• Screen for pregnancy-related infection risks
• Check baby's health before birth
• Detect hidden infections during pregnancy

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Price: $569

Description: This panel may provide antibody-based evidence of a recent or previous infection with Toxoplasma gondii, rubella virus, cytomegalovirus, and/or herpes simplex virus in pregnant individuals. This panel is generally ordered as part of a prenatal evaluation of a patient who is at risk of infection with these microbial agents. However, routine serology testing for these infections as a group has low diagnostic yield for non-specific ultrasound abnormalities of fetuses [1,2].Some maternal infections during pregnancy may be associated with miscarriage, stillbirth, or fetal abnormalities. These infections may be primary (ie, occur for the first time) or the result of reactivation of prior infections (eg, herpes simplex virus or cytomegalovirus). Infections with these pathogens may have a subclinical course in the mother and transmit to the infant during the prenatal or perinatal period [3].Testing for infections in pregnant persons should be guided by pathogen-specific clinical features, risk factors, and prevalence [1]. The American Academy of Pediatrics Committee on Fetus and Newborn and American College of Obstetricians and Gynecologists Committee on Obstetric Practice recommend serologic screening for evidence of rubella immunity at the first prenatal visit [3]. Routine serologic screening of pregnant individuals for Toxoplasma and cytomegalovirus is not recommended [3]. Type-specific serologic testing for herpes simplex virus may be useful in the evaluation of risk for infection or confirmation of suspected infection [3,4].This panel is not recommended for use in documenting newborn congenital infections. In this clinical situation, consider requesting the Torch Panel, Acute.The results of this test panel should be interpreted in the context of pertinent clinical findings.References1. Fitzpatrick D, et al. Prenat Diagn. 2022;42(1):87-96.2. Society for Maternal-Fetal Medicine (SMFM), et al. Am J Obstet Gynecol. 2020;223(4):B2-B17.3. American Academy of Pediatrics Committee on Fetus and Newborn and American College of Obstetricians and Gynecologists Committee on Obstetric Practice. Guidelines for Perinatal Care. 8th ed. 2017. Accessed April 28, 2022.4. Workowski KA, et al. MMWR Recomm Rep. 2021;70(4):1-187.

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Price: $142

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

Includes:
Reverse T3, LC/MS/MS
Thyroid Profile w/ TSH: T3 Uptake; T4 (Thyroxine), Total; Free T4 Index (T7); Thyroid-Stimulating Hormone (TSH)
Thyroxine Free, Direct Dialysis (FT4)
Tri-iodothyronine (T3) Total
Tri-iodothyronine Free (FT3)

Patient Instructions: Samples should not be collected during or soon after the administration of Heparin.

Estimated turnaround for results is 8 business days. If confirmation testing is required the estimated time may be extended.

Categories: Thyroid diseases, Hormones & metabolism,

Price: $183

Description: If you're serious about your health then this is the test for you.

We've added essential minerals and micronutrients tests to the total vitamins test.

This nutrient deficiency test measures:

-Iron
-Magnesium
-Phosphorus
-Zinc
-Chloride
-Calcium
-Potassium
-Sodium

With this one test you will be able to evaluate your diet and potential digestive health issues. This is especially important if you have recently lost weight or made dietary changes.

Includes:
Magnesium, Serum
Zinc
Iron, Serum w/ TIBC:Total Iron, Iron Binding Capacity, % Saturation (calculated)
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
Phosphate (as Phosphorus)
Vitamin A (Retinol)
Vitamin B1 (Thiamine) LC/MS/MS
Vitamin B12
Vitamin B2 (Riboflavin)
Vitamin B3: Nicotinamide, Nicotinic Acid
Vitamin B5 (Pantothenic Acid)
Vitamin B6
Vitamin C
Vitamin D, 25-Hydroxy LC/MS/MS:Vitamin D, 25-OH, Total; Vitamin D, 25-OH, D3; Vitamin D, 25-OH, D2
Vitamin E (Tocopherol)
Vitamin K

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. Patient should refrain from eating liver and taking multivitamins or vitamin K at least 24 hours before sample collection. Avoidance of vitamin supplements for 24 hours prior to collection is preferred. Refrain from eating fruits and from taking vitamin C supplements for 24 hours prior to collection.

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: $1006

Description: Antibodies may be detected in patients with ocular manifestations of toxocariasis.

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Price: $420

Description: The ELISA procedure utilizes the excretory-secretory(es) antigen of T. canis larvae to minimize cross-reactivity with antigens of Ascaris spp. and of other parasites. Results must be interpreted with caution as broad variations in antibody response occur and levels may remain elevated for years after infection. Generally, antibody levels are highest in visceral larva migrans (VLM). A negative result usually rules out infection with Toxocara spp.

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Price: $402

Description: Toxoplasmosis is a parasitic infection caused by the protozoan Toxoplasma gondii. Approximately 23% of the immunocompetent population are asymptomatic carriers of the parasite. The combination of high titers of IgG and IgM antibodies to Toxoplasma gondii is consistent with infection in the last three months. High titers of IgG and low to medium titers of IgM antibodies to Toxoplasma gondii are consistent with infection in the last three to six months.

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Price: $305

Description: Toxoplasmosis is a parasitic infection caused by the protozoan Toxoplasma gondii. Approximately 23% of the immunocompetent population are asymptomatic carriers of the parasite. High titers of IgG antibodies to Toxoplasma gondii can persist for years. Toxoplasma gondii is endemic in cats and is excreted by them in their feces.

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

Includes: Toxoplasma Antibody (IgG)

Estimated turnaround for results is 5 business days.

Categories: General wellness, Infectious diseases,

Price: $80

Description: T. gondii IgM is typically detected within a few days of infection, peaks within a few weeks, and usually falls to undetectable levels within a few months. In some patients, however, T. gondii IgM persists for more than a year; Thus, detection of T. gondii IgM does not necessarily indicate recent or ongoing toxoplasmosis.

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Price: $271

Description: Toxoplasma gondii, an obligate intracellular parasite, is an important opportunistic pathogen of immunosuppressed patients. In AIDS patients and transplant patients, this infection may result in a life-threatening encephalitis. T. gondii can also cause a fatal infection of the fetus if an infection is acquired during pregnancy. Fetal death or major abnormalities such as blindness and mental retardation may occur when infection is acquired during the first trimester. PCR methods may be useful in identifying T. gondii in CSF of immunosuppressed patients or in the amniotic fluid of mothers thought to be recently infected.

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Price: $708

• Checks for parasite infection antibodies.
• Detects recent toxoplasmosis exposure.
• Identifies immune response to toxoplasma.

Includes:

Toxoplasma gondii (IgA) Antibody, ELISA

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Price: $285

Description: Somatic mutation of the p53 tumor suppressor gene is the most common genetic alteration seen in human cancers, with >50% of adult human tumors bearing inactivating mutations or insertions, deletions in the P53 gene. Wild type p53 prevents genetic instability and participates in the apoptotic response to radiotherapy and chemotherapy. Mutations in P53 gene usually correlate with poor outcome and early recurrence in cancer. This test provides important prognostic and prodictive information for patients with B-CLL, breast cancer, cervical cancer, melanoma or other cancers.

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Price: $2200

Description: Help prevent hepatotoxicity from thiopurine therapy. This test helps identify individuals at increased risk of hepatotoxicity from thiopurine dose escalation. Patients with a TMPT activity of 4-12 nmol 6-MMP/hr/mL RBC (heterozygote/low metabolizer) are at increased risk and may require a lower dose of thiopurine drug.

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Price: $800

Description: Assists in the diagnosis of thyroid diseases such as endemic goiter, Grave's Disease, autoimmune thyroiditis, Addison's Disease, insulin-dependent diabetes mellitus, Hashimoto'sDdisease and polyendocrine auto-immunopathies. Also valuable as a part of the thyroid autoimmune diagnostic profile.

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Price: $149

• Detects thyroid receptor antibodies presence.
• Checks for overactive thyroid antibodies.
• Helps diagnose Graves' disease.

Includes:

TRAb (TSH Receptor Binding Antibody)

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Price: $435

Description: Exclusion screen

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Price: $367

• Pinpoint how your body processes Tramadol
• Reveal potential issues with Tramadol metabolism
• Clarify if Tramadol is affecting your health

Includes: Tramadol
o-desmethyl tramadol

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

Price: $368

Description: Transferrin is a direct measure of the iron binding capacity. Transferrin is thus useful in assessing iron balance. Iron deficiency and overload are often evaluated with complementary laboratory tests.
Increased in iron deficiency anemia. It is decreased in chronic inflammatory states, hereditary atransferrinemia, some instances of acquired liver disease, neoplasia, and renal disease. Transferrin is an index of nutritional status.

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

Includes: Transferrin

Alternate Name(s):
Siderophilin

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

Categories: General wellness, Blood and blood diseases,

Price: $64

Description: Heavy alcohol use (defined as >4 or 5 beverages per day for two weeks or more) is commonly associated with elevated CDT levels as are certain liver diseases such as primary biliary cirrhosis and chronic active hepatitis and in some patients with genetic D variants of transferrin.

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Price: $316

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
Estrogens (Total), Serum

Estradiol, serum
Estrone, LC/MS/MS
Follicle-stimulating Hormone (FSH) and Luteinizing Hormone (LH)

Prolactin, serum

Progesterone, serum
Testosterone, Free and Total, LC/MS/MS
Total Testosterone, Free (Dialysis) Testosterone (calculated)
Dihydrotestosterone, (DHT) LC/MS/MS
Sex Hormone binding Globulin, (SHBG)

Dehydroepiandrosterone (DHEA-s) Sulfate


Insulin-Like Growth Factor I (IGF-I, LC/MS)

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. If using a testosterone cream please be sure you have not rubbed any into the antecubital area of your arm for the last 24 hours as it can give elevated results.

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

Categories: Hormones & metabolism,

Price: $546

Description: Therapeutic drug monitoring.

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Price: $304

Description: For therapeutic drug monitoring of antidepressant therapy. Peak plasma levels occur approximately 1 hour after dosing when Trazodone is taken on an empty stomach or 2 hours after dosing when taken with food. Elimination of Trazodone is biphasic, consisting of an initial phase (half-life 3-6 hours) followed by a slower phase (half-life 5-9 hours).

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Price: $292

Description: This panel tests for specific IgE antibodies to 9 nuts that are commonly associated with allergies. Allergen-specific serum IgE testing is considered comparable to skin testing and may be preferred in some clinical situations. However, a positive test result only indicates that a patient is sensitized to the allergen of concern. Many IgE-sensitized individuals do not develop any symptoms when exposed to the allergen. A diagnosis of allergy should only be made by a trained medical provider after conducting a thorough clinical evaluation [1].More specific information about allergens included in this panel may be found on the Quest Diagnostics Test Directory.⁠⁠⁠⁠⁠⁠⁠Reference1. Bernstein IL, et al. Ann Allergy Asthma Immunol. 2008;100(3 Suppl 3):S1-S148.

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Price: $312

Description: This panel tests for specific IgE antibodies to 9 nuts that are commonly associated with allergies. The corresponding allergen component panel will be performed if IgE result for Brazil nuts, cashew nuts, hazelnuts, peanuts, or walnuts is positive. Allergen-specific serum IgE testing is considered comparable to skin testing and may be preferred in some clinical situations. However, a positive test result only indicates that a patient is sensitized to the allergen of concern. Many IgE-sensitized individuals do not develop any symptoms when exposed to the allergen. A diagnosis of allergy should only be made by a trained medical provider after conducting a thorough clinical evaluation [1].More specific information about allergens included in this panel may be found on the Quest Diagnostics Test Directory.⁠⁠⁠⁠⁠⁠⁠Reference1. Bernstein IL, et al. Ann Allergy Asthma Immunol. 2008;100(3 Suppl 3):S1-S148.

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Price: $312

Description: This test is designed to be used as an aid in the confirmation of antibodies to the treponemal organisms that cause syphilis in the context of a positive non-treponemal assay. It is not intended to be used as a standalone for diagnosis. For algorithm based syphilis testing, please see TC 90349 Syphilis Antibody Cascading Reflex or TC 36126 RPR (Diagnosis) with Reflex to Titer and Confirmatory Testing.

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Price: $56

• Detects worms from undercooked meat
• Checks for Trichinella infection
• Identifies parasite antibodies in blood

Includes:

Trichinella Antibody (IgG), ELISA

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Price: $361

• Check chemical exposure from work solvents
• Screen for industrial solvent buildup risks
• Monitor workplace chemical safety levels

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Price: $443

Description: This test detects the presence of specific IgE against Trichoderma viride. A positive test only indicates that a person is sensitized and potentially allergic to this allergen. A diagnosis of allergy requires clinical signs and symptoms that appear to be associated with exposure to the allergen in addition to the detection of markers of IgE sensitization [1].More specific information about this allergen can be found on the following website: https://www.thermofisher.com/phadia/us/en/resources/allergen-encyclopedia.htmlReference1. Bernstein IL, et al. Ann Allergy Asthma Immunol. 2008;100(3 Suppl 3):S1-S148.

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Price: $49

• Pinpoint the cause of your allergies
• Reveal hidden immune system issues
• Clarify unexplained respiratory symptoms

Categories: Allergy blood testing,

Price: $243

Description: Trichomoniasis (or “trich”) is a very common sexually transmitted disease (STD) that is caused by infection with a protozoan parasite called Trichomonas vaginalis. Although symptoms of the disease vary, most women and men who have the parasite cannot tell they are infected.

Trichomoniasis is considered the most common curable STD. In the United States, an estimated 3.7 million people have the infection, but only about 30% develop any symptoms of trichomoniasis. Infection is more common in women than in men, and older women are more likely than younger women to have been infected.

Males, please order the Male version of this test: Trichomonas vaginalis RNA, Qualitative, TMA (Males)

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

Includes: Trichomonas vaginalis RNA, Qualitative, TMA

Patient Instructions: The patient should not have urinated for at least one hour prior to specimen collection. Patient to provide a first-catch urine (approximately 20-30 mL of the initial urine stream) into a urine collection cup free of any preservatives. Collection of larger volumes of urine may result in specimen dilution that may reduce test sensitivity. Patients should not cleanse the labial area prior to providing the specimen.

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

Categories: STD’s detection & monitoring,

Price: $193

Description: Trichomoniasis (or “trich”) is a very common sexually transmitted disease (STD) that is caused by infection with a protozoan parasite called Trichomonas vaginalis. Although symptoms of the disease vary, most women and men who have the parasite cannot tell they are infected.

Trichomoniasis is considered the most common curable STD. In the United States, an estimated 3.7 million people have the infection, but only about 30% develop any symptoms of trichomoniasis. Infection is more common in women than in men, and older women are more likely than younger women to have been infected.

Females, please order the female version of this test: Trichomonas vaginalis RNA, Qualitative, TMA (Female)

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

Includes: Trichomonas vaginalis RNA, Qualitative, TMA

Patient Instructions: The patient should not have urinated for at least one hour prior to specimen collection. Patient to provide a first-catch urine (approximately 20-30 mL of the initial urine stream) into a urine collection cup free of any preservatives. Collection of larger volumes of urine may result in specimen dilution that may reduce test sensitivity.

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

Categories: STD’s detection & monitoring,

Price: $193

Description: Trichomonas vaginalis RNA, Qualitative Transcription- Mediated Amplification, Pap Vial test is a nucleic acid amplification test that uses transcription-mediated amplification for detection of T. vaginalis RNA, using a ThinPrep® or SurePath™ Pap sample as the specimen. It is used in the screening and diagnosis of trichomoniasis. When the clinical performance of this assay was evaluated, sensitivity was 100% in PreservCyt Solution liquid Pap specimens, while specificity was 98.6% [1,2].Trichomoniasis is one of the most common sexually transmitted infections (STIs) in the United States, with an estimated 1.1 million new cases each year [3]. It is curable. About 70% of people infected with T. vaginalis are asymptomatic, though symptoms may show up after the infection has been present for some time. In women, symptoms include vaginal and/or urethral discharge, painful urination, and genital burning and discomfort [4].In women, untreated T. vaginalis infection can lead to infertility, pelvic inflammatory disease, and cervical neoplasia. T. vaginalis infection is associated with a 2- to 3-fold increased risk for HIV infection in women, as well as increased risk of preterm labor [1].T. vaginalis testing is recommended for women with vaginal discharge or cervicitis [4]. Because of the high rate of reinfection in individuals treated for T. vaginalis, repeat testing 3 months after treatment is recommended. Additionally, screening is recommended for HIV-infected women at the first HIV-related visit, with follow-up T. vaginalis testing annually. For pregnant women with HIV infection, T. vaginalis screening is recommended at the first prenatal visit [1].A "detected" result is consistent with T. vaginalis infection. False-positive results could be obtained from sampling less than 2 weeks after cessation of therapy, since TMA-based tests can detect nucleic acids from dead organisms. A "not detected" result is consistent with the absence of T. vaginalis infection. False-negative results could be obtained due to an organism concentration below the assay detection limit [1].References1. Workowski, KA et al. Sexually transmitted diseases treatment guidelines, 2015. MMWR Recomm Rep. 2015;64:1-137.2. Aptima trichomonas vaginalis assay [package insert]. San Diego, CA:Hologic;2019.3. Satterwhite CL, et al. Sex Transm Dis. 2013;40:187-193.4. CDC. Trichomoniasis-CDC fact sheet. Published 7/2017.https://www.cdc.gov/std/trichomonas/stdfact-trichomoniasis.htm. Accessed August 14, 2019.

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Price: $397

• Detect chronic fungal skin infections
• Check persistent athlete's foot causes
• Screen recurring itchy skin issues

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Price: $228

Description: This allergen-specific IgE antibody test quantifies an individual’s IgE response to Trichophyton mentagrophytes var interdigital. It is an in vitro quantitative assay that 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 provider after all clinical and laboratory findings have been evaluated. More specific information about this allergen can be found at http://www.phadia.com/en/Products/Allergy-testing-products/ImmunoCAP-Allergen-Information/Molds-and-other-Microorganisms/Allergens/Trichophyton-ment-var-interdigitale-/ Reference 1. Bernstein IL, et al. Ann Allergy Asthma Immunol. 2008;100(Suppl 3):S1-S148.

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Price: $49

• Detect stubborn fungal skin infections
• Check recurring nail and scalp issues
• Screen for hard-to-treat ringworm causes

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Price: $228

Description: This test detects the presence of specific IgE against Trichophyton rubrum. A positive test only indicates that a person is sensitized and potentially allergic to this allergen. A diagnosis of allergy requires clinical signs and symptoms that appear to be associated with exposure to the allergen in addition to the detection of markers of IgE sensitization [1].More specific information about this allergen can be found on the following website: https://www.thermofisher.com/phadia/us/en/resources/allergen-encyclopedia.htmlReference1. Bernstein IL, et al. Ann Allergy Asthma Immunol. 2008;100(3 Suppl 3):S1-S148.

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Price: $49

• Check antidepressant medication blood levels
• Monitor your dosage safety accurately
• Screen for medication overdose risk

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Price: $205

Description: Serum triglyceride analysis has proven useful in the diagnosis and treatment of patients with diabetes mellitus, nephrosis, liver obstruction, other diseases involving lipid metabolism, and various endocrine disorders. In conjunction with high density lipoprotein and total serum cholesterol, a triglyceride determination provides valuable information for the assessment of coronary heart disease risk.
Triglycerides are a type of lipids (fat). Your body gets triglycerides from fats in the food you eat and it can also make triglycerides in the liver. The Trigyceride test will measure the level of triglycerides in your blood.

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

Includes: Triglycerides

****Triglycerides is included in the Lipid Panel.****

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

Categories: Heart & cholesterol,

Price: $39

Description: This test is used to diagnose hyperthyroidism and to clarify thyroid status in the presence of a possible protein binding abnormality.

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

Alternative Names(s):
Free T3, FT3, T3 Free

Includes:
Tri-iodothyronine Free (FT3)

Patient Instructions: No fasting needed.

Categories: Thyroid diseases, Fitness, nutrition, anti-aging,

Price: $58

Description: Total T3 measurements are used to diagnose and monitor treatment of hyperthyroidism and are essential for recognizing T3 toxicosis. Recommended for patients with supraventricular tachycardia, for patients with fatigue and weight loss not otherwise explained, or for those with proximal myopathy and in whom T4 levels are not elevated.

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

Alternative Name(s):
Triiodothyronine; T3 Hormone; T3, Total; Total T3

Includes:
Total T3

Categories: Hormones & metabolism, General wellness,

Price: $58

Description: Thyroid testing.

Includes:
Tri-iodothyronine (T3) Total
Tri-iodothyronine Free (FT3)

Categories: Thyroid diseases, Hormones & metabolism,

Price: $91

Description: Tropheryma whipplei (Whipple's disease) DNA, PCR is a highly sensitive and specific method to detect the presence of Tropheryma whipplei DNA in clinical specimens. The diagnosis of Tropheryma whipplei infection should not rely solely upon the result of a PCR assay. A positive result should be considered in conjunction with clinical presentation and additional established clinical tests. Moreover, this assay cannot differentiate between viable and nonviable organisms. A negative PCR result indicates the absence of Tropheryma whipplei DNA at detectable levels in the samples tested and does not exclude the diagnosis of disease.

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Price: $724

• Detects heart muscle damage
• Measures heart attack risk
• Assesses heart health status

Includes:

Troponin I, High Sensitivity

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Price: $309

Description:

Diagnosis of Acute Myocardial Infarction (MI). Assessment of cardiovascular disease risk.

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Price: $309

Description: This test detects the presence of specific IgE against trout. A positive test only indicates that a person is sensitized and potentially allergic to this allergen. A diagnosis of allergy requires clinical signs and symptoms that appear to be associated with exposure to the allergen in addition to the detection of markers of IgE sensitization [1].More specific information about this allergen can be found on the following website: https://www.thermofisher.com/phadia/us/en/resources/allergen-encyclopedia.htmlReference1. Bernstein IL, et al. Ann Allergy Asthma Immunol. 2008;100(3 Suppl 3):S1-S148.

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Price: $49

• Checks for allergic reactions.
• Measures mast cell activation.
• Diagnoses mastocytosis conditions.

Patient Instructions:

Samples should be obtained between 15 minutes and 3 hours after the event suspected of causing mast cell activation. When sample is drawn, separate serum from cells within 3 hours of collection.

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Price: $394

• Check amino acid levels affecting mood
• Screen for sleep and appetite issues
• Monitor nutrition and dietary gaps

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Price: $365

Description: This test may help identify thyroid stimulating hormone (TSH) autoantibodies. When the serum TSH level is discordant with clinical manifestations or other test results (eg, markedly elevated TSH with normal free triiodothyronine and free thyroxine levels), this test may be used to determine if TSH autoantibodies are the cause of discordance.TSH autoantibodies can bind TSH to form a macromolecule (macro-TSH) that has low biological activity but interferes with TSH immunoassays [1]. Interference by macro-TSH may be screened by polyethylene glycol precipitation and gel filtration chromatography [1].Anomalous TSH levels may also be caused by a range of interfering substances, such as biotin, heterophilic antibodies, and antibodies to streptavidin and ruthenium [1].Other conditions that may result in elevated TSH levels with normal free triiodothyronine and free thyroxine levels include subclinical hypothyroidism, poor adherence to (or malabsorption of) thyroxine therapy, certain drugs (eg, amiodarone), nonthyroidal illness recovery phase, and TSH resistance [2].The results of this test should be interpreted in the context of pertinent clinical and family history and physical examination findings.References1. Favresse J, et al. Endocr Rev. 2018;39(5):830-850.2. Gurnell M, et al. Clin Endocrinol (Oxf). 2011;74(6):673-678.

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Price: $358

Description: TSH levels are lower during pregnancy, especially during the 1st trimester. Based on recent clinical studies which have shown that even mildly elevated TSH during pregnancy is associated with adverse pregnancy outcomes, the American Thyroid Association has released clinical guidelines which recommend the use of assay-specific and trimester-specific reference intervals.

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Price: $49

Description: Precision in the estimation of TSH is crucial to the follow-up of subjects with thyroid disorders. The preincubation of samples to remove HAMA immunoglobulins provides a way to ensure that an otherwise unsuspected rise or drop in TSH concentration will not be interpreted as either a false positive or false negative.

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Price: $331