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Description: IgE-assays are the best-studied and most accepted serologic tests for evaluating food allergy status. However, some clinicians also use IgG tests when evaluating individuals for food allergies, sensitivities, or tolerance. Food-specific IgG is generally believed to be a normal physiological response to food exposures. Therefore, many professional organizations, including the American Academy of Allergy, Asthma & Immunology, the Canadian Society of Allergy and Clinical Immunology, and the European Academy of Allergy and Clinical Immunology, recommend against using IgG testing to diagnose food allergies or food intolerances/sensitivities [1-3]. We offer IgG food tests to support providers who use them in their evaluation of patients experiencing adverse reactions to foods. References: 1. AAAAI. https://www.aaaai.org/conditions-and-treatments/library/allergy-library/IgG-food-test. Accessed November 5, 2019. 2. Carr S, et al. Allergy Asthma Immunol. 2010;8:12. 3. Stapel SO, et al. Allergy. 2008;63:793-769.

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Price: $118

• Detects genetic cause of the syndrome
• Analyzes DNA for specific markers
• Identifies Prader-Willi or Angelman Syndrome

Includes:

Prader-Willi/Angelman Syndrome, DNA Methylation Analysis

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Price: $819

Description: For patients diagnosed with any of a number of chronic autoimmune disorders (such as rheumatoid arthritis, plaque psoriasis, IBD and others), this panel combines screening for HCV, HBV and latent TB, all of which are required before initiating therapy with biologics and/or biosimilars. It is important to identify whether latent infections are present as they can rapidly manifest themselves in an immunosuppressed patient.

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Price: $377

Description: For patients diagnosed with any of a number of chronic autoimmune disorders (such as rheumatoid arthritis, plaque psoriasis, IBD and others), this panel combines screening for HCV, HBV and latent TB, all of which are required before initiating therapy with biologics and/or biosimilars. It is important to identify whether latent infections are present as they can rapidly manifest themselves in an immunosuppressed patient.

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Price: $377

Description: Pregabalin is an anti-epileptic drug. It works by slowing down impulses in the brain that cause seizures. Pregabalin also affects chemicals in the brain that send signals across the nervous system. Pregabalin is used to control seizures and to treat fibromyalgia.

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Price: $452

Description:

During pregnancy, the body undergoes several changes, including hormonal fluctuations, changes in metabolism, and increased blood volume, which can all affect cognitive function. Many women report experiencing forgetfulness, difficulty concentrating, and mental fogginess during pregnancy, commonly referred to as “pregnancy brain fog”, "pregnancy brain",  or "mommy brain".

This cognitive impairment is often temporary and usually occurs during the first trimester and may persist throughout the pregnancy. If you’re unsure if your brain fog is related to pregnancy, or you’re already pregnant and are experiencing brain fog symptoms, this test can help you gather important information.

Includes:

Human Chorionic Gonadotropin (hCG) Quantitative, Serum

Estrogens, total

Progesterone, serum

Vitamin B12

Iron, serum

Ferritin, serum

Vitamin D, 25-OH, Total

Magnesium, serum

Hemoglobin (Hgb) A1c

Comprehensive Metabolic Profile ( includes eGFR ): Albumin, Albumin/Globulin Ratio (calculated), Alkaline Phosphatase, ALT, AST, BUN/Creatinine Ratio (calculated), Calcium, Carbon Dioxide, Chloride, Creatinine with GFR Estimated, Globulin (calculated), Glucose, Potassium, Sodium, Total Bilirubin, Total Protein, Urea Nitrogen

Complete Blood Count / CBC (includes Differential and Platelets): WBC, RBC, Hemoglobin, Hematocrit, MCV, MCH, MCHC, RDW, Platelet Count, MPV and Differential (Absolute and Percent - Neutrophils, Lymphocytes, Monocytes, Eosinophils, and Basophils)

Patient Instructions:

You should fast for 12 hours before collection of the specimen. Fasting is defined as no consumption of food or beverage other than water for at least 12 hours before testing. Specimens should be collected in the morning since iron values decrease by 30% during the course of the day and there can be significant interference from lipemia. In patients receiving therapy with high biotin doses (ie, > 5 mg/day), no sample should be taken until at least eight hours after the last biotin administration.

Estimated turnaround for results is 7 business days. If confirmation testing is required, the estimated time may be extended.

Categories: Specific blood tests for women,

Price: $294

Description: Determine the presence of hCG in patients with gestational trophoblastic disease; evaluate and monitor male patients with testicular tumors; follow up molar pregnancy. The quantitative hCG assay should be used for nonroutine detection of hCG (eg, ectopic pregnancy, threatened abortions, miscarriages, or very early pregnancy). hCG may reach detectable limits within 7-10 days of conception. hCG is produced by the placenta and reaches a peak between the 7th and 10th week of gestation.
hCG is a glycoprotein hormone produced by the syncytiotrophoblast of the placenta and secreted during normal pregnancy and with pathologic conditions such as hydatidiform mole, choriocarcinoma and testicular neoplasm.

A significant deviation from the normal range may require further evaluation by your physician.

Alternative Name(s):Human Chorionic Gonadotropin, Chorionic Gonadotropin, hCG

Includes:
hCG Quantitative, Serum.

Patient Instructions: No fasting needed.

Categories: Infertility blood testing, Specific blood tests for women,

Price: $66

Description: Pregnenolone levels tend to be elevated in several forms of CAH (congenital adrenal hyperplasia). Levels have been shown to be elevated in patients with idiopathic hirsutism.

A significant deviation from the normal range may require further evaluation by your physician.

Includes:
Pregnenolone, LC/MS

Patient Instructions: No fasting needed.

Categories: Hormones & metabolism,

Price: $228

Description: This panel identifies individuals at risk of having offspring with Cystic Fibrosis (the most common life-limiting autosomal recessive disease), Fragile X syndrome (the most common cause of inherited intellectual disability), and Spinal Muscular Atrophy (the second most common lethal autosomal recessive disease).

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Price: $1922

• Unveil hidden health issues before surgery
• Confirm your body's readiness for the procedure
• Highlight areas needing attention for a smooth recovery

Includes:

Complete Blood Count / CBC (includes Differential and Platelets): WBC, RBC, Hemoglobin, Hematocrit, MCV, MCH, MCHC, RDW, Platelet Count, MPV and Differential (Absolute and Percent - Neutrophils, Lymphocytes, Monocytes, Eosinophils, and Basophils)

Comprehensive Metabolic Profile (includes eGFR): Albumin, Albumin/Globulin Ratio (calculated), Alkaline Phosphatase, ALT, AST, BUN/Creatinine Ratio (calculated), Calcium, Carbon Dioxide, Chloride, Creatinine with GFR Estimated, Globulin (calculated), Glucose, Potassium, Sodium, Total Bilirubin, Total Protein, Urea Nitrogen

PT and PTT HIV 1/2 Antigen and Antibodies, Fourth Generation with confirmation testing on repeatedly reactive results.

Alternative Name(s)

Fourth Generation HIV

4th Generation HIV

Note: Confirmation testing is performed on reactive results only if initial values fall within a designated range requiring additional confirmation.

If HIV Antigen and Antibody, 4th Generation Screen is Repeatedly Reactive, HIV-1/2 Antibody Differentiation will be performed

If HIV-1/2 Antibody Differentiation is Indeterminate or Negative, HIV-1 RNA, Qualitative, Real-Time PCR will be performed

Color; appearance; specific gravity; pH; protein; glucose; occult blood; ketones; leukocyte esterase; nitrite; bilirubin; urobilinogen; microscopic examination of urine sediment.

Patient Instructions:

You should fast for 12 hours before collection of the specimen. Fasting is defined as no consumption of food or beverage other than water for at least 12 hours before testing.

Estimated turnaround for results is 3 business days. If confirmation testing is required, the estimated time may be extended.

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Price: $148

• Pinpoint the cause of any hidden issues
• Reveal underlying health conditions effortlessly
• Confirm your readiness for surgery confidently

Includes:

PT and PTT

Color, appearance, specific gravity, pH, protein, glucose, ketones, occult blood, leukocyte esterase, nitrite, bilirubin, and urobilinogen.

These tests are done on all routine urinalysis ordered and if protein, leukocyte, occult blood, nitrite, and turbidity are all negative, microscopic examination is not performed; just the above parameters are reported. (If results are abnormal test will reflex to include microscopic examination).

Complete Blood Count / CBC (includes Differential and Platelets): WBC, RBC, Hemoglobin, Hematocrit, MCV, MCH, MCHC, RDW, Platelet Count, MPV and Differential (Absolute and Percent - Neutrophils, Lymphocytes, Monocytes, Eosinophils, and Basophils)

hCG Quantitative, Serum.

HIV 1/2 Antigen and Antibodies, Fourth Generation with confirmation testing on repeatedly reactive results.

Alternative Name(s)

Fourth Generation HIV

4th Generation HIV

Note: Confirmation testing is performed on reactive results only if initial values fall within a designated range requiring additional confirmation.

If HIV Antigen and Antibody, 4th Generation Screen is Repeatedly Reactive, HIV-1/2 Antibody Differentiation will be performed

If HIV-1/2 Antibody Differentiation is Indeterminate or Negative, HIV-1 RNA, Qualitative, Real-Time PCR will be performed

Comprehensive Metabolic Profile (includes eGFR): Albumin, Albumin/Globulin Ratio (calculated), Alkaline Phosphatase, ALT, AST, BUN/Creatinine Ratio (calculated), Calcium, Carbon Dioxide, Chloride, Creatinine with GFR Estimated, Globulin (calculated), Glucose, Potassium, Sodium, Total Bilirubin, Total Protein, Urea Nitrogen

Patient Instructions:

You should fast for 12 hours before collection of the specimen. Fasting is defined as no consumption of food or beverage other than water for at least 12 hours before testing.

Estimated turnaround for results is 3 business days. If confirmation testing is required, the estimated time may be extended.

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Price: $171

Description: C. trachomatis infections are the leading cause of sexually transmitted diseases in the United States. C. trachomatis is known to cause cervicitis, pelvic inflammatory disease (PID), epididymitis and proctitis. It is also the most frequent cause of non-gonococcal urethritis in men. Among women, the consequences of Chlamydial infections are severe if left untreated. Approximately half of Chlamydial infections are asymptomatic. Neisseria gonorrhoeae (gonococci) is the causative agent of gonorrhea. In men, this disease generally results in anterior urethritis accompanied by purulent exudate. In women, the disease is most often found in the cervix, but the vagina and uterus may also be infected. This assay may be performed as part of an overall screening regimen for patients considering or who are currently taking HIV PrEP. Please refer to the "Preexposure Prophylaxis for the Prevention of HIV Infection in the United States - 2021 Update Clinical Practice Guideline" for additional information.

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Price: $96

Description: Serum creatinine is useful in the evaluation of kidney function and in monitoring renal dialysis. A serum creatinine result within the reference range does not rule out renal function impairment: serum creatinine is not sensitive to early renal damage since it varies with age, gender and ethnic background. The impact of these variables can be reduced by an estimation of the glomerular filtration rate using an equation that includes serum creatinine, age and gender.This assay may be performed as part of an overall screening regimen for patients considering or who are currently taking HIV PrEP. Please refer to the "Preexposure Prophylaxis for the Prevention of HIV Infection in the United States - 2021 Update Clinical Practice Guideline" for additional information.

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Price: $49

Description: This panel consists of the three tests recommended by the Centers for Disease Control and Prevention for screening for hepatitis B infection: 1) hepatitis B surface antigen (HBsAg); 2) antibody to hepatitis B surface antigen (anti-HBs); 3) total antibody to hepatitis B core antigen (anti-HBc). Low positive HBsAg samples will be confirmed by a HBsAg neutralization test. Reactive total anti-HBc samples will reflex to an anti-HBc IgM test.This panel can be ordered for universal HBV screening in all adults, including pregnant persons and patients who are at increased risk of acquiring HBV. Current guidelines recommend that asymptomatic adults be screened at least once for HBV. Periodic, repeat testing using this panel can be performed for individuals with appropriate risk factors.Reference: Conners EE, Panagiotakopoulos L, Hofmeister MG, et al. Screening and Testing for Hepatitis B Virus Infection: CDC Recommendations - United States, 2023. MMWR Recomm Rep. 023;72:1-25.This assay may be performed as part of an overall screening regimen for patients considering or who are currently taking HIV PrEP. Please refer to the "Preexposure Prophylaxis for the Prevention of HIV Infection in the United States - 2021 Update Clinical Practice Guideline" for additional information.

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Price: $123

Description: hCG may reach detectable limits within 7-10 days of conception. hCG is produced by the placenta and reaches a peak between the 7th and 10th week of gestation. hCG is a glycoprotein hormone produced by the syncytiotrophoblast of the placenta and secreted during normal pregnancy and with pathologic conditions such as hydatidiform mole, choriocarcinoma and testicular neoplasm. Order hCG, Total, Qualitative, Urine, if hCG serum result is inconsistent with clinical presentation.This assay may be performed as part of an overall screening regimen for patients considering or who are currently taking HIV PrEP. Please refer to the "Preexposure Prophylaxis for the Prevention of HIV Infection in the United States - 2021 Update Clinical Practice Guideline" for additional information.

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Price: $49

Description: Hepatitis C Virus (HCV) is a major cause of hepatitis. The clinical symptoms of an HCV infection are variable. Infection with HCV results in a chronic infection in 50 to 80% of cases. The "window" between HCV acquisition and seroreactivity is highly variable; up to six months.This assay may be performed as part of an overall screening regimen for patients considering or who are currently taking HIV PrEP. Please refer to the "Preexposure Prophylaxis for the Prevention of HIV Infection in the United States - 2021 Update Clinical Practice Guideline" for additional information.

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Price: $49

Description: This profile is for clinician determination of HIV status for PrEP provision for patients with recent or ongoing antiretroviral prophylaxis use. If the patient has taken oral PrEP within the last 3 months or has received cabotegravir in the past 12 months, then both an HIV Antibody/Antigen assay and an HIV-1 Qualitative Nucleic Acid Amplification test (NAAT) are indicated. Results are utilized to monitor patients who are HIV-1 negative and currently on oral or injectable PrEP and to inform ongoing patient management.Please refer to the U.S. Public Health Service "Preexposure Prophylaxis for the Prevention of HIV Infection in the United States - 2021 Update Clinical Practice Guideline" for additional information.

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Price: $379

Description: This test is used to diagnose HIV-1 and HIV-2 infection, including acute infection, and to differentiate HIV-1 from HIV-2. It is consistent with the HIV diagnostic algorithm recommended by the Centers for Disease Control and Prevention. This diagnostic algorithm is NOT intended for patients currently on PrEP as these patients require concurrent HIV Antigen/Antibody and HIV-1 RNA tests.If the HIV-1/HIV-2 Antigen/Antibody test is positive, an antibody-based HIV-1/HIV-2 test is performed (at additional charge) to confirm infection and differentiate between HIV-1 and HIV-2. If the antibody-based HIV-1/HIV-2 test is Negative or Indeterminate, an HIV-1 RNA test will be performed (at additional charge) to identify patients with acute, early HIV-1 infection.For determination of HIV status for patients who have taken oral PrEP within 3 months, or injectable PrEP within 12 months, please order PrEP HIV-1/2 Antigen and Antibodies, Fourth Generation, Screen and HIV-1 RNA.

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Price: $54

Description: This profile is for clinician determination of HIV status for PrEP provision for patients without recent or ongoing antiretroviral prophylaxis use who are considering initiating PrEP. If the patient has not taken oral PrEP within the last 3 months or has not received cabotegravir in the past 12 months, then current guidelines recommend screening with an HIV Antibody/Antigen test with reflex to confirmation. If an HIV exposure-prone event and signs and symptoms of acute HIV are reported within the prior 4 weeks and the antibody confirmation is negative or indeterminate, additional testing with an HIV-1 RNA assay on a new specimen is recommended to determine PrEP eligibility.Please refer to the U.S. Public Health Service "Preexposure Prophylaxis for the Prevention of HIV Infection in the United States - 2021 Update Clinical Practice Guideline" for additional information.

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Price: $54

Description: This assay is part of a multi-step algorithm for determination of HIV status in patients being considered for PrEP. In patients with negative or indeterminate HIV antibody results who have reported an HIV exposure-prone event and have had signs and symptoms of acute HIV within the prior 4 weeks, an HIV-1 Nucleic Acid Amplification test (NAAT) is recommended. The results of the algorithm are used to determine eligibility for PrEP in patients who have not taken oral PrEP within the last 3 months or have not received cabotegravir in the past 12 months.Please refer to the U.S. Public Health Service "Preexposure Prophylaxis for the Prevention of HIV Infection in the United States-2021 Update Clinical Practice Guideline" for additional information.

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Price: $359

Description: RPR is a nontreponemal (lipoidal antigen) test used to screen for syphilis. Positive RPR samples are reflexed to determine titer and to a confirmatory treponemal assay as part of the traditional algorithm. False positive results associated with various medical conditions, including other infections (e.g., HIV), autoimmune conditions, vaccinations, injecting drug use, pregnancy, and older age may occur with the RPR test.This assay may be performed as part of an overall screening regimen for patients considering or who are currently taking HIV PrEP. Please refer to the "Preexposure Prophylaxis for the Prevention of HIV Infection in the United States - 2021 Update Clinical Practice Guideline" for additional information.

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Price: $49

Description: This panel may be helpful in the diagnostic evaluation of individuals with suspected primary biliary cholangitis (PBC). This panel includes anti-mitochondrial antibody (AMA), with reflex to titer; an antinuclear antibody (ANA) immunofluorescence assay (IFA) screen, performed on human epithelial type 2 (HEp-2) cells, with reflex to titer and pattern; actin (smooth muscle) antibody (SMA; IgG); Sjogren antibodies (SSA, SSB); thyroid peroxidase (TPO) antibody; and liver kidney microsome type 1 (LKM-1) antibody (IgG).PBC can be diagnosed by fulfilling 2 of the 3 diagnostic criteria that comprise biochemical evidence, histologic evidence, and the presence of PBC-specific antibodies [1]. Presence of AMAs is the serologic hallmark of PBC and can be detected in approximately 95% of patients. ANAs are detected in 10% to 30% of patients with PBC. The presence of certain ANAs patterns including those associated with antibodies to sp100 or gp210 have diagnostic value, especially in AMA-negative PBC [1, 2].Other antibodies included in this panel may aid in differential diagnosis or identify concomitant autoimmune diseases. Antibodies to SSA and SSB are associated with Sjogren syndrome, an autoimmune disease frequently diagnosed in patients with PBC [1]. SMAs are present in most patients with type 1 autoimmune hepatitis (AIH) but can be detected in a range of other conditions, such as viral hepatitis, malignancies, rheumatic diseases, and nonalcoholic fatty liver disease. LKM-1 antibody is characteristic for type 2 AIH in the absence of hepatitis C. TPO antibodies are associated with autoimmune thyroid disease, which is common in patients with PBC [2]. Note that the presence of these antibodies does not confirm the coexistence of associated autoimmune diseases [1].The results of this test should be interpreted in the context of pertinent clinical and family history and physical examination findings.References1. Lindor KD, et al. Hepatology. 2019;69(1):394-419.2. Neuberger J, et al, eds. Autoimmune Liver Disease: Management and Clinical Practice. 1st ed. John Wiley & Sons Ltd, 2020

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Price: $722

• Checks your overall health
• Detects common illnesses early
• Monitors vital organ functions

Includes:

Comprehensive Metabolic Profile (includes eGFR): Albumin, Albumin/Globulin Ratio (calculated), Alkaline Phosphatase, ALT, AST, BUN/Creatinine Ratio (calculated), Calcium, Carbon Dioxide, Chloride, Creatinine with GFR Estimated, Globulin (calculated), Glucose, Potassium, Sodium, Total Bilirubin, Total Protein, Urea Nitrogen

Liver Function Panel

Insulin-Like Growth Factor I (IGF-I).

Amylase, Serum

Thyroglobulin Antibody (TAA or TgAb)

Cancer Antigen (CA) 125, Serum

Sex Hormone binding Globulin, Serum.

Tri-iodothyronine Free (FT3)

Parathyroid Hormone (PTH), Intact

Total Testosterone, Free (Dialysis) Testosterone (calculated)

Cortisol, Total

Creatine Kinase (CK), Total, serum.

Dehydroepiandrosterone (DHEA-s) Sulfate

Estradiol, serum.

Rheumatoid Factor (RA)

C-Reactive Protein (CRP)

Ferritin, serum.

Fibrinogen Activity

Folate (Folic Acid)

Follicle-Stimulating Hormone (FSH), Serum.

Gamma Glutamyl Transpeptidase (GGT)

Hemoglobin (Hgb) A1c

Prostate-Specific Antigen (PSA), Total

Urinalysis

Insulin.

Iron, serum.

Lactic Acid Dehydrogenase (LD)(LDH), serum.

Luteinizing Hormone (LH), Serum.

Magnesium, serum

Complete Blood Count / CBC (includes Differential and Platelets): WBC, RBC, Hemoglobin, Hematocrit, MCV, MCH, MCHC, RDW, Platelet Count, MPV and Differential (Absolute and Percent - Neutrophils, Lymphocytes, Monocytes, Eosinophils, and Basophils)

Heart Attack Risk Assessment: Apo A1 & Apo B

Serum phosphorus.

Prolactin, serum

Lipid Panel

Sedimentation Rate, Modified Westergren

Thyroxine Free, Immunoassay (FT4)

Thyroxine (T4) Total

Prothrombin Time (PT) (INR)

Thyroid-Stimulating Hormone (TSH)

Uric Acid, Serum

Vitamin B12

Vitamin D

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. Some tests in this panel may exhibit interference when sample is collected from a person who is consuming a supplement with a high dose of biotin (also termed as vitamin B7 or B8, vitamin H or coenzyme R). Patient should be cautioned to stop biotin consumption at least 72 hours prior to the collection of a sample. In patients receiving therapy with high biotin doses (ie, > 5 mg/day), no sample should be taken until at least eight hours after the last biotin administration. Folate assays of samples from patients receiving therapy with certain pharmaceuticals (eg, methotrexate or leucovorin), are contraindicated because of the cross-reactivity of folate binding protein with these compounds. For accurate test results, no ejaculation during the 24 hours preceding the test. Discuss discontinuing drugs causing increased uric acid concentration include diurectics, pyrazinamide, ethambutol, and nicotinic acid with your primary care physician before testing. Cortisol, Total assay not recommended when patient is on prednisone/prednisolone therapy due to cross reactivity with the antibody used in this assay. If using a testosterone cream please be sure you have not rubbed any into the antecubital area of your arm for the last 24 hours as it can give elevated results.

Estimated turnaround for results is 7 business days. If confirmation testing is required, the estimated time may be extended.

Categories: Allergy blood testing, Allergy blood testing, Allergy blood testing,

Price: $499

Description:

Our Prime Performance is our comprehensive men's testing package with the addition of the Prostate Cancer Profile, TSH and Testosterone Total LC/MS/MS (Total only) tests.

Actual Total Testosterone levels will be provided with this test for levels up to 10,000.

Significant deviations from the normal range may require further evaluation by your physician.

Please Note: If this panel is ordered by a female, due to ordering restrictions on certain tests, the PSA test will not be included on the requisition and will not be performed.

Includes:
C-Reactive Protein (CRP), High Sensitivity (Cardiac Risk Assessment)
Complete Blood Count / CBC (includes Differential and Platelets): WBC, RBC, Hemoglobin, Hematocrit, MCV, MCH, MCHC, RDW, Platelet Count, MPV and Differential (Absolute and Percent - Neutrophils, Lymphocytes, Monocytes, Eosinophils, and Basophils)
Comprehensive Metabolic Profile ( includes eGFR ): Albumin, Albumin/Globulin Ratio (calculated), Alkaline Phosphatase, ALT, AST, BUN/Creatinine Ratio (calculated), Calcium, Carbon Dioxide, Chloride, Creatinine with GFR Estimated, Globulin (calculated), Glucose, Potassium, Sodium, Total Bilirubin, Total Protein, Urea Nitrogen
Iron, Serum w/ TIBC: Total Iron, Iron Binding Capacity, % Saturation (calculated)
Lipid Profile: Cholesterol, total; high-density lipoprotein (HDL) cholesterol; low-density lipoprotein (LDL) cholesterol (calculated); triglycerides; Non-HDL Cholesterol (calculated)
Prostate-Specific Antigen (PSA), Free and Total
Testosterone Total LC/MS/MS: This testosterone test will also provide results when the total testosterone value is >1500 but <10,000.
Thyroid-Stimulating Hormone (TSH)
Urinalysis, Complete Profile: Color; appearance; specific gravity; pH; protein; glucose; occult blood; ketones; leukocyte esterase; nitrite; bilirubin; urobilinogen; microscopic examination of urine sediment.

Patient Instructions:

Patient should fast for 12-14 hours before collection of the specimen. Specimens should be collected in the morning since iron values decrease by 30% during the course of the day and there can be significant interference from lipemia. For accurate test results, no ejaculation during the 24 hours preceding the test. If using a testosterone cream please be sure you have not rubbed any into the antecubital area of your arm for the last 24 hours as it can give elevated results.

Categories: General wellness, Specific blood tests for men, Fitness, nutrition, anti-aging, Allergy blood testing,

Price: $211

• Check seizure medication blood levels
• Monitor treatment dose effectiveness
• Track drowsiness and side effect risks

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Price: $313

Description: This test quantifies an individual's IgE response to privet. Allergen-specific serum IgE testing is considered comparable to skin testing and may be preferred in some clinical situations. However, a positive test result only indicates that a patient is sensitized to the allergen of concern. Many IgE-sensitized individuals do not develop any symptoms when exposed to the allergen. A diagnosis of allergy should only be made by a trained medical provider after conducting a thorough clinical evaluation [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.

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Price: $49

Description:

This panel has been designed for bodybuilders who want to take their performance to the next level. If this is you, you’re in the right place.

Get insights you need to maximize gains and optimize your physique while watching out for potential hormone imbalances and safety alarms. Our panel analyzes important biomarkers like free and total testosterone, IGF-1, DHEA-s, estradiol ultrasensitive, SHBG, and GGT to help you fine-tune your training, diet & supplements for optimal results.

Includes:

Comprehensive Metabolic Profile (includes eGFR): Albumin, Albumin/Globulin Ratio (calculated), Alkaline Phosphatase, ALT, AST, BUN/Creatinine Ratio (calculated), Calcium, Carbon Dioxide, Chloride, Creatinine with GFR Estimated, Globulin (calculated), Glucose, Potassium, Sodium, Total Bilirubin, Total Protein, Urea Nitrogen

Insulin-Like Growth Factor I (IGF-I).

Estradiol, Ultrasensitive, LC/MS/MS

Sex Hormone binding Globulin, Serum.

Total Testosterone, Free (Dialysis) Testosterone (calculated)

Dehydroepiandrosterone (DHEA-s) Sulfate

Gamma Glutamyl Transpeptidase (GGT)

Luteinizing Hormone (LH), Serum.

Complete Blood Count / CBC (includes Differential and Platelets): WBC, RBC, Hemoglobin, Hematocrit, MCV, MCH, MCHC, RDW, Platelet Count, MPV and Differential (Absolute and Percent - Neutrophils, Lymphocytes, Monocytes, Eosinophils, and Basophils)

Prolactin, serum

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. Some tests in this panel may exhibit interference when sample is collected from a person who is consuming a supplement with a high dose of biotin (also termed as vitamin B7 or B8, vitamin H or coenzyme R). If using a testosterone cream please be sure you have not rubbed any into the antecubital area of your arm for the last 24 hours as it can give elevated results. Patient should be cautioned to stop biotin consumption at least 72 hours prior to the collection of a sample.

Estimated turnaround for results is 10 business days. If confirmation testing is required, the estimated time may be extended.

Categories: Hormones & metabolism, Fitness, nutrition, anti-aging,

Price: $328

Description: Procainamide is used to treat a variety of atrial and ventricular arrhythmias. Metabolism of procainamide produces an active metabolite N-Acetylprocainamide (NAPA). The concentration of both procainamide and NAPA levels are monitored to assure adequate therapeutic levels of procainamide are achieved and to avoid toxicity.

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Price: $230

Description:

Intact N-terminal propeptide of type I procollagen is useful in the management of osteoporosis and monitoring bone formation therapies and antiresorptive therapies.

Includes:

Procollagen Type I Intact N Terminal Propeptide

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Price: $321

Description: Profilins are found in pollens from trees, grasses, weeds, fruits, vegetables, nuts, spices, and latex. IgE reactivity to profilins contributes significantly to IgE cross-reactivity between trees, grasses, and weeds. Since profilins are also known to be heat and protease sensitive, profilin specific IgE is an important trigger for oral allergy syndrome: A mild, short lived, oral reaction, occurring immediately after the ingestion of raw fruits, vegetables, and nuts. This syndrome is more commonly seen in pollen allergic patients than in patients with true food allergies.

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Price: $60

Description: Progesterone is a hormone naturally secreted by the ovary during the menstrual cycle. The Progesterone Test is used to measure ovarian function and can determine if a woman has ovulated and when the ovulation occurred. Levels increase sharply during the luteal phase of the menstrual cycle. The level increases from 9 to 32 weeks of pregnancy.

In males, progesterone increases levels of testosterone in your body and enhances its effects. It also reduces estrogen and its effects.

A significant deviation from the normal range may require further evaluation by your physician.

Includes:
Progesterone, serum.

Patient Instructions: No fasting needed.

Categories: Specific blood tests for women, Hormones & metabolism,

Price: $75

• Checks hormone levels for pregnancy health.
• Measures progesterone for ovulation timing.
• Monitors fertility treatment effectiveness.

Patient Instructions: No fasting needed.

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Price: $297

Description: The presence of progesterone receptors in tumor tissue cells is used to select drug therapy, especially in women with breast carcinoma.

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Price: $501

• Check tissue samples for hormone receptors
• Screen biopsy results after tumor detection
• Assess progesterone sensitivity in tissue

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Price: $370

Description:

Proinsulin is used to diagnose insulinomas and to monitor therapy in patients with insulinomas.

Patient Instructions:

Overnight fasting is required

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Price: $438

Description:

Measures the level of prolactin hormone, crucial for lactation, reproductive health & mood regulation. 

Both men and women typically have low prolactin levels.

In men, high levels can interfere with testosterone production.

In postpartum women, it stimulates & sustains lactation. Levels surge during pregnancy and breastfeeding, but they can also fluctuate due to exercise, stress, or sleep, highlighting the dynamic nature of this hormone.

The prolactin test also serves as a tool for detecting abnormalities such as pituitary gland tumors, which can lead to excessive prolactin production. Therefore, the test also aids in identifying underlying conditions that may require attention.

Includes:
Prolactin, serum

Patient Instructions: Overnight fasting is preferred. Fasting is defined as no consumption of food or beverage other than water for at least 8 - 10 hours before testing.

Categories: Hormones & metabolism,

Price: $53

• Checks hormone levels for breastfeeding.
• Examines hormone linked to milk production.
• Measures hormone affecting fertility.

Includes:

Prolactin, Dilution

Categories:

Price: $360

• Measures hormone related to milk production
• Checks for hormone imbalance
• Detects causes of irregular periods

Includes:

Prolactin, Total and Monomeric

Categories:

Price: $381

Description: Propafenone is a cardiac drug for treating ventricular arrhythmias. Therapeutic drug monitoring is important to optimize dose, to assure compliance, and to avoid toxicity.

Categories:

Price: $301

Description: Prostatitis is swelling and tenderness of the prostate gland. It is a common problem in men. The prostate gland is a doughnut-shaped gland located between the base of the penis and the bladder. The average prostate is about the size of a small peach. It surrounds the urethra, which is the tube through which urine and semen pass. The prostate makes the fluid that nourishes and carries sperm.

Significant deviations from the normal range may require further evaluation by your physician.

Please Note: If this panel is ordered by a female, due to ordering restrictions on certain tests, the PSA test will not be included on the requisition and will not be performed.

Includes:
Complete Blood Count w/ Differential: WBC, RBC, Hemoglobin, Hematocrit, MCV, MCH, MCHC, RDW, Platelet Count, MPV and Differential (Absolute and Percent - Neutrophils, Lymphocytes, Monocytes, Eosinophils, and Basophils)
Prostate-Specific Antigen (PSA)
Urinalysis, Complete Profile: Color; appearance; specific gravity; pH; protein; glucose; occult blood; ketones; leukocyte esterase; nitrite; bilirubin; urobilinogen; microscopic examination of urine sediment.

Patient Instructions: For accurate test results, no ejaculation during the 24 hours preceding the test.

Categories: Specific blood tests for men, Cancer detection,

Price: $91

Description:

Measures both total & free prostate-specific antigen (PSA) levels in your body, offering insights into prostate health and potential risks for conditions like prostate cancer.

It can help track changes and detect potential concerns early, ensuring proactive steps can be taken for a healthy prostate. 

Please note: This test is exclusively for male clients. The PSA test will not be included in the lab order & will not be performed if ordered by a woman.

Includes:
Total PSA, Free PSA, % Free PSA (calculated)

Patient Instructions: For accurate test results, no ejaculation during the 24 hours preceding the test.

Categories: Specific blood tests for men, General wellness,

Price: $93

Description: Prostate-specific antigen (PSA) is a glycoprotein produced by the epithelial cells lining the prostatic ducts and acini. Normally, it is secreted into the prostatic ducts and is present only in prostate tissue, prostatic fluid, and seminal plasma. PSA is produced by normal, hyperplastic, and cancerous prostatic tissue. PSA is used as a tumor marker for the early detection of prostate cancer and in other areas of prostate disease management. Elevated serum PSA concentrations have been reported in men with prostate cancer, benign prostatic hypertrophy, and inflammatory conditions of the prostate.
The Prostate-Specific Antigen Best Practice Statement: 2009 Update published by the American Urologic Association describes the use of PSA testing for:

• The evaluation of men at risk for prostate cancer
• Assistance in pretreatment staging
• Risk assessment posttreatment monitoring
• Use as a guide in management of men who recur after primary or secondary therapy

Includes:
Prostate-Specific Antigen (PSA), Total

Patient Instructions: For accurate test results, no ejaculation during the 24 hours preceding the test.

Categories: Cancer detection, Specific blood tests for men,

Price: $53

Description: This test is intended for use as an aid in the management of patients following surgical or medical treatment for prostate cancer. For post-prostatectomy patients. The lower limit of accurate quantification for this assay is 0.02 ng/mL. PSA values less than 0.02 ng/mL cannot be accurately measured and will be reported as less than 0.02 ng/mL. Specimens with PSA levels below the lower limit of accurate quantification should be considered as negative. In patients with a negative result for post-prostatectomy PSA, serial monitoring of PSA levels at regular intervals, along with physical examinations and other tests, may help to detect recurrent prostate cancer.

A significant deviation from the normal range may require further evaluation by your physician.

Please Note: This test is for male clients only, due to ordering restrictions on certain tests, the PSA test will not be included on the requisition and will not be performed when ordered by females.

Includes:
PSA, Post Prostatectomy (Ultrasensitive)

Patient Instructions: PSA sampling should not be performed for at least 6 weeks after prostatic biopsy. For best results no ejaculation for 24 hours before submitting specimen.

Categories: Cancer detection, Specific blood tests for men,

Price: $113

Description: Pathologic evaluation of prostate cancer can be challenging, especially when there is a small focus of cancer. Because benign prostate glands contain basal cells, while cancerous glands do not, differential staining of basal cells in the prostate may be useful for diagnosis. This test uses a combination of several antibodies (applied to a single slide) that differentially stain for basal cells and neoplastic cells in the prostate: P504S stains prostate adenocarcinoma, whereas p63 and the high molecular weight cytokeratins stain benign prostate basal epithelial tissue. This combination may help differentiate prostate cancer from precancerous lesions such as prostatic intraepithelial neoplasia (PIN), especially when tissue is limited.

Categories:

Price: $442

Description: Pathologic evaluation of prostate cancer can be challenging, especially when there is a small focus of cancer. Because benign prostate glands contain basal cells, while cancerous glands do not, differential staining of basal cells in the prostate may be useful for diagnosis. This test uses a combination of several antibodies (applied to a single slide) that differentially stain for basal cells and neoplastic cells in the prostate: P504S stains prostate adenocarcinoma, whereas p63 and the high molecular weight cytokeratins stain benign prostate basal epithelial tissue. This combination may help differentiate prostate cancer from precancerous lesions such as prostatic intraepithelial neoplasia (PIN), especially when tissue is limited.

Categories:

Price: $370

Description: High concentrations of acid phosphatase are found in the prostate gland. Significant amounts are also found in platelets, bone, spleen, kidney and liver. Prostatic Acid Phosphatase (PAP) is a component of total acid phosphates and is a major constituent in seminal fluid and is also secreted in the urine. PAP is normally found in serum in very low levels. PAP measurement has found clinical application in the management of prostatic cancer patients. Serum PAP measurements have been useful in monitoring remission or relapse of a prostatic malignancy and in assessing the effectiveness of various treatment regimes. Thus, normalization in serum PAP levels has been observed following successful therapeutic intervention, while recurrent or residual disease has been associated with elevated levels of PAP.

Significant deviations from the normal range may require further evaluation by your physician.

Includes: Prostatic Acid Phosphatase (PAP), Serum

Patient Instructions: Samples must be obtained before rectal examination, biopsy, prostatectomy or prostatic massage, since manipulating the prostate gland may lead to elevated PAP levels persisting up to 24-48 hours.

Estimated turnaround for results is 5 business days.

Categories: Cancer detection, Specific blood tests for men,

Price: $97

Description: Autoimmune vasculitis diseases are characterized by abnormal immune responses that result in inflammation and necrosis of blood vessels. The immune dysfunction may be triggered by infection, autoimmune disease, or exposure to a drug; often the cause is unknown. ANCA-associated vasculitis diseases are often characterized by the size of the blood vessels involved. The diseases present with diverse clinical features and are often rapidly progressive, causing irreversible injury to the vessels of the organs affected, such as the kidneys and lungs. Goodpasture's Syndrome, first described by Ernest Goodpasture in 1919, is characterized today by the triad of diffuse lung hemorrhage, proliferative nephritis and the presence of anti-GBM autoantibodies, which are present as linear deposits along the glomerular and alveolar basement membranes, and as circulating antibodies.

Categories:

Price: $253

Description:

This test assesses how well Protein C, a natural anticoagulant, is functioning in your blood. Reduced activity can lead to a higher risk of forming harmful blood clots.

Categories: Blood and blood diseases,

Price: $429

Description: Aids in characterization of protein C deficiency. Type I deficiency is characterized by reduction in activity (functional) and antigen levels. With type II deficiency (dysfunctional protein), antigen levels may be normal and activity levels are decreased. Acquired deficiencies may occur with vitamin K antagonists/deficiency, liver disease, malignancy, consumptive DIC, surgery, trauma, and hepatic immaturity of the newborn. Drug therapy with L-asparaginase or fluorouracil can also reduce Protein C antigen levels.Anticoagulant interference: Expected impact by therapeutic levels (potential interference depends upondrug concentration): Vitamin K Antagonists (eg. coumadin): decrease; Heparin (UFH or LMWH): no effect to falsely increased activity levels at higher levels; Dabigatran or Argatroban (Direct Thrombin Inhibitors): may falsely increase activity; Rivaroxaban, Apixaban, Edoxaban (Factor Xa Inhibitors): may falsely increase activity.

Categories:

Price: $806

Description: Aids in characterization of protein C deficiency. Type I deficiency is characterized by reduction in activity (functional) and antigen levels. With type II deficiency (dysfunctional protein), antigen levels may be normal and activity levels are decreased. Acquired deficiencies may occur with vitamin K antagonists/deficiency, liver disease, malignancy, consumptive DIC, surgery, trauma, and hepatic immaturity of the newborn. Drug therapy with L-asparaginase or fluorouracil can also reduce Protein C antigen levels.Anticoagulant interference: Expected impact by therapeutic levels (potential interference depends upon drug concentration): Vitamin K Antagonists (eg coumadin): decrease; Heparin (UFH or LMWH): no effect to falsely increased activity levels at higher levels; Dabigatran or Argatroban (Direct Thrombin Inhibitors): may falsely increase activity; Rivaroxaban, Apixaban, Edoxaban (Factor Xa Inhibitors): may falsely increase activity.

Categories:

Price: $455