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Description: A pathogenic variant identified in TSC1 or TSC2 is consistent with a diagnosis of tuberous sclerosis complex (TSC). Individuals with TSC have a significantly elevated risk to develop multiple types of tumors, including those of the brain, heart, lungs, kidneys and skin. Individuals also have a 2-4% lifetime risk to develop renal cell carcinoma. Additional features of TSC include neurological sequelae, such as seizures and an elevated prevalence of autism spectrum disorders and other TSC-associated neuropsychiatric disorders.

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Price: $2550

Description: The Tumor Marker Panel for Females contains tests which are intended to detect the presence of cancer throughout the body.

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

Includes:
Alpha-Fetoprotein (AFP), Serum, Tumor Marker
Beta-2 Microglobulin, Serum
CA-125 (Ovarian Cancer Test)
Cancer Antigen (CA) 15-3
Carbohydrate Antigen (CA) 19-9
Carcinoembryonic Antigen (CEA)

Estimated turnaround for results is 5 business days. If confirmation testing is required the estimated time may be extended.

Categories: Cancer detection,

Price: $292

Description:
Please Note: If this panel is ordered by a female, due to ordering restrictions on certain tests, the PSA (Prostate-Specific Antigen) test will not be included on the requisition and will not be performed.
The Tumor Marker Panel for Males contains tests which are intended to detect the presence of cancer throughout the body.

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

Includes:
Alpha-Fetoprotein (AFP), Serum, Tumor Marker
Beta-2 Microglobulin, Serum
Carbohydrate Antigen (CA) 19-9
Carcinoembryonic Antigen (CEA)
Prostate-Specific Antigen (PSA)

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

Categories: Cancer detection,

Price: $218

• Pinpoint early signs of tumor growth
• Reveal hidden cancer markers effortlessly
• Clarify your treatment progress accurately

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

C-Reactive Protein (CRP), High Sensitivity (Cardiac Risk Assessment)

Lactic Acid Dehydrogenase (LD)(LDH), serum

Gamma Glutamyl Transpeptidase (GGT)

Sedimentation Rate, Modified Westergren

Alpha-Fetoprotein (AFP), Serum

Carcinoembryonic Antigen (CEA)

CA 19-9

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 4 business days. If confirmation testing is required, the estimated time may be extended.

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Price: $246

Description: The Tumor Mutation Burden (TMB) assay is intended to be used as an aid in predicting response to immuno-oncology therapies among patients with advanced solid tumor malignancies. Higher somatic TMB has been associated with improved survival in patients receiving immune checkpoint inhibitor therapy across a wide variety of cancer types. The FDA has approved Pembrolizumab therapy as treatment for patients with metastatic solid tumors using TMB as a biomarker. Clinical trials may be available for patients with high TMB in certain solid tumors.

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Price: $2550

• Measures inflammation levels in blood.
• Checks immune response activity.
• Detects inflammation-related health issues.

Includes:

Tumor Necrosis Factor-Alpha, Highly Sensitive

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Price: $454

• Screen for hidden long-term inflammation risks
• Detect possible triggers for ongoing tiredness
• Monitor body changes linked to joint pain

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Price: $454

Description: This test detects the presence of specific IgE against tuna. 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.

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Price: $49

• Check tungsten metal exposure levels
• Monitor workplace chemical exposure risks
• Screen for industrial metal buildup

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Price: $406

Description: This test quantifies an individual’s IgE response to turkey feathers. 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 allergic diseases [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]. A definitive clinical diagnosis of allergy should not be based on the results of any single diagnostic method, but should be made by a trained healthcare professional after all clinical and laboratory findings have been evaluated. More specific information about this allergen can be found at http://www.phadia.com/en/products/allergy-testing-products/immunocap-allergen-information/epidermals-and-animal-proteins/allergens/turkey-feathers/ Reference 1. Bernstein IL, et al. Ann Allergy Asthma Immunol. 2008;100(suppl 3):S1-S148.

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Price: $49

Description: This test quantifies an individual’s IgE response to turkey meat. 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/Fowl/Turkey-meat/ 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.

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Price: $49

Description: This test detects the presence of specific IgE against Tyrophagus putrescentiae. 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.

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Price: $49

• Check tyrosine levels linked to energy
• Screen for focus and mood issues
• Assess thyroid hormone building blocks

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Price: $327

Description: Antibodies against natalizumab (Tysabri) are found in 4.5% to 14.1% of natalizumab-treated multiple sclerosis patients.

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Price: $1028

Description: The Urinalysis Profile screens for a variety of conditions including urinary bladder disease, kidney disease and diabetes. Many systemic illnesses can affect results and significant deviations from the normal range may require further evaluation by your physician.

Includes:
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).

Categories: General wellness, Fitness, nutrition, anti-aging, Kidney diseases,

Price: $54

Description: This test is intended to identify patients who may have Gilbert syndrome and those who are at increased risk for Irinotecan toxicity.

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Price: $772

Description:

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

Includes:
C-Reactive Protein (CRP), High Sensitivity (Cardiac Risk Assessment)
Lipid Panel, Advanced, Cardio IQ: 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, then 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.

Estimated turnaround for results is 5 business days. If confirmation testing is required, the estimated time may be extended.

Categories: General wellness,

Price: $330

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

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)
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.

Estimated turnaround for results is 4 business days.

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

Price: $169

Description: The Ultimate Cancer Profile is a group of tests that is performed to look for signs of cancer or to see if you are likely to develop cancer. Screening tests that look for cancer are called early detection tests. Screening tests that show cancer is likely to develop are called preventive screening.

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

Includes:
CA-125 (Ovarian Cancer Test)
Cancer Antigen (CA) 15-3
Carbohydrate Antigen (CA) 19-9
Carcinoembryonic Antigen (CEA)
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
C-Reactive Protein (CRP), High Sensitivity (Cardiac Risk Assessment)
Iron, Serum
Kidney Function Profile: Albumin, BUN/Creatinine Ratio (calculated), Calcium, Carbon Dioxide, Creatinine, Estimated Glomerular Filtration Rate (calculated), Glucose, Phosphate (as Phosphorus), Potassium, Sodium, Urea Nitrogen
Liver Function Profile:Alanine aminotransferase (ALT/SGPT); albumin, serum; alkaline phosphatase, serum; aspartate aminotransferase (AST/SGOT); bilirubin, direct; bilirubin, total; protein, total, serum
Sedimentation Rate, Modified Westergren
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 hours preceding collection of 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. 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 5 business days. If confirmation testing is required the estimated time may be extended.

Categories: Cancer detection, Specific blood tests for women,

Price: $289

Description: The Lipid Profile will provide you with detailed information about your cholesterol and related chemistries that affect heart health. The Ultimate Healthy Heart Cholesterol Profile is our regular Lipid Profile with the addition of cardiac c-reactive protein (CRP).

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

Includes:
C-Reactive Protein (CRP), High Sensitivity (Cardiac Risk Assessment)
Lipid Panel: Cholesterol, total; high-density lipoprotein (HDL) cholesterol; low-density lipoprotein (LDL) cholesterol (calculated); triglycerides; Non-HDL Cholesterol (calculated)

Patient Instructions: Patient should fast for 9-12 hours prior to collection of the specimen. Fasting is defined as no consumption of food or beverage other than water for at least 9-12 hours before testing.

Categories: Heart & cholesterol, Heart health packages, General wellness,

Price: $103

Description:

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

Includes:

C-Reactive Protein (CRP), High Sensitivity (Cardiac Risk Assessment)

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

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)

Total Iron, 

Iron Binding Capacity, 

% Saturation (calculated)

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: 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. " 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. 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.

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

Categories: General wellness,

Price: $670

Description:
Please Note: If this panel is ordered by a female, due to ordering restrictions on certain tests, the PSA (Prostate-Specific Antigen) test will not be included on the requisition and will not be performed.
The Ultimate Cancer Profile is a group of tests that are performed to look for signs of cancer or to see if you are likely to develop cancer. Screening tests that look for cancer are called early detection tests. Screening tests that show cancer is likely to develop are called preventive screening.

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

Includes:
Carbohydrate Antigen (CA) 19-9
Carcinoembryonic Antigen (CEA)
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
C-Reactive Protein (CRP), High Sensitivity (Cardiac Risk Assessment)
Iron, Serum
Kidney Function Profile: Albumin, BUN/Creatinine Ratio (calculated), Calcium, Carbon Dioxide, Creatinine, Estimated Glomerular Filtration Rate (calculated), Glucose, Phosphate (as Phosphorus), Potassium, Sodium, Urea Nitrogen
Liver Function Profile:Alanine aminotransferase (ALT/SGPT); albumin, serum; alkaline phosphatase, serum; aspartate aminotransferase (AST/SGOT); bilirubin, direct; bilirubin, total; protein, total, serum
Prostate-Specific Antigen (PSA), Free and Total: Total PSA, Free PSA, % Free PSA (calculated)
Sedimentation Rate, Modified Westergren
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 hours preceding collection of 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. Fasting is defined as no consumption of food or beverage other than water for at least 12 hours before testing. For accurate test results, no ejaculation during the 24 hours preceding the test.

Categories: Cancer detection, Specific blood tests for men,

Price: $272

Description: A comprehensive general wellness panel including lipids, diabetes, liver, kidneys, thyroid, minerals, electrolytes and other areas of health wellness, with the addition of Vitamin D.

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

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
Ferritin, Serum
Gamma Glutamyl Transpeptidase (GGT)
Hemoglobin (Hgb) A1c
Insulin, Fasting
Iron, Serum w/ TIBC
Lactic Acid Dehydrogenase (LD) (LDH)
Lipid Panel with Ratios: Total Cholesterol, HDL Cholesterol, Triglycerides, LDL-Cholesterol (calculated), Cholesterol/HDL Ratio (calculated), LDL/HDL Ratio (calculated), Non-HDL Cholesterol (calculated)
Liver Function Profile: Alanine aminotransferase (ALT/SGPT); albumin, serum; alkaline phosphatase, serum; aspartate aminotransferase (AST/SGOT); bilirubin, direct; bilirubin, total; protein, total, serum
Magnesium, RBC
Phosphate (as Phosphorus)
Thyroid Profile w/ TSH: T3 Uptake; T4 (Thyroxine), Total; Free T4 Index (T7); Thyroid-Stimulating Hormone (TSH)
Uric Acid, Serum (Gout Test)
Urinalysis Complete Profile: Color; appearance; specific gravity; pH; protein; glucose; occult blood; ketones; leukocyte esterase; nitrite; bilirubin; urobilinogen; microscopic examination of urine sediment.
Vitamin D, 25-Hydroxy LC/MS/MS: Vitamin D, 25-OH, Total; Vitamin D, 25-OH, D3; Vitamin D, 25-OH, D2

Patient Instructions: Fast for 12-14 hours prior to specimen collection. 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. Discuss discontinuing drugs causing increased uric acid concentration include diurectics, pyrazinamide, ethambutol, and nicotinic acid with your primary care physician before testing. Patient should refrain from taking vitamins, or mineral herbal supplements for at least one week before sample collection. 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. You should always consult the physician prescribing your medication before you stop taking the medication for any reason, including taking lab tests.

Estimated turnaround for results is 5 business days.

Categories: General wellness, Fitness, nutrition, anti-aging, Diabetes blood testing, Heart & cholesterol,

Price: $345

Description:

When the numbers on the scale change without rhyme or reason, we understand it can be frustrating and confusing. If this is your case, our Unexpected Weight Loss Check is a deep dive to scan for abnormal signs.

Through this in-depth science-backed blood analysis, you can look further into the intricacies of your body's workings to offer valuable information for a more comprehensive approach. Stop guessing and start testing.

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

Lipid Profile: Cholesterol, total; high-density lipoprotein (HDL) cholesterol; low-density lipoprotein (LDL) cholesterol (calculated); triglycerides; Non-HDL Cholesterol (calculated).

Thyroid Profile w/ TSH: T3 Uptake; T4 (Thyroxine), Total; Free T4 Index (T7); Thyroid-Stimulating Hormone (TSH)

C-Reactive Protein (CRP), High Sensitivity (Cardiac Risk Assessment)

Vitamin D, 25-OH, Total; Vitamin D, 25-OH, D3; Vitamin D, 25-OH, D2

Ferritin, serum

Insulin

Hemoglobin (Hgb) A1c

Total Testosterone, Free (Dialysis) Testosterone (calculated)

Estradiol, Ultrasensitive, LC/MS/MS

Cortisol, Total

Follicle-stimulating Hormone (FSH) and Luteinizing Hormone (LH)

ANA Screen IFA w/ Ref to Titer and Pattern

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

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Price: $426

Description: Exposure Monitoring/Investigation

Categories:

Price: $406

Description: This test estimates urea clearance based on the measurements of urea nitrogen levels in a blood specimen and a 24-hour urine specimen [1]. Urea clearance may be helpful in screening for chronic kidney disease and predicting glomerular filtration rate (GFR) in patients with advanced kidney dysfunction [1].Urea is the main nitrogen-containing product of protein breakdown, and approximately 90% of the urea excretion is through the kidneys. In individuals with normal kidney function, urea clearance is roughly half of creatinine clearance owing to tubular back-diffusion of urea to blood and making it a poor alternative to assess kidney function [1]. Averaging creatinine clearance and urea clearance is also not recommended for this purpose owing to its inferior performance [2]. However, in patients with advanced kidney dysfunction, as the urea back-diffusion decreases urea clearance may better reflect GFR [1].Blood urea levels, commonly expressed by the concentration of blood urea nitrogen (BUN), may be increased in individuals on a high-protein diet or with increased protein breakdown, gastrointestinal hemorrhage, chronic heart failure, or treatment with cortisol [2]. BUN level may be decreased in individuals with low-protein diet and end-stage liver disease [2].Urinary urea levels, commonly expressed by the concentration of urinary urea nitrogen, may be increased in individuals with hyperthyroidism or excess protein intake or breakdown [3]. Urinary urea nitrogen level may be decreased in individuals with malnutrition, kidney damage or insufficiency, low-protein and high-carbohydrate diet, or liver disease. Pregnant persons and healthy children may also have low urinary nitrogen levels [3].The results of this test should be interpreted in the context of pertinent clinical and family history and physical examination findings.References1. Oh MS, et al. Evaluation of renal function, water, electrolytes, and acid-base balance. In: McPherson RA, et al, eds. Henry's Clinical Diagnosis and Management by Laboratory Methods. 24th ed. Elsevier; 20212. Lamb EJ, et al. Kidney function tests. Rifai N, et al. eds. Tietz Textbook of Laboratory Medicine. 7th ed. Elservier Inc; 20223. Rao LV, et al. Laboratory tests. In: Rao LV, eds. Wallach's Interpretation of Diagnostic Tests. Pathways to Arriving at a Clinical Diagnosis. 11th ed. Wolters Kluwer; 2020.

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Price: $122

Description: This quantitative urea nitrogen test, performed with a 24-hour urine specimen, may help estimate nitrogen balance and determine protein need in patients in critical conditions or receiving intravenous administration of nutrition [1].Urea is the main nitrogen-containing product of protein breakdown and makes up over 75% of total nonprotein nitrogen excreted. Approximately 90% of the urea excretion is through the kidneys, and the rest is through gastrointestinal tract and skin. Because urea secretion is closely related to protein catabolism, urinary urea, commonly expressed by the concentration of urinary urea nitrogen, may be used to assess nitrogen balance and guide protein intake [1,2]. Blood and urinary urea levels were previously used as kidney function markers but are only considered useful in certain clinical scenarios; they have been generally replaced by creatine levels [1].Urinary urea nitrogen level may be increased in individuals with hyperthyroidism or excess protein intake or breakdown [3]. It may be decreased in individuals with malnutrition, kidney damage or insufficiency, low-protein and high-carbohydrate diet, or liver disease. Pregnant persons and healthy children may also have low urinary nitrogen levels [3].The results of this test should be interpreted in the context of pertinent clinical and family history and physical examination findings.References1. Lamb EJ, et al. Kidney function tests. Rifai N, et al. eds. Tietz Textbook of Laboratory Medicine. 7th ed. Elservier Inc; 20222. Oh MS, et al. Evaluation of renal function, water, electrolytes, and acid-base balance. In: McPherson RA, et al, eds. Henry's Clinical Diagnosis and Management by Laboratory Methods. 24th ed. Elsevier; 20213. Rao LV, et al. Laboratory tests. In: Rao LV, eds. Wallach's Interpretation of Diagnostic Tests. Pathways to Arriving at a Clinical Diagnosis. 11th ed. Wolters Kluwer; 2020.

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Price: $101

Description: The blood urea nitrogen (BUN) test is a test of how well your kidneys are working. It measures the amount of nitrogen in your blood. The nitrogen is present in a chemical called urea. Urea is a waste product produced as your body digests protein. Urea is carried by the blood to the kidneys, which filter the urea out of the blood and into the urine.
Urea is the principle waste product of protein catabolism. BUN is most commonly measured in the diagnosis and treatment of certain renal and metabolic diseases. Increased BUN concentration may result from increased production of urea due to (1) diet or excessive destruction of cellular proteins as occurs in massive infection and fevers, (2) reduced renal perfusion resulting from dehydration or heart failure, (3) nearly all types of kidney disease, and (4) mechanical obstruction to urine excretion such as is caused by stones, tumors, infection, or stricture. Decreased urea levels are less frequent and occur primarily in advanced liver disease and in overhydration.

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

Includes: Urea Nitrogen (BUN)

Alternative Name(s):
Blood Urea Nitrogen
BUN

****Urea Nitrogen, (BUN) Serum is included in the Comprehensive Metabolic Profile (CMP) and in the Kidney Function Profile.****

Categories: Kidney diseases, Liver diseases, General wellness,

Price: $39

Description: Urine uric acid may supplement serum uric acid testing when trying to identify conditions in which there is alteration of uric acid production or excretion, e.g., gout, leukemia, renal disease. The amount of uric acid excreted may be useful in treating asymptomatic hyperuricemia. Measurement of urine uric acid is important in the investigation of urolithiasis.

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Price: $212

Description: Urine uric acid may supplement serum uric acid testing when trying to identify conditions in which there is alteration of uric acid production or excretion, e.g., gout, leukemia, renal disease. The amount of uric acid excreted may be useful in treating asymptomatic hyperuricemia. Measurement of urine uric acid is important in the investigation of urolithiasis.

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Price: $202

Description: Urine uric acid may supplement serum uric acid testing when trying to identify conditions in which there is alteration of uric acid production or excretion, e.g., gout, leukemia, renal disease. The amount of uric acid excreted may be useful in treating asymptomatic hyperuricemia. Measurement of urine uric acid is important in the investigation of urolithiasis.

Categories:

Price: $212

Description: Urine uric acid may supplement serum uric acid testing when trying to identify conditions in which there is alteration of uric acid production or excretion e.g., gout, leukemia, renal disease. The amount of uric acid excreted may be useful in treating asymptomatic hyperuricemia. Measurement of urine uric acid is important in the investigation of urolithiasis.

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Price: $202

Description: Uric acid measurements are useful in the diagnosis and treatment of gout, renal failure, and a variety of other disorders including leukemia, psoriasis, starvation, and other wasting conditions. Patients receiving cytotoxic drugs may be monitored with uric acid measurements. Only a minority of individuals with hyperuricemia develop gout. An increased uric acid level does not necessarily translate to a diagnosis of gout. The therapeutic goal for uric acid-lowering therapy is to promote crystal dissolution and prevent crystal formation. This is achieved by maintaining a uric acid level of less than 6 mg/dL.

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

Includes:
Uric Acid, Serum

Patient Instructions: Discuss discontinuing drugs causing increased uric acid concentration include diurectics, pyrazinamide, ethambutol, and nicotinic acid with your primary care physician before testing.

Categories: Musculoskeletal diseases,

Price: $39

Description: The Complete Urinalysis Profile screens for a variety of conditions including urinary bladder disease, kidney disease and diabetes. Many systemic illnesses can affect results.

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

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

Patient Instructions: No fasting needed.

Categories: Kidney diseases, General wellness, Fitness, nutrition, anti-aging,

Price: $39

• Checks for infections or kidney problems.
• Analyzes urine for health issues.
• Examines urine under a microscope.

Includes:

Urinalysis, Complete, with Reflex to Culture

Patient Instructions: No fasting needed.

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Price: $39

Description: Dipstick urinalysis is important in accessing the chemical constituents in the urine and the relationship to various diseases.

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Price: $49

Description: Microscopic examination to detect the presence of abnormal urine cells and formed elements.

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Price: $49

Description: Reagent impregnated strips or tablets that react in the presence of urine constituents to produce a colored end product.

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Price: $93

• Checks for infections or kidney issues.
• Analyzes urine for health problems.
• Detects abnormal substances in urine.

Includes:

Urinalysis with Reflex to Microscopic

Patient Instructions:

Encourage mid-stream samples to minimize contamination and improve accuracy. 

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Price: $39

Description: A urinary tract infection (UTI) is a bacterial infection in the urinary tract. The urinary tract includes the kidneys, ureters, prostate gland, bladder, and urethra. Any or all of these parts of the urinary tract can become infected. If left untreated, UTI can cause permanent damage to the bladder and kidneys.

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

Due to collection instructions the Urine Culture should not be collected at the same time as a Chlamydia/Gonorrhea specimen.

Includes:
Culture, Urine, Routine: If culture is positive, identification will be performed.
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: Morning specimen preferred. Due to collection instructions the Urine Culture should not be collected at the same time as a Chlamydia/Gonorrhea specimen.

Categories: Kidney diseases, General wellness,

Price: $113

Description: Proteinuria is characteristic of renal disease and concentrations may be increased with diabetes, hypertension, nephritic syndrome, and drug nephrotoxicity.

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Price: $101

Description: This quantitative urea nitrogen test, performed with a random urine specimen, may help estimate nitrogen balance and determine protein need in patients in critical conditions or receiving intravenous administration of nutrition [1].Urea is the main nitrogen-containing product of protein breakdown and makes up over 75% of total nonprotein nitrogen excreted. Approximately 90% of the urea excretion is through the kidneys, and the rest is through gastrointestinal tract and skin. Because urea secretion is closely related to protein catabolism, urinary urea, commonly expressed by the concentration of urinary urea nitrogen, may be used to assess nitrogen balance and guide protein intake [1,2]. Blood and urinary urea levels were previously used as kidney function markers but are only considered useful in certain clinical scenarios; they have been generally replaced by creatine levels [1].Urinary urea nitrogen level may be increased in individuals with hyperthyroidism or excess protein intake or breakdown [3]. It may be decreased in individuals with malnutrition, kidney damage or insufficiency, low-protein and high-carbohydrate diet, or liver disease. Pregnant persons and healthy children may also have low urinary nitrogen levels [3].The results of this test should be interpreted in the context of pertinent clinical and family history and physical examination findings.References 1. Lamb EJ, et al. Kidney function tests. Rifai N, et al. eds. Tietz Textbook of Laboratory Medicine. 7th ed. Elservier Inc; 20222. Oh MS, et al. Evaluation of renal function, water, electrolytes, and acid-base balance. In: McPherson RA, et al, eds. Henry's Clinical Diagnosis and Management by Laboratory Methods. 24th ed. Elsevier; 20213. Rao LV, et al. Laboratory tests. In: Rao LV, eds. Wallach's Interpretation of Diagnostic Tests. Pathways to Arriving at a Clinical Diagnosis. 11th ed. Wolters Kluwer; 2020.

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Price: $104

Description: UroRisk® Panel is recommended for initial and recurrent stone formers (excluding patients with Struvite stones).

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Price: $718

Description: The Usher syndrome type IF test offers molecular detection of one pathogenic variant in the PCDH15 gene, R245* (c.733C>T), which accounts for greater than 75% of Ashkenazi-Jewish Usher syndrome type IF pathogenic variants.Usher syndrome type IF is an autosomal recessive condition characterized by profound congenital sensorineural deafness and progressive loss of vision due to retinitis pigmentosa beginning in childhood or adolescence.

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Price: $788

Description: The Usher Syndrome Type IIIA test offers molecular detection of one pathogenic variant in the CLRN1 gene, N48K (c.144T>G), which accounts for greater than 95% of Ashkenazi-Jewish Usher Syndrome Type IIIA pathogenic variants. Usher Syndrome Type IIIA is a autosomal recessive condition characterized by progressive hearing and vision loss. Symptoms include postlingual, progressive hearing loss, variable vestibular dysfunction, and onset of retinitis pigmentosa symptoms by the second decade of life.

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Price: $788

Description: Ustekinumab is a therapeutic monoclonal antibody against a shared subunit of the pro-inflammatory cytokines IL-12 and IL-23. It is used to treat psoriasis as well as moderate to severe ulcerative colitis and Crohn's disease. It is not significantly immunogenic and only a small percentage of treated patients develop antibodies. However, in these patients, antibodies may be associated with lower trough levels of the drug. Results >2 AU/mL indicate the presence of anti-drug antibody.

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Price: $548

Description: Ustekinumab is a therapeutic monoclonal antibody against a shared subunit of the pro-inflammatory cytokines IL-12 and IL-23. It is used to treat psoriasis as well as moderate to severe ulcerative colitis and Crohn's disease. Trough concentrations of ustekinumab correlate with the likelihood of clinical remission, but the role of routine monitoring is not clear. Target concentrations may depend on indication, induction vs. maintenance, dosing schedules, drug clearance, and other factors. Trough concentrations >0.6 mcg/mL may be associated with an optimal clinical response in psoriasis [1]. Maintenance trough concentrations between 1.0-4.5 mcg/mL may be associated with an increased rate of clinical remission in inflammatory bowel disease [2]. The reportable range is 0.1-10 mcg/mL. This assay may be used to measure approved ustekinumab biosimilars.1. Elberdin L, Fernandez-Torres RM, Mateos M et al. Front Med 2022;9:10173232. Restellini S, Khanna R, Afif W. Inflamm Bowel Dis 2018; 24:2165-2172

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Price: $548

Description: Ustekinumab is a therapeutic monoclonal antibody against a shared subunit of the pro-inflammatory cytokines IL-12 and IL-23. It is used to treat psoriasis as well as moderate to severe ulcerative colitis and Crohn's disease. Trough concentrations of ustekinumab correlate with the likelihood of clinical remission, but the role of routine monitoring is not clear. Target concentrations may depend on indication, induction vs. maintenance, dosing schedules, drug clearance, and other factors. Trough concentrations >0.6 mcg/mL may be associated with an optimal clinical response in psoriasis [1]. Maintenance trough concentrations between 1.0-4.5 mcg/mL may be associated with an increased rate of clinical remission in inflammatory bowel disease [2]. The reportable range is 0.1-10 mcg/mL. This assay may be used to measure approved ustekinumab biosimilars.Ustekinumab is a therapeutic monoclonal antibody against a shared subunit of the pro-inflammatory cytokines IL-12 and IL-23. It is used to treat psoriasis as well as moderate to severe ulcerative colitis and Crohn's disease. It is not significantly immunogenic and only a small percentage of treated patients develop antibodies. However, in these patients, antibodies may be associated with lower trough levels of the drug. Results >2 AU/mL indicate the presence of anti-drug antibody.1. Elberdin L, Fernandez-Torres RM, Mateos M et al. Front Med 2022;9:10173232. Restellini S, Khanna R, Afif W. Inflamm Bowel Dis 2018;24:2165-2172

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Price: $948

• Detect early signs of uterine cancer
• Reveal hidden health risks effortlessly
• Confirm your peace of mind quickly

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

Cancer Antigen (CA) 125, Serum

CA 19-9

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: $121

• Detect early signs of vaginal cancer
• Unveil hidden health risks effortlessly
• Confirm your peace of mind today

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

Carcinoembryonic Antigen (CEA)

CA 19-9

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: $111