Cardio IQ® 4q25-AF Risk Genotype
*Build Your Own Panel Eligible [?]
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$765
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Description:
This test will aid physicians in the assessment of risk of atrial fibrilation and cardioembolic stroke.
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Price:
$765
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Cardio IQ® 9p21 Genotype
*Build Your Own Panel Eligible [?]
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$307
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Description:
This test will aid in the assessment of risk associated with myocardial infarction (MI), especially before age 50 in males and age 60 in females.
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Price:
$307
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Cardio IQ Advanced Lipid Panel
*Build Your Own Panel Eligible [?]
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$203
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Description:
The advanced lipid profile provides a more comprehensive assessment of dyslipidemia and cardiovascular risk than standard lipid panel measurements.
Significant deviations from the normal range may require further evaluation by your physician.
Includes:
Cardio IQ Cholesterol, Total;
Cardio IQ HDL Cholesterol;
Cardio IQ Triglycerides;
Cardio IQ Non-HDL and Calculated Components;
Cardio IQ Lipoprotein Fractionation, Ion Mobility;
Cardio IQ Apolipoprotein B;
Cardio IQ Lipoprotein (a)
If Triglyceride is >400 mg/dL, Cardio IQ Direct LDL will be performed.
Patient Instructions:
Fasting is not required prior to collection of a lipid panel. The assay manufacturer Beckman Coulter advises: "N-Acetyl Cysteine (NAC), when administered in therapeutic concentrations (for the treatment of acetaminophen overdose), has been determined to interfere with assays for cholesterol, uric acid" where "NAC interference may lead to falsely low results." According to Beckman Coulter, the NAC interference should be insignificant by 12 hours after completion of the initial loading dose of an IV infusion treatment regimen consisting of an initial loading dose of 150 mg/kg administered over 1 hour, a second dose of 50 mg/kg administered over 4 hrs and a third dose of 100 mg/kg administered over 16 hrs.
Categories:
General wellness,
Heart & cholesterol,
Price:
$203
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Cardio IQ APOE Genotype
*Build Your Own Panel Eligible [?]
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$677
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Description:
- Identifies heart disease risk genes.
- Analyzes cholesterol-related genes.
- Checks genetic role in heart health.
Includes:
Cardio IQ® APOE Genotype
Categories:
Price:
$677
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Cardio IQ® Apolipoprotein B
*Build Your Own Panel Eligible [?]
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$52
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Description:
Apolipoprotein B (APO B) has been reported to be a powerful indicator of CAD. In some patients with CAD, APO B is elevated even in the presence of normal LDL cholesterol.
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Price:
$52
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Cardio IQ® Apolipoprotein Evaluation
*Build Your Own Panel Eligible [?]
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$52
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Description:
Apolipoprotein A1 is the primary protein associated with HDL cholesterol. Like HDL cholesterol, increased concentrations are associated with reduced risk of cardiovascular disease. Apolipoprotein B-100 is the primary protein associated with LDL cholesterol and other lipid particles. Like LDL cholesterol, increased concentrations are associated with increased risk of cardiovascular disease. The ratio of these two apolipoproteins correlates with risk of cardiovascular disease.
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Price:
$52
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Cardio IQ® ASCVD Risk Panel with Score
*Build Your Own Panel Eligible [?]
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$49
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Description:
This panel provides the 10-year and lifetime risk of atherosclerotic cardiovascular disease (ASCVD) using lipid results with anthropomorphic data and family history. The ASCVD risk assessment is recommended in the 2013 ACC/AHA Guidelines on the Treatment of Blood Cholesterol to Reduce Atherosclerotic Cardiovascular Risk in Adults.
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Price:
$49
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Cardio IQ® Cholesterol, Total
*Build Your Own Panel Eligible [?]
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$49
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Description:
Total serum cholesterol analysis is useful in the diagnosis of hyperlipoproteinemia, atherosclerosis, hepatic and thyroid diseases.
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Price:
$49
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Cardio IQ® CYP2C19 Genotype
*Build Your Own Panel Eligible [?]
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$942
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Description:
This pharmacogenetic test may be used to help guide clopidogrel prescribing, especially in patients with acute coronary syndrome (ACS) who have undergone percutaneous coronary intervention (PCI) [1]. This test detects common variants in the CYP2C19 gene, the most validated genetic determinant of clopidogrel response.Clopidogrel is a prodrug that needs to be metabolized to its active form by cytochrome P450 2C19 (CYP2C19). Patients who carry a no-function allele of CYP2C19 have reduced clopidogrel activation, reduced platelet inhibition, and higher risk of major adverse cardiovascular events. Treatment outcomes may be improved in these patients with alternative antiplatelet therapies, such as prasugrel or ticagrelor. Therefore, CYP2C19 genotyping is helpful for assessing an individual's capability to metabolize clopidogrel and optimizing antiplatelet therapy [1].CYP2C19 genotype classifies individuals as ultrarapid, rapid, normal, intermediate, likely poor, poor, and indeterminate metabolizers. The Clinical Pharmacogenetics Implementation Consortium (CPIC) provides guidelines for using CYP2C19 status to help direct clopidogrel prescribing. Although the association between CYP2C19 genotype and clopidogrel response is most established in patients with ACS who have undergone PCI, growing evidence indicates a similar association in patients with neurovascular indications [1]. The FDA boxed warning indicates diminished antiplatelet effect in CYP2C19 poor metabolizers and availability of tests to identify these individuals [2].This is a targeted genotyping test and does not detect deletions or novel or rare variants of CYP2C19. CYP2C19 genotype does not identify all the variability in clopidogrel response. Other factors, such as age, body mass index, chronic kidney disease, diabetes mellitus, and concomitant use of certain proton pump inhibitors, may also influence clopidogrel response [1].The results of this test should be interpreted in the context of pertinent clinical and family history and physical examination findings.Additional assistance in test selection and interpretation of results is available from our genomic science specialists by calling 1.866.GENE.INFO (1.866.436.3463).References1. Lee CR, et al. Clin Pharmacol Ther. 2022;10.1002/cpt.2526.2. PLAVIX® (clopidogrel bisulfate). Prescribing information. Bristol-Myers Squibb/Sanofi Pharmaceuticals Partnership; 2019. Accessed March 5, 2022. https://packageinserts.bms.com/pi/pi_plavix.pdf
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Price:
$942
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Cardio IQ® Diabetes and ASCVD Risk Panel with Scores
*Build Your Own Panel Eligible [?]
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$54
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Description:
To assist with control of blood glucose levels, the American Diabetes Association (ADA) has recommended glycated hemoglobin testing (HbA1c) twice a year for patients with stable glycemia, and quarterly for patients with poor glucose control. Interpretative ranges are based on ADA guidelines.
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Price:
$54
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Cardio IQ® Diabetes Risk Panel with Score
*Build Your Own Panel Eligible [?]
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$54
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Description:
To assist with control of blood glucose levels, the American Diabetes Association (ADA) has recommended glycated hemoglobin testing (HbA1c) twice a year for patients with stable glycemia, and quarterly for patients with poor glucose control. Interpretative ranges are based on ADA guidelines.
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Price:
$54
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Cardio IQ® Direct LDL
*Build Your Own Panel Eligible [?]
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$52
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Description:
LDL Cholesterol is referred to as the "bad" cholesterol. Interpretive ranges are based on the guidelines of the National Cholesterol Education Program (NCEP).
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Price:
$52
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Cardio IQ® Fibrinogen Antigen, Nephelometry
*Build Your Own Panel Eligible [?]
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$120
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Description:
Low levels of fibrinogen are associated with bleeding most commonly secondary to liver disease or disseminated intravascular coagulation (DIC). Fibrinogen is an acute phase reactant and thus elevated levels may be associated with inflammation. Increased concentrations are also associated with increased risk of atherosclerosis.
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Price:
$120
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Cardio IQ® Glucose
*Build Your Own Panel Eligible [?]
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$49
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Description:
Diagnosis of diabetes mellitus and evaluation of carbohydrate metabolism.
Categories:
Price:
$49
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Cardio IQ® HDL Cholesterol
*Build Your Own Panel Eligible [?]
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$49
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Description:
HDL Cholesterol is inversely related to the risk for cardiovascular disease. It increases following regular exercise, moderate alcohol consumption and with oral estrogen therapy. Decreased levels are associated with obesity, stress, cigarette smoking and diabetes mellitus.
Categories:
Price:
$49
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Cardio IQ® Hemoglobin A1c
*Build Your Own Panel Eligible [?]
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$49
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Description:
To assist with control of blood glucose levels, the American Diabetes Association (ADA) has recommended glycated hemoglobin testing (HbA1c) twice a year for patients with stable glycemia, and quarterly for patients with poor glucose control. Interpretative ranges are based on ADA guidelines.
Categories:
Price:
$49
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Cardio IQ® Homocysteine
*Build Your Own Panel Eligible [?]
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$49
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Description:
An elevated concentration of Homocysteine is an independent risk factor for cardiovascular disease.
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Price:
$49
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Cardio IQ® hs-CRP
*Build Your Own Panel Eligible [?]
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$49
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Description:
Useful in predicting risk of cardiovascular disease.
Categories:
Price:
$49
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Cardio IQ® Insulin
*Build Your Own Panel Eligible [?]
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$49
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Description:
Insulin is useful in diagnosing hyperinsulinemia in hypoglycemic patients. Hyperinsulinemia may be due to an insulin-producing tumor (insulinoma), syndrome of insulin resistance, or persistent hyperinsulinemic hypoglycemia of infancy.
Categories:
Price:
$49
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Cardio IQ Insulin Resistance Panel with Score
*Build Your Own Panel Eligible [?]
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$330
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Description:
- Measures body's insulin resistance level
- Assesses risk of diabetes and heart disease
- Evaluates how body handles sugar
Patient Instructions:
Overnight fasting is required
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Price:
$330
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Cardio IQ® KIF6 Genotype
*Build Your Own Panel Eligible [?]
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$472
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Description:
This test detects a gene variant associated with increased coronary heart disease (CHD) risk and such CHD event can be reduced from atorvastatin and pravastatin therapy.
Categories:
Price:
$472
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Cardio IQ® Lipoprotein (a)
*Build Your Own Panel Eligible [?]
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$61
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Description:
Elevated concentrations of Lp(a) are associated with increased risk of coronary artery disease.
Categories:
Price:
$61
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Cardio IQ® Lipoprotein Fractionation, Ion Mobility
*Build Your Own Panel Eligible [?]
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$140
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Description:
There is a correlation between increased risk of premature heart disease with decreasing size of LDL particles. Ion mobility offers the only direct measurement of lipoprotein particle size and concentration for each lipoprotein from HDL3 to large VLDL.
Categories:
Price:
$140
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Cardio IQ® LPA Aspirin Genotype
*Build Your Own Panel Eligible [?]
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$472
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Description:
This test identifies individuals who are at risk of having elevated plasma lipoprotein (a) [Lp (a)] and increased cardiovascular risk which could be reduced by low-dose aspirin therapy.
Categories:
Price:
$472
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Cardio IQ® LPA Intron-25 Genotype
*Build Your Own Panel Eligible [?]
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$472
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Description:
This test identifies individuals at risk for elevated plasma lipoprotein (a) [Lp (a)] and increased cardiovascular risk.
Categories:
Price:
$472
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Cardio IQ® Lp-PLA2 Activity
*Build Your Own Panel Eligible [?]
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$158
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Description:
- Measure your chance of heart attack
- Assess if arteries are getting clogged
- Screen for early warning heart problems
Includes:
Cardio IQ® Lp-PLA2 Activity
Patient Instructions:
Fasting preferred, but not required.
Categories:
Price:
$158
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Cardio IQ® NT ProBNP
*Build Your Own Panel Eligible [?]
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$250
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Description:
BNP is used to aid in the diagnosis of left ventricular dysfunction in heart failure. In contrast with BNP, a drug to treat left ventricular dysfunction does not interfere with the measurement of N-terminal pro-BNP.
Categories:
Price:
$250
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Cardio IQ® Triglycerides
*Build Your Own Panel Eligible [?]
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$49
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Description:
Serum Triglyceride analysis has proven useful in the diagnosis and treatment of patients with diabetes mellitus, nephrosis, liver obstruction, other diseases involving lipid metabolism, and various endocrine disorders. In conjunction with high density lipoprotein and total serum cholesterol, a triglyceride determination provides valuable information for the assessment of coronary heart disease risk.
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Price:
$49
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Cardio IQ® Vitamin D, 25-Hydroxy
*Build Your Own Panel Eligible [?]
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$80
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Description:
Measurement of serum 25-OH vitamin D concentrations provide a good index of circulating vitamin D activity in patients not suffering from renal disease. Lower than normal 25-OH vitamin D levels can result from a dietary deficiency, poor absorption of the vitamin or impaired metabolism of the sterol in the liver. A 25-OH vitamin D deficiency can lead to bone diseases such as rickets and osteomalacia. Above normal levels can lead hypercalcemia. This assay employs liquid chromatography tandem mass spectrometry to independently measure and report the two common forms of 25-hydroxy vitamin D: 25OH D3 - the endogenous form of the vitamin and 25OH D2 - the analog form used to treat 25OH Vitamin D3 deficiency.
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Price:
$80
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Cardiolipin Antibodies (IgA, IgG, IgM)
*Build Your Own Panel Eligible [?]
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$308
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Description:
Cardiolipin antibodies (CA) are seen in a subgroup of patients with autoimmune disorders, particularly systemic lupus erythematosus (SLE), who are at risk for vascular thrombosis, thrombocytopenia, cerebral infarct and/or recurrent spontaneous abortion. Elevations of CA associated with increased risk have also been seen in idiopathic thrombocytopenic purpura, rheumatoid and psoriatic arthritis, and primary Sjögren's syndrome.
Categories:
Heart & cholesterol,
Cancer detection,
Price:
$308
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Cardiolipin Antibodies (IgA, IgG, IgM)
*Build Your Own Panel Eligible [?]
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$308
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Description:
- Checks for blood clot risk.
- Detects abnormal immune reactions.
- Assesses risk for autoimmune conditions.
Includes:
Cardiolipin Antibodies (IgA, IgG, IgM)
Categories:
Price:
$308
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Cardiolipin Antibodies (IgG, IgM)
*Build Your Own Panel Eligible [?]
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$304
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Description:
Cardiolipin antibodies (CA) are detected in a subgroup of patients with autoimmune disorders, particularly Systemic Lupus Erythematosus (SLE), who are at risk for vascular thrombosis, thrombocytopenia, cerebral infarct and/or recurrent spontaneous abortion. Elevations of CA associated with increased risk have also been seen in idiopathic thrombocytopenic purpura, rheumatoid and psoriatic arthritis, and primary Sjögren's syndrome.
Categories:
Price:
$304
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Cardiolipin Antibody (IgA)
*Build Your Own Panel Eligible [?]
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$222
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Description:
Cardiolipin antibodies (CA) are seen in a subgroup of patients with autoimmune disorders, particularly Systemic Lupus Erythematosus (SLE), who are at risk for vascular thrombosis, thrombocytopenia, cerebral infarct and/or recurrent spontaneous abortion. Elevations of CA associated with increased risk have also been seen in idiopathic thrombocytopenic purpura, rheumatoid and psoriatic arthritis, and primary Sjögren's syndrome.
Categories:
Price:
$222
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Cardiolipin Antibody (IgM)
*Build Your Own Panel Eligible [?]
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$222
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Description:
Cardiolipin antibodies (CA) are seen in a subgroup of patients with autoimmune disorders, particularly Systemic Lupus Erythematosus (SLE), who are at risk for vascular thrombosis, thrombocytopenia, cerebral infarct and/or recurrent spontaneous abortion. Elevations of CA associated with increased risk have also been seen in idiopathic thrombocytopenic purpura, rheumatoid and psoriatic arthritis and primary Sjögren's syndrome.
Categories:
Price:
$222
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Cardiometabolic Disease Assessment (CMDA) Panel
*Build Your Own Panel Eligible [?]
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$398
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Description:
This panel combines tests used in the diagnosis and management of cardiometabolic disease elements, including metabolic syndrome, prediabetes, diabetes, thyroid conditions, kidney, fatty liver, and cardiovascular disease risk. This panel can help identify the presence and progression of cardiometabolic disease by assessing metabolic state and downstream effects on the liver, kidneys, and heart.It is estimated that as many as 45% of Americans have a chronic disease; more than half of older adults have multiple chronic conditions [1]. The related chronic cardiometabolic conditions are characterized by initial stages that may remain clinically silent for years.Medical societies, like the American Heart Association, recognize the interrelated impacts of metabolic risk factors (ie, obesity and diabetes), chronic kidney disease, and cardiovascular disease, and the gap in early screening, prevention, and management of these chronic conditions [2,3]. Rising rates of metabolic dysfunction, obesity, and type 2 diabetes mellitus (T2DM) also contribute to increased prevalence of nonalcoholic fatty liver disease (NAFLD), also known as metabolic dysfunction-associated steatotic liver disease (MASLD) [4]. Thyroid health may either be impacted by or exacerbate cardiometabolic conditions, such as CHD, NAFLD, and CKD [5-8].The Cardiometabolic Disease Assessment Panel includes guideline-recommended testing that spans interrelated areas of cardiometabolic disease to determine the extent of metabolic dysfunction (glycemic control and advanced lipid assessment), identify whether thyroid health contributes to or is altered by metabolic dysfunction, and adverse impacts to heart, liver, and kidney function [9-13]. Identification of cardiometabolic disease presence can help implement personalized treatment strategies that can prevent or delay disease progression and related complications.The results of this test should be interpreted in the context of pertinent clinical and family history and physical examination findings.References1. Raghupathi W, et al. Int J Environ Res Public Health. 2018;15(3):431. doi:10.3390/ijerph150304312. Ndumele CE, et al. Circulation. 2023;148(20):1636-1664. doi.org/10.1161/CIR.00000000000011863. Khan SS, et al. Circulation. 2024;149(6):430-449. doi: 10.1161/CIRCULATIONAHA.123.0676264. Bril F, et al. J Clin Endocrinol Metab. 2021;106(11):e4360-e4371. doi:10.1210/clinem/dgab4175. Cappola AR, et al. Circulation. 2019;139(25):2892- 2909. doi.org/10.1161/circulationaha.118.0368596. Kalra S, et al. Diabetes Ther. 2019;10(6):2035-2044. doi:10.1007/s13300-019-00700-47. Mantovani A, et al. Thyroid. 2018;28(10):1270-1284. doi:10.1089/ thy.2018.02578. Iglesias P, et al. Rev Endocr Metab Disord. 2017;18(1):131-144. doi:10.1007/s11154-016-9395-79. Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes-2020. Diabetes Care. 2020;43(Suppl 1):S14-S31. doi: 10.2337/dc23-S00210 Arnett DK, et al. J Am Coll Cardiol. 2019. doi: 10.1161/CIR.000000000000067711. Cusi K, et al. Clinical Practice Guidelines. 2022;28(5):P528-562. doi:10.1016/j.eprac.2022.03.01012. Rinella NE, et al. Hepatology. 2023;77(5):1797-1835. doi:10.1097/HEP.000000000000032313. Kidney Disease: Improving Global Outcomes (KDIGO) CKD Work Group. Kidney Int. 2024;105(4S):S117-S314. doi:10.1016/j.kint.2023.10.018
Categories:
Price:
$398
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Cardiometabolic Risk Panel
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$246
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Includes:
C-Reactive Protein (CRP), High Sensitivity (Cardiac Risk Assessment)
Insulin-Like Growth Factor I (IGF-I).
Serum glucose.
**** Glucose, Serum is included in the Comprehensive Metabolic Profile (CMP), Chem Panel, and Kidney Panel.****
Lipid Panel: Cholesterol, total; high-density lipoprotein (HDL) cholesterol; low-density lipoprotein (LDL) cholesterol (calculated); triglycerides; Non-HDL Cholesterol (calculated).
Patient Instructions:
You should fast for 12-14 hours before collection of the specimen. Fasting is defined as no consumption of food or beverage other than water for at least 12-14 hours before testing.
Estimated turnaround for results is 7 business days. If confirmation testing is required, the estimated time may be extended.
Categories:
Price:
$246
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Careless Weed (Amaranthus palmeri) IgE
*Build Your Own Panel Eligible [?]
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$249
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Description:
This assay is used to detect allergen specific-IgE using the ImmunoCAP® FEIA method. In vitro allergy testing is the primary mode for allergy diagnosis.
Categories:
Price:
$249
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Carisoprodol and Metabolite, Serum, Plasma or Blood
*Build Your Own Panel Eligible [?]
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$367
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Description:
Test is for Therapeutic Drug Monitoring (scope: Carisoprodol and Meprobamate Metabolite).
Categories:
Price:
$367
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Carisoprodol Screen, with Confirmation, Urine
*Build Your Own Panel Eligible [?]
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$235
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Description:
Carisoprodol is a muscle relaxant often used in the treatment of back pain. The drug has some potential for abuse. This test will aid the physician in monitoring therapeutic compliance.
Categories:
Price:
$235
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Carnitine
*Build Your Own Panel Eligible [?]
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$445
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Description:
- Check why you feel low energy
- Assess how well your body recovers
- Evaluate muscle tiredness after daily activity
Patient Instructions:
Patient should be in a well-fed state
Categories:
Price:
$445
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Carnitine and Acylcarnitine
*Build Your Own Panel Eligible [?]
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$752
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Description:
A plasma acylcarnitine profile is one of the most powerful and accurate methods to diagnose inborn errors of fatty acid metabolism and organic acidemias. In newborn screening, newborns have sufficient free carnitine provided through the placenta from the mother to make acylcarnitine profiling alone sufficient to rule out these inborn errors. Unfortunately, after the newborn period, at the time of presentation and diagnosis, many patients with these disorders have become chronically depleted of free carnitine due to the inability to recycle esterified carnitine. In this situation, the acylcarnitine profile may be normal with all values in the lower end of the normal range despite the patient being affected with a disorder of fatty acid oxidation or an organic acidemia. Recently, we had just such a case with a patient known to have methylmalonic acidemia because of organic acid analysis who initially had a normal acylcarnitine profile. In such cases, a carnitine analysis would have shown extremely low free carnitine and very elevated carnitine esters and would have prompted carnitine supplementation of the patient followed by further periodic evaluations. As clinicians come to rely increasingly on acylcarnitine profiling to diagnose inborn errors of metabolism, it will be important to assay both carnitine (free and esterified) simultaneously with acylcarnitines for the initial evaluation of children for inborn errors of metabolism. This approach would prevent false negative results and false reassurance that could occur if acylcarnitines alone were ordered.
Categories:
Price:
$752
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Carnitine, Random, Urine
*Build Your Own Panel Eligible [?]
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$607
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Description:
- Check your fat metabolism efficiency
- Screen for unexplained muscle weakness
- Track energy levels over time
Categories:
Price:
$607
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Carob (f296) IgE
*Build Your Own Panel Eligible [?]
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$49
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Description:
This test detects the presence of specific IgE against carob. A positive test only indicates that a person is sensitized and potentially allergic to this allergen. A diagnosis of allergy requires clinical signs and symptoms that appear to be associated with exposure to the allergen in addition to the detection of markers of IgE sensitization [1].More specific information about this allergen can be found on the following website: https://www.thermofisher.com/phadia/us/en/resources/allergen-encyclopedia.htmlReference1. Bernstein IL, et al. Ann Allergy Asthma Immunol. 2008;100(3 Suppl 3):S1-S148.
Categories:
Price:
$49
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Carotene
*Build Your Own Panel Eligible [?]
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$110
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Description:
Carotene - Beta Carotene, a fat soluble nutrient, is a precursor to vitamin A. Deficiencies may lead to vitamin A deficiency. Excessive vitamin A intake may lead to headaches, loss of appetite, nausea and diarrhea, skin changes, and potential birth defects.
Significant deviations from the normal range may require further evaluation by your physician.
Includes:
Carotene
Alternative Name(s):
Beta-Carotene
Patient Instructions:
Overnight fasting is required.
Categories:
Fitness, nutrition, anti-aging,
General wellness,
Price:
$110
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Carrot (f31) IgE
*Build Your Own Panel Eligible [?]
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$49
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Description:
This test detects the presence of specific IgE against carrots. A positive test only indicates that a person is sensitized and potentially allergic to this allergen. A diagnosis of allergy requires clinical signs and symptoms that appear to be associated with exposure to the allergen in addition to the detection of markers of IgE sensitization [1].More specific information about this allergen can be found on the following website: https://www.thermofisher.com/phadia/us/en/resources/allergen-encyclopedia.htmlReference1. Bernstein IL, et al. Ann Allergy Asthma Immunol. 2008;100(3 Suppl 3):S1-S148.
Categories:
Price:
$49
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Casein (f78) IgE
*Build Your Own Panel Eligible [?]
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$58
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Description:
This test is an allergen-specific IgE antibody test that quantifies an individual’s IgE response to casein. It is an in vitro quantitative assay, which is intended to be used in conjunction with other clinical information to aid in the diagnosis of food allergy [1]. While allergen-specific serum IgE testing is considered comparable to skin testing in many instances, both the American Academy of Allergy, Asthma, and Immunology and the American College of Allergy, Asthma, and Immunology recognize that allergen-specific serum IgE testing may be preferred in some clinical situations. These include 1) the presence of widespread skin disease, 2) the recent use of antihistamines or other medications that can affect the results of allergy skin tests, 3) uncooperative patients, and 4) medical history suggesting that allergen skin testing would pose a significant risk for a serious allergic reaction [1]. Food-specific IgE tests are extremely sensitive. However, a positive test result only indicates that a patient is IgE sensitized to the food of concern. Many IgE-sensitized patients do not develop any symptoms when this food is ingested. A diagnosis of food allergy should only be made by a trained medical provider, after conducting a thorough clinical evaluation [2,3]. While food-specific IgE test results may contribute to that evaluation, they cannot replace it. In this regard, detection of food-specific IgE in serum provides evidence of IgE sensitization, but a history of clinical reactivity to the food of concern, is required to make a diagnosis of IgE-mediated food allergy. Moreover, several forms of food hypersensitivity are not associated with the presence of food-specific IgE in serum. More specific information about this allergen can be found at http://www.phadia.com/en/Products/Allergy-testing-products/ImmunoCAP-Allergen-Information/Food-of-Animal-Origin/Allergen-Components/nBos-d-8-Casein-Milk/ References 1. Bernstein IL, et al. Ann Allergy Asthma Immunol. 2008;100(suppl 3):S1-S148. 2. Sampson HA, et al. J Allergy Clin Immunol. 2014;134(5):1016-1025. 3. Boyce JA, et al. J Allergy Clin Immunol. 2010;126(6 suppl):S1-S58.
Categories:
Price:
$58
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Casein (f78) IgG
*Build Your Own Panel Eligible [?]
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$118
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Description:
- Check casein dairy sensitivity symptoms
- Detect delayed digestive reaction triggers
- Screen skin and bloating causes
Categories:
Price:
$118
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Casein IgG4
*Build Your Own Panel Eligible [?]
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$254
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Description:
- Detect dairy-related digestive discomfort causes
- Check immune response to milk protein
- Screen for hidden food sensitivity triggers
Categories:
Price:
$254
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Cashew IgG4
*Build Your Own Panel Eligible [?]
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$254
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Description:
The clinical utility of food-specific IgG4 tests has not been clearly established. Physicians sometimes use allergen- specific IgG4 to evaluate patients prior to or during immunotherapy. These tests can be used in special clinical situations. This test should only be ordered by physicians who recognize the limitations of the test.
Categories:
Price:
$254
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Cashew Nut Component
*Build Your Own Panel Eligible [?]
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$58
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Description:
Whole food allergen IgE tests are very sensitive but some patients with positive results do not have a true food allergy. Food component IgE tests offer more specific information that better predicts the likelihood that a true food allergy exists and other details of potential clinical relevance. A final food allergy diagnosis should always be based on a combination of IgE test results, a physical examination, and clinical history.
Categories:
Price:
$58
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