Search results for: 'Hormone test'
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Male Hormone Test Panel$313
Learn MoreThis affordable male hormone panel includes the most accurate assays used as gold standard for measuring:
- Total Testosterone (Liquid chromatography/MS-MS)
- Free Testosterone (Equilibrium Ultrafiltration)
- Sex Hormone-Binding Globulin (SHBG)
- Estradiol, Ultra Sensitive (LC/MS-MS)
- DHT level (LC/MS)
- Prolactin
- Dehydroepiandrosterone sulphate (DHEA-S)
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Complete Hormone & Wellness Panel for MEN$499
Learn MoreThis panel is the most inclusive of all offered on the site for men who want a wide picture of their health or who are considering starting testosterone replacement therapy. It provides a baseline overview of your sex hormones, thyroid gland, adrenal function, metabolic function, cholesterol, prostate, and overall health. Tests included:
- CBC
- CMP
- Lipid Panel
- Testosterone
- Total (LC/MS) Estradiol, Ultra Sensitive
- DHEA-s
- TSH
- Free T3
- PSA
- LH
- FSH
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LH + FSH$53
Learn MoreFSH 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.
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THYROID Panel (TSH + Free T3 + Free T4)$100
Learn MoreThis panel includes comprehensive testing of the thyroid stimulating hormone (TSH) in addition to free thyroxine (T4) and free triiodothyronine (T3).
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Testosterone, Free (Equilibrium Dialysis) and Total, MS$49
Learn MoreTHIS 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
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DHT Test$89
Learn MoreThis 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.
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Pregnenolone$126
Learn MorePregnenolone 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.
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Elite Male Blood Test Panel$739
Learn MoreThe 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).
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Free Thyroxine T4$48
Learn MoreThe thyroid gland produces and secretes T4, otherwise known as thyroxine. Proteins bind to T4 and carry it throughout the bloodstream. Once in the tissues, T4 is released from the proteins and is now free to convert into the more active form called T3. For this reason, many doctors believe that measuring free T4 is a more sensitive test for thyroid hormone production.
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THYROID Panel - COMPREHENSIVE$238
Learn MoreThis test panel includes most tests needed to more deeply explore the possibility of hypothyroidism and/or Hashimoto's disease diagnosis. It includes: TSH, Free T3, Free T4, Reverse T3, Thyroglobulin Antibody and Thyroid Peroxidase Antibody (Anti-TPO). If you are taking biotin, please stop it 72 hours before the blood draw since it may interfere with hormone blood tests. 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. 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.
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hCG Pregnancy Test$35
Learn MoreA 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.
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Parathyroid Hormone PTH Blood Test$55
Learn MoreThe PTH test is used to help identify hyperparathyroidism, to find the cause of abnormal calcium levels, or to check the status of chronic kidney disease. PTH controls calcium and phosphorus levels in the blood.
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THYROID Stimulating Hormone-TSH$21
Learn MoreThe 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.
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Estrone$106
Learn MoreEstrone (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.
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PCOS Test Panel$548
Learn MoreThis PCOS lab test panel includes: Lipid Panel, CBC, CMP, Prolactin, C-Peptide,TSH, Free T3, Fee T4, Sex Hormone binding Globulin, DHEA Sulfate, Estrogen, FSH,Insulin Fasting, A1c, LH, Progesterone, 17-OH Progesterone,Testosterone, Total (LC/MS) and Free (EquilibriumvDialysis), and Vitamin D.
Polycystic literally means "many cysts." In medical terms, it usually refers to a condition called polycystic ovary syndrome (PCOS). PCOS is a hormonal disorder commonly seen in women of childbearing age. The condition is characterized by the presence of multiple fluid-filled cysts in the ovaries. PCOS can cause symptoms like irregular periods, weight gain, acne, and excessive hair growth. Women with PCOS may also experience infertility, diabetes, and heart disease later in life. The exact cause of PCOS is not known, but genetics and insulin resistance are considered contributing factors. PCOS is diagnosed based on symptoms, physical examination, and blood tests.
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Estrogens Total Test$75
Learn MoreEstrogen 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.
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Free Triiodothyronine T3$55
Learn MoreT3 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.
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Women's Hormone Panel$285
Learn MoreThis hormone panel for women contains all basic hormones (except for LH and FSH, which you can add to your cart separately): DHEA-S, Estradiol (CLIA assay), Progesterone, Total Testosterone, LC/MS, Free Testosterone by Equilibrium Ultrafiltration, TSH,Free T3 and Free T4
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Anti-Mullerian Hormone Test (AMH) - Females$140
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.
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Erectile Dysfunction ED Test Panel$292
Learn MoreED Panel Includes Main Hormones Involved with Erectile Function:
- Prolactin
- Total Testosterone (LC/MS)
- Free Testosterone (Equilibrium Ultrafiltration)
- Estradiol, Ultra Sensitive
- DHT
- TSH
- Free T3
- Free T4
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Testosterone, Total ( LC/MS), Free T , Bioavailable T, and SHBG- No Upper Limit$106
Learn MoreThis 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.
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Fertility Panel for Women$390
Learn MoreThis fertility panel for women contains the main hormones tested (most using the most sensitive liquid chromatography/mass spectrometry) by reproductive endocrinologists to assess the potential for a woman to become pregnant. Tests included are: LH, FSH, Anti-Müllerian Hormone (AMH), estradiol (LC/MS), progesterone (LC/MS), TSH and testosterone (LC/MS).
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Women's Elite Hormone and Wellness Panel$687
Learn MoreThis complete lab test panel for women includes tests and panels that show your status on immune function, electrolytes, liver and kidney function, cholesterol, testosterone, estradiol, DHEA, thyroid function, blood sugar control, inflammation, vitamin deficiencies, anemia/fatigue, progesterone, and LH & FSH hormones.
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Comprehensive Fatigue Panel$432
Learn MoreThe causes of fatigue are multifactorial and could involve imbalances in several hormones. This panel includes most hormones and variables involved in the diagnosis and treatment of fatigue. Ordering this panel provides substantial cost savings when compared to ordering each test separately. The panel is useful for men and women. TESTS INCLUDED IN THIS PANEL: TOTAL AND FREE TESTOSTERONE, THYROID FUNCTION: TSH, Free T3, Free T4, Thyroid Antibodies, HEMOGLOBIN A1c, Complete Blood Count (CBC) Test (Includes white, red cells and platelets), Comprehensive Metabolic Panel (CMP), IRON, TIBC (Total Iron Binding Capacity), FERRITIN, ADRENAL FUNCTION: Cortisol and DHEA-S
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Hair Loss Test Panel$420
Learn MoreThis 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)
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Women Ultra Elite Panel$1,312
Learn MoreThis women's ultra elite lab test panel offers the best savings for men to determine their immune health, liver and kidney function, electrolytes, blood sugar, advanced lipid panel, thyroid function, inflammatory markers involved in heart disease, testosterone total and free, urinalysis to determine UTIs and kidney function, ultrasensitive estradiol, DHEA-S, IGF-1, DHT, Prolactin, Progesterone, Estrone, Total Estrogens, vitamins D and B12+ folate, and iron/ferritin to determine fatigue, anemia or increased risk of iron overload.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) -
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Hashimoto's Test Panel$179
Learn More1. TSH (Thyroid Stimulating Hormone) Test The TSH test is crucial for diagnosing Hashimoto's disease. It gauges the level of TSH that the pituitary gland produces, which in turn stimulates the thyroid to produce T4 and T3 hormones. Elevated TSH levels can indicate hypothyroidism, commonly associated with Hashimoto's disease
2. Thyroid Hormone Tests These tests measure the levels of free T3 (free triiodothyronine) and free T4 (free thyroxine) in the blood. A low level of free T4, along with an elevated TSH level, is a key indicator of Hashimoto's disease
3. Thyroid Antibody Tests Most individuals with Hashimoto's disease have thyroid peroxidase (TPO) antibodies in their blood. Testing for these and other thyroid-related antibodies is a significant step in diagnosing the condition
4. Thyroglobulin Antibody Test This test screens for antibodies against thyroglobulin, a protein in the thyroid gland. High levels are another marker of Hashimoto's disease
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Progesterone$40
Learn MoreProgesterone 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).
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Growth Hormone Blood Test$68
Learn MoreA 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.
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Hormone Panel for Men on TRT- Upstream & Downstream$622
Learn MoreThis hormone panel for men on testosterone replacement therapy (TRT) contains upstream and downstream hormones to testosterone. TRT has been shown to decrease upstream hormones like pregnenolone and progesterone, and slightly decrease DHEA. Downstream hormone metabolites like ultrasensitive estradiol and DHT are also included. Lastly, prolactin is added since high prolactin can decrease sexual function. No LH and FSH were included since TRT shuts them down.
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TRT Hormone/Wellness Follow Up Panel$237
Learn MoreThis panel includes main blood test variables monitored by many clinics that treat men with low testosterone. This panel is for men who are already on testosterone replacement therapy (TRT) and who want to monitor their main blood tests. Fasting is required for CMP.
The panel includes:
- Total and free testosterone (LC/MS assay. No upper limit restriction)
- Sex hormone-binding globulin
- Estradiol (ultrasensitive- LC/MS assay)
- CBC (includes hematocrit, and immune cells)
- CMP (includes glucose, liver and kidney function). Fasting is required.
- Lipids (LDL and HDL cholesterol and triglycerides)
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Gynecomastia Blood Test Panel$434
Learn MoreThis panel includes hormones that have been implicated in gynecomastia by several studies. Gynecomastia is a benign enlargement of the male breast resulting from a growth of the glandular tissue of the breast. Since it causes anxiety, psychosocial discomfort and fear of breast cancer, early diagnostic evaluation is important, and patients usually seek medical attention. Causes include hormone imbalance and genetic predisposition.
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Testosterone (Total + Free), Ultrasensitive Estradiol & Hematocrit$130
Learn MoreThe most economical lab test panel with 4 tests for men on TRT:
- Total Testosterone, Liquid Chromatography/ Mass Spectrometry
- Free Testosterone, Equilibrium Dialysis
- Ultrasensitive Estradiol, Liquid Chromatography/ Mass Spectrometry
- Hematocrit
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Wellness by Design Female Panel$1,133
Learn MoreComprehensive 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.
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Thyroid Antibody Panel$78
Learn MoreThese two tests measure antithyroglobulin antibodies and Anti-TPO antibodies that are commonly present in patients with Hashimoto's thyroiditis, Graves disease and other thyroid-related conditions. Antibodies against the protein thyroglobulin can result in the destruction of thyroid cells. TPO antibodies are created when the immune system of a person targets by pure error elements of the thyroid gland or protein, leading to chronic thyroid inflammation, tissue damage, and damage to the thyroid function. Leaving this untreated may cause severe health issues.
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TRT + hCG Lab Test Panel$199
Learn MoreThis panel includes: Testosterone, Total, LC/MS and Free (Equilibrium Dialysis), and 17-OH-progesterone, a metabolite that has been correlated with sperm production.
Testosterone Replacement Therapy (TRT) shuts down upstream hormones like LH and FSH required for sperm production, so men on TRT generally have a difficult time fathering a child. Some studies show that adding hCG to a TRT protocol may improve sperm production since hCG is an analog of LH that could stimulate sperm production. But optimizing hCG dose and frequency based on sperm count can be a time consuming process since it takes at least 8 weeks to see changes in sperm tests. Fortunately, there is an easier way by measuring 17-OH-progesterone to predict the efficacy of the hCG+TRT protocol without having to wait for 8 weeks between hCG dose/frequency changes.
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Testosterone, Thyroid and Estradiol Panel$188
Learn MoreOrdering these 6 hormone tests as a panel saves you over $20 when comparing it to buying tests separately.
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Reverse T3 Test$86
Learn MoreThe 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.
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Adrenal Insufficiency Panel- Basic$203
Learn MoreDiscounted Labs’ basic adrenal insufficiency panel includes cortisol, ACTH, and DHEA as a starting point. Depending on lab test results from this panel, physicians may choose to do an ACTH stimulation test, renin, potassium, and sodium. Imaging studies like a CT scan of the adrenal glands may also be considered to check for adrenal growths. In order to check for Addison's Disease, the auto-immune type of primary adrenal insufficiency, labs should be drawn to check 21-hydroxylase
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TRT MALE Hormone/Wellness Follow Up Panel$237
Learn MoreThis popular and cost-effective panel includes main blood test variables monitored by many clinics that treat men with low testosterone. This panel is for men who are already on testosterone replacement therapy (TRT) and who want to monitor their main blood tests. You save substantial amounts of money by ordering these tests together rather than one at a time. The panel includes: Total and free testosterone (LC/MS assay. No upper limit restriction), Sex hormone binding globulin (SHBG), Estradiol (sensitive- LC/MS assay), CBC (includes glucose, hematocrit and immune cells), CMP (includes liver and kidney function, eGFR), Lipids (LDL and HDL cholesterol and triglycerides)
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Water Retention Panel: Aldosterone/Plasma Renin Activity Ratio, LC/MS/MS$204
Learn MoreRenin, also known as angiotensinogenase, is an enzyme that the kidneys produce to regulate aldosterone production. It’s also essential in the renin–angiotensin aldosterone system (RAAS) which maintains your body’s fluid balance and blood pressure. Aldosterone is the primary of several endogenous members of the class of mineralocorticoids in humans. Aldosterone tends to promote sodium and water retention, and lower plasma postasium concentrations.
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DHEA-Sulfate$43
Learn MoreThe 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.
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17 Hydroxyprogesterone Test$178
Learn MoreTo 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.
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Sex Hormone Binding Globulin - SHBG$51
Learn MoreSHBG (sex hormone binding globulin) binds to testosterone and estradiol. High SHBG may decrease free testosterone and free estradiol.
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ALLERGY MOLD PANEL, COMPLETE$170
Learn MoreAllergy Mold Panel, Complete -
This panel tests for specific IgE antibodies to 6 molds 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. Only a qualified medical professional who has conducted a thorough clinical evaluation should make an allergy diagnosis. These are the 6 molds tested:
Alternaria alternata (m6)
Alternaria is one of the most common outdoor molds and a frequent cause of mold allergies. When Alternaria spores are inhaled, they can trigger an allergic response in susceptible individuals. This can lead to symptoms like sneezing, runny nose, nasal congestion, and asthma exacerbations.1
Aspergillus fumigatus (m3)
Aspergillus is a genus of molds that can cause both allergic reactions and infections, especially in people with weakened immune systems. Aspergillus fumigatus is a common indoor mold that can trigger allergic rhinitis, asthma, and a rare condition called allergic bronchopulmonary aspergillosis (ABPA).2
Cladosporium herbarum (m2)
Cladosporium is one of the most common outdoor molds and a frequent cause of mold allergies. When breathed in by sensitive people, Cladosporium spores can cause allergic reactions like sneezing, nasal congestion, and asthma symptoms. 1
Mucor racemosus (m4)
Mucor is a genus of molds that can cause allergic reactions in some people. Inhaling Mucor spores may lead to symptoms like nasal congestion, sneezing, and asthma exacerbations in those with a Mucor allergy.
Penicillium notatum (m1)
Penicillium is a common indoor mold that can cause allergic reactions. When Penicillium spores are inhaled, they may trigger symptoms such as sneezing, runny nose, nasal congestion, and asthma in individuals with a Penicillium allergy.1
Stemphylium botryosum (m10)
Stemphylium is a genus of molds that can be an allergen for some people. Inhaling Stemphylium spores may lead to allergic rhinitis symptoms like sneezing, nasal congestion, and itchy/watery eyes in those with a Stemphylium allergy.In conclusion, when sensitive people inhale the spores from these common mold species, they can all cause allergic reactions. The allergic symptoms typically include nasal congestion, sneezing, runny nose, and asthma exacerbations. Avoiding exposure to these molds is key for managing mold allergies.12