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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)
The Blood Code 1. Metabolic Discovery Panel
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.
The Blood Code 2. Metabolic Progress Panel
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.
Blood Code 3. Thyroid Discovery Panel
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.
Blood Code 4. Thyroid Progress & Performance
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.
Blood Code 5. Heart Risk, Nutrients & Sugar Metabolism Panel
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.
Blood Code 6. Heart Risk & Sugar Metabolism Panel
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.
Blood Code - 7. EXERCISE RECOVERY, NUTRITION & METABOLISM Panel
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.
Blood Code 8. Stress & Steroid Hormone Addendum Panel
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.
Blood Code 9. Nutrient Panel Addendum: This panel is developed to be WITH The Blood Code Metabolic Discovery Panel (which contains the Vitamin D and Ferritin) to assess vitamin, mineral and protein status.
Cardio IQ® Lipoprotein Subfractionation, Ion Mobility
Clinical Significance
There is a correlation between increased risk of premature heart disease with decreasing size of LDL particles. Ion mobility offers the only direct measurement of lipoprotein particle size and concentration for each lipoprotein from HDL3 to large VLDL.
Includes
HDL Particle Number; LDL Particle Number; Non-HDL Particle Number; HDL, Small; HDL Large; LDL, Very Small-d; LDL, Very Small-c; LDL, Very Small-b; LDL, Very Small-a; LDL Small; LDL Medium; LDL, Large-b; LDL, Large-a; IDL, Small; IDL, Large; VLDL, Small; VLDL, Medium; VLDL, Large; LDL Pattern; LDL Peak Size
Patient Preparation
Fasting preferred
Methodology
Ion Mobility
IMPORTANT - Celiac Disease Comprehensive Panel #19955 contains reflex tests - 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).
Chlamydia/Neisseria gonorrhoeae RNA, TMA
Urine specimen: The patient should not have urinated for at least one hour prior to specimen collection. Female patients should not cleanse the labial area prior to providing the specimen.
Urine: Patient should not have urinated within one hour prior to collection. Female patients should not cleanse the labial area prior to providing the specimen. Direct patient to provide a first-catch urine (a maximum of 20-30 mL of the initial urine stream) into a urine collection cup free of any preservatives. 2 mL of urine specimen must be transferred into the APTIMA® specimen transport within 24 hours of collection and before being assayed. Use tube provided in the urine specimen collection kit for urine specimens. The fluid (urine plus transport media) level in the urine tube must fall within the clear pane on the tube label.
C. trachomatis infections are the leading cause of sexually transmitted diseases in the United States. C. trachomatis is known to cause cervicitis, pelvic inflammatory disease (PID), epididymitis and proctitis. It is also the most frequent cause of non-gonococcal urethritis in men. Among women, the consequences of Chlamydialinfections are severe if left untreated. Approximately half of Chlamydial infections are asymptomatic. Neisseria gonorrhoeae (gonococci) is the causative agent of gonorrhea. In men, this disease generally results in anterior urethritis accompanied by purulent exudate. In women, the disease is most often found in the cervix, but the vagina and uterus may also be infected.
Cortisol is increased in Cushing's Disease and decreased in Addison's Disease (adrenal insufficiency). Patient needs to have the specimen collected between 7 a.m.-9 a.m.
CBC, CMP, Insulin, Lipid Panel & HgbA1C
Useful in the diagnosis of hypochromic, microcytic anemias. Decreased in iron deficiency anemia and increased in iron overload.
