Food sensitivity tests are one of the most popular — and most controversial — categories in consumer health testing. Millions of people take them hoping to identify the foods causing their bloating, fatigue, brain fog, or skin issues. But the science is messier than the marketing suggests, and many clinicians consider IgG-based food sensitivity tests actively misleading.
We don't sell any food sensitivity tests on this site (none of the major ones are on Amazon with verified affiliate links we trust). This guide is editorial — we'll cover the main options, explain what they measure, what they can and can't tell you, and when an elimination diet is genuinely a better use of your money.
On this page
- Food allergy vs food sensitivity vs food intolerance
- The problem with IgG food sensitivity tests
- How to choose a food sensitivity test
- EverlyWell Food Sensitivity
- Viome
- Curology
- US BioTek
- Side-by-side comparison
- Why elimination diets often beat testing
- When a food sensitivity test is actually useful
- The bottom line
Food allergy vs food sensitivity vs food intolerance
These three terms get conflated constantly, but they're biologically distinct:
Food allergy (IgE-mediated)
A true immune reaction mediated by IgE antibodies. Symptoms develop within minutes to hours of eating the food: hives, swelling, anaphylaxis. Diagnosed by an allergist using skin-prick testing, specific IgE blood tests, and oral food challenges. Examples: peanut allergy, shellfish allergy. These are real, can be life-threatening, and require medical diagnosis — not a consumer test.
Food sensitivity / intolerance (non-IgE)
Non-allergic adverse reactions to food. Symptoms are delayed (hours to days) and non-life-threatening: bloating, diarrhea, fatigue, brain fog, joint pain, skin issues. Mechanisms are varied and often unclear — may involve gut microbiome, enzyme deficiencies, or low-grade inflammation. This is what consumer "food sensitivity" tests claim to measure.
Specific intolerances
Well-characterized intolerances with known mechanisms: lactose intolerance (lactase deficiency), celiac disease (autoimmune reaction to gluten), fructose intolerance (fructose malabsorption). These have specific diagnostic tests (lactose breath test, celiac panel) that consumer food sensitivity tests don't replace.
The problem with IgG food sensitivity tests
Most consumer food sensitivity tests (EverlyWell, US BioTek's basic panels, many others) measure IgG antibodies to specific foods. The theory: elevated IgG to a food indicates your immune system is reacting to it, suggesting you should avoid that food. Sounds plausible — but the science doesn't support it.
The American Academy of Allergy, Asthma & Immunology (AAAAI) and the European Academy of Allergy and Clinical Immunology (EAACI) both explicitly recommend against IgG-based food sensitivity testing. The reason: IgG antibodies to foods are normal. They indicate exposure, not intolerance. The more of a food you eat, the higher your IgG levels to it will be — and a high-IgG food you eat often may be perfectly fine for you.
Studies bear this out. When researchers have tested the same person's blood against the same foods at different times, results vary wildly. When they've tested people known to tolerate a food well, the food often shows "elevated IgG." The tests flag the foods you eat most — which is often the opposite of useful information.
This is why we're cautious about recommending IgG-based food sensitivity tests in this guide. We cover them because readers ask about them, but with the caveat that the evidence base is weak.
How to choose a food sensitivity test
If you're going to try a food sensitivity test despite the limitations above, here's how to think about it:
1. What is it actually measuring?
IgG tests (EverlyWell, most US BioTek panels) measure immune antibodies. Microbiome-based tests (Viome) measure microbial gene expression. Cytotoxic tests (ALCAT, others) measure white blood cell reactions. None of these is a "food sensitivity" test in the diagnostic sense — they're all proxies with varying evidence.
2. How many foods are tested?
EverlyWell tests 96 foods. US BioTek's panels range from 96 to 184+ foods. Viome doesn't test specific foods at all — it infers food reactions from microbiome data. More foods isn't necessarily better — it just gives you more potential "false positives" to worry about.
3. What's the recommendation framework?
The best tests give you a clear elimination-and-reintroduction plan based on results, not just a list of "avoid" foods. If the test doesn't come with a structured protocol, you'll need to design one yourself.
4. Is the company transparent about limitations?
Reputable companies acknowledge that IgG tests are not diagnostic and recommend combining results with an elimination diet. Companies that promise their test will "solve your bloating" should be viewed with skepticism.
EverlyWell Food Sensitivity
EverlyWell Food Sensitivity ($159) is the most popular consumer food sensitivity test in the US. It measures IgG antibodies to 96 common foods using a finger-prick blood sample collected at home. Results arrive in 5-7 business days via their web app.
The report is clean and easy to understand — each food is rated as "normal," "mild," "moderate," or "severe" reactivity. EverlyWell provides basic guidance on elimination and reintroduction. The test is available direct and through some healthcare providers.
The honest caveat: this is an IgG test, with all the limitations discussed above. A "moderate reactivity" result to wheat doesn't mean you have a wheat sensitivity — it may just mean you eat wheat regularly. Use results as a starting point for an elimination diet, not as a definitive diagnosis. The $159 is better spent on a guided elimination diet protocol if you're willing to put in the work.
Viome
Viome ($150-300 + subscription) takes a fundamentally different approach. Instead of measuring IgG antibodies, Viome sequences your gut microbiome's RNA (metatranscriptomics) and uses AI to infer which foods your microbes will respond well or poorly to. You get a personalized list of "superfoods," "foods to minimize," and "foods to avoid."
The science behind Viome's food recommendations is intriguing but newer and less validated than IgG testing. The company publishes some validation research, but the field of metatranscriptomics is still maturing. Viome's recommendations tend to be more nuanced than IgG tests (e.g., "avoid quinoa" rather than "avoid all grains") and are based on your microbiome's actual activity rather than immune markers.
The trade-offs: Viome requires an ongoing subscription for full functionality, and the food recommendations can change between tests (which is either a feature — your microbiome shifts — or a bug — the algorithm is unstable). For users interested in the microbiome angle, Viome is more interesting than IgG testing. See also our microbiome test comparison.
Curology
Curology is primarily known for personalized skincare, but they've expanded into broader health testing including some food-related panels. Their approach blends IgG testing with microbiome analysis and clinical guidance from in-house providers.
The integrated clinical support is the main differentiator — rather than just handing you a list of reactive foods, Curology pairs you with a provider who can help interpret results and design a personalized protocol. For users who want professional guidance alongside testing, this is more useful than a standalone IgG test.
The trade-offs: pricing is opaque and subscription-based. Curology's food panels are newer and have less published validation than their dermatology products. If you're already a Curology user, the integrated approach is convenient. If you're shopping for a food sensitivity test specifically, EverlyWell or US BioTek are more focused options.
US BioTek
US BioTek is the closest thing to a clinical-grade food sensitivity test available without going through a doctor. Their panels (typically ordered through clinicians but available direct in some states) test IgG and IgG4 to up to 184 foods, with options for IgA, IgE, and complement testing. Prices range from $150-300 depending on the panel.
US BioTek's reports are more detailed than EverlyWell's, with quantitative antibody levels and broader food panels. They're a reputable clinical lab used by functional medicine practitioners. The science of IgG food testing remains debated (see above), but if you're going to do an IgG test, US BioTek's panel is more rigorous than most consumer options.
The trade-offs: ordering is more complex than EverlyWell (may require going through a clinician), results take longer, and the report is more clinical and less consumer-friendly. For users with functional medicine providers, US BioTek is the standard. For DIY consumers, EverlyWell is simpler.
Side-by-side comparison
| Test | Method | Foods Tested | Sample | Clinical Guidance | Price |
|---|---|---|---|---|---|
| EverlyWell | IgG antibodies | 96 | Finger-prick blood | Self-guided | $159 |
| Viome | Metatranscriptomics | Inferred (microbiome) | Stool | App-based | $150-300 + sub |
| Curology | Mixed | Varies | Varies | Provider-supported | Subscription |
| US BioTek | IgG + IgG4 (IgA, IgE options) | 96-184+ | Blood draw | Clinician-led | $150-300 |
Why elimination diets often beat testing
The gold standard for identifying food sensitivities isn't a test — it's a structured elimination diet. The protocol is simple (though not easy):
- Eliminate the most common trigger foods (dairy, gluten, soy, corn, eggs, nightshades, added sugar) for 3-4 weeks. Eat a simple whole-food diet.
- Track symptoms daily. If your bloating, fatigue, or skin issues improve during elimination, you have a strong signal that one of the eliminated foods was a trigger.
- Reintroduce one food at a time, every 3-4 days, in generous quantities. Track symptoms for 24-48 hours after each reintroduction.
- Identify which foods cause symptoms and avoid them long-term.
Elimination diets are free (you're eating less variety, not more), more accurate than IgG testing (you're testing actual symptom response, not antibody levels), and give you personalized data that no test can match. The downside: they require discipline and 4-8 weeks of effort. Most people who skip elimination diets and go straight to testing are paying for a shortcut that doesn't exist.
If your symptoms are severe, persistent, or accompanied by red flags (unintended weight loss, blood in stool, fever), don't try an elimination diet — see a gastroenterologist. These can indicate conditions like IBD or celiac disease that require clinical diagnosis.
When a food sensitivity test is actually useful
Despite the caveats, food sensitivity tests can be useful in specific situations:
- As a starting point for elimination: If you can't face eliminating 7+ foods at once, an IgG test can give you a shorter list to start with. Just remember that the list is biased toward foods you eat often.
- For motivation and structure: Some people need a "test result" to commit to dietary change. If a $159 test motivates you to finally try an elimination protocol, that's a fair use.
- For microbiome insights (Viome): If you're interested in your gut microbiome anyway, Viome's food recommendations are a bonus on top of the microbiome data — not a replacement for proper testing.
- When working with a functional medicine provider: US BioTek panels ordered and interpreted by a clinician are more useful than DIY consumer tests. The provider can contextualize results and design an appropriate protocol.
What food sensitivity tests are not useful for: diagnosing celiac disease (you need a celiac panel and biopsy), diagnosing food allergies (you need an allergist), or replacing a structured elimination diet. If a test promises to do any of these, walk away.
The bottom line
Food sensitivity tests are a category where the marketing has outpaced the science. The IgG tests that dominate the market (EverlyWell, US BioTek's basic panels) measure immune exposure, not intolerance — and the AAAAI explicitly recommends against them. Viome's microbiome-based approach is more interesting but newer and less validated.
If you're struggling with food-related symptoms and haven't tried an elimination diet, that's where to start — not with a test. Elimination diets are free, more accurate, and give you personalized data no test can match. Our guide to biological age covers the bigger picture of how diet affects aging, and our testing hub lists the tests we actually recommend.
If you've tried elimination diets and want a test as a starting point, EverlyWell is the most accessible option at $159. If you want microbiome-based food recommendations, Viome is more interesting (and pairs with their broader gut health offering). If you're working with a functional medicine provider, US BioTek is the standard for clinical-grade IgG testing.
But go in with realistic expectations. A food sensitivity test is a hypothesis-generator, not a diagnosis. The real work — eliminating, reintroducing, and tracking symptoms — is still on you.