Weekly Promotions

Below is our current list of promotions. Click below to view the promotion details.

Save 50% off on select lab tests: 1. Iron, Total and Ferritin Panel 2. Lactate Dehydrogenase (LD), GGT and Bilirubin, Fra 3. Urinalysis, Complete and Uric Acid 4. TSH and T4, Free 5. T3, Free and T3 Total 6. Kidney, Liver & Electrolyte Panel 7. Lipid Panel and Comprehensive Metabolic Panel-CMP 8. PSA Total and Testosterone, Total, Males 9. Lipid Panel and C-Reactive Protein Cardiac (hsCRP) 10. Hemoglobin A1C, Insulin and Glucose 11. C-Reactive Protein (hs-CRP) and Homocysteine 12. General Health - Basic 13. General Health - Basic Plus 14. General Health - Advance * (Not valid with other promotions). *Apply promo code Save50%Off to your shopping cart to receive discount.

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Save 20% on Select Ulta Wellness Health Panels *Please note that this promotional code can not be combined with other promotions.

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IMPORTANT - Note the Estradiol test included in this panel is not for children that have yet to start their menstrual cycle.  If this test is ordered for a child that has yet to begin their menstrual cycle Quest Diagnostics labs will substitute Estradiol, Free, LC/MS/MS at an additional fee of $290.00



IMPORTANT - Note the Estradiol test included in this panel is not for children that have yet to start their menstrual cycle.  If this test is ordered for a child that has yet to begin their menstrual cycle Quest Diagnostics labs will substitute Estradiol, Free, LC/MS/MS at an additional fee of $290.00

 


IMPORTANT - Note the Estradiol test included in this panel is not for children that have yet to start their menstrual cycle.  If this test is ordered for a child that has yet to begin their menstrual cycle Quest Diagnostics labs will substitute Estradiol, Free, LC/MS/MS at an additional fee of $290.00


IMPORTANT - Note the Estradiol test included in this panel is not for children that have yet to start their menstrual cycle.  If this test is ordered for a child that has yet to begin their menstrual cycle Quest Diagnostics labs will substitute Estradiol, Free, LC/MS/MS at an additional fee of $290.00


IMPORTANT - Note the Estradiol test included in this panel is not for children that have yet to start their menstrual cycle.  If this test is ordered for a child that has yet to begin their menstrual cycle Quest Diagnostics labs will substitute Estradiol, Free, LC/MS/MS at an additional fee of $290.00











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30 Popular Lab Tests for Only $12.95. Tests include Basic Metabolic Panel (BMP); Bilirubin, Direct ; C-Reactive Protein (CRP) ; CBC (H/H, RBC, Indices, WBC, Plt) ; CBC (includes Differential and Platelets) ; Electrolyte Panel; Ferritin; Folate, Serum; Fructosamine; FSH (Follicle Stimulating Hormone); Gamma Glutamyl Transferase (GGT) ; Hemoglobin A1c (HgbA1C); Hemoglobin A1c with eAG; Hepatic Function Panel ; Insulin; Iron, Total; Lactate Dehydrogenase (LD) ; Lipid Panel ; Phosphate (as Phosphorus) ; Protein, Total and Albumin; PSA Total ; T3 Total ; T3 Uptake ; T4 (Thyroxine), Total; Testosterone, Total, Males (Adult) Only; TSH; Uric Acid; Urinalysis, Complete; Vitamin B12 (Cobalamin) ; Glucose ($4.95) Cannot be combined with other promotions.

If you don't add the test to your cart on this page use the promotion code above to receive the discounted price.


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Measurement of the levels of bilirubin is used in the diagnosis and treatment of liver, hemolytic, hematologic, and metabolic disorders, including hepatitis and gall bladder obstruction. The assessment of direct bilirubin is helpful in the differentiation of hepatic disorders. The increase in total bilirubin associated with obstructive jaundice is primarily due to the direct (conjugated) fraction. Both direct and indirect bilirubin are increased in the serum with hepatitis.

Increased CRP levels are found in inflammatory conditions including: bacterial infection, rheumatic fever, active arthritis, myocardial infarction, malignancies and in the post-operative state. This test cannot detect the relatively small elevations of CRP that are associated with increased cardiovascular risk.

A complete blood count is used as a screening test for various disease states including anemia, leukemia and inflammatory processes.

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Folic acid deficiency is common in pregnant women, alcoholics, in patients whose diets do not include raw fruits and vegetables, and in people with structural damage to the small intestine. The most reliable and direct method of diagnosing folate deficiency is the determination of folate levels in both erythrocytes and serum. Low folic acid levels, however, can also be the result of a primary vitamin B12 deficiency that decreases the ability of cells to take up folic acid

This test is useful in the differential diagnosis of pituitary and gonadal insufficiency and in children with precocious puberty.

Elevated GGT is found in all forms of liver disease. Measurement of GGT is used in the diagnosis and treatment of alcoholic cirrhosis, as well as primary and secondary liver tumors. It is more sensitive than alkaline phosphatase, the transaminases, and leucine aminopeptidase in detecting obstructive jaundice, cholangitis, and cholecystitis. Normal levels of GGT are seen in skeletal diseases; thus, GGT in serum can be used to ascertain whether a disease, suggested by elevated alkaline phosphatase, is skeletal or hepatobiliary.

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Serum glucose levels may be abnormally high (hyperglycemia) or abnormally low (hypoglycemia). Glucose measurements are used in the diagnosis and treatment of carbohydrate metabolic disorders including diabetes mellitus, idiopathic hypoglycemia, and pancreatic islet cell neoplasm.

Assesses long term diabetic control in diabetes mellit

Assesses long term diabetic control in diabetes mellitus.

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For diagnosis and monitoring of diabetes and insulin-secreting tumors.

Lactate Dehydrogenase (LD) (LDH)

Elevations in serum lactate dehydrogenase occur from myocardial infarction, liver disease, pernicious and megaloblastic anemia, pulmonary emboli, malignancies, and muscular dystrophy


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Lipid Panel includes: Total Cholesterol, HDL Cholesterol, Triglycerides, LDL-Cholesterol (calculated), Cholesterol/HDL Ratio (calculated), Non-HDL Cholesterol (calculated)Total cholesterol —this test measures all of the cholesterol in all the lipoprotein particles.High-density lipoprotein cholesterol (HDL-C) — measures the cholesterol in HDL particles; often called "good cholesterol" because it removes excess cholesterol and carries it to the liver for removal.Direct LDL - Low-density lipoprotein cholesterol (LDL-C) — calculates the cholesterol in LDL particles; often called "bad cholesterol" because it deposits excess cholesterol in walls of blood vessels, which can contribute to atherosclerosis. Usually, the amount of LDL cholesterol (LDL-C) is calculated using the results of total cholesterol, HDL-C, and triglycerides.Triglycerides — measures all the triglycerides in all the lipoprotein particles; most is in the very low-density lipoproteins (VLDL).

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

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Elevated serum PSA concentrations have been reported in men with prostate cancer, benign prostatic hypertrophy, and inflammatory conditions of the prostate.

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Total T3 measurements are used to diagnose and monitor treatment of hyperthyroidism and are essential for recognizing T3 toxicosis

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Decreased: Pregnancy, estrogens, hyperproteinemia, acute intermittent porphyria.Increased: Androgens, hyperproteinemia, stress, acute liver disease.

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For diagnosis of hypothyroidism and hyperthyroidism.

This test is useful in the differential diagnosis of male hypogonadism. For males 18 years of age and older only.


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For differential diagnosis of primary, secondary, and tertiary hypothyroidism. Also useful in screening for hyperthyroidism. This assay allows adjustment of exogenous thyroxine dosage in hypothyroid patients and in patients on suppressive thyroxine therapy for thyroid neoplasia.

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Serum uric acid measurements are useful in the diagnosis and treatment of numerous renal and metabolic disorders, including renal failure, gout, leukemia, psoriasis, starvation or other wasting conditions, and in patients receiving cytotoxic drugs.

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Dipstick urinalysis is important in accessing the chemical constituents in the urine and the relationship to various disease states. Microscopic examination helps to detect the presence of cells and other formed elements.

Vitamin B12 is decreased in pernicious anemia, total or partial gastrectomy, malabsorption and certain congenital and biochemical disorders


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Useful in the diagnosis of hypochromic, microcytic anemias. Decreased in iron deficiency anemia and increased in iron overload.


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Save $50 on our most popular test. The General Health - Basic Panel is now available for only $49 and contains 5 tests with 39 biomarkers. It includes the Basic Metabolic Panel (BMP), Complete Blood Count (CBC), Lipid Panel, Iron and the Thyroid Stimulating Hormone (TSH) tests. This promo code ULTAGHB49 entitles you to 50% off on the General Health - Basic Panel (Only $49 - Save $50) purchases made on Ultawellness.com.

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Baseline Biomarkers - SAVE 20%

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Employee Wellness Screenings - SAVE 20% Today......... EMPLOYERS learn how you can save on health screenings for your associates. Visit www.ultalabtests.com/Employer

If you don't add the test to your cart on this page use the promotion code above to receive the discounted price.


Employer Wellness Screening Panel 1 contains the following tests:

  • CBC (includes Differential and Platelets)
  • Comprehensive Metabolic Panel (CMP)

Employer Wellness Screening Panel 2 contains the following tests:

  • Comprehensive Metabolic Panel (CMP)
  • Lipid Panel with Ratios

Employer Wellness Screening Panel  3 contains the following tests:

  • CBC (includes Differential and Platelets)
  • Comprehensive Metabolic Panel (CMP)
  • TSH

Employer Wellness Screening Panel 4 contains the following tests:

  • CBC (includes Differential and Platelets)
  • Comprehensive Metabolic Panel (CMP)
  • Lipid Panel with Ratios

Employer Wellness Screening Panel 5 contains the following tests:

  • Comprehensive Metabolic Panel (CMP)
  • Hemoglobin A1c (HgbA1C)
  • Lipid Panel with Ratios

Employer Wellness Screening Panel 6 contains the following tests:

  • T3, Free
  • T4, Free
  • TSH

Employer Wellness Screening Panel 7 contains the following tests:

  • Homocysteine
  • hs-CRP
  • Lipid Panel with Ratios

Employer Wellness Screening Panel 8 contains the following tests:

  • CBC (includes Differential and Platelets)
  • Comprehensive Metabolic Panel (CMP)
  • Hemoglobin A1c (HgbA1C)
  • Lipid Panel with Ratios

Employer Wellness Screening Panel 9 (Women) contains the following tests:

  • CBC (includes Differential and Platelets)
  • Comprehensive Metabolic Panel (CMP)
  • Estradiol
  • TSH

Employer Wellness Screening Panel 10 (Male) contains the following tests:

  • CBC (includes Differential and Platelets)
  • Comprehensive Metabolic Panel (CMP)
  • PSA Total
  • TSH

Employer Wellness Screening Panel 11 contains the following tests:

  • Comprehensive Metabolic Panel (CMP)
  • Hemoglobin A1c (HgbA1C)
  • hs-CRP
  • Lipid Panel with Ratios

Employer Wellness Screening Panel 12 contains the following tests:

  • CBC (includes Differential and Platelets)
  • Comprehensive Metabolic Panel (CMP)
  • Hemoglobin A1c (HgbA1C)
  • Lipid Panel with Ratios
  • TSH

Employer Wellness Screening Panel 13 (Male) contains the following tests:

  • CBC (includes Differential and Platelets)
  • Comprehensive Metabolic Panel (CMP)
  • PSA Total
  • Testosterone, Total, Males
  • TSH

Employer Wellness Screening Panel 14 contains the following tests:

  • CBC (includes Differential and Platelets)
  • Comprehensive Metabolic Panel (CMP)
  • Hemoglobin A1c (HgbA1C)
  • hs-CRP
  • Lipid Panel with Ratios
  • TSH

Employer Wellness Screening Panel 15 (Female) contains the following tests:

  • CBC (includes Differential and Platelets)
  • Comprehensive Metabolic Panel (CMP)
  • Estradiol
  • FSH (Follicle Stimulating Hormone)
  • LH
  • TSH

Employer Wellness Screening Panel 16 contains the following tests:

  • CBC (includes Differential and Platelets)
  • Comprehensive Metabolic Panel (CMP)
  • Hemoglobin A1c (HgbA1C)
  • hs-CRP
  • Iron and Total Iron Binding Capacity (TIBC)
  • Lipid Panel with Ratios
  • TSH

Employer Wellness Screening Panel 17 contains the following tests:

  • CBC (includes Differential and Platelets)
  • Comprehensive Metabolic Panel (CMP)
  • Hemoglobin A1c (HgbA1C)
  • hs-CRP
  • Iron and Total Iron Binding Capacity (TIBC)
  • Lipid Panel with Ratios
  • TSH
  • Vitamin D, 25-Hydroxy, Total, Immunoassay

Health Check-up - SAVE 20%

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Health Profile for Men - SAVE 20%

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Health Profile for Women - SAVE 20%

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Know Your Allergies

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All Tests
  • 15%

Allergy

Tests for Allergens IgE allergy testing for:
Alternaria alternata (m6)
Cat Dander (e1) Cladosporium herbarum (m2) Cockroach (i6) Codfish (f3) Cow's Milk (f2) Dermatophagoides farinae (d2) Dermatophagoides pteronyssinus (d1) Dog Dander (e5) Egg White (f1) Mouse Urine Proteins (e72) Peanut (f13) Shrimp (f24) Soybean (f14) Walnut (f256) Wheat (f4)


Allergy

Tests for Allergens 

Includes IgE allergy testing for:
Almond (f20) Cashew Nut (f207) Codfish (f3) Cow's Milk (f2) Egg White (f1) Hazelnut (f17) Peanut (f13) Salmon (f41) Scallop (f338)* Sesame Seed (f10) Shrimp (f24) Soybean (f14) Tuna (f40) Walnut (f256)


The ImmunoCAP® Peanut Component Allergen Test helps to assess a patient's level of risk of a life-threatening reaction, and may reassure patients when the risk for allergic symptoms is low or when they will most likely experience mild or localized reactions upon exposure to peanut. The test helps the health care provider identify primary, species-specific allergic sensitization, differentiate between symptoms caused by a primary allergen source and those caused by cross-reactivity, assess the level of risk for life-threatening allergic reactions, and provide clarity regarding the patient's risk of an allergic reaction to ease fears and help target effective management.

Morley Robbins - Magnesium Advocacy Group's recommended lab tests and panels. Save 10% with Promo code: MAG10%

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The ionized calcium is determined by an ion selective electrode methodology. The result that is generated is pH adjusted. The result is empirically based on a measured pH and ionized calcium concentration normalized to a pH of 7.40. This calculation compensates for in vitro changes in pH due to loss of CO2 through specimen handling. Ionized calcium represents the true "bioavailable" calcium in the circulation. In situations where the total calcium is normal but does not fit the clinical picture, e.g., hyperparathyroidism, a determination of the ionized calcium will, many times, show an elevation in the "bioavailable" calcium component. This may be due to alterations in protein concentrations, especially albumin, that binds most of the calcium in the circulation.


A complete blood count is used as a screening test for various disease states including anemia, leukemia and inflammatory processes.

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Decreased levels of ceruloplasmin are found in Wilson''s Disease, fulminant liver failure, intestinal malabsorption, renal failure resulting in proteinuria, chronic active hepatitis and malnutrition. Elevated levels are found in primary biliary cirrhosis, pregnancy (first trimester), oral contraceptive use and in acute inflammatory conditions since ceruloplasmin is an acute phase reactant

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Copper is an essential element that is a cofactor of many enzymes. Copper metabolism is disturbed in Wilson's disease, Menkes disease, primary biliary cirrhosis, and Indian childhood cirrhosis. Copper concentrations increase in acute phase reactions and during the third trimester of pregnancy. Copper concentrations are decreased with nephrosis, malabsorption, and malnutrition. Copper concentrations are also useful to monitor patients, especially preterm newborns, on nutritional supplementation. Results of copper are often interpreted together with ceruloplasmin.

Elevated levels of serum erythropoietin (EPO) occur in patients with anemias due to increased red cell destruction in hemolytic anemia and also in secondary polycythemias associated with impaired oxygen delivery to the tissues, impaired pulmonary oxygen exchange, abnormal hemoglobins with increased oxygen affinity, constriction of the renal vasculature, and inappropriate EPO secretion caused by certain renal and extrarenal tumors. Normal or depressed levels may occur in anemias due to increased oxygen delivery to tissues, in hypophosphatemia, and in polycythemia vera.

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Usual method for determining anemia. Used to calculate indices.

Serum iron quantification is useful in confirming the diagnosis of iron-deficiency anemia or hemochromatosis. The measurement of total iron binding in the same specimen may facilitate the clinician''s ability to distinguish between low serum iron levels caused by iron deficiency from those related to inflammatory neoplastic disorders. The assay for iron measures the amount of iron which is bound to transferrin. The total iron binding capacity (TIBC) measures the amount of iron that would appear in blood if all the transferrin were saturated with iron. It is an indirect measurement of transferri

Measurement of serum 25-OH vitamin D concentrations provide a good index of circulating vitamin D activity in patients not suffering from renal disease. Lower than normal 25-OH vitamin D levels can result from a dietary deficiency, poor absorption of the vitamin or impaired metabolism of the sterol in the liver. A 25-OH vitamin D deficiency can lead to bone diseases such as rickets and osteomalacia. Above normal levels can lead hypercalcemia. This assay employs liquid chromatography tandem mass spectrometry to independently measure and report the two common forms of 25-hydroxy vitamin D: 25OH D3 - the endogenous form of the vitamin and 25OH D2 - the analog form used to treat 25OH Vitamin D3 deficiency.

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Transferrin is a direct measure of the iron binding capacity. Transferrin is thus useful in assessing iron balance. Iron deficiency and overload are often evaluated with complementary laboratory tests.

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Zinc is an essential element involved in a myriad of enzyme systems including wound healing, immune function, and fetal development. Zinc measurements are used to detect and monitor industrial, dietary, and accidental exposure to zinc. Also, zinc measurements may be used to evaluate health and monitor response to treatment.

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Useful in the diagnosis of hypochromic, microcytic anemias. Decreased in iron deficiency anemia and increased in iron overload.


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Morley Robbins Magnesium Advocacy Group's 

MAG - Vitamin D (1-25, D2, D3), Mag RBC, & Calcium Panel contains the following tests.

  • Calcium, Ionized
  • Magnesium, RBC
  • QuestAssureD™ 25-Hydroxyvitamin D (D2, D3), LC/MS/MS
  • Vitamin D, 1,25-Dihydroxy, LC/MS/MS

 

  • Magnesium RBC (Red Blood Cell): it’s the KEY catalyst for creating “Storage” and “Active” forms of this Hormone…
  • 25(OH)D blood test: it’s the measure of the “Storage” form, the precursor to “Active” form of this Hormone…
  • 1,25(OH)2 D3 blood test: it’s the measure of the “Active” form of this Hormone…
  • “Ionized” Serum Calcium blood test (NOT a standard serum test!): given that Calcitriol’s JOB in the body is to put MORE Calcium into the bloodstream, it only makes sense to know exactly how much you have there already, right?…

 

 

 


Morley Robbins Magnesium Advocacy Group's 

MAG - Magnesium RBC, Zinc, and Copper  Panel contains the following tests.

  • Ceruloplasmin
  • Copper
  • Magnesium, RBC
  • Zinc

Patients who were advised to take this test by Morley Robbins and the Magnesium Advocacy Group should notify the lab attendant that the preferred specimen for their Ceruloplasmin and Copper tests is SERUM. The preferred specimen for the Zinc test is PLASMA. Please be aware that it is at the lab’s discretion to decide which specimen type is most appropriate.

Customers should refrain from taking vitamins, or mineral herbal supplements for at least one week before sample collection for Magnesium RBC.

 

 

Morley Robbins Magnesium Advocacy Group's 

MAG - Magnesium RBC, Zinc, Copper with Iron Panel contains the following tests.

  • Ceruloplasmin
  • Copper
  • Ferritin
  • Iron and Total Iron Binding Capacity (TIBC)
  • Magnesium, RBC
  • Transferrin
  • Zinc

 

 

 

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Morley Robbins Magnesium Advocacy Group's 

MAG - Vitamin D (1-25, D2 ,D3), Potassium RBC & Calcium contains the following tests.

  • Calcium, Ionized
  • Potassium, RBC
  • QuestAssureD™ 25-Hydroxyvitamin D (D2, D3), LC/MS/MS
  • Vitamin D, 1,25-Dihydroxy, LC/MS/MS
     

 

 


Morley Robbins Magnesium Advocacy Group's 

MAG - Iron Panel, Transferrin and Hemoglobin

  • Ferritin
  • Hemoglobin (Hgb) included in the CBC (includes Differential and Platelets)
  • Iron and Total Iron Binding Capacity (TIBC)
  • Transferrin

 

 

National Nutrition Month - Save 15% to 40% on lab tests that help identify one's nutritional wellbeing including malnutrition and malabsorption. Nutritional Health - Malnutrition and Malabsorption LAB TESTS | Promo code ULTAA080.

If you don't add the test to your cart on this page use the promotion code above to receive the discounted price.


Serum albumin measurements are used in the monitoring and treatment of numerous diseases involving those related to nutrition and pathology particularly in the liver and kidney. Serum albumin is valuable when following response to therapy where improvement in the serum albumin level is the best sign of successful medical treatment. There may be a loss of albumin in the gastrointestinal tract, in the urine secondary to renal damage or direct loss of albumin through the skin. More than 50% of patients with gluten enteropathy have depressed albumin. The only cause of increased albumin is dehydration; there is no naturally occurring hyperalbuminemia

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The major sources of amylase are the pancreas and the salivary glands. The most common cause of elevation of serum amylase is inflammation of the pancreas (pancreatitis). In acute pancreatitis, serum amylase begins to rise within 6-24 hours, remains elevated for a few days and returns to normal in 3-7 days. Other causes of elevated serum amylase are inflammation of salivary glands (mumps), biliary tract disease and bowel obstruction. Elevated serum amylase can also be seen with drugs (e.g., morphine) which constrict the pancreatic duct sphincter preventing excretion of amylase into the intestine.

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Serum calcium is involved in the regulation of neuromuscular and enzyme activity, bone metabolism and blood coagulation. Calcium blood levels are controlled by a complex interaction of parathyroid hormone, vitamin D, calcitonin and adrenal cortical steroids. Calcium measurements are useful in the diagnosis of parathyroid disease, some bone disorders and chronic renal disease. A low level of calcium may result in tetany.

1. Baseline and monitoring of individuals with known CVD (acute and chronic) to determine Rx and compliance. 2. Identify patients with known CVD risk with low omega-3 levels who may be candidates for supplementation/therapy. 3. Monitor patients on omega-3 supplementation/therapy to determine efficacy of treatment. 4. Potential role in risk reduction for non-CVD outcomes-aged related macular degeneration, RA, cancer, etc. (early data).

A complete blood count is used as a screening test for various disease states including anemia, leukemia and inflammatory processes.

C. difficile is the major cause of antibiotic-associated diarrhea (AAD) and pseudomembranous colitis.

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Copper is an essential element that is a cofactor of many enzymes. Copper metabolism is disturbed in Wilson's disease, Menkes disease, primary biliary cirrhosis, and Indian childhood cirrhosis. Copper concentrations increase in acute phase reactions and during the third trimester of pregnancy. Copper concentrations are decreased with nephrosis, malabsorption, and malnutrition. Copper concentrations are also useful to monitor patients, especially preterm newborns, on nutritional supplementation. Results of copper are often interpreted together with ceruloplasmin.

This test will identify approximately 90% of Cystic Fibrosis (CF) mutations in the Caucasian population, and 97% in the Ashkenazi Jewish population. For prenatal specimens, use test code 10226.

The fecal occult blood test is an immunochromatographic fecal occult blood test that qualitatively detects human hemoglobin from blood in fecal samples. This is a useful screening aid for detecting primarily lower gastrointestinal (G.I.) disorders that may be related to iron deficiency anemia, diverticulitis, ulcerative colitis, polyps, adenomas, colorectal cancers or other G.I. lesions that can bleed. It is recommended for use by health professionals as part of routine physical examinations and in screening for colorectal cancer or other sources of lower G.I. bleeding.

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Folic acid deficiency is common in pregnant women, alcoholics, in patients whose diets do not include raw fruits and vegetables, and in people with structural damage to the small intestine. The most reliable and direct method of diagnosing folate deficiency is the determination of folate levels in both erythrocytes and serum. Low folic acid levels, however, can also be the result of a primary vitamin B12 deficiency that decreases the ability of cells to take up folic acid

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Elevated levels of homocysteine are observed in patients at risk for coronary heart disease and stroke.

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Iodine is an essential element that is required for thyroid hormone production. The measurement of iodine serves as an index of adequate dietary intake.

Serum iron quantification is useful in confirming the diagnosis of iron-deficiency anemia or hemochromatosis. The measurement of total iron binding in the same specimen may facilitate the clinician''s ability to distinguish between low serum iron levels caused by iron deficiency from those related to inflammatory neoplastic disorders. The assay for iron measures the amount of iron which is bound to transferrin. The total iron binding capacity (TIBC) measures the amount of iron that would appear in blood if all the transferrin were saturated with iron. It is an indirect measurement of transferri

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Confirmatory evidence for diagnosis of pancreatitis

A lipid panel includes:Total cholesterol —this test measures all of the cholesterol in all the lipoprotein particles.High-density lipoprotein cholesterol (HDL-C) — measures the cholesterol in HDL particles; often called "good cholesterol" because it removes excess cholesterol and carries it to the liver for removal.Low-density lipoprotein cholesterol (LDL-C) — calculates the cholesterol in LDL particles; often called "bad cholesterol" because it deposits excess cholesterol in walls of blood vessels, which can contribute to atherosclerosis. Usually, the amount of LDL cholesterol (LDL-C) is calculated using the results of total cholesterol, HDL-C, and triglycerides.Triglycerides — measures all the triglycerides in all the lipoprotein particles; most is in the very low-density lipoproteins (VLDL).Very low-density lipoprotein cholesterol (VLDL-C) — calculated from triglycerides/5; this formula is based on the typical composition of VLDL particles.Non-HDL-C — calculated from total cholesterol minus HDL-C.Cholesterol/HDL ratio — calculated ratio of total cholesterol to HDL-C.


Gastric Parietal Cell Antibodies (GPA) test results are used in the diagnosis of pernicious anemia.

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Prealbumin is decreased in protein-calorie malnutrition, liver disease, and acute inflammation. It may be used as an indicator of nutritional requirements and response to therapy during total parenteral nutrition and as a biochemical marker of nutritional adequacy in premature infants.

Screening test for abnormalities of coagulation factors that are involved in the extrinsic pathway. Also used to monitor effects of Warfarin therapy and to study patients with hereditary and acquired clotting disorders.

Measurement of serum 25-OH vitamin D concentrations provide a good index of circulating vitamin D activity in patients not suffering from renal disease. Lower than normal 25-OH vitamin D levels can result from a dietary deficiency, poor absorption of the vitamin or impaired metabolism of the sterol in the liver. A 25-OH vitamin D deficiency can lead to bone diseases such as rickets and osteomalacia. Above normal levels can lead hypercalcemia. This assay employs liquid chromatography tandem mass spectrometry to independently measure and report the two common forms of 25-hydroxy vitamin D: 25OH D3 - the endogenous form of the vitamin and 25OH D2 - the analog form used to treat 25OH Vitamin D3 deficiency.

The presence of reducing substances is useful in the diagnosis of abnormalities in carbohydrate metabolism, i.e., sucrose and lactase. The unabsorbed sugars in stool are measured as reducing substances.

Useful in differentiating inflammatory and neoplastic diseases and as an index of disease severity. CRP is also useful in monitoring inflammatory disease states.

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Selenium is an element of parental nutrition. Monitoring the selenium concentrations is useful in assessing parental nutrition, especially recent intake. Concentrations are also monitored in children with proprionic acidemia who require special diets with supplements.

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Transferrin is a direct measure of the iron binding capacity. Transferrin is thus useful in assessing iron balance. Iron deficiency and overload are often evaluated with complementary laboratory tests.

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For differential diagnosis of primary, secondary, and tertiary hypothyroidism. Also useful in screening for hyperthyroidism. This assay allows adjustment of exogenous thyroxine dosage in hypothyroid patients and in patients on suppressive thyroxine therapy for thyroid neoplasia.

Most Popular
Dipstick urinalysis is important in accessing the chemical constituents in the urine and the relationship to various disease states. Microscopic examination helps to detect the presence of cells and other formed elements.

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Vitamin A is critical for vision, growth, and many cell functions. High concentrations of vitamin A are seen with renal failure, but this is not associated with toxicity, and excessive ingestion. High concentrations are associated with bone fractures. Low concentrations of vitamin A are consistent with fat malabsorption and rarely due to inadequate diet. Vitamin A, vitamin E, and carotene are always extracted and detected simultaneously. This is a free vitamin A (retinol

Vitamin B1 deficiency is most often associated with alcoholism, chronic illness and following gastric by-pass surgery. Prolonged deficiency causes beriberi. Plasma vitamin B1 is useful in evaluating nutritional assessment and compliance, while whole blood vitamin B1 is useful in evaluating body stores.

Vitamin B12 is decreased in pernicious anemia, total or partial gastrectomy, malabsorption and certain congenital and biochemical disorders

Vitamin B2 is involved in metabolism of fats, carbohydrates, and protein. The clinical manifestations of deficiency are non-specific. Clinical manifestations include mucocutaneous lesions of the mouth and skin, corneal vascularization, anemia, and personality changes.

Nicotinic Acid occurs naturally in plants and animals and is also added to many foods as a vitamin supplement.

Vitamin B5, also called pantothenic acid, is one of 8 B vitamins. All B vitamins help the body convert food (carbohydrates) into fuel (glucose), which is used to produce energy. These B vitamins, often referred to as B complex vitamins, also help the body use fats and protein. B complex vitamins are needed for healthy skin, hair, eyes, and liver. They also help the nervous system function properly.Source: Vitamin B5 (Pantothenic acid) | University of Maryland Medical Center http://umm.edu/health/medical/altmed/supplement/vitamin-b5-pantothenic-acid#ixzz2vJFjAO6E University of Maryland Medical Center Follow us: @UMMC on Twitter | MedCenter on Facebook

Vitamin B6 is a cofactor in many metabolic pathways including heme synthesis. Vitamin B6 deficiency may be observed in patients with metabolic disorders, secondary to therapeutic drug use, or alcoholism. Deficiency affects the function of the immune system.

Vitamin C is an antioxidant involved in connective tissue metabolism, drug-metabolizing systems, and mixed-function oxidase systems to list a few. Vitamin C deficiency causes scurvy; manifestations include impaired formation of mature connective tissue, bleeding into the skin, weakness, fatigue, and depression.

This test is used to measure the bio-active form of Vitamin D. This test is also used in the differential diagnosis of hypocalcemia and to monitor patients with renal osteodystrophy or chronic renal failure.

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Deficiency of vitamin E may cause extensive neuropathy in young children and, in addition, is suspect as a possible cause of motor and sensory neuropathy in older children and in adults. One likely cause of vitamin E deficiency is intestinal malabsorption, resulting from bowel disease, pancreatic disease, or chronic cholestasis. Other causes of malabsorption of vitamin E include celiac disease, cystic fibrosis, and intestinal lymphangiectasia.

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Vitamin K is a required co-factor for the synthesis of factors 2, 7, 9, and 10 and proteins C and S. Deficiencies of vitamin K lead to bleeding. Coumadin® (warfarin) acts as an anticoagulant because it is a vitamin K antagonist

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Zinc is an essential element involved in a myriad of enzyme systems including wound healing, immune function, and fetal development. Zinc measurements are used to detect and monitor industrial, dietary, and accidental exposure to zinc. Also, zinc measurements may be used to evaluate health and monitor response to treatment.

Zinc protoporphyrin (ZPP) accumulates in erythrocytes as a result of chronic lead absorption or iron deficiency anemia.

Includes

Tissue Transglutaminase, IgA with Reflexes; Total IgA with Reflex

IMPORTANT - Note this is Reflux Test which if additional tests are run you will be charged for the specific tests that the lab peforms. Additional test will be run if the following criteria are met.


If the Tissue Transglutaminase IgA is positive,

1. Endomysial Antibody Screen (IgA) will be performed at an additional charge (CPT code(s): 86255).

If the Endomysial Antibody Screen (IgA) is positive, 

2. Endomysial Antibody Titer will be performed at an additional charge (CPT code(s): 86256).

If the Total IgA is less than the lower limit of the reference range, based on age

3. Tissue Transglutaminase IgG will be performed at an additional charge (CPT code(s): 83516).

Clinical Significance

Celiac disease is caused by an immune response to gluten in genetically sensitive individuals. The diagnosis is largely based on a biopsy of the small intestine, but serologic tests also help support a diagnosis and may assist identification of patients who may require biopsy.

Tissue transglutaminase antibodies (tTG, IgA) is a marker with 95% sensitivity and specificity. Total IgA is measured because 2-3% of celiac disease patients are IgA deficient. Because tTG, IgA, and anti-Gliadin IgA tend to decrease in patients on a gluten-free diet, these markers are also used to assess dietary compliance.

The endomysial antibody (EMA, IgA) assay has high specificity for celiac disease and is used to confirm positive anti-tTG results.


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Useful in the diagnosis of hypochromic, microcytic anemias. Decreased in iron deficiency anemia and increased in iron overload.


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Measurement of serum 25-OH vitamin D concentrations provide a good index of circulating vitamin D activity in patients not suffering from renal disease. Lower than normal 25-OH vitamin D levels can result from a dietary deficiency, poor absorption of the vitamin or impaired metabolism of the sterol in the liver. A 25-OH vitamin D deficiency can lead to bone diseases such as rickets and osteomalacia. Above normal levels can lead hypercalcemia.


Morley Robbins Magnesium Advocacy Group's 

MAG - Vitamin D (1-25, D2, D3), Mag RBC, & Calcium Panel contains the following tests.

  • Calcium, Ionized
  • Magnesium, RBC
  • QuestAssureD™ 25-Hydroxyvitamin D (D2, D3), LC/MS/MS
  • Vitamin D, 1,25-Dihydroxy, LC/MS/MS

 

  • Magnesium RBC (Red Blood Cell): it’s the KEY catalyst for creating “Storage” and “Active” forms of this Hormone…
  • 25(OH)D blood test: it’s the measure of the “Storage” form, the precursor to “Active” form of this Hormone…
  • 1,25(OH)2 D3 blood test: it’s the measure of the “Active” form of this Hormone…
  • “Ionized” Serum Calcium blood test (NOT a standard serum test!): given that Calcitriol’s JOB in the body is to put MORE Calcium into the bloodstream, it only makes sense to know exactly how much you have there already, right?…

 

 

 


Morley Robbins Magnesium Advocacy Group's 

MAG - Magnesium RBC, Zinc, and Copper  Panel contains the following tests.

  • Ceruloplasmin
  • Copper
  • Magnesium, RBC
  • Zinc

Patients who were advised to take this test by Morley Robbins and the Magnesium Advocacy Group should notify the lab attendant that the preferred specimen for their Ceruloplasmin and Copper tests is SERUM. The preferred specimen for the Zinc test is PLASMA. Please be aware that it is at the lab’s discretion to decide which specimen type is most appropriate.

Customers should refrain from taking vitamins, or mineral herbal supplements for at least one week before sample collection for Magnesium RBC.

 

 

Morley Robbins Magnesium Advocacy Group's 

MAG - Magnesium RBC, Zinc, Copper with Iron Panel contains the following tests.

  • Ceruloplasmin
  • Copper
  • Ferritin
  • Iron and Total Iron Binding Capacity (TIBC)
  • Magnesium, RBC
  • Transferrin
  • Zinc

 

 

 

The methylmalonic acid (MMA) test may be used to help diagnose an early or mild vitamin B12 deficiency. It may be ordered by itself or along with a homocysteine test as a follow-up to a vitamin B12 test result that is in the lower end of the normal range.


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Leptin is an adipocyte-derived hormone that is essential for normal body weight regulation. Leptin production is under neuroendocrine control so that serum concentrations vary directly with the amount of triglycerides stored in adipose tissue depots.


Helicobacter Pylori Ag, Eia, Stool

IMPORTANT: Patient Self Collection Required - Instructions 

  1. Patient to visit a Quest Patient Service Center to obtain the designated sterile collection container required for the test.
  2. Patient self-collects stool sample off site from PSC.
  3. Patient self-collects 0.5 mL or 0.5 grams of semi-solid stool or 20 mm diameter solid stool and transfer to properly labeled plastic, leak-proof container.
  4. Label the specimen collection container:
    1. Record the date and time on the specimen collection.
    2. Record the patients full name as on requisition and DOB.
  5. IMPORTANT: Watery, diarrheal stool is not acceptable.
  6. IMPORTANT: The stool sample must be refrigerated immediately after collection.
  7. The stool specimen must be packed with cold packs and returned to the Quest Patient Service Center with the Patient Requisition within 24 hours of collection.

 

Patient Preparation

For initial diagnostic purposes no special patient preparation is required. Patients are not required to be off of medications or to fast before this test. While positive test results from patients taking agents such as proton pump inhibitors and antimicrobials should be considered accurate, false negative results may be obtained. For this reason, physicians may suggest the patient go off medications for two weeks and repeat test if negative results are obtained.

To confirm eradication, testing should be done at least 4 weeks following the completion of treatment. However, a positive test result 7 days’ post therapy is indicative of treatment failure.

 

Clinical Background

Helicobacter pylori infection has been associated with duodenal and gastric ulcers and chronic active, chronic persistent, and atrophic gastritis in adults and children. Infected persons have a 2- to 6-fold increased risk of developing gastric cancer and mucosal-associated-lymphoid-type (MALT) lymphoma.

 

Noninvasive Assays

The UBT and stool antigen test are highly sensitive and specific for H pylori infection. These assays have been recommended by the American Gastroenterological Association (AGA) and the American College of Gastroenterologists (ACG) as the most accurate noninvasive tests for diagnosis of H pylori infection and for confirmation of eradication after therapy.


 

 


Morley Robbins Magnesium Advocacy Group's 

MAG - Vitamin D (1-25, D2 ,D3), Potassium RBC & Calcium contains the following tests.

  • Calcium, Ionized
  • Potassium, RBC
  • QuestAssureD™ 25-Hydroxyvitamin D (D2, D3), LC/MS/MS
  • Vitamin D, 1,25-Dihydroxy, LC/MS/MS
     

 

 


Morley Robbins Magnesium Advocacy Group's 

MAG - Iron Panel, Transferrin and Hemoglobin

  • Ferritin
  • Hemoglobin (Hgb) included in the CBC (includes Differential and Platelets)
  • Iron and Total Iron Binding Capacity (TIBC)
  • Transferrin

 

 

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The Bone-Specific Alkaline Phosphatase (BSAP) assay provides a general index of bone formation and a specific index of total osteoblast activity. BSAP and osteocalcin are the most effective markers of bone formation and are particularly useful for monitoring bone formation therapies and antiresorptive therapies.

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Serum calcium is involved in the regulation of neuromuscular and enzyme activity, bone metabolism and blood coagulation. Calcium blood levels are controlled by a complex interaction of parathyroid hormone, vitamin D, calcitonin and adrenal cortical steroids. Calcium measurements are useful in the diagnosis of parathyroid disease, some bone disorders and chronic renal disease. A low level of calcium may result in tetany.

See individual tests

This test is useful in the differential diagnosis of pituitary and gonadal insufficiency and in children with precocious puberty.


The IntactParathyroid Hormone Assay is the recommendedinitial assay for the differential diagnosis ofcalcium-related abnormalities.

Measurement of serum 25-OH vitamin D concentrations provide a good index of circulating vitamin D activity in patients not suffering from renal disease. Lower than normal 25-OH vitamin D levels can result from a dietary deficiency, poor absorption of the vitamin or impaired metabolism of the sterol in the liver. A 25-OH vitamin D deficiency can lead to bone diseases such as rickets and osteomalacia. Above normal levels can lead hypercalcemia. This assay employs liquid chromatography tandem mass spectrometry to independently measure and report the two common forms of 25-hydroxy vitamin D: 25OH D3 - the endogenous form of the vitamin and 25OH D2 - the analog form used to treat 25OH Vitamin D3 deficiency.

This test is useful in the differential diagnosis of male hypogonadism. For males 18 years of age and older only.


This test is used to measure the bio-active form of Vitamin D. This test is also used in the differential diagnosis of hypocalcemia and to monitor patients with renal osteodystrophy or chronic renal failure.


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