The tests are usually ordered for patients prior to surgery to ensure normal clotting ability.  The PT and PTT Blood Tests are useful in the diagnosis of excessive, unexplained bleeding in patients who are not taking blood-thinning medications. These bleeding disorders include conditions such as nosebleeds, bruising, heavy menstrual periods, blood in the stool and/or urine, and bleeding gums, among others,

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 TRT basic lab test panel includes essential tests (CBC, CMP, ultrasensitive estradiol, and total & free testosterone) to monitor treatment in men on that have been testosterone replacement therapy for a few months. Test included:

• CBC (White and red blood cells, hematocrit, etc)
• CMP (glucose, liver & kidney function, etc)
• Estradiol Ultra Sensitive
• Total Testosterone (LC/MS)
• Free Testosterone (Equilibrium Dialysis)

Fasting is required for proper glucose testing as part of CMP.

Iodine, Serum/Plasma - Iodine is an essential element that is required for thyroid hormone production. The measurement of iodine serves as an index of adequate dietary intake and iodine overload, particularly from iodine-containing drugs.

This heart test panel includes blood tests that measure variables that affect heart health like electrolytes (CMP), hematocrit and immune cells (CBC), Cardio IQ Advanced Lipid Panel with Particle Sizes, and inflammatory markers like homocysteine, High Sensitivity C-Reactive Protein, and D-Dimer.

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 osteoporosis panel includes:

• Serum total calcium, albumin (to calculate albumin adjusted calcium) and phosphorus as part of a CMP panel to detect conditions associated with hypercalcemia such as primary hyperparathyroidism or hypocalcemia and consequent secondary hyperparathyroidism causing bone loss
• Serum creatinine and estimated glomerular filtration rate (GFR) as part of the CMP panel are useful to detect renal failure which can affect bone health. 
• Serum alkaline phosphatase (ALP) as part of a CMP panel. ALP measurement is useful to detect conditions including Paget's disease, metastatic bone disease and osteomalacia, etc.
• Vitamin D nutrition should be determined by measuring serum 25-hydroxy vitamin D [25(OH)D]. Although there is controversy about the optimum level of 25(OH)D for bone health; while 50 nmol/L is considered acceptable
• Parathyroid Hormone (PTH) measurement would be required if serum calcium is abnormal, to help investigate the cause of the calcium abnormality.
• Ultra-sensitive Estradiol. Low estradiol in men and women has been linked to bone loss.
• Phosphorus. An increased phosphorus with decreased calcium suggests either hypoparathyroidism or renal disease. A decreased phosphorus and an increased calcium suggests hyperparathyroidism or sarcoidosis. When both calcium and phosphorus are decreased diagnostic considerations include malabsorption, vitamin D deficiency and renal tubular acidosis. Increased phosphorus and normal or increased calcium suggests Milk-alkali syndrome or hypervitaminosis D.

The Cardio IQ® Report provides an in-depth assessment of cardiovascular risks to help physicians recommend the ideal individualized treatment option for patient to minimize cardiovascular disease.

The report is simple, yet comprehensive. It is color-coded to display progressive risk values versus goal using “optimal,” “moderate,” and “high-risk” categories and grouped by functional categories.

Cardio IQ Advanced Lipid Panel The Cardio IQ Advanced Lipid Panel includes:Total Cholesterol, Triglycerides, HDL, LDL and Cholesterol/HDL ratio, LDL Particle Number, LDL Peak Size, LDL Pattern, HDL Large, LDL Small, LDL Medium, Apolipoprotein B, Lipoprotein (a). Fasting is not required prior to collection of a lipid panel. Results for this test take 2 weeks to receive.

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 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.

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.

Discounted 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 

D-Dimer is one of the by-products that can be measured after the fibrinolytic system is turned on. Fibrinolytic activation and intravascular thrombosis can be measured by the amount of D-Dimer in the blood. D-Dimer is especially helpful when ruling out venous thromboembolism in people who are at high risk.

This 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.

This panel includes: Total and Free Testosterone (LC/MS), Luteinizing Hormone (LH), and Follicle Stimulating Hormone (FSH) at substantial savings that buying each test separately.

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.

The pre-op (surgery) blood test includes the three test panels (CBC, CMP, and Prothrombin Time Test) most commonly ordered before a person has surgery. Pre-operative testing is usually done during the few days before the surgery. This panel lets your surgeon know what to be aware of in case of complications during surgery.

Protein, Gloublin and Albumin - The major proteins seen in the serum are albumin and globulin-the latter being primarily alpha 1 and alpha 2 globulin, beta globulin and gamma globulin. Albumin accounts for more than 50% of the total serum proteins. The albumin to globulin (A/G) ratio has been used as an index of disease state, however, it is not a specific marker for disease because it does not indicate which specific proteins are altered. The normal A/G ratio is 0.8-2.0. The A/G ratio can be decreased in response to a low albumin or to elevated globulins. Total globulins may be increased in some chronic inflammatory diseases (TB, syphilis) multiple myeloma, collagen disease, and rheumatoid arthritis.  Decreased levels are seen in hepatic dysfunction, renal disease and various neoplasms.

The 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

 Panel includes:

 - LH and FSH (Pituitary hormones that stimulate testicular cells that can help diagnose primary (testicular) or secondary hypogonadism)

  - Total and free testosterone (LC/MS assay.  No upper limit restriction)

- Prostatic specific antigen (PSA) (TRT is contraindicated for PSA equal or above 4.0)

 - Estradiol (Ultra-sensitive. LC/MS assay)

 - Lipids (LDL, HDL, Triglycerides)

 - Comprehensive Metabolic Panel (CMP) (Glucose, electrolytes,  liver/kidney functions). FASTING IS REQUIRED FOR ACCURATE GLUCOSE TEST.

 - Comprehensive Blood Count (CBC) (Immune cells, red  blood cells, hemoglobin, hematocrit). 

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 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) 

Allergy 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

Prostate Specific Antigen (PSA) is produced exclusively by cells of the prostate gland. Used in conjunction with the digital rectal examination, PSA is a useful screening test for benign prostate enlargement, prostatitis and prostate cancer development.

The Urinalysis test panel screens for a variety of conditions including urinary tract infections ( UTI ), urinary bladder disease, kidney disease and diabetes. Tests included: Color, Appearance, Specific gravity, pH, Protein, Glucose, Occult blood, Ketones, Leukocyte esterase, Nitrite, Bilirubin, Urobilinogen, and Microscopic examination of urine sediment

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

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.

The LDH (lactate dehydrogenase) blood test measures the level of LDH in your blood. LDH is an enzyme in many body organs and tissues, including the heart, liver, muscles, and red blood cells. The LDH test is often used to help diagnose and monitor various medical conditions, such as anemia, heart attack, and liver disease. It may also be ordered to check for tissue damage or monitor treatment effectiveness for specific conditions. Since lactic dehydrogenase is present in many body tissues, its diagnostic usefulness is limited. Tissue specificity may be enhanced by LDH isoenzyme analysis.

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.

Cortisol (hydrocortisone) is the most prominent glucocorticosteroid, and it is essential for the maintenance of several body functions. The most important physiological effects of cortisol are that it raises blood sugar levels (enhances gluconeogenesis, or breaks down glucose) and lowers inflammation and the immune system.

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.

This test includes prothrombin time plus INR and it measures how long it takes your blood to clot. It’s used to monitor the effects of the medication warfarin, and can help identify possible hereditary and clotting disorders. This test does not require fasting. Prothrombin Time (PT) is a blood test used in the evaluation of the extrinsic coagulation system; aid in screening for congenital and acquired deficiencies of factors II, V, VII, X, and fibrinogen. This test is used clinically for the therapeutic monitoring of warfarin (Coumadin®) anticoagulant therapy.

Phosphate (as Phosphorus) - Serum phosphorus (Phosphate) levels alone are of limited diagnostic value and should be correlated with serum calcium levels. An increased phosphorus with decreased calcium suggests either hypoparathyroidism or renal disease. A decreased phosphorus and an increased calcium suggests hyperparathyroidism or sarcoidosis. When both calcium and phosphorus are decreased diagnostic considerations include malabsorption, vitamin D deficiency and renal tubular acidosis. Increased phosphorus and normal or increased calcium suggests Milk-alkali syndrome or hypervitaminosis D.

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).

Blood Test to Detect Lead Poisoning Lead poisoning is dangerous and can contribute to numerous health complications. This heavy metal is present in gasoline, medical equipment, paints, batteries, metal alloys and more. Lead is primarily deposited in bones, and it affects individuals directly, depending on their age and health levels. It is excreted through urine and feces, but it can also be found in blood, breast milk, saliva, and sweat.

The electrolyte panel includes: Carbon dioxide, chloride, potassium, and sodium  

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.

Blood typing is used to determine an individual's blood group, to establish whether a person is blood group A, B, AB, or O and whether he or she is Rh positive or Rh negative.

Lipid 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. FASTING REQUIRED.

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 panel measures the blood levels of arsenic, lead, and mercury.

Includes liver and kidney function, glucose and electrolytes

Aldosterone (ALD) is one of a group of connected hormones. They form the renin-angiotensin-aldosterone system; this system is activated when there is a decrease in blood flow to your kidneys following a drop in blood volume or blood pressure

Lactate dehydrogenase (LD) is an enzyme that is found in almost all of the body's cells, but only a small amount of it is usually detectable in the blood. LD is released from the cells into the bloodstream when cells are damaged or destroyed. Because of this, the LD test can be used as a general marker of injury to cells. Although there is some overlap, each of the five LD isoenzymes tends to be concentrated in specific body tissues. This panel provides 5 types of isoenzymes to detect if LD is coming from the heart, red blood cells, kidneys, lungs, white blood cells, lymph nodes, muscle, or liver.

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.

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.

This lab test panel includes Total CK (or CPK) and relative percentage of BB (CK-1), MB (CK-2), and MM (CK-3); the percentage of macro CK, if present. The CK or CPK isoenzyme test is used to diagnose myocardial infarction (MI). Three fractions normally may be found, each an isoenzyme: • MM is found in normal serum. • MB is the myocardial fraction associated with MI and occurs in certain other states. MB can be used in the estimation of infarct size.

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.

Renin, 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.

ApoB Blood Test has been reported to be a powerful indicator of Coronary Artery Disease (CAD). In some patients with CAD, APO B is elevated even in the presence of normal LDL cholesterol. Instead of non-HDL-C levels, ApoB levels may be used to check how well lipid treatment is working. Non-HDL-C is the total cholesterol concentration minus the amount of HDL. A healthcare practitioner may order both an lipoprotein a (associated with high-density lipoprotein (HDL), the "good" cholesterol) and an apo B to determine an apo B/apo A-I ratio. This ratio is sometimes used as an alternative to a total cholesterol/HDL ratio to evaluate risk for developing CVD.

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.

This is the lowest QuantiFERON Gold test price in the United States. It is also the most accurate TB test you can buy online without a doctor's visit. The price includes the doctor's order. No hidden fees or surprise bills.

This is the gold standard for the IGRA TB test. The 1 Tube QuantiFERON®-TB Gold Plus is an indirect test for M. tuberculosis infection TB (including disease) and is intended for use in conjunction with risk assessment, radiography, and other medical and diagnostic evaluations. This test does not differentiate between latent and active TB. All institutions, the US government, employers, and agencies accept this test.

This is the most affordable tTG test in the nation.  This test is used for the detection of antibodies to aid in the diagnosis of gluten-sensitive enteropathy (GSE), such as celiac disease and dermatitis herpetiformis

Immunoglobulin A (IgA) is a crucial antibody in the immune system, predominantly found in mucous membranes of the respiratory and gastrointestinal tracts. It helps protect against infections by neutralizing pathogens before they can cause harm. Testing IgA levels can provide insights into immune health, indicating potential issues such as chronic infections, autoimmune diseases, or immunodeficiency disorders. Elevated or decreased IgA levels can signal various health conditions, making this test valuable for diagnosing and managing immune-related issues. For those experiencing frequent infections or gastrointestinal issues, an IgA test can be an essential diagnostic tool.

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.

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

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.

The determination of TPO antibody levels is the most sensitive test for detecting autoimmune thyroid disease (eg, Hashimoto's thyroiditis, idiopathic myxedema, and Graves disease) and detectable concentrations of anti-TPO antibodies are observed in most patients with these disorders. The highest TPO antibody levels are observed in patients suffering from Hashimoto thyroiditis. In this disease, the prevalence of TPO antibodies is about 90% of cases, confirming the autoimmune origin of the disease. These autoantibodies also frequently occur (60%–80%) in the course of Graves disease.

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.

NOTE: This test can only be purchased by men with suspect PSA over 4 mg/dL.  Free PSA will not be provided for PSA under 4 ng/mL.

PSA circulates through the body in two ways; bound to other proteins or by itself. Unbound PSA is called free PSA. A free-PSA test will measure the percentage of unbound PSA while a PSA test is used to measure the total of free and bound PSA in the blood. The free PSA is a defective variant of normal PSA that can no longer bind to other proteins and so circulates in the blood in the free form. Although the reason why this is the case is poorly understood - patients with prostate cancer may have lower free PSA levels than those with a benign prostate condition.

This test measures ANA Screen, IFA, with Reflex to Titer and Pattern - Several rheumatic diseases are linked to antinuclear antibodies. These include Systemic Lupus Erythematous (SLE), mixed connective tissue disease, Sjogren's syndrome, scleroderma, polymyositis, CREST syndrome, and neurologic SLE. LOWEST PRICE.

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.

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 produced by the liver and other tissues which affects growth-promoting activities and glucose metabolism. The blood level of IGF-1 appears to fluctuate over 24 hours and is found to be related to growth hormone secretion.

This test measures levels of drenocorticotropic hormone (ACTH), which is also called adrenocorticotropin and corticotropin, a hormone made in the anterior pituitary gland that tells the adrenal glands to release cortisol, DHEA, and aldosterone. The ACTH plasma test quantifies the blood's level of ACTH. A patient's blood is drawn for the test and then sent to a lab for examination. The test findings enable the diagnosis of ailments such as Addison's disease, Cushing's syndrome, and adrenal tumors

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.

The 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.

A Magnesium RBC test can provide an earlier indicator of magnesium deficiency that a standard magnesium blood test. When levels are low, the body will pull magnesium from the cells to keep blood levels normal. In this case, a magnesium blood test may show normal levels while a magnesium RBC test will give a more accurate result.

This comprehensive panel includes key vitamins and minerals that affect quality of life and survival. Test included are: Vitamin D, Vitamin B-12, Folate (Folic Acid), Magnesium in Red Blood Cells, and Zinc in Red Blood Cells.

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).

This Arthritis Panel Includes Sedimentation Rate, Anti-Nuclear Antibody (ANA), Rheumatoid Factor, C-Reactive Protein (CRP), and Serum Uric Acid

This ultimate lab test panel offers the best savings for men and women to determine their immune health, liver and kidney function, electrolytes, blood sugar, cholesterol, thyroid function, inflammatory markers involved in heart disease, testosterone total and free, urinalysis to determine UTIs and kidney function, estradiol, DHEA-S, vitamins D and B12, and iron/ferritin to determine anemia or increased risk of iron overload.

This 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. 

This panel contains:

• Fasting Insulin
• Comprehensive Metabolic Panel (Includes Glucose)

Glucose and insulin can be used to calculate HOMA-IR (Homeostatic Model Assessment of Insulin Resistance)

This 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).

This affordable male hormone panel includes the most accurate assays used as gold standard for measuring:

1. Total Testosterone (Liquid chromatography/MS-MS) 
2.  Free Testosterone (Equilibrium Ultrafiltration)
3.  Sex Hormone-Binding Globulin (SHBG)
4.  Estradiol, Ultra Sensitive (LC/MS-MS) 
5.  DHT level  (LC/MS) 
6.  Prolactin
7.  Dehydroepiandrosterone sulphate (DHEA-S)

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 lab test panel includes lab tests ordered by many physicians performing comprehensive annual physical exams. It does not include the actual physician's physical exam, only these six tests:

• CBC
• CMP
• Lipids
• A1C
• TSH
• Urinalysis.

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 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

A hepatic panel is a blood test that helps doctors check for liver injury, infection, or disease. Liver function panels also can check for side effects in the liver from some medicines. This lab test panel measures the blood levels of total protein, albumin, bilirubin, AST, ALT, ALP, and GGT enzymes. High or low levels may mean that liver damage or disease is present.

Ordering these 6 hormone tests as a panel saves you over $20 when comparing it to buying tests separately.

This PCT after cycle panel is designed to measure the health and recovery of the Hypothalamic-Pituitary-Testicular Axis (HPTA) after attempting to normalize it spontaneously or with the use of Post-Cycle Therapy (PCT) . PCT is prescribed by some physicians for men who stop testosterone replacement therapy (TRT) or other androgens. Fasting is required for CMP (glucose test).

This is a simple bodybuilder test panel for those who do not require Cystatin-C or GGT tests.  The panel includes:

• Complete Blood Count (Immune Cells, Red Blood Cells, and Hematocrit)
• Complete Metabolic Panel (Blood sugar, electrolytes, kidney and liver function)
• Lipids (LDL, HDL, and Triglycerides)
• Testosterone, Total LC/MS and Free Testosterone by Equilibrium Dialysis
• Ultrasensitve Estradiol (Only Test Accurate in Men)

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 in this panel for a very low price.

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).

This 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.

ED 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

This 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.

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.

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

Alkaline Phosphatase (AP) The isoenzymes test, a diagnostic tool, measures the various forms of alkaline phosphatase (ALP) enzyme that are present in the blood. The body has the enzyme ALP in a variety of tissues, with the liver, bones, kidneys, and intestines having the largest quantities. Isoleucines are the slightly different forms of ALP that various tissues produce.

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.

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

The cystatin C test (which also includes estimated creatinine clearance eGFR) can be done along with the creatinine or creatinine clearance test in cases where those tests aren’t appropriate, such as patients taking creatine supplements for bodybuilding. These supplements can increase creatinine and decrease creatinine clearance, which can alarm doctors who fear kidney dysfunction.  This creatinine increase is not clinically relevant, but running a Cystatin C test can give physicians reassurance and allow the patient to keep taking that effective bodybuilding supplement. 

This 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)