate) Test for Gut Health
Another important inflammation marker test for gut health in India is ESR test i.e. Erythrocyte Sedimentation Rate test. The ESR test is used to measure how quickly red blood cells settle at the bottom of a test tube over a specific period.
If you observe a faster sedimentation rate, then it may indicate inflammation somewhere in the body.
Please note ESR test for gut health does not tell you that the inflammation is inside the gut or the exact location. Doctors and gut dietitians in Mumbai such as Dietitian Foram Modi often ask for these tests as a general screening marker to identify inflammatory condition in your body.
If you have higher levels of ESR, it may indicate inflammatory bowel issue, chronic gut irritation, or inflammation that may be caused by imbalance in gut microbiome.
In Mumbai near Borivali area of our dietitian clinic, the approximate cost of ESR test for gut health ranges from Rs. 150 to Rs. 500 depending on the diagnostic laboratory.
Micronutrient Absorption Tests for Gut Health Checkup
Another set of blood tests that you may need to check your gut health are micronutrient absorption tests. These blood tests helps us how the functioning of digestive system is working towards absorbing nutrients from the food we eat.
If you have conditions such as a leaky gut or gut inflammation or if your gut linings are inflamed or damaged, then your body will start struggling to absorb essential vitamin and mineral from the food.
And this can lead to micronutrient deficiency. Even if you would, you eat a reasonably balanced diet food, the absorption is less. That’s what we will measure with these micronutrient absorption tests.
The deficiency of these micronutrients shows you some symptoms such as fatigue, hair fall, poor immunity and mood changes with anemia. Many doctors in Mumbai and online gut nutrition specialists like Dt. Foram Modi therefore recommend testing key nutrients such as vitamin B12, vitamin D, serum ferritin, serum iron for checking the efficiency of your digestion.
Let us now discuss each of these tests in detail.
Vitamin B12 Test for Gut Health
Vitamin B12 is very important for nerve function, RBCs production, and brain health. This vitamin is absorbed in small intestine but it requires a proper stomach acid presence. If gut lining is hampered, then vitamin B12 absorption will be significantly affected.
So, with this blood test for vitamin B12 level check, we will identify whether gut function may be interfering with nutrient absorption or not. If you have low deficiency of vitamin B12, then you may face symptoms such as tingling sensation in hands and feet, memory issues, mood change, and anemia.
And the main reason for this dependency might be your poor gut health, which includes poor production of your stomach acid, overgrowth of stomach bacteria, and inflammation in gut. In Mumbai, near Borivali, the pathology lab takes around Rs. 800 to Rs. 1500 for vitamin B12 test.
Vitamin D (25-OH Vitamin D) Test for Gut Health Check
Vitamin D is required for bone health, hormonal balance, and immunity. If your gut health is poor, your body may struggle to properly absorb vitamin D.
If you have low levels of vitamin D, then you may experience weak immunity, muscle pain, and increased susceptibility to infections.
Vitamin D is also useful in maintaining a healthy gut microbiome, and that is why measuring 25-OH vitamin D is advised by most dietitians for gut health in India. If you are around Borivali, Mumbai, then the pathology labs might take around Rs. 1200 to 2000 for vitamin D 25-OH test.
Serum Ferritin Test for Gut Health Check
Serum ferritin is a protein which stores iron in the body and it is one of the indicators of long term iron reserves. Even if you take adequate iron from food and if you are having an unhealthy gut, it can cause disturbance in iron absorption in small intestine. It will finally leads to decreased levels of ferritin.
If you have low ferritin level, you may experience symptoms such as hair loss, reduced stamina and also you will experience poor concentration. As per gut nutrition expert in India Dt. Foram Modi, many individuals with chronic digestive problems suffers with ferritin deficiency because of gut inflammation or imbalance of gut microbiome.
If you are around Borivali, Kandivali in Mumbai, then the labs here take around Rs. 600 to 1200 for performing this important gut health test in Mumbai.
Serum Iron Test for Gut Health Check
Serum iron test is recommended by most nutritionists in Mumbai for measuring the amount of iron which is circulating in your bloodstream. Iron is very important for transport of oxygen, production of energy, and creating healthy red blood cells.
According to gut specialist dietitian Foram Modi, the body absorbs iron primarily in upper small intestine and that is why maintaining a good gut health is very important in maintaining proper levels of iron.
If you have low levels of iron, it can cause iron deficiency anemia and difficulty in concentration.
Conditions such as gut inflammation, damage in the intestinal lining, gut infection or imbalance in gut microbiome, all these interfere with iron absorption in your body. And that is why this serum iron test is a very important gut health test.
If you are around Borivali, Kandivali, or Mira Road area in Mumbai and looking for this gut health test, then it costs around rupees 400 to rupees 800.
Gut Immune System Tests
For diagnosing your unhealthy gut, a dietitian or nutritionist for gut needs to also understand immunity connection of your gut.
Digestive system is very important for regulating the immunity in your body. In fact, 70% of immune system is closely related to the gut. If your gut health is disturbed because of any reason like imbalance in gut microbes, gut infection, poor gut health diet or chronic stress, then your immune system may start reacting abnormally and this can cause various symptoms like bloating, gas, skin reaction and food sensitivities.
That is why functional gut nutritionists in India like Dt. Foram Modi recommend gut immune test to identify whether immune reactions are being triggered inside the digestive system.
These gut immune tests are very useful for individuals when they want to restore the gut health, support gut repair or want to undergo a structured gut reset program.
These tests will help detect hidden immune response to foods. This includes mainly total IgE test and food specific IgG panel test. Let us discuss those in detail.
Total IgE Test for Gut Check
The Total IgE is an important test for diagnosing gut health. It is done to measure the overall level of Immunoglobulin E (IgE) antibodies present in the blood.
IgE is related to allergic reactions and hypersensitivity responses in the body. And if you have elevated IgE levels, then it may indicate that the immune system is reacting strongly to allergens.
If you are thinking from gut health perspective, then high IgE levels may sometimes be linked with food allergies, gut inflammation, microbial imbalance, or intestinal irritation.
When your gut lining becomes irritated or compromised, the immune system will react more aggressively to substances entering the body. You will need to provide your blood sample for this test. The test cost around Rs. 700 to Rs. 1200 in Borivali, Mumbai and nearby areas.
Food Intolerance Test for Gut Heatlh
The Food Intolerance Test to check your gut health in India is called as Food Specific IgG Panel Test. This is a blood test which is done to identify immune reactions to specific foods. Please note, food intolerance is different than food allergies.
Food intolerance are a type of delayed response and it may appear hours or even days after consuming any specific food. As a reaction of food intolerance, you may see symptoms such as headache, fatigue, skin issues, sinus congestion or even irritation in your digestive tract.
The Food Specific IgG Panel Test measures IgG antibodies against multiple foods and it will help your nutritionist to craft a gut reset diet plan properly by making sure not to include those foods which create intolerance.
Please note this is a very costly gut health test and it may cost around Rs. 6000 to Rs. 15,000 in India depending on various number of food items included in the IgG panel test.
Liver and Digestive Support Tests for Gut Health
Now, we will see various blood tests related to diagnose problems with liver and your digestive system. Liver and other digestive organs are very important to maintain nutrient absorption, detoxification and maintaining a metabolic balance in your body.
If your liver or connected organ like gallbladder are not functioning properly, it will lead to food intolerance, microbiome imbalance and bloating. That is why if you are experiencing chronic gut issues, dietitians and nutritionists in India like Dt. Foram Modi recommend testing liver and other related organs.
These lab tests for gut health in India are important for comprehensive gut reset or gut repair program. These results of lab tests helps gut nutritionists like Dt. Foram Modi and also gastroenterologists doctors to understand whether digestive organs are processing nutrient properly or not.
This test includes mainly liver function test, digestive enzyme and related tests. Let us now discuss each of these tests in detail.
Liver Function Test for Gut Health Checkup
Liver function test or LFT is a package of liver related blood test which is used to assess how good the liver is performing its function.
This includes measuring how efficient liver is in metabolism of nutrient, detoxification, bile production and creating the proteins. This is a set of test which include marker test such as ALT, AST, ALP, Bilirubin, Albumin and measuring the total protein.
If you get detected an abnormal levels of LFT, then it affects your gut health. It may show you symptoms such as bile insufficiency or chronic inflammation leading to bloating and disturbed microbiome balance.
That is why gut specialists in India like Dt. Foram Modi mentions monitoring liver function is very crucial when creating a gut immune supportive diet and anti-inflammatory meal plans for your gut reset. If you are around Borivali area of West Mumbai, then the liver function test cost is around Rs. 700 to Rs. 1500 depending on the pathology lab.
Digestive Enzyme, Bile Acid & Pancreas Tests for Gut Health
The LFT, that is a liver function test, which we discussed above, provide information about liver health. But in order to dig in more into your gut, additional tests may be required to evaluate the levels of digestive enzyme, bile acid, and function of your pancreas.
These are called as digestive enzyme and related support test for gut health. These tests will help us determine whether body is breaking down and absorbing nutrient properly or not.
And if you get a malfunction in any of the system, you can get symptoms such as gas, bloating, constipation, or even diarrhea. And this can happen even if you are taking a balanced diet.
If you are going to undergo or already undergoing gut reset program, microbiome rehabilitation, or inflammation oriented nutrition plan in India, then the dietitian may ask you to go with these tests to evaluate the actual enzyme support.
And accordingly, the gut friendly meals will then be crafted as a part of your plan. In order to go with these tests, you may be required to give your blood sample, stool sample, or even breath sample, depending upon the actual test. In Mumbai, near Borivali, Kandivali, and Dahisar, you may require around Rs. 1500 to 3500 for these tests to get done.
Metabolic Markers Test for Gut Microbiomes
So far we have seen the advanced gut health test that generally normal people do not require but are very useful as a part of your gut health diet program.
Now we will see few tests that are very common and that are commonly done by people. Please note these tests will also help us in identifying how your gut health is impacting metabolism.
Gut microbiome or healthy bacteria in gut are not only responsible for your digestion and nutrient absorption but they are required for regulating your blood sugar level, lipid profile and overall energy balance.
And if you have got a disruption in your gut bacteria or inflammation in your intestine then these factors will get affected. And that’s what we will measure in the metabolic marker test. These tests include fasting blood glucose check, HbA1c and fasting insulin blood test.
These are metabolic marker tests and will help us identify conditions such as insulin resistance, chronic inflammation, and even prediabetes.
These tests helps understand how the gut and microbiome influences the systemic health and they help us drive a proper systemic gut reset strategy. As per nutritionist for gut in Mumbai, Nutritionist Foram Modi, these tests are very useful for creating a microbiome supportive diet plan.
These tests helps nutritionists to see how diet affects not only digestion, but also hormone regulation and energy utilization in the body. Let us now see these tests in detail.
Fasting Blood Glucose for Diagnosing Gut Health
Fasting glucose test is done to measure level of glucose in the blood after an overnight fast. If you have detected higher levels of fasting glucose, then it may indicate improper metabolism of glucose in your body or even resistance to insulin.
And these conditions are often influenced by gut microbiome imbalance. Gut Dietitian Foram Modi says conditions such as leaky gut and gut inflammation and dysbiosis can disrupt glucose regulation and hormonal balance. As per research on Mechanisms Linking the Gut Microbiome and Glucose Metabolism, Dysbiosis can alter short-chain fatty acids, bile acids, and gut hormone secretion, all of which regulate blood glucose levels.
And this test, which is easily available at a very low cost, is important marker for gut and metabolic health. Approximately, you will require Rs. 60 to Rs. 150 for undergoing fasting blood glucose test for gut health in Mumbai, India.
HbA1c (Glycated Hemoglobin) Gut Health Test
HbA1c is another blood sugar test, which helps to know average blood sugar level over the past 2 to 3 months. It is called as glycated hemoglobin test.
If you are suffered with chronic gut imbalance or gut inflammation, then it can cause poor glucose control and insulin resistance. And that’s what we will check in HbA1c test.
This blood test helps us monitor long term effect of dietary problem caused by imbalance in your gut or intestine. Indian Gut Expert Dietitian Foram Modi recommends this test as a part of gut friendly meal plan or gut reset program at her dietitian clinic in Borivali, Mumbai.
If you are around Mira Road or Dahisar or Bhayander in Mumbai, then this test cost around Rs. 300 to Rs. 600.
Lipid Profile Test for Gut Health
As a part of Gut Health program, a lipid profile gut health test is also helpful, which is done to measure cholesterol and levels of triglycerides.
This includes measurement of total cholesterol, LDL, HDL and triglycerides. Please note your gut microbiome can really affect the metabolism of fat and function of your bile acids. As per research on Bile acid signaling mediates gut microbiota regulation of host lipid metabolism, it is found that Shows that gut microbiota regulate host lipid metabolism through bile acid signaling pathways.
And all these imbalances will contribute to abnormal levels of lipids and that’s what we will measure in this lipid profile gut health test.
If you understand lipid pattern along with gut-focused dietary changes, then it helps online gut nutritionist such as Dietitian Foram Modi to design a and adapt therapeutic gut health diet plan.
Such a diet plan will support both microbiome balance and the health of your metabolism strength. If you are around Borivali West or Borivali East in Mumbai, then these tests cost around Rs. 500 to Rs. 1200.
Cost of Gut Health Tests in Mumbai, India
In the below cost table, we have mentioned approximate cost of above gut microbiome tests that we discussed. Please note, these are approximate cost in West Mumbai areas of Borivali, Kandivali & Mira Road. The cost of these gut tests may differ in your area of residence.
| Test Category | Test Name | Purpose | Approx Cost (Mumbai, India) |
|---|---|---|---|
| Inflammation Markers (Gut Inflammation Tests) | hs-CRP (High Sensitivity C-Reactive Protein) | Detects hidden inflammation associated with gut imbalance, chronic digestive disorders, and metabolic inflammation. | ₹400 – ₹900 |
| ESR (Erythrocyte Sedimentation Rate) | Indicates ongoing inflammation or infection in the body which may be linked to gut dysfunction. | ₹100 – ₹600 | |
| Micronutrient Absorption Tests | Vitamin B12 Test | Identifies vitamin B12 deficiency caused by poor gut absorption or microbiome imbalance. | ₹500 – ₹1500 |
| Vitamin D (25-OH Vitamin D) | Evaluates vitamin D levels which support immunity, gut lining repair, and microbiome balance. | ₹800 – ₹2000 | |
| Serum Ferritin | Measures stored iron levels to detect deficiencies related to gut inflammation or poor nutrient absorption. | ₹400 – ₹900 | |
| Serum Iron | Assesses circulating iron levels and helps diagnose anemia linked to digestive issues. | ₹300 – ₹700 | |
| Gut-Immune System Tests | Total IgE | Detects allergic responses that may influence gut inflammation and digestive sensitivity. | ₹700 – ₹1500 |
| Food Specific IgG Panel (Food Intolerance Test) | Identifies food intolerances that trigger bloating, gut inflammation, and microbiome imbalance. | ₹5000 – ₹15000 | |
| Liver & Digestive Support Tests | Liver Function Test (LFT) | Evaluates liver health which plays an important role in digestion, detoxification, and gut metabolism. | ₹400 – ₹1200 |
| Metabolic Markers Influenced by Gut Microbiome | Fasting Insulin | Helps identify insulin resistance often influenced by gut microbiome imbalance. | ₹500 – ₹1200 |
| HbA1c | Measures long-term blood sugar control and metabolic health influenced by gut bacteria. | ₹400 – ₹800 | |
| Fasting Blood Glucose | Checks blood sugar metabolism and early metabolic dysfunction. | ₹100 – ₹300 | |
| Lipid Profile | Measures cholesterol and triglycerides which can be affected by gut microbiome health and diet. | ₹500 – ₹1200 |
Are Gut Microbiome Tests worth it ?
A gut microbiome test can be really helpful to understand the balance of bacteria living in your digestive system. However, it is not always necessary for everyone, and that is why it is recommended to take this only if advised by your gut nutritionist or your gastro-specialist doctors.
Many people spend thousands of rupees on repeated medications and temporary treatment for symptoms like bloating, acidity, IBS, without addressing the root cause. That’s where dietitian Foram Modi says, instead of you relying only on medicines, if you focus on gut-specific nutrition therapy and gut healing diet plan, then it will help you restore the digestive balance naturally.
And that is where the dietitian may prescribe you various gut health tests to diagnose the condition of gut bacteria or microbiome. Below are few reasons why a gut microbiome test can be worth when recommended by your gut nutritionist –
Identifies bacterial imbalance – Shows whether good and bad gut bacteria are balanced or not.
Detects gut inflammation triggers – Helps identify foods or patterns affecting digestion.
Supports personalized nutrition therapy – A dietitian can design a targeted gut repair diet.
Helps manage chronic digestive symptoms – Useful for people with long-term bloating, IBS, gas, or gut discomfort.
Improves overall health – Gut bacteria influence immunity, hormones, metabolism, and mood.
Prevents unnecessary medication use – Instead of spending thousands repeatedly on medicines, you can focus on healing the gut with structured nutrition therapy.
Long-term solution – Correcting the microbiome through food and lifestyle changes can give lasting digestive health rather than temporary relief.
Conclusion on Gut Health Tests for Microbiome, Bacteria
Your gut plays a central role in digestion, immunity, metabolism, and even hormonal balance. But, when the gut microbiome becomes imbalanced, it can lead to symptoms such as bloating, gas, fatigue, inflammation, nutrient deficiencies, and digestive discomfort.
This is why getting the right lab tests for gut health can provide valuable insights into what is actually happening inside your body. If you are experiencing persistent gut inflammation or digestive issues or think you have an unhealthy gut symptoms, it is important to consult a experienced gut nutritionist in India like Dt. Foram Modi and getting the appropriate gut health tests can be the first step toward restoring balance.
It is also important to note here that, it is not advisable to do these tests on your own without any prescription of a clinical gut nutritionist or a gastro specialist doctor.
Research Papers Referenced while preparing this article
- Liu M, He C, Lv X, Zheng W, Yin J, Li Y and Ma J (2026) Bile acid signaling mediates gut microbiota regulation of host lipid metabolism. Front. Microbiol. 16:1696213. doi: 10.3389/fmicb.2025.1696213
Kristina M. Utzschneider, Mario Kratz, Chris J. Damman, Meredith Hullarg, Mechanisms Linking the Gut Microbiome and Glucose Metabolism, The Journal of Clinical Endocrinology & Metabolism, Volume 101, Issue 4, 1 April 2016, Pages 1445–1454, https://doi.org/10.1210/jc.2015-4251
Medically Reviewed
Page Written & Medically Reviewed by – Dt. Foram Modi (PGDND, Certified Clinical Nutritionist, Certified Child Nutritionist)
Page Last Updated On – 12th March 2026
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