Most Popular Tests

ABO Group and Rh Type

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.

The Different Blood Types

There are four major blood groups and eight different blood types. Doctors call this the ABO Blood Group System.

The groups are based on whether or not you have two specific antigens -- A and B:

• Group A has the A antigen and B antibody.
• Group B has the B antigen and the A antibody.
• Group AB has A and B antigens but neither A nor B antibodies.
• Group O doesn’t have A or B antigens but has both A and B antibodies.

There’s also a third kind of antigen called the Rh factor. You either have this antigen (meaning your blood type is “Rh+” or “positive”), or you don’t (meaning your blood type is “Rh-” or “negative”). So, from the four blood groups, there are eight blood types:

• A positive or A negative
• B positive or B negative
• AB positive or AB negative
• O positive or O negative

The adiponectin ELISA assay quantitatively measures human adiponectin in serum. It has been shown that decreased expression of adiponectin correlates with insulin resistance. Adiponectin appears to be a potent insulin enhancer linking adipose tissue and whole body glucose metabolism.

Aids in the diagnosis of primary disease of skeletal muscle myocardial infarction and viral hepatitis.

Approximately 1-2% of individuals with primary hypertension have primary hyperaldosteronism characterized by hypokalemia (low potassium) and low direct renin. Because serum aldosterone concentrations vary due to dietary sodium intake and body position, some physicians prefer measurement of 24-hour urine concentration for aldosterone.

When the Total Alkaline Phosphatase activity is increased, the Isoenzymes are useful in determining the source of the increased activity.

This assay is intended for use in the assessment of risk for the development of hepatocellular carcinoma (HCC) in patients with chronic liver disease.

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.

Antinuclear antibodies are associated with rheumatic diseases including Systemic Lupus Erythematous (SLE), mixed connective tissue disease, Sjogren's syndrome, scleroderma, polymyositis, CREST syndrome, and neurologic SLE. Reflex and Titer tests may incur additional charges when results require additional tests to be performed.

Reflex Information: If ANA Screen, IFA is positive, then ANA Titer and Pattern will be performed at an additional charge (CPT code(s): 86039)

Apolipoprotein A1 (APO A1) has been reported to be a better predictor than HDL cholesterol and triglycerides for Coronary Artery Disease (CAD). Low levels of APO A1 in serum are associated with increased risk of CAD. The measurement of APO A1 may be of value in identifying patients with atherosclerosis. Apolipoprotein B (APO B) has been reported to be a more powerful indicator of CAD than total cholesterol or LDL cholesterol in angiographic CAD and in survivors of myocardial infarction. In some patients with CAD, APO B is elevated even in the presence of normal LDL cholesterol.

Apolipoprotein B (APO B) has been reported to be a powerful indicator of CAD. In some patients with CAD, APO B is elevated even in the presence of normal LDL cholesterol.

BNP is increased in congestive heart failure, left ventricular hypertrophy, acute myocardial infarction, coronary angioplasty, and hypertension. Elevations are also observed in pulmonary hypertension (indicating right ventricular dysfunction), acute lung injury, hypervolemic states, chronic renal failure and cirrhosis. Decreasing levels indicate therapeutic response to anti-hypertensive therapy.

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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.

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 obstructive disease

Blood Code 1. Metabolic Discovery – FULL

This thorough set of tests helps assess your metabolism. Are you storing too much fat and sugar or perhaps too little? Are you insulin resistant with subsequent inflammation? You can run this panel to discover whether your diet, fitness and nutritional habits are providing you the metabolic health and longevity you deserve. Don’t settle for one-size-fits-all health advice. Find out what works for you with this core introductory panel, developed by Dr. Richard Maurer, author of The Blood Code: Unlock the secrets of your metabolism [2014].

Preparation: Fast for 10-16 hours, overnight. Drink enough water and take your prescribed medications. No coffee or vigorous exercise on the morning of the blood draw.

• CBC (includes Differential and Platelets)
• Comprehensive Metabolic Panel (CMP)
• Ferritin
• Hemoglobin A1c with eAG
• Insulin
• Lipid Panel with Ratios
• Vitamin B12 (Cobalamin)
• Vitamin D, 25-Hydroxy, Total, Immunoassay

Blood Code 2. Metabolic Progress – BRIEF

This is an affordable set of tests to do quarterly to assure your progress results in your healthiest metabolism. Your diet, fitness lifestyle and nutritional intake should improve your energy, weight and inner metabolic health. But don’t merely trust it’s working. Run this Progress Panel to take a snapshot of your insulin response, blood sugars and lipids and pivot off these results as directed in Dr. Maurer’s book, The Blood Code [2014]. To lower your cost, vitamin D, vitamin B-12 and ferritin are not on this panel therefore see the Metabolic Discovery Panel if they are required. 

Preparation: Fast for 10-16 hours, overnight. Drink enough water and take your prescribed medications. No coffee or vigorous exercise on the morning of the blood draw.

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

Blood Code 3. Thyroid Discovery – FULL

If you suspect that you have any hypothyroid activity, either through your symptoms, family history or prior tests, you will want to run this panel. The Thyroid Discovery Panel goes beyond common thyroid screening and provides the entire cascade of hormones in their free state along with the thyroid antibodies that can signal future or hidden thyroid problems. If your thyroid antibodies are not elevated, you rarely need to test them again, therefore future thyroid evaluation can be with the simpler Thyroid Progress Panel.

• T3 Reverse (RT3), LC/MS/MS
• T3, Free
• T4, Free
• Thyroid Peroxidase and Thyroglobulin Antibodies
• TSH

Blood Code 4. Thyroid Progress & Performance - BRIEF

This panel shows whether your basal “at-rest” metabolic rate is too slow or too fast relative to your thyroid hormones. Without the antibodies, the less costly panel measured the thyroid hormone effects of changes over time. Four hormones make up your thyroid metabolism and the cascade of all these hormones tells a story better than one alone: TSH - comes from your pituitary gland, Free T4 - comes directly from your thyroid gland or prescription supplement, Free T3 is overflow from the thyroid activation that occurs within cells, and Reverse T3 indicates the rate of deactivation of thyroid activity in your body. 

• T3 Reverse (RT3), LC/MS/MS
• T3, Free
• T4, Free
• TSH

Blood Code 5. Heart Risk, Nutrition & Metabolism - FULL

This comprehensive panel combines metabolic health markers with advanced cardiovascular evaluation and helps answer questions about whether lipid problems, such as cholesterol, triglyceride and HDL imbalances, are a big or small concern for you. Scientific literature and understanding has brought us beyond the over-simplified consideration that HDL is “good” cholesterol and LDL is “bad” cholesterol. There are lipoproteins like APO-B that are independent of LDL but play a crucial role in the development of arterial plaque. And the size of your LDL-cholesterol molecule is linked to the tendency toward plaque formation, smaller LDL’s are more problematic. Technology and the dramatically reduced cost through ULTA allows you to measure these and many other cardiovascular risk markers.

• Apolipoprotein A1 + B
• CBC (includes Differential and Platelets)
• Comprehensive Metabolic Panel (CMP)
• Ferritin
• Fibrinogen Activity, Clauss
• Hemoglobin A1c (HgbA1C)
• Homocysteine
• hs-CRP
• Insulin
• Lipid Panel with Ratios
• Lipoprotein (A)
• Lipoprotein Fractionation, Ion Mobility, Cardio IQ™
• QuestAssureD™ 25-Hydroxyvitamin D (D2, D3), LC/MS/MS
• TSH
• Vitamin B12 (Cobalamin)
• Physician Panel Fee $50

Blood Code 6. Heart Risk & Metabolism - BRIEF

If you have already run the metabolic discovery panel and/or you need to dig deeper into a “cholesterol concern”—this abbreviated form of the Cardio-Metabolic Discovery Panel reveals your ApoB/A1 ratio, LP(a), LDL size (aka fractionation), and inflammation markers such as CRP and fibrinogen. Research indicates that fitness improvements can improve the ApoB/A1 ratio and that diet changes can influence inflammation levels. This panel helps assure your lifestyle choices move your cardiovascular risk markers in the right direction. Results can measure your progress following changes you make and the results can be a useful tool to more effectively consult with your supportive health care provider.

• Apolipoprotein A1 + B
• CBC (includes Differential and Platelets)
• Comprehensive Metabolic Panel (CMP)
• Fibrinogen Activity, Clauss
• Hemoglobin A1c (HgbA1C)
• hs-CRP
• Insulin
• Lipid Panel with Ratios
• Lipoprotein (A)
• Lipoprotein Fractionation, Ion Mobility, Cardio IQ™

Blood Code 7. Inflammation, Workout Recovery & Hormones

Athletes and we amateurs who practice challenging exercise regularly develop a special relationship with pain, making it possible to go longer and harder. But when is it too much? Dr. Maurer is quick to say that there is no such thing as over-exercise, only under-recovery. Inadequate recovery causes an inflammatory load and has damaging effects to the body in virtually every organ system. Over time, this chronic inflammation can become your baseline. While countless more tests could be ordered, this panel thoroughly covers exercise induced inflammation markers and the subsequent hormonal recovery response your body has toward exertion and stress.

• C-Reactive Protein (CRP)
• CBC (includes Differential and Platelets)
• Comprehensive Metabolic Panel (CMP)
• Cortisol, A.M.
• Creatine Kinase (CK), Total
• DHEA Sulfate, Immunoassay
• Ferritin
• Fibrinogen Activity, Clauss
• Hemoglobin A1c (HgbA1C)
• Insulin
• Lipid Panel with Ratios
• Prealbumin
• Sex Hormone Binding Globulin (SHBG)
• T3, Free
• T4, Free
• Testosterone, Free (Dialysis) and Total MS
• TSH
• Vitamin B12 (Cobalamin)
• Vitamin D, 25-Hydroxy, Total, Immunoassay
• Physician Panel Fee $50

Blood Code 8. Stress & Steroid Hormone Addendum

Some of your hormones are in response to stress. DHEA, Testosterone and Cortisol should properly respond to the stresses and demands of your life and lifestyle.

• Cortisol, A.M.
• DHEA Sulfate, Immunoassay
• Testosterone, Total And Free And Sex Hormone Binding Globulin

C-Peptide is useful in the evaluation of pancreatic beta cell function and for determining the source of insulin in patients with hyperinsulinemic hypoglycemia.