What is Blood Typing?

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.

A blood type (also known as a blood group) is a classification of blood, based on the presence and absence of antibodies and inherited antigenic substances on the surface of red blood cells (RBCs). These antigens may be proteins, carbohydrates, glycoproteins, or glycolipids, depending on the blood group system. Some of these antigens are also present on the surface of other types of cells of various tissues. Several of these red blood cell surface antigens can stem from one allele (or an alternative version of a gene) and collectively form a blood group system.

Blood types are inherited and represent contributions from both parents. As of 2019, a total of 41 human blood group systems are recognized by the International Society of Blood Transfusion (ISBT). The two most important blood group systems are ABO and Rh; they determine someone's blood type (A, B, AB, and O, with +, − or null denoting RhD status) for suitability in blood transfusion.

What is Blood Typing Used For?

Blood typing may be used to:

• Transfusion compatibility: Ensure compatibility between the blood type of a person who requires a transfusion of blood or blood components and the ABO and Rh type of the unit of blood that will be transfused. Blood typing is often done in conjunction with other tests such as an RBC antibody screen and a crossmatch to determine what type of blood or blood components the person can safely receive. A potentially fatal transfusion reaction can occur if a unit of blood containing an ABO antigen to which the blood recipient has an antibody is transfused to the recipient. For example, people with blood group O have both anti-A and anti-B antibodies in their blood. If a unit of blood that is group A, B, or AB is transfused to this person, the antibodies in the recipient's blood will react with the red blood cells, destroying them and causing potentially serious complications.

  Similarly, if an Rh-negative individual is transfused with Rh-positive blood, it is likely that the person will produce antibodies against Rh-positive blood. Although this situation does not cause problems for the recipient during the current transfusion, a future transfusion with Rh-positive blood could result in a serious transfusion reaction.

• Pregnancy Compatibility Between Mother and Baby: Determine compatibility between a pregnant woman and her developing baby (fetus). Rh typing is especially important during pregnancy because a mother and her fetus could be incompatible. If the mother is Rh-negative but the father is Rh-positive, the fetus may be positive for the Rh antigen. As a result, the mother's body could develop antibodies against the Rh antigen. The antibodies may cross the placenta and cause destruction of the baby's red blood cells, resulting in a condition known as hemolytic disease of the fetus and newborn (HDFN). To prevent the development of Rh antibodies, an Rh-negative mother is treated with an injection of Rh immune globulin during her pregnancy and again after delivery if the baby is Rh-positive. The Rh immune globulin binds to and "masks" the fetus's Rh antigen during pregnancy and delivery and prevents the mother from developing antibodies against the Rh antigen.

• Blood Donation Compatibility: Determine the blood group of potential blood donors at a collection facility. Units of blood collected from donors are blood typed and then appropriately labeled so they can be used for people that require a specific ABO group and Rh type.

• Compatibility of Organ Donors with Recipients: Determine the blood group of potential donors and recipients of organs, tissues, or bone marrow, as part of a workup for a transplant procedure. Along with HLA testing, ABO blood typing is used to identify and match organ and tissue transplant donors with recipients who have the same or an acceptable number of matching HLA genes and antigens.

 

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Amenorrhea is the absence or abnormal cessation of the menses (menstruation periods).

Primary and secondary amenorrhea describe the occurrence of amenorrhea before and after menarche, respectively. The majority of the causes of primary and secondary amenorrhea are similar. Timing of the evaluation of primary amenorrhea recognizes the trend to earlier age at menarche and is therefore indicated when there has been a failure to menstruate by age 15 in the presence of normal secondary sexual development (two standard deviations above the mean of 13 years), or within five years after breast development if that occurs before age 10. Failure to initiate breast development by age 13 (two standard deviations above the mean of 10 years) also requires investigation. In women with regular menstrual cycles, a delay of menses for as little as one week may require the exclusion of pregnancy; secondary amenorrhea lasting three months and oligomenorrhea involving less than nine cycles a year require investigation.

Elevated FSH Levels

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This lab test panel is ideal for people who feel fatigued and who may suspect anemia.  Women whose menstrual cycle is characterized by a lot of blood loss, people with potential vitamin deficiencies, and those who suspect internal bleeding will benefit from exploring the biomakers in this panel. Also, men and women who donate blood frequently  may find this panel useful to ensure that they have no depleted their iron, ferritin and other markers of iron stores that  can dramatically impact their energy level, mental function, mood and quality of life.

Anemia is a decrease in the total amount of red blood cells (RBCs) or hemoglobin in the blood, or a lowered ability of the blood to carry oxygen. It can have several causes.

Symptoms of Anemia

When anemia comes on slowly, the symptoms are often vague and may include feeling tired, weakness, shortness of breath, and a poor ability to exercise. When the anemia comes on quickly, symptoms may include confusion, feeling like one is going to pass out, loss of consciousness, and increased thirst. Anemia must be significant before a person becomes noticeably pale.

Causes of Anemia:

Anemia can be caused by blood loss, decreased red blood cell production, and increased red blood cell breakdown. Causes of blood loss include trauma and gastrointestinal bleeding.

Causes of decreased production include iron deficiency, vitamin B12 deficiency, thalassemia, and a number of neoplasms of the bone marrow. Causes of increased breakdown include genetic conditions such as sickle cell anemia, infections such as malaria, and certain autoimmune diseases.

Types of Anemia:

Anemia can also be classified based on the size of the red blood cells and amount of hemoglobin in each cell. If the cells are small, it is called microcytic anemia; if they are large, it is called macrocytic anemia; and if they are normal sized, it is called normocytic anemia.

Diagnosis of Anemia:

The diagnosis of anemia in men is based on a hemoglobin of less than 130 to 140 g/L (13 to 14 g/dL); in women, it is less than 120 to 130 g/L (12 to 13 g/dL).

Anemia Tests Included:

CBC (Complete Blood Count) Panel:

Complete Blood Count

 Whole blood is made up of various types of cells suspended in a liquid called plasma. The complete blood count (CBC) is an inventory of the different cellular components of the blood: red blood cells, white blood cells, and platelets. Blood cell counts are typically reported as the number of cells in a cubic millimeter of blood (cells/mm3) or as a percentage of all blood cells.

 Red Blood Cells

 Red blood cells (erythrocytes) carry oxygen from the lungs to the body's cells, bound to a molecule called hemoglobin. Anemia is a condition characterized by a reduction in the number of red blood cells, often leaving a person fatigued, weak, and short of breath. Several tests are used to help diagnose various types of anemia.

 Red Blood Cell Count (RBC): the total number of red blood cells in a quantity of blood. Normal ranges are 4.5-6.0 million cells/mm3 for men and 4.0-5.5 million cells/mm3 for women. (Women typically have lower counts than men due to the loss of blood through menstruation.)

 Hematocrit (HCT): the proportion of red blood cells as a percentage of total blood volume. A normal hematocrit is 40-55% for men and 35-45% for women.

 Hemoglobin (HGB): the number of grams of hemoglobin in a deciliter of blood (g/dL). Normal levels in healthy adults are 14-18 g/dL for men and 12-16 g/dL for women. As a rough guideline, hemoglobin should be about one-third the hematocrit.

 Mean Corpuscular Hemoglobin (MCH) and MCH Concentration (MCHC): the amount or concentration, respectively, of hemoglobin in an average red blood cell.

 Mean Corpuscular Volume (MCV): the average size, or volume, of individual red blood cells. Conditions such as iron deficiency can lead to smaller than normal red blood cells, while certain vitamin deficiencies and some drugs can produce larger than normal cells.

 Red Blood Cell Distribution Width (RDW): a measure of the size and uniformity of red blood cells.

 White Blood Cells

White blood cells (leukocytes) carry out the body's immune responses. The CBC looks at numbers of various different types of white blood cells.

 White Blood Cell Count (WBC): the total number of white blood cells in a quantity of blood. A healthy adult normally has 4,000-11,000 white blood cells/mm3. A WBC increase often indicates that a person is actively fighting an infection or has recently received a vaccine. Decreased WBC (leukopenia) can leave a person vulnerable to various pathogens and cancers.

 Differential: a report of the proportions of different types of white blood cells as a percentage of the total number of white cells; these percentages may be multiplied by the WBC to obtain absolute counts.

 Neutrophils: a type of cell that fights bacterial infections. Neutrophils normally make up about 50-70% of all white blood cells. The risk of bacterial infection increases when the absolute neutrophil count falls below about 500-750 cells/mm3.

 Lymphocytes: there are two main types of lymphocytes. B cells produce antibodies that fight foreign invaders in the body, while T cells target infected or cancerous cells and help coordinate the overall immune response. A normal lymphocyte count is about 20-40% of all white blood cells.

 Monocytes: a type of cell that fights pathogens by engulfing and destroying them. Monocytes circulate in the blood for about 24 hours; when they leave the bloodstream and migrate into the tissues, they mature into macrophages. Monocytes and macrophages normally account for 2-10% of all white blood cells.

 Eosinophils: cells that play a role in defense against parasites and in allergic reactions. They normally make up 0-6% of all white blood cells.

 Basophils: another type of cell involved in allergic reactions, in particular the release of histamine. They normally account for 1% or less of all white blood cells.

Platelets

 Platelets (thrombocytes) are necessary for blood clotting. A normal platelet count is about 130,000-440,000 cells/mm3. Low platelet counts (thrombocytopenia) -- which can lead to easy bruising and excessive bleeding -- may be caused by certain drugs, autoimmune reactions, accelerated destruction by the spleen, or certain immune diseases.

Folic Acid:

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.

Vitamin B-12 Level:

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

Iron & TIBC:

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. Iron is an important mineral that your body needs to stay healthy. Your body uses iron to make hemoglobin, the protein in your red blood cells that carries oxygen throughout your body. If you don't have enough iron, you may not have enough hemoglobin. This condition is called iron deficiency anemia. Iron in your body is carried, or bound, mainly to a protein made by your liver called transferrin. The TIBC test is based on certain proteins, including transferrin, found in the blood. Your transferrin levels are almost always measured along with iron and TIBC. 

Ferritin:

Ferritin is a protein found in the bloodstream which stores iron. Ferritin helps in transporting iron where it's most needed in the body. Too much or too little ferritin can cause a lot of health issues and that's why you should check it often.  The levels of ferritin in the body are different for men and women. For example: - Men - 24 - 500 ng/ml of blood - Women - 22 -200 ng/ml of blood. However, many people may have anemia symptoms at the lower end of the "normal" range.

IMPORTANT: Discounted Labs only serves these states: Find a Location 

DiscountedLabs.com offers affordable blood tests you can order online in the United Sates without the need of a doctor's order. We have no hidden fees and have an easy ordering process.

HOW DOES DISCOUNTEDLABS.COM WORK?

1. Go to the "Find a Location" page to find the closest lab location. No need to make an appointment since walk-ins are welcomed. Once you have identified your closest location, go to step 2.

   NOTE: We serve all states in the U.S. except New York, New Jersey, and Rhode Island. Residents of those states need a written lab order from an in-state provider. Individuals cannot obtain a blood draw in neighboring states.

2. Go to "Choose a Test" and add your selection (s) in the shopping cart. If you prefer to save money on bundled tests, we have created "Lab Test Panels" that can help you decide what to order.

3. If you have a discount coupon code, add it to your cart.

4. A $8 lab processing fee will be added to your total.

5. Pay using a credit card.

6. You will receive an order confirmation and instructions email on how to download your lab request.

7. Print lab request form that you downloaded.

8. Take that form to the closest Quest Diagnostics location with a picture ID. Get your blood drawn.

9. You will receive an email when the results are ready for you to download.

   Note: You cannot place an order under someone else's profile. The profile person's name will appear on the lab order form.

   If you have questions, please review our FAQ Page.

   If you have further questions, please email [email protected].

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This lab test panel includes the basic blood tests usually included in an annual physical exam for men and women who are healthy and have no underlying conditions:

• CBC (Complete Blood Count: Immune Cells, Red Blood Cells/Hematocrit, and Platelets)
• CMP (Comprehensive Metabolic Panel: Glucose, liver and kidney function, electrolyte and fluid balance)
• Lipids (LDL and HDL cholesterol, and triglycerides)

Physicians also measure blood pressure, temperature, heart rate, weight, and height.  He/she also asks you a few questions to determine your health and family history along with the medications you take, previous surgeries or procedures, and current health complaints you may have.

IMPORTANT: Discounted Labs only serves these states: Find a Location 

DiscountedLabs.com offers affordable blood tests you can order online in the United Sates without the need of a doctor's order. We have no hidden fees and have an easy ordering process.

HOW DOES DISCOUNTEDLABS.COM WORK?

1. Go to the "Find a Location" page to find the closest lab location. No need to make an appointment since walk-ins are welcomed. Once you have identified your closest location, go to step 2.

2. Go to "Choose a Test" and add your selection (s) in the shopping cart. If you prefer to save money on bundled tests, we have created "Lab Test Panels" that can help you decide what to order.

3. If you have a discount coupon code, add it to your cart.

4. A $8 lab processing fee will be added to your total.

5. Pay using a credit card.

6. You will receive an order confirmation and instructions email on how to download your lab request.

7. Print lab request form that you downloaded.

8. Take that form to the closest Quest Diagnostics location with a picture ID. Get your blood drawn.

9. You will receive an email when the results are ready for you to download.

   Note: You cannot place an order under someone else's profile. The profile person's name will appear on the lab order form.

   If you have questions, please review our FAQ Page.

   If you have further questions, please email [email protected].

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This panel provides smart bodybuilders with information that can help minimize potential short and long term side effects and risks. This basic bodybuilder panel includes the following tests/panels:

Hematocrit Test: 

All androgens like testosterone and AAS can increase red blood cells and its proportion in the blood (hematocrit), which can increase blood thickness (polycythemia).  This panel is important since it determines when you are reaching a hematocrit of 53, the value that indicates that blood donation or therapeutic phlebotomy is needed. High hematocrit increases blood thickness which can cause high blood pressure, headaches, and cardiovascular risks.

Comprehensive Metabolic Panel (CMP)

A CMP lab test is used to evaluate several body processes and functions, including:

• Liver and kidney health
• Blood sugar levels
• Blood protein levels
• Acid and base balance
• Fluid and electrolyte balance
• Metabolism
• Side effects of some medications

Testosterone, Total, LC/MS and Free (Equilibrium Ultrafiltration)

This panel includes total testosterone measured by the most accurate method (LC/MS: liquid chromatography/mass spectrometry), free testosterone percent by equilibrium ultrafiltration, and free testosterone calculated from percent free T. No upper limit, so it is adecuate for men on high testosterone or AA doses. The LC/MS assay also prevents interference of anabolics and biotin on testosterone blood levels.

Estradiol , Ultra Sensitive (LC/MS) Blood Test

The commonly used estradiol test may overestimate estradiol. 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. Please be aware than estradiol is important in men and that treating it aggressively may get in the way of gains: High and Low Estradiol in Men

Cystatin C with EGFR Kidney Test

Cystatin C is a more accurate way to determine kidney function in people with higher muscle mass since using creatinine as the main variable can be affected by not only higher muscle mass but also protein intake and creatine supplementation. Another one of the measures of kidney function is the estimated glomerular filtration rate (eGFR). Glomerular filtration rate describes the flow rate of filtered fluid through the kidney. Creatinine clearance rate (C_Cr or CrCl) is the volume of blood plasma that is cleared of creatinine per unit time and is a useful measure for approximating the GFR. eGFR under 60 may indicate issues that are affecting kidnet function.

Lipid Test Panel

This panel includes LDL (bad cholesterol), HDL (good cholesterol), and triglycerides (fatty acids dissolved in the blood).  Higher dose T and AAS can increase LDL, and decrease HDL and triglycerides. Severely decreased HDL may cause cardiovascular issues in the long term.

 

For a more comprehensive bodybuilder panel, check this one out: Comprehensive Bodybuilder Panel

Also look at the Post Cycle Therapy panel

 

 

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Bodybuilders using testosterone and anabolic androgenic steroids (AAS) have to be smart about maximizing benefits and minimizing short and long term side effects while exercising and eating effectively for proper muscle gain, fat loss, and quality of life.  Harm reduction is key especially in the presence of barriers to care caused by stigma and judgement from medical practitioners. Here is a list of 13 carefully selected lab tests that are essential in maintaining proper health while improving body composition and strength:

Complete Blood Count (CBC)

A complete blood count (CBC) 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

All androgens like testosterone and AAS can increase red blood cells and its proportion in the blood (hematocrit), which can increase blood thickness (polycythemia).  This panel is important since it determines when you are reaching a hematocrit of 53, the value that indicates that blood donation or therapeutic phlebotomy is needed. High hematocrit can cause high blood pressure, headaches, and cardiovascular risks.

Lipid Test Panel

This panel includes LDL (bad cholesterol), HDL (good cholesterol), and triglycerides (fatty acids dissolved in the blood).  Higher dose T and AAS can increase LDL, and decrease HDL and triglycerides. Severely decreased HDL may cause cardiovascular issues in the long term.

Cystatin C with EGFR Kidney Test

Cystatin C is a more accurate way to determine kidney function in people with higher muscle mass since using creatinine as the main variable can be affected by not only higher muscle mass but also protein intake and creatine supplementation. Another one of the measures of kidney function is the estimated glomerular filtration rate (eGFR). Glomerular filtration rate describes the flow rate of filtered fluid through the kidney. Creatinine clearance rate (C_Cr or CrCl) is the volume of blood plasma that is cleared of creatinine per unit time and is a useful measure for approximating the GFR. eGFR under 60 may indicate issues that are affecting kidnet function.

GGT Liver Test

The GGT blood test looks for an enzyme, or protein, called gamma-glutamyl transpeptidase (GGT) in your blood. GGT is found in liver cells. This test helps your doctor look for possible damage to your liver or its ducts. It can also help tell the difference between liver and bone disease if your results from a different blood test called alkaline phosphatase are abnormal. Higher than normal test results could be a sign of liver damage from diseases such as hepatitis, cirrhosis, tumors, or pancreatic cancer. The good thing about GGT (unlike liver enzymes included in the CMP like AST and ALT) is that resistance exercise does not affect its value, so it is a more accurate way to detect liver disease in bodybuilders.

Total Testosterone by Liquid Chromatography/Mass Spectrometry, plus Free Testosterone by Equilibrium Ultrafiltration.

Men with high testosterone cannot use the regular total testosterone test based on immunoassays since it has an upper limit of 1,500 ng/dL. The LC/MS testosterone test does not have an upper limit.  Also, some labs offer calculated free testosterone instead of the equilibrium ultrafiltration-based one which is more accurate for this important variable.

Ultra-Sensitive Estradiol (E2) Test

The commonly used estradiol test may overestimate estradiol. 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. Furthermore, DHT analogs like oxandrolone may dramatically decrease estradiol causing joint aches and other low estradiol issues. Note: 0.4 percent of total testosterone aromatizes to estradiol.  This is the body's way to balance testosterone's negative effect on lipids with estradiol's benefitial effect on lipids. If you total testosterone is high, so will your estradiol. Be very careful in assuming that an aromatase inhibitor is needed.  For more information click on effect of high and low estradiol in men's health. How to predict estradiol for different testosterone doses.

Prolactin Test

Many bodybuilders worry about increased prolactin since it has been associated with erectile dysfunction.

DHT Test

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.

IGF-1 Test

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. Low IGF-1 may impede muscle growth.

 

You can add LH + FSH if off cycle.  We also provide a Post PCT Panel for people to find out if their hypothalamic-pituitary-testicular axis has recovered after a few weeks of PCT.

Other tests that may be of interest:

PSA

Thyroid Panel

 

FREE BONUS: EBook: Beyond Testosterone

Suggested Reading: Testosterone Replacement Blood Test Targets

How does DiscountedLabs.com work: Click here

$274.92

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)

It is recommended to fast for 12-14 hours before getting your blood drawn for this test.

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.

This advanced test uses a technology called Ion mobility. This test goes far beyond your basic lipid test, for starters this test helps to reclassify a patient’s cardiovascular risk. Nearly half of all heart attack patients were found to have no prior risk which would indicate they were heading toward an attack. Cardio IQ Ion Mobility tests directly detects, measures and quantifies the number and size of all lipoprotein subfractions.  Knowing what particles make up your LDL and HDL cholesterol may be important. Ion Mobility Technology provides subclass separation that will allow your healthcare provider to identify your cardiovascular risk over time. Following the change in your lipid profile as you respond to diet, exercise and possible medication to reduce your cardiovascular risk is important. Ion Mobility provides the opportunity to determine if treatment is working and if not, optimize the aggressiveness of therapy to hopefully make a difference that can be seen in the Ion Mobility measurement and graphical representation of your LDL and HDL particles.

Ion mobility technology precisely quantifies lipoprotein fractions across the entire lipoprotein spectrum; this comprises very low-density lipoprotein (VLDL), intermediate-density lipoprotein (IDL), low-density lipoprotein (LDL), and high-density lipoprotein (HDL) particles. Ion mobility identifies 2 main subclasses of HDL: large HDL and small HDL. The antioxidant properties of large HDL may help protect the arterial wall. A decreased large HDL subclass has historically suggested increased CVD risk.

An elevated total LDL particle number is associated with a 1.2 to 1.4-fold increase in cardiovascular disease risk. Similarly, elevated small and medium LDL particle numbers have been associated with a 1.2 to 1.4-fold increase.

 

DiscountedLabs.com offers affordable blood tests you can order online in the United Sates without the need of a doctor's order. We have no hidden fees and have an easy ordering process.

HOW DOES DISCOUNTEDLABS.COM WORK?

1. Go to the "Find a Location" page to find the closest lab location. No need to make an appointment since walk-ins are welcomed. Once you have identified your closest location, go to step 2.

2. Go to "Choose a Test" and add your selection (s) in the shopping cart. If you prefer to save money on bundled tests, we have created "Lab Test Panels" that can help you decide what to order.

3. If you have a discount coupon code, add it to your cart.

4. A $8 lab processing fee will be added to your total.

5. Pay using a credit card.

6. You will receive an order confirmation and instructions email on how to download your lab request.

7. Print lab request form that you downloaded.

8. Take that form to the closest Quest Diagnostics location with a picture ID. Get your blood drawn.

9. You will receive an email when the results are ready for you to download.

   Note: You cannot place an order under someone else's profile. The profile person's name will appear on the lab order form.

   If you have questions, please review our FAQ Page.

   If you have further questions, please email [email protected].

 

$170.71

Complete Blood Count

 Whole blood is made up of various types of cells suspended in a liquid called plasma. The complete blood count (CBC) is an inventory of the different cellular components of the blood: red blood cells, white blood cells, and platelets. Blood cell counts are typically reported as the number of cells in a cubic millimeter of blood (cells/mm3) or as a percentage of all blood cells.

 

 Red Blood Cells

 Red blood cells (erythrocytes) carry oxygen from the lungs to the body's cells, bound to a molecule called hemoglobin. Anemia is a condition characterized by a reduction in the number of red blood cells, often leaving a person fatigued, weak, and short of breath. Several tests are used to help diagnose various types of anemia.

 Red Blood Cell Count (RBC): the total number of red blood cells in a quantity of blood. Normal ranges are 4.5-6.0 million cells/mm3 for men and 4.0-5.5 million cells/mm3 for women. (Women typically have lower counts than men due to the loss of blood through menstruation.)

 Hematocrit (HCT): the proportion of red blood cells as a percentage of total blood volume. A normal hematocrit is 40-55% for men and 35-45% for women. This screening measures how much of your blood is made of red blood cells (RBCs). A hematocrit measurement is useful in identifying anemia, the presence of liver disease, bleeding disorders and red cell production within the circulatory system. Hematocrit increases with altitude adaptation or dehydration. Women generally have lower hematocrit values than men. Some men on testosterone therapy have high hematocrit that can be managed if monitored.

 Hemoglobin (HGB): the number of grams of hemoglobin in a deciliter of blood (g/dL). Normal levels in healthy adults are 14-18 g/dL for men and 12-16 g/dL for women. As a rough guideline, hemoglobin should be about one-third the hematocrit. Hemoglobin is an iron-containing protein found in red blood cells (RBCs), enabling the cells to carry oxygen and carbon dioxide in the blood. Measuring hemoglobin gives a picture of the ability of the blood to carry oxygen to every cell of your body. A low hemoglobin level may indicate anemia. Hemoglobin increases with altitude adaptation. In general, women have lower hemoglobin values than men.

 Mean Corpuscular Hemoglobin (MCH) and MCH Concentration (MCHC): the amount or concentration, respectively, of hemoglobin in an average red blood cell. Mean corpuscular hemoglobin (MCH) is a calculation of the amount of oxygen-carrying hemoglobin inside your red blood cells (RBCs). A high MCH indicates an increased level of hemoglobin, the oxygen-carrying protein, in your RBCs. Increases can be associated with anemia. Often, increased MCH occurs in conjunction with a high mean corpuscular volume—or large red blood cells-which suggest macrocytic anemia. A low MCH indicates that you have a decreased level of oxygen-carrying protein in your red blood cells. Decreases can be associated with certain types of anemia. Often, decreases occur in conjunction with low mean corpuscular volume—or small RBCs—which suggest microcytic anemia. Hypochromic anemia, resulting from hemoglobin deficiency, can be a possibility as well.

Mean corpuscular hemoglobin concentration (MCHC) is the calculation of the percentage of oxygen-carrying hemoglobin in the individual red blood cells (RBCs). A high MCHC indicates an increased level of hemoglobin in your RBCs. Increased MCHC is usually a technical rather than a medical issue. A high level may be caused by distortions in the shape of your RBCs caused by problems in collection, transport or storage of the blood sample. A low MCHC indicates a decreased level of hemoglobin in your RBCs. Decreases can be associated with certain types of anemia, such as iron-deficiency or the hereditary disease, thalassemia.

 Mean Corpuscular Volume (MCV): the average size, or volume, of individual red blood cells. Conditions such as iron deficiency can lead to smaller than normal red blood cells, while certain vitamin deficiencies and some drugs can produce larger than normal cells. Mean corpuscular volume (MCV) is a measurement of the average size of your red blood cells (RBCs). A high MCV indicates large, or macrocytic, RBCs. A high MCV is associated with specific varieties of anemia and can indicate a deficiency in vitamin B12 or folic acid. A low MCV indicates small, or microcytic, red blood cells. A low MCV is associated with anemia, and can indicate an iron deficiency, chronic illness or the hereditary disease, thalassemia.

 Red Blood Cell Distribution Width (RDW): a measure of the size and uniformity of red blood cells.

 

 White Blood Cells

White blood cells (WBCs) are the body's protectors. Each of the five varieties of WBCs plays its own specific role in defending your body against illness or injury.

White blood cells (leukocytes) carry out the body's immune responses. The CBC looks at numbers of various different types of white blood cells.

 White Blood Cell Count (WBC): the total number of white blood cells in a quantity of blood. A healthy adult normally has 4,000-11,000 white blood cells/mm3. A WBC increase often indicates that a person is actively fighting an infection or has recently received a vaccine. Decreased WBC (leukopenia) can leave a person vulnerable to various pathogens and cancers.

 Differential: a report of the proportions of different types of white blood cells as a percentage of the total number of white cells; these percentages may be multiplied by the WBC to obtain absolute counts.

 Neutrophils: a type of cell that fights bacterial infections. Neutrophils normally make up about 50-70% of all white blood cells. The risk of bacterial infection increases when the absolute neutrophil count falls below about 500-750 cells/mm3. Neutrophilic granulocytes (“neutrophils”) are the most abundant white blood cell. Neutrophils are an essential component of the immune system. They respond to bacterial infections and other types of inflammation. In an infection, neutrophils seep out of the blood vessels in response to factors released as sites of infection. The predominant cells in pus that we observe in a wound are neutrophils.

 Lymphocytes: there are two main types of lymphocytes. B cells produce antibodies that fight foreign invaders in the body, while T cells target infected or cancerous cells and help coordinate the overall immune response. A normal lymphocyte count is about 20-40% of all white blood cells. Lymphocytes are the second most common white blood cell (WBC). Lymphocytes are divided into larger cells that are also known as natural killer lymphocytes and smaller cells known as B and T lymphocytes. Natural killer cells are important in our immune system to defend against tumors and viral infections. They respond to alterations in the surface of tumor cells and infected cells. B and T lymphocytes adapt to infected cells by either a cellular response mediated by T lymphocytes or antibodies mediated by B lymphocytes.

 Monocytes: a type of cell that fights pathogens by engulfing and destroying them. Monocytes circulate in the blood for about 24 hours; when they leave the bloodstream and migrate into the tissues, they mature into macrophages. Monocytes and macrophages normally account for 2-10% of all white blood cells. Monocytes, like the other white blood cells (WBCs), originate in the bone marrow, the complex spaces within many of our larger bones. Monocytes are responsible for eating foreign intruders (phagocytosis) and killing infected cells. Monocytes are important in triggering atherosclerosis that affects our arteries and can lead to heart disease and stroke.

 Eosinophils: cells that play a role in defense against parasites and in allergic reactions. They normally make up 0-6% of all white blood cells. Eosinophilic granulocytes (“eosinophils”) are part of our immune system’s response to infection including from parasites. Eosinophils, along with basophils and mast cells, are important in allergic responses and in asthma.

 Basophils: another type of cell involved in allergic reactions, in particular the release of histamine. They normally account for 1% or less of all white blood cells. Basophilic granulocytes (“basophils”) - are the least common of the five white blood cell types. When activated, basophils secrete or release many compounds including histamine and interleukin-4. Both compounds are important in the allergic response.

 

 Platelets

 Platelets (thrombocytes) are necessary for blood clotting. A normal platelet count is about 130,000-440,000 cells/mm3. Low platelet counts (thrombocytopenia) -- which can lead to easy bruising and excessive bleeding -- may be caused by certain drugs, autoimmune reactions, accelerated destruction by the spleen, or certain immune diseases. Platelets are the smallest type of cell found in the blood. Platelets help stop bleeding after an injury by gathering around the injury site, plugging the hole in the bleeding vessel and helping the blood to clot more quickly. Platelet counts may be done if you are prone to bruising or if you are about to have surgery. The platelet count may change with bleeding disorders, heart disease, diabetes and inflammatory disorders.

MPV stands for Mean Platelet Volume. Platelet volume varies with the age of the platelets. Newer platelets are larger than older ones.

 

IMPORTANT: Discounted Labs only serves these states: Find a Location 

 

HOW DOES DISCOUNTEDLABS.COM WORK?

1- Go to the "Find a Location" page to find the closest lab location. 

2- Go to "Choose a Test" and add your selection (s) in the shopping cart.

3- If you have a discount coupon code, add it to your cart.

4- Pay using a credit card.

5- You will receive an order confirmation and a lab request emails within minutes. 

6- Print lab request form attached to the lab request form email (PDF file).

7- Take that form to the closest lab with a picture ID. Get your blood drawn. No lab fee is required.

8- Your results will be emailed to you within 5-7 business days (depending on the test). 

$29.04

The comprehensive metabolic panelor cmp blood test panel consists of 14 blood tests which serve as an initial medical screening tool to review overall health. The CMP blood test panel functions as a check for kidney function, liver function, and electrolyte and fluid balance. These are the tests included:

1.     Sodium (Na)

Sodium is one of the body's principal minerals, regulated by the kidneys. It plays an important role in water balance in your body. A high level can be caused by dehydration, excessive salt intake in your diet or certain diseases. A low level of sodium may be caused by diarrhea, vomiting, or excessive sweating. Numerous drugs, including diuretics, certain blood pressure medications and steroids, may alter the sodium level.

2.     Potassium (K)

Potassium is one of the body's principal minerals, found primarily inside cells. It helps maintain water balance as well as proper function of nerves and muscles. Low or high levels in the blood are of critical significance and should be evaluated by your healthcare provider. This is especially important if you are taking a diuretic or heart medication. A high level may indicate kidney or liver disease, too much medication or bodily injury, such as a burn. A low level of potassium can develop rapidly, most frequently produced as a side effect of drugs that cause increased urination.

3.     Chloride (C)

Chloride is one of the body's minerals involved with water balance. Most body chloride comes from salt in the diet. A high chloride level may mean severe dehydration, certain kidney disorders or hyperventilation. A low chloride level may result from excessive vomiting, diarrhea, severe burns, excessive sweating or kidney failure. Borderline low or high levels of chloride have very little significance.

4.     Carbon Dioxide (CO2)

n the body, most of the carbon dioxide (CO2) is in the form of a substance called bicarbonate (HCO3). Therefore, the CO2 blood test is really a measure of your blood bicarbonate level. Changes in your CO2 level may suggest that you are losing or retaining fluid, which causes an imbalance in your body's electrolytes. CO2 levels in the blood are influenced by kidney and lung function. The kidneys are mainly responsible for maintaining the normal bicarbonate levels. The CO2 level is interpreted with other results to aid in medical diagnoses.

5.     Albumin (Alb)

Albumin is the largest portion of total blood protein. Decreased blood albumin may indicate many disorders including poor nutrition and advanced liver disease. Modest decreases in albumin may be seen in people with low thyroid gland function and protein-losing conditions.

6.     Alkaline Phosphatase (ALP)

Alkaline phosphatase is an enzyme found primarily in bone and the liver. Elevated levels may indicate the presence of bone or liver disorders. It is commonly increased when the bile duct is blocked which may be caused by gallstones.

7.     Bilirubin (Bil) Total

Bilirubin is the main pigment in bile and a major product of normal red cell breakdown. It is helpful in evaluating liver function, various anemias and in evaluating jaundice, yellowing of the skin.

8.     Aspartate Transaminase (AST)

Aspartate aminotransferase (AST) is an enzyme found in the liver and in cardiac and skeletal muscle. AST may rise in liver, heart, and muscle disorders. It can also rise following strenuous, prolonged exercise.

9.   Transaminase (ALT)

Alanine aminotransferase (ALT) is an enzyme produced primarily in the liver, skeletal and heart muscle. ALT is present in the liver in a higher concentration than AST and is more specific for differentiating liver injury from muscle damage. ALT rises in the instance of liver disease.

10.  Blood Urea Nitrogen (BUN)

Urea, measured as blood urea nitrogen (BUN) is a waste product derived from the natural breakdown of protein in the liver. Urea is excreted in the urine after blood is filtered through the kidneys. The urea nitrogen level reflects both the metabolism of protein and the effectiveness of the kidneys in filtering blood.

The BUN/creatinine ratio is a calculated value derived by dividing the urea nitrogen result by the creatinine result. This ratio can be helpful in determining whether elevated urea nitrogen is due to impaired kidney function or to other factors such as dehydration, urinary blockage or excessive blood loss.

Please Note: If results for BUN and Creatinine are both within the normal reference range, the BUN/Creatinine ratio will not be reported (not applicable). Clinical Significance: The BUN/Creatinine ratio is useful in the differential diagnosis of acute or chronic renal disease.

11.  Total Protein

Urea, measured as blood urea nitrogen (BUN) is a waste product derived from the natural breakdown of protein in the liver. Urea is excreted in the urine after blood is filtered through the kidneys. The urea nitrogen level reflects both the metabolism of protein and the effectiveness of the kidneys in filtering blood.

12.  Calcium (Ca)

Calcium is one of the most important elements in the body. It is essential for maintenance and repair of bone and teeth, heart function, muscle function, and blood clotting. Ninety-nine percent of the calcium in your body is contained in your bones and only one percent is in the blood. Although most of the calcium in the body is in the bones, the body regulates blood calcium levels very tightly, since its functions are essential to health and performance.

13.  Creatinine (Cr) with calculated eGFR

Creatinine is derived from muscles and released into the blood. It is removed from the body by the kidneys. When the creatinine level is elevated, a decrease in kidney function is suggested. For patients 50 years of age and older, and whom identify as African-American the upper reference range for creatinine is approximately 10-15% higher.

Estimated Glomerular Filtration Rate (eGFR) is a test for kidney damage. eGFR is calculated using your serum creatinine result, age and gender. Creatinine is not sensitive to early renal damage since it varies with age, gender and ethnic background. If you are African American, your eGFR is estimated differently. Since race is not reported in this screening, you will need to use the reported result that is associated with your race. To get a African American specific result, you can multiply this result by 1.21 to get your true eGFR. The same reference ranges will apply.

14.  Glucose

Glucose (“blood sugar”) is the chief source of energy for all cells in the body. Glucose levels are regulated by hormones produced by your pancreas, including insulin. A glucose level outside the optimal range could be a sign that the body is not correctly producing or using insulin. These conditions are hypoglycemia (low blood sugar), prediabetes (elevated blood sugar), and diabetes (high blood sugar). For the most accurate result you should fast (not eat or drink anything but water) for at least 8 hours before your screening. If you were not fasting at the time of your screening, you should interpret your result against an optimal range of less than 140 mg/dL.

When the doctor looks at your report of the cmp blood test panel, he organizes it in his mind according to body systems or possible diseases. The sodium, potassium, chloride, and total carbon dioxide measure the salt and acid base balance of the body. The glucose level is how we diagnose diabetes. The BUN, Creatinine, and BUN to Creatinine ratio tells us how the kidneys are functioning, and also can give us an idea about water balance and possible heart function. The calcium and phosphorus give us information on a possible endocrine disorder called hyperparathyroidism, and also can give information on possible bone disease and malabsorption. The total protein, albumin, globulin, all can point to a liver problem, a kidney problem, or an immune disease. The total direct bilirubin can be abnormal in liver disease and in some blood diseases. The alkaline phosphatase, AST, and ALT can be abnormal in liver disease.

What Tests Are Included in a Complete Metabolic Profile (CMP)?

Now let's go over the cmp blood tests in somewhat more detail.

The Serum Glucose test is how we diagnose diabetes. If the glucose is 126 on a fasting blood draw, meaning the blood was drawn first thing in the morning after an overnight fast, before you ate any breakfast, then you have diabetes. Now, that's assuming that when we repeat the test, we get the same results. It needs to be abnormal more than once.

The Uric Acid test is how we diagnose gout.

The BUN, Blood Urea Nitrogen, can be abnormal in kidney disease, dehydration, and heart failure, as well as malnutrition and liver disease.

The Serum Creatinine is a measure of kidney function. The BUN to Creatinine ratio can give information on the possible cause of the kidney dysfunction, say heart failure or dehydration or decreased kidney blood flow.

The Serum Sodium can be increased in dehydration. The Serum Sodium can be decreased in diuretic therapy and in the syndrome of inappropriate antidiuretic hormone abbreviated, SIADH. The Serum Potassium can be increased in adrenal insufficiency and acute renal failure, as well as with an inappropriate combination of medicines. Potassium could be decreased in primary aldosteronism, diuretic therapy, and renal tubular acidosis.

The Serum Chloride can be increased in dehydration and renal tubular acidosis, and it can be decreased in congestive heart failure and in primary aldosteronism. The Carbon Dioxide can be increased in primary pulmonary disease, such as severe COPD and in primary aldosteronism. It can be decreased in metabolic acidosis, such as occurs with the diabetic ketoacidosis.

The Serum Calcium can be increased in an endocrine disease called primary hyperthyroidism. It can also be increased in malignancy. However, most of the time, when a person has a high Serum Calcium found unexpectedly, it's simply due to hyperparathyroidism, which can be treated. Now, we can also have a decreased Serum Calcium in hypoparathyroidism and in vitamin D deficiency.

The Serum Phosphorus can be increased in acute or chronic renal failure and decreased in malabsorption and vitamin D deficiency.

The total Serum Protein can be increased in multiple myeloma and sarcoidosis, and it can be decreased in chronic glomerulonephritis, which is a type of chronic renal disease.

The Serum Albumin can be decreased in liver disease, cirrhosis, and in nephrotic syndrome. The total Globulin and the Albumin to Globulin ratio can be increased or decreased due to a number of causes.

The total Bilirubin can be increased in hepatitis, hemolytic anemia, and in blockage of the bile ducts, either the bile ducts within the liver or within the bile duct that drains the gallbladder and the liver. That's what we mean when we say cholestasis or biliary obstruction. The direct Bilirubin is increased in the same things as the total Bilirubin, but the ratio of direct to total gives us clues as to the causes. One of the most common causes of a mildly elevated total Bilirubin found on a routine CMP is a syndrome called Gilbert's disease. Although it's called a disease, it's common, and it doesn't cause any liver damage or any health damage.

The Alkaline Phosphatase can be increased in bone disease and liver disease and decreased in malnutrition and celiac disease.

The AST, and ALT are often called liver enzyme tests. They don't measure liver function, but rather give evidence of liver damage, but they can also be elevated in damage to other parts of the body. They can be increased in liver disease, muscle disease, pancreatitis, and excessive exercise.

More Details on Liver Function Tests

Liver function tests, also known as the hepatic panel, are laboratory tests that help measure how well the liver is working. The liver carries out many vital bodily functions; when it is not working properly, levels of various enzymes, proteins, and other substances in the blood may rise or fall. Elevated liver enzyme levels may be a sign of liver damage caused by factors such as viral hepatitis, heavy alcohol consumption, or drug toxicity.

Alanine transaminase (ALT): formerly called SGPT, ALT is an enzyme normally present in liver cells. When these cells are damaged, ALT is released into the bloodstream. A normal ALT level for adult men is 0-50 International Units per liter (IU/L); levels are somewhat lower in women. While mild elevations are common (especially in people who exercise), an ALT level more than 2.5 times the upper limit of normal (ULN) is cause for concern. In general, upward or downward trends in ALT are more informative than a single measurement.

Aspartate transaminase (AST): formerly called SGOT, AST is another liver enzyme that may spill into the blood when liver cells are damaged. AST levels may also be elevated in people with muscle damage. A normal AST level for adult men is 0-45 IU/L.

Bilirubin: bilirubin is a pigment released when red blood cells are broken down. A normal bilirubin level is 0.1-1.5 mg/dL. An elevated level (hyperbilirubinemia) may indicate liver damage, impaired bile flow, or excessive red blood cell destruction. High bilirubin levels can lead to jaundice (yellowing of the skin and whites of the eyes).

Alkaline phosphatase (AP): elevated AP levels may signal obstructed bile flow or bone destruction. A normal level is 35-115 IU/L.

More Details on Kidney Function Tests

Blood urea nitrogen (BUN): nitrogen is a metabolic waste product that is normally filtered out by the kidneys and excreted in the urine. A normal BUN is 8-20 mg/dL. Elevations may indicate kidney dysfunction, high protein intake or a body fluid imbalance (e.g., dehydration).

 Creatinine: this waste product of protein metabolism is also normally excreted by the kidneys. A normal blood creatinine level is 0.6-1.5 mg/dL. Elevated creatinine levels may indicate kidney damage. Creatinine is used in calculating creatinine clearance (creatinine clearance below 60 may indicate impaired kidney function).

 

Comprehensive Metabolic Panel Test FAQ

Now that you know what a CMP panel contains, let’s find out some answers to some of the questions you might have about it.

1. How Can I Do the CMP Panel Test?

The test is done using a single blood sample. You go to a clinic and draw blood which will be analyzed in a medical laboratory. The doctors will perform the tests above to determine the levels of each substance in your bloodstream. You get the results back in a few business days, and you can compare them against standard reference values.

2. Is the Comprehensive Metabolic Panel Test Painful?

In most cases, it's not, but it depends on whether you have a fear of needles or not. Today's doctors are very efficient at drawing blood, so you might not even feel the sting when the needle enters your vein.

3. What If Some Variables or Enzymes Are Out of Normal Ranges?

Once the results are back, and you see that some substances are off the charts, you can go to your healthcare provider for recommendations. If you have high glucose levels, your doctor might recommend starting an exercise regimen as this is known to increase insulin sensitivity and prevent diabetes.

If your calcium levels are low, you might need to eat more dairy products. If your sodium levels are high, you might want to avoid salty foods. These recommendations are based on the specific results of each, so there’s no one-size-fits-all here.

4. Do I Need to Fast Before Doing the Test?

Yes, fasting is mandatory. You should avoid eating and drinking anything else than water for 10-12 hours before doing this test. Fasting is necessary to let the hormonal values return to baseline, so the diagnosis is more accurate.

5. Why Should I Do This Test?

It’s important to do the test to get a broad overview of the hormones and enzymes in your body. If some substances are not in the comprehensive metabolic panel normal ranges, you can take action and prevent more serious health complications. Plus, the test is affordable, quick, and easy to do, so why not taking advantage of it?

6. How Can I Read and Interpret My Results?

The comprehensive metabolic panel normal ranges are published on the internet, and you can find them with a simple Google search. You can also ask your doctor to interpret the results for you as well as checking out this interesting CMP guide on reading your comp metabolic panel.

Ready to Take the Test?

The comp metabolic panel provides one of the best ways to take control of your health. You can order the CMP test online from DiscountedLabs.com and find out how healthy you are in just a few business days, so why not giving it a try?

IMPORTANT: Discounted Labs only serves these states: Find a Location 




HOW DOES DISCOUNTEDLABS.COM WORK?

1- Go to the "Find a Location" page to find the closest lab location. 

2- Go to "Choose a Test" and add your selection (s) in the shopping cart.

3- If you have a discount coupon code, add it to your cart.

4- Pay using a credit card.

5- You will receive an order confirmation within minutes. 

6- Print lab request form (PDF file).

7- Take that form to the closest lab with a picture ID. Get your blood drawn. No lab fee is required.

8- Your results will be emailed to you within 5-7 business days (depending on the test). 

$29.04

This 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.  It includes:

• CBC (includes immune cells, red blood cells, and hematocrit)
• CMP-14 (Includes kidney and liver function, glucose and electrolytes)
• Lipid Panel (LDL, HDL, Triglycerides) FASTING REQUIRED
• Testosterone free and total (LC/MS assay with no upper limit)
• Estradiol, Ultra Sensitive (LC/MS assay)
• DHEA-sulfate (Dehydroepiandrosterone Sulfate)
• TSH (Thyroid Stimulating Hormone) 
• Free T3 (Free Triiodothyronine )
• PSA (Prostatic Specific Antigen)
• LH (Luteinizing Hormone)
• FSH (Follicle Stimulating Hormone)

Note: If you are using testosterone replacement, your LH and FSH will be suppressed. You may want to click the more affordable: TRT Male Hormone/Wellness Panel  and add other tests in the dropdown menu.

IMPORTANT:   We pride ourselves to have the best prices available in most U.S. states. However, due to local regulations, we cannot serve customers in NY, NJ, and RI. 

Please read the following frequently asked questions before placing an order: FAQs

Suggested Reading: Testosterone Replacement Blood Test Targets

How does DiscountedLabs.com work: Click here

$318.82

This is the lowest cost fatigue exploration panel offered anywhere. 

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. We suggest that you also talk to your physician about getting an order for a sleep study to determine if you have sleep apnea.

TESTS INCLUDED IN THIS PANEL:

TOTAL AND FREE TESTOSTERONE (No Upper Limit)

        Low testosterone can cause low energy and mood.

THYROID FUNCTION:

       Hypothyroidism is often an underdiagnosed cause of fatigue.

       Tests:

TSH

Free T3

Free T4

GLUCOSE CONTROL:

       Hyper and hypoglycemia can affect energy levels.

       Test: A1c      

ANEMIA AND IMMUNE ISSUES: 

        Low hemoglobin or high hematocrit can cause fatigue. High white cell count can be indicative of infections which could also cause fatigue.

        Test panel:

Complete Blood Count (CBC) Test 

White Blood Cells (WBC)
 A high white blood cell count likely indicates that an infection is present somewhere in the body, whereas a low number might indicate that an infection or disease has slowed the ability of the bone marrow to produce them.

Red Blood Cells (RBC)
 A low red blood cell count can indicate anemia, which can lead to fatigue. 

Hemoglobin (HGB) and Hematocrit (HCT)
 A low hemoglobin number or hematocrit percentage are good indicators of anemia. A high hematocrit can cause blood thickening, high blood pressure and fatigue.

Mean Corpuscular Volume (MCV)
This test actually measures the size of red blood cells. Larger red blood cells may indicate anemia due to vitamin B6 or folic acid deficiency; smaller red blood cells may indicate anemia due to iron deficiency. 

Mean Corpuscular Hemoglobin (MCH) and Mean Corpuscular Hemoglobin Concentration (MCHC)
These tests measure the amount of hemoglobin in red blood cells. Both hemoglobin and hematocrit are used to calculate this number. Low levels indicate anemia.

Red Cell Distribution Width (RDW)

If anemia is suspected, based on other blood counts, RDW test results are often used together with MCV results to figure out what the cause of the anemia might be.

Platelets

IRON LEVEL, UTILIZATION, AND STORAGE:

        Low iron and/or ferritin can cause fatigue.

        Tests:

     Iron 

     TIBC (Total Iron Binding Capacity)

     Ferritin

ADRENAL FUNCTION:

       Adrenal insufficiency is a common cause of fatigue.

       Tests:

    Serum Cortisol

    DHEA (blood)

 

Not included but worth considering as a separate add-on to your shopping cart: Vitamin D and Vitamin B-12.

NOTE: If you are taking biotin, please stop it 72 hours before the blood draw since it may interfere with hormone blood tests.

Add-Ons for post-menopausal women: Estrogen and Progesterone.   Low estrogen levels many times found in menopause, often result in insomnia and night sweats. Diminished estrogen also causes irritability and mood swings in women which furthers exhaustion. Too little progesterone is also linked to fatigue in women.

BACKGROUND INFORMATION ON THIS PANEL: FATIGUED? : BUY THESE BLOOD TESTS TO FIND OUT WHY  

 

IMPORTANT: Discounted Labs only serves these states: Find a Location 

Please read the following frequently asked questions before placing an order: FAQs

 

HOW DOES DISCOUNTEDLABS.COM WORK?

1-     Go to the "Find a Location" page to find the closest Quesr location. 

2-     Go to "Choose a Test" and add your selection (s) in the shopping cart.

3-     If you have a discount coupon code, add it to your cart.

4-     Pay using a credit card.

5-     You will receive an order confirmation and a lab request emails within 24 business hours.

6-     Print lab request form attached to the lab request form email (PDF file).

7-     Take that form to the closest lab with a picture ID. Get your blood drawn.  No lab fee is required.

8-     Your results will be emailed to you within 5-7 business days (depending on test). 

 

$408.50

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

Diabetes is a group of diseases that result in blood sugar (glucose) levels that are too high.

Type 1 Diabetes is characterized by the body failing to produce insulin.

Type 2 Diabetes is characterized by failing to produce enough insulin for proper function or by the body not reacting to insulin. Approximately 90 percent of diabetes cases are Type 2.

Gestational diabetes affects pregnant women. It occurs when their bodies have very high glucose levels and not enough insulin to transport it into cells. Often women with gestational diabetes have no symptoms, so testing is important if you are considered an at-risk patient.

 

A1C Test

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.

 

Comprehensive Metabolic Panel (CMP):

Let's go over the cmp blood tests :

The Serum Glucose test: Serum glucose levels may be high due to diabetes mellitus, strenuous exercise, increased epinephrine, pancreatic disease or an endocrine disorder. A high serum level may also be related to acute myocardial infarction or severe angina, chronic liver disease, or chronic renal disease.

The Uric Acid test: High uric acid levels may indicate gout, renal failure, leukemia, lymphoma, psoriasis, polycythemia, multiple myeloma, kidney disease, and or chronic lead nephropathy. Associated with hyperlipidemia, obesity, hypertension, arteriosclerosis, diabetes mellitus, hypoparathyroidism, acromegaly, and liver disease.

The BUN, Blood Urea Nitrogen, can be abnormal in kidney disease, dehydration, and heart failure, as well as malnutrition and liver disease.

The Serum Creatinine is a measure of kidney function. The BUN to Creatinine ratio can give information on the possible cause of the kidney dysfunction, say heart failure or dehydration or decreased kidney blood flow

The Serum Sodium can be increased in dehydration. The Serum Sodium can be decreased in diuretic therapy and in the syndrome of inappropriate antidiuretic hormone abbreviated, SIADH.

The Serum Potassium can be increased in adrenal insufficiency and acute renal failure, as well as with an inappropriate combination of medicines. Potassium could be decreased in primary aldosteronism, diuretic therapy, and renal tubular acidosis.

The Serum Chloride: High chloride levels may be attributed to dehydration, renal tubular acidosis, acute renal failure, diabetes insipidus, metabolic acidosis associated with prolonged diarrhea with loss of nahco3, respiratory alkalosis, and some cases of primary hyperparathyroidism. Low serum chloride levels may be due to excessive sweating, prolonged vomiting from any cause or gastric suction, persistent gastric secretion, salt-losing nephritis, aldosteronism, potassium depletion associated with alkalosis, respiratory acidosis

Carbon Dioxide: High levels may indicate respiratory acidosis caused by poor gas exchange or depression of respiratory center; generalized respiratory disease; metabolic acidosis (after severe vomiting in pyloric stenosis, hypokalemic states, or excessive alkali intake). Low levels may indicate compensated respiratory alkalosis, metabolic acidosis in diabetes mellitus, renal glomerular or tubular failure, renal tubular acidosis and intestinal loss of alkali with coexisting increase in c1 and normal anion gap

Serum Calcium: High blood calcium levels may indicate primary and tertiary hyperparathyroidism, malignant disease with bone involvement (in particular metastatic carcinoma of the breast, lung, kidney, multiple myeloma, lymphomas, and leukemia), vitamin d intoxication, milk-alkali syndrome, Paget’s disease with immobilization, thyrotoxicosis, acromegaly, diuretic phase of acute tubular necrosis or dehydration. Low levels of calcium may indicate hypoparathyroidism; vitamin d deficiency, chronic renal failure, magnesium deficiency, prolonged anticonvulsant therapy, acute pancreatitis, anterior pituitary hypofunction, hypoalbuminemia, or inadequate nutrition.

Serum Phosphorus can be increased in acute or chronic renal failure and decreased in malabsorption and vitamin D deficiency. Serum phosphorus concentrations have a circadian rhythm (highest level in late morning, lowest in evening) and are subject to rapid change secondary to environmental factors such as diet (carbohydrate), phosphate-binding antacids, and fluctuations in growth hormone, insulin, and renal function. High levels may indicate osteolytic metastatic bone tumors, myelogenous leukemia, milk-alkali syndrome, vitamin d intoxication, healing fractures, renal failure, hypoparathyroidism, pseudohypoparathyroidism, diabetes mellitus with ketosis, acromegaly, portal cirrhosis, pulmonary embolism, lactic acidosis or respiratory acidosis.

The total Serum Protein can be increased in multiple myeloma and sarcoidosis, and it can be decreased in chronic glomerulonephritis, which is a type of chronic renal disease.

The Serum Albumin can be decreased in liver disease, cirrhosis, and in nephrotic syndrome. The total Globulin and the Albumin to Globulin ratio can be increased or decreased due to a number of causes.

The total Bilirubin can be increased in hepatitis, hemolytic anemia, and in blockage of the bile ducts, either the bile ducts within the liver or within the bile duct that drains the gallbladder and the liver. That's what we mean when we say cholestasis or biliary obstruction. The direct Bilirubin is increased in the same things as the total Bilirubin, but the ratio of direct to total gives us clues as to the causes. One of the most common causes of a mildly elevated total Bilirubin found on a routine CMP is a syndrome called Gilbert's disease. Although it's called a disease, it's common, and it doesn't cause any liver damage or any health damage.

The Alkaline Phosphatase can be increased in bone disease and liver disease and decreased in malnutrition and celiac disease.

The AST, and ALT are often called liver enzyme tests. They don't measure liver function, but rather give evidence of liver damage, but they can also be elevated in damage to other parts of the body. They can be increased in liver disease, muscle disease, pancreatitis, and excessive exercise.

 

Urinalysis

The Urinalysis test panel screens for a variety of conditions including 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.

About one-third of people with diabetes have problems with their kidneys. But early and tight control of your blood sugar and blood pressure, plus help from certain medications, can keep these organs working like they should. To check for problems, this test measures if protein is present in your urine, called microalbuminuria. It shows up when small amounts of albumin (the main protein in your blood) seep into your pee. Without treatment to slow the leak (usually blood pressure medications), your kidneys could be damaged and eventually fail.

Insulin Level

Insulin is a substance produced by the pancreas to help stabilize blood sugar levels. This substance acts as a "key" that opens up the cells in your body, allowing them to absorb glucose and use it for energy production.

A typical insulin blood level between meals is 8–11 μIU/mL (57–79 pmol/L)

 

Glucose Tolerance Test (GTT), Two-hour

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 blood levels are checked two hours later.

 

$144.20

This Erectile Dysfunction ED panel measures hormones that can affect erectile function. Tests included are:

• Prolactin: High levels have been linked to ED and low libido.
• Total and Free Testosterone (LC/MS, no upper limit): Low levels have been linked to ED and low libido.
• Ultra Sensitive Estradiol: High or low levels have been linked to low libido.
• DHT: Low levels have been linked to low libido.
• TSH: High levels have been linked to hypothyroidism which has been linked to ED and low libido.
• Free T3: Low levels have been linked to ED and low libido.
• Free T4: High or low levels in the presence of low free T3 may be linked to low libido.

 

DiscountedLabs.com offers affordable blood tests you can order online in the United Sates without the need of a doctor's order. We have no hidden fees and have an easy ordering process.

HOW DOES DISCOUNTEDLABS.COM WORK?

1. Go to the "Find a Location" page to find the closest lab location. No need to make an appointment since walk-ins are welcomed. Once you have identified your closest location, go to step 2.

2. Go to "Choose a Test" and add your selection (s) in the shopping cart. If you prefer to save money on bundled tests, we have created "Lab Test Panels" that can help you decide what to order.

3. If you have a discount coupon code, add it to your cart.

4. A $8 lab processing fee will be added to your total.

5. Pay using a credit card.

6. You will receive an order confirmation and instructions email on how to download your lab request.

7. Print lab request form that you downloaded.

8. Take that form to the closest Quest Diagnostics location with a picture ID. Get your blood drawn.

9. You will receive an email when the results are ready for you to download.

   Note: You cannot place an order under someone else's profile. The profile person's name will appear on the lab order form.

   If you have questions, please review our FAQ Page.

   If you have further questions, please email [email protected].

 

$249.67

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

What Are Electrolytes?

Electrolytes are substances that dissociate in solution and have the ability to conduct an electrical current. These substances are located in the extracellular and intracellular fluid. Within the extracellular fluid, the major cation is sodium and the major anion is chloride. The major cation in the intracellular fluid is potassium. These electrolytes play an important role in maintaining homeostasis.

Both muscle tissue and neurons are considered electric tissues of the body. Muscles and neurons are activated by electrolyte activity between the extracellular fluid or interstitial fluid, and intracellular fluid. Electrolytes may enter or leave the cell membrane through specialized protein structures embedded in the plasma membrane called "ion channels". For example, muscle contraction is dependent upon the presence of calcium (Ca²⁺), sodium (Na⁺), and potassium (K⁺). Without sufficient levels of these key electrolytes, muscle weakness or severe muscle contractions may occur.

Electrolyte balance is maintained by oral, or in emergencies, intravenous (IV) intake of electrolyte-containing substances, and is regulated by hormones, in general with the kidneys flushing out excess levels. In humans, electrolyte homeostasis is regulated by hormones such as antidiuretic hormones, aldosterone and parathyroid hormones. Serious electrolyte disturbances, such as dehydration and overhydration, may lead to cardiac and neurological complications and, unless they are rapidly resolved, will result in a medical emergency.

How to Buy Lab Tests on Discounted Labs

$43.02

This is Discounted Labs most comprehensive blood test panel for men. It includes:

· Testosterone, Total and Free LC/MS (no upper limit) (involved in libido, stamina, lean mass, cognitive function, etc. )

· Ultra Sensitive Estradiol (involved in libido, bone density, lipids, and high levels linked to gynecomastia)

· IGF-1 (insulin growth factor) (a metabolite of growth hormone)

· Prolactin (involved in low testosterone, low libido, erectile dysfunction)

· DHT (dihydrotestosterone- involved in libido, acne and hair loss. Low levels have been linked to gynecomastia)

· DHEA-S (dehydroepiandrosterone sulfate) (involved in stamina, cognitive function, etc.)

· PSA (prostate specific antigen) (a marker of prostatitis or prostate cancer)

· SHBG (sex hormone binding globulin) (a strong binder that limits sex hormones)

· Lipids (LDL, HDL, and triglycerides) (involved in heart disease) FASTING REQUIRED

· CBC (complete blood count including hematocrit)

· CMP (comprehensive metabolic panel including kidney and liver function)

· Thyroid Function (involved in stamina, fat, cognitive function, libido, ED, etc.):

o TSH

o Free T3

o Free T4

 

Suggested Reading: Testosterone Replacement Blood Test Targets

 

How does DiscountedLabs.com work?

 

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$472.13

This panel includes two estradiol tests (total ultrasensitive and free-unbound) measured by the most accurate hormone testing method: Liquid chromatography/ Mass Spectrometry.

Note: Studies on the effect of free estradiol blood levels in men are lacking. Only one reference concludes that free estradiol, not total, may be a better predictor of bone density in older men (J Bone Miner Res 2005;20:1334–1341.)

 

IMPORTANT: Discounted Labs only serves these states: Find a Location 

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$127.75

The term fibromyalgia came from the Latin word “fibro” (fibrosis tissue), and the Greek terms for “myo” (muscle) and “algia” (pain).

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:

• Complete Blood Count (CMP): White and red blood cells, hemoglobin, platelets, and other variables. CMP helps detect any potential infections or anemia.

 

• Comprehensive Metabolic Panel (CMP): Gucose, Kidney and liver function, electrolytes and other variables. CMP helps to detect diabetes, organ dysfunction, electrolyte inbalances, and other issues.

 

• Urinalysis: Screens for a variety of conditions including urinary bladder disease, kidney disease and diabetes.

 

• Thyroid-stimulating hormone: Hypothyroidism shares many clinical features with fibromyalgia, especially diffuse muscle pain and fatigue.

   

• 25-Hydroxy vitamin D level: Low levels can cause muscle pain and tenderness.

   

• Vitamin B-12 level: Very low levels can cause pain and fatigue.

   

• Iron studies, including serum iron, total iron-binding capacity, percent saturation, and serum ferritin: Iron deficiency is very common in fibromyalgia patients and can cause or worsen fatigue, poor sleep, and depressive symptoms.For patients with restless legs syndrome, percent saturation should be maintained above 20% and serum ferritin should be kept above 50 ng/mL.

   

• Magnesium in Red Blood Cells: Low levels can lead to muscle spasms, which are common in fibromyalgia patients; magnesium supplementation can also improve symptoms in some fibromyalgia patients; recommended magnesium levels in fibromyalgia patients are at least 2 mEq/L.

   

• The erythrocyte sedimentation rate (ESR) is often recommended as a routine laboratory test in fibromyalgia patients to rule out the presence of inflammatory disorders that may mimic symptoms. The upper limit of normal for the ESR in women is half their age (eg, a level of 40 in an 80-year-old women is normal), and in men is half their age minus 10.

 

• CPK- Creatine Phosphokinase : CPK is an enzyme found mainly in the heart, brain, and skeletal muscle.High CPK can indicate muscle destruction, heart attacks, central nervous system issues, and others. Long term exposure to high CPK can load up your kidneys and may 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.

 

$345.05

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. It is defined clinically by the presence of a rubbery or firm mass extending concentrically from the nipples. At least 30% of males will be affected during their life. 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.

Tests Include:

TESTOSTERONE, Free and Total, LC/MS Assay (T > 1,500 ng/dL)

DHT ( Dihydrotestosterone)

Low blood levels of testosterone and DHT in the presence of high estradiol, IGF-1, thyroid hormones or prolactin may accelerate the growth of breast tissue in men

ULTRA SENSITIVE ESTRADIOL

IGF-1 (Insulin Growth Factor 1)

PROLACTIN

TSH (Thyroid Stimulating Hormone)

FREE T3 (Free Triiodothyronine )

More information on gynecomastia here

FREE BONUS: EBook: Beyond Testosterone

Suggested Reading: Testosterone Replacement Blood Test Targets

 

Click here to find out how our process works.

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$364.60

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

Patient should avoid seafood and red wine 72 hours prior to collection

For more information read this article about heavy metal poisoning

$180.00

This 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.

You can add IGF-1 and 17-OH-progesterone tests to your cart for an even more complete picture.

• DHEA-S Test

Dehydroepiandrosterone (DHEA) is a hormone produced by the adrenal gland. 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.  Do you need to take a DHEA supplement?

 

• Estradiol Test (Ultra-Sensitive) Test

Estradiol is the predominant sex hormone present in females and is also found at lower levels in men. It represents the major estrogen in humans. Estradiol not only impacts reproductive and sexual functioning, but also affects other systems including bone health, heart health, nerves and metabolism. Estradiol, also known as E2, is the most active of all three estrogens commonly measured in a clinical setting. For women, it is important to compare the relationship between estradiol and progesterone in evaluating menopausal symptoms such as hot flashes, mood disorders, and aging skin. In both men and women, low levels of estradiol are associated with osteoporosis. More information: Estradiol in Men: Top Ten Things You Should Know

 

• Progesterone Test

Progesterone is a female hormone important for the regulation of ovulation and menstruation. It is also present in men in smaller concentrations. This test is performed using the immunoassay technology. Progesterone is used to cause menstrual periods in women who have not yet reached menopause but are not having periods due to a lack of progesterone in the body. This hormone is also used to prevent overgrowth in the lining of the uterus in postmenopausal women who are receiving estrogen hormone replacement therapy. Progesterone replacement may also be used for other purposes. TRT may lower progesterone in men.  Progesterone may have a calming effect in men, so some researchers speculate that decreasing progesterone levels in men may affect mood, sleep quality and anxiety.

 

• Pregnenolone Test

Pregnenolone is the mother of all hormones. It is known as a neurosteroid with brain health benefits.  As most hormones, it decreases with age. Aside from the natural decrease in pregnenolone that occurs as you age, research shows that higher doses of Testosterone Replacement Therapy (TRT) cause pregnenolone levels to drop even further. 

This pregnenolone lab test uses liquid chromatography, so it is accurate for the measurement of pregnenolone. 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.

However, pregnenolone does more. It is important for proper brain development, cognition, memory, and mood. These dramatic effects on the brain are why pregnenolone is known as a neuro-active steroid.

Fasting is not required. Pregnenolone supplementation should be taken approximately 2 hours before the blood draw. More on the role of pregenolone in men.

 

• Total Testosterone, LC/MS

• Free Testosterone by Equilibrium Ultrafiltration

This panel includes total testosterone measured by the most accurate method for women (liquid chromatography/mass spectrometry), free testosterone percent by equilibrium ultrafiltration, and free testosterone calculated from percent free T. Food may temporily low testosterone blood levels in men not on TRT.

 

• Dihydrotestosterone (DHT) 

DHT is synthesized from testosterone in the prostate gland, testes, hair follicles, and adrenal glands by 5-alpha reductase. Dihydrotestosterone exerts its action similar to testosterone, which binds to and activates androgen receptors. Dihydrotestosterone is responsible for the formation of male primary sex characteristics and most male secondary sex characteristics during puberty, such as muscular growth, facial and body hair growth, and deepening of the voice.

Excess DHT has been associated with hair loss, prostate volume increase, and acne in men with a genetic predisposition to those issues. Blocking or decreasing DHT to low levels may cause sexual dysfunction. Please read DHT: Friend or Enemy of Men?

 

 

• Prolactin Test

Prolactin is secreted by the pituitary gland to induce milk production. It also has many other functions on immune response, myelin coating on nerves, heart muscle protection, and enhances LH receptors on testicular Leydig cells so that testosterone can be produced. 

Prolactin levels peak during REM sleep, and in the early morning. Levels can rise after exercise, meals, sexual intercourse, minor surgical procedures, or following epileptic seizures. 

High prolactin can decrease testosterone and cause sexual dysfunction. Higher levels of prolactin have been associated with tumors involving the lungs, the pituitary gland, and the kidneys. Prolactin is sometimes used by doctors to evaluate sexual dysfunction of unknown cause in both men and women.

Drugs, supplements and certain diseases like pituitary adenomas may disrupt normal prolactin blood levels. These include hypothyroidism, antiepileptics, antidepressants, estrogen, opiates, diuretics, certain growth hormone releasing peptides and arginine. More on the role of prolactin in men.

 

• TSH Test

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 (hypothyroidism) may be indicated. If TSH is low it is indicative of high thyroid function (hyperthyroidism). However, using TSH by itself to diagnose thyroid function issues may not provide the whole picture. That is why free T3 and free T4 are important.

• Free T3 Test

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.

• Free T4 Test

The 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.

More on the use of thyroid function tests .

 

$486.68

This inflammation lab test panel includes:

C-Reactive Protein (CRP) –  CRP is a substance produced by the liver that increases in the presence of inflammation in the body. This test helps to diagnose and monitor the activity of some inflammatory and infectious conditions. Arterial damage results from white blood cell invasion and inflammation within the wall. CRP is a general marker for inflammation and infection, so it can be used as a very rough proxy for heart disease risk. The American Heart Association and U.S. Centers for Disease Control and Prevention have defined risk groups based on CRP as follows: Low Risk: less than 1.0 mg/L, Average risk: 1.0 to 3.0 mg/L, High risk: above 3.0 mg/L. CRP can also be increased by sleep apnea, rheumatoid arthritis, colon cancer and inflammatory bowel disease.

CK- Creatine Kinase (or Creatine Phosphokinase – CPK)- Creatine phosphokinase is an enzyme found mainly in the heart, brain, and skeletal muscle. It is tested by taking a blood sample. High CPK can indicate muscle destruction and inflammation, heart attacks, central nervous system issues, and others. 

Ferritin- Serum ferritin is used as a screening tool to detect iron deficiency. Serum ferritin values in the range of 200–2000 ng/ml may be increased due to non-iron-related factors including elements of inflammation and obesity.

Homocysteine- A high level of homocysteine in the blood (hyperhomocysteinemia) makes a person more prone to endothelial cell injury, which leads to inflammation in the blood vessels, which in turn may lead plaque build-up inside blood vessels. Hyperhomocysteinemia is therefore a possible risk factor for coronary artery disease since it has been correlated with the occurrence of blood clots, heart attacks and strokes.

Lactic Acid Dehydrogenase (LDH)- LDH is an enzyme, or catalyst, found in many different tissues in your body that is involved in energy production. These include your red blood cells, skeletal muscles, hert, kidneys, brain, and lungs. LDH is most often measured to check for tissue damage. LDH is in many body tissues, especially the heart, liver, kidney, muscles, brain, blood cells, and lungs. An elevated level of LDH may be seen with:  Anemia, infections (such as infectious mononucleosis (mono), meningitis, encephalitis, and HIV), sepsis, intestinal and lung (pulmonary) infarction, kidney disease, liver disease, muscle injury, pancreatitis, cancers and bone fractures.

Erythrocyte Sedimentation Rate (by Westergren) (ESR)-  ESR is the rate at which red blood cells sediment in a period of one hour. To perform the test, anticoagulated blood was traditionally placed in an upright tube, known as a Westergren tube, and the rate at which the red blood cells fall was measured and reported in mm/h. The ESR is increased in inflammation, pregnancy, anemia, autoimmune disorders (such as rheumatoid arthritis and lupus), infections, some kidney diseases and some cancers (such as lymphoma and multiple myeloma). The ESR is decreased in polycythemia, hyperviscosity, sickle cell anemia, leukemia, low plasma protein (due to liver or kidney disease) and congestive heart failure.

 

DiscountedLabs.com offers affordable blood tests you can order online in the United Sates without the need of a doctor's order. We have no hidden fees and have an easy ordering process.

HOW DOES DISCOUNTEDLABS.COM WORK?

1. Go to the "Find a Location" page to find the closest lab location. No need to make an appointment since walk-ins are welcomed. Once you have identified your closest location, go to step 2.

2. Go to "Choose a Test" and add your selection (s) in the shopping cart. If you prefer to save money on bundled tests, we have created "Lab Test Panels" that can help you decide what to order.

3. If you have a discount coupon code, add it to your cart.

4. A $8 lab processing fee will be added to your total.

5. Pay using a credit card.

6. You will receive an order confirmation and instructions email with your lab request form.

7. Print lab request form that you downloaded.

8. Take that form to the closest Quest Diagnostics location with a picture ID. Get your blood drawn.

9. You will receive an email when the results are ready for you to download.

   Note: You cannot place an order under someone else's profile. The profile person's name will appear on the lab order form.

    

    

IMPORTANT: Discounted Labs only serves these states: Find a Location 

Please read the following frequently asked questions before placing an order: FAQs

$169.50

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.

 

Why is Iron Important for Health?

Iron is an important mineral that your body needs to stay healthy. Your body uses iron to make hemoglobin, the protein in your red blood cells that carries oxygen throughout your body. If you don't have enough iron, you may not have enough hemoglobin. This condition is called iron deficiency anemia.

Iron in your body is carried, or bound, mainly to a protein made by your liver called transferrin. The TIBC test is based on certain proteins, including transferrin, found in the blood. Your transferrin levels are almost always measured along with iron and TIBC.

Iron plays a principal role in erythropoiesis, the formation and maturation of red blood cells (RBCs) and is required for hemoglobin synthesis. The human body contains between four and five grams of iron, about 65% of which is present in hemoglobin and 3% of which is present in myoglobin, the oxygen storage protein found in skeletal muscle and cardiac muscle. A small amount is also found in cellular enzymes that catalyze the oxidation and reduction of iron. Excess iron is stored in the liver and spleen as ferritin and hemosiderin. Any iron present in the serum is in transit between the digestive track and bone marrow, and available iron stores forms. Sixty to 70% of the body's iron is carried by its specific transport protein, transferrin. For this reason, total iron binding capacity (TIBC) and transferrin are sometimes referred to interchangeable, even though other proteins carry iron and contribute to the TIBC..

Unbound iron is highly toxic, but there is generally an excess of transferrin available to prevent the buildup of unbound iron in the circulation. The percentage of iron saturation is calculated by dividing the serum iron value by the TIBC value and multiplying it by 100..

 

What Can the Iron and TIBC Test Diagnose?

• Assist in the diagnosis of iron deficiency anemia.
• Differentiate between iron deficiency anemia and anemia secondary to chronic disease.
• Monitor hematological response to therapy during pregnancy and iron deficiency anemias.
• Provide support for diagnosis of hemochromatosis or diseases of iron metabolism and storage.

What Can Increase Iron Test Levels?

• Acute liver disease.
• Hypochromic iron-deficiency anemias.
• Late pregnancy.
• Testosterone therapy via increased hemoglobin and hematocrit.

 

What Can Decrease Iron Test Levels?

Iron is decreased in chronic infections, cirrhosis, hemochromatosis, hemolytic anemias, neoplastic diseases, protein depletion, renal disease, excessive menstruation, frequent blood donations and internal bleeding.

What Medications Can Increase or Decrease TIBC Test Results?

• Drugs that may increase TIBC levels include mestranol and oral contraceptives.
• Drugs that may decrease TIBC levels include which is asparaginase, corticotropin, cortisone, and testosterone.

 

How Discounted Labs Works 

 

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$34.58

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

Lab Tests Used to Monitor Kidney Function:

Blood pressure. Your health care provider will devise a plan, which may include diet changes and medications, to keep your blood pressure as close to normal as possible. Target blood pressure is defined as less than 130/80. High blood pressure is one of the main causes of kidney disease.

Blood electrolytes (tested via a CMP test). When the kidneys are not working correctly, you can develop high potassium and low calcium, phosphorus, bicarbonate, which can affect your heart's conduction system and cause muscle aches and other complications.

Urine protein or albumin in the urine (tested by urinalysis). Albumin is the main protein in the blood. When the kidneys become damaged, the holes in the filtering system of your kidneys become enlarged, allowing protein to leak into the urine. In the early stages of kidney damage, only small amounts of albumin (microalbuminuria) are found. This test is very important for people with diabetes because at this early stage of kidney damage, further deterioration can often be prevented by diet, exercise, and medications.

GFR (glomerular filtration rate). This is a measure of how well the kidneys are filtering blood. An estimate of your "filtering rate" is determined by a blood test called a blood creatinine test, which measures the amount of creatinine -- a waste product -- in your blood. This test, along with your age, body size, and gender, provides an estimate of your GFR. The GFR, or "filtering rate," helps confirm normal or low kidney function. A score of 90 or above is normal; a score below 15 indicates kidney damage that will require dialysis or a kidney transplant. Another commonly used test to estimate GFR is a creatinine clearance. This test measures the creatinine in the blood and urine to determine kidney function.

Cystatin C is a protein found in almost all the cells in the body. Cystatin C helps to regulate the activity of enzymes needed to break down bigger molecules both inside of and around those cells.

Cystatin C level in the blood can be measured to determine how well the kidneys are functioning. The kidneys, liver, and spleen all work to filter the blood and excrete any waste substances as urine. This filtration process happens in a microscopic structure in the kidneys: the glomerulus. Each kidney contains approximately one-million glomeruli that function as tiny sieves to extract waste. The glomerular filtration rate (GFR) rate is a measure of how well the glomeruli are filtering blood.

If the kidneys and glomeruli are impaired, the GFR could decrease. A decreased GFR can cause certain proteins to accumulate (like cystatin C and creatinine) in the blood.

The levels of cystatin C in the blood can be used to assess the glomerular filtration rate to indirectly provide an assessment of kidney function. Since the concentration of cystatin C in the blood will not change due to infection or inflammation and isn’t affected by body weight, drugs, creatine supplements, or high protein diet - cystatin C level could be a more reliable indicator of kidney health than creatinine.

 

IMPORTANT: Discounted Labs only serves these states: Find a Location 




HOW DOES DISCOUNTEDLABS.COM WORK?

1- Go to the "Find a Location" page to find the closest lab location. 

2- Go to "Choose a Test" and add your selection (s) in the shopping cart.

3- If you have a discount coupon code, add it to your cart.

4- Pay using a credit card.

5- You will receive an order confirmation within minutes. 

6- Print lab request form (PDF file).

7- Take that form to the closest lab with a picture ID. Get your blood drawn. No lab fee is required.

8- Your results will be emailed to you within 5-7 business days (depending on the test). 

 

$129.78

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. In general, the isoenzyme locations are as follows:

• LD1: Heart, red blood cells, kidney

• LD2: Heart, red blood cells, kidney (lesser amounts than LD1)

• LD3: Lungs and other tissues

• LD4: White blood cells, lymph nodes, muscle, liver (lesser amounts than LD5)

• LD5: Liver, skeletal muscle

Changes of LD isoenzymes periodically measured following onset of chest pain, studying the relationships of the anodic fractions, provide important information for the differential diagnosis of acute infarct of myocardium. The differential diagnosis of certain other diseases is enhanced as well with the use of LD isoenzymes.

Useful in the differential diagnosis of acute myocardial infarction, megaloblastic anemia (folate deficiency, pernicious anemia), hemolytic anemia, and very occasionally renal infarct. These entities are characterized by LD1 increases, often with LD1:LD2 inversion.

The isomorphic pattern (total LD significantly high with no increase in percentage, of any fraction) is seen with neoplasia, cardiorespiratory diseases, hypothyroidism, infectious mononucleosis, and other inflammatory states, uremia, and necrosis.

LD5 increases are seen with striated muscle lesions (eg, trauma) and with liver diseases (eg, hepatic congestion, congestive heart failure, hepatitis, cirrhosis, alcoholism). LD5 increase is probably more significant when the LD5:LD4 ratio is increased.

Although a modicum of controversy exists regarding the most suitable criteria for LD isoenzymes for the diagnosis of acute myocardial infarction, almost all laboratories recognize abnormality when LD1 equals or is greater than LD2. Alternatives to LD1 greater than LD2 have been proposed. Using an electrophoretic method (Helena), Rotenberg et al suggested the criterion of LD1 >90 units/L. A 1988 study examines application of LD1:LD4 and other ratios and finds that the LD1:LD4 ratio optimizes earlier and is the most powerful diagnostic ratio for acute myocardial infarction.

A few percent of normal individuals may have LD1:LD2 ratios as high as 0.81. A ratio of 0.82−0.99 is suspicious of myocardial injury. A ratio >1.0 is diagnostic of myocardial injury, if other clinical criteria are met. In unstable angina, an increase of the LD1:LD2 ratio is described with normal total LD;3 however, progressively increasing LD1:LD2 ratio without complete inversion may have diagnostic significance for acute myocardial infarct.

Persistent LD1:LD2 flip following acute myocardial infarct may represent a marker for reinfarction. Especially when acute myocardial infarction is complicated by shock, the isomorphic pattern may be found.6 LD1:LD2 inversion commonly appears subsequent to the isomorphic pattern in instances of acute myocardial infarction.

The appearance of an LD “flip” (when LD1 is greater than LD2) is extremely helpful in diagnosis of MI. The presence of a LD “flip” a day following or with the detection of CK-MB is essentially diagnostic of MI, if baseline cardiac enzymes/isoenzymes are normal and if rises and falls are as anticipated for the diagnosis of acute MI. While CK-MB peaks 12 to 24 hours after onset of infarction, LD isoenzymes usually become diagnostic at about 36 to 55 hours after onset and return to normal between 3 and 14 days after onset.

 

Click here to find out how our process works.

IMPORTANT: Discounted Labs only serves these states: Find a Location 

Please read the following frequently asked questions before placing an order: FAQs

$158.53

Lipids 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

This test requires fasting for 8 hours.

Triglycerides: after eating, the energy that is not needed immediately is converted into triglycerides and transported to fat cells for storage. A normal triglyceride level is about 45-150 mg/dL. Elevated levels (hypertriglyceridemia) are associated with increased risk of cardiovascular disease, especially when accompanied by high cholesterol levels. Extremely high triglyceride levels (greater than about 1,000 mg/dL) can cause pancreatitis. Triglycerides should be measured after fasting for at least eight hours.

Cholesterol: a fatty substance that circulates in the blood, cholesterol is an important component of cell membranes, certain hormones, vitamin D, and bile acids. A healthy total cholesterol level is 120-200 mg/dL. Elevated total cholesterol (hypercholesterolemia) is known to increase the risk of cardiovascular disease, but it is more useful to look at specific types of cholesterol. Low-density lipoproteins (LDL) -- so-called "bad" cholesterol -- can deposit cholesterol in artery walls, causing atherosclerosis (hardening of the arteries). But high-density lipoproteins (HDL) -- so-called "good" cholesterol -- help clear cholesterol from the body and may reduce the risk of cardiovascular disease. The National Cholesterol Education Program recommends that people try to achieve a total cholesterol level below 200 mg/dL, an LDL level below 100 mg/dL, and an HDL level of at least 40 mg/dL.

 

Click here to find out how our process works.

IMPORTANT: Discounted Labs only serves these states: Find a Location 

Please read the following frequently asked questions before placing an order: FAQs

$28.05

What Is a Hepatic (Liver) Function Panel?

A liver function 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, and GGT enzymes. High or low levels may mean that liver damage or disease is present.

The liver serves several important functions in the body, including changing nutrients into energy for the body and breaking down toxic substances.

Your doctor may order a liver function panel if you have symptoms of liver disease. These symptoms include fever, vomiting, abdominal pain, yellowing of your eyes or skin (jaundice), dark yellow urine, and feeling very tired. This blood test also may be done if you have recently been exposed to a hepatitis virus or are taking a medicine that may cause liver damage.

A variety of diseases and infections can cause acute or chronic damage to the liver, causing inflammation, scarring, bile duct obstructions, clotting abnormalities, and liver dysfunction. Alcohol, drugs, some herbal supplements, and toxins can also pose a threat. A significant amount of liver damage may be present before symptoms such as jaundice, dark urine, light-colored stools, pruritus, nausea, fatigue, diarrhea, and unexplained weight loss or gain emerge. Early detection is essential to minimize damage and preserve liver function.

LFTs (liver function tests) measure enzymes, proteins, and substances that are produced or excreted by the liver and are affected by liver injury. Some are released by damaged liver cells, and some reflect a decrease in the liver's ability to perform one or more of its functions. When performed together, these tests give the doctor a snapshot of the health of the liver, an indication of the potential severity of any liver injury, change in liver status over time, and a starting place for further diagnostic testing.

 

What tests are included in a liver function panel?

The panel usually consists of several tests that are performed at the same time on a blood sample. These may include:

• Alanine aminotransferase (ALT) – an enzyme mainly found in the liver; the best test for detecting hepatitis
• Alkaline phosphatase (ALP) – an enzyme related to the bile ducts; often increased when they are blocked
• Aspartate aminotransferase (AST) – an enzyme found in the liver and a few other places, particularly the heart and other muscles in the body
• Total bilirubin – measures all the yellow bilirubin pigment in the blood. Another test, direct bilirubin, measures a form combined with another compound in the liver and is often requested with total bilirubin in infants with jaundice.
• Albumin – measures the main protein made by the liver and tells whether or not the liver is to an adequate amount of this protein
• Gamma-glutamyl transferase (GGT) - an enzyme found mainly in the liver and is a useful marker for detecting bile duct problems
• Total protein - measures albumin and all other proteins in blood, including antibodies made to help fight off infections

How Should We Prepare for a Liver Function Panel?

You may be asked to stop eating and drinking for 8 to 12 hours before the test. Tell your doctor about any medicines you re taking because some drugs might affect the test results.

 

DiscountedLabs.com offers affordable blood tests you can order online in the United Sates without the need of a doctor's order. We have no hidden fees and have an easy ordering process.

HOW DOES DISCOUNTEDLABS.COM WORK?

1. Go to the "Find a Location" page to find the closest lab location. No need to make an appointment since walk-ins are welcomed. Once you have identified your closest location, go to step 2.

2. Go to "Choose a Test" and add your selection (s) in the shopping cart. If you prefer to save money on bundled tests, we have created "Lab Test Panels" that can help you decide what to order.

3. If you have a discount coupon code, add it to your cart.

4. A $8 lab processing fee will be added to your total.

5. Pay using a credit card.

6. You will receive an order confirmation and instructions email on how to download your lab request.

7. Print lab request form that you downloaded.

8. Take that form to the closest Quest Diagnostics location with a picture ID. Get your blood drawn.

9. You will receive an email when the results are ready for you to download.

   Note: You cannot place an order under someone else's profile. The profile person's name will appear on the lab order form.

   If you have questions, please review our FAQ Page.

   If you have further questions, please email [email protected].

 

Click here to find out how our process works.

IMPORTANT: Discounted Labs only serves these states: Find a Location 

Please read the following frequently asked questions before placing an order: FAQs

$79.26

This panel provides a baseline overview of your sex hormones, thyroid gland, adrenal function, metabolic function, cholesterol, prostate, and overall health. It includes:

• CBC (includes immune cells, red blood cells, and hematocrit)
• CMP-14 (Includes kidney and liver function, glucose and electrolytes)
• Lipid Panel (LDL, HDL, Triglycerides) FASTING REQUIRED
• Testosterone free and total (LC/MS assay with no upper limit)
• Estradiol, Ultra Sensitive (LC/MS assay)
• DHEA-sulfate (Dehydroepiandrosterone Sulfate)
• TSH (Thyroid Stimulating Hormone)
• Free T3 (Free Triiodothyronine )
• PSA (Prostatic Specific Antigen)
• SHBG (Sex Hormone Binding Globulin)

This panel is often used to monitor men on TRT.  LH and FSH are not included since they are usually very low or zero on testosterone replacement.

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IMPORTANT: Discounted Labs only serves these states: Find a Location 

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Free Book Download: Beyond Testosterone

Suggested Reading: Testosterone Replacement Blood Test Targets

 

$342.65

What is Osteoporosis?

Osteoporosis is a systemic skeletal disorder characterized by low bone mass, micro-architectural deterioration of bone tissue leading to bone fragility, and consequent increase in fracture risk. It is the most common reason for a broken bone among the elderly.  Bones that commonly break include the vertebrae in the spine, the bones of the forearm, and the hip. Until a broken bone occurs there are typically no symptoms. Bones may weaken to such a degree that a break may occur with minor stress or spontaneously. After the broken bone heals, the person may have chronic pain and a decreased ability to carry out normal activities.

 

What Tests Can Diagnose Osteoporosis?

Absolute fracture risk in individual subjects is calculated by the use of algorithms which include bone mineral density (BMD), age, gender, history of prior fracture and other risk factors. This review describes the laboratory investigations into osteoporosis which include serum calcium, phosphate, creatinine, alkaline phosphatase and 25-hydroxyvitamin D and estradiol. Parathyroid hormone (PTH) is measured in patients with abnormal serum calcium to determine its cause. Other laboratory investigations such as thyroid function testing, screening for multiple myeloma, and screening for Cushing's syndrome, are performed if indicated. Measurement of bone turnover markers (BTMs) is currently not included in algorithms for fracture risk calculations due to the lack of data.

 

What Can Cause Osteoporosis?

Osteoporosis may be due to lower-than-normal maximum bone mass and greater-than-normal bone loss. Bone loss increases after menopause due to lower levels of estrogen. Osteoporosis may also occur due to a number of diseases or treatments, including alcoholism, anorexia, hyperthyroidism, kidney disease, and surgical removal of the ovaries. Certain medications increase the rate of bone loss, including some antiseizure medications, chemotherapy, proton pump inhibitors, selective serotonin reuptake inhibitors, and glucocorticosteroids. Smoking, and too little exercise are also risk factors. Osteoporosis is defined as a bone density of 2.5 standard deviations below that of a young adult. This is typically measured by dual-energy X-ray absorptiometry (DEXA).

Hypogonadal (low testosterone) states can cause secondary osteoporosis. These include Turner syndrome, Klinefelter syndrome, Kallmann syndrome, anorexia nervosa, andropause, hypothalamic amenorrhea or hyperprolactinemia. In females, the effect of hypogonadism is mediated by estrogen deficiency. It can appear as early menopause (<45 years) or from prolonged premenopausal amenorrhea (>1 year). Bilateral oophorectomy (surgical removal of the ovaries) and premature ovarian failure cause deficient estrogen production. In males, testosterone deficiency is the cause (for example, andropause or after surgical removal of the testes).

Endocrine disorders that can induce bone loss include Cushing's syndrome, hyperparathyroidism, hyperthyroidism, hypothyroidism, diabetes mellitus type 1 and acromegaly, and adrenal insufficiency.

Malnutrition, parenteral nutrition, and malabsorption can lead to osteoporosis. Nutritional and gastrointestinal disorders that can predispose to osteoporosis include undiagnosed and untreated coeliac disease (both symptomatic and asymptomatic people), Crohn's disease, ulcerative colitis, cystic fibrosis, surgery (after gastrectomy, intestinal bypass surgery or bowel resection) and severe liver disease (especially primary biliary cirrhosis).  People with lactose intolerance or milk allergy may develop osteoporosis due to restrictions of calcium-containing foods. Individuals with bulimia can also develop osteoporosis. Those with an otherwise adequate calcium intake can develop osteoporosis due to the inability to absorb calcium and/or vitamin D. Other micronutrients such as vitamin K or vitamin B12 deficiency may also contribute.

 

What Lab Tests Help to Diagnose Causes of Osteoporosis?

Laboratory investigations in patients with osteoporosis are undertaken to rule out or to detect common causes of osteoporosis in order to treat them. Further targeted investigations may be performed if indicated by clinical presentation, or if the first line investigations are normal but the severity of osteoporosis is unusual for the age and gender. The following first-line measurements may be routinely indicated in the investigation of patients with osteoporosis:

• 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; although albumin adjustment for serum calcium is not universally performed, this practice may be useful to correct total calcium measurements skewed by abnormal albumin levels. Alternatively, ionized calcium measurement gives a more accurate measure of calcium homeostasis.
• 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. Total ALP is adequate for demonstrating gross increases in bone formation such as those found in most patients with active Paget's disease, osteomalacia, fracture healing or metastatic bone disease, but is not sensitive enough to detect changes in bone remodeling seen in most cases of uncomplicated osteoporosis. Although gamma-glutamyl transpeptidase (GGT) is suggested by some to distinguish an increase in liver ALP from bone ALP, this is neither sensitive nor specific for this purpose. If changes in bone formation need to be determined with sensitivity or distinguished from an increase in total ALP due to liver disease, a specific bone formation marker such as PINP could be measured.
• 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, others have suggested 75 nmol/L as desirable for optimum bone health [27, 28]. If the higher cut-off is used, then the vast majority of menopausal women (76.8%) would be considered to have sub-optimal vitamin D nutrition.
• 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.

 

Other More Detailed Tests Depending on Specific Conditions (Not included):

 A full examination of blood and erythrocyte sedimentation rate (ESR) would be useful for general health and for inflammatory diseases which often increase bone loss. Serum protein electrophoresis and free light chains in older patients would be useful to exclude multiple myeloma which causes major bone loss. Other secondary causes such as thyrotoxicosis can be excluded with thyroid function tests, and in men hypogonadism is screened with a serum testosterone. In women, the diagnosis of menopause is made clinically and does not warrant estradiol measurement. If Cushing's syndrome is suggested clinically, then screening tests could be performed: 24 hr urine cortisol, midnight salivary cortisol or overnight dexamethasone suppression test. Rarer conditions, if suspected, could be specifically tested; e.g. celiac disease (which is commonly seen in people of European ancestry, but also in parts of Africa, the Middle East and South Asia) with tissue transglutaminase antibody (together with IgA) or systemic mastocytosis with serum tryptase and/or urine methyl histamine. BTMs are not routinely recommended for the assessment of osteoporosis for the reasons stated above. However, if treatment for osteoporosis is to be initiated and monitoring with BTMs is intended, baseline measurement of fasting morning s-CTX and/or s-PINP may be undertaken.

 

 

Reference:

Current Recommendations for Laboratory Testing and Use of Bone Turnover Markers in Management of Osteoporosis. Ann Lab Med. 2012 Mar; 32(2): 105–112.

 

 

$185.40

This panel is popular among men who are on testosterone therapy since it offers substantial savings over ordering each of these tests separately :

Complete Blood Count (CBC) w/ Differential: Hematocrit; hemoglobin; mean corpuscular volume (MCV); mean corpuscular hemoglobin (MCH); mean corpuscular hemoglobin concentration (MCHC); red cell distribution width (RDW); percentage and absolute differential counts; platelet count; red cell count; white blood cell count; immature granulocytes

Comprehensive Metabolic Profile ( includes eGFR ): A:G ratio; albumin, serum; alkaline phosphatase, serum; ALT (SGPT); AST (SGOT); bilirubin, total; BUN; BUN:creatinine ratio; calcium, serum; carbon dioxide, total; chloride, serum; creatinine, serum; globulin, total; glucose, serum; potassium, serum; protein, total, serum; sodium, serum; eGFR

Estradiol Ultra-Sensitive, LC/MS (most accurate estradiol test in men)

Testosterone, Free, Equilibrium Ultrafiltration With Total Testosterone, LC/MS

Prolactin

Lipids (Triglycerides, LDL and HDL)

Sex Hormone Binding Globulin (SHBG)

 

 

IMPORTANT: Discounted Labs only serves these states: Find a Location 

 

DiscountedLabs.com offers affordable blood tests you can order online in the United Sates without the need of a doctor's order. We have no hidden fees and have an easy ordering process.

HOW DOES DISCOUNTEDLABS.COM WORK?

1. Go to the "Find a Location" page to find the closest lab location. No need to make an appointment since walk-ins are welcomed. Once you have identified your closest location, go to step 2.

2. Go to "Choose a Test" and add your selection (s) in the shopping cart. If you prefer to save money on bundled tests, we have created "Lab Test Panels" that can help you decide what to order.

3. If you have a discount coupon code, add it to your cart.

4. A $8 lab processing fee will be added to your total.

5. Pay using a credit card.

6. You will receive an order confirmation and instructions email on how to download your lab request.

7. Print lab request form that you downloaded.

8. Take that form to the closest Quest Diagnostics location with a picture ID. Get your blood drawn.

9. You will receive an email when the results are ready for you to download.

   Note: You cannot place an order under someone else's profile. The profile person's name will appear on the lab order form.

   If you have questions, please review our FAQ Page.

   If you have further questions, please email [email protected].

$262.17

This post PCT panel ( Post Cycle Therapy) 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) (with the use of clomiphene, hCG, and other treatments)

Testosterone replacement therapy ( TRT ) and anabolic androgenic steroids (AAS) can lead to HPTA (Hypothalamic-Pituitary-Testicular Axis) dysfunction. Supplemental testosterone can inhibit the release of the body’s own testosterone production through negative feedback inhibition on LH levels. This feedback inhibition also results in suppression of FSH levels, leading to suppression of sperm production (spermatogenesis).

It is suggested that this panel be done no sooner than 4 weeks after PCT cessation and in a fasting state (morning time)

Tests included:

- Ultra Sensitive Estradiol (E2) by Liquid Chromatography/Mass Spectrometry  (LC/MS assay used to more accurately measure estradiol in men)

- Total and Free Testosterone LC/MS- No upper limit

- Luteinizing Hormone (LH) (Responsible for activating Leydig testicular cells to produce your own testosterone).  This hormone is shut down by testosterone replacement or AAS.

- Follicle Stimulating Hormone (FSH) (Responsible for activating Sertoli testicular cells to produce sperm). This hormone is shut down by testosterone replacement or  AAS.

- CBC - Complete Blood Count (Includes hematocrit)

- CMP - Comprehensive Metabolic Panel (Includes liver and kidney function, glucose and electrolytes)

 

NOTE: If you are taking biotin, please stop it 72 hours before the blood draw since it may interfere with hormone blood tests.

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IMPORTANT: Discounted Labs only serves these states: Find a Location 

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FREE BONUS: EBook: Beyond Testosterone

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$138.28

This hormone panel can be used to diagnose primary or secondary hypogonadism (testosterone deficiency), prostate health prior to initiating testosterone replacement therapy. It also includes information about hematocrit (red blood cell volume), and liver and kidney function.

 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)

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

 - TSH. 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.

You can add DHT, DHEA, Free T3, free T4  and Prolactin for a more comprehensive picture of your hormonal health.

 If you have any questions, please visit our FAQ page.

 

FREE BONUS: Download a Free 400-page EBook: Beyond Testosterone

Suggested Reading: Testosterone Replacement Blood Test Targets

 

 

HOW DOES DISCOUNTEDLABS.COM WORK?

1-     Go to the "Find a Location" page to find the closest lab location. 

2-     Go to "Choose a Test" and add your selection (s) in the shopping cart.

3-     If you have a discount coupon code, add it to your cart.

4-     Pay using a credit card.

5-     You will receive a lab requisition by email during business hours.

6-     Print lab request form attached to the lab request form email (PDF file).

7-     Take that form to the closest lab with a picture ID. Get your blood drawn.  

8-     Your results will be ready within 5-7 business days (depending on the test). 

If you have any questions, please visit our FAQ page.

 

$267.05

Testosterone, Free, Equilibrium Ultrafiltration With Total Testosterone, LC/MS. No Upper Limit

Hematocrit is the portion of total blood volume made up of red blood cells. Testosterone replacement therapy can increase hematocrit. Hematocrit over 52 may increase blood thickness and cardiovascular risks.

 

Estradiol (ULtra Sensitive LC/MS) is produced by the body via the aromatization of testosterone in fat tissue, liver, and testicles. Estradiol is involved in bone health, cognitive function, sex drive, and body composition in both men and women. Depending on lifestyle factors, liver issues, medications, body fat mass, and genetics, some people may have higher estradiol conversions from testosterone. The use of a ultra sensitive, LC/MS assay for serum E2 measurement in males is preferred over direct immunoassays because of its greater sensitivity and lesser interference by other steroids. In males, estradiol is present at low concentrations in blood, but it is extraordinarily high in semen.  Estradiol plays an important function in sperm maturation and is essential for normal spermatogenesis and sperm motility. It is also essential for healthy bone density, body composition, lipids, and brain function. However, E2 excess in the presence of low testosterone and genetic factors can cause gynecomastia in some men.

Prolactin is secreted by the pituitary gland. There are two major functions of prolactin: to induce milk production and to develop nerve cells. Higher levels of prolactin have been associated with tumors involving the lungs, the pituitary gland, and the kidneys. A prolactin test is sometimes used by doctors to evaluate sexual dysfunction of unknown cause in both men and women. Drugs, supplements and certain diseases like pituitary adenomas may disrupt normal prolactin blood levels. These include hypothyroidism, antiepileptics, antidepressants, estrogen, opiates, diuretics, certain growth hormone-releasing peptides and arginine.

 

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FREE BONUS: EBook: Beyond Testosterone

Suggested Reading: Testosterone Replacement Blood Test Targets

If you have any questions, please visit our FAQ page

$172.85

Good for men and women.

This panel includes:

• Testosterone, Total, MS and Testosterone, Free (Dialysis)
• Luteinizing Hormone (LH)
• Follicle Stimulating Hormone (FSH)

This panel is useful in determining the health of the hypothalamic-pituitary-testicular axis (HPTA) and whether a man has primary or secondary hypogonadism.

 

IMPORTANT: Discounted Labs only serves these states: Find a Location 

 Please read the following frequently asked questions before placing an order: FAQs

 

Click for more information about how to choose the best testosterone panel for you.

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$107.31

This panel contains testosterone and its downstream metabolites: Estradiol and DHT. All three hormones are measured using Liquid Chromatography/Mass Spectrometry (LC/MS), the most accurate assay for hormones. No interactions with supplements like biotin are present.

Around 0.4% of testosterone aromatizes to estradiol in fat mass, testicles, and liver. Around 10% of testosterone converts to DHT via the alpha reductase enzyme. This enzyme is produced in many tissues in both males and females, in the reproductive tract, testes and ovaries, skin, seminal vesicles, prostate, epididymis and many organs, including the nervous system.

Testosterone, Total, LC/MS and Free (Equilibrium Ultrafiltration)

This panel includes total testosterone measured by the most accurate method (liquid chromatography/mass spectrometry LC/MS), free testosterone percent by equilibrium dialysis/ultrafiltration, and free testosterone calculated from percent free T. It is adequate for men who expect high T levels and women (LC/MS is accurate for high and low T levels also).

Total Testosterone:

–   Liquid chromatography tandem mass spectrometry (LC/MS/MS)- No upper limit

–   Analytical sensitivity: 1.0 ng/dL

–   Analytical specificity: no cross-reactivity with other steroid compounds

–   Analytical Measurement Range: 1.0 ng/dL to 2,000 ng/dL

 

Free and Total Testosterone:

–   Percent free: equilibrium dialysis/ultrafiltration

–   Free: calculated based on total and percent free testosterone

 

Ultrasensitive Estradiol Test

This test may take up to 7 business days to obtain results. Estradiol is produced by the body via the aromatization of testosterone in fat tissue, liver, and testicles. Estradiol is involved in bone health, cognitive function, sex drive, and body composition in both men and women. Depending on lifestyle factors, liver Issues, medications, body fat mass, and genetics, some people may have higher estradiol conversions from testosterone.

The commonly used estradiol test may overestimate estradiol. 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 overestimation can lead to excessive use of anastrozole that can result in low estradiol which can cause several health issues. This ultrasensitive estradiol test is based on liquid chromatography/mass spectrometry (LC/MS), an assay technology that does not have that limitation.

 

DHT Test

Dihydrotestosterone (DHT) is synthesized from testosterone in the prostate gland, testes, hair follicles, and adrenal glands by 5-alpha reductase. Dihydrotestosterone exerts its action similar to testosterone, which binds to and activates androgen receptors. Dihydrotestosterone is responsible for the formation of male primary sex characteristics and most male secondary sex characteristics during puberty, such as muscular growth, facial and body hair growth, and deepening of the voice.

Excess DHT has been associated with hair loss, prostate volume increase, and acne in men with a genetic predisposition to those issues. Blocking or decreasing DHT to low levels may cause sexual dysfunction. More information on DHT in men.

$169.95

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 testosterone levels under 250 ng/dL, the testosterone LC/MS panel is more appropiate but takes a few more days to perform.

Women can order this testosterone panel since their T levels may be lower, which requires liquid chromatography/mass spectrometry for accuracy.

Important Note on Test Accuracy for Low Testosterone Levels:

Due to the diminished accuracy of immunoassay at total testosterone levels below 250 ng/dL, calculations of the Free and Bioavailable Testosterone are not accurate. If needed, Testosterone, Free, Bio and Total, LC/MS/MS is the recommended assay.

 

IMPORTANT: Discounted Labs only serves these states: Find a Location 

FREE BONUS: EBook: Beyond Testosterone

Suggested Reading: Testosterone Replacement Blood Test Targets

 

$68.52

Good for men and women.

This testosterone test panel includes 5 tests:

• Testosterone, Total, LC/MS (most accurate testosterone test for men with high testosterone and women, no upper limit)
• Testosterone, Free
• Testosterone, Bioavailable
• Sex Hormone Binding Globulin (SHBG)
• Albumin

 

 

 

 

 

 

 

 

 

 

 

 

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FREE BONUS: EBook: Beyond Testosterone

Suggested Reading: Testosterone Replacement Blood Test Targets

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$127.75

This economical lab test panel includes:

• Testosterone, Total (Immunoassay- Upper Limit 1,500 ng/dL)

• Testosterone, Free (Calculated)

• Testosterone, Bioavailable (Calcuated)

• Sex Hormone Binding Globulin -SHBG

• Complete Blood Count CBC panel- Includes Hematocrit

• Albumin

• PSA

• Ultrasensitive Estradiol (LC/MS)

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.

 

IMPORTANT: Discounted Labs only serves these states: Find a Location 

 

HOW DOES DISCOUNTEDLABS.COM WORK?

1. Go to the "Find a Location" page to find the closest lab location. No need to make an appointment since walk-ins are welcomed. Once you have identified your closest location, go to step 2.

2. Go to "Choose a Test" and add your selection (s) in the shopping cart. If you prefer to save money on bundled tests, we have created "Lab Test Panels" that can help you decide what to order.

3. If you have a discount coupon code, add it to your cart.

4. A $8 lab processing fee will be added to your total.

5. Pay using a credit card.

6. You will receive an order confirmation and instructions email on how to download your lab request.

7. Print lab request form that you downloaded.

8. Take that form to the closest Quest Diagnostics location with a picture ID. Get your blood drawn.

9. You will receive an email when the results are ready for you to download.

   Note: You cannot place an order under someone else's profile. The profile person's name will appear on the lab order form.

   If you have questions, please review our FAQ Page.

   If you have further questions, please email [email protected].

$142.14

Ordering these 5 hormone tests as a panel saves you $10 when comparing it to buying tests separately.

- Total and Free Testosterone ( LC/MS assay that can measure with no upper limit)

This test measures both total testosterone by the most liquid chromatography/ mass spectrometry with no upper limit (suitable even for TT levels above 1500 nd/dL). Free testosterone by Equilibrium Dialysis.

- TSH, free T4 and free T3

This panel includes comprehensive testing of the thyroid stimulating hormone (TSH) in addition to free thyroxine (T4) and free triiodothyronine (T3). When the thyroid gland does not produce enough hormone, the body uses energy at a slower pace than it should. This condition, underactive thyroid, is called hypothyroidism.  

- Ultra-Sensitive Estradiol (LC/MS)

Estradiol is produced by the body via the aromatization of testosterone in fat tissue, liver, and testicles. Estradiol is involved in bone health, cognitive function, sex drive, and body composition in both men and women. Depending on lifestyle factors, liver Issues, medications, body fat mass, and genetics, some people may have higher estradiol conversions from testosterone.

The commonly used estradiol test may overestimate estradiol. 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 ultra-sensitive estradiol test is based on liquid chromatography/mass spectrometry (LC/MS), an assay technology that does not have that limitation.

NOTE: If you are taking biotin, please stop it 72 hours before the blood draw since it may interfere with hormone blood tests.

 

IMPORTANT: Discounted Labs only serves these states: Find a Location 

 

FREE BONUS: EBook: Beyond Testosterone

Suggested Reading: Testosterone Replacement Blood Test Targets

How does DiscountedLabs.com work: Click here

First time customer? Please read this before ordering: How Does Discounted Labs Work?

 

 

 

$254.80

This is a very economical panel that includes:

1- Hematocrit: Portion of total blood volume made up of red blood cells. Testosterone replacement therapy can increase hematocrit. Hematocrit  over 52 may increase blood thickness and cardiovascular risks. 

2- Total Testosterone (LC/MS- No Upper Limit) and  Free Testosterone (Equilibrium Dialysis) 

 

 If you have any questions, please visit our FAQ page.

 

IMPORTANT: Discounted Labs only serves these states: Find a Location 

 

FREE BONUS: EBook: Beyond Testosterone

Suggested Reading: Testosterone Replacement Blood Test Targets

How does DiscountedLabs.com work: Click here

$64.83

This panel includes total testosterone measured by the most accurate method (liquid chromatography/mass spectrometry LC/MS), free testosterone percent by equilibrium dialysis/ultrafiltration, and free testosterone calculated from percent free T. It is adequate for men who expect high T levels and women (LC/MS is accurate for high and low T levels also).

Total Testosterone:

–   Liquid chromatography tandem mass spectrometry (LC/MS/MS)- No upper limit

–   Analytical sensitivity: 1.0 ng/dL

–   Analytical specificity: no cross-reactivity with other steroid compounds

–   Analytical Measurement Range: 1.0 ng/dL to 2,000 ng/dL

 

Free and Total Testosterone:

–   Percent free: equilibrium dialysis/ultrafiltration

–   Free: calculated based on total and percent free testosterone

 

Click for more information about how to choose the best affordable testosterone test for you.

 

IMPORTANT: Discounted Labs only serves these states: Find a Location 

 

FREE BONUS: EBook: Beyond Testosterone

Suggested Reading: Testosterone Replacement Blood Test Targets

How does DiscountedLabs.com work: Click here

$56.91

Thyroid hormones regulate our body's metabolism and influence virtually every organ system in the body. They tell organs how fast or slow they should work. Thyroid hormones also regulate the body's consumption of oxygen and production of heat. Thyroid problems, such as an overactive or underactive thyroid, can severely affect metabolism. This panel includes comprehensive testing of the thyroid-stimulating hormone (TSH) in addition to free thyroxine (T4) and free triiodothyronine (T3). When the thyroid gland does not produce enough hormone, the body uses energy at a slower pace than it should. This condition, underactive thyroid, is called hypothyroidism.  Panel includes:

• TSH
• Free T3
• Free T4

 You can add reverse T3 and thyroid AB and anti-TPO antibodies by adding those tests to your cart.

 

IMPORTANT: Discounted Labs only serves these states: Find a Location 

 

HOW DOES DISCOUNTEDLABS.COM WORK?

1- Go to the "Find a Location" page to find the closest Quest lab location. 

2- Go to "Choose a Test" and add your selection (s) in the shopping cart.

3- If you have a discount coupon code, add it to your cart.

4- Pay using a credit card.

5- You will receive an order confirmation and a lab request emails 9-5 pm Central Mon-Fri.

6- Print lab request form attached to the lab request form email (PDF file).

7- Take that form to the closest lab with a picture ID. Get your blood drawn. No lab fee is required.

8- Your results will be emailed to you within 5-7 business days (depending on the test). 

$84.14

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

- Thyroid Peroxidase Antibody (Anti-TPO)

More information about thyroid tests: Thyroid Lab Tests Types and Controversies

 

NOTE: If you are taking biotin, please stop it 72 hours before the blood draw since it may interfere with hormone blood tests.

IMPORTANT: Discounted Labs only serves these states: Find a Location 

 

HOW DOES DISCOUNTEDLABS.COM WORK?

1- Go to the "Find a Location" page to find the closest Labcorp location. N

2- Go to "Choose a Test" and add your selection (s) in the shopping cart.

3- If you have a discount coupon code, add it to your cart.

4- Pay using a credit card.

5- You will receive order confirmation and a lab request emails within business hours.

6- Print lab request form attached to the lab request form email (PDF file). 

7- Take that form to the closest lab with a picture ID. Get your blood drawn. No lab fee is required.

8- Your results will be emailed to you within 5-7 business days (depending on the test).

 If you have any more questions, please visit our FAQ page.

$240.53

This TRT basic panel includes essential tests to monitor treatment in men on that have been testosterone replacement therapy for a few months. You can add PSA, DHT, Lipids and other tests to the cart as needed.

Tests included:

$109.63

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. You save substantial amounts of money by ordering these tests together rather than one at a time.

 The panel includes:

 - Testosterone, Free, Equilibrium Ultrafiltration With Total Testosterone, LC/MS

- Sex hormone binding globulin

- Estradiol (Ultra 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) FASTING REQUIRED

You can add DHT, DHEA, TSH, Free T3, free T4  and Prolactin for a more comprehensive picture of your hormonal health.

 

Here are two other panels that include additional tests:

Elite Male Blood Test Panel

Comprehensive Male Hormone Panel II

 

Recommended reading: TRT Blood Test Targets

 

IMPORTANT: Discounted Labs only serves these states: Find a Location 

 

 

HOW DOES DISCOUNTEDLABS.COM WORK?

1- Go to the "Find a Location" page to find the closest lab location.

2- Go to "Choose a Test" and add your selection (s) in the shopping cart.

3- If you have a discount coupon code, add it to your cart.

4- Pay using a credit card.

5- You will receive an order confirmation and a lab request emails within business hours. 

6- Print lab request form attached to the lab request form email (PDF file). 

7- Take that form to the closest lab with a picture ID. Get your blood drawn. No lab fee is required.

9- You will receive an email when the results are ready.

 

Important Note: You cannot place an order under someone else's profile. The profile person's name will appear on the lab order form. Please create your profile. You are allowed to use someone else's credit card as payment.

 

FREE BONUS: EBook: Beyond Testosterone

Suggested Reading: Testosterone Replacement Blood Test Targets

 

$230.47

$571.90

This complete lab test panel for women includes tests and panels that can show potential issues with 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.

• CBC (includes immune and red blood cells and platelets)

• CMP  (Includes kidney and liver function, glucose and electrolytes)

• Lipid Panel (LDL, HDL, and Triglycerides). FASTING REQUIRED

• Testosterone free and total (LC/MS)

• Estradiol (ECLIA)

• DHEA-sulfate

• TSH

• FREE T3

• FREE T4

• a1C

• C REACTIVE PROTEIN

• HOMOCYSTEINE

• VITAMIN D

• VITAMIN B12

• FERRITIN, iron

• Progesterone

• LH and FSH

 

DiscountedLabs.com offers affordable blood tests you can order online in the United Sates without the need of a doctor's order. We have no hidden fees and have an easy ordering process.

 

IMPORTANT: Discounted Labs only serves these states: Find a Location 

 

HOW DOES DISCOUNTEDLABS.COM WORK?

1. Go to the "Find a Location" page to find the closest lab location. No need to make an appointment since walk-ins are welcomed. Once you have identified your closest location, go to step 2.

2. Go to "Choose a Test" and add your selection (s) in the shopping cart. If you prefer to save money on bundled tests, we have created "Lab Test Panels" that can help you decide what to order.

3. If you have a discount coupon code, add it to your cart.

4. A $8 lab processing fee will be added to your total.

5. Pay using a credit card.

6. You will receive an order confirmation and email with your lab request during business hours.

7. Print lab request form that you downloaded.

8. Take that form to the closest Quest Diagnostics location with a picture ID. Get your blood drawn.

9. You will receive an email when the results are ready for you to download.

   Note: You cannot place an order under someone else's profile. The profile person's name will appear on the lab order form.

   If you have questions, please review our FAQ Page.

   If you have further questions, please email [email protected].

$460.94

 This panel will provide a baseline overview of your sex hormones, thyroid gland, adrenal function, metabolic function, and overall health. Includes:

• CBC (includes immune and red blood cells and platelets)
• CMP  (Includes kidney and liver function, glucose and electrolytes)
• Lipid Panel (LDL, HDL, and Triglycerides). FASTING REQUIRED
• Testosterone free and total LC/MS
• Estradiol (Regular, ECLIA)
• DHEA-sulfate
• TSH- Thyroid Stimulating Hormone
• Progesterone
• LH and FSH

 

NOTE: If you are taking biotin, please stop it 72 hours before the blood draw since it may interfere with hormone blood tests.

 

Join our Women's Health and HRT Facebook Group

 

IMPORTANT: Discounted Labs only serves these states: Find a Location 

 

Please read the following frequently asked questions before placing an order: FAQs

 

DiscountedLabs.com offers affordable blood tests you can order online in the United Sates without the need of a doctor's order. We have no hidden fees and have an easy ordering process.

HOW DOES DISCOUNTEDLABS.COM WORK?

1. Go to the "Find a Location" page to find the closest lab location. No need to make an appointment since walk-ins are welcomed. Once you have identified your closest location, go to step 2.

2. Go to "Choose a Test" and add your selection (s) in the shopping cart. If you prefer to save money on bundled tests, we have created "Lab Test Panels" that can help you decide what to order.

3. If you have a discount coupon code, add it to your cart.

4. A $8 lab processing fee will be added to your total.

5. Pay using a credit card.

6. You will receive an order confirmation and instructions email with your lab request.

7. Print lab request form that you downloaded.

8. Take that form to the closest Quest Diagnostics location with a picture ID. Get your blood drawn.

9. You will receive an email when the results are ready for you to download.

   Note: You cannot place an order under someone else's profile. The profile person's name will appear on the lab order form.

   If you have questions, please review our FAQ Page.

   If you have further questions, please email [email protected].

 

 

$243.28

This hormone panel for women contains all basic hormones (except for LH and FSH, which you can add to your cart separately):

• DHEA-S Test

Dehydroepiandrosterone (DHEA) is a hormone produced by the adrenal gland. 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.

• Estradiol Test (CLIA assay)

Estradiol is the predominant sex hormone present in females and is also found at lower levels in men. It represents the major estrogen in humans. Estradiol not only impacts reproductive and sexual functioning, but also affects other systems including bone health, heart health, nerves and metabolism. Estradiol, also known as E2, is the most active of all three estrogens commonly measured in a clinical setting. For women, it is important to compare the relationship between estradiol and progesterone in evaluating menopausal symptoms such as hot flashes, mood disorders, and aging skin. In men, high levels of estradiol are associated with abdominal fat, enlargement of the prostate and cardiovascular risk. In both men and women, low levels of estradiol are associated with osteoporosis.

• Progesterone Test

Progesterone is a female hormone important for the regulation of ovulation and menstruation. It is also present in men in smaller concentrations. This test is performed using the immunoassay technology. Progesterone is used to cause menstrual periods in women who have not yet reached menopause but are not having periods due to a lack of progesterone in the body. This hormone is also used to prevent overgrowth in the lining of the uterus in postmenopausal women who are receiving estrogen hormone replacement therapy. Progesterone replacement may also be used for other purposes.

• Total Testosterone, LC/MS

• Free Testosterone by Equilibrium Ultrafiltration

This panel includes total testosterone measured by the most accurate method for women (liquid chromatography/mass spectrometry), free testosterone percent by equilibrium ultrafiltration, and free testosterone calculated from percent free T. 

• TSH Test

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.

• Free T3 Test

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.

• Free T4 Test

The 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.

Pre-menopausal women can add LH + FSH here

 

Note: If you are taking biotin, please stop it 72 hours before the blood draw since it may interfere with hormone blood tests.

 

Please ensure that you read the list of states that we serve

 

HOW DOES DISCOUNTEDLABS.COM WORK?

1- Go to the "Find a Location" page to find the closest Quest location. 

2- Go to "Choose a Test" and add your selection (s) in the shopping cart.

3- If you have a discount coupon code, add it to your cart.

4- Pay using a credit card.

5- You will receive an order confirmation email followed by an email containing an attached lab request form (PDF file- You need PDF Reader) 

6- Print lab request form attached to the lab request form email (PDF file).

7- Take that form to the closest lab with a picture ID. Get your blood drawn. No lab fee is required.

8- Your results will available by email within 5-7 business days (depending on the test and not including weekends or holidays).

 

 

Join our Women's Health and HRT group on Facebook.

$182.24