Microbiome • Screening

Gut microbiome — decoded

The Vivabioma Shotgun metagenomics test — 80 million reads per sample, 45+ reports on bacteria, fungi, viruses and functional pathways. Stool sample at home, report interpretation and personal recommendations.

Shotgun 80M reads 45+ reports ISO-certified labs Report interpretation
Microbiome test Vivabioma

A screening study, not clinical diagnostics

Vivabioma is a functional screening study — it maps the composition of gut microorganisms and helps you make informed nutrition and lifestyle decisions. It does not replace colonoscopy, calprotectin, PCR for pathogens or a doctor's diagnosis. If you have concerning symptoms (blood in stool, weight loss, persistent pain, fever) — see your family doctor or a gastroenterologist first.

Our goal is to interpret the results in context — together with your history, blood tests and lifestyle — and to build a personalized action plan that will genuinely improve how you feel.

Why the microbiome matters

Your second "organ" weighs up to 2 kg and controls more than you think

The gut microbiome takes part in calibrating the immune system, synthesizing vitamins (K2, B12, folate), producing short-chain fatty acids (butyrate feeds the gut epithelium), synthesizing neurotransmitter precursors (~90% of serotonin precursors are formed in the gut) and shaping the glucose response after meals.

Dysbiosis — a microbial imbalance — is closely linked to insulin resistance, allergies, anxiety and autoimmune diseases. The test doesn't diagnose disease, but helps you understand how to adjust diet, prebiotics and probiotics.

Chronic digestive disorders

Bloating, constipation, diarrhea, IBS-type symptoms

Gut-brain axis

Anxiety, mood disorders, sleep disturbances, "brain fog"

Metabolic dysfunction

Insulin resistance, weight issues, chronic inflammation

Autoimmunity and allergies

Skin problems, eczema, food sensitivities

Microbiome ecosystem

What the report covers

Four blocks, 45+ reports

Diversity and balance

12 reports — bacterial species richness, alpha and beta diversity, ecosystem resilience to stress and antibiotic courses.

Functionality and metabolism

24 reports — how the microbiome produces vitamins (K2, B12, folate), short-chain fatty acids (SCFA — butyrate, propionate) and affects blood sugar response.

Shotgun metagenomics

Technology

Illumina Shotgun metagenomics — 80M reads / sample

  • Detects bacteria, archaea, fungi, viruses and parasites at the strain level — not just genus level as in 16S rRNA tests
  • Functional mapping: metabolic pathways, antibiotic resistance genes (resistome)
  • European labs certified to ISO 17025, 13485 and 15189
  • SSL-encrypted data transfer, GDPR compliance
  • Stool sample shipping included in the price

How the test works

Four steps — most of them at home

The test price includes report interpretation and personal recommendations. If you'd like a separate consultation — choose the combined package.

  1. 1

    Book

    Book your test package online. We'll send you a Vivabioma sample collection kit with instructions.

  2. 2

    Stool sample at home

    You take a small sample yourself at home (~10 min). You send it back by mail to the lab in Spain — shipping is included in the price.

  3. 3

    Results in 6–8 weeks

    The lab sequences the sample using Illumina Shotgun technology (80M reads/sample). The report arrives by e-mail.

  4. 4

    Report interpretation and recommendations

    Dr Saadi interprets the report in context and prepares personal nutrition and lifestyle recommendations. This is not a separate consultation.

Choose a package

Microbiome test options

Microbiome (test + interpretation)

€390

  • Vivabioma Shotgun analysis (45+ reports)
  • Home sample kit + shipping
  • Report interpretation and personal recommendations
  • No separate consultation needed
Book the test

Deep health assessment

€1490

  • 2 × 45-min consultations with Dr Saadi
  • TellmeGen Advanced genetic test + Vivabioma microbiome
  • 14-day CGM (glucose monitor)
  • Blood test panel (30+ markers)*
  • DEXA (bone density + body composition)*
Book the deep assessment
Combined package

Genetic test + microbiome + doctor

€750

  • TellmeGen Advanced genetic test
  • Vivabioma microbiome analysis
  • 45-minute doctor consultation
  • Personal action plan
  • Overview of priority findings
Book the bundle

* Blood tests and DEXA are performed at partner centers in Tallinn. The analysis is carried out at Vivabioma's manufacturer lab in Spain (EU).

Sample results

What does a microbiome report look like?

The Vivabioma report gives an overview of gut bacterial diversity, important bacterial strains and functional balance. Below is an illustrative example — your results depend on your unique microbiome.

Overall score

Microbiome diversity

6.8/10 Average
LowOptimal

Shannon index + richness score compared to healthy adults

Category

Key bacterial strains

  • Akkermansia muciniphilaLow (0.3%)
  • Faecalibacterium prausnitziiGood (4.2%)
  • Bifidobacterium spp.Borderline
  • Firmicutes / Bacteroidetes ratio1.8 : 1

300+ bacterial species analyzed

Sample data for illustration. Besides the scores, the Vivabioma report includes specific nutrition recommendations (prebiotic fiber, fermented foods, polyphenols) aimed at supporting underrepresented beneficial bacterial strains. In the consultation we review the results together and build a practical 8–12 week action plan for you.

Microbiome change

The microbiome is plastic

New habits, new microbiome

Unlike genes, the microbiome changes within weeks. Diet, sleep, stress and antibiotics quickly reshape the bacterial composition. If you're deliberately working on your gut function, it makes sense to repeat the test after 3–6 months to assess the direction and effectiveness of the changes.

Every previous report is updated in the portal free of charge as Vivabioma's scientific database grows.

Frequently asked questions

Before you book

Reminder: the Vivabioma test is a functional screening study, not a diagnostic medical test. Every significant finding requires a doctor's evaluation, and if there are concerning symptoms, see a gastroenterologist first.

Terms

Appointments
2 appointments
Appointment lengths
25 min + 25 min
Whole process
3–5 weeks
Payment
No prepayment — pay at the clinic after the visit · Installments available
Support and replies
Doctor · We reply as soon as possible

You receive in writing

  • · Laboratory report + doctor's interpretation

Possible additional tests

  • · Stool test for inflammatory markers

Possible additional costs

  • · Supplements and follow-up tests

Where the service takes place

  • · The sampling kit is issued in Estonia

No prepayment is required. Cancelling or rescheduling a visit is free up to 24 hours before the appointment; for later notice or a no-show the clinic may invoice up to 50% of the service price. Terms of purchase

Who this is for

  • Digestive issues
  • Chronic inflammation
  • Refining nutrition strategy

Who this is not for

  • Acute GI infection treatment
  • Anyone unable to wait about 8 weeks

If you're unsure whether this fits, write to us before booking.

Service facts

Price
€390
Duration
25 min
Sessions
2
Format
In person
Results
Results about 8 weeks after sampling.

Included in the price

  • At-home kit
  • Lab analysis (Vivabioma)
  • Clinical interpretation (25 min)

Not included

  • Full nutrition plan
  • Program follow-up

How the service unfolds

  1. 1Step 1 · At-home kitYou take the kit home and collect the sample yourself, following the instructions.
  2. 2Step 2 · Lab analysis (Vivabioma)The analysis takes about 8 weeks.
  3. 3Visit 2 · 25 minClinical interpretation: the microbiome profile and practical next steps.

Total timeline: From sample to interpretation: about 8 weeks from sampling.

The price covers the at-home kit, the lab analysis and the 25-min clinical interpretation.

Paid separately: A full nutrition plan and program follow-up are separate services

Why you can trust us

  • Licensed provider

    Medical services are provided by OÜ MediArte, license L07540. Appointments are held by a doctor.

  • Booking in the official system

    Appointments are booked in ConnectedOnline — confirmation arrives by email.

  • Your data is protected

    Health data is processed under GDPR and Estonian healthcare requirements.

  • Clear invoice and terms

    The price is shown on the page before you book. Questions: info@synage.ee.

Who this service is not for

Being upfront saves your time and money. This service is not the right choice if:

  • If you have acute gut symptoms (blood in stool, weight loss, fever) — those need a clinical work-up first.
  • If you expect treatment from the test — a microbiome analysis is a map that we build the plan on.
  • For acute problems (severe pain, fever, breathing difficulty, injury) — contact your GP, an on-call doctor or the emergency department.
  • If you expect a replacement for diagnosis and treatment — we work alongside your GP and specialists, not instead of them.
  • If you only want a prescription or a certificate without an assessment — we do not issue those at a prevention visit.

Not sure? Write to us before booking info@synage.ee

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