• Measures hormone levels in blood
• Checks for adrenal gland issues
• Screens for hormone-related disorders

Includes:

17-Hydroxyprogesterone

Categories:

Price: $350

• Checks for serotonin breakdown products
• Detects carcinoid tumors in the body
• Measures body's serotonin byproduct levels

Includes:

5-Hydroxyindoleacetic Acid (5-HIAA), 24-Hour Urine, with Creatinine

Categories:

Price: $365

Description: This test uses equilibrium dialysis methodology.

The Testosterone test in this panel will provide levels of Total Testosterone results ranging from 0 to 9,999. However, any value greater than 9,999 will be displayed as ">10,000" (over 10,000) instead of a specific number.

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

Follicle-Stimulating Hormone (FSH), Serum

Luteinizing Hormone (LH), Serum

Estradiol, Ultrasensitive, LC/MS/MS

Testosterone, Free and Total, LC/MS/MS: Total Testosterone, Free (Dialysis) Testosterone (calculated)

Prostate-Specific Antigen (PSA), Free and Total (MALES ONLY)

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

Sex Hormone binding Globulin, (SHBG)

Gamma Glutamyl Transpeptidase (GGT)

Insulin, Fasting

Lipid Panel with Ratios: Total Cholesterol, HDL Cholesterol, Triglycerides, LDL-Cholesterol (calculated), Cholesterol/HDL Ratio (calculated), LDL/HDL Ratio (calculated), 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. 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. 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.

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

Categories: Hormones & metabolism,

Price: $346

Description:

This test is used to determine a person's blood type and Rh factor. Knowing your blood type is important in case you ever need a blood transfusion or organ transplant. A mismatched blood transfusion can result in serious health issues and even death, so it's crucial to have this information on file.

ABO grouping and Rho(D) typing are also crucial for assessing the risk of hemolytic disease in a newborn, which can be fatal if not caught and treated early on. This test can also indicate the need for Rh immune globulin, which can prevent complications during pregnancy if the mother is Rh-negative and her fetus is Rh-positive.

Alternative Name(s):

Type and Group

Blood Type

Includes:

ABO Grouping and Rho(D) Typing

Categories: Blood and blood diseases,

Price: $40

Description:

Discover a new level of clarity and focus as you gain insight into your body with ADHD testing. Our state-of-the-art blood analysis provides an accurate and comprehensive view of adult ADHD by testing markers, helping you and your healthcare provider tailor a treatment plan specific to your needs. Keep in mind, our tests are not meant to diagnose ADHD, but rather to identify symptoms to allow you to optimize treatment results with your primary care doctor and at home. Say goodbye to frustration and hello to a brighter future, with ADHD blood testing.

ADHD is a psychiatric condition that affects concentration and results in difficulty staying still or quiet. Although an ADHD diagnosis can only be determined through psychiatric evaluation, several disorders can make ADHD symptoms worse or impede effective treatment. Some of these include thyroid disorders, vitamin and mineral deficiencies, and food sensitivities. 

If you already have an ADHD diagnosis, you should get comprehensive testing for liver and kidney function, as treatment may result in severe side effects. 

The following panel has been tailored to cover ADHD patients’ needs.

Includes:

Zinc

Magnesium, serum

Vitamin D, 25-OH, Total

Vitamin B12

Ferritin, serum

Iron Binding Capacity, % Saturation (calculated)

Reticulocyte Count

Thyroid profile with TSH

IgE allergy testing for:

Almond

Cashew Nut

Codfish

Cow's Milk

Egg White

Hazelnut

Peanut

Salmon

Scallop

Sesame Seed

Shrimp

Soybean

Tuna

Walnut

Wheat

Patient Instructions:

You should fast for 8 hours before collection of the specimen. Fasting is defined as no consumption of food or beverage other than water for at least 8 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 5 business days. If confirmation testing is required, the estimated time may be extended.

Categories:

Price: $738

Description: Antinuclear antibodies are associated with rheumatic diseases including Systemic Lupus Erythematous (SLE), mixed connective tissue disease, Sjogren's syndrome, scleroderma, polymyositis, CREST syndrome, and neurologic SLE.
Alternative Names(s): ANA

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

Includes:
ANA Screen IFA w/ Ref to Titer and Pattern
If ANA Screen, IFA is positive, ANA Titer and Pattern will be performed.

Estimated turnaround for results is 4 business days.

Categories: Autoimmune diseases, Musculoskeletal diseases,

Price: $68

Description:

Our Acne & Skin Trust Me In-depth has been designed with your skin health in mind. If you’ve been experiencing breakouts or other skin problems, this panel can help uncover valuable insights about your body's internal factors that may be affecting your appearance. With just a simple blood draw, you'll gain a better understanding of what's happening beneath the surface.

This comprehensive panel assesses key markers such as hormone levels, inflammation indicators and vitamin deficiencies that play a role in acne breakouts. By analyzing these factors you can take action and get on the road to clearer and healthier skin. Don't let acne hold you back! Take control today.

Includes:

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

Total Testosterone, Free (Dialysis) Testosterone (calculated)

Sex Hormone binding Globulin, Serum

Dehydroepiandrosterone (DHEA-s) Sulfate

Estradiol, serum

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

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

Progesterone, serum

Gliadin (Deamidated Peptide) Antibody (IgG, IgA)

Vitamin D, 25-OH, Total

Prolactin, serum

Patient Instructions:

You should fast for 8 hours before collection of the specimen. Fasting is defined as no consumption of food or beverage other than water for at least 8 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 7 business days. If confirmation testing is required, the estimated time may be extended.

Categories: Hormones & metabolism,

Price: $429

Description: Acromegaly is a hormonal disorder. It develops when your pituitary gland, located deep in the brain, produces too much growth hormone (GH). Growth hormone affects growth of all tissues of the body, especially bone.

This screen is used to aid in the diagnosis of acromegaly.

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

Includes:
Glucose, Serum
Insulin-Like Growth Factor I (IGF-I, LC/MS)
Thyroid-Stimulating Hormone (TSH)
Thyroxine Free, Direct Dialysis (FT4)

Patient Instructions: Fasting required. Fasting is defined as no consumption of food or beverage other than water for at least 8 hours before testing. Samples should not be collected during or soon after the administration of Heparin.

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

Categories: Hormones & metabolism, Musculoskeletal diseases,

Price: $113

Description: Pancreatitis is a condition that occurs when the pancreas, an organ behind the stomach, becomes swollen and painful.

The pancreas produces digestive enzymes and insulin. The digestive enzymes flow into the small intestine to help break down food. Insulin is released into the blood to control the level of sugar (glucose) in the blood.

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

Includes:
Amylase, Serum
Lipase, Serum

Categories: Gastrointestinal diseases,

Price: $65

Description: Addison's disease occurs when the adrenal glands (located above each kidney) do not work normally and do not produce enough hormones. Addison's disease may also be called chronic adrenal insufficiency or hypocortisolism.

This screen is used to aid in the diagnosis of Addison's disease.
Significant deviations from the normal range may require further evaluation by your physician.

Includes:
Adrenal Antibody Screen with Reflex to Titer
Adrenocorticotropic Hormone (ACTH)
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
Cortisol, Total
Magnesium, Serum
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.

Patient Instructions: Patient should fast for 12 hours preceding collection of specimen. ACTH should be drawn between 7 AM and 10 AM. If drawn at any other time, the reference ranges do not apply. Cortisol, Total not recommended when patient is on prednisone/prednisolone therapy due to cross reactivity with the antibody used in this assay. Uric Acid, Serum recommends to discuss discontinuing drugs causing increased uric acid concentration include diurectics, pyrazinamide, ethambutol, and nicotinic acid with your primary care physician before testing.

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

Categories: Hormones & metabolism, Kidney diseases,

Price: $219

Description:

Adipocytes (fat cells) express a variety of proteins that function in the homeostatic control of glucose and lipid metabolism. Insulin regulates the translocation and secretion of many of these proteins in response to changes in energy balance. Adiponectin is a protein whose secretion from adipocytes is enhanced by insulin stimulation. It has been suggested that the development of non-insulin dependent (Type II) diabetes may involve dysregulation of adiponectin secretion. In support of the link between obesity and Type II diabetes, it has been shown that decreased expression of adiponectin correlates with insulin resistance, and that adiponectin appears to be a potent insulin enhancer linking adipose tissue and whole-body glucose metabolism.

• Individuals with low adiponectin levels have a 3X greater risk of developing metabolic syndrome [1].
• Men with two or more risk factors for metabolic syndrome and high adiponectin levels are half as likely to develop metabolic syndrome as men with low adiponectin levels [2].
• Individuals with low levels of adiponectin are up to 9X as likely to develop type 2 diabetes [3].
• Individuals with low adiponectin levels have a 2X increase in the prevalence of CAD [4].
• Adiponectin levels in the blood can be increased by thiazolidinediones, such as pioglitazone [5].

References:
1. Chen SJ et al. PLoS ONE. 2012; 7: e45693.
2. Kotooka N et al. Int J Cardiol. 2012 Nov 26. pii: S0167-5273(12)01441-6. doi:10.1016/j.ijcard.2012.10.066. [Epub ahead of print].
3. Daimon M et al. Diabetes Care. 2003; 26: 2015-2020.
4. Kumada M et al. Arterioscler Thromb Vasc Biol. 2003; 23: 35-39.
5. McCoy RG et al. Mayo Clin Proc. 2012; 87: 561-570.

Patient Instructions:

Fasting for 12 hours required.

Categories: Heart & cholesterol, Diabetes blood testing,

Price: $773

• Pinpoint the cause of your fatigue
• Reveal hidden adrenal issues effortlessly
• Clarify unexplained weight changes quickly

Includes: Adrenal Antibody Screen with Reflex to Titer

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

Categories: Autoimmune diseases,

Price: $80

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

Includes:
Adrenocorticotropic Hormone (ACTH)
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
Cortisol, AM
Dehydroepiandrosterone (DHEA-s) Sulfate
DHEA (Dehydroepiandrosterone), Unconjugated, LC/MS/MS

Patient Instructions: Patient should fast for 12 hours preceding collection of specimen. This test must be drawn between 7 AM and 10 AM. Assay is not recommended when patient is receiving prednisone/prednisolone therapy due to cross reactivity with the antibody used in this assay. Fasting is defined as no consumption of food or beverage other than water for at least 8 - 10 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.

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

Categories: Hormones & metabolism,

Price: $174

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

Includes:
Adrenocorticotropic Hormone (ACTH)
Cortisol, AM

Patient Instructions: Specimen should be collected between 7 AM and 9 AM. Assay is not recommended when patient is receiving prednisone/prednisolone therapy due to cross reactivity with the antibody used in this assay.

Categories: Hormones & metabolism,

Price: $85

Description:

Discounted Labs offers a basic test for adrenal insufficiency. This test measures cortisol, ACTH, and DHEA levels. This is the first step in the process. After looking at these results, doctors might suggest an ACTH stimulation test. They may also check the levels of renin, potassium, and sodium. A CT scan of the adrenal glands can help find any growths. To look for Addison's Disease, which is a type of primary adrenal insufficiency, tests for 21-hydroxylase should also be done.

What is Adrenal Insufficiency and What are the Symptoms?

Adrenal insufficiency (AI) happens when the adrenal glands do not make enough steroid hormones. The main hormone that is low is cortisol. There may also be low amounts of aldosterone. Aldosterone is important for managing sodium and potassium levels in the body. It helps the body hold onto water, too. Many people with this condition feel a strong desire for salt or salty foods. This is because they lose sodium through urine.

Addison's disease and congenital adrenal hyperplasia are types of adrenal insufficiency. If this condition is not treated, it can lead to several health problems. These problems can include stomach pain, vomiting, muscle weakness, and feeling very tired. A person may feel down, have low blood pressure, lose weight, suffer from kidney failure, or notice changes in their mood. In severe cases, it can lead to shock, known as an adrenal crisis.

Adrenal insufficiency was really dangerous before 1949. In that year, cortisone was invented. This was a big step forward because it allowed us to replace glucocorticoids in treatment. Still, even with this major development, diagnosing and treating people with adrenal insufficiency remains tough.

Adrenal Insufficiency (AI) Caused by Medications

A study at the University of Bologna looked at more than 8,000 cases of AI. The aim was to find out the main reasons for drug-related AI and how this has changed over the last twenty years. The researchers discovered that 97.5% of the cases were serious. Furthermore, 41.1% of these cases needed hospital treatment.

The number of AI cases has gone up in recent years. A lot of these cases are about steroids. The use of these drugs has increased too. In 2015, cases of monoclonal antibodies made up 33%. Many of the cases included non-steroidal anti-inflammatory drugs. Researchers discovered that more than 70% of people used steroids alongside them.

What Lab Tests Are Used to Initiate Diagnosis of Adrenal Insufficiency?

Discounted Labs offers a simple adrenal insufficiency panel. This panel measures cortisol, ACTH, and dhea levels. These tests are only the beginning. Depending on the results, doctors may suggest more tests. These can include an ACTH stimulation test, a renin test, a potassium test, an aldosterone test, and a CT scan of the adrenal glands. To find Addison's disease, which is a type of primary adrenal insufficiency, labs will check for 21-hydroxylase autoantibodies.

Cortisol Blood Test

What is Cortisol?

Cortisol, also known as hydrocortisone, is an important type of glucocorticosteroid. It has several key roles in our body. Like other glucocorticosteroids, cortisol is made from cholesterol. This process takes place in a part of the adrenal gland called the zona fasciculata.

When cortisol enters the blood, about 90% attaches to proteins known as corticosteroid-binding globulin (CBG) and albumin. A tiny amount of cortisol remains free in the blood. This free cortisol can then bind to its receptors.

Functions of Cortisol

Cortisol has several important effects on the body. First, it raises blood sugar levels. This happens because cortisol helps create glucose and breaks down substances in the body. Additionally, cortisol can lower inflammation but may also weaken the immune system.

Production of Cortisol in the Body

The adrenal gland makes and releases cortisol. This happens through a system called the hypothalamus-pituitary-adrenal cortex-axis. When cortisol levels drop, the hypothalamus releases a hormone known as corticotropin-releasing hormone (CRH). This hormone tells the pituitary gland to release adrenocorticotropic hormone (ACTH). Then, ACTH prompts the adrenal gland to produce and release more cortisol. Cortisol also signals the pituitary gland and hypothalamus to lower cortisol production. When a person is under stress, their body produces more cortisol.

Cortisol Blood Levels During the Day

Serum cortisol levels change throughout the day. They reach their highest point in the morning. As the day goes on, cortisol levels decrease. By evening, they are about half of what they were in the morning. To correctly read the results, you need to know when the serum sample was collected.

What the Cortisol Test Can Help to Diagnose

The cortisol level in a patient helps doctors learn about the health of the adrenal gland, pituitary, and hypothalamus. High cortisol levels can show problems like Cushing syndrome. Low levels may suggest Addison disease. Checking these levels is important for treatment. Doctors might use dexamethasone suppression therapy for Cushing syndrome or hormone replacement therapy for Addison disease.

Factors that Affect Cortisol Blood Levels

Pregnancy, birth control, and estrogen therapy can increase cortisol levels. If patients take medications such as prednisolone, methylprednisolone, or prednisone, their cortisol levels might show higher numbers than what they actually are. Tests using metyrapone can show higher levels of 11-deoxycortisol. Occasionally, cortisol levels might appear high because of cross-reactions. Patients with 21-hydroxylase deficiency may have more 21-deoxycortisol. This can cause them to have higher cortisol levels.

It is important to consider the time when you take a sample. This can affect the results. Cortisol levels follow a daily pattern. When a person experiences strong stress, cortisol levels can increase too.

Samples from patients who got monoclonal mouse antibodies can give wrong results. This can happen in tests and diagnoses. Sometimes, if there are very high levels of antibodies to streptavidin and ruthenium, this may affect the test results. However, the test includes several extras to help reduce these issues.

The best way to find out if someone has Cushing syndrome is by checking cortisol in a 24-hour urine sample. This method is effective because the amount of cortisol in urine does not follow the usual daily pattern of release.

Potential Interference for the Cortisol Test

This test may have problems if the sample comes from someone who is using biotin supplements. Biotin is known as vitamin B7, B8, vitamin H, or coenzyme R. It is crucial to ask all patients if they take biotin supplements before the test. Patients need to stop using biotin at least 72 hours before they provide a sample.

ACTH Test

What is Adrenal Corticotropic Hormone (ACTH)?

Adrenocorticotropic hormone is produced in the front part of the pituitary gland in your brain.

The job of ACTH is to manage the levels of cortisol in the body. Cortisol is a stress hormone made by the adrenal glands. This hormone acts like an alarm system in our body. As the main stress hormone, cortisol supports different areas of the brain in handling fear, emotions, and motivation.

Cortisol is mainly known for helping the body handle stress. It starts the "fight-or-flight" response. However, cortisol is also key for several other functions in the body, such as:

• Keep a regular sleep and wake schedule.
• Boost your energy to manage stress and feel normal again.
• It affects how the body uses carbs, proteins, and fats.
• Reduce inflammation.
• Manage blood pressure.
• Increase blood sugar.

What Are the Symptoms of High or Low ACTH-Induced Cortisol?

High cortisol levels can lead to many issues. Some of these are high blood pressure, obesity, high blood sugar, and swelling. On the other hand, low cortisol levels may cause weight loss, tiredness, low blood pressure, and weak muscles.

What is the ACTH Test?

If you have signs of having too much or too little cortisol, your doctor may suggest an ACTH test. This test looks at the levels of ACTH and cortisol in your blood. The ACTH test helps your doctor see if there are any problems with your cortisol levels. Before giving you a definite answer, your doctor might also do a physical checkup.

DHEA Test

Dehydroepiandrosterone, known as DHEA, is a hormone made by the adrenal gland. The brain also makes some DHEA. This hormone plays a key role in creating androgens and estrogens, which are sex hormones for both men and women. Most of the DHEA in your body comes from the adrenal glands. Doctors can check for problems like adrenal cancer or hyperplasia by measuring DHEA-S in the blood. This checking also helps find some types of congenital adrenal hyperplasia.

People who have primary or central adrenal insufficiency often show low levels of serum DHEA-S. However, just having low DHEA-S does not mean that a person has this condition. If their serum DHEA-S level is normal for their age and sex, it almost confirms that they likely do not have adrenal insufficiency.

References

The Changing Face of Drug-induced Adrenal Insufficiency in the Food and Drug Administration Adverse Event Reporting System

Categories: Choose Your Test, Fatigue Tests, Popular Tests, Adrenal Testing,

Price: $204

Description: Adrenocorticotropic Hormone (ACTH) is a hormone produced by the pituitary gland. Determination of ACTH is useful in differentiating between primary and secondary adrenocortical hypo- and hyperfunctional disorders: Addison's disease, Cushing's syndrome, adrenal carcinoma, ectopic ACTH syndrome, and adrenal nodular hyperplasia.

Alternative Name(s): ACTH

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

Includes:
ACTH, Plasma

Patient Instructions: ACTH should be drawn between 7 AM and 10 AM. If drawn at any other time, the reference ranges do not apply.

Categories: Hormones & metabolism,

Price: $68

Description: Alanine Aminotransferase (ALT) measurements are particularly useful in the diagnosis and management of certain liver diseases, e.g., viral hepatitis and cirrhosis. ALT activity in tissue is generally much lower than aspartate aminotransferase (AST) activity and is found in highest concentrations in the liver. Significant elevations of ALT occur only in diseases of the liver. ALT is often measured in conjunction with AST to determine whether the source of the AST is the liver or the heart. ALT is normally not elevated in cases of myocardial infarction, i.e., a normal ALT, in conjunction with an elevated AST, tends to suggest cardiac disease. However, slight elevations of ALT may occur if an infarct destroys a very large volume of heart muscle.

Includes:
Alanine Aminotransferase (ALT/SGPT)

****Alanine Aminotransferase (ALT/SGPT) is included in the Comprehensive Metabolic Profile (CMP) and in the Liver Function Profile.***

Categories: Liver diseases,

Price: $37

Description: Serum albumin measurements are used in the monitoring and treatment of numerous diseases involving those related to nutrition and pathology particularly in the liver and kidney. Serum albumin is valuable when following response to therapy where improvement in the serum albumin level is the best sign of successful medical treatment. There may be a loss of albumin in the gastrointestinal tract, in the urine secondary to renal damage or direct loss of albumin through the skin. More than 50% of patients with gluten enteropathy have depressed albumin. The only cause of increased albumin is dehydration; there is no naturally occurring hyperalbuminemia.

Includes:
Albumin

****Albumin, serum is included in the Comprehensive Metabolic Profile (CMP), the Liver Function Profile and the Kidney Function Profile.***

Categories: Liver diseases, Blood and blood diseases, Hormones & metabolism, Kidney diseases,

Price: $37

Description:

Aids in the diagnosis of primary disease of skeletal muscle myocardial infarction and viral hepatitis.

Alternative names: Fructose-1,6 bisphospate

Categories: Neurology,

Price: $77

• Checks hormone for blood pressure control.
• Measures salt and water balance hormone.
• Evaluates kidney and adrenal gland function.

Categories:

Price: $129

Description: Measurement of renin activity is useful in the differential diagnosis of individuals with hypertension. Renin levels will be elevated in patients with hypertension due to renal artery stenosis (ie, renovascular hypertension). Also useful in the diagnosis of primary aldosteronism. Patients with secondary aldosteronism tend to have low renin levels. Renin can also be used to assess the adequacy of steroid substitution in patients with adrenal insufficiency. Renin activity will be normal in patients with adequate supplementation and will be elevated when steroid substitution is inadequate.
Significant deviations from the normal range may require further evaluation by your physician.

Includes:
Aldosterone, LC/MS
Plasma Renin Activity, LC/MS/MS
Aldo/Pra Ratio

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

Categories: Kidney diseases, General wellness, Hormones & metabolism,

Price: $129

• Checks bone health and growth.
• Measures bone enzyme levels.
• Assesses bone-related enzyme activity.

Includes:

Alkaline Phosphatase, Bone Specific

Categories:

Price: $350

Description: This test measures the amount of the enzyme alkaline phosphatase in your blood. This enzyme is present in most tissues but is especially concentrated in the liver and bones.
Serum alkaline phosphatase levels are of interest in the diagnosis of hepatobiliary disorders and bone disease associated with increased osteoblastic activity. Moderate elevations of alkaline phosphatase may be seen in several conditions that do not involve the liver or bone. Among these are Hodgkin's disease, congestive heart failure, ulcerative colitis, regional enteritis, and intra-abdominal bacterial infections. Elevations are also observed during the third trimester of pregnancy.

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

Includes:
Alkaline Phosphatase, Serum

********Alkaline Phosphatase, serum is included in the Comprehensive Metabolic Profile (CMP) and in the Liver Function Profile*****

Categories: Gastrointestinal diseases, General wellness,

Price: $37

Description:

When the Total Alkaline Phosphatase activity is increased, the Isoenzymes are useful in determining the source of the increased activity.

Categories:

Price: $200

• Pinpoint allergy triggers causing discomfort
• Clarify the source of your symptoms
• Reveal hidden allergens affecting your health

Categories: Allergy blood testing,

Price: $223

• Pinpoint your allergy triggers effectively
• Reveal hidden allergens causing discomfort
• Clarify the cause of your symptoms

Categories: Allergy blood testing,

Price: $223

• Pinpoint the cause of your allergies
• Reveal hidden triggers affecting your health
• Clarify why you feel unwell often

Categories: Allergy blood testing,

Price: $251

• Pinpoint the cause of your allergies
• Clarify why you're sneezing or itching
• Reveal hidden triggers affecting your comfort

Categories: Allergy blood testing,

Price: $272

• Pinpoint the cause of your cream cheese reactions
• Clarify if cream cheese is behind your symptoms
• Reveal hidden allergies affecting your daily comfort

Categories: Allergy blood testing,

Price: $223

• Pinpoint the cause of your allergies
• Clarify why you're experiencing respiratory issues
• Reveal hidden triggers affecting your health

Categories: Allergy blood testing,

Price: $272

• Pinpoint the cause of your allergies
• Reveal hidden triggers affecting your health
• Clarify why you're experiencing symptoms

Categories: Allergy blood testing,

Price: $223

• Pinpoint the cause of unexplained allergies
• Reveal hidden food sensitivities effortlessly
• Clarify if gelatin porcine is affecting you

Categories: Allergy blood testing,

Price: $223

Description:

Alternative names: Xanthan Gum

Categories: Allergy blood testing,

Price: $272

• Pinpoint your allergy triggers effectively
• Clarify the cause of your symptoms
• Enhance your wellness with precise insights

Categories: Allergy blood testing,

Price: $223

• Pinpoint the cause of your digestive issues
• Reveal hidden food allergies effortlessly
• Clarify why certain foods upset you

Categories: Allergy blood testing,

Price: $272

• Pinpoint the cause of your allergies
• Clarify why you're experiencing itchy eyes
• Reveal what's triggering your sneezing fits

Categories: Allergy blood testing,

Price: $223

• Pinpoint the cause of your allergies
• Clarify why you're sneezing or itching
• Reveal hidden triggers affecting your comfort

Categories: Allergy blood testing,

Price: $272

• Pinpoint the cause of your sneezing
• Reveal hidden triggers for your allergies
• Clarify why you're feeling so congested

Categories: Allergy blood testing,

Price: $223

• Pinpoint rice allergy triggers accurately
• Clarify unexplained symptoms like itching or swelling
• Reveal hidden food sensitivities effortlessly

Categories: Allergy blood testing,

Price: $223

• Pinpoint the cause of your allergies
• Clarify why you're sneezing so much
• Reveal hidden triggers affecting your health

Categories: Allergy blood testing,

Price: $272

• Pinpoint the cause of your allergies
• Reveal hidden triggers affecting your health
• Clarify why you feel unwell

Categories: Allergy blood testing,

Price: $272

• Pinpoint the cause of your allergic reactions
• Reveal if tilapia is triggering your symptoms
• Clarify your body's response to specific allergens

Categories: Allergy blood testing,

Price: $272

• Pinpoint the cause of your sneezing
• Reveal hidden allergies to parrot feathers
• Clarify why you're feeling itchy

Categories: Allergy blood testing,

Price: $251

• Pinpoint the cause of your digestive issues
• Reveal hidden allergies affecting your energy
• Clarify why you feel bloated often

Categories: Allergy blood testing,

Price: $251

• Pinpoint the cause of your sneezing
• Reveal hidden allergies affecting your comfort
• Clarify why you feel itchy around feathers

Categories: Allergy blood testing,

Price: $251

• Pinpoint latex allergy triggers accurately
• Clarify unexplained allergic reactions
• Reveal hidden sensitivities to latex

Categories: Allergy blood testing,

Price: $251

• Pinpoint the cause of your allergies
• Clarify why you feel congested often
• Reveal hidden triggers affecting your health

Categories: Allergy blood testing,

Price: $251

• Pinpoint the cause of your allergies
• Reveal hidden triggers affecting your health
• Clarify why you feel unwell

Categories: Allergy blood testing,

Price: $251

Description:

Alternative names: ImmunoCAP®

Includes: Alternaria alternata (m6)
Bermuda Grass (g2)
Cladosporium herbarum (m2)
Cat Dander (e1)
Common Ragweed (Short) (w1)
Dermatophagoides farinae (d2)
Dog Dander (e5)
June Grass (Kentucky Blue) (g8)
Oak (t7)
Rough Pigweed (w14)

Patient Instructions:

Fasting is not required.

Categories: Allergy blood testing,

Price: $479

• Checks mold allergies in your blood
• Identifies mold allergens affecting you
• Analyzes body's reaction to mold

Includes:

Allergy Mold Panel, Complete

Categories:

Price: $336

Description:

This in vitro allergen-specific IgE panel is used to quantitatively measure an individual's IgE response to 4 different shellfish that are commonly associated with allergies. These shellfish include clam, crab, lobster, and shrimp. This IgE panel is intended to be used in conjunction with other clinical information to aid in the diagnosis of food allergies [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 individuals do not develop any symptoms when the 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. Moreover, several forms of food hypersensitivity are not associated with the presence of food-specific IgE in serum.

The results of this panel should be interpreted in the context of pertinent clinical and family history and physical examination findings. More specific information about each allergen included in this panel may be found on the Quest Diagnostics Test Directory.

References
1. Bernstein IL, et al. Ann Allergy Asthma Immunol. 2008;100(3 Suppl 3)S1-S148.
2. Sampson HA, et al. J Allergy Clin Immunol. 2014;134(5):1016-1025.
3. NIAID-Sponsored Expert Panel, Boyce JA, et al. J Allergy Clin Immunol. 2010;126(6 Suppl):S1-S58

Alternative names: ImmunoCAP®

Includes: Clam (f207)
Crab (f23)
Lobster (f80)
Shrimp (f24)

Categories: Allergy blood testing,

Price: $139

Description:

Alpha-1-Antitrypsin level may be increased in normal pregnancy and in several diseases including chronic pulmonary disease; hereditary angioedema; renal, gastric, liver and pancreatic diseases; diabetes; carcinomas and rheumatoid diseases. Alpha-1-Antitrypsin may be decreased in emphysema, hepatic cirrhosis, respiratory distress syndrome of the newborn, nephrosis, malnutrition and cachexia. If a deficiency is present, aat phenotyping may be considered to confirm heterozygous versus homozygous deficiencies.

Categories: Pediatrics, General wellness,

Price: $108

Description: The most important application of AFP testing in cancer management is for testicular cancer.
Elevation of serum AFP above values found in healthy individuals occurs in several malignant diseases, most notably nonseminomatous testicular cancer and primary hepatocellular carcinoma. AFP is not recommended as a screening procedure to detect cancer in the general population.
Alternative Name(s): AFP

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

Estimated turnaround for results is 4 business days.

Includes:
Alpha-Fetoprotein (AFP), Serum

Patient Instructions:

Categories: Cancer detection,

Price: $80

Description:

This in vitro allergen-specific IgE panel is used to quantitatively measure an individual's IgE response to alpha-gal, an allergy component, and 3 meats (beef, pork, and lamb) that commonly trigger alpha-gal-associated meat allergy. This IgE panel may be used in conjunction with other clinical information to aid in the diagnosis of alpha-gal syndrome, a severe allergic reaction to mammalian meat induced by past tick bites [1].Most cases of alpha-gal syndrome occur in the southeastern United States because of the heavy presence of the lone star ticks. Other types of ticks also have been associated with alpha-gal syndrome in Europe, Australia, Asia, and the northern and western United States. The alpha-gal (ie. galactose-alpha-1,3-galactose) IgE test helps evaluate the etiology of meat allergies in patients with delayed onset of symptoms (3 to 6 hours after eating meat) [1,2]. IgE antibodies to alpha-gal are the likely mediator of anaphylactic reactions in individuals who develop hypersensitivities to beef, pork and/or lamb as adults [2].The results of this panel should be interpreted in the context of pertinent clinical and family history and physical examination findings. More specific information about each allergen included in this panel can be found on the Quest Diagnostics Directory Page.

References1. Alpha-gal syndrome. Center for Disease Control and Prevention. Updated March 28, 2022. Accessed May 21, 2022. https://www.cdc.gov/ticks/alpha-gal/index.html2. o215 Alpha-Gal. Thermo Fisher Scientific. Accessed June 13, 2022.https://www.thermofisher.com/diagnostic-education/hcp/us/en/resource-center/allergen-encyclopedia/allergen-component.html?key=o215

Includes:

Beef (f27) IgE

Lamb (f88) IgE

Pork (f26) IgE

Galactose-Alpha-1,3-Galactose (Alpha-Gal) IgE

Patient Instructions:

There are no special instructions/requirements for the tests you ordered. No fasting needed.

Categories: Allergy blood testing, Pediatrics, General wellness,

Price: $213

• Tests for red meat allergies
• Measures IgE to beef, pork, lamb
• Includes Alpha-Gal Syndrome check

Includes:

Beef (f27) IgE

Lamb (f88) IgE

Pork (f26) IgE

Galactose-Alpha-1,3-Galactose (Alpha-Gal) IgE

Patient Instructions:

There are no special instructions/requirements for the tests you ordered. No fasting needed.

Categories: Allergy blood testing,

Price: $213

• Pinpoint the cause of your allergies
• Reveal hidden immune system issues
• Clarify why you're feeling unwell

Categories: Allergy blood testing,

Price: $251

Description:

Aluminum has been found as a cause of encephalopathy in patients undergoing prolonged hemodialysis for renal failure. Patients in renal failure lose the ability to filter and excrete aluminum which consequently accumulates in the blood and eventually in the brain and in bone.

Includes:

Aluminum, Blood

Patient Instructions:

Avoid fruits, juices and tea for 24 hours before collection.

Categories:

Price: $89

Description: This test measures pituitary hormone levels responsible for induction and regulation of menses.

Includes:
Follicle-Stimulating Hormone (FSH)
Luteinizing Hormone (LH)
Prolactin

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, Specific blood tests for women,

Price: $78

Description:

What is Amenorrhea?

Amenorrhea is the absence or abnormal cessation of the menses (menstruation periods).

Primary and secondary amenorrhea describe the occurrence of amenorrhea before and after menarche, respectively. The majority of the causes of primary and secondary amenorrhea are similar. Timing of the evaluation of primary amenorrhea recognizes the trend to earlier age at menarche and is therefore indicated when there has been a failure to menstruate by age 15 in the presence of normal secondary sexual development (two standard deviations above the mean of 13 years), or within five years after breast development if that occurs before age 10. Failure to initiate breast development by age 13 (two standard deviations above the mean of 10 years) also requires investigation. In women with regular menstrual cycles, a delay of menses for as little as one week may require the exclusion of pregnancy; secondary amenorrhea lasting three months and oligomenorrhea involving less than nine cycles a year require investigation.

Elevated FSH Levels

Categories: Choose Your Test, Women Lab Tests, Discounted Lab Panels, Female Hormone Test List,

Price: $226

Description: Ammonia is one of the by-products of protein metabolism. Elevated blood ammonia levels have been associated with severe liver dysfunction such as hepatic encephalopathy, coma resulting from cirrhosis, severe hepatitis, Reye's syndrome, and drug hepatotoxicity. Also, elevated blood ammonia has been reported in cardiac failure, azotemia, and pulmonary emphysema. Correlation between plasma ammonia and the degree of encephalopathy can be erratic.

Includes: Ammonia, Plasma

Patient Instructions: Patient should not clench fist during collection, as muscular exertion often increases venous ammonia levels. Patient should avoid smoking prior to phlebotomy since smoking increases plasma ammonia levels. Phlebotomist should not use a tourniquet when collecting sample.

Categories: General wellness,

Price: $73

• Confirm amphetamine levels with certainty
• Clarify unexplained symptoms quickly
• Reveal hidden drug interactions effortlessly

Includes: Amphetamine
Methamphetamine
MDA
MDMA
MDEA

Categories: Allergy blood testing, Geriatrics/Age Management, Neurology, Pediatrics,

Price: $443

Description: Amylase is a digestive enzyme produced by the pancreas and salivary gland. Elevated amylase levels can be indicative of pancreatitis. The most common cause of elevation of serum amylase is inflammation of the pancreas (pancreatitis). In acute pancreatitis, serum amylase begins to rise within 6-24 hours, remains elevated for a few days and returns to normal in 3-7 days. Other causes of elevated serum amylase are inflammation of salivary glands (mumps), biliary tract disease and bowel obstruction. Elevated serum amylase can also be seen with drugs (e.g., morphine) which constrict the pancreatic duct sphincter preventing excretion of amylase into the intestine.

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

Includes:
Amylase, Serum

Categories: Gastrointestinal diseases,

Price: $53

• Detect early signs of anal cancer
• Unveil hidden health risks effortlessly
• Clarify unexplained symptoms quickly

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

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.

Categories:

Price: $120

• Checks hormone levels in your blood.
• Measures androstenedione in your system.
• Monitors hormone balance for health.

Includes:

Androstenedione

Categories:

Price: $892

Description: Anemia is a deficiency of red blood cells and/or hemoglobin. The most common type of anemia is iron deficiency anemia. The Anemia Profile measures the level of anemic-related blood chemistries.

A significant deviation 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)
Ferritin, Serum
Folate (Folic Acid)
Iron, Serum w/ TIBC: Total Iron, Iron Binding Capacity, % Saturation (calculated)
Reticulocyte Count
Vitamin B12

Patient Instructions: Specimens should be collected in the morning from patients in a fasting state, since iron values decrease by 30% during the course of the day and there can be significant interference from lipemia. 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. 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.

Categories: Blood and blood diseases, Fitness, nutrition, anti-aging,

Price: $107

Description: Anemia is a deficiency of red blood cells and/or hemoglobin. The most common type of anemia is iron deficiency anemia. The Anemia Profile measures the level of anemic-related blood chemistries.

A significant deviation 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
Folate (Folic Acid)
Iron, Serum w/ TIBC: Total Iron, Iron Binding Capacity, % Saturation (calculated)
Reticulocyte Count
Vitamin B12

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. 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. 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. 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.

Categories: Blood and blood diseases, Fitness, nutrition, anti-aging,

Price: $125

Description: Anemia is a deficiency of red blood cells and/or hemoglobin. The most common type of anemia is iron deficiency anemia. The Anemia Profile measures the level of anemic-related blood chemistries.

A significant deviation 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)
Iron, Serum w/ TIBC: Total Iron, Iron Binding Capacity, % Saturation (calculated)
Reticulocyte count

Patient Instructions: Specimens should be collected in the morning from patients in a fasting state, since iron values decrease by 30% during the course of the day and there can be significant interference from lipemia.

Categories: Blood and blood diseases, Fitness, nutrition, anti-aging,

Price: $71

Description:

Anemia Panel: 18 Tests

What is an anemia panel and what does it test for?

An anemia panel is a series of blood tests that evaluate the components of your blood, such as hemoglobin, hematocrit, and red blood cell count. It helps diagnose anemia by identifying deficiencies in iron, vitamin B12, or folate, along with conditions like sickle cell anemia or thalassemia.

This 18 test anemia panel includes all tests needed to diagnose the degree and cause of anemia, including a CBC panel (red blood cells, hemoglobin, etc), Ferritin, Iron, Total Iron Binding Capacity, Folate, and Vitamin B-12

This 18 test anemia panel includes all tests needed to diagnose the degree and cause of anemia, including a CBC panel (red blood cells, hemoglobin, etc), Ferritin, Iron, Total Iron Binding Capacity, Folate, and Vitamin B-12.

This lab test panel is ideal for people who feel fatigued and who may suspect anemia or low iron levels. Exploring the biomakers in this panel will be beneficial for people who have a menstrual cycle that involves a lot of blood loss, those who might have vitamin deficiencies, and those who suspect internal bleeding. Also, men and women who donate blood frequently may find this panel useful to ensure that they have not depleted their iron, ferritin and other markers of iron stores that can dramatically impact their energy level, mental function, mood, and quality of life. The results of this panel, including anemia and low iron test results, can provide valuable information about a person's health and aid in diagnosing and treating anemia.

Anemia is a decrease in the total amount of red blood cells (RBCs) or hemoglobin in the blood, or a lowered ability of the blood to carry oxygen. It can have several causes.

Symptoms of Anemia

When anemia comes on slowly, the symptoms are often vague and may include feeling tired, weakness, shortness of breath, and a poor ability to exercise. When the anemia comes on quickly, symptoms may include confusion, feeling like one is going to pass out, loss of consciousness, and increased thirst. Anemia must be significant before a person becomes noticeably pale. It is important to discuss any signs and symptoms of anemia, including an increased risk of anemia, with your healthcare provider, especially if you have risk factors such as a family history or certain medical conditions.

Causes of Anemia:

Blood loss, a decrease in red blood cell production, and an increase in red blood cell breakdown are all potential causes of anemia. Causes of blood loss include trauma and gastrointestinal bleeding.

Causes of decreased production include iron deficiency, vitamin B12 deficiency, thalassemia, and a number of neoplasms of the bone marrow. Causes of increased breakdown include genetic conditions such as sickle cell anemia, infections such as malaria, and certain autoimmune diseases.

Types of Anemia:

Anemia can also be classified based on the size of the red blood cells and amount of hemoglobin in each cell. If the cells are small, it is called microcytic anemia; if they are large, it is called macrocytic anemia; and if they are normal sized, it is called normocytic anemia. Anemia of chronic disease, a type of normocytic anemia, is commonly seen in regions with endemic malaria/protozoal illness and in impoverished areas where there is a higher risk of nutritional anemia. Aplastic anemia, a rare condition where bone marrow no longer produces red blood cells, can also be diagnosed through a comprehensive metabolic panel (CMP) test.

Diagnosis of Anemia:

The diagnosis of anemia in men is based on a hemoglobin of less than 130 to 140 g/L (13 to 14 g/dL); in women, it is less than 120 to 130 g/L (12 to 13 g/dL).

Anemia Panel Tests Included:

CBC (Complete Blood Count) Panel:

Complete Blood Count

Whole blood is made up of various types of cells suspended in a liquid called plasma. The complete blood count (CBC) is an inventory of the different cellular components of the blood: red blood cells, white blood cells, and platelets. Blood cell counts are typically reported as the number of cells in a cubic millimeter of blood (cells/mm3) or as a percentage of all blood cells. This test is performed by analyzing a blood sample, which includes measuring platelet count, mean platelet volume, and the average size of red blood cells, to provide a comprehensive understanding of an individual's blood health.

 Red Blood Cells

Red blood cells (erythrocytes) carry oxygen from the lungs to the body's cells, bound to a molecule called hemoglobin. Anemia is a condition characterized by a reduction in the number of red blood cells, often leaving a person fatigued, weak, and short of breath. Several tests are used to help diagnose various types of anemia, including those associated with bone marrow disease. Treatment for these anemias may include blood transfusions, hormone therapy, or bone marrow transplants, depending on the specific form of anemia.

 Red Blood Cell Count (RBC): the total number of red blood cells in a quantity of blood. Normal ranges are 4.5–6.0 million cells/mm3 for men and 4.0–5.5 million cells/mm3 for women. (Women typically have lower counts than men due to the loss of blood through menstruation.)

 Hematocrit (HCT): the proportion of red blood cells as a percentage of total blood volume. A normal hematocrit is 40–55% for men and 35–45% for women.

 Hemoglobin (HGB): the number of grams of hemoglobin in a deciliter of blood (g/dL). Normal levels in healthy adults are 14–18 g/dL for men and 12–16 g/dL for women. As a rough guideline, hemoglobin should be about one-third the hematocrit.

 Mean Corpuscular Hemoglobin (MCH) and MCH Concentration (MCHC): the amount or concentration, respectively, of hemoglobin in an average red blood cell.

 Mean Corpuscular Volume (MCV): the average size, or volume, of individual red blood cells. Conditions such as iron deficiency can lead to smaller than normal red blood cells, while certain vitamin deficiencies and some drugs can produce larger than normal cells.

 Red Blood Cell Distribution Width (RDW): a measure of the size and uniformity of red blood cells.

 White Blood Cells

White blood cells (leukocytes) carry out the body's immune responses. The CBC looks at numbers of various different types of white blood cells.

 White Blood Cell Count (WBC): the total number of white blood cells in a quantity of blood. A healthy adult normally has 4,000–11,000 white blood cells/mm3. A WBC increase often indicates that a person is actively fighting an infection or has recently received a vaccine. Decreased WBC (leukopenia) can leave a person vulnerable to various pathogens and cancers.

 Differential: a report of the proportions of different types of white blood cells as a percentage of the total number of white cells; these percentages may be multiplied by the WBC to obtain absolute counts.

 Neutrophils: a type of cell that fights bacterial infections. Neutrophils normally make up about 50–70% of all white blood cells. The risk of bacterial infection increases when the absolute neutrophil count falls below about 500–750 cells/mm3.

 Lymphocytes: there are two main types of lymphocytes. B cells produce antibodies that fight foreign invaders in the body, while T cells target infected or cancerous cells and help coordinate the overall immune response. A normal lymphocyte count is about 20–40% of all white blood cells.

 Monocytes: a type of cell that fights pathogens by engulfing and destroying them. Monocytes circulate in the blood for about 24 hours; when they leave the bloodstream and migrate into the tissues, they mature into macrophages. Monocytes and macrophages normally account for 2-10% of all white blood cells.

 Eosinophils: cells that play a role in defense against parasites and in allergic reactions. They normally make up 0-6% of all white blood cells.

 Basophils: another type of cell involved in allergic reactions, in particular the release of histamine. They normally account for 1% or less of all white blood cells.

Platelets

 Platelets (thrombocytes) are necessary for blood clotting. A normal platelet count is about 130,000–440,000 cells/mm3. Low platelet counts (thrombocytopenia), which can cause easy bruising and excessive bleeding, may be a result of some medications, autoimmune reactions, spleen-accelerated destruction, or specific immune diseases.

Folic Acid:

B12 and folic acid blood testing help doctors diagnose central nervous system disorders, anemia, and malabsorption syndromes. B12 and folic acid also play an important role in energy level, muscle strength and memory. Because B12 and folate are derived solely from dietary intake, such as egg yolks, beef, poultry and fish, many people are deficient in these important vitamins.

Vitamin B-12 Level:

Vitamin B-12 is an essential vitamin. Low blood levels of B12 can cause: Anemia and pernicious anemia, loss of balance , numbness or tingling in the arms and legs, and weakness

Iron & TIBC:

The serum iron test measures the amount of iron in your blood. The total iron-binding capacity (TIBC) test looks at how well iron moves through your body. Iron is an important mineral that your body needs to stay healthy. Your body uses iron to make hemoglobin, the protein in your red blood cells that carries oxygen throughout your body. If you don't have enough iron, you may not have enough hemoglobin. This condition is called iron deficiency anemia, one of the different types of anemia. Transferrin, a protein that your liver produces, is primarily responsible for carrying or binding iron in your body. The TIBC test is based on certain proteins, including transferrin, found in the blood. Your transferrin levels are almost always measured along with iron and TIBC. Additionally, the ferritin test can help determine how much iron your body is storing, providing a more comprehensive understanding of your iron levels.

Ferritin:

Ferritin is a protein found in the bloodstream which stores iron. Ferritin helps transport iron where it's most needed in the body. Too much or too little ferritin can cause a lot of health issues and that's why you should check it often. The levels of ferritin in the body are different for men and women. For example: men: 24–500 ng/ml of blood; women: 22–200 ng/ml of blood. However, many people may have anemia symptoms at the lower end of the "normal" range.

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DiscountedLabs.com offers affordable blood tests you can order online in the United States without the need of a doctor's order. We have no hidden fees and an easy ordering process.

Frequently Asked Questions About the Anemia Panel:

Can dietary changes affect the results of an anemia panel?

Dietary changes can indeed affect the results of an anemia panel. Nutritional deficiencies are one of many causes of anemia, a condition that manifests as a lack of healthy red blood cells or hemoglobin in the blood. For example, iron-deficiency anemia is a common type of anemia that can result from insufficient dietary intake of iron.

Making dietary changes to include more iron-rich foods, such as red meat, poultry, beans, lentils, and leafy green vegetables, can help improve iron levels in the body and potentially impact the results of an anemia panel. On the other hand, certain dietary factors, like consuming excessive amounts of tea or coffee with meals, can inhibit iron absorption and influence test results.

It's important to consult with a healthcare provider or a nutritionist before making significant dietary changes if you suspect you have anemia or are undergoing an anemia panel test to ensure that your diet modifications align with your overall health goals and medical needs.

Are there any specific preparations needed before getting an anemia panel done?

Before getting an anemia panel done, it is advisable to follow these specific preparations:

1. Fasting: In some cases, fasting may be required before the test. Your healthcare provider will inform you if fasting is necessary for your test.

2. Medication: Inform your healthcare provider about any medications or supplements you are currently taking, as certain medications can affect the results of the test.

3. Timing: Your healthcare provider may recommend a specific time for the test, so be sure to follow that timeframe.

4. Hydration: Drinking plenty of water before the test can help make it easier to draw blood for the panel.

5. Clothing: Wear clothing that allows easy access to your arm for blood collection.

Following these preparations can help ensure accurate results from your anemia panel test.

Categories: Choose Your Test, Fatigue Tests, Popular Tests, Discounted Lab Panels,

Price: $144

Description: This test is useful in evaluating patients presenting with sarcoidosis, Gaucher's disease and lymphoangiomyomatosis in that the enzyme is increased in these clinical settings.

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

Includes: Angiotensin-Converting Enzyme (ACE)

Estimated turnaround for results is 7 business days.

Categories: Infectious diseases,

Price: $57

Description:

This panel comprises a group of 4 tests that provide information on an individual's electrolytes, acid-base, and water balance. A calculated anion gap is included to help diagnose metabolic acidosis. The panel is usually ordered during hospital and emergency room admission to help diagnose a range of conditions as well as monitor certain conditions or treatments that affect electrolyte balance [1,2]. Symptoms and signs of electrolyte, acid-base, and water imbalance may include dehydration, edema, vomiting, weakness, confusion, and cardiac arrhythmias.

Categories:

Price: $35

Description:

Annual physical exams are an essential part of preventive healthcare. These routine check-ups aim to monitor the overall health, identify potential health issues early, and establish baselines for personalized healthcare. A fundamental component of these annual exams involves laboratory tests, which provide physicians with a detailed understanding of a patient's bodily functions. This article explores the most common lab tests included in this panel, namely: CBC (Complete Blood Count), CMP (Comprehensive Metabolic Panel), Lipid Profile, A1C, TSH (Thyroid-Stimulating Hormone), and Urinalysis.

Complete Blood Count (CBC)

The Complete Blood Count (CBC) test is a broad screening test used to assess the overall health and detect a wide range of disorders such as anemia, infection, and leukemia.

Importance of CBC

A CBC measures various components and features of your blood, including red blood cells, which carry oxygen; white blood cells, which fight infection; and platelets, which help blood to clot. Variations in these components can indicate numerous health conditions, which is why this test forms a fundamental part of the annual exam.

Comprehensive Metabolic Panel (CMP)

The Comprehensive Metabolic Panel (CMP) is a group of 14 blood tests that provide an overview of the body's chemical balance and metabolism.

Importance of CMP

A CMP typically includes tests for blood sugar (glucose) levels, electrolyte and fluid balance, kidney function, and liver function. The results can help diagnose conditions like diabetes, kidney disease, and liver disease, among others.

Lipid Profile

The lipid profile is a group of tests used to determine the risk of coronary heart disease.

Importance of Lipid Profile

This panel measures the amount of cholesterol and triglycerides in your blood. High levels of these can lead to atherosclerosis, a condition that increases the risk of heart disease and stroke. Regular monitoring can help manage these levels and prevent associated diseases.

Hemoglobin A1C

The A1C test provides a picture of your average blood sugar (glucose) control for the past 2 to 3 months.

Importance of A1C

This test is particularly crucial for people with diabetes, but it's also used for diagnosis in at-risk individuals. A high A1C level is a risk factor for diabetes and can indicate issues with blood sugar control in diagnosed patients.

Thyroid-Stimulating Hormone (TSH)

TSH tests evaluate how well your thyroid is working and are usually done if you have symptoms of a low or high thyroid hormone level.

Importance of TSH

The thyroid gland plays a vital role in the body's metabolic processes. Variations in TSH can lead to conditions such as hypothyroidism (low thyroid function) or hyperthyroidism (overactive thyroid). Regular TSH tests can help in early detection and management of these conditions.

Urinalysis

Urinalysis is a test that assesses the urine and is typically used to detect diseases of the urinary system and metabolic diseases, such as diabetes.

Importance of Urinalysis

Urinalysis can reveal substances in the urine not normally present, such as glucose, protein, red blood cells, and white blood cells. It can help in detecting conditions such as urinary tract infections, kidney disease, or diabetes.

In conclusion, annual physical exams are a crucial part of health maintenance, and laboratory tests are an integral component of these exams. Each test provides valuable information about various bodily functions, enabling early detection, prevention, and treatment of many health conditions.

Categories: Choose Your Test, Men's Health Tests, Women Lab Tests, Popular Tests,

Price: $176

Description:

This annual physical panel contains: 

• CBC (Complete Blood Count: Immune Cells, Red Blood Cells/Hematocrit, and Platelets)
• CMP (Comprehensive Metabolic Panel: Glucose, liver and kidney function, electrolyte and fluid balance)
• Lipids (LDL and HDL Cholesterol, and Triglycerides)
• A1c (Glycated Hemoglobin)

What Are Common Lab Tests Included in an Annual Physical Doctor Visit?

This annual physicial lab test panel includes the basic blood tests usually included in an annual physical exam for men and women who are healthy and have no underlying conditions:

• CBC (Complete Blood Count: Immune Cells, Red Blood Cells/Hematocrit, and Platelets)
• CMP (Comprehensive Metabolic Panel: Glucose, liver and kidney function, electrolyte and fluid balance)
• Lipids (LDL and HDL Cholesterol, and Triglycerides)
• A1c (Glycated Hemoglobin)

Complete Blood Count (CBC test)

 Whole blood is made up of various types of cells suspended in a liquid called plasma. The complete blood count (CBC) is an inventory of the different cellular components of the blood: red blood cells, white blood cells, and platelets. Blood cell counts are typically reported as the number of cells in a cubic millimeter of blood (cells/mm3) or as a percentage of all blood cells.

Comprehensive Metabolic Panel (CMP test)

The comprehensive metabolic panel or cmp panel consists of 14 blood tests which serve as an initial medical screening tool to review overall health. The CMP blood test panel functions as a check for kidney function, liver function, and electrolyte and fluid balance. 

Lipid Panel (Cholesterol Test)

The lipid panel valuates the risk for developing atherosclerosis (arterial plaque) and coronary heart disease. This test includes: Total Cholesterol, Triglycerides , HDL Cholesterol, LDL Cholesterol, Total Cholesterol/HDL Ratio. This test requires fasting for 8 hours.

A1C Test (Glycated Hemoglobin)

The A1c test works by measuring the hemoglobin A1c level. Hemoglobin is stored in the red blood cells. When glucose levels are high, the sugar starts to combine with the hemoglobin. It takes the body 8 to 12 weeks to bring hemoglobin A1c levels back to normal. Therefore, if hemoglobin A1c levels are high, that means that there has been a high level of glucose in the blood over the last 2 to 3 months.

IMPORTANT: Discounted Labs only serves these states: Find a Location 

DiscountedLabs.com offers affordable blood tests you can order online in the United Sates without the need of a doctor's order. We have no hidden fees and have an easy ordering process.

HOW DOES DISCOUNTEDLABS.COM WORK?

1. Go to the "Find a Location" page to find the closest lab location. No need to make an appointment since walk-ins are welcomed. Once you have identified your closest location, go to step 2.

2. Go to "Choose a Test" and add your selection (s) in the shopping cart. If you prefer to save money on bundled tests, we have created "Lab Test Panels" that can help you decide what to order.

3. If you have a discount coupon code, add it to your cart.

4. A $8 lab processing fee will be added to your total.

5. Pay using a credit card.

6. You will receive an order confirmation and instructions email on how to download your lab request.

7. Print lab request form that you downloaded.

8. Take that form to the closest lab location with a picture ID. Get your blood drawn.

9. You will receive an email when the results are ready for you to download.

   Note: You cannot place an order under someone else's profile. The profile person's name will appear on the lab order form.

    

   If you have further questions, please email [email protected].

Categories: Choose Your Test, Wellness Tests, Popular Tests, Discounted Lab Panels,

Price: $111

• Highly specific for rheumatoid arthritis
• Predicts joint damage and progression
• Used in early diagnosis of RA

Categories:

Price: $339

• Detects early gluten sensitivity
• More sensitive than anti-gliadin tests
• Monitors treatment response

Categories:

Price: $54

• Screen for gluten sensitivity
• May signal non-celiac gluten sensitivity
• Check your health

Categories:

Price: $329

Description:

Anti-Mullerian Hormone (AMH), Female - AMH-MIS may be used in the investigation of ovarian reserve since AMH concentrations in adult women reflect the number of small antral and preantral follicles entering the growth phase of their life cycle. These follicles are proportional to the number of primordial follicles that still remain in the ovary, or the ovarian reserve. AMH decreases throughout a woman's reproductive life, which reflects the continuous decline of the oocyte/follicle pool with age and, accordingly, ovarian aging.

Patient Instructions:

Administration of STRENSIQ may interfere in certain assays and may falsely elevate values. For patients receiving STRENSIQ, consideration should be given to using alternate methods.

Categories:

Price: $195

Description: dsDNA Antibody is detected in patients with active systemic lupus erythematosus (SLE) and approximately 20% of patients with Mixed Connective Tissue Disease.

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

Includes:
DNA (ds) Antibody

Alternative Name(s):
Native DNA,
dsDNA,
Double-Stranded DNA Antibody,
Anti-DNA, (dsDNA)

Categories: Autoimmune diseases, Musculoskeletal diseases,

Price: $57

• Screen for celiac disease
• Monitor autoimmune response
• Assess gut inflammation

Categories:

Price: $130

• Supports diagnosis of celiac disease
• Alternative marker for celiac in IgA deficiency
• Evaluates potential intestinal damage

Categories:

Price: $499

Description:

This test is used to detect significant RBC antibodies.

Alternative names: RBC Antibody Screen

Categories: General wellness, Specific blood tests for women,

Price: $243

• Checks blood for clotting disorders
• Detects autoimmune issues affecting blood
• Screens for abnormal blood antibodies

Includes:

Cardiolipin Antibodies (IgA, IgG, IgM)

Beta-2-Glycoprotein I Antibodies (IgG, IgA, IgM)

Lupus Anticoagulant Evaluation with Reflex (PTT-LA and dRVVT with Reflex Confirmations)

Categories:

Price: $2399

Description:

This test measures the level of antithrombin III in your blood, which is a protein that helps prevent abnormal blood clots. Low levels can increase the risk of developing blood clots.

Categories: Blood and blood diseases,

Price: $699

• Measures bad cholesterol particle count
• Assesses heart disease risk
• Checks artery-clogging lipoproteins

Categories:

Price: $120

Description:

This test determines the subtypes of APOE which will aid in the risk assessment of Coronary Heart Disease (CHD) and Hyperlipoproteinemia.

Alternative names: CardioIQ®,Apolipoprotein E Genotype,APOE Genotype 

Patient Instructions:

Fasting is not required.

Categories: Heart & cholesterol, Genetic testing, General wellness,

Price: $1479

Description:

This test is an allergen-specific IgE antibody test that quantifies an individual’s IgE response to Arizona cypress. 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 https://www.thermofisher.com/phadia/wo/en/resources/allergen-encyclopedia/whole-allergens.html?key=t222

Reference
1. Bernstein IL, et al. Ann Allergy Asthma Immunol. 2008;100(suppl 3):S1-S148.

Categories: Allergy blood testing,

Price: $68

Description:

This panel includes:

Sedimentation Rate (Westergren) – Helps to determine whether a condition causing inflammation is present.

Anti-Nuclear Antibody (ANA) – Test that measures the amount and pattern of abnormal antibody that work against the body's tissues (autoantibody).

Rheumatoid Factor – Used to help support a diagnosis of rheumatoid arthritis.

hs- CRP C-Reactive Protein – Helps to diagnose and monitor the activity of some inflammatory and infectious conditions.

Uric Acid, Serum – This test measures the amount of uric acid in a blood sample. Uric acid is produced from the breakdown of your body's cells and from the food you eat. High uric acid could be a sign of gout.

What is Arthritis? - Everything You Need To Know

Arthritis is a general term that refers to joint pain and condition. Frequently though, arthritis is misunderstood as a single disease. There are over 100 types of arthritis and the conditions that result from them, and people affected, regardless of age, can develop associated severe illnesses and many disabilities.

The joints are the areas of the body where two bones meet, and their role is to provide mobility to the limbs connected by the respective bones of the joint. Arthritis means inflammation of one or more joints, accompanied by pain called arthralgia.

People of all ages and genders can have and have arthritis. Even though you may think that arthritis occurs only with age, this is not the only trigger. The condition can also occur as a result of a severe blow or physical exertion by athletes.

More than 120 million adults and nearly 600,000 children worldwide have arthritis or some other type of rheumatic disease. Estimates include only patients who report having doctor-diagnosed arthritis.

In the United States, only an estimated  54.5 million people are affected by arthritis, this being the primary reason for disability. The number of people with arthritis is unknown, as many do not seek treatment until their symptoms become severe.

What Causes Arthritis?

The causes of arthritis depend on the form of the condition. Arthritis types vary from those caused by the rupture and wear of the cartilage to those caused by the inflammation resulting from an overactive immune system, such as rheumatoid arthritis.

Types of Arthritis

Arthritis is a condition that can affect your quality of life quite seriously. For example, severe arthritis limits movement to such an extent that the affected person can no longer easily stand or stand in certain positions. The most common diagnosed arthritis types are:

Inflammatory arthritis-inflammation occurs without a valid physiological reason, on the surface of the joints and in the superficial layer of the bones. Inflammatory arthritis is classified as reactive arthritis, spondylosis, and rheumatoid arthritis.

Connective tissue disease- is a form of arthritis manifested by inflammation and local pain. It can affect the skin, kidneys, muscles, or lungs, and the most common form of connective tissue disease are scleroderma lupus.

Degenerative arthritis or Osteoarthritis- mainly affects the cartilage that covers the bones and leads to their inflammation. As a result, the cartilage becomes thinner, thicker, and more porous. To compensate for the loss of cartilage, the body's reaction is to reshape the affected bones, leading to abnormal bone growths, called osteophytes, and deformities of the joints.

Metabolic arthritis- occurs due to the accumulation of purines, substances that are naturally produced by the body and are found in foods such as red meat, sweets, and seafood. People who overeat these purine foods have high uric acid levels, which build up in the joints and cause local pain.

Septic arthritis- mainly affects the knee and hip. Streptococcus and staphylococcus are the leading causes of acute septic arthritis, and candida frequently leads to chronic septic arthritis. Joint problems, bacterial infections, or diseases such as diabetes and autoimmune diseases are risk factors for septic arthritis.

Psoriatic arthritis- is a common symptom in people living with psoriasis. The disease occurs when the immune system attacks the body's healthy cells in most cases. As a result, inflammation builds up in the joints. In general, people with psoriatic arthritis have an increased risk of cardiovascular disease, high triglycerides, and obesity.

How Can You Detect Arthritis?

Diagnosing arthritis may be a difficult thing do. There Are so many types of arthritis and disorders associated with it one test may not be enough to detect it.

Therefore, there were developed tests packages to diagnose better and monitor a possible arthritis disorder.

Your physician may ask you to perform a set of blood tests, review your medical history, check your joints, X-ray, ultrasounds closely, and sometimes MRI may also be needed. In some instances, arthrocentesis is required. The latter is a procedure that tests a sample of liquid from your joints.

What are The Symptoms of Arthritis?

Common symptoms of joint arthritis include:

• swelling
• pain in one or more joints
• stiffness
• decreased joint mobility
• low-grade fever
• fatigue
• lose weight

Symptoms may appear and disappear and may be mild, moderate, or severe. They can stay the same for years and then progress quickly. Severe arthritis can lead to chronic pain, inability to do daily activities, and difficulty walking or climbing stairs.

Arthritis can cause permanent changes in the joints. These changes may be visible, such as a knot in the joints of the fingers, but often the damage can only be seen by X-rays.

Some types of arthritis also affect other body parts, such as the heart, eyes, lungs, kidneys, and skin.

Essential Blood Tests in Diagnosing Arthritis

Sedimentation Rate (Westergren) - This test is meant to measure the level of inflammation. It measures the rate at which red blood cells sink into a vial, which may indicate if inflammation is present in your body. Higher levels may indicate inflammation in your body; however, this won't indicate its localization or what causes it if taken alone. This is why this test is accurate alongside other tests.

Antinuclear Antibody (ANA) - May indicate the presence of Lupus Autoimmune Disease or other Rheumatic Diseases. This test may occasionally be positive in a person without rheumatic disease. 95% of persons diagnosed with SLE or Lupus have a positive test.

Rheumatoid Factor - Usually used to diagnose rheumatoid arthritis. Note: some persons that have rheumatoid arthritis may never test positive. On the other hand, in the early stage of the RA, the test's result may be false negative. Hence it is important to have the test repeated if needed and performed alongside other relevant tests.

C-Reactive Protein (CRP)- This test measures the inflammation in your body, measuring a particular protein that may be found in the blood. Increased levels may show inflammation or acute infection.

Uric Acid, Serum - This test is usually undertaken to detect cases of gout.

These tests have to be interpreted by a doctor, and medication should be followed only at their recommendation.

Order Your Tests Now

Depending on your particular situation, symptoms, and suspected diagnosis, your doctor may order several types of tests. Unfortunately, there is no single test to diagnose all types of arthritis.

Instead, a combination of these different types of tests is often needed, and more importantly, it is most effective in finding all the clues required for an accurate diagnosis.

Coming in your help, DiscountedLabs.com has developed an arthritis panel that comprises the most common tests doctors recommend to identify your problem and start work from there for your health.

Categories: Musculoskeletal Diseases​ Tests, Inflammation Lab Tests, Choose Your Test, Discounted Lab Panels,

Price: $141

Description: Aspartate Aminotransferase (AST) is an enzyme produced by the liver. The AST test is commonly used to determine liver damage.
AST is widely distributed throughout the tissues with significant amounts being in the heart and liver. Lesser amounts are found in skeletal muscles, kidneys, pancreas, spleen, lungs, and brain. Injury to these tissues results in the release of the AST enzyme to general circulation. In myocardial infarction, serum AST may begin to rise within 6-8 hours after onset, peak within two days and return to normal by the fourth or fifth day post infarction. An increase in serum AST is also found with hepatitis, liver necrosis, cirrhosis, and liver metastasis.

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

Includes:
Aspartate Aminotransferase (AST/SGOT)

****Aspartate Aminotransferase (AST/SGOT) is included in the Comprehensive Metabolic Profile (CMP), and in the Liver Function Profile.****

Categories: Blood and blood diseases, Liver diseases,

Price: $37

Description:

Aspirin (which inhibits platelet cyclooxygenase) reduces the risk of thrombosis in cardiovascular disease by impairing platelet function. Patients who do not respond to the platelet inhibitory effects of aspirin are designated as "aspirin resistant". The measurement of 11-dhTXB2 in urine (the principal metabolite of platelet cyclooxygenase derived thromboxane B2) may be used in individuals with cardiovascular disease prior to initiation of aspirin therapy, or in individuals non-responsive to aspirin therapy.

Alternative names: 11dhTxB2

Categories: Allergy blood testing, Heart & cholesterol,

Price: $436

Description:

ADMA and SDMA may be measured in individuals with multiple risk factors for the development of cardiovascular disease.

Patient Instructions:

Fasting is recommended but not required.

Categories: Heart & cholesterol,

Price: $211

Description: This test uses equilibrium dialysis methodology.

The Testosterone test in this panel will provide levels of Total Testosterone results ranging from 0 to 9,999. However, any value greater than 9,999 will be displayed as ">10,000" (over 10,000) instead of a specific number.

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

Estradiol, Ultrasensitive, LC/MS/MS

Sex Hormone binding Globulin, Serum

Tri-iodothyronine Free (FT3)

Thyroxine Free, Direct Dialysis (FT4)

Total Testosterone, Free (Dialysis) Testosterone (calculated)

Dehydroepiandrosterone (DHEA-s) Sulfate

Ferritin, serum

Follicle-Stimulating Hormone (FSH), Serum

Gamma Glutamyl Transpeptidase (GGT)

Hemoglobin (Hgb) A1c

Urinalysis

Insulin

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)

Progesterone, serum

Prolactin, serum

Total Iron, Iron Binding Capacity, % Saturation (calculated)

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

Thyroid-Stimulating Hormone (TSH)

Reverse Tri-iodothyronine (RT3)

Insulin-Like Growth Factor I (IGF-I)

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). Samples should not be collected during or soon after the administration of heparin. 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. 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: Fitness, nutrition, anti-aging, Hormones & metabolism, Specific blood tests for women, Specific blood tests for men,

Price: $459

• Pinpoint mold allergies causing your symptoms
• Reveal hidden triggers for respiratory issues
• Clarify unexplained skin reactions effortlessly

Categories: Allergy blood testing,

Price: $243

Description: Uncovering autoimmune disease through specific autoimmune blood tests can lead to treatments designed to prevent or slow your immune system from attacking itself. Autoimmune blood tests and other screening tests of the immune system can help limit illnesses and offer more favorable outcomes.

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

Includes:
ANA Screen IFA w/ Ref to Titer and Pattern
If ANA Screen, IFA is positive, ANA Titer and Pattern will be performed.
Anti-dsDNA (Double-Stranded) Antibiodies, EIA
Complement Component C3c 

Estimated turnaround for results is 5 business days.

Categories: Autoimmune diseases,

Price: $114

• Pinpoint avocado sensitivity causing discomfort
• Reveal hidden food intolerances affecting you
• Clarify digestive issues linked to avocado

Categories: Allergy blood testing,

Price: $120

Description: Vitamin B is responsible for your energy, focus and metabolism. There are several types of B vitamins, such as B 1, 2, 3, 5 and 12. Together they are called B complex.

B vitamins are water-soluble. That means your body flushes them out as you drink water. So they always need to be topped up.

If you don't consume meat or animal products as part of your diet then you need to pay close attention to your levels as B vitamins are rare in plants. Especially vitamin B12. You must supplement it as plants don't produce it.

Low vitamin B12 levels can lead to medical issues so a regular test is advised.

Includes:
Vitamin B1 (Thiamine) LC/MS/MS
Vitamin B2 (Riboflavin)
Vitamin B3: Nicotinamide, Nicotinic Acid

Vitamin B5 (Pantothenic Acid)

Vitamin B6
Vitamin B12

Patient Instructions: You should fast for 8 hours before collection of the specimen. Fasting is defined as no consumption of food or beverage other than water for at least 8 hours before testing. Avoidance of vitamin supplements for 24 hours prior to collection is preferred.

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

Categories: Fitness, nutrition, anti-aging,

Price: $420

Description: BNP is increased in congestive heart failure, left ventricular hypertrophy, acute myocardial infarction, coronary angioplasty, and hypertension. Elevations are also observed in pulmonary hypertension (indicating right ventricular dysfunction), acute lung injury, hypervolemic states, chronic renal failure and cirrhosis. Decreasing levels indicate therapeutic response to anti-hypertensive therapy. BNP levels may also predict the risk of a cardiovascular event such as a heart attack or stroke.
Alternative Name(s): BNP, Brain Natriuretic Peptide

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

Includes:
B-Type Natriuretic Peptide (BNP)

Patient Instructions: 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.

Categories: Heart & cholesterol,

Price: $100

Description:

BRAF encodes a serine/threonine protein kinase downstream of the epidermal growth factor receptor (EGFR) and the RAS family of small G-proteins (KRAS, HRAS and NRAS) in the MAPK pathway. BRAF is mutated in a variety of human tumors, most frequently in melanoma and in papillary thyroid cancer. BRAF mutations are also found in lower frequency in colorectal cancer, non-small cell lung cancer (NSCLC), acute myeloid leukemia (AML), hairy cell leukemia, glioma, sarcomas, breast cancer, hepatoma and ovarian cancer.

BRAF mutations are found clustered within the P-loop (exons 11&12) and activation domain (exon 15) of the kinase domain. A single glutamic acid for valine substitution at codon 600 (V600E) in exon 15 comprises approximately 90% of BRAF somatic mutations in cancer. In general, BRAF V600E mutations do not coexist with RAS mutations in the same tumor cells, suggesting that each of these genetic alterations is sufficient for activating downstream effectors that initiate or promote tumorigenesis.

The BRAF V600E mutation is also associated with significantly poor prognosis and higher recurrent and persistent disease in patients with melanomas, colorectal carcinoma, and papillary thyroid cancers. In patients with metastatic colorectal cancer, the presence of the BRAF V600E mutation in tumors with wild-type KRAS is associated with resistance to EGFR inhibitor therapy. In contrast, in patients with metastatic melanoma, BRAF V600E mutation may predict for response to BRAF inhibitors. Therefore, BRAF mutation analysis may be used either as a standalone test for the selection of cancer patients who might benefit from BRAF inhibitor therapies, or as an additional tool (along with RAS mutation analysis) for the selection of metastatic colorectal cancer patients that might benefit from EGFR-targeted therapies.

Alternative names: BRAF Mutation Analysis,B-RAF

Patient Instructions:

Fasting is not required.

Categories: Cancer detection, Gastrointestinal diseases,

Price: $1599

• Checks for breast cancer genes
• Identifies genetic cancer risks
• Analyzes inherited cancer likelihood

Includes:

BRCA1 Sequencing, BRCA1 Deletion/Duplication, BRCA2 Sequencing, BRCA2 Deletion/Duplication, Comprehensive Interpretation

Patient Instructions:

Saliva: Do not eat, drink, smoke or chew gum for 30 minutes before collection.

Buccal swab: Please refer to user instructions provided with kit. Ensure the sponge tip does not come into contact with any surface prior to collection. Do not eat, drink, smoke, or chew gum for 30 minutes before collection. Do not touch swab tips or allow contact with any other object.

Categories:

Price: $8999

• Assesses kidney function and hydration status
• Helps identify acute or chronic kidney issues
• Monitors hydration and protein metabolism

Includes:

BUN/Creatinine Ratio

Categories:

Price: $29

• Pinpoint the cause of chronic inflammation
• Reveal hidden factors affecting your energy levels
• Clarify the source of persistent aches

Includes:

Sedimentation Rate, Modified Westergren

C-Reactive Protein (CRP)

Patient Instructions:

There are no special instructions/requirements for the tests you ordered. Fasting is not required.

Categories:

Price: $64

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

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

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)

Sedimentation Rate, Modified Westergren

C-Reactive Protein (CRP)

CA 19-9

Carcinoembryonic Antigen (CEA)

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.

Categories:

Price: $143

Description:

This test may be useful with patients for whom skin testing and/or in vitro IgE testing in not appropriate or available. This is an in vitro challenge of whole blood with histamine as a measure of cell stimulation.

Patient Instructions: Patients taking calcineurin inhibitors should stop their medication 72 hours prior to draw. Patients taking prednisone should stop medication for 2 weeks prior to draw.

Categories: Allergy blood testing,

Price: $966

Description:

This test may be useful with patients for whom skin testing and/or in vitro IgE testing is not appropriate or available. This is an in vitro challenge of whole blood with histamine as a measure of cell stimulation.

Alternative names: Progene® BasoFunction™ Test

Patient Instructions: Patients taking calcineurin inhibitors should stop their medication 72 hours prior to draw.

Categories: Allergy blood testing,

Price: $966

Description:

This test may be useful with patients for whom skin testing and/or in vitro specific IgE testing is not appropriate or available. This is an in vitro challenge of whole blood with histamine as a measure of cell stimulation.

Patient Instructions: Patients taking calcineurin inhibitors should stop their medication 72 hours prior to draw.

Categories: Allergy blood testing,

Price: $966

Description:

This test may be useful with patients for whom skin testing and/or in vitro IgE testing in not appropriate or available. This is an in vitro challenge of whole blood with histamine as a measure of cell stimulation.

Patient Instructions: Patients taking calcineurin inhibitors should stop their medication 72 hours prior to draw.

Categories: Allergy blood testing,

Price: $966

Description:

Occupational exposure incident. Expedited reporting based on OSHA required guidelines.

Includes: Specific Gravity
Phenol Total
Phenol Total (Specific Gravity corrected)

Categories: Allergy blood testing, Geriatrics/Age Management, Neurology, Pediatrics,

Price: $664

Description:

Alternative names: ImmunoCAP®

Categories: Allergy blood testing,

Price: $68

• Pinpoint food sensitivities causing discomfort
• Reveal hidden triggers behind digestive issues
• Clarify the cause of unexplained bloating

Categories: Allergy blood testing,

Price: $120

Description: Beta-2-microglobulin normally passes through the glomerulus into the proximal tubule where much of it is reabsorbed. Serum levels are therefore an index of glomerular function. When impaired, serum levels rise in inverse ratio to glomerular filtration rate. Increased amounts of beta-2-microglobulin are excreted in several renal disorders, e.g., Balkan nephropathy, heavy metal poisoning and renal tubular disease due to therapeutic agents. Serial levels of beta-2-microglobulin in serum and urine are used to evaluate transplant viability and anticipate rejection. Following a successful graft, serum levels decline toward normal. Increasing serum levels provide an early sign of rejection. Elevated levels are also noted in lymphproliferative disorders, neoplasms (malignant and benign), inflammatory disease, and autoimmune diseases such as systemic lupus erythematosus (SLE) and Sjögren's disease.

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

Includes:
Beta-2 Microglobulin, Serum.

Estimated turnaround for results is 4 business days.

Categories: Kidney diseases,

Price: $58

• Detect early signs of bile duct issues
• Unveil hidden factors affecting your liver
• Clarify unexplained abdominal pain causes

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

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.

Categories: Cancer detection,

Price: $120

Description: Measurement of the levels of bilirubin is used in the diagnosis and treatment of liver, hemolytic, hematologic, and metabolic disorders, including hepatitis and gall bladder obstruction. The assessment of direct bilirubin is helpful in the differentiation of hepatic disorders. The increase in total bilirubin associated with obstructive jaundice is primarily due to the direct (conjugated) fraction. Both direct and indirect bilirubin are increased in the serum with hepatitis.
Alternative Names(s): Conjugated Bilirubin

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

Includes:
Bilirubin, Direct

***Bilirubin Direct is included in the Liver Function Profile.***

Categories: General wellness, Liver diseases,

Price: $53

Description: Measurement of the levels of bilirubin is used in the diagnosis and treatment of liver, hemolytic, hematologic, and metabolic disorders, including hepatitis and gallbladder obstructive disease.
Causes of high bilirubin: Liver disease: hepatitis, cholangitis, cirrhosis, other types of liver disease (including primary or secondary neoplasia); alcoholism (usually with high AST (SGOT), GGT, MCV, or some combination of these findings); biliary obstruction (intrahepatic or extrahepatic); infectious mononucleosis (look also for increased LD (LDH), lymphocytosis); Dubin-Johnson syndrome; Gilbert disease1 (familial hyperbilirubinemia) is encountered as a moderate elevation with otherwise unremarkable chemistries.
Anorexia or prolonged fasting: 36 hours or more may cause moderate rise.
Pernicious anemia, hemolytic anemias, erythroblastosis fetalis, other neonatal jaundice, hematoma, and following a blood transfusion, especially if several units are given in a short time.
Pulmonary embolism and/or infarct, congestive heart failure.

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

Includes:
Bilirubin, Total

****Bilirubin, Total is included in the Comprehensive Metabolic Profile (CMP) and in the Liver Function Profile.***

Categories: General wellness, Liver diseases,

Price: $37

Description: Biotin (Vitamin B7) - Biotin, vitamin B7, or vitamin H, is a water soluble vitamin. The vitamin plays a role in the transferring of carbon dioxide in the metabolism of fat, carbohydrate and protein by functioning as an enzyme cofactor. It is involved in multiple biochemical reactions including niacin metabolism, amino acid degradation, and the formation of purine, which is an integral part of nucleic acids. It interacts with histone by the action of biotinyl-transferase. Sometimes the vitamin is used in weight reduction programs. It may be prescribed as a supplement for diabetic patients due to its role in carbohydrate metabolism. Biotin is commonly found in vitamin B complex and many food sources, such as milk, yeast, egg yolk, cereal, and mushrooms. The reference daily intake [RDI of 101.9(c) (8) (IV)] for vitamin B7 is 300 micrograms. Deficiency in the vitamin may result in seborrheic dermatitis, alopecia, myalgia, hyperesthesia, and conjunctivitis. Disorders of biotin metabolism can be acquired or congenital. Biotinidase and holocarboxylase synthethase deficiency are the two better known forms of disorders. The lack of biotin-dependent pyruvate carboxylase, propionyl-CoA carboxylase, methylcrotonyl-CoA carboxylase, and acetyl-CoA carboxylase can lead to the life-threatening disorder of multiple carboxylase deficiency. Treatment involves a daily dose of approximately 10 mg biotin/day. Irreversible mental or neurological abnormalities may result from delayed clinical intervention.

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

Includes:
Biotin (Vitamin B7)

Patient Instructions:
Estimated turnaround for results is 14-21 business days.

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

Price: $420

• Pinpoint the cause of unexplained fatigue
• Reveal hidden blood disorders effortlessly
• Clarify the reasons behind frequent bruising

Includes:

Prothrombin Time (PT) (INR) and Partial Thromboplastin Time (PTT)

Fibrinogen Activity

Fibrinogen Antigen

D-Dimer Quantitative

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 8 hours before collection of the specimen. Fasting is defined as no consumption of food or beverage other than water for at least 8 hours before testing.

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

Categories:

Price: $515

Description:

This blood donation panel includes tests for various blood components: Hematocrit, iron & total iron binding capacity (TIBC), and ferritin.

This panel is designed to determine if:

1- Your blood donation or therapeutic phlebotomy was effective in lowering your high hematocrit without negatively affecting ferritin or iron.

2- It is safe to do another blood donation or therapeutic phlebotomy depending on ferritin or iron levels.

What is Blood Donation?

Blood donation is the process of giving blood to help patients in need of transfusions. It involves collecting blood from a donor and separating it into its various components, such as red blood cells, plasma, and platelets. Blood donation is a safe and voluntary process that helps save lives and improve the health of patients undergoing surgery, receiving treatment for cancer or blood disorders, and experiencing traumatic injuries.

Benefits of Donating Blood

Donating blood has numerous benefits for both the donor and the recipient. For the donor, donating blood can help lower blood pressure, reduce the risk of heart disease, and improve overall cardiovascular health. Donating blood regularly can also help maintain healthy iron levels and improve blood flow. For the recipient, blood donation can help save lives, improve health outcomes, and enhance the quality of life.

The Process of Donating Blood

The process of donating blood typically involves the following steps:

1. Registration: The donor registers to donate blood and provides basic information, such as name, address, and medical history.

2. Screening: The donor undergoes a medical screening to ensure they are eligible to donate blood. This includes a blood test to check for infectious diseases and a review of medical history.

3. Blood Collection: The donor’s blood is collected through a sterile needle inserted into a vein in the arm. The blood is collected into a bag or container, and the process typically takes 10-15 minutes.

4. Separation: The collected blood is separated into its various components, such as red blood cells, plasma, and platelets.

5. Testing: The donated blood is tested for infectious diseases, such as HIV and hepatitis, and for blood type and Rh factor.

6. Storage: The donated blood is stored in a blood bank or transfusion center until it is needed for a patient.

Overall, blood donation is a safe and rewarding process that helps save lives and improve the health of patients in need.

What is Hematocrit and Red Blood Cells?

Hematocrit is the portion of blood made up of red blood cells.

High hematocrit occurs when there is an excessive production of red blood cells, which can thicken the blood and place additional strain on the heart and blood vessels. High hematocrit can cause the blood to become very viscous or “sticky,” making it harder for the heart to pump. High blood pressure, strokes, and heart attacks can occur.

Testosterone Replacement Therapy and High Hematocrit

The association between testosterone replacement therapy and high hematocrit has been reported for the past few years as this therapy has become more mainstream. In addition to increasing muscle and sex drive, testosterone can increase the body’s production of red blood cells. This hematopoietic (blood-building) effect could be a good thing for those with mild anemia.

Although all testosterone replacement products can increase the number of red blood cells, the study showed a higher incidence of higher hematocrit in those using intramuscular testosterone than topical administration (testosterone patch was the main option used – no gels). Smoking and sleep apnea have also been associated with polycythemia and may contribute to the effects of other risk factors like TRT.

It’s important to check patients’ hemoglobin and hematocrit blood levels while on testosterone replacement therapy. As we all know, hemoglobin is the substance that makes blood red and helps transport oxygen in the blood. Additionally, carbon dioxide plays a crucial role in the function of hemoglobin, as it is carried by red blood cells throughout the body. Hematocrit reflects the proportion of red cells to total blood volume. A hematocrit of over 52 percent should be evaluated. Decreasing testosterone dose or stopping it are options that may not be the best for assuring patients’ best quality of life, however. Switching from injectable to transdermal testosterone may decrease hematocrit, but in many cases not to the degree needed.

Different medical guideline groups that recommend monitoring for testosterone replacement therapy agree about measuring hematocrit at month 3 and then annually, with some also recommending measurements at month 6 after starting testosterone.

How to Lower Hematocrit with Blood Donations—Warning

Many patients on testosterone replacement who experience polycythemia do not want to stop the therapy due to fears of re-experiencing the depression, fatigue, and low sex drive they had before starting treatment. Lowering hematocrit through blood donation can also reduce the risk of serious complications such as blood clots and stroke. For those patients, blood donation or therapeutic phlebotomy may be the answer. Therapeutic phlebotomy is very similar to what happens when donating blood, but this procedure is prescribed by physicians as a way to bring down blood hematocrit and viscosity when blood centers refuse to accept a blood donor because of his high hematocrit.

When donating blood, usually a unit of blood is extracted from the body. For every unit of blood donated or extracted through therapeutic phlebotomy, there is a 2-3 point decrease in hematocrit. If your hematocrit is 56 and you want to bring him under 50, you would have to give 2 to 3 units of blood. However, taking this much blood out in one single blood donation/phlebotomy session may deplete ferritin and iron levels, which can cause extreme fatigue. So, be conservative and only give 1 unit max even if you have to go more frequently. But be aware that the Red Cross has stated that blood donations done more frequently than every 2.5 months run the risk of lowering your ferritin and iron too much (which can cause fatigue), so make sure that you get a ferritin test to determine if you should take an iron supplement after donating or to make sure that ferritin is not low before the next blood donation. It is estimated that one unit of blood extracted can lower ferritin by 30 points. Ferritin levels under 45 have been linked to fatigue and other symptoms.

Categories: Choose Your Test, Fatigue Tests, Men's Health Tests, Popular Tests,

Price: $60

Description:

This panel provides smart bodybuilders with information that can help minimize potential short- and long-term side effects and risks. It includes gold-standard tests that do not have interference. This basic bodybuilder panel includes the following tests and panels:

Hematocrit Test: 

All androgens, like testosterone and AAS, can increase red blood cells and their proportion in the blood (hematocrit), increasing blood thickness.  This panel is essential since it determines when you reach a hematocrit of 53, the value indicating that blood donation or therapeutic phlebotomy is needed. High hematocrit increases blood thickness, which can cause high blood pressure, headaches, and cardiovascular risks.

Comprehensive Metabolic Panel (CMP)

A CMP lab test is used to evaluate several body processes and functions, including:

• Liver and kidney health
• Blood sugar levels
• Blood protein levels
• Acid and base balance
• Fluid and electrolyte balance
• Metabolism (glucose)
• Side effects of some medications

Fasting is required.

Testosterone, Total, LC/MS, and Free (Equilibrium Ultrafiltration) (No Upper Limit and No Interference with Anabolics)

This panel shows the percent free testosterone by equilibrium ultrafiltration, the percent free testosterone used to figure out the free testosterone, and the total testosterone measured using LC/MS, which is the most accurate method. There is no upper limit, so it is adequate for men on high testosterone or AA doses. The LC/MS assay also prevents interference of anabolics and biotin on testosterone blood levels.  Note: This test panel is the most accurate and does not get affected by the presence of anabolics in the blood, unlike the regular ECLIA-based testosterone test used by doctors not educated on laboratory assay differences.

Estradiol , Ultra Sensitive (LC/MS) Blood Test (Gold Standard Test for Men)

The commonly used estradiol test may overestimate estradiol. That test uses immunoassay technology that cannot differentiate C-Reactive Protein (involved in inflammation) from estradiol, so it reads the combination of the two as estradiol. This ultrasensitive estradiol test is based on liquid chromatography/mass spectrometry (LC/MS), an assay technology that does not have that limitation. Please be aware that estradiol is important in men and that treating it aggressively may get in the way of gains.

Cystatin C with EGFR Kidney Test (The Most Accurate Kidney Test for Bodybuilders)

Cystatin C is much more accurate than a plain CMP to determine kidney function in people with higher muscle mass since using only creatinine as the main variable can give your doctor an impression of kidney issues.  Unlike the commonly used creatinine test, Cystatin C is unaffected by higher muscle mass, protein intake, and creatine supplementation. Another one of the measures of kidney function is the estimated glomerular filtration rate (eGFR). The glomerular filtration rate describes the flow rate of filtered fluid through the kidney. Creatinine clearance rate (C_Cr or CrCl) is the volume of blood plasma cleared of creatinine per unit of time and is a helpful measure for approximating the GFR. eGFR under 60 may indicate issues that are affecting kidney function.

Lipid Test Panel

This panel includes LDL (bad cholesterol), HDL (good cholesterol), and triglycerides (fatty acids dissolved in the blood).  A higher dose of T and AAS can increase LDL and decrease HDL and triglycerides. Severely decreased HDL may cause cardiovascular issues in the long term. Fasting is required.

For a more comprehensive bodybuilder panel, check this one out: Comprehensive Bodybuilder Panel

Also, look at the Post Cycle Therapy panel

Suggested Reading: Testosterone Replacement Blood Test Targets

How Does DiscountedLabs.com work?

Categories: Choose Your Test, Men's Health Tests, Discounted Hormone Tests, Bodybuilder Blood Tests,

Price: $272

Description:

Categories: Men's Health Tests, Bodybuilder Blood Tests, Male Hormone Tests, Hormone Testing,

Price: $172

Description:

Tests included: Hematocrit, Lipid panel (LDL, HDL, triglycerides), Cystatin C kidney test, eGFR kidney test, GGT liver test, Total Testosterone (LC/MS), Free Testosterone (Equilibrium Ultrafiltration), Ultrasensitive Estradiol, Prolactin, DHT test (LC/MS), IGF-1 test (LC/MS), and ferritin.

A Smart Bodybuilder Monitors His Lab Tests for Long Term Gains

If you are a bodybuilder using anabolic androgenic steroids (AAS), it's vital to be aware of the potential side effects. However, many athletes overlook the necessity of lab tests to maximize benefits and to detect these damaging effects early on to minimize potential risks. To guarantee that you remain healthy during on-cycle phases, regular lab tests are recommended to monitor your body's response to AAS. The importance of lab tests lies in their ability to identify potential side effects in the early stages. Early detection is essential in minimizing the risks and avoiding long-term health problems. Blood pressure tests can detect high blood pressure, a common side effect of AAS usage.

Another crucial test is the liver function test; the liver is crucial for breaking down and eliminating AAS from your body, potentially causing damage to the liver through AAS usage. The liver enzyme test measures the liver's function to ensure it's working adequately. Kidney function tests are also recommended since AAS may affect the kidneys, leading to kidney damage. The creatinine levels in the blood and urine determine how well the kidneys are functioning. Lastly, lipid profile testing measures cholesterol and triglyceride levels. AAS usage may lead to imbalanced lipid levels, putting bodybuilders at risk of heart disease. These crucial tests help detect potential risks to your health effectively. Regular monitoring through blood pressure, liver, kidney, and lipid profile tests is fundamental to minimizing the potential health risks associated with AAS usage. It is advisable to prioritize regular lab tests to ensure you remain healthy even during on-cycle phases. Take care of your health, and always stay informed. Keep reading for more details.

What Bodybuilder Blood Tests are Included and Why?

Bodybuilders using testosterone and anabolic androgenic steroids (AAS) have to be smart about maximizing benefits and minimizing short- and long-term side effects while exercising and eating effectively for good muscle gain, fat loss, and quality of life.  Harm reduction is essential, especially when medical professionals' judgment and stigma create barriers to care. Here is a list of 14 carefully selected lab tests and panels that are essential in maintaining proper health while improving body composition and strength:

Complete Blood Count (CBC)

A complete blood count (CBC) test panel measures several components of your blood, including red blood cells, which carry oxygen; white blood cells, which fight infection; hemoglobin, the oxygen-carrying protein in red blood cells; hematocrit, the proportion of red blood cells to the fluid component in your blood (which is correlated with blood thickness); and platelets, which help with blood clotting.

All androgens, including testosterone and AAS, can raise the number of red blood cells and their percentage in the blood (hematocrit), which makes the blood thicker (erythrocytosis).High hematocrit can cause high blood pressure, headaches, and cardiovascular risks. This panel is essential since it determines when you reach a hematocrit of 53, indicating that blood donation or therapeutic phlebotomy is needed.

Comprehensive Metabolic Panel (CMP)

The comprehensive metabolic panel, or CMP, consists of 14 blood tests that are an initial medical screening tool to review overall health. The CMP blood test panel checks for glucose, kidney function, liver function, electrolyte, and fluid balance. FASTING IS REQUIRED.

Lipid Test Panel

This panel includes LDL (bad cholesterol), HDL (good cholesterol), and triglycerides (fatty acids dissolved in the blood).  Higher doses of T and AAS can increase LDL and decrease HDL and triglycerides. Severely decreased HDL may cause cardiovascular issues in the long term. FASTING IS REQUIRED.

Cystatin C with EGFR Kidney Test

Cystatin C is a more accurate way to determine kidney function in people with higher muscle mass since using creatinine as the primary variable can be affected by higher muscle mass, protein intake, and creatine supplementation. Another one of the measures of kidney function is the estimated glomerular filtration rate (eGFR). The glomerular filtration rate describes the flow rate of filtered fluid through the kidney. Creatinine clearance rate (CCR_Cr or CrCl) is the volume of blood plasma that is cleared of creatinine per unit of time and is a useful measure for approximating the GFR. eGFR under 60 may indicate issues that are affecting kidney function.

GGT Liver Test

The GGT blood test looks for an enzyme, or protein, called gamma-glutamyl transpeptidase (GGT) in your blood. GGT is found in liver cells. This test helps your doctor look for damage to your liver or its ducts. It can also help tell the difference between liver and bone disease if your results from a different blood test called alkaline phosphatase are abnormal. Higher-than-average test results could indicate liver damage from diseases such as hepatitis, cirrhosis, tumors, or pancreatic cancer. The good thing about GGT (unlike liver enzymes included in the CMP like AST and ALT) is that resistance exercise does not affect its value, so it is a more accurate way to detect liver disease in bodybuilders.

Total Testosterone by Liquid Chromatography/Mass Spectrometry, plus Free Testosterone by Equilibrium Ultrafiltration.

Men with high testosterone cannot use the regular total testosterone test based on immunoassays since it has an upper limit of 1,500 ng/dL. The LC/MS testosterone test does not have an upper limit.  Also, some labs offer calculated free testosterone instead of the equilibrium ultrafiltration-based one, which is more accurate for this critical variable.

Ultra-Sensitive Estradiol (E2) Test

The commonly used estradiol test may overestimate estradiol. That test uses immunoassay technology that cannot differentiate C-Reactive Protein (involved in inflammation) from estradiol, so it reads the combination of the two as estradiol. This ultrasensitive estradiol test is based on liquid chromatography/mass spectrometry (LC/MS), an assay technology that does not have that limitation. Furthermore, DHT analogs like oxandrolone may dramatically decrease estradiol, causing joint aches and other low-estradiol issues. Note: 0.4 percent of total testosterone aromatizes to estradiol.  This is the body's way of balancing testosterone's negative effect on lipids with estradiol's beneficial effect. If your total testosterone is high, so will your estradiol. Be very careful when assuming that an aromatase inhibitor is needed.  For more information, click on the effect of high and low estradiol on men's health. How to predict estradiol for different testosterone doses.

Prolactin Test

Many bodybuilders worry about increased prolactin since it has been associated with erectile dysfunction.

DHT Test

This test measures the amount of dihydrotestosterone (DHT) in the blood. Low DHT has been associated with low libido, and high DHT has been linked to acne, hair loss, and benign prostatic inflammation in a minority of men.

IGF-1 Test

Insulin-like Growth Factor 1, also known as IGF-1, is used as a biomarker for blood levels of human growth hormone. It is a hormone that the liver and other tissues produce that affects glucose metabolism and growth-promoting activities. Low IGF-1 may impede muscle growth.

Ferritin Test

Ferritin is a protein that stores iron. Red blood cells need iron to form and carry oxygen around your body. Low levels of ferritin lead to anemia.  TRT and anabolics make the body make more red blood cells (erythrocytosis).  This increased production decreases iron stores and ferritin.

Testosterone has been shown to decrease ferritin. Men on TRT and anabolics with high hematocrit (increased blood thickness caused by TRT or anabolics) usually donate blood or get a therapeutic phlebotomy to decrease hematocrit. There is a loss of around 30 points of ferritin during every donation.  Low ferritin can cause fatigue, restless leg syndrome, muscle aches, and other issues.

What Other Bodybuilder Blood Tests Can Be Considered?

 LH + FSH if off-cycle. 

We also provide a Post PCT Panel for people to find out if their hypothalamic-pituitary-testicular axis has recovered after a few weeks of PCT. The recovery of LH and FSH in an off-cycle period correlates to the normalization of the hormone axis responsible for proper testosterone and sperm production by your body.

Other tests that may be of interest:

PSA

Although studies published in the last 10 years do not show a link between the use of androgens and an increased risk of prostate cancer, some bodybuilders may have benign prostatic enlargement (BPH) that may require PSA follow-up.

Thyroid Panel

Some bodybuilders may experience fatigue issues due to pre-existing low thyroid function (hypothyroidism), so it would be a good idea for them to check their thyroid function to ensure that it is working properly for not only energy production but also effective fat loss.

Free Resources for Educated Bodybuilders:

Suggested Reading: Testosterone Replacement Blood Test Targets

How does DiscountedLabs.com work? Click here

Categories: Choose Your Test, Men's Health Tests, Discounted Hormone Tests, Popular Tests,

Price: $403

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

• Checks bone health indicators.
• Measures nutrients for bone strength.
• Assesses risk of bone thinning.

Includes:

Alkaline Phosphatase, Bone Specific

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

N-Telopeptide, Serum

Alternative Name(s):

NTX, Serum

Estimated turnaround for results is 7 business days. C-Telopeptide, Serum

Alternative Name(s):

C-Telopeptide

CTX

Beta-Crosslaps Calcium, Ionized

Alternate Name(s):

Ca++, Ionized, Serum;

Calcium Filterable, Serum;

Calcium Free, Serum;

Calcium Unbound, Serum;

Ionized Calcium, Serum

Vitamin D, 25-OH, Total;

Vitamin D, 25-OH, D3;

Vitamin D, 25-OH, D2

Thyroid-Stimulating Hormone (TSH)

Thyroxine Free, Immunoassay (FT4)

Tri-iodothyronine Free (FT3)

Parathyroid Hormone (PTH), Intact

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. 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.

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

Categories:

Price: $1039

• Detects Lyme disease DNA in blood
• Checks for Lyme-causing bacteria DNA
• Identifies Borrelia bacteria presence quickly

Includes:

Borrelia Species DNA, Qualitative Real-Time PCR, Miscellaneous

Categories:

Price: $1401

Description: This test uses equilibrium dialysis methodology.

The Testosterone test in this panel will provide levels of Total Testosterone results ranging from 0 to 9,999. However, any value greater than 9,999 will be displayed as ">10,000" (over 10,000) instead of a specific number.

Includes:

Cortisol, total

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)

Folate

Vitamin B12

Iron, serum

Ferritin, serum

Total Testosterone, Free (Dialysis) Testosterone (calculated)

Estradiol, serum

Dehydroepiandrosterone (DHEA-s) Sulfate

Sex Hormone binding Globulin, Serum

Hemoglobin (Hgb) A1c

Vitamin D, 25-OH, Total

Magnesium, serum

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

ANA Screen IFA w/ Ref to Titer and Pattern

Rheumatoid Factor (RA)

DNA (ds) Antibody. Alternative Name(s): Native DNA, dsDNA, Double-Stranded DNA Antibody, Anti-DNA, (dsDNA)

Complement Component C3c Gliadin (Deamidated Peptide) Antibody (IgG, IgA). Alternative Name(s): Antigliadin Ab (IgA, IgG), Deamidated Gliadin (IgA, IgG), Anti-Gliadin Ab (IgA, IgG), Gliadin (IgA, IgG), DGP (IgA, IgG)

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. 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. Cortisol, Total assay not recommended when patient is on prednisone/prednisolone therapy due to cross reactivity with the antibody used in this assay. 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. Patient should be cautioned to stop biotin consumption at least 72 hours prior to the collection of a sample.

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

Categories: General wellness,

Price: $631

Description: When abnormal cells grow uncontrollably, they are called cancers. Cancer of the breast is one of the most common cancers in women.

The Private MD Breast Cancer Profile is a complete tumor marker profile customized for females.

Abnormal results may require further evaluation by your physician.

Includes:
CA 27.29
Cancer Antigen (CA) 15-3
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: $146

Description:

To aid in the diagnosis of bullous pemphigoid (BP).

Alternative names: Pemphigoid BP230 IgG,230-kDa Bullous

Categories: Allergy blood testing, Infectious diseases,

Price: $317

Description: C-Peptide is useful in the evaluation of pancreatic beta cell function (e.g., helping distinguish type 1 from type 2 diabetes mellitus, or monitoring patients who have received islet cell or pancreatic transplants) and for determining the source of insulin in patients with hyperinsulinemic hypoglycemia (e.g., distinguishing insulin-secreting tumors from exogenous insulin administration). It is also sometimes measured as an additional means (more resistant to hemolysis than is insulin itself) for evaluating glucose tolerance tests.

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

Includes: C-Peptide, Serum

Alternative Name(s):
C-Terminal Insulin

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

Categories: General wellness, Diabetes blood testing,

Price: $57

Description: CRP is an acute phase reactant, which can be used as a test for inflammatory diseases, infections, and neoplastic diseases. Increased CRP levels are found in inflammatory conditions including: bacterial infection, rheumatic fever, active arthritis, myocardial infarction, malignancies and in the post-operative state. This test cannot detect the relatively small elevations of CRP that are associated with increased cardiovascular risk. CRP is a more sensitive, rapidly responding indicator than ESR. CRP may be used to detect early postoperative wound infection and to follow therapeutic response to anti-inflammatory agents. Recent reports have indicated that a highly sensitive version of the CRP assay may be used as an additional indicator for susceptibility to cardiac disease.
Alternative Name(s): CRP

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

Includes:
C-Reactive Protein (CRP)

Categories: Heart & cholesterol,

Price: $57

Description:

Checks the level of high-sensitivity C-reactive protein in your body, which indicates inflammation & potential risk for heart disease. 

It's like a radar for hidden inflammation, helping to detect early signs of heart issues and guiding preventive measures for a healthier heart.

Alternative Name(s): Cardiac C-Reactive Protein. Cardiac C-Reactive Protein (CRP) ; Cardiac CRP ; Cardio C-Reactive Protein (CRP) ; Cardio CRP ; C-Reactive Protein (CRP), High Sensitivity ; C-Reactive Protein (CRP), HS ; CRP, Cardiac ; CRP, Cardio ; CRP, High Sensitivity ; CRP, HS ; High Sensitivity CRP ; HS CRP ; Highly Sensitive CRP.

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

Categories: Heart & cholesterol,

Price: $50

Description: CTx is useful to assess bone resorption in patients with metabolic bone disease. The test is also useful in monitoring therapy to slow or halt osteoporotic bone loss.

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

Includes: C-Telopeptide, Serum

Alternative Name(s):
C-Telopeptide
CTX
Beta-Crosslaps

Patient Instructions: A minimum of 12 hours fasting is required. Fasting morning collection 8-10 am (diurnal variations cause elevated levels at night). Fasting is defined as no consumption of food or beverage other than water for at least 12 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.

Categories: Musculoskeletal diseases, Hormones & metabolism,

Price: $177

Description: For the quantitative determination of CA 27.29 antigen in serum of patients previously treated for stage II or stage III breast cancer. Serial testing for CA 27.29 antigen in patients who are clinically free of disease should be used in conjunction with other clinical methods for the early detection of recurrence. CA 27.29 may be useful for monitoring patients for metastatic breast cancer.
Alternative Names(s): Carbohydrate Antigen 27.29, Breast Carcinoma Associated Mucin Antigen, Cancer Associated Breast Antigen (CABA), Cancer Antigen 27.29, CA 27.29

Includes:
CA 27.29

Categories: Cancer detection,

Price: $79

Description: The CA 125 level can provide prognostic information in the follow-up management of patients with ovarian carcinoma. The assay should be used as an adjunctive test in the management of ovarian cancer patients. CA 125 is not recommended as a cancer screening procedure to detect cancer in the general population. The CA-125 blood test has been known to detect the presence of tumors in the ovary.
Positive results require further evaluation by your physician.

Alternative Names(s): OC125, Cancer Antigen 125, Ovarian Antigen

Includes:
Cancer Antigen (CA) 125, Serum

Estimated turnaround for results is 4 business days.

Categories: Cancer detection, Specific blood tests for women,

Price: $58

Description: 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

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

Categories: General wellness,

Price: $57

Description:

A complete blood count is used as a screening test for various disease states to include: anemia, leukemia and inflammatory processes.

Includes:

CBC (H/H, RBC, Indices, WBC, Plt)

Categories:

Price: $35

Description:

This panel includes CBC (Complete Blood Count) with differential, CMP (Comprehensive Metabolic Panel), and Lipid Panel (LDL, HDL, Triglycerides). There are a total of 30 tests included!

The CBC with Differential Panel Includes

Blood red cell measurements:

RBC, red blood cells known as erythrocytes, transport oxygen from your lungs to your body's tissues and organs.

The total amount of RBCs in your blood sample is known as the RBC count. Several fundamental RBC measures are made during a CBC test:

The total amount of RBCs in your blood sample is known as the RBC count.

The amount of this oxygen-carrying protein contained inside RBCs is quantified by hemoglobin.

The amount of RBCs in your blood as a percentage of total blood volume is measured by hematocrit.

A CBC also offers information on the RBC's external characteristics. These are referred to as RBC indices, and there are various types of them:

The average size of RBC is determined by a technique called mean corpuscular volume (MCV).

The average quantity of hemoglobin inside each RBC is known as mean corpuscular hemoglobin (MCH).

A determined indicator of how concentrated hemoglobin is within RBCs is the mean corpuscular hemoglobin concentration (MCHC).

Red cell distribution width (RDW) measures how much your RBCs' sizes vary.

Reticulocyte count, or the total number of freshly released young RBCs in your blood sample, may be included in the CBC. Another way to measure it is as a percentage.

White Blood Cell Measurements

WBCs, also known as leukocytes, are a crucial component of the body's immune system.

The total number of WBCs in a blood sample is measured by the WBC count, which is part of a typical CBC.

The CBC with differential is one of the most popular CBC variations. The five different types of WBCs are broken down into the WBC differential as follows:

Most white blood cells (WBCs) are composed of neutrophils made by the bone marrow to combat a wide range of inflammatory and infectious disorders.

B-cells and T-cells, two types of lymphocytes fighting bacteria and other blood pathogens, are mainly located in the lymphatic system.

Monocytes: Monocytes eliminate damaged or dead cells while collaborating with neutrophils to fight infections and other disorders.

Eosinophils: Eosinophils are WBCs that become activated in response to some illnesses and allergies.

Basophils: Basophils play a role in wound healing, allergic reactions, and the early detection of infections.

A CBC with differential may be performed as part of basic blood testing, or it may be done if the original standard CBC is abnormal. The CBC with differential can be used to spot aberrant amounts of particular WBCs since each kind of WBC has a different purpose and can provide information about underlying health issues.

Platelet Measurements

Blood-circulating cell fragments known as platelets (PLT), also known as thrombocytes, are crucial for blood coagulation. PLT aid in stopping bleeding when an injury occurs by adhering to the injury site and clumping together to create a temporary stopper.

The PLT count, or the quantity of PLT in your blood sample, is a regular part of the CBC.

Your doctor may occasionally request that the lab measure the mean PLT volume (MPV), which establishes the typical size of PLT.

The Comp Metabolic Panel or CMP panel 

This panel consists of 14 blood tests, an initial medical screening tool to review overall health. The CMP blood test panel checks for kidney function, liver function, and electrolyte and fluid balance. FASTING IS REQUIRED. These are the tests included:

1.     Sodium (Na)

Sodium is one of the body's principal minerals, regulated by the kidneys. It plays a vital role in water balance in your body. A low sodium level may be caused by diarrhea, vomiting, or excessive sweating. A high level can be caused by dehydration, excessive salt intake in your diet, or certain diseases. Numerous drugs, including diuretics, certain blood pressure medications, and steroids, may alter the sodium level.

2.     Potassium (K)

Potassium is one of the body's principal minerals, primarily inside cells. It helps maintain water balance and proper function of nerves and muscles. Low or high levels in the blood are of critical significance and should be evaluated by your healthcare provider. This is especially important if you are taking a diuretic or heart medication. A high level may indicate kidney or liver disease, too much medication, or bodily injury, such as a burn. A low potassium level can develop rapidly, most frequently produced as a side effect of drugs that cause increased urination.

3.    Chloride (C)

Chloride is one of the body's minerals involved with water balance. Most body chloride comes from salt in the diet. A high chloride level may mean severe dehydration, certain kidney disorders, or hyperventilation. A low chloride level may result from excessive vomiting, diarrhea, severe burns, excessive sweating, or kidney failure. Borderline low or high levels of chloride have very little significance.

4.     Carbon Dioxide (CO2)

n the body, most of the carbon dioxide (CO2) is in the form of a substance called bicarbonate (HCO3). Therefore, the CO2 blood test measures your blood bicarbonate level. Changes in your CO2 level may suggest that you lose or retain fluid, which causes an imbalance in your body's electrolytes. CO2 levels in the blood are influenced by kidney and lung function. The kidneys are mainly responsible for maintaining normal bicarbonate levels. The CO2 level is interpreted with other results to aid in medical diagnoses.

5.     Albumin (Alb)

Albumin is the most significant portion of total blood protein. Modest decreases in albumin may be seen in people with low thyroid gland function and protein-losing conditions. Decreased blood albumin may indicate many disorders, including poor nutrition and advanced liver disease.

6.     Alkaline Phosphatase (ALP)

Alkaline phosphatase is an enzyme found primarily in bone and the liver. It is commonly increased when the bile duct is blocked, which may be caused by gallstones. Elevated levels may indicate the presence of bone or liver disorders.

7.     Bilirubin (Bil) Total

Bilirubin is the primary pigment in bile and a significant product of normal red cell breakdown. It helps evaluate liver function and various anemias and in evaluating jaundice and yellowing of the skin.

8.     Aspartate Transaminase (AST)

Aspartate aminotransferase (AST) is an enzyme in the liver and cardiac and skeletal muscle. AST may rise in liver, heart, and muscle disorders. It can also increase following strenuous, prolonged exercise.

9.   Transaminase (ALT)

Alanine aminotransferase (ALT) is an enzyme produced primarily in the liver, skeletal, and heart muscles.ALT rises in the instance of liver disease. ALT is present in the liver in a higher concentration than AST and is more specific for differentiating liver injury from muscle damage.

10.  Blood Urea Nitrogen (BUN)

Urea, measured as blood urea nitrogen (BUN), is a waste product derived from the natural breakdown of protein in the liver. Urea is excreted in the urine after blood is filtered through the kidneys. The urea nitrogen level reflects protein metabolism and the kidneys' effectiveness in purifying blood.

The BUN/creatinine ratio is calculated by dividing the urea nitrogen result by the creatinine result. This ratio can help determine whether elevated urea nitrogen is due to impaired kidney function or other factors such as dehydration, urinary blockage, or excessive blood loss.

If BUN and Creatinine results are within the normal reference range, the BUN/Creatinine ratio will not be reported (not applicable). Clinical Significance: The BUN/Creatinine ratio is helpful in the differential diagnosis of acute or chronic renal disease.

11.  Total Protein

Urea, measured as blood urea nitrogen (BUN), is a waste product derived from the natural breakdown of protein in the liver. Urea is excreted in the urine after blood is filtered through the kidneys. The urea nitrogen level reflects protein metabolism and the kidneys' effectiveness in purifying blood.

12.  Calcium (Ca)

Calcium is one of the most critical elements in the body. It is essential for maintaining and repairing bone and teeth, heart function, muscle function, and blood clotting. Ninety-nine percent of the calcium in your body is contained in your bones, and only one percent is in the blood. Although most of the calcium in the body is in the bones, the body regulates blood calcium levels very tightly since its functions are essential to health and performance.

13.  Creatinine (Cr) with calculated eGFR

Creatinine is derived from muscles and released into the blood. It is removed from the body by the kidneys. When the creatinine level is elevated, a decrease in kidney function is suggested. For patients 50 years of age and older who identify as African-American, the upper reference range for creatinine is approximately 10-15% higher.

Estimated Glomerular Filtration Rate (eGFR) is a test for kidney damage. eGFR is calculated using your serum creatinine result, age, and gender. Creatinine is not sensitive to early renal impairment since it varies with age, gender, and ethnic background. If you are African American, your eGFR is estimated differently. Since race is not reported in this screening, you will need to use the written result associated with your race. To get an African American-specific result, you can multiply this result by 1.21 to get your true eGFR. The same reference ranges will apply.

14.  Glucose

Glucose (“blood sugar”) is the chief energy source for all cells in the body. Glucose levels are regulated by hormones produced by your pancreas, including insulin. A glucose level outside the optimal range could signify that the body is not correctly creating or using insulin. These conditions are hypoglycemia (low blood sugar), prediabetes (elevated blood sugar), and diabetes (high blood sugar). For the most accurate result, you should fast (not eat or drink anything but water) for at least 8 hours before your screening. If you were not fasting at the time of your screening, you should interpret your result against an optimal range of less than 140 mg/dL.

When the doctor looks at your report of the CMP blood test panel, he organizes it in his mind according to body systems or possible diseases. The sodium, potassium, chloride, and total carbon dioxide measure the salt and acid-base balance of the body. The glucose level is how we diagnose diabetes. The BUN, Creatinine, and BUN to Creatinine ratio tell us how the kidneys function and can give us an idea about water balance and possible heart function. The calcium and phosphorus provide information on a possible endocrine disorder called hyperparathyroidism and can give information on possible bone disease and malabsorption. The total protein, albumin, and globulin can point to a liver problem, a kidney problem, or an immune disorder. The total direct bilirubin can be abnormal in liver disease and some blood diseases. The alkaline phosphatase, AST, and ALT can be irregular in liver disease.

The Lipids Panel:

Evaluates the risk for developing atherosclerosis (arterial plaque) and coronary heart disease. This test includes: Total Cholesterol, Triglycerides, HDL Cholesterol, LDL Cholesterol, Total Cholesterol/HDL Ratio

This test requires fasting for 8 hours.

There are typically no symptoms or indicators of high cholesterol.

Examining your cholesterol is the only way to determine if you have high cholesterol. Your medical team can measure your cholesterol levels using a quick blood test known as a "lipid profile."

How Does a Cholesterol Test Work?

A quick blood sample is necessary for the cholesterol screening test. Before your cholesterol test, you might need to fast (without food or liquids) for eight to twelve hours. Ask your doctor for advice on how to get ready for the examination.

The Lipid Profile Panel Measures the Following Tests:

• LDL, also known as "bad" cholesterol, is a low-density lipoprotein. High LDL cholesterol levels can cause plaque to build up in your arteries, which can cause heart disease or stroke.

• HDL, also referred to as "good" cholesterol. Because high levels of HDL can reduce your risk of heart disease and stroke, it is referred to as "good" cholesterol.

• Triglycerides are a form of blood fat that your body uses as fuel. Your heart attack and stroke risk can increase if you have high triglyceride levels and low HDL or high LDL cholesterol. After eating, the energy that is not needed immediately is converted into triglycerides and transported to fat cells for storage. A normal triglyceride level is about 45-150 mg/dL. Elevated levels (hypertriglyceridemia) are associated with an increased risk of cardiovascular disease, especially when accompanied by high cholesterol levels. Extremely high triglyceride levels (greater than 1,000 mg/dL) can cause pancreatitis. Triglycerides should be measured after fasting for at least eight hours.

• Total cholesterol, the sum of your blood's HDL, LDL, and triglyceride levels, is the level of cholesterol.  It is a fatty substance that circulates in the blood; cholesterol is essential to cell membranes, certain hormones, vitamin D, and bile acids. A healthy total cholesterol level is 120-200 mg/dL. Elevated total cholesterol (hypercholesterolemia) is known to increase the risk of cardiovascular disease, but it is more helpful to look at specific types of cholesterol. Low-density lipoproteins (LDL) -- so-called "bad" cholesterol -- can deposit cholesterol in artery walls, causing atherosclerosis (hardening of the arteries). But high-density lipoproteins (HDL) -- so-called "good" cholesterol -- help clear cholesterol from the body and may reduce the risk of cardiovascular disease. The National Cholesterol Education Program recommends that people try to achieve a total cholesterol level below 200 mg/dL, an LDL level below 100 mg/dL, and an HDL level of at least 40 mg/dL.

Categories: Choose Your Test, Blood Count, Wellness Tests, Popular Tests,

Price: $53

• Measures heart muscle damage.
• Checks for heart attack signs.
• Assesses heart health status.

Includes:

CK-MB (CK-2)

Categories:

Price: $220

Description: Cadmium is a naturally occurring element that is mined and used in industrial production because of its durability. The blood cadmium test is used to monitor exposure to cadmium or cadmium poisoning. Cadmium is a toxic substance and overexposure can lead to a variety of detrimental health issues.

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

Includes: Cadmium

Patient Instructions:

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

Categories: Environmental toxin blood testing,

Price: $90

Description: The ionized calcium is determined by an ion selective electrode methodology. The result that is generated is pH adjusted. The result is empirically based on a measured pH and ionized calcium concentration normalized to a pH of 7.40. This calculation compensates for in vitro changes in pH due to loss of CO2 through specimen handling. Ionized calcium represents the true "bioavailable" calcium in the circulation. In situations where the total calcium is normal but does not fit the clinical picture, e.g., hyperparathyroidism, a determination of the ionized calcium will, many times, show an elevation in the "bioavailable" calcium component. This may be due to alterations in protein concentrations, especially albumin, that binds most of the calcium in the circulation.

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

Includes: Calcium, Ionized

Alternate Name(s):
Ca++, Ionized, Serum;
Calcium Filterable, Serum;
Calcium Free, Serum;
Calcium Unbound, Serum;
Ionized Calcium, Serum

Categories: General wellness, Hormones & metabolism, Musculoskeletal diseases, Kidney diseases,

Price: $66

Description: Serum calcium is involved in the regulation of neuromuscular and enzyme activity, bone metabolism and blood coagulation. Calcium blood levels are controlled by a complex interaction of parathyroid hormone, vitamin D, calcitonin and adrenal cortical steroids. Calcium measurements are useful in the diagnosis of parathyroid disease, some bone disorders and chronic renal disease. A low level of calcium may result in tetany.

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

Includes:
Serum calcium

**** Calcium, serum is included in the Comprehensive Metabolic Profile (CMP), also included in Kidney Function Profile and in Chem Panel.***

Categories: Musculoskeletal diseases, Kidney diseases, Fitness, nutrition, anti-aging,

Price: $49

• Measures calcium in red blood cells.
• Checks calcium level in blood cells.
• Assesses calcium in your red cells.

Includes:

Calcium, Total, RBCs

Categories:

Price: $475

• Checks for gut inflammation.
• Detects digestive system issues.
• Helps diagnose bowel diseases.

Includes:

Calprotectin, Stool

Patient Instructions:

Collect stool specimen in a clean leak-proof plastic screw-cap container without preservative. Quest standard stool container without preservative is available at Quest for pick-up.

Freeze the sample and document the date and time of collection on the specimen container.

Categories:

Price: $865

• Detects bacteria causing stomach infections.
• Identifies campylobacter in your system.
• Checks for food poisoning bacteria presence.

Includes:

Campylobacter species Antigen, EIA

Patient Instructions:

You must take the order to Quest to pick up Cary-Blair stool culture transport medium.

Return to lab as soon as possible at room temperature.

Categories:

Price: $489

Description: CA 15-3 may be useful for monitoring patients with metastatic breast cancer and certain ovarian cancers. The CA 15-3 values from sequential samples have a high correlation with the clinical course in most patients with metastatic breast cancer.
Alternative Name(s): Cancer Antigen 15-3

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

Includes:
CA 15-3

Estimated turnaround for results is 5 business days.

Categories: Cancer detection,

Price: $89

Description: Candida normally occur in the mouth, vagina, and GI tract of many individuals.
Significant deviations from the normal range may require further evaluation by your physician.

Includes:

Candida albicans Ab (IgG, IgA, IgM)

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

Categories: General wellness, STD’s detection & monitoring,

Price: $92

Description: A large percentage of patients with gastrointestinal tumors (such as pancreatic, liver, gastric, colorectal tumors) and some other malignancies have been shown to have elevated serum CA 19-9 levels. Serum CA 19-9 levels may be useful for monitoring disease activity or predicting relapse following treatment. CA 19-9 should not be used as a screening test.
Alternative Name(s): Carbohydrate Antigen 19-9; CA 19-9

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

Includes:
CA 19-9

Categories: Cancer detection,

Price: $69

Description: The Carbon Dioxide (CO2) Test is a blood test that measures the level of CO2 in the bloodstream. Abnormal CO2 levels in the blood may indicate the kidney and lungs may not be functioning properly. Measurements are used in the diagnosis and treatment of numerous potentially serious disorders associated with changes in body acid-base balance.

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

Includes:
Carbon Dioxide

****Carbon Dioxide is included in the Comprehensive Metabolic Profile (CMP), Electrolyte panel and in the Kidney Function Profile.***

Categories: General wellness, Kidney diseases, Hormones & metabolism,

Price: $37

Description:

Increased serum CEA levels have been detected in persons with primary colorectal cancer and in patients with other malignancies involving the gastrointestinal tract, breast, lung, ovarian, prostatic, liver and pancreatic cancers. Elevated serum CEA levels have also been detected in patients with nonmalignant disease, especially patients who are older or who are smokers. CEA levels are not useful in screening the general population for undetected cancers. However, CEA levels provide important information about patient prognosis, recurrence of tumors after surgical removal, and effectiveness of therapy.

Alternative names: Carcinoembryonic Antigen

Categories: Cancer detection, Gastrointestinal diseases, General wellness, Specific blood tests for women,

Price: $55

• Identifies heart disease risk genes.
• Analyzes cholesterol-related genes.
• Checks genetic role in heart health.

Includes:

Cardio IQ® APOE Genotype

Categories:

Price: $1625

Description:

The advanced lipid profile provides a more comprehensive assessment of dyslipidemia and cardiovascular risk than standard lipid panel measurements.

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

Includes:

Cardio IQ Cholesterol, Total;

Cardio IQ HDL Cholesterol;

Cardio IQ Triglycerides;

Cardio IQ Non-HDL and Calculated Components;

Cardio IQ Lipoprotein Fractionation, Ion Mobility;

Cardio IQ Apolipoprotein B;

Cardio IQ Lipoprotein (a)

If Triglyceride is >400 mg/dL, Cardio IQ Direct LDL will be performed.

Patient Instructions:

Fasting is not required prior to collection of a lipid panel. The assay manufacturer Beckman Coulter advises: "N-Acetyl Cysteine (NAC), when administered in therapeutic concentrations (for the treatment of acetaminophen overdose), has been determined to interfere with assays for cholesterol, uric acid" where "NAC interference may lead to falsely low results." According to Beckman Coulter, the NAC interference should be insignificant by 12 hours after completion of the initial loading dose of an IV infusion treatment regimen consisting of an initial loading dose of 150 mg/kg administered over 1 hour, a second dose of 50 mg/kg administered over 4 hrs and a third dose of 100 mg/kg administered over 16 hrs.

Categories: General wellness, Heart & cholesterol,

Price: $203

• Measures body's insulin resistance level
• Assesses risk of diabetes and heart disease
• Evaluates how body handles sugar

Patient Instructions: Overnight fasting is required

Categories:

Price: $541

• Checks for blood clot risk.
• Detects abnormal immune reactions.
• Assesses risk for autoimmune conditions.

Includes:

Cardiolipin Antibodies (IgA, IgG, IgM)

Categories:

Price: $497

Description:

Cardiolipin antibodies (CA) are seen in a subgroup of patients with autoimmune disorders, particularly systemic lupus erythematosus (SLE), who are at risk for vascular thrombosis, thrombocytopenia, cerebral infarct and/or recurrent spontaneous abortion. Elevations of CA associated with increased risk have also been seen in idiopathic thrombocytopenic purpura, rheumatoid and psoriatic arthritis, and primary Sjögren's syndrome.

Categories: Heart & cholesterol, Cancer detection,

Price: $437

Description: Carotene - Beta Carotene, a fat soluble nutrient, is a precursor to vitamin A. Deficiencies may lead to vitamin A deficiency. Excessive vitamin A intake may lead to headaches, loss of appetite, nausea and diarrhea, skin changes, and potential birth defects.

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

Includes:
Carotene

Alternative Name(s):
Beta-Carotene

Patient Instructions: Overnight fasting is required.

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

Price: $85

• Pinpoint cashew nut allergies precisely
• Reveal hidden triggers for digestive issues
• Clarify unexplained skin reactions effortlessly

Categories: Allergy blood testing,

Price: $120

• Pinpoint the cause of your allergies
• Reveal hidden triggers affecting your comfort
• Clarify why you're sneezing around cats

Categories: Allergy blood testing,

Price: $243

Description: This test is primarily used to diagnose pheochromocytoma, a rare type of cancer, and similar tumors which may secrete epinephrine, norepinephrine, or both.

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

Includes: Dopamine, Epinephrine, Norepinephrine and Total Catecholamines (calculated)

Patient Instructions: Overnight fasting is required. Fasting is defined as no consumption of food or beverage other than water for at least 8 hours before testing. Patient should avoid alcohol, coffee, tea, tobacco and strenuous exercise prior to collection. Patients should be relaxed in either a supine or upright position before blood is drawn. States of anxiety and stress can cause fluctuations in the catecholamine levels.

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

Categories: Cancer detection,

Price: $90

Description:

Celiac disease is caused by an immune response to gluten in genetically sensitive individuals. The diagnosis is largely based on a biopsy of the small intestine, but serologic tests also help support a diagnosis and may assist identification of patients who may require biopsy.
Tissue transglutaminase antibodies (tTG, IgA) is a marker with 95% sensitivity and specificity. Total IgA is measured because 2-3% of celiac disease patients are IgA deficient. Because tTG, IgA, and anti-Gliadin IgA tend to decrease in patients on a gluten-free diet, these markers are also used to assess dietary compliance.
The endomysial antibody (EMA, IgA) assay has high specificity for celiac disease and is used to confirm positive anti-tTG results.

Includes: Tissue Transglutaminase (tTG) Antibody (IgA)
IgA (Immunoglobulin A)

Categories: Gastrointestinal diseases, Pediatrics, General wellness,

Price: $374

Description:

Celiac disease is caused by an immune response to gluten in genetically sensitive individuals. The diagnosis is largely based on a biopsy of the small intestine, but serologic tests also help support a diagnosis and may assist identification of patients who may require biopsy.
Tissue transglutaminase antibodies (tTG, IgA) is a marker with 95% sensitivity and specificity. Total IgA is measured because 2-3% of celiac disease patients are IgA deficient. Because tTG, IgA, and anti-Gliadin IgA tend to decrease in patients on a gluten-free diet, these markers are also used to assess dietary compliance.
The endomysial antibody (EMA, IgA) assay has high specificity for celiac disease and is used to confirm positive anti-tTG results.

Alternative names: Tissue Transglutaminase (tTG),Gluten Sensitivity, tTG, EMA,Gliadin Antibody

Includes: Tissue Transglutaminase (tTG) Antibody (IgA)
IgA (Immunoglobulin A)
Gliadin (Deamidated) Antibody (IgA)

Categories: Allergy blood testing, Gastrointestinal diseases, Pediatrics, General wellness,

Price: $214

Description: Decreased levels of ceruloplasmin are found in Wilson's Disease, fulminant liver failure, intestinal malabsorption, renal failure resulting in proteinuria, chronic active hepatitis and malnutrition. Elevated levels are found in primary biliary cirrhosis, pregnancy (first trimester), oral contraceptive use and in acute inflammatory conditions since ceruloplasmin is an acute phase reactant.

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

Includes: Ceruloplasmin

Alternative Name(s)
Ferroxidase,Copper Oxidase,Copper Binding Globulin

Categories: Liver diseases,

Price: $56

• Detect early signs of cervical cancer
• Reveal hidden health risks effortlessly
• Confirm your peace of mind with certainty

Includes:

Carcinoembryonic Antigen (CEA)

CA 19-9

Patient Instructions:

There are no special instructions/requirements for the tests you ordered. Fasting is not required.

Categories:

Price: $100

Description: The Chem Panel with lipids provides testing for Glucose (Diabetes), Kidney function, Fluids and Electrolytes, Minerals and Bone, Liver function and Lipid Profile.

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

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
Gamma Glutamyl Transpeptidase (GGT)
Iron, Serum
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)
Phosphate (as Phosphorus)
Uric Acid, Serum (Gout Test)

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. Fasting is defined as no consumption of food or beverage other than water for at least 12 hours before testing. Discuss discontinuing drugs causing increased uric acid concentration include diurectics, pyrazinamide, ethambutol, and nicotinic acid with your primary care physician before testing.

Categories: General wellness, Heart & cholesterol, Kidney diseases, Liver diseases,

Price: $104

Description: A blood chemistry panel, often used as a general screening tool by many physicians.

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

Includes:
Amylase, Serum
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
Creatine Kinase (CK), Total, Serum
Gamma Glutamyl Transpeptidase (GGT)
Lactic Acid Dehydrogenase (LD) (LDH)
Lactic Acid, Plasma
Lipid Panel: Cholesterol, total; high-density lipoprotein (HDL) cholesterol; low-density lipoprotein (LDL) cholesterol (calculated); triglycerides; Non-HDL Cholesterol (calculated)
Magnesium, Serum
Phosphate (as Phosphorus)
Uric Acid, Serum (Gout Test)

Patient Instructions: Patient should fast for 12 hours preceding collection of specimen. Fasting is defined as no consumption of food or beverage other than water for at least 12 hours before testing. Patient should not be on any intravenous infusion that would affect the acid-base balance. Patient should be in a fasting and resting state (should not exercise). Discuss discontinuing drugs causing increased uric acid concentration include diurectics, pyrazinamide, ethambutol, and nicotinic acid with your primary care physician before testing.

Estimated turnaround for results is 5 business days.

Categories: General wellness, Blood and blood diseases,

Price: $163

• Pinpoint the cause of your allergies
• Reveal hidden triggers affecting your health
• Clarify why you feel unwell often

Categories: Allergy blood testing,

Price: $68

Description: The following profile is used to screen nannies, healthcare personnel and other individuals responsible for the direct care of children. This series of tests provides information that can be used proactively to prevent infections from being passed from caregiver to child.

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

Includes:
Chlamydia and Gonorrhea Test: Chlamydia trachomatis, Neisseria gonorrhoeae
Hepatitis Panel Acute, w/ Ref Confirmation: Hepatitis A IgM (Acute), Hepatitis B Surface Antigen, Hepatitis B Core IgM Antibody, Hepatitis C Antibody
Herpes Simplex Virus 1 and 2 (IgG), with Reflex to HSV-2 Inhibition: If Herpes Simplex Virus 2 (IgG) is >1.09, then HSV-2 Inhibition Study will be performed.
HIV 1/2 Antigen and Antibodies, Fourth Generation with Reflex 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
Syphilis Ab Cascade: If T. pallidum Antibody is equivocal or positive, then RPR Screen with Reflex to Titer will be performed. If RPR Screen is reactive, then RPR titer will be performed. If RPR screen is non-reactive, then T. pallidum Antibody, Particle Agglutination will be performed

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

Patient Instructions: Patient should not have urinated for at least 1 hour prior to specimen collection. Collect the specimen in a sterile, preservative-free collection cup. The patient should collect the first 20-60 mL of voided urine (the first part of the stream-not midstream) into a urine collection cup.

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

Categories: Infectious diseases, General wellness, STD’s detection & monitoring,

Price: $525

Description: Chlamydia is the most frequently reported bacterial sexually transmitted disease (STD)in the country. In 2002, over 800,000 cases of chlamydia were reported to the Center for Disease Control and Prevention (CDC).

Gonorrhea is also a very common STD. The CDC estimates that more than 700,000 persons in the U.S. get new gonorrheal infections each year. The Chlamydia and Gonorrhea Test is a urine test that will detect the presence of bacteriums Chlamydia trachomatis and Neisseria gonorrhoeae.
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), infant conjunctivitis, infant pneumonia, urethritis, 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.
Positive results require further evaluation by your physician.

Alternative Names(s): CT/GC, ProbeTec

Includes:
Chlamydia trachomatis/Neisseria gonorrhoeae DNA, SDA

Patient Instructions: Patient should not have urinated for at least 1 hour prior to specimen collection. Collect the specimen in a sterile, preservative-free collection cup. The patient should collect the first 20-60 mL of voided urine (the first part of the stream-not midstream) into a urine collection cup.

Categories: STD’s detection & monitoring,

Price: $99

Description: The Chloride Test is a blood test used to measure the level of chloride, an important electrolyte. Serum chloride is the major extracellular anion and counter-balances the major cation, sodium, maintaining electrical neutrality of the body fluids. Two thirds of the total anion concentration in extracellular fluids is chloride and it is significantly involved in maintaining proper hydration and osmotic pressure. Movement of chloride ions across the red blood cell membrane is essential for the transport of biocarbonate ions in response to changing concentrations of carbon dioxide. Chloride measurements are used in the diagnosis and treatment of electrolyte and metabolic disorders such as cystic fibrosis and diabetic acidosis.

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

Includes:
Chloride

****Chloride, serum is included in the Comprehensive Metabolic Profile (CMP), Electrolyte Panel and in the Kidney Function Profile.***

Categories: Blood and blood diseases, General wellness, Heart & cholesterol,

Price: $37

• Pinpoint chromium levels affecting your energy
• Reveal hidden factors behind blood sugar issues
• Clarify the cause of unexplained fatigue

Includes: Creatinine

Categories: Allergy blood testing, Geriatrics/Age Management, Neurology, Pediatrics,

Price: $443

• Checks chromium levels in blood
• Monitors essential mineral for health
• Measures body's chromium balance

Includes:

Chromium, Plasma

Categories:

Price: $499

• Checks chromium levels in blood cells
• Evaluates chromium inside red blood cells
• Measures chromium stored in RBCs

Includes:

Chromium, RBC

Categories:

Price: $604

Description:

Occupational exposure and exposure to environmental contamination of chromium may lead to toxicity. The need of chromium supplements is unproven. Supplements taken in excess can lead to toxicity.

Includes: Creatinine

Categories: Allergy blood testing, Geriatrics/Age Management, Neurology, Pediatrics,

Price: $443

• Measures stress hormone levels
• Checks for certain tumor markers
• Assesses neuroendocrine activity

Includes:

Chromogranin A, LC/MS/MS

Categories:

Price: $299

Description:

You must go to Quest to pick up a the collection container.

Collect fresh stool in sterile, leak-proof container without media, preservative, or metal ion. 

Freeze specimen and return to lab.

Includes:

Clostridium difficile Toxin/GDH with Reflex to PCR

Categories:

Price: $610

• Measures cobalt levels in blood.
• Checks for cobalt exposure.
• Monitors cobalt-related health issues.

Includes:

Cobalt, Blood

Patient Instructions:

Patient should refrain from taking mineral supplements, vitamin B12 or vitamin B complex 3 days prior to specimen collection.

Categories:

Price: $295

• Confirm recent cocaine use with certainty
• Clarify unexplained symptoms or health issues
• Reveal hidden drug interactions affecting you

Includes: Cocaine
Benzoylecgonine
Cocaethylene

Categories: Allergy blood testing, Geriatrics/Age Management, Neurology, Pediatrics,

Price: $443

Description:

CoQ10 testing is useful for individuals on statin therapy who may or may not be experiencing myalgia symptoms, hypercholesterolemic individuals, and asymptomatic individuals at risk for vascular disease who may have low ApoA1 and/or HDL levels.

Alternative names: Ubiquinone,Coenzyme Q,Q10,Ubiquinol

Patient Instructions:

Fasting is not required. Patients should not take Coenzyme Q10 supplements the morning of the test. They may take other nutritional supplements prior to testing.

Categories: General wellness, Pediatrics,

Price: $255

• Identify potential coffee allergy reactions
• Assess immune response to coffee proteins
• Support digestive health and symptom tracking

Includes:

Coffee (f221) IgG

Categories:

Price: $149

• Detects colon cancer early signs.
• Checks for specific DNA changes.
• Simple blood test for colon health.

Includes:

ColoVantage (Methylated Septin 9)

Categories:

Price: $1656

Description:

Alternative names: Bowel Cancer Blood Scan

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

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)

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.

Categories: Cancer detection,

Price: $120

Description:

The complement system is critical to the inflammatory response. C1q concentrations may be decreased in patients with acquired angioedema, immune complex induced vasculitis, and concurrent low concentrations of C1 inhibitor, carcinoma, or lymphoma.

Categories:

Price: $427

Description:

Measurements of this protein aid in the diagnosis of immunologic disorders, especially those associated with deficiencies of complement components.

Categories: Allergy blood testing, Infectious diseases,

Price: $435

Description: Decreased C3 may be associated with acute glomerulonephritis, membranoproliferative glomerulonephritis, immune complex disease, active systemic lupus erythematosis, and generalized autoimmune processes.

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

Includes: Complement Component C3c

Categories: Autoimmune diseases, General wellness,

Price: $72

Description:

Decreased concentrations of both C3 and C4 suggest activation of the classical pathway, whereas decreased concentration of just C3 suggests activation of the alternative pathway. Both complement factors may be used to monitor activity of patients with systemic lupus erythematosus (SLE) and immune complex-induced vasculitis.

Alternative names: C4 & C3 Complements,C3 & C4 Complements

Categories: Infectious diseases,

Price: $228

Description:

Measurements of this protein aid in the diagnosis of immunologic disorders, especially those associated with deficiencies of complement components.

Categories: Allergy blood testing, Infectious diseases,

Price: $435

Description:

Decreased C4 level is associated with acute systemic lupus erythematosis, glomerulonephritis, immune complex disease, cryoglobulinemia, congenital C4 deficiency and generalized autoimmune disease.

Categories: Infectious diseases, Pediatrics,

Price: $177