The Complete Fermented Gas Profile of the Microbiome


Complete the test order form below 

Account setup is not required. After you complete the form, a test requisition form and a lactulose prescription will be emailed to you to e-sign. 


E-sign the test requisition form

You’ll receive a requisition form and a substrate prescription (if applicable) via email. The signed documents will then be included in your patient’s kit.


Patient receives kit, collects breath samples and ships the samples to the lab

Patients will use your provided lactulose prescription to obtain their lactulose dose from their pharmacy. A pre-paid shipping label is included with each kit. The kit must be received within five days of sample collection. Our support staff is on hand to help patients with any sample collection issues.


Results are delivered to you within four days of receiving the sample

Results can be delivered via email or fax.

Ready to Order?

Sample Requisition Form

Collection Instructions

Sample Results Report


trio-smart™ is a doctor-ordered test. Prescribers can order trio-smart™ for patients by completing the form below. Patients interested in trio-smart™ should consult their healthcare providers.


Please note: Due to New York state restrictions, we currently cannot accept samples shipped from the state of New York.

trio-smart™ is brought to you by Gemelli Biotech.

Learn more about our work, principles and leadership at www.gemellibiotech.com.

trio-smart™ is the only breath test that measures the levels of hydrogen, methane and hydrogen sulfide to provide you with a complete picture.