Tests included are:

Complete Blood Count with Differential (CBC)
Comprehensive Metabolic Panel (CMP)
Hemoglobin A1c
Cardio IQ Advanced Lipid Panel
Urinalysis, Complete
TSH
Thyroid Free T3
Thyroid Free T4
Reverse T3
TPO Antibodies
Thyroglobulin Antibodies
Homocysteine
Cardio C-Reactive Protein
CPK
Estradiol, Ultra Sensitive
Testosterone Total & Free (LC/MS- No upper limit)
DHEA – S
Prolactin
DHT
IGF-1
Progesterone
Estrone
Total Estrogens
LH + FSH
Anti-Müllerian Hormone (AMH)
Vitamin D (25OHD)
Vitamin B-12
Folate
Ferritin
Iron & TIBC (Total Iron Binding Capacity)

This ultrasensitive estradiol test is recommended for men. The commonly used estradiol test may overestimate estradiol in men. 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. 

Important note:  The blood sample is sent out to Quest Diagnostics Nichols Institute San Juan Capistrano, Caifornia.  Overnight delivery and testing is performed on Sunday and Friday.  Reports are available within 5-7 business days from the time the specimen is collected.

This lab test panel includes main blood test makers involved in hair loss in women and men: Complete Blood Count (CBC)- Can detect potential low hemoglobin and infections that can lead to hair loss. Ferritin- Low ferritin, an iron storage protein, has been linked to hair loss and slow down of hair growth. Iron and Total Iron Capacity (TIBC)- Low iron anemia has been linked to hair loss.  Hyperandrogenism: Excessive male hormones (androgens): Total Testosterone (LC/MS), Free Testosterone (Equilibrium Ultrafiltration), DHEA-S, Dihydrotestosterone (DHT)  Hypothyroidism and Hyperthyroidism: Thyroid Stimulation Hormone (TSH), Free Triidothyronine (Free T3)

THIS IS THE MOST AFFORDABLE TESTOSTERONE TEST IN THE U.S. The most accurate way to measure total testosterone is with liquid chromatography/mass spectrometry. This panel also shows free testosterone percent by equilibrium dialysis and free testosterone calculated from percent free T. This test is more accurate for low and high testosterone blood levels (for men who expect high testosterone blood levels over 1,500 ng/dL, women, and children who usually have low T levels). It has no interferences with supplements or anabolics. Note: Results may take 5-7 business days. For a faster turnaround, choose this test instead: Testosterone, Free, Bioavailable and Total (With Lower & Upper Limit) plus SHBG

 A prolactin blood test is used by doctors to evaluate sexual dysfunction or very low testosterone blood levels of unknown causes in both men and women.

Women and men living with fibromyalgia do not have characteristic or consistent abnormalities on laboratory testing. However, routine laboratory and imaging studies are important to help rule out diseases with similar manifestations and to assist in diagnosis of certain inflammatory diseases that frequently coexist with fibromyalgia. These are the lab tests commonly checked by physicians treating fibromyalgia patients: CMP, CBC, Urinalysis, TSH, Vitamin D & B-12, Iron/TIBC, Magnesium in RBC, ESR, CPK and Ferritin.

Estrogen is the primary female sex hormone as well as a medication. It is responsible for the development and regulation of the female reproductive system and secondary sex characteristics. There are three major endogenous estrogens in women and men: estrone, estradiol, and estriol. This test does not specify each of these estrogens.

This Testosterone Panel Includes 5 Tests:

• Testosterone, Total, LC/MS (most accurate testosterone test for men with high testosterone and women, no upper or lower limit)
• Testosterone, Free. Free testosterone is best calculated based on the LC/MS-derived total testosterone and equilibrium dialysis-derived percent free levels. 
• Testosterone, Bioavailable. Bioavailable testosterone is calculated based on the LC/MS/MS-derived total testosterone,  free testosterone levels, albumin and SHBG.
• Sex Hormone Binding Globulin (SHBG)
• Albumin

Note: Despite SHBG not being listed on the lab requisition form under "Testosterone, Free, Bioavailable, and Total, Males (Adult)," rest assured the results include this critical component, as it's necessary for calculating bioavailable testosterone.

This test is not the sensitive estradiol test but the regular one. It is not recommended for men (it is adequate for pre-menapausal women).  The results from this test are usually available 2 business days faster than the sensitive estradiol test.

The CA 125 level can help doctors understand how to manage patients with ovarian cancer. However, the CA 125 blood test is not advised for women who are at average risk for ovarian cancer.

Women with ovarian cancer usually have high levels of CA 125. However, a high CA 125 level does not always mean you have ovarian cancer. Some women who have ovarian cancer may never show a high CA 125 level.

Urinalysis with reflex to culture testing is done when the first urinalysis results are not normal or when doctors think the person might have a urinary tract infection, kidney disease, or another problem with their urinary tract. Several conditions may necessitate urinalysis with reflex testing. Urinary tract infections (UTIs) are a common reason for reflex testing, as it helps healthcare providers identify the specific bacteria causing the infection and determine the most effective antibiotic treatment. Kidney diseases, such as glomerulonephritis or renal tubular acidosis, may also require reflex testing for accurate diagnosis and management. Conditions like hematuria (blood in urine) or proteinuria (protein in urine) warrant further investigation, as they may indicate underlying kidney disease or urinary tract neoplasms. Pregnant women may undergo reflex testing to monitor for gestational diabetes and preeclampsia. NOTE: You need to visit the lab near you to submit two separate specimens in containers provided by the lab. NOTE: The culture will ONLY be performed if any of the following Urinalysis results are applicable:
•Presence of Leukocyte esterase alone
•Presence of WBCs (>5/hpf) alone
•Presence of Yeast
•Presence of Bacteria and the presence of WBCs (>5/hpf) or Leukocyte esterase
•Presence of Nitrite and the presence of WBCs (>5/hpf) or Leukocyte esterase

This is the most accurate progesterone test that has no potential interactions and can detect very low levels in men and women.  Since it is performed with liquid chromatography and mass spectrometry, results are available after 5 to 7 business days.

This is the most cost effective testosterone test panel that takes the least amount of time to perform and that includes 5 important tests: 1- Total testosterone, 2- Calculated free testosterone, 3- Bioavailable (unbound) testosterone, 4- Sex hormone binding globulin (SHBG), and albumin. Testosterone upper limit under 1,500 ng/dL (ECLIA, immunoassay). It is accurate for most men using or not using TRT . For men expecting very high testosterone blood levels over 1,500 ng/dL or low total T below 250 ng/dL, the LC/MS testosterone test is more appropriate, but it takes a few more days to perform. NOTE: Despite SHBG not being listed on the lab requisition form under "Testosterone, Free, Bioavailable, and Total, Males (Adult)," rest assured the results include this critical component, as it's necessary for calculating bioavailable testosterone.

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.

Pregnenolone is known as the mother hormone. All other steroids including testosterone and estrogen are derived from this important hormone. For this reason, optimal blood levels of pregnenolone are critical for a healthy hormone balance.  This test uses liquid chromatography/mass spectrometry, the most accurate assay for hormones.

Patients with diabetes may get a C-peptide test as a means of distinguishing type 1 diabetes from type 2 diabetes or Maturity onset diabetes of the young (MODY). Measuring C-peptide can help to determine how much of their own natural insulin a person is producing as C-peptide is secreted in equimolar amounts to insulin. C-peptide levels are measured instead of insulin levels because C-peptide can assess a person's own insulin secretion even if they receive insulin injections, and because the liver metabolizes a large and variable amount of insulin secreted into the portal vein but does not metabolize C-peptide, meaning blood C-peptide may be a better measure of portal insulin secretion than insulin itself.

This high sensitivity CRP test is used along other blood markers to assess a patient's potential risk for cardiovascular disease. To illustrate the difference between CRP and hs-CRP, traditional testing measures CRP (quantitative) within the range of 10 to 1,000 mg/L, whereas hs-CRP values range from 0.5 to 10 mg/L. In simpler terms, hs-CRP measures trace amounts of CRP in the blood. Hs-CRP is the analyte of choice for cardiovascular risk assessment

The Anti-Mullerian Hormone ( AMH ) Test is used to assess ovarian function and menopausal status; in the evaluation of polycystic ovary syndrome (PCOS) or to evaluate the effectiveness of ovarian cancer treatment.

Approximately 95% of IGF-1 and IGF-II are bound to IGFBP-3, which makes this protein the major carrier of the insulin-like growth factors in circulation. The function of the binding protein is to extend the half-life of the growth factors in the circulation.

Quest Diagnostics test code 17911 is for a DNA mutation analysis of Methylenetetrahydrofolate Reductase (MTHFR). The test determines if a patient has one, two, or no copies of either of the two mutations in the MTHFR gene, C677T and A1298C.

Changes in the methylenetetrahydrofolate reductase gene can lead to certain health conditions. One of them is hyperhomocysteinemia (high blood levels of homocysteine), which is a risk factor for cerebrovascular disease, cerebral vein thrombosis, coronary artery disease, myocardial infarction, and venous thrombosis. At least 40 mutations in the MTHFR gene have been identified in people with homocystinuria, a disorder in which the body is unable to process certain amino acids properly.

 Progesterone is a female hormone important for the regulation of ovulation and menstruation. It is also present in men in smaller concentrations. Progesterone is a steroid hormone that plays numerous roles within the human body. It is crucial to the production of sex hormones and corticosteroids, as well as playing a role as a neuro-steroid (brain function). 

The serum iron test measures the amount of iron in your blood. The total iron-binding capacity (TIBC) test looks at how well the iron moves through your body.

A single fasting growth hormone (GH) level is of limited value. The secretion of GH is episodic and pulsatile. GH has a half-life of 20 to 25 minutes. Testing for growth hormone deficiency or excess is best done as part of a dynamic test involving specific stimuli (see the online Endocrine Appendices: Growth Hormone Stimulation and Growth Hormone Suppression). Insulin-like growth factor-1 can also be useful in assessing growth hormone status.

This panel includes blood and urine tests commonly used by physicians to determine kidney dysfunction: Urinalysis, Comprehensive Metabolic Panel (CMP), Cystatin C and eGFR.

Comprehensive and All-Inclusive Lab Test Panel for clients of The Wellness By Design Project.  The panel includes:  Testosterone Free with Total, Estrogens Total, Estrone, Estradiol, DHEA-S, Progesterone, Pregnenolone, Dihydrotestosterone (DHT), FSH/LH, Cortisol, Prolactin, TSH, Free T3, Free T4, Reverse T3, Anti TPO, AntiTG, C-reactive protein (high sensitivity), Homocysteine, Apolipoprotein B, Insulin-like Growth Factor 1 (IGF-1), Insulin, Sex Hormone Binding Globulin (SHBG), Vitamin D 25-hydroxy, Complete Metabolic Panel, Gamma Glutamyl Transferase (GGT), Lipid Profile, Complete Blood Count (CBC), Hemoglobin A1C (HbA1C), Magnesium (serum), Phosphorus (serum), LDH, Uric Acid, Iron Serum, Total Iron Binding Capacity (TIBC), Iron Saturation, Ferritin, and Fibrinogen activity.

This diabetes panel includes important tests usually prescribed for anyone living with Type 1 or Type 2 diabetes. It includes A1c, CMP, Urinialysis, Insulin, and Glucose Tolerance Test (GTT).

The adrenal gland produces a hormone known as dehydroepiandrosterone (DHEA). It is also made in the brain. DHEA leads to the production of androgens and estrogens (male and female sex hormones). DHEA levels in the body begin to decrease after age 30. Lower DHEA levels are found in people with hormonal disorders, HIV/AIDS, Alzheimer's disease, heart disease, depression, diabetes, inflammation, immune disorders, and osteoporosis. Corticosteroids, birth control taken by mouth, and agents that treat psychiatric disorders may reduce DHEA levels.

Uric acid is a product produced by the body after the purines in many foods undergo the digestive process and are broken down inside the body. After this breakdown process, the uric acid travels through the bloodstream into your kidneys and most is actually eliminated through the urinary tract via urination. However, there are instances where you may have an excess of uric acid and are unable to excrete the bulk of this substance through urination. This could lead to gout-related issues.

A C-Reactive Protein (CRP) Quantitative test is used to aid in the diagnosis of infections or diseases which cause inflammation. CRP is a protein produced by the liver. Higher than normal concentrations of CRP are often an indicator of infection or inflammation in the body. This test can help determine if an infection is present but not the source of the infection. Conditions that can cause elevated CRP levels include but are not limited to Sepsis, Pelvic Inflammatory Disease, Arthritis, Lupus, Vasculitis, and Inflammatory Bowel Disease.

CPK is creatine phosphokinase, an enzyme in the heart, brain, and skeletal muscle. High CPK can indicate muscle destruction, heart attacks, and central nervous system issues. Long-term exposure to high CPK can load up your kidneys and cause muscle loss and weakness. Sometimes we have no symptoms when CPK is high, but most of the time, we have body aches and soreness. Resistance training can raise CPK, so stop working out for at least five days before the CPK test.

The erythrocyte sedimentation rate (ESR or sed rate) is the rate at which red blood cells sediment in a period of one hour. It is a common hematology test and is a non-specific measure of inflammation. To perform the test, anticoagulated blood is traditionally placed in an upright tube, known as a Westergren tube, and the rate at which the red blood cells fall is measured and reported in mm at the end of one hour. Elevated levels of ESR are usually found in people who have different types of diseases, such as autoimmune disease, anemia, kidney disease, cancer, and other health complications.

T3 or triiodothyronine is the active form of the thyroid hormone. T3 acts as a metabolic throttle for fueling all of the daily cellular functions. Free T3 is the unbound portion of T3 that is biologically active.

This test measures thyroglobulin antibodies commonly present in patients with Hashimoto's thyroiditis. Antibodies against the protein thyroglobulin can result in the destruction of thyroid cells. This destruction can lead to hypothyroidism. NOTE: Dietary supplements containing biotin may interfere in assays and may skew results to be either falsely high or falsely low. For patients receiving the recommended daily doses of biotin, draw samples at least 8 hours following the last biotin supplementation. For patients on mega doses of biotin supplements, draw samples at least 72 hours following the last biotin supplementation.

The reverse T3 test has to be done at the same time you do the free T3, and you then measure the ratio between the two by dividing the RT3 into the Free T3. The body produces the benign RT3 naturally to rid itself of excess of T4, but in some cases, such as high or low cortisol, RT3 is produced in excess, which can clog cell receptors from receiving T3. FT3 is usually twenty or more times higher than RT3. NOTE: Reverse T3 is analyzed using a specific technique called liquid chromatography/tandem mass spectrometry (LC/MS-MS). There's a special place in the U.S. where these precise machines needed for LC/MS panels run only on two specific days a week. So, sometimes the clock ticks a bit while we wait for samples to return from their initial collection points. Results may take 7 business days.

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.

The thyroid stimulating hormone (TSH) is produced and secreted by the pituitary gland and stimulates the thyroid to produce T3 and T4. When TSH is elevated, low thyroid function may be indicated. If TSH is low it is indicative of high thyroid function. A study found that TSH was suppressed in all subjects after food, so fasting may be suggested although it is not reqired by Quest. Free T4 and Free T4 values did not change significantly after eating.

A blood pregnancy test is a medical test used to determine if a woman is pregnant by detecting the presence of the hormone hCG in her blood. Shortly after the fertilized egg implants into the uterine lining, the developing placenta produces the hormone known as hCG. This test is the Quantitative hCG test (also known as a beta hCG test) and measures the specific amount of hCG present in the blood. It can help determine how far along a pregnancy is, monitor the progress of the pregnancy, and detect potential issues like an ectopic pregnancy or a miscarriage.

Blood pregnancy tests are more sensitive than over-the-counter urine pregnancy tests and can detect pregnancy earlier – as soon as 6 to 8 days after ovulation.

FSH and LH are produced by the pituitary gland to control the production of sex hormones including testosterone and estrogen, and sperm and egg cells. They are both important in diagnosing primary or secondary hypogonadism, infertility, or potential pituitary adenomas.

Estrone (E1) is one of the three estrogens, which also include estriol and estradiol. Estrone is the least abundant of the three and is considered a pro-hormone of estradiol.

This panel includes comprehensive testing of the thyroid stimulating hormone (TSH) in addition to free thyroxine (T4) and free triiodothyronine (T3).

To find out if sperm count is normalized in men using hCG plus TRT, several studies have found that 17OH-P blood level is correlated to intratesticular testosterone (ITT) required for the testicles to make sperm, so testing for this hormone could not only save time while optimizing HCG dose/frequency but also eliminate the need to perform testicular aspirations, a very difficult procedure to do. Sperm count does not stabilize until 6-8 weeks after starting hCG plus TRT, so knowing your 17OH-progesterone blood level can give you a quick way to determine if your hCG dose and frequency is adequate before your first follow-up semen analysis after 8 weeks.

Ferritin is a protein that stores iron. Red blood cells need iron to form normally and carry oxygen around your body. Low levels of ferritin lead to iron deficiency anemia, which means you have too few red blood cells. High levels of ferritin can damage your joints, heart, liver, and pancreas.

A complete blood count CBC with differential 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 correlated with blood thickness), and Platelets, which help with blood clotting. This is also called Complete Blood Count (CBC) with Differential and Platelets Blood Test

This test measures Zinc levels in red blood cells (RBC). Red blood cell (RBC) analysis is an invaluable method for assessing insufficiency or excess of elements that have important functions within cells or on blood cell membranes. It may be more accurate than testing Zinc in blood serum.

The volume measurement, or hct blood test, is the proportion of blood that the red blood cells take up. Hemoglobin, on the other hand, is a density or concentration measurement and is expressed in grams per liter or deciliter. (Hemoglobin is, if you will recall from your high school biology, the iron-based protein that transports oxygen.) RBC is a simple count and is usually expressed as the number of million red blood cells that you have per microliter. Usually, hematocrit is three times the amount of hemoglobin.

Testosterone replacement therapy (TRT) increases hematocrit in most men.  Read more about how to decrease hematocrit.

NOTE: Hematocrit is also part of the CBC panel, so there is no need to order separately if your order already includes CBC.

Vitamin D is essential for bone health and many metabolic processes. The body derives it from sunlight and food sources. Many people do not get enough sunlight or do not consume enough vitamin D rich foods. This test is important to determine if you need vitamin D supplementation or if your current supplementation is effective.

Epstein-Barr (EB) virus is a herpes group virus that is ubiquitous. It leads to infectious mononucleosis and may play a role in the development of Burkitt lymphoma, some nasopharyngeal carcinomas, and a few rare genetic lymphoproliferative disorders. Antibodies to early antigen, IgM and IgG antibodies to viral capsid antigen (VCA), and antibodies to Epstein-Barr nuclear antigen (EBNA) are all part of the EBV test.

This test for adrenal insufficiency includes 4 measurements of your salivary Cortisol level during one day. Cortisol, also known as the "stress hormone" can be either too high or too low which may be a sign of adrenal distress.