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

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)

The fasting insulin test is a blood test that measures the level of insulin in your blood after you have fasted (not eaten or drunk anything except water) for at least 8 hours. Insulin is a hormone produced by the pancreas that helps regulate blood sugar levels. The fasting insulin test is often used to help diagnose conditions such as insulin resistance, prediabetes, and type 2 diabetes. It may also be ordered to monitor the effectiveness of treatment for these conditions. The test is usually done in the morning, after an overnight fast. The test results will be reported in units of insulin per liter of blood (U/L). It is important to note that the interpretation of a fasting insulin test may vary depending on the individual's medical history and other factors. A healthcare provider should be consulted to interpret the test results correctly.

The Rheumatoid Arthritis Factor is often evaluated in patients suspected of having any form of arthritis or destructive articular disease even though positive results can be due to other causes, and negative results do not rule out disease. But, in combination with signs and symptoms, it can play a role in both diagnosis and disease prognosis. It is part of the usual disease criteria of rheumatoid arthritis.

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.

The Cardio IQ® Insulin Resistance Score (IR), which uses fasting insulin and C-peptide measurements to estimate a person's likelihood of having insulin resistance. It eliminates the need for multiple samples and reduces the chance of errors that can occur with some other tests.

Having a high score (indicating a greater probability of insulin resistance) was linked to an increased risk of developing type 2 diabetes, even after accounting for other risk factors. 

An IR score of <33 suggests that an individual has normal insulin sensitivity.
A score of 33 to 66 suggests that an individual has >4-fold greater odds of having IR compared with an individual with a score <33 .
A score >66 suggests that an individual has >15-fold greater odds of having IR compared to an individual with a score

Fasting Required for 10-12 hours. Water only.

Both chronically low and high levels of glutathione in the body are indicative of potentially debilitating health problems. Glutathione level is a crucial marker for many diseases, both chronic and acute. Given the importance of this protein to human health; discovering your glutathione levels could be one more way to monitor health levels, immune function, and the potential risk of diseases that have been associated with chronically low or high levels of this essential peptide.

The glucose tolerance test is a medical test in which glucose is given and blood samples taken afterward to determine how quickly it is cleared from the blood. The test is usually used to test for diabetes, insulin resistance, impaired beta cell function, and sometimes reactive hypoglycemia and acromegaly, or rarer disorders of carbohydrate metabolism. In the most commonly performed version of the test, an oral glucose tolerance test (OGTT), a standard dose of glucose is ingested by mouth and glucose blood levels are checked right after ingestion and then two hours later. 

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.

The most complete of all blood test panels for men that include: Total and Free Testosterone, Ultra Sensitive Estradiol, IGF-1, Prolactin, DHT, DHEA-S, PSA, SHBG, Lipids, CBC, CMP, and Thyroid Function (TSH, Free T3, Free T4).