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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.

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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The Digestive Health - Advanced contains the following tests

  • C-Reactive Protein (CRP) 
  • CBC (includes Differential and Platelets) 
  • Comprehensive Metabolic Panel (CMP)
  • Fecal Globin by Immunochemistry (InSure®) 
  • Ferritin
  • Folate, Serum
  • Iron and Total Iron Binding Capacity (TIBC)
  • QuestAssureD™ 25-Hydroxyvitamin D (D2, D3), LC/MS/MS 
  • Sed Rate by Modified Westergren (ESR)
  • Transferrin
  • Vitamin B12 (Cobalamin) 
  • Celiac Disease Comprehensive Panel (w/ Reflexes)

Specimens from children less than 4 years of age (i.e., less than 48 months) are not appropriate for this test. The test for children 4 years of age and younger is the Celiac Disease Comprehensive Panel, Infant (test code 15981).

Includes

Tissue Transglutaminase, IgA with Reflexes; Total IgA with Reflex

IMPORTANT - Note this is Reflex 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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Digestive Health - Basic contains the following tests

  • CBC (includes Differential and Platelets) 
  • Comprehensive Metabolic Panel (CMP)
  • Fecal Globin by Immunochemistry (InSure®) 
  • Celiac Disease Comprehensive Panel (w/ Reflexes)

Specimens from children less than 4 years of age (i.e., less than 48 months) are not appropriate for this test. The test for children 4 years of age and younger is the Celiac Disease Comprehensive Panel, Infant (test code 15981).

Includes

Tissue Transglutaminase, IgA with Reflexes; Total IgA with Reflex

IMPORTANT - Note this is Reflex 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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Digestive Health - Basic Plus contains the followwing tests: 

  • C-Reactive Protein (CRP) 
  • CBC (includes Differential and Platelets) 
  • Comprehensive Metabolic Panel (CMP)
  • Fecal Globin by Immunochemistry (InSure®) 
  • Ferritin
  • Iron and Total Iron Binding Capacity (TIBC)
  • Sed Rate by Modified Westergren (ESR)
  • Celiac Disease Comprehensive Panel (w/ Reflexes)

 Specimens from children less than 4 years of age (i.e., less than 48 months) are not appropriate for this test. The test for children 4 years of age and younger is the Celiac Disease Comprehensive Panel, Infant (test code 15981).

Includes

Tissue Transglutaminase, IgA with Reflexes; Total IgA with Reflex

IMPORTANT - Note this is Reflex 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.

Most Popular

Digestive Health - Comprehensive contains the following tests: 

  • C-Reactive Protein (CRP) 
  • CBC (includes Differential and Platelets) 
  • Comprehensive Metabolic Panel (CMP)
  • Fecal Globin by Immunochemistry (InSure®) 
  • Ferritin
  • Folate, Serum
  • Gliadin (Deamidated Peptide) Antibody (IgA) 
  • Gliadin (Deamidated Peptide) Antibody (IgG) 
  • Iron and Total Iron Binding Capacity (TIBC)
  • Lipid Panel with Ratios
  • Magnesium
  • Prealbumin 
  • QuestAssureD™ 25-Hydroxyvitamin D (D2, D3), LC/MS/MS 
  • Sed Rate by Modified Westergren (ESR)
  • Transferrin
  • TSH
  • Vitamin A (Retinol)
  • Vitamin B12 (Cobalamin) 
  • Vitamin K
  • Celiac Disease Comprehensive Panel (w/ Reflexes)

Specimens from children less than 4 years of age (i.e., less than 48 months) are not appropriate for this test. The test for children 4 years of age and younger is the Celiac Disease Comprehensive Panel, Infant (test code 15981).

Includes

Tissue Transglutaminase, IgA with Reflexes; Total IgA with Reflex

IMPORTANT - Note this is Reflex 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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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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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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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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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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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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Save 20% on Dr. Kathy's Recommended Lab Panels

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

Save 20% on all lab tests with promotional code Heart20 (Not valid with other promotions). *Apply promo code to your shopping cart to receive discount.

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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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.

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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Save 50% on the The 10 Key Lab Tests to Review With Your Doctor™. - Ten key lab tests recommended to establish your baseline biomarkers, eliminate the guesswork of your health, and be prepared to review with your doctor. - The key lab tests that identify changes in your health in advance of illness. -  The key 78 biomarkers that are important to establish baselines to monitor and detect changes in your health.  - Miss any one of these and your result won't be the same

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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The 10 Key Lab Tests to Review with Your Doctor™ panel contains 17 tests with 78 biomarkers. 

  1. Apolipoprotein B, Cardio IQ
  2. C-Reactive Protein (CRP) 
  3. CBC (includes Differential and Platelets) 
  4. Hemoglobin A1c, Cardio IQ™
  5. hs-CRP, Cardio IQ™
  6. Lipid Panel, Cardio IQ™
  7. QuestAssureD™ 25-Hydroxyvitamin D (D2, D3)
  8. TSH, Free T3 and Free T4 Blood Test Panel
  9. Ferritin, Iron & Total Iron Binding Capacity -TIBC
  10. BCA Chemistry Panel
    • Gamma Glutamyl Transferase (GGT) 
    • Comprehensive Metabolic Panel (CMP)
    • Lactate Dehydrogenase (LD) 
    • Phosphate (as Phosphorus) 
    • Uric Acid
    • Glucose
    • Magnesium

Save 20% on the key lab tests used in cancer screening for men. The key lab tests to screen for cancer, what they mean, and how to get tested.  1 in 2 women and 1 in 3 men will develop cancer in their lifetime. Most forms of cancer can be successfully treated if they're caught early enough. Blood tests can alert you to signs of cancer in your body. Risk factors that can increase your chances of developing cancer Age Tobacco use Radiation exposure Continued exposure to some chemicals Poor diet Lack of physical activity Being overweight or obese Family history of cancer Drug abuse Alcoholism Are you at risk for cancer? Cancer often doesn't show symptoms until it's already done significant harm to your health. Lab tests can provide clues into your overall health lowering your risk of untreated disease. How do you find out? You can order your lab tests directly here to understand your health. Use Promo Code: CAM20 at check out. This promotion can not 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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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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A large percentage of patients with gastrointestinal tumors (such as pancreatic, liver, gastric, colorectal tumors) and some other malignancies have been shown to have elevated serum CA 19-9 levels. Serum CA 19-9 levels may be useful for monitoring disease activity or predicting relapse following treatment. CA 19-9 should not be used as a screening test.
  • Alpha-Fetoprotein (AFP) and AFP-L3 [ 19529 ]
  • CA 19-9 [ 4698 ]
  • PSA, Free and Total [ 31348 ]
  • Alpha-Fetoprotein (AFP) and AFP-L3 [ 19529 ]
  • Amylase [ 243 ]
  • CA 19-9 [ 4698 ]
  • CBC (includes Differential and Platelets) [ 6399 ]
  • CEA [ 978 ]
  • Lactate Dehydrogenase (LD) [ 593 ]
  • PSA, Free and Total [ 31348 ]
  • Thyroglobulin Antibodies (TgAb) [ 267 ]
     
  • Alpha-Fetoprotein (AFP) and AFP-L3 [ 19529 ]
  • Amylase [ 243 ]
  • CA 19-9 [ 4698 ]
  • CBC (includes Differential and Platelets) [ 6399 ]
  • CEA [ 978 ]
  • Fecal Globin by Immunochemistry (InSure®) [ 11290 ]
  • Gastrin [ 478 ]
  • hCG, Total, Quantitative [ 8396 ]
  • Lactate Dehydrogenase (LD) [ 593 ]
  • PSA, Free and Total [ 31348 ]
  • Thyroglobulin Antibodies (TgAb) [ 267 ]
     
  • Alpha-Fetoprotein (AFP) and AFP-L3 [ 19529 ]
  • Amylase [ 243 ]
  • CA 19-9 [ 4698 ]
  • Calcitonin [ 30742 ]
  • CBC (includes Differential and Platelets) [ 6399 ]
  • CEA [ 978 ]
  • DCP (Des-Gamma-Carboxy-Prothrombin) [ 19982 ]
  • Fecal Globin by Immunochemistry (InSure®) [ 11290 ]
  • Gastrin [ 478 ]
  • hCG, Total, Quantitative [ 8396 ]
  • Lactate Dehydrogenase (LD) [ 593 ]
  • PSA, Free and Total [ 31348 ]
  • Thyroglobulin Antibodies (TgAb) [ 267 ]
     
Calcitonin concentration is increased in patients with medullary thyroid carcinoma. Calcitonin concentrations may be used to monitor disease.
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A complete blood count is used as a screening test for various disease states including anemia, leukemia and inflammatory processes.
Most Popular
Increased serum CEA levels have been detected in persons with primary colorectal cancer and in patients with other malignancies involving the gastrointestinal tract, breast, lung, ovarian, prostatic, liver and pancreatic cancers. Elevated serum CEA levels have also been detected in patients with nonmalignant disease, especially patients who are older or who are smokers. CEA levels are not useful in screening the general population for undetected cancers. However, CEA levels provide important information about patient prognosis, recurrence of tumors after surgical removal, and effectiveness of therapy.
The DCP assay is intended for in vitro diagnostic use as an aid in the risk assessment of patients with chronic liver disease for progression to hepatocellular carcinoma (HCC) in conjunction with other laboratory findings and clinical assessment.
Most Popular
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.
Most Popular
For the diagnosis and monitoring of gastrin-secreting tumors, gastric ulcer, Zollinger-Ellison syndrome. Increased in pernicious anemia.
Most Popular
hCG may reach detectable limits within 7-10 days of conception. hCG is produced by the placenta and reaches a peak between the 7th and 10th week of gestation. hCG is a glycoprotein hormone produced by the syncytiotrophoblast of the placenta and secreted during normal pregnancy and with pathologic conditions such as hydatidiform mole, choriocarcinoma and testicular neoplasm. Order hCG, Total, Qualitative, Urine, if hCG serum result is inconsistent with clinical presentation.
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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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In men over 50 years with total PSA between 4.0 and 10.0 ng/mL, the percent (%) free PSA gives an estimate of the probability of cancer. In these circumstances the measurement of the % free PSA may aid in avoiding unnecessary biopsies. Elevated levels of Prostate Specific Antigen (PSA) have been associated with benign and malignant prostatic disorders. Studies indicate that in men 50 years or older measurement of PSA is a useful addition to the digital rectal exam in the early detection of prostate cancer. In addition, PSA decreases to undetectable levels following complete resection of the tumor and may rise again with recurrent disease or persist with residual disease. Thus, PSA levels may be of assistance in the management of prostate cancer patients.
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Measurement of thyroglobulin antibodies is useful in the diagnosis and management of a variety of thyroid disorders including Hashimoto's thyroiditis, Graves Disease and certain types of goiter.

Save 20% on the key lab tests used in cancer screening for women. The key lab tests to screen for cancer, what they mean, and how to get tested.  1 in 2 women and 1 in 3 men will develop cancer in their lifetime. Most forms of cancer can be successfully treated if they're caught early enough. Blood tests can alert you to signs of cancer in your body. Risk factors that can increase your chances of developing cancer Age Tobacco use Radiation exposure Continued exposure to some chemicals Poor diet Lack of physical activity Being overweight or obese Family history of cancer Drug abuse Alcoholism Are you at risk for cancer? Cancer often doesn't show symptoms until it's already done significant harm to your health. Lab tests can provide clues into your overall health lowering your risk of untreated disease. How do you find out? You can order your lab tests directly here to understand your health. Use Promo Code: CAW20 at check out. This promotion can not 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.

Most Popular
This assay is intended for use in the assessment of risk for the development of hepatocellular carcinoma (HCC) in patients with chronic liver disease.
Most Popular
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.
Most Popular
The CA 125 level can provide prognostic information in the follow-up management of patients with ovarian carcinoma. The assay should be used as an adjunctive test in the management of ovarian cancer patients. CA 125 is not recommended as a cancer screening procedure to detect cancer in the general population
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CA 15-3 may be useful for monitoring patients with metastatic breast cancer and certain ovarian cancers. The CA 15-3 values from sequential samples have a high correlation with the clinical course in most patients with metastatic breast cancer.
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A large percentage of patients with gastrointestinal tumors (such as pancreatic, liver, gastric, colorectal tumors) and some other malignancies have been shown to have elevated serum CA 19-9 levels. Serum CA 19-9 levels may be useful for monitoring disease activity or predicting relapse following treatment. CA 19-9 should not be used as a screening test.
Most Popular
CA 27.29 may be useful for monitoring patients for metastatic breast cancer.
  • Alpha-Fetoprotein (AFP) and AFP-L3 [ 19529 ]
  • CA 125 [ 29256 ]
  • CA 15-3 [ 5819 ]
  • CA 19-9 [ 4698 ]
  • CA 27.29 [ 29493 ]
  • Alpha-Fetoprotein (AFP) and AFP-L3 [ 19529 ]
  • Amylase [ 243 ]
  • CA 125 [ 29256 ]
  • CA 15-3 [ 5819 ]
  • CA 19-9 [ 4698 ]
  • CA 27.29 [ 29493 ]
  • CBC (includes Differential and Platelets) [ 6399 ]
  • CEA [ 978 ]
  • Lactate Dehydrogenase (LD) [ 593 ]
  • Thyroglobulin Antibodies (TgAb) [ 267 ]
     
  • Alpha-Fetoprotein (AFP) and AFP-L3 [ 19529 ]
  • Amylase [ 243 ]
  • CA 125 [ 29256 ]
  • CA 15-3 [ 5819 ]
  • CA 19-9 [ 4698 ]
  • CA 27.29 [ 29493 ]
  • CBC (includes Differential and Platelets) [ 6399 ]
  • CEA [ 978 ]
  • Fecal Globin by Immunochemistry (InSure®) [ 11290 ]
  • Gastrin [ 478 ]
  • hCG, Total, Quantitative [ 8396 ]
  • Lactate Dehydrogenase (LD) [ 593 ]
  • Thyroglobulin Antibodies (TgAb) [ 267 ]
     
  • Alpha-Fetoprotein (AFP) and AFP-L3 [ 19529 ]
  • Amylase [ 243 ]
  • CA 125 [ 29256 ]
  • CA 15-3 [ 5819 ]
  • CA 19-9 [ 4698 ]
  • CA 27.29 [ 29493 ]
  • Calcitonin [ 30742 ]
  • CBC (includes Differential and Platelets) [ 6399 ]
  • CEA [ 978 ]
  • CHROMOGRANIN A [ 16379 ]
  • DCP (Des-Gamma-Carboxy-Prothrombin) [ 19982 ]
  • Fecal Globin by Immunochemistry (InSure®) [ 11290 ]
  • Gastrin [ 478 ]
  • hCG, Total, Quantitative [ 8396 ]
  • Lactate Dehydrogenase (LD) [ 593 ]
  • Protein, Total And Protein Electrophoresis (Refl) [ 23036 ]
  • Thyroglobulin Antibodies (TgAb) [ 267 ]
     
Calcitonin concentration is increased in patients with medullary thyroid carcinoma. Calcitonin concentrations may be used to monitor disease.
Most Popular
A complete blood count is used as a screening test for various disease states including anemia, leukemia and inflammatory processes.
Most Popular
Increased serum CEA levels have been detected in persons with primary colorectal cancer and in patients with other malignancies involving the gastrointestinal tract, breast, lung, ovarian, prostatic, liver and pancreatic cancers. Elevated serum CEA levels have also been detected in patients with nonmalignant disease, especially patients who are older or who are smokers. CEA levels are not useful in screening the general population for undetected cancers. However, CEA levels provide important information about patient prognosis, recurrence of tumors after surgical removal, and effectiveness of therapy.
The DCP assay is intended for in vitro diagnostic use as an aid in the risk assessment of patients with chronic liver disease for progression to hepatocellular carcinoma (HCC) in conjunction with other laboratory findings and clinical assessment.
Most Popular
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.
Most Popular
For the diagnosis and monitoring of gastrin-secreting tumors, gastric ulcer, Zollinger-Ellison syndrome. Increased in pernicious anemia.
Most Popular
hCG may reach detectable limits within 7-10 days of conception. hCG is produced by the placenta and reaches a peak between the 7th and 10th week of gestation. hCG is a glycoprotein hormone produced by the syncytiotrophoblast of the placenta and secreted during normal pregnancy and with pathologic conditions such as hydatidiform mole, choriocarcinoma and testicular neoplasm. Order hCG, Total, Qualitative, Urine, if hCG serum result is inconsistent with clinical presentation.
Most Popular

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

Most Popular
Measurement of thyroglobulin antibodies is useful in the diagnosis and management of a variety of thyroid disorders including Hashimoto's thyroiditis, Graves Disease and certain types of goiter.

Save 20% on key lab tests used to identify and monitor Celiac Disease. Use Promo Code: GICD20 at check out. This promotion can not 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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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.
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A complete blood count is used as a screening test for various disease states including anemia, leukemia and inflammatory processes.
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See individual tests

Endomysial Antibody (IgA) Screen with Reflex to Titer.

If Endomysial Antibody (IgA) Screen is positive, Endomysial Antibody Titer will be performed at an additional charge.

IMPORTANT - AN ADDITIONAL CHARGE BE APPLIED FOR THE Endomysial Antibody Titer test if run by the lab.

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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.
Most Popular

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

GI-1. Celiac Disease

  • CBC (includes Differential and Platelets)
  • Comprehensive Metabolic Panel (CMP)
  • Gliadin (Deamidated Peptide) Antibody (IgG, IgA)
  • Immunoglobulin A
  • Tissue Transglutaminase (tTG) Antibody (IgA)

GI-2. Celiac Disease

  • C-Reactive Protein (CRP)
  • CBC (includes Differential and Platelets)
  • Comprehensive Metabolic Panel (CMP)
  • Ferritin
  • Folate, Serum
  • Gliadin (Deamidated Peptide) Antibody (IgG, IgA)
  • Immunoglobulin A
  • Iron and Total Iron Binding Capacity (TIBC)
  • Sed Rate by Modified Westergren (ESR)
  • Tissue Transglutaminase (tTG) Antibody (IgA)
  • Vitamin B12 (Cobalamin)

GI-3. Celiac Disease

  • C-Reactive Protein (CRP)
  • CBC (includes Differential and Platelets)
  • Comprehensive Metabolic Panel (CMP)
  • Ferritin
  • Folate, Serum
  • Gliadin (Deamidated Peptide) Antibody (IgG, IgA)
  • Immunoglobulin A
  • Iron and Total Iron Binding Capacity (TIBC)
  • Sed Rate by Modified Westergren (ESR)
  • Tissue Transglutaminase (tTG) Antibody (IgA)
  • Vitamin B12 (Cobalamin)
  • Vitamin D, 25-Hydroxy, Total, Immunoassay
    Fecal Globin by Immunochemistry (InSure®)

GI-4. Celiac Disease

IMPORTANT: This panel includes two Reflux tests, that if positive the lab will run additional tests at an additional charge.

  • C-Reactive Protein (CRP)
  • CBC (includes Differential and Platelets)
  • Comprehensive Metabolic Panel (CMP)
  • Endomysial Antibody Scr (Iga) W/Refl To Titer

Endomysial Antibody (IgA) Screen with Reflex to Titer.

If Endomysial Antibody (IgA) Screen is positive, Endomysial Antibody Titer will be performed at an additional charge.

IMPORTANT - AN ADDITIONAL CHARGE BE APPLIED FOR THE Endomysial Antibody Titer test if run by the lab.

  • Fecal Globin by Immunochemistry (InSure®)
  • Ferritin
  • Folate, Serum
  • Gliadin (Deamidated Peptide) Antibody (IgG, IgA)
  • Immunoglobulin A
  • Iron and Total Iron Binding Capacity (TIBC)
  • Reticulin IgG Screen with Reflex to Titer

Note: If Reticulin Antibody (IgG) Screen is Positive, Reticulin (IgG) Titer will be performed at an addtional charge.

  • Sed Rate by Modified Westergren (ESR)
  • Tissue Transglutaminase (tTG) Antibody (IgA)
  • Vitamin B12 (Cobalamin)
  • Vitamin D, 25-Hydroxy, Total, Immunoassay
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Detection of antibodies to gliadin, one of the major protein components of gluten, is a sensitive assay useful in diagnosing celiac disease. However, gliadin antibodies may be found in individuals without celiac disease; thus gliadin antibody assays are less specific than assays measuring antibodies to endomysium and transglutaminase. Recent work has revealed that gliadin-reactive antibodies from celiac patients bind to a very limited number of specific epitopes on the gliadin molecule. Further, deamidation of gliadin results in enhanced binding of gliadin antibodies. Based on this information, assays using deamidated gliadin peptides bearing the celiac-specific epitopes have much higher diagnostic accuracy for celiac disease when compared to standard gliadin antibody assays.
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Immunoglobulin A (IgA)

Test Highlight

 

   

Clinical Use

  • Diagnose IgA deficiencies

  • Determine etiology of recurrent infections

  • Diagnose infection

  • Diagnose inflammation

  • Diagnose IgA monoclonal gammopathy

Clinical Background

IgA is the first line of defense for the majority of infections at mucosal surfaces and consists of 2 subclasses. IgA1 is the dominant subclass, accounting for 80% to 90% of total serum IgA and greater than half of the IgA in secretions such as milk, saliva, and tears. IgA2, on the other hand, is more concentrated in secretions than in blood. IgA2 is more resistant to proteolytic cleavage and may be more functionally active than IgA1.

IgA deficiency is the most prevalent isotype deficiency, occurring in 1/400 to 1/700 individuals. Many patients with IgA deficiency are asymptomatic, while others may develop allergic disease, repeated sinopulmonary or gastroenterologic infections, and/or autoimmune disease. Individuals with complete absence of IgA (<5 mg/dL) may develop autoantibodies to IgA after blood or intravenous immunoglobulin infusions and may experience anaphylaxis on repeat exposure. 

Elevated serum IgA levels are associated with infection, inflammation, or IgA monoclonal gammopathy.
 
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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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Anti-Reticulin IgG occurs most frequently in patients with gluten sensitive enteropathy, i.e. celiac disease and dermatitis herpetiformis.

 

Note: If Reticulin Antibody (IgG) Screen is Positive, Reticulin (IgG) Titer will be performed at an addtional charge.

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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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Clinical Significance

Tissue Transglutaminase Antibody, IgA, is useful in diagnosing gluten-sensitive enteropathies, such as Celiac Sprue Disease, and an associated skin condition, dermatitis herpetiformis.

Alternative Name(s) 

Celiac Disease, tTG Antibody, Transglutaminase, Tissue Antibody IgA, Dermatitis Herpetiformis, tTG IgA

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

Save 20% on the key lab tests for people with pre-diabetes and diabetes. 10 Key Lab Tests to Know your Risk of Diabetes   100 million Americans live with either diabetes or pre-diabetes. Are you one of them? Learn about the 10 key lab tests that everyone with diabetes or pre-diabetes should undergo. Plus, the 10 additional tests that individuals with diabetes should take on a routine basis to stay on top of their general health. Take control of your health. Keep your condition in check. If you're diligent about monitoring your biomarkers you can avoid many of the complications that come with diabetes. Order your lab tests directly here to evaluate and monitor your risk of diabetes. Use Promo Code: DH20 at check out. This promotion can not be combined with other promotions.

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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.
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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.
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C-Peptide is useful in the evaluation of pancreatic beta cell function and for determining the source of insulin in patients with hyperinsulinemic hypoglycemia.
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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.
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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.
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A complete blood count is used as a screening test for various disease states including anemia, leukemia and inflammatory processes.
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See individual tests
  • Comprehensive Metabolic Panel (CMP) [ 10231 ]
  • Glucose (included in CMP)
  • Hemoglobin A1c (HgbA1C) [ 496 ]
  • Glutamic Acid Decarboxylase-65 Antibody [ 34878 ]
  • GlycoMark® [ 19599 ]
  • CBC (includes Differential and Platelets) [ 6399 ]
  • Comprehensive Metabolic Panel (CMP) [ 10231 ]
  • Glucose (included in CMP)
  • Hemoglobin A1c (HgbA1C) [ 496 ]
  • Lipid Panel [ 7600 ]
  • Microalbumin, Random Urine with Creatinine [ 6517 ]
  • Adiponectin [ 15060 ]
  • Glutamic Acid Decarboxylase-65 Antibody [ 34878 ]
  • GlycoMark® [ 19599 ]
  • Proinsulin [ 760 ]
  • C-Reactive Protein (CRP) [ 4420 ]
  • CBC (includes Differential and Platelets) [ 6399 ]
  • Comprehensive Metabolic Panel (CMP) [ 10231 ]
  • Glucose (included in CMP)
  • Hemoglobin A1c (HgbA1C) [ 496 ]
  • Insulin [ 561 ]
  • Lipid Panel [ 7600 ]
  • Microalbumin, Random Urine with Creatinine [ 6517 ]
  • Adiponectin [ 15060 ]
  • C-Peptide [ 372 ]
  • Fructosamine [ 8340 ]
  • Glutamic Acid Decarboxylase-65 Antibody [ 34878 ]
  • GlycoMark® [ 19599 ]
  • Proinsulin [ 760 ]
  • Urinalysis (UA), Complete [ 5463 ]
     
  • C-Reactive Protein (CRP) [ 4420 ]
  • CBC (includes Differential and Platelets) [ 6399 ]
  • Comprehensive Metabolic Panel (CMP) [ 10231 ]
  • Glucose (included in CMP)
  • Glucose Tolerance Test, 2 Specimens (75g) [ 35181 ]
  • Hemoglobin A1c (HgbA1C) [ 496 ]
  • Insulin [ 561 ]
  • Insulin Response to Glucose, 2 Specimens [ 6697 ]
  • Lipid Panel [ 7600 ]
  • Microalbumin, Random Urine with Creatinine [ 6517 ]
  • Adiponectin [ 15060 ]
  • Apolipoprotein A1 + B [ 7018 ]
  • C-Peptide [ 372 ]
  • Fructosamine [ 8340 ]
  • Glutamic Acid Decarboxylase-65 Antibody [ 34878 ]
  • GlycoMark® [ 19599 ]
  • IA-2 Antibody [ 36177 ]
  • Lipoprotein Fractionation, Ion Mobility, Cardio IQ™ [ 91604 ]
  • Proinsulin [ 760 ]
  • Urinalysis (UA), Complete [ 5463 ]
     
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This test is used for the routine diagnosis of diabetes in children and the non-pregnant adult. For pregnant females see test "Glucose Tolerance Test, Gestational, 4 Specimens (100 g)". For appropriate interpretation of this test, the patient must fast overnight and ingest a 75 g load of glucose, immediately after, a fasting specimen is obtained. For children, the glucose load is 1.75 g/Kg of ideal body weight, up to 75 g glucose. The diagnosis of diabetes is made if the fasting glucose is ?126 mg/dL or if the 2-hour specimen is ?200 mg/dL.
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Glutamic Acid Decarboxylase (GAD-65) Antibody is useful to diagnose insulin dependent diabetes mellitus (IDDM, Type I diabetes), to assess risk for development of IDDM, to predict onset of IDDM, and risk of development of related endocrine disorders, e.g., thyroiditis. Before clinical onset, Type I diabetes is characterized by lymphocytic infiltration of the islet cells, and by circulating autoantibodies against a variety of islet cell antigens, including GAD-65, IA-2 (a tyrosine phosphatase-like protein), and insulin autoantibody (IAA).
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Measures 1,5 anhydroglucitol, a glucose derived carbohydrate whose urinary excretion varies inversely with mean blood glucose. 1,5 anhydroglucitol appears to integrate variation in mean blood glucose over a period of about two weeks.
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Assesses long term diabetic control in diabetes mellit
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For diagnosis and monitoring of diabetes and insulin-secreting tumors.
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The insulin response to glucose infusion is useful in evaluating patients with hypoglycemia and suspected insulin-resistance.
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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).
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Diabetic nephropathy is a complication of diabetes and is characterized by proteinuria. Before overt proteinuria develops, albumin excretion increases in those diabetic patients who are destined to develop diabetic nephropathy. There is a need to identify small, but abnormal, increases in the excretion of urinary albumin (in the range of 30-300 mg/day, ie, microalbuminuria). The National Kidney Foundation guidelines for the management of patients with diabetes and microalbuminuria recommend that all type 1 diabetic patients older than 12 years and all type 2 diabetic patients younger than 70 years have their urine tested for microalbuminuria yearly when they are under stable glucose control.
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Proinsulin is used to detect and monitor excessive hormone production from insulinomas.
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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.

Save 20% on the key lab tests used to understand your nutritional health. Use Promo Code: NH20 at check out. This promotion can not 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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Collection Instructions

Allow sample to clot for 30 minutes, spin at 3,000 RPM for 10 minutes and transfer serum to plastic, amber vial. If amber vial is not available, wrap tube in aluminum foil to protect from light. Freeze within 30 minutes and send frozen.

Beta Carotene, a fat soluble nutrient, is a precursor to vitamin A. Deficiencies may lead to vitamin A deficiency. Excessive vitamin A intake may lead to headaches, loss of appetite, nausea and diarrhea, skin changes, and potential birth defects.
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Serum chloride is the major extracellular anion and counter-balances the major cation, sodium, maintaining electrical neutrality of the body fluids. Two thirds of the total anion concentration in extracellular fluids is chloride and it is significantly involved in maintaining proper hydration and osmotic pressure. Movement of chloride ions across the red blood cell membrane is essential for the transport of biocarbonate ions in response to changing concentrations of carbon dioxide. Chloride measurements are used in the diagnosis and treatment of electrolyte and metabolic disorders such as cystic fibrosis and diabetic acidosis.
Approximately 1 in every 2500 individuals has inherited a defective enzyme or a deficiency of the enzyme (Pseudocholinesterase) that metabolizes succinylcholine (an anesthetic agent). With a "normal" dosage, these individuals have prolonged apnea. Such individuals are responsive at much smaller concentrations of this anesthetic agent than the general population. Low concentrations of Pseudocholinesterase are observed in individuals exposed to organophosphorous insecticides and in patients with hepatic dysfunction.
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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.
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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.
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Molybdenum, Serum/Plasma

  • CMP Includes (Chloride, Calcium, Potassium & Sodium)
  • Iron, Total [ 571 ]
  • Magnesium [ 622 ]
  • Phosphate (as Phosphorus) [ 718 ]
  • QuestAssureD™ 25-Hydroxyvitamin D (D2, D3), LC/MS/MS [ 92888 ]
  • Vitamin B12 (Cobalamin) and Folate Panel, Serum [ 7065 ]
  • CMP Includes (Chloride, Calcium, Potassium & Sodium)
  • Carotene [ 311 ]
  • Cholinesterase, Serum [ 37965 ]
  • Copper [ 363 ]
  • Iodine, Serum/Plasma [ 16599 ]
  • Iron, Total [ 571 ]
  • Magnesium [ 622 ]
  • Phosphate (as Phosphorus) [ 718 ]
  • QuestAssureD™ 25-Hydroxyvitamin D (D2, D3), LC/MS/MS [ 92888 ]
  • Selenium [ 5507 ]
  • Vitamin B12 (Cobalamin) and Folate Panel, Serum [ 7065 ]
  • Vitamin B6 (Pyridoxal Phosphate ) [ 926 ]
  • Vitamin E (Tocopherol) [ 931 ]
  • Zinc [ 945 ]
     
  • CMP Includes (Chloride, Calcium, Potassium & Sodium)
  • Carotene [ 311 ]
  • Cholinesterase, Serum [ 37965 ]
  • Copper [ 363 ]
  • Iodine, Serum/Plasma [ 16599 ]
  • Iron, Total [ 571 ]
  • Magnesium [ 622 ]
  • Phosphate (as Phosphorus) [ 718 ]
  • QuestAssureD™ 25-Hydroxyvitamin D (D2, D3), LC/MS/MS [ 92888 ]
  • Selenium [ 5507 ]
  • Vitamin A (Retinol) [ 921 ]
  • Vitamin B1 (Thiamine), LC/MS/MS [ 90353 ]
  • Vitamin B12 (Cobalamin) and Folate Panel, Serum [ 7065 ]
  • Vitamin B3 (Nicotinic acid) [ 91029 ]
  • Vitamin B5 (Pantothenic Acid) [ 91030 ]
  • Vitamin B6 (Pyridoxal Phosphate ) [ 926 ]
  • Vitamin C [ 929 ]
  • Vitamin D, 1,25-Dihydroxy, LC/MS/MS [ 16558 ]
  • Vitamin E (Tocopherol) [ 931 ]
  • Vitamin K [ 36585 ]
  • Zinc [ 945 ]
     
  • CMP Includes (Chloride, Calcium, Potassium & Sodium)
  • Carotene [ 311 ]
  • Cholinesterase, Serum [ 37965 ]
  • Copper [ 363 ]
  • Iodine, Serum/Plasma [ 16599 ]
  • Iron, Total [ 571 ]
  • Magnesium [ 622 ]
  • Molybdenum, Serum/Plasma [ 6213 ]
  • Phosphate (as Phosphorus) [ 718 ]
  • QuestAssureD™ 25-Hydroxyvitamin D (D2, D3), LC/MS/MS [ 92888 ]
  • Selenium [ 5507 ]
  • Vitamin A (Retinol) [ 921 ]
  • Vitamin B1 (Thiamine), LC/MS/MS [ 90353 ]
  • Vitamin B12 (Cobalamin) and Folate Panel, Serum [ 7065 ]
  • Vitamin B2 (Riboflavin), Plasma [ 36399 ]
  • Vitamin B3 (Nicotinic acid) [ 91029 ]
  • Vitamin B5 (Pantothenic Acid) [ 91030 ]
  • Vitamin B6 (Pyridoxal Phosphate ) [ 926 ]
  • Vitamin B7 (Biotin) [ 391 ]
  • Vitamin C [ 929 ]
  • Vitamin D, 1,25-Dihydroxy, LC/MS/MS [ 16558 ]
  • Vitamin E (Tocopherol) [ 931 ]
  • Vitamin K [ 36585 ]
  • Zinc [ 945 ]
     
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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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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
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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.
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Folic acid deficiency is common in pregnant women, alcoholics, patients with diets that do not include raw fruits and vegetables, and 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. Vitamin B12 is decreased in pernicious anemia, total
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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.
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Nicotinic Acid occurs naturally in plants and animals and is also added to many foods as a vitamin supplement.
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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)

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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.
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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.
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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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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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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.

Save 20% on the key lab tests used to understand your cardiovascular and heart health. Use Promo Code: CVD20 at check out. This promotion can not 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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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.
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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.
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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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C-Reactive Protein Cardiac (hs CRP) Useful in predicting risk for cardiovascular disease.

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This test determines the subtypes of apoe which will aid in the risk assessment of corornary heart disease (CHD) and hyperlipoproteinemia.
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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.
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A complete blood count is used as a screening test for various disease states including anemia, leukemia and inflammatory processes.
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See individual tests
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Test for myocardial infarction and skeletal muscle damage. Elevated results may be due to: myocarditis, myocardial infarction (heart attack), muscular dystrophy, muscle trauma or excessive exercise

CVD - 1. Low Heart Health Risk

CVD - 2. Moderate Heart Health Risk

CVD - 3. High Heart Health Risk

CVD - 4. High Heart Health Risk Plus

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Fibrinogen is essential for the formation of a blood clot. Deficiency can produce mild to severe bleeding disorders
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Assesses long term diabetic control in diabetes mellit
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Elevated levels of homocysteine are observed in patients at risk for coronary heart disease and stroke.
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For diagnosis and monitoring of diabetes and insulin-secreting tumors.
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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.

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Elevated concentrations of Lp(a) are associated with increased risk of coronary artery disease
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Clinical Significance

Lipoprotein-associated phospholipase A2 (Lp-PLA2), also known as platelet activating factor Acetylhydrolase, is an inflammatory enzyme that circulates bound mainly to low density lipoproteins and has been found to be localized and enriched in atherosclerotic plaques. In multiple clinical trials, Lp-PLA2 activity has been shown to be an independent predictor of coronary heart disease and stroke in the general population. Measurement of Lp-PLA2 may be used along with traditional cardiovascular risk factor measures for identifying individuals at higher risk of cardiovascular disease events. Clinical management may include beginning or intensifying risk reduction strategies. The activity assay is an enzyme assay run on an automated chemistry platform.

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Limitations The purpose of this test is to determine if you have two, one, or no copies of either of two mutations in the MTHFR gene, C677T and A1298C.
Microalbumin is albumin excreted in the urine and is a sensitive marker of nephropathy. It is used to screen for early renal disease in diabetic patients.
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Patients with vascular diseases will generally have either a C-ANCA pattern or P-ANCA pattern, and give positive results in specific tests for PR-3 or MPO. Patients with bowel disease have been shown to have antibodies that give a P-ANCA or C-ANCA pattern. These antibodies, however, may not be directed toward MPO. Patients with drug induced lupus, etc., often present with a P-ANCA pattern that is associated with antibodies against MPO.
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BNP is used to aid in the diagnosis of left ventricular dysfunction in heart failure. In contrast with BNP, a drug to treat left ventricular dysfunction does not interfere with the measurement of N-terminal pro-BNP.

Patients should fast overnight and refrain from consuming fish or other seafood the day before the blood draw to avoid false elevations in TMAO.

Troponin I is part of a protein complex which regulates the contraction of striated muscle. In acute coronary syndromes (ACS), it can be detected in blood at 4-8 hours following the onset of chest pain, reaches a peak concentration at 12-16 hours, and remains elevated for 5-9 days. Troponin I has been used as a reliable marker in the diagnosis of perioperative myocardial infarction in patients undergoing cardiac surgery.

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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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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 Key Lab Tests to Order if you Have High Blood Pressure High blood pressure is more common than ever. One out of every three adults has high blood pressure.High blood pressure doesn't show symptoms until it's already done significant harm to your health and your body. You may have an underlying disease caused by high blood pressure. How do you find out? You order your lab tests directly here to evaluate the impact of your high blood pressure on your body.  Save 20% on the key lab tests for people with high blood pressure. Use Promo Code: CVDHBP20 at check out. This promotion can not 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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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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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.
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C-Reactive Protein Cardiac (hs CRP) Useful in predicting risk for cardiovascular disease.

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This test determines the subtypes of apoe which will aid in the risk assessment of corornary heart disease (CHD) and hyperlipoproteinemia.
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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

 

Most Popular
A complete blood count is used as a screening test for various disease states including anemia, leukemia and inflammatory processes.
Most Popular
See individual tests
Most Popular
Cortisol is increased in Cushing's Disease and decreased in Addison's Disease (adrenal insufficiency).
  • Apolipoprotein A1 + B [ 7018 ]
  • Comprehensive Metabolic Panel (CMP) [ 10231 ]
  • hs-CRP [ 10124 ]
  • Lipid Panel with Ratios [ 19543 ]
  • Apolipoprotein A1 + B [ 7018 ]
  • CARDIO IQ(R) LIPOPROTEIN SUBFRACT, ION MOBILITY [ 92500 ]
  • CBC (includes Differential and Platelets) [ 6399 ]
  • Comprehensive Metabolic Panel (CMP) [ 10231 ]
  • Fibrinogen Activity, Clauss [ 461 ]
  • hs-CRP [ 10124 ]
  • Lipid Panel with Ratios [ 19543 ]
  • Lipoprotein (A) [ 34604 ]
  • Apolipoprotein A1 + B [ 7018 ]
  • CARDIO IQ(R) LIPOPROTEIN SUBFRACT, ION MOBILITY [ 92500 ]
  • CBC (includes Differential and Platelets) [ 6399 ]
  • Comprehensive Metabolic Panel (CMP) [ 10231 ]
  • Cortisol, Total [ 367 ]
  • Fibrinogen Activity, Clauss [ 461 ]
  • hs-CRP [ 10124 ]
  • Lipid Panel with Ratios [ 19543 ]
  • Lipoprotein (A) [ 34604 ]
  • LP PLA2 ACTIVITY [ 94267 ]
  • Microalbumin, 24-Hour Urine with Creatinine [ 15281 ]
  • TSH [ 899 ]
  • Urinalysis (UA), Complete [ 5463 ]
     
  • Albumin (ALB) [ 223 ]
  • ApoE Genotype, Cardio IQ™ [ 90649 ]
  • Apolipoprotein A1 + B [ 7018 ]
  • CARDIO IQ(R) LIPOPROTEIN SUBFRACT, ION MOBILITY [ 92500 ]
  • CBC (includes Differential and Platelets) [ 6399 ]
  • Comprehensive Metabolic Panel (CMP) [ 10231 ]
  • Cortisol, Total [ 367 ]
  • Fibrinogen Activity, Clauss [ 461 ]
  • hs-CRP [ 10124 ]
  • Lipid Panel with Ratios [ 19543 ]
  • Lipoprotein (A) [ 34604 ]
  • LP PLA2 ACTIVITY [ 94267 ]
  • Microalbumin, 24-Hour Urine with Creatinine [ 15281 ]
  • TSH [ 899 ]
  • Urinalysis (UA), Complete [ 5463 ]
     
Most Popular
Fibrinogen is essential for the formation of a blood clot. Deficiency can produce mild to severe bleeding disorders
Most Popular

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.

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Elevated concentrations of Lp(a) are associated with increased risk of coronary artery disease
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Clinical Significance

Lipoprotein-associated phospholipase A2 (Lp-PLA2), also known as platelet activating factor Acetylhydrolase, is an inflammatory enzyme that circulates bound mainly to low density lipoproteins and has been found to be localized and enriched in atherosclerotic plaques. In multiple clinical trials, Lp-PLA2 activity has been shown to be an independent predictor of coronary heart disease and stroke in the general population. Measurement of Lp-PLA2 may be used along with traditional cardiovascular risk factor measures for identifying individuals at higher risk of cardiovascular disease events. Clinical management may include beginning or intensifying risk reduction strategies. The activity assay is an enzyme assay run on an automated chemistry platform.

Microalbumin is albumin excreted in the urine and is a sensitive marker of nephropathy. It is used to screen for early renal disease in diabetic patients.
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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.

Save 20% on the 12 Key Hormone Lab Tests For Women. Do you find yourself with unexplained weight gain? Are you experiencing a decline in your sex drive? Do you experience hot flashes or night sweats? Do you sweat more, have hair loss, feeling tired, or suffer from digestive issues? If this sounds familiar you may have a hormonal imbalance. How do you find out?  Order your lab tests directly here to evaluate your hormones. Use Promo Code: HHW20 at check out. This promotion can not 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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DHEA-S is the sulfated form of DHEA and is the major androgen produced by the adrenal glands. This test is used in the differential diagnosis of hirsute or virilized female patients and for the diagnosis of isolated premature adrenarche and adrenal tumors. About 10% of hirsute women with Polycystic Ovarian Syndrome (PCOS) have elevated DHEA-S but normal levels of other androgens.

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Measuring the circulating levels of estradiol is important for assessing the ovarian function and monitoring follicular development for assisted reproduction protocols. Estradiol plays an essential role throughout the human menstrual cycle. Elevated estradiol levels in females may also result from primary or secondary ovarian hyperfunction. Very high estradiol levels are found during the induction of ovulation for assisted reproduction therapy or in pregnancy. Decreased estradiol levels in females may result from either lack of ovarian synthesis (primary ovarian hypofunction and menopause) or a lesion in the hypothalamus-pituitary axis (secondary ovarian hypofunction). Elevated estradiol levels in males may be due to increased aromatization of androgens, resulting in gynecomastia.

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 in Estradiol, Ultrasensitive LC/MS/MS - #30289 at an additional charge of $34

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Estrogens are secreted by the gonads, adrenal glands, and placenta. Total estrogens provide an overall picture of estrogen status for men and women.
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Estrone is primarily derived from metabolism of androstenedione in peripheral tissues, especially adipose tissues. Individuals with obesity have increased conversion of androstenedione to Estrone leading to higher concentrations. In addition, an increase in the ratio of Estrone to Estradiol may be useful in assessing menopause in women.
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FSH and LH are secreted by the anterior pituitary in response to gonadotropin-releasing hormone (GNRH) secreted by the hypothalamus. In both males and females, FSH and LH secretion is regulated by a balance of positive and negative feedback mechanisms involving the hypothalamic-pituitary axis, the reproductive organs, and the pituitary and sex steroid hormones. FSH and LH play a critical role in maintaining the normal function of the male and female reproductive systems. Abnormal FSH levels with corresponding increased or decreased levels of LH, estrogens, progesterone, and testosterone are associated with a number of pathological conditions. Increased FSH levels are associated with menopause and primary ovarian hypofunction in females and primary hypogonadism in males. Decreased levels of FSH are associated with primary ovarian hyper-function in females and primary hypergonadism in males. Normal or decreased levels of FSH are associated with polycystic ovary disease in females. In males, LH is also called interstitial cell-stimulating hormone (ICSH). Abnormal LH levels with corresponding increased or decreased levels of FSH, estrogens, progesterone, and testosterone are associated with a number of pathological conditions. Increased LH levels are associated with menopause, primary ovarian hypofunction, and polycystic ovary disease in females and primary hypo-gonadism in males. Decreased LH levels are associated with primary ovarian hyperfunction in females and primary hyper-gonadism in males.
  • DHEA Sulfate, Immunoassay [ 402 ]
  • Estradiol [ 4021 ]
  • Estrogen, Total, Serum [ 439 ]
  • DHEA Sulfate, Immunoassay [ 402 ]
  • Estradiol [ 4021 ]
  • Estrogen, Total, Serum [ 439 ]
  • Estrone, LC/MS/MS [ 23244 ]
  • FSH and LH [ 7137 ]
  • DHEA Sulfate, Immunoassay [ 402 ]
  • Estradiol [ 4021 ]
  • Estrogen, Total, Serum [ 439 ]
  • Estrone, LC/MS/MS [ 23244 ]
  • FSH and LH [ 7137 ]
  • IGF-I, LC/MS [ 16293 ]
  • Pregnenolone, LC/MS/MS [ 31493 ]
  • Progesterone, Immunoassay [ 745 ]
  • DHEA Sulfate, Immunoassay [ 402 ]
  • Estradiol [ 4021 ]
  • Estrogen, Total, Serum [ 439 ]
  • Estrone, LC/MS/MS [ 23244 ]
  • FSH and LH [ 7137 ]
  • IGF-I, LC/MS [ 16293 ]
  • Pregnenolone, LC/MS/MS [ 31493 ]
  • Progesterone, Immunoassay [ 745 ]
  • Prolactin [ 746 ]
  • Testosterone, Total And Free And Sex Hormone Binding Globulin [ 37073 ]
     
Most Popular
Insulin-like growth factor I (IGF-I, or somatomedin C), a protein involved in stimulating somatic growth, is regulated principally by growth hormone (GH) and nutritional intake. IGF-I is transported in serum by several proteins; this helps maintain relatively high IGF-I plasma levels and minimizes fluctuations in serum IGF-I concentrations. Measuring IGF-I is useful in several growth-related disorders. Dwarfism caused by deficiency of growth hormone (hypopituitarism) results in decreased serum levels of IGF-I, while acromegaly (growth hormone excess) results in elevated levels of IGF-I. IGF-I measurements are also helpful in assessing nutritional status; levels are reduced in undernutrition and restored with a proper diet.
Most Popular
Pregnenolone is a chemical substance that is a precursor to all steroid hormones. This test measures the amount of pregnenolone in the blood in order to help detect rare forms of congenital adrenal hyperplasia (CAH).
Most Popular
Levels increase sharply during the luteal phase of the menstrual cycle. The level increases from 9 to 32 weeks of pregnancy.
Most Popular
During pregnancy and postpartum lactation, serum prolactin can increase 10- to 20-fold. Exercise, stress, and sleep also cause transient increases in prolactin levels. Consistently elevated serum prolactin levels (>30 ng/mL), in the absence of pregnancy and postpartum lactation, are indicative of hyperprolactinemia. Hypersecretion of prolactin can be caused by pituitary adenomas, hypothalamic disease, breast or chest wall stimulation, renal failure or hypothyroidism. A number of drugs, including many antidepressants, are also common causes of abnormally elevated prolactin levels. Hyperprolactinemia often results in galactorrhea, amenorrhea, and infertility in females, and in impotence and hypogonadism in males. Renal failure, hypothyroidism, and prolactin-secreting pituitary adenomas are also common causes of abnormally elevated prolactin levels.
Most Popular

Testosterone circulates almost entirely bound to transport proteins: normally less than 1% is free. Measurement of Free Testosterone may be useful when disturbances in Sex Hormone Binding Globulin (SHBG) are suspected such as when patients are obese or have excessive estrogen. Testosterone measurements are used to assess erectile dysfunction, infertility, gynecomastia, and osteoporosis and to assess hormone replacement therapy.

Save 20% on the 10 Key Hormone Tests For Men Are you experiencing erectile dysfunction (ED)? Do you have less hair? Do you have a lowered sex drive or lower sperm count? Are you experiencing less muscle mass? If this sounds familiar you may have a hormonal imbalance. How do you find out?  Order your lab tests directly here to evaluate your hormones. Use Promo Code: HHM20 at check out. This promotion can not 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.

Most Popular

DHEA-S is the sulfated form of DHEA and is the major androgen produced by the adrenal glands. This test is used in the differential diagnosis of hirsute or virilized female patients and for the diagnosis of isolated premature adrenarche and adrenal tumors. About 10% of hirsute women with Polycystic Ovarian Syndrome (PCOS) have elevated DHEA-S but normal levels of other androgens.

Most Popular
DHT is a potent androgen derived from testosterone via 5-alpha-reductase activity. 5-alpha-reductase deficiency results in incompletely virilized males (phenotypic females). This diagnosis is supported by an elevated ratio of testosterone to DHT.
Most Popular

Measuring the circulating levels of estradiol is important for assessing the ovarian function and monitoring follicular development for assisted reproduction protocols. Estradiol plays an essential role throughout the human menstrual cycle. Elevated estradiol levels in females may also result from primary or secondary ovarian hyperfunction. Very high estradiol levels are found during the induction of ovulation for assisted reproduction therapy or in pregnancy. Decreased estradiol levels in females may result from either lack of ovarian synthesis (primary ovarian hypofunction and menopause) or a lesion in the hypothalamus-pituitary axis (secondary ovarian hypofunction). Elevated estradiol levels in males may be due to increased aromatization of androgens, resulting in gynecomastia.

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 in Estradiol, Ultrasensitive LC/MS/MS - #30289 at an additional charge of $34

Most Popular
FSH and LH are secreted by the anterior pituitary in response to gonadotropin-releasing hormone (GNRH) secreted by the hypothalamus. In both males and females, FSH and LH secretion is regulated by a balance of positive and negative feedback mechanisms involving the hypothalamic-pituitary axis, the reproductive organs, and the pituitary and sex steroid hormones. FSH and LH play a critical role in maintaining the normal function of the male and female reproductive systems. Abnormal FSH levels with corresponding increased or decreased levels of LH, estrogens, progesterone, and testosterone are associated with a number of pathological conditions. Increased FSH levels are associated with menopause and primary ovarian hypofunction in females and primary hypogonadism in males. Decreased levels of FSH are associated with primary ovarian hyper-function in females and primary hypergonadism in males. Normal or decreased levels of FSH are associated with polycystic ovary disease in females. In males, LH is also called interstitial cell-stimulating hormone (ICSH). Abnormal LH levels with corresponding increased or decreased levels of FSH, estrogens, progesterone, and testosterone are associated with a number of pathological conditions. Increased LH levels are associated with menopause, primary ovarian hypofunction, and polycystic ovary disease in females and primary hypo-gonadism in males. Decreased LH levels are associated with primary ovarian hyperfunction in females and primary hyper-gonadism in males.
  • DHEA Sulfate, Immunoassay [ 402 ]
  • Testosterone, Total And Free And Sex Hormone Binding Globulin [ 37073 ]
     
  • DHEA Sulfate, Immunoassay [ 402 ]
  • Estradiol [ 4021 ]
  • FSH and LH [ 7137 ]
  • IGF-I, LC/MS [ 16293 ]
  • Testosterone, Total And Free And Sex Hormone Binding Globulin [ 37073 ]
     
  • DHEA Sulfate, Immunoassay [ 402 ]
  • Dihydrotestosterone (DHT), LC/MS/MS [ 90567 ]
  • Estradiol [ 4021 ]
  • FSH and LH [ 7137 ]
  • IGF-I, LC/MS [ 16293 ]
  • Prolactin [ 746 ]
  • Testosterone, Total And Free And Sex Hormone Binding Globulin [ 37073 ]
     
  • DHEA Sulfate, Immunoassay [ 402 ]
  • Dihydrotestosterone (DHT), LC/MS/MS [ 90567 ]
  • Estradiol [ 4021 ]
  • FSH and LH [ 7137 ]
  • IGF-I, LC/MS [ 16293 ]
  • Pregnenolone, LC/MS/MS [ 31493 ]
  • Prolactin [ 746 ]
  • Testosterone, Total And Free And Sex Hormone Binding Globulin [ 37073 ]
     
Most Popular
Insulin-like growth factor I (IGF-I, or somatomedin C), a protein involved in stimulating somatic growth, is regulated principally by growth hormone (GH) and nutritional intake. IGF-I is transported in serum by several proteins; this helps maintain relatively high IGF-I plasma levels and minimizes fluctuations in serum IGF-I concentrations. Measuring IGF-I is useful in several growth-related disorders. Dwarfism caused by deficiency of growth hormone (hypopituitarism) results in decreased serum levels of IGF-I, while acromegaly (growth hormone excess) results in elevated levels of IGF-I. IGF-I measurements are also helpful in assessing nutritional status; levels are reduced in undernutrition and restored with a proper diet.
Most Popular
Pregnenolone is a chemical substance that is a precursor to all steroid hormones. This test measures the amount of pregnenolone in the blood in order to help detect rare forms of congenital adrenal hyperplasia (CAH).
Most Popular
During pregnancy and postpartum lactation, serum prolactin can increase 10- to 20-fold. Exercise, stress, and sleep also cause transient increases in prolactin levels. Consistently elevated serum prolactin levels (>30 ng/mL), in the absence of pregnancy and postpartum lactation, are indicative of hyperprolactinemia. Hypersecretion of prolactin can be caused by pituitary adenomas, hypothalamic disease, breast or chest wall stimulation, renal failure or hypothyroidism. A number of drugs, including many antidepressants, are also common causes of abnormally elevated prolactin levels. Hyperprolactinemia often results in galactorrhea, amenorrhea, and infertility in females, and in impotence and hypogonadism in males. Renal failure, hypothyroidism, and prolactin-secreting pituitary adenomas are also common causes of abnormally elevated prolactin levels.

Save 20% on key lab tests used to identify and monitor Hyperthyroidism & Graves Disease. Use Promo Code: THHYPER20 at check out. This promotion can not 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.

Most Popular
A complete blood count is used as a screening test for various disease states including anemia, leukemia and inflammatory processes.
Most Popular
See individual tests
Most Popular
Assesses long term diabetic control in diabetes mellit
Most Popular
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
Most Popular

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.

Most Popular
The assay may be useful in the diagnosis of nonthyroidal illness (NTI). Patients with NTI have low T3 concentrations and increased concentrations of rT3. RT3 may be useful in neonates to distinguish euthyroid sick syndrome from central hypothyroidism.
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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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This test is used to diagnose hyperthyroidism and to clarify thyroid status in the presence of a possible protein binding abnormality.
Most Popular

For diagnosis of hypothyroidism and hyperthyroidism.

Note: Free T4 Index (T7) will only be calculated and reported if test code code 861 (T3 Uptake) is ordered as well.

Most Popular
The free T4 are tests thelps evaluate thyroid function. The free T4 test is used to help diagnose hyperthyroidism and hypothyroidism. Free T4 is the active form of thyroxine and is usually ordered along with or following a TSH test. This helps the doctor to determine whether the thyroid hormone feedback system is functioning as it should, and the results of the tests help to distinguish between different causes of hyperthyroidism and hypothyroidism.
  • T3, Free [ 34429 ]
  • T4, Free [ 866 ]
  • TSH [ 899 ]
  • T3, Free [ 34429 ]
  • T4, Free [ 866 ]
  • TSH [ 899 ]
  • CBC (includes Differential and Platelets) [ 6399 ]
  • Comprehensive Metabolic Panel (CMP) [ 10231 ]
  • Hemoglobin A1c (HgbA1C) [ 496 ]
  • Iron and Total Iron Binding Capacity (TIBC) [ 7573 ]
  • Lipid Panel with Ratios [ 19543 ]
  • QuestAssureD™ 25-Hydroxyvitamin D (D2, D3), LC/MS/MS [ 92888 ]
  • T3 Reverse (RT3), LC/MS/MS [ 90963 ]
  • T3 Total [ 859 ]
  • T3, Free [ 34429 ]
  • T4 (Thyroxine), Total [ 867 ]
  • T4, Free [ 866 ]
  • TSH [ 899 ]
  • Vitamin B12 (Cobalamin) [ 927 ]
  • CBC (includes Differential and Platelets) [ 6399 ]
  • Comprehensive Metabolic Panel (CMP) [ 10231 ]
  • Hemoglobin A1c (HgbA1C) [ 496 ]
  • Iron and Total Iron Binding Capacity (TIBC) [ 7573 ]
  • Lipid Panel with Ratios [ 19543 ]
  • QuestAssureD™ 25-Hydroxyvitamin D (D2, D3), LC/MS/MS [ 92888 ]
  • T3 Reverse (RT3), LC/MS/MS [ 90963 ]
  • T3 Total [ 859 ]
  • T3, Free [ 34429 ]
  • T4 (Thyroxine), Total [ 867 ]
  • T4, Free [ 866 ]
  • TSH [ 899 ]
  • Vitamin B12 (Cobalamin) [ 927 ]
  • CBC (includes Differential and Platelets) [ 6399 ]
  • Comprehensive Metabolic Panel (CMP) [ 10231 ]
  • Hemoglobin A1c (HgbA1C) [ 496 ]
  • Iron and Total Iron Binding Capacity (TIBC) [ 7573 ]
  • Lipid Panel with Ratios [ 19543 ]
  • QuestAssureD™ 25-Hydroxyvitamin D (D2, D3), LC/MS/MS [ 92888 ]
  • T3 Reverse (RT3), LC/MS/MS [ 90963 ]
  • T3 Total [ 859 ]
  • T3, Free [ 34429 ]
  • T4 (Thyroxine), Total [ 867 ]
  • T4, Free [ 866 ]
  • Thyroid Peroxidase and Thyroglobulin Antibodies [ 7260 ]
  • TSH [ 899 ]
  • Vitamin B12 (Cobalamin) [ 927 ]
  • Vitamin B6 (Pyridoxal Phosphate ) [ 926 ]
     
  • CBC (includes Differential and Platelets) [ 6399 ]
  • Comprehensive Metabolic Panel (CMP) [ 10231 ]
  • Hemoglobin A1c (HgbA1C) [ 496 ]
  • Iron and Total Iron Binding Capacity (TIBC) [ 7573 ]
  • Lipid Panel with Ratios [ 19543 ]
  • QuestAssureD™ 25-Hydroxyvitamin D (D2, D3), LC/MS/MS [ 92888 ]
  • T3 Reverse (RT3), LC/MS/MS [ 90963 ]
  • T3 Total [ 859 ]
  • T3, Free [ 34429 ]
  • T4 (Thyroxine), Total [ 867 ]
  • T4, Free [ 866 ]
  • Thyroid Peroxidase and Thyroglobulin Antibodies [ 7260 ]
  • TSH [ 899 ]
  • Vitamin B12 (Cobalamin) [ 927 ]
  • Vitamin B6 (Pyridoxal Phosphate ) [ 926 ]
     
  • CBC (includes Differential and Platelets) [ 6399 ]
  • Comprehensive Metabolic Panel (CMP) [ 10231 ]
  • Hemoglobin A1c (HgbA1C) [ 496 ]
  • Iron and Total Iron Binding Capacity (TIBC) [ 7573 ]
  • Lipid Panel with Ratios [ 19543 ]
  • QuestAssureD™ 25-Hydroxyvitamin D (D2, D3), LC/MS/MS [ 92888 ]
  • T3 Reverse (RT3), LC/MS/MS [ 90963 ]
  • T3 Total [ 859 ]
  • T3, Free [ 34429 ]
  • T4 (Thyroxine), Total [ 867 ]
  • T4, Free [ 866 ]
  • Thyroid Peroxidase and Thyroglobulin Antibodies [ 7260 ]
  • TRAb (TSH Receptor Binding Antibody) [ 5738 ]
  • TSH [ 899 ]
  • TSI (Thyroid Stimulating Immunoglobulin) [ 30551 ]
  • Vitamin B12 (Cobalamin) [ 927 ]
  • Vitamin B6 (Pyridoxal Phosphate ) [ 926 ]
     
  • CBC (includes Differential and Platelets) [ 6399 ]
  • Comprehensive Metabolic Panel (CMP) [ 10231 ]
  • Hemoglobin A1c (HgbA1C) [ 496 ]
  • Iron and Total Iron Binding Capacity (TIBC) [ 7573 ]
  • Lipid Panel with Ratios [ 19543 ]
  • QuestAssureD™ 25-Hydroxyvitamin D (D2, D3), LC/MS/MS [ 92888 ]
  • T3 Reverse (RT3), LC/MS/MS [ 90963 ]
  • T3 Total [ 859 ]
  • T3, Free [ 34429 ]
  • T4 (Thyroxine), Total [ 867 ]
  • T4, Free [ 866 ]
  • Thyroid Peroxidase and Thyroglobulin Antibodies [ 7260 ]
  • TRAb (TSH Receptor Binding Antibody) [ 5738 ]
  • TSH [ 899 ]
  • TSI (Thyroid Stimulating Immunoglobulin) [ 30551 ]
  • Vitamin B12 (Cobalamin) [ 927 ]
  • Vitamin B6 (Pyridoxal Phosphate ) [ 926 ]
     
Most Popular

Thyroid Peroxidase Antibodies (TPO) and Thyroglobulin Antibodies

Measurement of thyroglobulin antibodies and thyroid peroxidase antibodies (TPO) is useful in the diagnosis and management of a variety of thyroid disorders including autoimmune thyroiditis, Hashimoto's Disease, Graves Disease and certain types of goiter.

 "IMPORTANT - Please note that Quest returns values up to 900 for the Thyroid Peroxidase Antibodies test.  If tracking requires values above 900 for the Thyroid Peroxidase Antibodies, then order test TPO Antibody Endpoint (Test Code # 15116).

Most Popular

TRAb (TSH Receptor Binding Antibody) 

TBII (Thyrotropin Binding Inhibit Immunoglobulin)

Clinical Significance

Measurement of TBII is used to diagnose and manage Graves' Disease, Neonatal Hypothyroidism, and Postpartum Thyroid Dysfunction.

Alternative Name(s) 

Thyroid Stimulating Hormone (TSH) Receptor Antibody,Thyrotropin Receptor Antibody,TSH Receptor Blocking Antibody,Thyrotropin-Binding Inhibitory Immunoglobulin

 

Result
Code		 Result Name LOINC Code Component Name
85986250 TRAb 40673-6 Thyrotropin binding inhibitory immunoglobulins
Most Popular
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
TSI stands for thyroid stimulating immunoglobulin. TSI tells the thyroid gland to swell and release excess amounts of thyroid hormone into the blood.
Most Popular
Vitamin B12 is decreased in pernicious anemia, total or partial gastrectomy, malabsorption and certain congenital and biochemical disorders
Most Popular
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.
Most Popular
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.

Save 20% on key lab tests used to identify and monitor Hypothyroidism & Hashimoto's Disease. Use Promo Code: THHYPO20 at check out. This promotion can not 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.

Most Popular
A complete blood count is used as a screening test for various disease states including anemia, leukemia and inflammatory processes.
Most Popular
See individual tests
Most Popular
Assesses long term diabetic control in diabetes mellit
Most Popular
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
Most Popular

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.

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The assay may be useful in the diagnosis of nonthyroidal illness (NTI). Patients with NTI have low T3 concentrations and increased concentrations of rT3. RT3 may be useful in neonates to distinguish euthyroid sick syndrome from central hypothyroidism.
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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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This test is used to diagnose hyperthyroidism and to clarify thyroid status in the presence of a possible protein binding abnormality.
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For diagnosis of hypothyroidism and hyperthyroidism.

Note: Free T4 Index (T7) will only be calculated and reported if test code code 861 (T3 Uptake) is ordered as well.

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The free T4 are tests thelps evaluate thyroid function. The free T4 test is used to help diagnose hyperthyroidism and hypothyroidism. Free T4 is the active form of thyroxine and is usually ordered along with or following a TSH test. This helps the doctor to determine whether the thyroid hormone feedback system is functioning as it should, and the results of the tests help to distinguish between different causes of hyperthyroidism and hypothyroidism.
  • T3, Free [ 34429 ]
  • T4, Free [ 866 ]
  • TSH [ 899 ]
  • T3, Free [ 34429 ]
  • T4, Free [ 866 ]
  • TSH [ 899 ]
  • CBC (includes Differential and Platelets) [ 6399 ]
  • Comprehensive Metabolic Panel (CMP) [ 10231 ]
  • Hemoglobin A1c (HgbA1C) [ 496 ]
  • Iron and Total Iron Binding Capacity (TIBC) [ 7573 ]
  • Lipid Panel with Ratios [ 19543 ]
  • QuestAssureD™ 25-Hydroxyvitamin D (D2, D3), LC/MS/MS [ 92888 ]
  • T3 Reverse (RT3), LC/MS/MS [ 90963 ]
  • T3 Total [ 859 ]
  • T3, Free [ 34429 ]
  • T4 (Thyroxine), Total [ 867 ]
  • T4, Free [ 866 ]
  • TSH [ 899 ]
  • Vitamin B12 (Cobalamin) [ 927 ]
  • CBC (includes Differential and Platelets) [ 6399 ]
  • Comprehensive Metabolic Panel (CMP) [ 10231 ]
  • Hemoglobin A1c (HgbA1C) [ 496 ]
  • Iron and Total Iron Binding Capacity (TIBC) [ 7573 ]
  • Lipid Panel with Ratios [ 19543 ]
  • QuestAssureD™ 25-Hydroxyvitamin D (D2, D3), LC/MS/MS [ 92888 ]
  • T3 Reverse (RT3), LC/MS/MS [ 90963 ]
  • T3 Total [ 859 ]
  • T3, Free [ 34429 ]
  • T4 (Thyroxine), Total [ 867 ]
  • T4, Free [ 866 ]
  • TSH [ 899 ]
  • Vitamin B12 (Cobalamin) [ 927 ]
  • CBC (includes Differential and Platelets) [ 6399 ]
  • Comprehensive Metabolic Panel (CMP) [ 10231 ]
  • Hemoglobin A1c (HgbA1C) [ 496 ]
  • Iron and Total Iron Binding Capacity (TIBC) [ 7573 ]
  • Lipid Panel with Ratios [ 19543 ]
  • QuestAssureD™ 25-Hydroxyvitamin D (D2, D3), LC/MS/MS [ 92888 ]
  • T3 Reverse (RT3), LC/MS/MS [ 90963 ]
  • T3 Total [ 859 ]
  • T3, Free [ 34429 ]
  • T4 (Thyroxine), Total [ 867 ]
  • T4, Free [ 866 ]
  • Thyroid Peroxidase and Thyroglobulin Antibodies [ 7260 ]
  • TSH [ 899 ]
  • Vitamin B12 (Cobalamin) [ 927 ]
  • Vitamin B6 (Pyridoxal Phosphate ) [ 926 ]
     
  • CBC (includes Differential and Platelets) [ 6399 ]
  • Comprehensive Metabolic Panel (CMP) [ 10231 ]
  • Hemoglobin A1c (HgbA1C) [ 496 ]
  • Iron and Total Iron Binding Capacity (TIBC) [ 7573 ]
  • Lipid Panel with Ratios [ 19543 ]
  • QuestAssureD™ 25-Hydroxyvitamin D (D2, D3), LC/MS/MS [ 92888 ]
  • T3 Reverse (RT3), LC/MS/MS [ 90963 ]
  • T3 Total [ 859 ]
  • T3, Free [ 34429 ]
  • T4 (Thyroxine), Total [ 867 ]
  • T4, Free [ 866 ]
  • Thyroid Peroxidase and Thyroglobulin Antibodies [ 7260 ]
  • TSH [ 899 ]
  • Vitamin B12 (Cobalamin) [ 927 ]
  • Vitamin B6 (Pyridoxal Phosphate ) [ 926 ]
     
  • CBC (includes Differential and Platelets) [ 6399 ]
  • Comprehensive Metabolic Panel (CMP) [ 10231 ]
  • Hemoglobin A1c (HgbA1C) [ 496 ]
  • Iron and Total Iron Binding Capacity (TIBC) [ 7573 ]
  • Lipid Panel with Ratios [ 19543 ]
  • QuestAssureD™ 25-Hydroxyvitamin D (D2, D3), LC/MS/MS [ 92888 ]
  • T3 Reverse (RT3), LC/MS/MS [ 90963 ]
  • T3 Total [ 859 ]
  • T3, Free [ 34429 ]
  • T4 (Thyroxine), Total [ 867 ]
  • T4, Free [ 866 ]
  • Thyroid Peroxidase and Thyroglobulin Antibodies [ 7260 ]
  • TRAb (TSH Receptor Binding Antibody) [ 5738 ]
  • TSH [ 899 ]
  • TSI (Thyroid Stimulating Immunoglobulin) [ 30551 ]
  • Vitamin B12 (Cobalamin) [ 927 ]
  • Vitamin B6 (Pyridoxal Phosphate ) [ 926 ]
     
  • CBC (includes Differential and Platelets) [ 6399 ]
  • Comprehensive Metabolic Panel (CMP) [ 10231 ]
  • Hemoglobin A1c (HgbA1C) [ 496 ]
  • Iron and Total Iron Binding Capacity (TIBC) [ 7573 ]
  • Lipid Panel with Ratios [ 19543 ]
  • QuestAssureD™ 25-Hydroxyvitamin D (D2, D3), LC/MS/MS [ 92888 ]
  • T3 Reverse (RT3), LC/MS/MS [ 90963 ]
  • T3 Total [ 859 ]
  • T3, Free [ 34429 ]
  • T4 (Thyroxine), Total [ 867 ]
  • T4, Free [ 866 ]
  • Thyroid Peroxidase and Thyroglobulin Antibodies [ 7260 ]
  • TRAb (TSH Receptor Binding Antibody) [ 5738 ]
  • TSH [ 899 ]
  • TSI (Thyroid Stimulating Immunoglobulin) [ 30551 ]
  • Vitamin B12 (Cobalamin) [ 927 ]
  • Vitamin B6 (Pyridoxal Phosphate ) [ 926 ]
     
Most Popular

Thyroid Peroxidase Antibodies (TPO) and Thyroglobulin Antibodies

Measurement of thyroglobulin antibodies and thyroid peroxidase antibodies (TPO) is useful in the diagnosis and management of a variety of thyroid disorders including autoimmune thyroiditis, Hashimoto's Disease, Graves Disease and certain types of goiter.

 "IMPORTANT - Please note that Quest returns values up to 900 for the Thyroid Peroxidase Antibodies test.  If tracking requires values above 900 for the Thyroid Peroxidase Antibodies, then order test TPO Antibody Endpoint (Test Code # 15116).

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TRAb (TSH Receptor Binding Antibody) 

TBII (Thyrotropin Binding Inhibit Immunoglobulin)

Clinical Significance

Measurement of TBII is used to diagnose and manage Graves' Disease, Neonatal Hypothyroidism, and Postpartum Thyroid Dysfunction.

Alternative Name(s) 

Thyroid Stimulating Hormone (TSH) Receptor Antibody,Thyrotropin Receptor Antibody,TSH Receptor Blocking Antibody,Thyrotropin-Binding Inhibitory Immunoglobulin

 

Result
Code		 Result Name LOINC Code Component Name
85986250 TRAb 40673-6 Thyrotropin binding inhibitory immunoglobulins
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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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TSI stands for thyroid stimulating immunoglobulin. TSI tells the thyroid gland to swell and release excess amounts of thyroid hormone into the blood.
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Vitamin B12 is decreased in pernicious anemia, total or partial gastrectomy, malabsorption and certain congenital and biochemical disorders
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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.
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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. 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.

Save 20% on key lab tests used to identify and monitor Inflammatory Bowel Disease (IBD). Use Promo Code: GIIBD20 at check out. This promotion can not 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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Testing for anti-neutrophil cytoplasmic antibodies (P-ANCA and/or C-ANCA) has been found to be useful in establishing the diagnosis of suspected vascular diseases, inflammatory bowel disease, as well as other autoimmune diseases.

Additional test processing fees will be charged if initial results dictate Reflex (further) testing.

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Testing for anti-neutrophil cytoplasmic antibodies (P-ANCA and/or C-ANCA and/or atypical P-ANCA) has been found to be useful in establishing the diagnosis of suspected vascular diseases, inflammatory bowel disease, as well as other autoimmune diseases.
Testing for anti-neutrophil cytoplasmic antibodies (P-ANCA and/or C-ANCA) has been found to be useful in establishing the diagnosis of suspected vascular diseases (e.g., crescentic glomerulonephritis, microscopic polyarteritis and Churg-Strauss syndrome), bowel disease (Crohn's Disease, ulcerative colitis, primary sclerosing cholangitis, and autoimmune hepatitis) as well as with other autoimmune diseases (drug-induced lupus, SLE, Felty's syndrome). ANCA has classically been divided into C-ANCA and P-ANCA depending on the immunofluorescent pattern observed. More recently the specific antigens responsible for these patterns have been described and isolated. The antigen that gives the C-ANCA pattern is proteinase-3 (PR-3). Multiple antigens are responsible for P-ANCA pattern, the principle antigen being myeloperoxidase (MPO). Patients with vascular diseases will generally have either a C-ANCA pattern or P-ANCA pattern, and give positive results in specific tests for PR-3 or MPO. Patients with bowel disease have been shown to have antibodies that give a P-ANCA or C-ANCA pattern. These antibodies however, may not be directed towards MPO. Patients with drug induced lupus, etc., often present with a P-ANCA pattern that is associated with antibodies against MPO.
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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.

Clinical Significance

Used to diagnose inflammatory bowel disease (IBD), including Crohn's disease and ulcerative colitis, or to differentiate IBD from irritable bowel syndrome (IBS).

 

Collection Instructions

Collect undiluted feces in clean, dry sterile leak-proof container. Do not add fixative or preservative.

 

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

Clinical Significance

Bacterial sepsis constitutes one of the most serious infectious diseases. The detection of microorganisms in a patient's blood has importance in the diagnosis and prognosis of endocarditis, septicemia, or chronic bacteremia.

Includes

Aerobic culture, anaerobic culture. If culture is positive, identification will be performed at an additional charge (CPT code(s): 87076 or 87106 or 87077 or 87140 or 87143 or 87147 or 87149).
Antibiotic susceptibilities are only performed when appropriate (CPT code(s): 87181 or 87184 or 87185 or 87186).

Culture, Urine, Routine 

Test Details

IMPORTANT- this is a REFLEX test..... ADDITIONAL CHARGES WILL BE APPLIED IF TEST IS POSITIVE.

If culture is positive, CPT code(s): 87088 (each isolate) will be added with an additional charge.  Identification will be performed at an additional charge (CPT code(s): 87077 or 87140 or 87143 or 87147 or 87149).

Antibiotic susceptibilities are only performed when appropriate (CPT code(s): 87181 or 87184 or 87185 or 87186).

 

  • ORG ID 1. $ 12.45 
  • ORG ID 2. $ 23.95 
  • PRESUMPTIVE ID 1. $ 12.45 
  • PRESUMPTIVE ID 2. $ 23.95 
  • SUSC-1  $14.95 
  • SUSC-2  $28.95

 

Clinical Significance

Culture, Urine, Routine - This culture is designed to quantitate the growth of significant bacteria when collected by the Clean Catch Guidelines or from indwelling catheters.  Quantitative culturing of urine is an established tool to differentiate significant bacteruria from contamination introduced during voiding. This test has a reference range of less than 1,000 bacteria per mL. More than 95% of Urinary Tract Infections (UTI) are attributed to a single organism. Infecting organisms are usually present at greater that 100,000 per mL, but a lower density may be clinically important. In cases of UTI where more than one organism is present, the predominant organism is usually significant and others are probably urethral or collection contaminants. When multiple organisms are isolated from patients with indwelling catheters, UTI is doubtful and colonization likely.

Direct Antiglobulin Test (DAT) with Reflex to Anti C3 and Anti IgG

IMPORTANT - NOTE THIS IS A REFLEX TEST AND AN ADDITIONAL CHARGE OF $64 WILL OCCUR IF THE QUEST RUNS THE REFLEX TEST.

If DAT (Coombs, Direct) is positive, Anti C3d and Anti IgG will be performed at an additional charge of $64.00

Reference Range(s)

Negative

Clinical Significance

The DAT (Direct Coomb's test) is positive if red cells have been coated, in vivo, with immunoglobulin, complement, or both. A positive result can occur in immune-mediated red cell destruction, autoimmune hemolytic anemia, a transfusion reaction or in patients receiving certain drugs.

 

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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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.
Most Popular

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

  • C-Reactive Protein (CRP) [ 4420 ]
  • CBC (includes Differential and Platelets) [ 6399 ]
  • Comprehensive Metabolic Panel (CMP) [ 10231 ]
  • Culture, Blood [ 389 ]
  • Direct Antiglobulin W/Refl Anti C3,Anti IgG [ 36668 ]
  • Erythropoietin [ 427 ]
  • Ferritin [ 457 ]
  • Haptoglobin [ 502 ]
  • Hemoglobin and Hematocrit (Included in CBC test)
  • Sed Rate by Modified Westergren (ESR) [ 809 ]
  • Vitamin B12 (Cobalamin) and Folate Panel, Serum [ 7065 ]
     
  • C-Reactive Protein (CRP) [ 4420 ]
  • CBC (includes Differential and Platelets) [ 6399 ]
  • Comprehensive Metabolic Panel (CMP) [ 10231 ]
  • Culture, Blood [ 389 ]
  • Culture, Urine, Routine [ 395 ]
  • Direct Antiglobulin W/Refl Anti C3,Anti IgG [ 36668 ]
  • Erythropoietin [ 427 ]
  • Fecal Globin by Immunochemistry (InSure®) [ 11290 ]
  • Ferritin [ 457 ]
  • Glucose-6-Phosphate Dehydrogenase, Quant. [ 500 ]
  • Haptoglobin [ 502 ]
  • Hemoglobin and Hematocrit (Included in CBC test)
  • Hemoglobinopathy Evaluation [ 35489 ]
  • Iron and Total Iron Binding Capacity (TIBC) [ 7573 ]
  • Prothrombin with INR and Partial Thromboplastin Times [ 4914 ]
  • Reticulocyte Count [ 793 ]
  • Sed Rate by Modified Westergren (ESR) [ 809 ]
  • Transferrin [ 891 ]
  • Urea Breath Test, Infrared (Ubit) [ 14839 ]
  • Vitamin B12 (Cobalamin) and Folate Panel, Serum [ 7065 ]
     
  • ANCA Screen with Reflex to ANCA Titer [ 70171 ]
  • C-Reactive Protein (CRP) [ 4420 ]
  • CBC (includes Differential and Platelets) [ 6399 ]
  • Comprehensive Metabolic Panel (CMP) [ 10231 ]
  • Culture, Blood [ 389 ]
  • Culture, Urine, Routine [ 395 ]
  • Direct Antiglobulin W/Refl Anti C3,Anti IgG [ 36668 ]
  • Erythropoietin [ 427 ]
  • Fecal Globin by Immunochemistry (InSure®) [ 11290 ]
  • Ferritin [ 457 ]
  • Glucose-6-Phosphate Dehydrogenase, Quant. [ 500 ]
  • Haptoglobin [ 502 ]
  • Hemoglobin and Hematocrit (Included in CBC test)
  • Hemoglobinopathy Evaluation [ 35489 ]
  • Intrinsic Factor Blocking Antibody [ 568 ]
  • Iron and Total Iron Binding Capacity (TIBC) [ 7573 ]
  • Methylmalonic Acid [ 34879 ]
  • Myeloperoxidase Antibody (MPO) [ 8796 ]
  • Parietal Cell Antibody, ELISA [ 15114 ]
  • Proteinase-3 Antibody [ 34151 ]
  • Prothrombin with INR and Partial Thromboplastin Times [ 4914 ]
  • Reticulocyte Count [ 793 ]
  • Sed Rate by Modified Westergren (ESR) [ 809 ]
  • Sickle Cell Screen [ 825 ]
  • Transferrin [ 891 ]
  • Urea Breath Test, Infrared (Ubit) [ 14839 ]
  • Vitamin B12 (Cobalamin) and Folate Panel, Serum [ 7065 ]
     
  • ANCA Screen with MPO and PR3, with Reflex to ANCA Titer [ 70159 ]
  • ANCA Screen with Reflex to ANCA Titer [ 70171 ]
  • ANCA Vasculitides [ 36733 ]
  • C-Reactive Protein (CRP) [ 4420 ]
  • Calprotectin, Stool [ 16796 ]
  • CBC (includes Differential and Platelets) [ 6399 ]
  • Comprehensive Metabolic Panel (CMP) [ 10231 ]
  • Culture, Aerobic And Anaerobic W/Gram Stain [ 4446 ]
  • Culture, Blood [ 389 ]
  • Culture, Urine, Routine [ 395 ]
  • Direct Antiglobulin W/Refl Anti C3,Anti IgG [ 36668 ]
  • Erythropoietin [ 427 ]
  • Fecal Globin by Immunochemistry (InSure®) [ 11290 ]
  • Ferritin [ 457 ]
  • Glucose-6-Phosphate Dehydrogenase, Quant. [ 500 ]
  • Haptoglobin [ 502 ]
  • Hemoglobin and Hematocrit (Included in CBC test)
  • Hemoglobinopathy Evaluation [ 35489 ]
  • IgG, IgA, Indirect Immunofluorescence [ 16690 ]
  • Intrinsic Factor Blocking Antibody [ 568 ]
  • Iron and Total Iron Binding Capacity (TIBC) [ 7573 ]
  • Lactoferrin, Qualitative, Stool [ 10156 ]
  • Methylmalonic Acid [ 34879 ]
  • Myeloperoxidase Antibody (MPO) [ 8796 ]
  • Parietal Cell Antibody, ELISA [ 15114 ]
  • Proteinase-3 Antibody [ 34151 ]
  • Prothrombin with INR and Partial Thromboplastin Times [ 4914 ]
  • Reticulocyte Count [ 793 ]
  • Sed Rate by Modified Westergren (ESR) [ 809 ]
  • Sickle Cell Screen [ 825 ]
  • Soluble Transferrin Receptor [ 91031 ]
  • Transferrin [ 891 ]
  • Urea Breath Test, Infrared (Ubit) [ 14839 ]
  • Vitamin B12 (Cobalamin) and Folate Panel, Serum [ 7065 ]
     
Most Popular
Increased haptoglobin is found in hemolytic disease, hepatocellular disease and infectious mononucleosis. Increased level is found in inflammatory disease in the presence of tissue necrosis and in general acute inflammatory conditions.
Most Popular
Helicobacter pylori is a gram-negative microaerophilic curved bacillus with an affinity for human gastric mucosa. H. pylori has been identified as an important pathogen in the upper GI tract. The casual relationship between H. pylori and chronic active gastritis, duodenal ulcers, and gastric ulcers has been well documented. BreathTek™ UBiT® for H. pylori is a non-invasive, non-radioactive method for detecting urease activity associated with H. pylori infection. It is FDA approved to confirm cure and offers 95.2% sensitivity and 89.7% specificity compared with endoscopic methods.
Most Popular
The detection and proper identification of hemoglobinopathies and thalassemias is an important aspect of the evaluation of patients with anemia, microcytosis and erythrocytosis.
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These studies are complementary diagnostic and prognostic tools for autoimmune blistering diseases, connective tissue disorders, and vasculitides. It is a semiquantitative technique whereby a double immunolabeling is performed to evaluate the presence and titer of circulating anti-epithelial cell surface, anti-basement membrane, anti-nuclear, and antineutrophil cytoplasmic antibodies.
Most Popular

Intrinsic Factor, produced by cells lining the stomach, binds vitamin B12 (cyanocobalamin) to facilitate absorption of the vitamin. Blocking antibody impedes the action of Intrinsic Factor as observed in approximately half of the patients who develop pernicious anemia.

Samples should not be collected from a patient who has received Vitamin B12 injection therapy within the last week.

Most Popular
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
The Lactoferrin IBD-CHEK® is a qualitative (QL) Enzyme Linked Immunosorbent Assay (ELISA) for measuring concentrations of fecal lactoferrin, a marker for leukocytes. A positive level is an indicator of intestinal inflammation. The test can be used as an in vitro diagnostic aid to distinguish patients with active inflammatory bowel disease (IBD) from those with non inflammatory irritable bowel syndrome (IBS).
Most Popular

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.

Most Popular
Patients with vascular diseases will generally have either a C-ANCA pattern or P-ANCA pattern, and give positive results in specific tests for PR-3 or MPO. Patients with bowel disease have been shown to have antibodies that give a P-ANCA or C-ANCA pattern. These antibodies, however, may not be directed toward MPO. Patients with drug induced lupus, etc., often present with a P-ANCA pattern that is associated with antibodies against MPO.
Most Popular
Gastric Parietal Cell Antibodies (GPA) test results are used in the diagnosis of pernicious anemia.
Patients with vascular diseases will generally have either a C-ANCA pattern or P-ANCA pattern, and give positive results in specific tests for PR-3 or MPO. Patients with bowel disease have been shown to have antibodies that give a P-ANCA or C-ANCA pattern. These antibodies however may not be directed towards MPO. Patients with drug induced lupus, etc., often present with a P-ANCA pattern that is associated with antibodies against MPO.
Most Popular
PT-Screening test for deficiencies of plasma coagulation factors other than Factors VII and XIII. The test is also used to monitor patients on heparin therapy. PTT-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.
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Use in evaluating erythropoietic activity.
Most Popular
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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Screening test to determine presence of sickling hemoglobins, e.g., Hemoglobin S; Hemoglobin C, Harlem; Hemoglobin Georgetown.
Most Popular
Soluble Transferrin Receptor (sTFR) values can be within normal limits over a broad range of body iron stores and is elevated only when there is functional (i.e. cellular) iron deficiency. It is usually not affected by chronic disease states, sTFR levels are about 6% higher in people in high altitudes (above 5200 ft/1600 m) and in African-Americans. Reference value may not apply to pregnant females and recent or frequent blood donors.
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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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Folic acid deficiency is common in pregnant women, alcoholics, patients with diets that do not include raw fruits and vegetables, and 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. Vitamin B12 is decreased in pernicious anemia, total

Save 20% on Immunity & Titer Lab Test Panels. Use promo code UltaIT20. - Learn the status of your immunity and your blood titers across a variety of diseases that include Measles, Mumps, Rubella, Chicken Pox, Varicella- Zoster (Shingles), Tetanus and Diphtheria and Hepatitis. *** Offer can not be combined with other promotions or promo codes.

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

Clinical Significance

Used to evaluate diphtheria immunization response. Antibody levels of > or = to 0.10 IU/mL are considered protective. For Pre and Post vaccination testing to assess normal immune response, please refer to Test Code 10680, Diphtheria Antitoxoid, Pre and Post Vaccination.

 

Alternative Name(s)

DPT Titer,Anti Diphtheria

Most Popular

Hepatitis A & B Titer Test

  • Hepatitis A Antibody, Total
  • Hepatitis A IgM Antibody
  • Hepatitis B Surface Antigen with Reflex Confirmation
  • Hepatitis B Surface Antibody Immunity, Quantitative
  • Hepatitis B Core Antibody, Total

The Hepatitis A & B Titer Test is ordered when a person needs proof of immunity to Hepatitis A and B or just want to check their immune status.

The Hepatitis Titer Test includes immunity testing for both Hepatitis A and B.  Hepatitis is a viral disease which affects the liver.  Vaccinations for Hepatitis A and B can provide protective antibodies which immunize a person from catching the virus.  Additionally, a person who has been affected by Hepatitis A or B and recovers can develop natural immunity.  Titer testing looks for the antibodies which typically indicate that a person is immune to a particular virus or infection.

Hepatitis B Immunity

Not Immune and no active or prior infection; may be a good candidate for vaccine

  • Hepatitis B Surface Antigen (HBsAg) = Negative
  • Hepatitis B Surface Antibody (Anti-HBs) = Negative
  • Hepatitis B Core Antibody, Total (Anti-HBc IgG+IgM) = Negative

Immunity due to vaccination

  • Hepatitis B Surface Antigen (HBsAg) = Negative
  • Hepatitis B Surface Antibody (Anti-HBs) = Positive
  • Hepatitis B Core Antibody, Total (Anti-HBc IgG+IgM) = Negative

HEPATITIS B INFECTION

  • Hepatitis B Surface Antigen (HBsAg) = Positive  A positive result indicates an infection, usually with symptoms; contagious; could also be a flare of a chronic infection

Hepatitis A immunity

Immunity

  • Hepatitis A Antibody, Total = Positive
  • Hepatitis A IgM Antibody = Negative

No active infection but previous HAV exposure; has developed immunity to HAV or recently vaccinated for HAV

No Immunity

  • Hepatitis A Antibody, Total= Negative
  • Hepatitis A IgM Antibody = Negative

No current or previous HAV infection; vaccine may be advised if at risk

HEPATITIS A INFECTION

  • Hepatitis A IgM Antibody = Positive   A positive result indicates an acute or recent infection

 

Most Popular

Hepatitis A Titer Test Panel

  • Hepatitis A Antibody, Total
  • Hepatitis A IgM Antibody

The Hepatitis A Titer Test is ordered when a person needs proof of immunity to Hepatitis A or just want to check their immune status.

The Hepatitis A Titer Test includes immunity testing for Hepatitis A.  Hepatitis is a viral disease which affects the liver.  Vaccinations for Hepatitis A can provide protective antibodies which immunize a person from catching the virus.  Additionally, a person who has been affected by Hepatitis A and recovers can develop natural immunity.  Titer testing looks for the antibodies which typically indicate that a person is immune to a particular virus or infection.

Hepatitis A immunity

Immunity

  • Hepatitis A Antibody, Total = Positive
  • Hepatitis A IgM Antibody = Negative

No active infection but previous HAV exposure; has developed immunity to HAV or recently vaccinated for HAV

No Immunity

  • Hepatitis A Antibody, Total= Negative
  • Hepatitis A IgM Antibody = Negative

No current or previous HAV infection; vaccine may be advised if at risk

HEPATITIS A INFECTION

  • Hepatitis A IgM Antibody = Positive   A positive result indicates an acute or recent infection
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Hepatitis B Titer Test

  • Hepatitis B Surface Antigen with Reflex Confirmation
  • Hepatitis B Surface Antibody Immunity, Quantitative
  • Hepatitis B Core Antibody, Total

The Hepatitis B Titer Test is ordered when a person needs proof of immunity to Hepatitis B or just want to check their immune status.

The Hepatitis Titer Test includes immunity testing for Hepatitis B.  Hepatitis is a viral disease which affects the liver.  Vaccinations for Hepatitis B can provide protective antibodies which immunize a person from catching the virus.  Additionally, a person who has been affected by Hepatitis B and recovers can develop natural immunity.  Titer testing looks for the antibodies which typically indicate that a person is immune to a particular virus or infection.

Hepatitis B Immunity

Not Immune and no active or prior infection; may be a good candidate for vaccine

  • Hepatitis B Surface Antigen (HBsAg) = Negative
  • Hepatitis B Surface Antibody (Anti-HBs) = Negative
  • Hepatitis B Core Antibody, Total (Anti-HBc IgG+IgM) = Negative

Immunity due to vaccination

  • Hepatitis B Surface Antigen (HBsAg) = Negative
  • Hepatitis B Surface Antibody (Anti-HBs) = Positive
  • Hepatitis B Core Antibody, Total (Anti-HBc IgG+IgM) = Negative

HEPATITIS B INFECTION

  • Hepatitis B Surface Antigen (HBsAg) = Positive  A positive result indicates an infection, usually with symptoms; contagious; could also be a flare of a chronic infection.
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Immunity Panel

The Immunity Panel combines several common titer immunity tests for additional savings.  These tests are often ordered when someone needs proof of their immune status to common infectious diseases for work or school.  It may also be ordered for pregnant women as part of their prenatal testing. 

This package includes titers for: 

  • Hepatitis B Surface Antibody, Quantitative
  • MMR (IgG) Panel (Measles, Mumps, Rubella)
  • Varicella-Zoster Virus Antibody (IgG)

For a testing package which also includes Hepatitis A, please see our Immunity Panel Plus.

 

Immunity Panel Plus

The Immunity Panel Plus combines several common titer immunity tests for additional savings.  These tests are often ordered when someone needs proof of their immune status to common infectious diseases for work or school.  It may also be ordered for pregnant women as part of their prenatal testing. 

This package includes titers for:

  • Hepatitis A Antibody, Total
  • Hepatitis B Surface Antibody, Quantitative
  • MMR (IgG) Panel (Measles, Mumps, Rubella)
  • Varicella-Zoster Virus Antibody (IgG)

Please note that the Hepatitis A Total Antibodies test included in this package does not provide numerical results.  Results for this test will be positive or negative only.

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Measles Immunity Test - to establish whether you have immunity to measles due to a previous infection or to vaccination.

Measles, also known as rubeola, causes fever, irritability, respiratory illness, and the characteristic skin rash. Immunization has greatly diminished the incidence of measles. The presence of IgG is consistent with immunity or prior exposure. 

Alternate Test Name: Measles Antibody IgG

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Measles, Mumps, Rubella (MMR) Immunity Profile

MMR (IgG) Panel (Measles, Mumps, Rubella) Titers - Includes Measles Antibody (IgG), Mumps Antibody (IgG), Rubella Immune Status

This panel provides presumptive evidence of immunity to measles, mumps, and rubella for purposes of routine vaccination, for students at post-high school educational institutions, and for international travelers.

 

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MMR (IgG) Panel (Measles, Mumps, Rubella) Titers - Includes Measles Antibody (IgG), Mumps Antibody (IgG), Rubella Immune Status

This panel provides presumptive evidence of immunity to measles, mumps, and rubella for purposes of routine vaccination, for students at post-high school educational institutions, and for international travelers.

 

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Tetanus Antitoxoid (Titer)

Clinical Significance

Tetanus is caused by Clostridium tetani. Immunization with Tetanus Antitoxoid is effective with boosters in immunocompetent individuals. Antibody levels > or = to 0.10 IU/mL are considered protective. However, tetanus can still occur in some individuals with such antibody levels. These results should not be used to determine the necessity to administer antitoxin when clinically indicated. For Pre and Post vaccination testing to assess normal immune response, please refer to Test Code 91424, Tetanus Antitoxoid, Pre and Post Vaccination.

 

 

Tuberculosis (TB) Test - The QuantiFERON-TB Blood Test is used to aid in the diagnosis of both latent and active infections with the bacteria that causes Tuberculosis (TB). This test has been updated to offer the Quantiferon Gold Plus which has the same high level of specificity as the previous generation of testing along with an increased sensitivity of 94%.  This test is one of only 2 blood tests for TB approved by the FDA.  Tuberculosis is a bacterial disease that typically affects the lungs.  TB Bacteria is spread through the air from one person to another. While TB is not as common in the United States as it once was, there is the still a risk posed by TB infection.  It is estimated that 11 million people in the US have a latent Tuberculosis infection (LTBI).

 

Tuberculosis is a communicable disease caused by infection with M. tuberculosis complex. Infection results in either acute disease or Latent TB Infection (LTBI), a non-communicable asymptomatic condition. The main purpose of diagnosing the latent stage is to consider medical treatment for preventing overt disease. Until recently, the tuberculin skin test was the only available method for diagnosing LTBI.

QuantiFERON®-TB gold eliminates false positive skin test due to BCG vaccination and most Non-Tuberculous Mycobacteria (NTM) and is an objective, reproducible qualitative test. There are no side effects or adverse reactions due to patient hypersensitivity, and no "booster effect", whereby the first test induces a false positive response on re-testing. There is no need for follow-up patient visits to obtain test results.

The TB blood test has several advantages over a skin test.  Blood testing requires only one visit to the lab while skin testing requires multiple visits to a doctor's office.  Blood testing for Tuberculosis is typically more accurate than a skin test.  Skin testing has a higher likelihood of false positive results, especially if a person has been previously vaccinated for TB. 

 

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Varicella-Zoster Virus (VZV) causes chicken pox and when reactivated, potentially decades later, causes shingles. Twenty percent of adults will develop shingles, a rash or blister of the skin that may cause severe pain. Varicella-Zoster IgG, EIA reliably measures immunity due to previous infection, but is unsuitable for detection of post-vaccination immune status.

The Varicella Zoster Virus Antibodies, IgG test is typically done to check for immunity to the virus which causes chickenpox.  Varicella Zoster Virus is a member of the Herpes Virus family.  This test measures the level of antibodies produced by the immune system in response to the virus.  Results provide a numerical value for the antibody level which can be compared to a reference interval to determine immune status.  IgG antibodies are typically detectable a few weeks after the initial infection.  In the United States, many people are vaccinated against Varicella when they are young.  In most cases those who contract the virus and recover develop a natural immunity which protects them from catching it again. 

The most common condition which results from infection with Varicella is Chickenpox.  The infection causes an outbreak of an itchy rash and the development of small fluid-filled blisters.  During the primary infection, chickenpox is highly contagious and spread through coughing, sneezing or touching fluid from the blisters.  Most people recover without treatment and the virus remains latent in their system.  There is a possibility for the virus to reactivate later in life, especially in those with weakened immune systems.  This can cause shingles, a condition characterized by a painful burning or itching sensation on one or more areas of the body.  Shingles typically clear up after a few weeks as the virus becomes latent again.

The Varicella IgG Antibody Titer is usually ordered when someone is required to show proof of immune status for work or school.  It may also be done for organ transplant patients or pregnant women.

The Varicella Titer is also available as part of our Immunity Panel which includes other common titer tests.

Varicella-Zoster Virus Antibody (Immunity Screen), ACIF

Clinical Significance

A positive titer (≥1:4) by anticomplement immunofluorescence (ACIF) indicates a history of past infection by Varicella-Zoster virus (VZV). This antibody is usually detectable within 2 days after the onset of rash and is, thereafter, detectable for life. Conversely, the absence of detectable antibody can be used as evidence of susceptibility to varicella (chickenpox).

Save 20% on key lab tests used to identify and monitor IBS (Irritable Bowel Syndrome). Use Promo Code: GIIBS20 at check out. This promotion can not 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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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.
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A complete blood count is used as a screening test for various disease states including anemia, leukemia and inflammatory processes.
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See individual tests

Clinical Significance

Bacterial sepsis constitutes one of the most serious infectious diseases. The detection of microorganisms in a patient's blood has importance in the diagnosis and prognosis of endocarditis, septicemia, or chronic bacteremia.

Includes

Aerobic culture, anaerobic culture. If culture is positive, identification will be performed at an additional charge (CPT code(s): 87076 or 87106 or 87077 or 87140 or 87143 or 87147 or 87149).
Antibiotic susceptibilities are only performed when appropriate (CPT code(s): 87181 or 87184 or 87185 or 87186).

Culture, Urine, Routine 

Test Details

IMPORTANT- this is a REFLEX test..... ADDITIONAL CHARGES WILL BE APPLIED IF TEST IS POSITIVE.

If culture is positive, CPT code(s): 87088 (each isolate) will be added with an additional charge.  Identification will be performed at an additional charge (CPT code(s): 87077 or 87140 or 87143 or 87147 or 87149).

Antibiotic susceptibilities are only performed when appropriate (CPT code(s): 87181 or 87184 or 87185 or 87186).

 

  • ORG ID 1. $ 12.45 
  • ORG ID 2. $ 23.95 
  • PRESUMPTIVE ID 1. $ 12.45 
  • PRESUMPTIVE ID 2. $ 23.95 
  • SUSC-1  $14.95 
  • SUSC-2  $28.95

 

Clinical Significance

Culture, Urine, Routine - This culture is designed to quantitate the growth of significant bacteria when collected by the Clean Catch Guidelines or from indwelling catheters.  Quantitative culturing of urine is an established tool to differentiate significant bacteruria from contamination introduced during voiding. This test has a reference range of less than 1,000 bacteria per mL. More than 95% of Urinary Tract Infections (UTI) are attributed to a single organism. Infecting organisms are usually present at greater that 100,000 per mL, but a lower density may be clinically important. In cases of UTI where more than one organism is present, the predominant organism is usually significant and others are probably urethral or collection contaminants. When multiple organisms are isolated from patients with indwelling catheters, UTI is doubtful and colonization likely.

Endomysial Antibody (IgA) Screen with Reflex to Titer.

If Endomysial Antibody (IgA) Screen is positive, Endomysial Antibody Titer will be performed at an additional charge.

IMPORTANT - AN ADDITIONAL CHARGE BE APPLIED FOR THE Endomysial Antibody Titer test if run by the lab.

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

The Key Blood Tests for IBS Diagnosis (And How to Monitor It)

  • C-Reactive Protein (CRP) [ 4420 ]
  • CBC (includes Differential and Platelets) [ 6399 ]
  • Comprehensive Metabolic Panel (CMP) [ 10231 ]
  • Ferritin [ 457 ]
  • Immunoglobulin A [ 539 ]
  • Iron and Total Iron Binding Capacity (TIBC) [ 7573 ]
  • Sed Rate by Modified Westergren (ESR) [ 809 ]
  • Tissue Transglutaminase (tTG) Antibody (IgA) [ 8821 ]

The Key Blood Tests for IBS Diagnosis (And How to Monitor It)

  • C-Reactive Protein (CRP) [ 4420 ]
  • CBC (includes Differential and Platelets) [ 6399 ]
  • Comprehensive Metabolic Panel (CMP) [ 10231 ]
  • Fecal Globin by Immunochemistry (InSure®) [ 11290 ]
  • Ferritin [ 457 ]
  • Immunoglobulin A [ 539 ]
  • Iron and Total Iron Binding Capacity (TIBC) [ 7573 ]
  • QuestAssureD™ 25-Hydroxyvitamin D (D2, D3), LC/MS/MS [ 92888 ]
  • Sed Rate by Modified Westergren (ESR) [ 809 ]
  • Tissue Transglutaminase (tTG) Antibody (IgA) [ 8821 ]
  • Vitamin B12 (Cobalamin) and Folate Panel, Serum [ 7065 ]
     

The Key Blood Tests for IBS Diagnosis (And How to Monitor It)

  • C-Reactive Protein (CRP) [ 4420 ]
  • CBC (includes Differential and Platelets) [ 6399 ]
  • Comprehensive Metabolic Panel (CMP) [ 10231 ]
  • Fecal Globin by Immunochemistry (InSure®) [ 11290 ]
  • Ferritin [ 457 ]
  • Gliadin (Deamidated Peptide) Antibody (IgA) [ 11228 ]
  • Immunoglobulin A [ 539 ]
  • Iron and Total Iron Binding Capacity (TIBC) [ 7573 ]
  • Prothrombin with INR and Partial Thromboplastin Times [ 4914 ]
  • QuestAssureD™ 25-Hydroxyvitamin D (D2, D3), LC/MS/MS [ 92888 ]
  • Sed Rate by Modified Westergren (ESR) [ 809 ]
  • Tissue Transglutaminase (tTG) Antibody (IgA) [ 8821 ]
  • Vitamin B12 (Cobalamin) and Folate Panel, Serum [ 7065 ]
     

The Key Blood Tests for IBS Diagnosis (And How to Monitor It)

  • C-Reactive Protein (CRP) [ 4420 ]
  • CBC (includes Differential and Platelets) [ 6399 ]
  • Comprehensive Metabolic Panel (CMP) [ 10231 ]
  • Culture, Blood [ 389 ]
  • Culture, Urine, Routine [ 395 ]
  • Fecal Globin by Immunochemistry (InSure®) [ 11290 ]
  • Ferritin [ 457 ]
  • Gliadin (Deamidated Peptide) Antibody (IgA) [ 11228 ]
  • Immunoglobulin A [ 539 ]
  • Iron and Total Iron Binding Capacity (TIBC) [ 7573 ]
  • Prothrombin with INR and Partial Thromboplastin Times [ 4914 ]
  • QuestAssureD™ 25-Hydroxyvitamin D (D2, D3), LC/MS/MS [ 92888 ]
  • Reticulin IgG Screen with Reflex to Titer [ 16530 ]
  • Sed Rate by Modified Westergren (ESR) [ 809 ]
  • Tissue Transglutaminase (tTG) Antibody (IgA) [ 8821 ]
  • Urea Breath Test, Infrared (Ubit) [ 14839 ]
  • Vitamin B12 (Cobalamin) and Folate Panel, Serum [ 7065 ]
     
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Detection of antibodies to gliadin, one of the major protein components of gluten, is a sensitive assay useful in diagnosing celiac disease. However, gliadin antibodies may be found in individuals without celiac disease; thus gliadin antibody assays are less specific than assays measuring antibodies to endomysium and transglutaminase. Recent work has revealed that gliadin-reactive antibodies from celiac patients bind to a very limited number of specific epitopes on the gliadin molecule. Further, deamidation of gliadin results in enhanced binding of gliadin antibodies. Based on this information, assays using deamidated gliadin peptides bearing the celiac-specific epitopes have much higher diagnostic accuracy for celiac disease when compared to standard gliadin antibody assays.
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Helicobacter pylori is a gram-negative microaerophilic curved bacillus with an affinity for human gastric mucosa. H. pylori has been identified as an important pathogen in the upper GI tract. The casual relationship between H. pylori and chronic active gastritis, duodenal ulcers, and gastric ulcers has been well documented. BreathTek™ UBiT® for H. pylori is a non-invasive, non-radioactive method for detecting urease activity associated with H. pylori infection. It is FDA approved to confirm cure and offers 95.2% sensitivity and 89.7% specificity compared with endoscopic methods.
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Immunoglobulin A (IgA)

Test Highlight

 

   

Clinical Use

  • Diagnose IgA deficiencies

  • Determine etiology of recurrent infections

  • Diagnose infection

  • Diagnose inflammation

  • Diagnose IgA monoclonal gammopathy

Clinical Background

IgA is the first line of defense for the majority of infections at mucosal surfaces and consists of 2 subclasses. IgA1 is the dominant subclass, accounting for 80% to 90% of total serum IgA and greater than half of the IgA in secretions such as milk, saliva, and tears. IgA2, on the other hand, is more concentrated in secretions than in blood. IgA2 is more resistant to proteolytic cleavage and may be more functionally active than IgA1.

IgA deficiency is the most prevalent isotype deficiency, occurring in 1/400 to 1/700 individuals. Many patients with IgA deficiency are asymptomatic, while others may develop allergic disease, repeated sinopulmonary or gastroenterologic infections, and/or autoimmune disease. Individuals with complete absence of IgA (<5 mg/dL) may develop autoantibodies to IgA after blood or intravenous immunoglobulin infusions and may experience anaphylaxis on repeat exposure. 

Elevated serum IgA levels are associated with infection, inflammation, or IgA monoclonal gammopathy.
 
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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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PT-Screening test for deficiencies of plasma coagulation factors other than Factors VII and XIII. The test is also used to monitor patients on heparin therapy. PTT-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.
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Anti-Reticulin IgG occurs most frequently in patients with gluten sensitive enteropathy, i.e. celiac disease and dermatitis herpetiformis.

 

Note: If Reticulin Antibody (IgG) Screen is Positive, Reticulin (IgG) Titer will be performed at an addtional charge.

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Clinical Significance

Tissue Transglutaminase Antibody, IgA, is useful in diagnosing gluten-sensitive enteropathies, such as Celiac Sprue Disease, and an associated skin condition, dermatitis herpetiformis.

Alternative Name(s) 

Celiac Disease, tTG Antibody, Transglutaminase, Tissue Antibody IgA, Dermatitis Herpetiformis, tTG IgA

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Folic acid deficiency is common in pregnant women, alcoholics, patients with diets that do not include raw fruits and vegetables, and 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. Vitamin B12 is decreased in pernicious anemia, total
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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. 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.

Save 20% on the key lab tests used to understand the health of your kidneys. 5 Key Lab Tests to Understand the Health of Your Kidneys and What They Mean 1 out of 10 people has kidney disease. 90% of kidney function can be lost without any symptoms. 9 out of 10 of people with kidney disease aren't aware that they have it. Are you at risk for kidney disease? Chronic kidney disease doesn't show symptoms until it's already done significant harm to your health. Lab tests can provide clues into your overall health lowering your risk of untreated disease. How do you find out the health of your kidneys? You order your lab tests directly to understand your kidney's health. Use Promo Code: KH20 at check out. This promotion can not 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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Creatinine Clearance is used to evaluate the glomerular filtration rate (GFR). Clearance is defined as that volume of plasma from which a measured amount of substance could be completely eliminated into the urine per unit of time. Daily creatinine production is fairly constant except when there is massive injury to muscle
  • Renal Function Panel [ 10314 ]
  • Urinalysis (UA), Complete [ 5463 ]
  • Urine Protein, Total, Random without Creatinine [ 14523 ]
     
  • Creatinine Clearance [ 7943 ]
  • Microalbumin, Random Urine with Creatinine [ 6517 ]
  • Renal Function Panel [ 10314 ]
  • Urinalysis (UA), Complete [ 5463 ]
  • Urine Protein, Total, Random without Creatinine [ 14523 ]
     
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Diabetic nephropathy is a complication of diabetes and is characterized by proteinuria. Before overt proteinuria develops, albumin excretion increases in those diabetic patients who are destined to develop diabetic nephropathy. There is a need to identify small, but abnormal, increases in the excretion of urinary albumin (in the range of 30-300 mg/day, ie, microalbuminuria). The National Kidney Foundation guidelines for the management of patients with diabetes and microalbuminuria recommend that all type 1 diabetic patients older than 12 years and all type 2 diabetic patients younger than 70 years have their urine tested for microalbuminuria yearly when they are under stable glucose control.
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See individual tests
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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.

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Proteinuria is characteristic of renal disease and concentrations may be increased with diabetes, hypertension, nephritic syndrome, and drug nephrotoxicity.

Know Your Risk - Save 20% on STD Testing. - Sexually transmitted diseases (STD) rates in the U.S. are at a record high for the fourth year in a row, according to the CDC. - The Risk is Not Knowing. - Ulta Lab Tests provides confidential and private testing

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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Chlamydia trachomatis RNA, TMA

Patient Preparation 

Urine specimens: 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 labe

Clinical Significance

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 chlamydial infections are severe if left untreated. Approximately half of chlamydial infections are asymptomatic.

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Chlamydia/Neisseria gonorrhoeae RNA, TMA

Patient Preparation 

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.

 

Clinical Significance

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.

Chlamydia trachomatis is associated with infections of the mucous membranes of the urogenital system, the upper respiratory tract, and the eye. In industrialized countries, C. trachomatis usually causes sexually transmitted disease. In developing countries, it is the major cause of preventable blindness (trachomatis). Sexually transmitted diseases caused by C. trachomatis include nongonococcal urethritis, cervicitis, salpingitis, epididymitis, proctitis and Lymphogranuloma venereum. Infections are often asymptomatic. Thus, infected individuals may unknowingly transmit chlamydial disease to others. Coinfection with C. trachomatis and Neisseria gonorrhoeae is common, with multiple chlamydial infections of the upper respiratory tract occurring primarily in newborns exposed at parturition through an infected birth canal. Approximately 10-20% of such infants develop pneumonia and 50% develop inclusion conjunctivitis. In adults, eye disease is often transmitted by the hands from genital secretions or from eye secretion of infected babies. Isolation in tissue culture remains the reference method for diagnosis of chlamydial infection, especially when testing individuals under the age of 13 years. The usefulness of serological tests depends on the site of infection, duration of disease, infecting serovars and pre-vious exposure to chlamydial antigens. Because C. trachomatis is ubiquitous, there is a high prevalence of antibodies in sexually active populations. Antibodies may persist even after treatment, making assessment of a single IgG titer difficult. Consequently, serological diag-nosis is seldom used to diagnose active, superficial genital tract infections.

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Neisseria gonorrhoeae RNA, TMA 

Patient Preparation 

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.

2 mL urine using APTIMA® Urine Specimen Collection Kit.

Alternative Specimen(s) 

Urine (no preservatives): 2 mL of urine, specimen must be transferred into the APTIMA® Urine Transport Medium within 24 hours of collection and before being assayed • ThinPrep® vial • SurePath™ vial

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.

Transport Container 

APTIMA® Transport tube

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Hepatitis A & B Titer Test

  • Hepatitis A Antibody, Total
  • Hepatitis A IgM Antibody
  • Hepatitis B Surface Antigen with Reflex Confirmation
  • Hepatitis B Surface Antibody Immunity, Quantitative
  • Hepatitis B Core Antibody, Total

The Hepatitis A & B Titer Test is ordered when a person needs proof of immunity to Hepatitis A and B or just want to check their immune status.

The Hepatitis Titer Test includes immunity testing for both Hepatitis A and B.  Hepatitis is a viral disease which affects the liver.  Vaccinations for Hepatitis A and B can provide protective antibodies which immunize a person from catching the virus.  Additionally, a person who has been affected by Hepatitis A or B and recovers can develop natural immunity.  Titer testing looks for the antibodies which typically indicate that a person is immune to a particular virus or infection.

Hepatitis B Immunity

Not Immune and no active or prior infection; may be a good candidate for vaccine

  • Hepatitis B Surface Antigen (HBsAg) = Negative
  • Hepatitis B Surface Antibody (Anti-HBs) = Negative
  • Hepatitis B Core Antibody, Total (Anti-HBc IgG+IgM) = Negative

Immunity due to vaccination

  • Hepatitis B Surface Antigen (HBsAg) = Negative
  • Hepatitis B Surface Antibody (Anti-HBs) = Positive
  • Hepatitis B Core Antibody, Total (Anti-HBc IgG+IgM) = Negative

HEPATITIS B INFECTION

  • Hepatitis B Surface Antigen (HBsAg) = Positive  A positive result indicates an infection, usually with symptoms; contagious; could also be a flare of a chronic infection

Hepatitis A immunity

Immunity

  • Hepatitis A Antibody, Total = Positive
  • Hepatitis A IgM Antibody = Negative

No active infection but previous HAV exposure; has developed immunity to HAV or recently vaccinated for HAV

No Immunity

  • Hepatitis A Antibody, Total= Negative
  • Hepatitis A IgM Antibody = Negative

No current or previous HAV infection; vaccine may be advised if at risk

HEPATITIS A INFECTION

  • Hepatitis A IgM Antibody = Positive   A positive result indicates an acute or recent infection

 

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Hepatitis A Antibody Test to diagnose the Hepatitis A Virus (HAV) in the blood. The hepatitis A test looks for antibodies to the HAV virus in the blood. These antibodies are proteins made by the body in response to the presence of the hepatitis A virus. Our type- specific hepatitis A antibody test is used to determine whether a person is or has been infected with the hepatitis A virus.

Hepatitis A Antibody, Total

This test is used to help diagnose a liver infection due to the hepatitis A virus. There are several causes of hepatitis and the accompanying symptoms, so this test may be used to determine if the symptoms are due to hepatitis A.

The total Hepatitis A antibody test detects both IgM and IgG antibodies and thus may be used to identify both current and past infections. This test will also be positive after receiving the vaccine, so sometimes it may be used to determine whether a person has developed immunity after vaccination.

A positive result Hepatitis A Antibody, Total that is not accompanied with Hepatitis A IgM test indicates  exposure to hepatitis A vairus but does not rule out acute infection. 

A Negative result Hepatitis A Antibody, Total that is not accompanied with Hepatitis A IgM test indicates no current or previous HAV infection; vaccine may be recommended if at risk.

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The Hepatitis B test detects acute hepatitis B infections, and can also be used to help diagnose chronic hepatitis B infections. Detecting an early hepatitis B infection is important to avoid health complications. If the HBV test positive returns a positive result for hepatitis B, our labs will automatically run a confirmation test at no additional cost– This ensures that you receive the most sensitive and accurate results.

Hepatitis B Surface Antigen with Reflex Confirmation: Positive samples will be confirmed

Hepatitis B surface antigen (HBsAG) Detects protein that is present on the surface of the virus.  It is used to screen for, detect, and help diagnose acute and chronic hepatitis B virus (HBV) infections; earliest routine indicator of acute hepatitis B and frequently identifies infected people before symptoms appear; undetectable in the blood during the recovery period; it is the primary way of identifying those with chronic infections, including "hepatitis B virus (HBV) carrier" state.

Clinical Significance

Surface antigen usually appears in the serum after an incubation period of 1 to 6 months following exposure to Hepatitis B virus and peaks shortly after onset of symptoms. It typically disappears within 1 to 3 months. Persistence of Hepatitis B surface antigen for greater than 6 months is a prognostic indicator of chronic Hepatitis B infection.

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Hepatitis C Antibody with Reflex to HCV, RNA, Quantitative, Real-Time PCR 

IMPORTANT: If Hepatitis C Antibody is reactive, then the Hepatitis C Viral RNA, Quantitative, Real-Time PCR test will be performed at an additional charge of $129.00.

Limitations

Results obtained from immunosuppressed patients should be interpreted with caution. Patients receiving mouse antibody therapy may produce false-negative results.

Reference Range(s)

Hepatitis C Antibody  Non-Reactive

Signal to Cut-off<1.00

Clinical Significance

Hepatitis C Virus (HCV) is a major cause of hepatitis. The clinical symptoms of an HCV infection are variable. Infection with HCV results in a chronic infection in 50 to 80% of cases. The "window" between HCV acquisition and seroreactivity is highly variable; up to six months.

Alternative Name(s)

HCV with Reflex,HCV