Ulta Lab Tests

GLP-1 Medication Safety - Essential Lab Panel

The GLP-1 Medication Safety Essential Lab Panel supports people using semaglutide, tirzepatide, Ozempic, Wegovy, Mounjaro, Zepbound, or compounded GLP-1 medications. It evaluates kidney function, urine health, liver and bile flow markers, pancreatic enzymes, blood sugar, insulin, cholesterol ratios, inflammation, iron status, magnesium, vitamin D, B12, and folate. This panel includes CBC, CMP, cystatin C, GGT, lipase, amylase, A1c, insulin, lipids, and urinalysis.

Urine, Serum, Blood, Random
Phlebotomist
GLP-1 Safety Panel, Semaglutide Safety Panel, Tirzepatide Safety Panel, Ozempic Safety Labs, Wegovy Safety Labs, Zepbound Safety Panel, GLP-1 Monitoring Panel

The following is a list of what is included in the item above. Click the test(s) below to view what biomarkers are measured along with an explanation of what the biomarker is measuring.

Also known as: Microalbumin Random Urine with Creatinine

Creatinine, Random Urine

Microalbumin

Microalbumin/Creatinine

Amylase

Also known as: Bilirubin Fractionated

Bilirubin, Direct

Bilirubin is a yellowish pigment found in bile, a fluid made by the liver. A small amount of older red blood cells are replaced by new blood cells every day. Bilirubin is left after these older blood cells are removed. The liver helps break down bilirubin so that it can be removed from the body in the stool.

Bilirubin, Indirect

Bilirubin is a yellowish pigment found in bile, a fluid made by the liver. A small amount of older red blood cells are replaced by new blood cells every day. Bilirubin is left after these older blood cells are removed. The liver helps break down bilirubin so that it can be removed from the body in the stool.

Bilirubin, Total

Bilirubin is a yellowish pigment found in bile, a fluid made by the liver. A small amount of older red blood cells are replaced by new blood cells every day. Bilirubin is left after these older blood cells are removed. The liver helps break down bilirubin so that it can be removed from the body in the stool.

Also known as: CBC, CBC includes Differential and Platelets, CBC/PLT w/DIFF, Complete Blood Count (includes Differential and Platelets)

NOTE: Ulta Lab Tests provides CBC test results from Quest Diagnostics as they are reported. Often, different biomarker results are made available at different time intervals. When reporting the results, Ulta Lab Tests denotes those biomarkers not yet reported as 'pending' for every biomarker the test might report. Only biomarkers Quest Diagnostics observes are incorporated and represented in the final CBC test results provided by Ulta Lab Tests.

Absolute Band Neutrophils (Only Reported If Detected)

Immature forms of neutrophils are called neutrophilic band cells. Neutrophils are a type of white blood cell that is responsible for much of the body's protection against infection. Neutrophils are produced in the bone marrow and released into the bloodstream to travel to wherever they are needed. Large numbers of immature forms of neutrophils, called neutrophilic band cells, are produced by the bone marrow when the demand is high.

Absolute Basophils

Basophils normally constitute 1% or less of the total white blood cell count but may increase or decrease in certain diseases and are thought to be involved in allergic reactions.

Absolute Blasts (Only Reported If Detected)

Blasts are immature forms of white blood cells.

Absolute Eosinophils

Eosinophils (eos) respond to infections caused by parasites and play a role in allergic reactions (hypersensitivities)

Absolute Lymphocytes

Lymphocytes are white blood cells that exist in both the blood and the lymphatic system. They are divided into three types. The B lymphocytes (B cells) are antibody-producing cells that are essential for acquired, antigen-specific immune responses. The second type are T lymphocytes (T cells) some T cells help the body distinguish between "self" and "non-self" antigens while others initiate and control the extent of an immune response, boosting it as needed and then slowing it as the condition resolves. Other types of T cells directly attack and neutralize virus-infected or cancerous cells. The third type are natural killer cells (NK cells) that directly attack and kill abnormal cells such as cancer cells or those infected with a virus.

Absolute Metamyelocytes (Only Reported If Detected)

Metamyelocytes are immature forms of white blood cells.

Absolute Monocytes

Monocytes (mono), similar to neutrophils, move to an area of infection and engulf and destroy bacteria. They are associated more often with chronic rather than acute infections. They are also involved in tissue repair and other functions involving the immune system.

Absolute Myelocytes (Only Reported If Detected)

Myelocytes are immature forms of white blood cells.

Absolute Neutrophils

Neutrophils (neu) normally make up the largest number of circulating WBCs. They move into an area of damaged or infected tissue, where they engulf and destroy bacteria or sometimes fungi. Young neutrophils, recently released into circulation, are called bands.

Absolute Nucleated Rbc (Only Reported If Detected)

Nucleated Red Blood Cells (nRBC) ) the presence of NRBCs in the adult blood is usually associated with malignant neoplasms, bone marrow diseases, and other serious disorders.

Absolute Promyelocytes (Only Reported If Detected)

Promyelocytes are immature forms of white blood cells.

Band Neutrophils (Only Reported If Detected)

Immature forms of neutrophils are called neutrophilic band cells. Neutrophils are a type of white blood cell that is responsible for much of the body's protection against infection. Neutrophils are produced in the bone marrow and released into the bloodstream to travel to wherever they are needed. Large numbers of immature forms of neutrophils, called neutrophilic band cells, are produced by the bone marrow when the demand is high.

Basophils

Basophils normally constitute 1% or less of the total white blood cell count but may increase or decrease in certain diseases and are thought to be involved in allergic reactions.

Blasts (Only Reported If Detected)

Blasts are immature forms of white blood cells.

Eosinophils

Eosinophils are specialized white blood cells produced in the bone marrow and released into the bloodstream, where they normally make up only 0–6 % of circulating leukocytes. Their cytoplasm is packed with reddish‑orange granules that contain potent enzymes (e.g., major basic protein, eosinophil cationic protein) and inflammatory mediators. When the immune system detects large, multicellular invaders—such as helminth (worm) parasites—eosinophils migrate out of the blood and surround the pathogen, releasing these granule contents to damage the parasite’s outer surface and aid its destruction. Beyond parasite defense, eosinophils act as key orchestras of the allergic response. They accumulate in tissues exposed to allergens (airways in asthma, skin in eczema, GI tract in eosinophilic esophagitis) and secrete cytokines and lipid mediators that amplify inflammation, recruit additional immune cells, and contribute to symptoms like swelling, mucus production, and itching. Because of this pro‑inflammatory role, persistently elevated eosinophil counts—termed eosinophilia—can signal allergic disorders, drug hypersensitivity, or certain autoimmune and malignant conditions. Conversely, counts drop toward zero after glucocorticoid therapy or in acute stress states, reflecting the cells’ sensitivity to hormonal and immune regulation.

Hematocrit

Hematocrit is a blood test that measures the percentage of the volume of whole blood that is made up of red blood cells. This measurement depends on the number of red blood cells and the size of red blood cells.

Hemoglobin

Serum hemoglobin is a blood test that measures the level of free hemoglobin in the liquid part of the blood (the serum). Free hemoglobin is the hemoglobin outside of the red blood cells. Most of the hemoglobin is found inside the red blood cells, not in the serum.

Lymphocytes

Lymphocytes are white blood cells that exist in both the blood and the lymphatic system. They are divided into three types. The B lymphocytes (B cells) are antibody-producing cells that are essential for acquired, antigen-specific immune responses. The second type are T lymphocytes (T cells) some T cells help the body distinguish between "self" and "non-self" antigens while others initiate and control the extent of an immune response, boosting it as needed and then slowing it as the condition resolves. Other types of T cells directly attack and neutralize virus-infected or cancerous cells. The third type are natural killer cells (NK cells) that directly attack and kill abnormal cells such as cancer cells or those infected with a virus.

MCH

Mean corpuscular hemoglobin (MCH) is a calculation of the average amount of oxygen-carrying hemoglobin inside a red blood cell.

MCHC

Mean corpuscular hemoglobin concentration (MCHC) is a calculation of the average percentage of hemoglobin inside a red cell.

MCV

Mean corpuscular volume (MCV) is a measurement of the average size of RBCs.

Metamyelocytes (Only Reported If Detected)

Metamyelocytes are immature forms of white blood cells.

Monocytes

Monocytes (mono), similar to neutrophils, move to an area of infection and engulf and destroy bacteria. They are associated more often with chronic rather than acute infections. They are also involved in tissue repair and other functions involving the immune system.

MPV

Mean Platelet Volume (MPV) - When it indicates average size of platelets are small; older platelets are generally smaller than younger ones and a low MPV may mean that a condition is affecting the production of platelets by the bone marrow. When it indicates a high number of larger, younger platelets in the blood; this may be due to the bone marrow producing and releasing platelets rapidly into circulation.

Myelocytes (Only Reported If Detected)

Myelocytes are immature forms of white blood cells.

Neutrophils

Neutrophils are a type of white blood cell that is responsible for much of the body's protection against infection. Neutrophils are produced in the bone marrow and released into the bloodstream to travel to wherever they are needed.

Nucleated Rbc (Only Reported If Detected)

Nucleated Red Blood Cells (nRBC) ) the presence of NRBCs in the adult blood is usually associated with malignant neoplasms, bone marrow diseases, and other serious disorders.

Platelet Count

A platelet count is a test to measure how many platelets you have in your blood. Platelets help the blood clot. They are smaller than red or white blood cells.

Promyelocytes (Only Reported If Detected)

Promyelocytes are immature forms of white blood cells.

RDW

Red cell distribution width (RDW), which may be included in a CBC, is a calculation of the variation in the size of RBCs.

Reactive Lymphocytes (Only Reported If Detected)

Lymphocytes are white blood cells that exist in both the blood and the lymphatic system. They are divided into three types. The B lymphocytes (B cells) are antibody-producing cells that are essential for acquired, antigen-specific immune responses. The second type are T lymphocytes (T cells) some T cells help the body distinguish between "self" and "non-self" antigens while others initiate and control the extent of an immune response, boosting it as needed and then slowing it as the condition resolves. Other types of T cells directly attack and neutralize virus-infected or cancerous cells. The third type are natural killer cells (NK cells) that directly attack and kill abnormal cells such as cancer cells or those infected with a virus.

Red Blood Cell Count

An RBC count is a blood test that tells how many red blood cells (RBCs) you have. RBCs contain hemoglobin, which carries oxygen. How much oxygen your body tissues get depends on how many RBCs you have and how well they work.

White Blood Cell Count

A WBC count is a test to measure the number of white blood cells (WBCs) in the blood. WBCs help fight infections. They are also called leukocytes. There are five major types of white blood cells: basophils, eosinophils, lymphocytes (T cells and B cells), monocytes and neutrophils

Also known as: Chem 12, Chemistry Panel, Chemistry Screen, CMP, Complete Metabolic Panel, Comprehensive Metabolic Panel CMP, SMA 12, SMA 20

Albumin

Albumin is a protein made by the liver. A serum albumin test measures the amount of this protein in the clear liquid portion of the blood.

Albumin/Globulin Ratio

The ratio of albumin to globulin (A/G ratio) is calculated from measured albumin and calculated globulin (total protein - albumin). Normally, there is a little more albumin than globulins, giving a normal A/G ratio of slightly over 1. Because disease states affect the relative amounts of albumin and globulin, the A/G ratio may provide a clue as to the cause of the change in protein levels. A low A/G ratio may reflect overproduction of globulins, such as seen in multiple myeloma or autoimmune diseases, or underproduction of albumin, such as may occur with cirrhosis, or selective loss of albumin from the circulation, as may occur with kidney disease (nephrotic syndrome). A high A/G ratio suggests underproduction of immunoglobulins as may be seen in some genetic deficiencies and in some leukemias. More specific tests, such as liver enzyme tests and serum protein electrophoresis, must be performed to make an accurate diagnosis. With a low total protein that is due to plasma expansion (dilution of the blood), the A/G ratio will typically be normal because both albumin and globulin will be diluted to the same extent.

Alkaline Phosphatase

Alkaline phosphatase (ALP) is a protein found in all body tissues. Tissues with higher amounts of ALP include the liver, bile ducts, and bone.

Alt

Alanine transaminase (ALT) is an enzyme found in the highest amounts in the liver. Injury to the liver results in release of the substance into the blood.

AST

AST (aspartate aminotransferase) is an enzyme found in high amounts in liver, heart, and muscle cells. It is also found in lesser amounts in other tissues.

Bilirubin, Total

Bilirubin is a yellowish pigment found in bile, a fluid made by the liver. A small amount of older red blood cells are replaced by new blood cells every day. Bilirubin is left after these older blood cells are removed. The liver helps break down bilirubin so that it can be removed from the body in the stool.

Bun/Creatinine Ratio

A ratio between a person’s BUN and blood creatinine to help determine what is causing these concentrations to be higher than normal. The ratio of BUN to creatinine is usually between 10:1 and 20:1. An increased ratio may be due to a condition that causes a decrease in the flow of blood to the kidneys, such as congestive heart failure or dehydration. It may also be seen with increased protein, from gastrointestinal bleeding, or increased protein in the diet. The ratio may be decreased with liver disease (due to decrease in the formation of urea) and malnutrition.

Calcium

You have more calcium in your body than any other mineral. Calcium has many important jobs. The body stores more than 99 percent of its calcium in the bones and teeth to help make and keep them strong. The rest is throughout the body in blood, muscle and the fluid between cells. Your body needs calcium to help muscles and blood vessels contract and expand, to secrete hormones and enzymes and to send messages through the nervous system.

Carbon Dioxide

CO2 is carbon dioxide. Measures the amount of carbon dioxide in the liquid part of your blood, called the serum. In the body, most of the CO2 is in the form of a substance called bicarbonate (HCO3-). Therefore, the CO2 blood test is really a measure of your blood bicarbonate level.

Chloride

Chloride is a type of electrolyte. It works with other electrolytes such as potassium, sodium, and carbon dioxide (CO2). These substances help keep the proper balance of body fluids and maintain the body's acid-base balance. This is a measure of the amount of chloride in the fluid portion (serum) of the blood.

Creatinine

The creatinine blood test measures the level of creatinine in the blood. This test is done to see how well your kidneys work.

Egfr African American

Glomerular filtration rate (GFR) is a test used to check how well the kidneys are working. Specifically, it estimates how much blood passes through the glomeruli each minute. Glomeruli are the tiny filters in the kidneys that filter waste from the blood.

Egfr Non-Afr. American

Glomerular filtration rate (GFR) is a test used to check how well the kidneys are working. Specifically, it estimates how much blood passes through the glomeruli each minute. Glomeruli are the tiny filters in the kidneys that filter waste from the blood.

GFR-AFRICAN AMERICAN

GFR-NON AFRICAN AMERICAN

Globulin

Globulins is the collective term for most blood proteins other than albumin. Identifying the types of globulins can help diagnose certain disorders. Globulins are roughly divided into three groups: alpha, beta, and gamma globulins. Gamma globulines include various types of antibodies such as immunoglobulins (Ig) M, G, and A.

Glucose

A blood glucose test measures the amount of a sugar called glucose in a sample of your blood. Glucose is a major source of energy for most cells of the body, including those in the brain. The hormones insulin and glucagon help control blood glucose levels.

Potassium

Potassium is a mineral that the body needs to work normally. It helps nerves and muscles communicate. It also helps move nutrients into cells and waste products out of cells. A diet rich in potassium helps to offset some of sodium's harmful effects on blood pressure.

Protein, Total

The total protein is the total amount of two classes of proteins, albumin and globulin that are found in the fluid portion of your blood. Proteins are important parts of all cells and tissues. Your albumin helps prevent fluid from leaking out of blood vessels and your globulins are an important part of your immune system.

Sodium

Sodium is a substance that the body needs to work properly it is vital to normal body processes, including nerve and muscle function

Urea Nitrogen (Bun)

BUN stands for blood urea nitrogen. Urea nitrogen is what forms when protein breaks down. BUN measures the amount of urea nitrogen in the blood.

CYSTATIN C

eGFR

Ferritin

Ferritin is a protein found inside cells that stores iron so your body can use it later. A ferritin test indirectly measures the amount of iron in your blood. The amount of ferritin in your blood (serum ferritin level) is directly related to the amount of iron stored in your body.

Also known as: Gamma Glutamyl Transferase GGT, Gamma-Glutamyl Transferase, Gamma-Glutamyl Transpeptidase, Gamma-GT, GGTP, GTP

Ggt

Gamma-glutamyl transpeptidase (GGT) is a test to measure the amount of the enzyme GGT in the blood.

Also known as: A1c, Glycated Hemoglobin, Glycohemoglobin, Glycosylated Hemoglobin, HA1c, HbA1c, Hemoglobin A1c, Hemoglobin A1c HgbA1C, Hgb A1c

HEMOGLOBIN A1C

The A1c test evaluates the average amount of glucose in the blood over the last 2 to 3 months. It does this by measuring the concentration of glycated (also often called glycosylated) hemoglobin A1c. Hemoglobin is an oxygen-transporting protein found inside red blood cells (RBCs). There are several types of normal hemoglobin, but the predominant form – about 95-98% – is hemoglobin A. As glucose circulates in the blood, some of it spontaneously binds to hemoglobin A. The hemoglobin molecules with attached glucose are called glycated hemoglobin. The higher the concentration of glucose in the blood, the more glycated hemoglobin is formed. Once the glucose binds to the hemoglobin, it remains there for the life of the red blood cell – normally about 120 days. The predominant form of glycated hemoglobin is referred to as HbA1c or A1c. A1c is produced on a daily basis and slowly cleared from the blood as older RBCs die and younger RBCs (with non-glycated hemoglobin) take their place. This test is used to monitor treatment in someone who has been diagnosed with diabetes. It helps to evaluate how well their glucose levels have been controlled by treatment over time. This test may be used to screen for and diagnose diabetes or risk of developing diabetes. In 2010, clinical practice guidelines from the American Diabetes Association (ADA) stated that A1c may be added to fasting plasma glucose (FPG) and oral glucose tolerance test (OGTT) as an option for diabetes screening and diagnosis. For monitoring purposes, an A1c of less than 7% indicates good glucose control and a lower risk of diabetic complications for the majority of diabetics. However, in 2012, the ADA and the European Association for the Study of Diabetes (EASD) issued a position statement recommending that the management of glucose control in type 2 diabetes be more "patient-centered." Data from recent studies have shown that low blood sugar (hypoglycemia) can cause complications and that people with risk of severe hypoglycemia, underlying health conditions, complications, and a limited life expectancy do not necessarily benefit from having a stringent goal of less than 7% for their A1c. The statement recommends that people work closely with their doctor to select a goal that reflects each person's individual health status and that balances risks and benefits.

Also known as: C-Reactive Protein, Cardio CRP, Cardio hs-CRP, CRP, High Sensitivity CRP, High-sensitivity C-reactive Protein, High-sensitivity CRP, Highly Sensitive CRP, hsCRP, Ultra-sensitive CRP

Hs Crp

A high-sensitivity CRP (hs-CRP) test may be used by itself, in combination with other cardiac risk markers, or in combination with a lipoprotein-associated phospholipase A2 (Lp-PLA2) test that evaluates vascular inflammation. The hs-CRP test accurately detects low concentrations of C-reactive protein to help predict a healthy person's risk of cardiovascular disease (CVD). High-sensitivity CRP is promoted by some as a test for determining a person's risk level for CVD, heart attacks, and strokes. The current thinking is that hs-CRP can play a role in the evaluation process before a person develops one of these health problems.

Also known as: Insulin (fasting)

Insulin

Insulin is a hormone that is produced and stored in the beta cells of the pancreas. It is vital for the transportation and storage of glucose at the cellular level, helps regulate blood glucose levels, and has a role in lipid metabolism. When blood glucose levels rise after a meal, insulin is released to allow glucose to move into tissue cells, especially muscle and adipose (fat) cells, where is it is used for energy production. Insulin then prompts the liver to either store the remaining excess blood glucose as glycogen for short-term energy storage and/or to use it to produce fatty acids. The fatty acids are eventually used by adipose tissue to synthesize triglycerides to form the basis of a longer term, more concentrated form of energy storage. Without insulin, glucose cannot reach most of the body's cells. Without glucose, the cells starve and blood glucose levels rise to unhealthy levels. This can cause disturbances in normal metabolic processes that result in various disorders, including kidney disease, cardiovascular disease, and vision and neurological problems. Thus, diabetes, a disorder associated with decreased insulin effects, is eventually a life-threatening condition.

Also known as: Iron and TIBC, Iron and Total Iron Binding Capacity TIBC, TIBC

% Saturation

Iron Binding Capacity

Total iron binding capacity (TIBC) is a blood test to see if you may have too much or too little iron in the blood. Iron moves through the blood attached to a protein called transferrin. This test helps your doctor know how well that protein can carry iron in the blood.

Iron, Total

Iron is a mineral that our bodies need for many functions. For example, iron is part of hemoglobin, a protein which carries oxygen from our lungs throughout our bodies. It helps our muscles store and use oxygen. Iron is also part of many other proteins and enzymes. Your body needs the right amount of iron. If you have too little iron, you may develop iron deficiency anemia. Causes of low iron levels include blood loss, poor diet, or an inability to absorb enough iron from foods. People at higher risk of having too little iron are young children and women who are pregnant or have periods.

Also known as: LPS

Lipase

Also known as: Lipid Panel with Ratios (fasting), Lipid Profile with Ratios (fasting), Lipids

Chol/HDLC Ratio

Cholesterol, Total

Cholesterol is a waxy, fat-like substance that occurs naturally in all parts of the body. Your body needs some cholesterol to work properly. But if you have too much in your blood, it can combine with other substances in the blood and stick to the walls of your arteries. This is called plaque. Plaque can narrow your arteries or even block them. High levels of cholesterol in the blood can increase your risk of heart disease. Your cholesterol levels tend to rise as you get older. There are usually no signs or symptoms that you have high blood cholesterol, but it can be detected with a blood test. You are likely to have high cholesterol if members of your family have it, if you are overweight or if you eat a lot of fatty foods. You can lower your cholesterol by exercising more and eating more fruits and vegetables. You also may need to take medicine to lower your cholesterol.

HDL Cholesterol

LDL-Cholesterol

LDL/HDL Ratio

Non HDL Cholesterol

Triglycerides

Triglycerides are a form of fat and a major source of energy for the body. This test measures the amount of triglycerides in the blood. Most triglycerides are found in fat (adipose) tissue, but some triglycerides circulate in the blood to provide fuel for muscles to work. After a person eats, an increased level of triglycerides is found in the blood as the body converts the energy not needed right away into fat. Triglycerides move via the blood from the gut to adipose tissue for storage. In between meals, triglycerides are released from fat tissue to be used as an energy source for the body. Most triglycerides are carried in the blood by lipoproteins called very low density lipoproteins (VLDL). High levels of triglycerides in the blood are associated with an increased risk of developing cardiovascular disease (CVD), although the reason for this is not well understood. Certain factors can contribute to high triglyceride levels and to risk of CVD, including lack of exercise, being overweight, smoking cigarettes, consuming excess alcohol, and medical conditions such as diabetes and kidney disease.

Magnesium

Vitamin D, 25-Oh, D2

Vitamin D2 ((ergocalciferol,) is found in fortified foods and in most vitamin preparations and supplements. Vitamin D comes from two sources: endogenous, which is produced in the skin on exposure to sunlight, and exogenous, which is ingested in foods and supplements. The D2 form is found in fortified foods and in most vitamin preparations and supplements. Vitamin D2 is effective when it is converted by the liver and the kidney into the active form, 1,25-dihydroxyvitamin D.

Vitamin D, 25-Oh, D3

Vitamin D3 (cholecalcifero) which comes from animals. Vitamin D comes from two sources: endogenous, which is produced in the skin on exposure to sunlight, and exogenous, which is ingested in foods and supplements. Vitamin D3 is the form produced in the body and is also used in some supplements. Vitamin D3 are is converted by the liver and the kidney into the active form, 1,25-dihydroxyvitamin D.

Vitamin D, 25-Oh, Total

Vitamin D comes from two sources: endogenous, which is produced in the skin on exposure to sunlight, and exogenous, which is ingested in foods and supplements. The chemical structures of the types of vitamin D are slightly different, and they are named vitamin D2 (ergocalciferol, which comes from plants) and vitamin D3 (cholecalciferol, which comes from animals). The D2 form is found in fortified foods and in most vitamin preparations and supplements. Vitamin D3 is the form produced in the body and is also used in some supplements. Vitamin D2 and D3 are equally effective when they are converted by the liver and the kidney into the active form, 1,25-dihydroxyvitamin D.

Also known as: UA, Complete, Urinalysis UA Complete, Urine Analysis, Complete

Amorphous Sediment (Only Reported If Detected)

Appearance

Bacteria

Bacteria are living things that have only one cell. Most bacteria won't hurt you - less than 1 percent of the different types make people sick. Many are helpful. Some bacteria help to digest food, destroy disease-causing cells, and give the body needed vitamins. But infectious bacteria can make you ill. They reproduce quickly in your body. Many give off chemicals called toxins, which can damage tissue and make you sick. Examples of bacteria that cause infections include Streptococcus, Staphylococcus, and E. coli.

Bilirubin

Bilirubin is a yellowish pigment found in bile, a fluid made by the liver. A small amount of older red blood cells are replaced by new blood cells every day. Bilirubin is left after these older blood cells are removed. The liver helps break down bilirubin so that it can be removed from the body in the stool.

Calcium Oxalate Crystals (Only Reported If Detected)

Calcium oxalate is a chemical compound that forms envelope-shaped crystals. A major constituent of human kidney stones.

Casts (Only Reported If Detected)

Urinary casts are cylindrical structures produced by the kidney and present in the urine in certain disease states. They form in the distal convoluted tubule and collecting ducts of nephrons, then dislodge and pass into the urine, where they can be detected by microscopy.

Color

Crystals (Only Reported If Detected)

Abnormal crystals may appear in urine as a result of pathology or due to normal catabolism

Glucose

A blood glucose test measures the amount of a sugar called glucose in a sample of your blood. Glucose is a major source of energy for most cells of the body, including those in the brain. The hormones insulin and glucagon help control blood glucose levels.

Granular Cast (Only Reported If Detected)

The second-most common type of cast, granular casts can result either from the breakdown of cellular casts or the inclusion of aggregates of plasma proteins (e.g., albumin) or immunoglobulin light chains. Depending on the size of inclusions, they can be classified as fine or coarse, though the distinction has no diagnostic significance. Their appearance is generally more cigar-shaped and of a higher refractive index than hyaline casts. While most often indicative of chronic renal disease, these casts, as with hyaline casts, can also be seen for a short time following strenuous exercise

Hyaline Cast

Urinary casts are tiny tube-shaped particles. Urinary casts may be made up of white blood cells, red blood cells, kidney cells, or substances such as protein or fat. The most common type of cast, hyaline casts are solidified Tamm-Horsfall mucoprotein secreted from the tubular epithelial cells of individual nephrons. Low urine flow, concentrated urine, or an acidic environment can contribute to the formation of hyaline casts, and, as such, they may be seen in normal individuals in dehydration or vigorous exercise. Hyaline casts are cylindrical and clear, with a low refractive index,

Ketones

Ketones are substances produced in the liver when fat cells break down in the blood. A serum ketone test is a measurement of how many ketones are in the blood.

Leukocyte Esterase

Leukocyte esterase is a urine test to look for white blood cells and other signs associated with infection.

Nitrite

Occult Blood

The test looks for hidden (occult) blood in a specimen sample. It can find blood even if you cannot see it yourself.

Ph

Level of acid

Protein

Body fluids contain many different proteins that serve diverse functions such as transport of nutrients, removal of toxins, control of metabolic processes, and defense against invaders. Protein electrophoresis is a method for separating these proteins based on their size and electrical charge. When body fluids are separated by electrophoresis, they form a characteristic pattern of bands of different widths and intensities, reflecting the mixture of proteins present. This pattern is divided into five fractions, called albumin, alpha 1, alpha 2, beta, and gamma. In some cases, the beta fraction is further divided into beta 1 and beta 2. Albumin, which is produced in the liver, accounts for about 60% of the protein in the blood. "Globulins" is a collective term used to refer to proteins other than albumin. With the exception of the immunoglobulins and some complement proteins, most of the globulins are also produced in the liver. Immunofixation electrophoresis (IFE) is a method used to identify abnormal bands seen on serum, urine, or CSF protein electrophoresis, as to which type of antibody (immunoglobulin) is present.

Rbc

RBCs contain hemoglobin, which carries oxygen. How much oxygen your body tissues get depends on how many RBCs you have and how well they work.

Reducing Substances (Only Reported If Detected)

Renal Epithelial Cells (Only Reported If Detected)

Specific Gravity

Squamous Epithelial Cells

Transitional Epithelial (Only Reported If Detected)

Triple Phosphate Crystals (Only Reported If Detected)

Struvite stones (triple phosphate/magnesium ammonium phosphate) - about 10–15% of urinary calculi are composed of struvite (ammonium magnesium phosphate, NH4MgPO4·6H2O).[44] Struvite stones (also known as "infection stones", urease or triple-phosphate stones), form most often in the presence of infection by urea-splitting bacteria

Uric Acid Crystals (Only Reported If Detected)

Abnormal crystals may appear in urine as a result of pathology or due to normal catabolism

WBC

WBCs help fight infections. They are also called leukocytes. There are five major types of white blood cells: basophils, eosinophils, lymphocytes (T cells and B cells), monocytes and neutrophils

YEAST (Only Reported If Detected)

Candida is the scientific name for yeast. It is a fungus that lives almost everywhere, including in your body. Usually, your immune system keeps yeast under control. If you are sick or taking antibiotics, it can multiply and cause an infection.

Also known as: Cobalamin, Folic Acid, Vitamin B 12, Vitamin B 12 and Folic Acid, Vitamin B12 Cobalamin and Folate Panel Serum, Vitamin B12/Folic Acid

Folate, Serum

Folate is part of the B complex of vitamins and is measures the levels of folate in the liquid portion of the blood, the serum or plasma, to detect deficiencies. Folate is necessary for normal RBC formation, tissue and cellular repair, and DNA synthesis.. A deficiency inr folate can lead to macrocytic anemia. Megaloblastic anemia, a type of macrocytic anemia, is characterized by the production of fewer but larger RBCs called macrocytes, in addition to some cellular changes in the bone marrow.

Vitamin B12

Vitamin B12 is part of the B complex of vitamins and measurea the levels of vitamin B12 in the liquid portion of the blood, the serum or plasma, to detect deficiencies. Cobalamine, or vitamin B12, is found in animal products such as red meat, fish, poultry, milk, yogurt, and eggs and is not produced in the human body. In recent years, fortified cereals, breads, and other grain products have also become important dietary sources of B12. Vitamin B12 is necessary for normal RBC formation, tissue and cellular repair, and DNA synthesis. B12 is important for nerve health. A deficiency in B12 can lead to macrocytic anemia. Megaloblastic anemia, a type of macrocytic anemia, is characterized by the production of fewer but larger RBCs called macrocytes, in addition to some cellular changes in the bone marrow. B12 deficiency can lead to varying degrees of neuropathy, nerve damage that can cause tingling and numbness in the affected person's hands and feet.
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The GLP-1 Medication Safety - Essential Lab Panel panel contains 18 tests with 112 biomarkers .

Overview

The GLP-1 Medication Safety Essential Lab Panel is designed for people using GLP-1 or GLP-1/GIP medications such as semaglutide, tirzepatide, Ozempic, Wegovy, Mounjaro, Zepbound, or compounded GLP-1 medications who want a focused lab-based safety and wellness review.

GLP-1 medications can support weight management and blood sugar improvement for appropriate patients, but safety monitoring may be helpful because these medications can affect hydration, kidney stress, gastrointestinal symptoms, gallbladder-related concerns, blood sugar patterns, nutrition status, and metabolic health. FDA prescribing information for semaglutide and tirzepatide includes warnings related to issues such as acute kidney injury, acute gallbladder disease, and acute pancreatitis. 

This panel does not prove that a GLP-1 medication is safe or unsafe by itself. Results should be interpreted with a licensed healthcare provider and reviewed alongside the medication used, dose, duration, symptoms, weight-loss rate, hydration, diet, other medications, and health history.

Why Order This Panel?

The GLP-1 Medication Safety Essential Lab Panel may be helpful for customers who want a practical first-tier review of important safety and progress markers while taking GLP-1 medications.

This panel may help provide insight into:

  • Kidney filtration and urine health
  • Hydration-related urine findings
  • Liver function, bile flow, and bilirubin patterns
  • Pancreatic enzyme markers
  • Blood sugar and insulin patterns
  • Cholesterol and triglyceride ratios
  • Inflammation
  • Iron storage and iron availability
  • Blood count and anemia-related patterns
  • Vitamin D, magnesium, vitamin B12, and folate status
  • Nutrient and metabolic changes during weight loss

This Panel May Be Helpful For People Using

  • Semaglutide
  • Tirzepatide
  • Ozempic
  • Wegovy
  • Mounjaro
  • Zepbound
  • Compounded GLP-1 medications
  • GLP-1 medications with metformin, insulin, sulfonylureas, statins, or blood pressure medications
  • GLP-1 medications with calorie restriction, reduced appetite, or rapid weight loss
  • GLP-1 medications with nausea, vomiting, diarrhea, constipation, abdominal discomfort, fatigue, or dehydration concerns

Common Symptoms or Situations This Panel May Help Evaluate

This panel may be useful for people with or concerned about:

  • Nausea, vomiting, diarrhea, or reduced fluid intake
  • Dehydration or kidney function concerns
  • Abdominal discomfort or pancreas-related concerns
  • Gallbladder or bile-flow concerns
  • Rapid weight loss
  • Reduced appetite and reduced protein intake
  • Fatigue or low energy
  • Blood sugar improvement or hypoglycemia risk when combined with other diabetes medications
  • High cholesterol or triglycerides
  • Iron, vitamin D, B12, folate, or magnesium concerns
  • Desire for a baseline before or during GLP-1 therapy

Tirzepatide labeling specifically warns about acute kidney injury due to volume depletion and advises patients to report persistent nausea, vomiting, or diarrhea to a healthcare provider. 

What This Panel Helps Evaluate

This panel helps evaluate selected biomarkers related to:

  • GLP-1 medication safety monitoring
  • Kidney filtration
  • Urine albumin and urinalysis patterns
  • Liver function and bile flow
  • Bilirubin processing
  • Pancreatic enzyme activity
  • Blood sugar and insulin response
  • Cholesterol and lipid ratios
  • Inflammation
  • Blood count patterns
  • Iron status
  • Magnesium status
  • Vitamin D status
  • Vitamin B12 and folate status
  • Metabolic wellness during weight loss

Tests Included and Why They Matter

Kidney Function, Hydration & Urine Health

GLP-1 medications may reduce appetite and sometimes cause nausea, vomiting, diarrhea, or reduced fluid intake. When fluid intake drops or gastrointestinal symptoms are persistent, kidney stress can become more important to monitor. FDA labeling for semaglutide and tirzepatide includes warnings related to acute kidney injury, often in the setting of volume depletion. 

Comprehensive Metabolic Panel, CMP

The CMP evaluates glucose, kidney function, liver function, electrolytes, calcium, albumin, total protein, and other metabolic markers.

This test is included because GLP-1 users may benefit from a broad safety baseline that includes kidney markers, liver enzymes, electrolytes, glucose, calcium, albumin, and protein status. The CMP helps provide important context when appetite, hydration, weight loss, medication changes, or gastrointestinal symptoms are present.

Cystatin C with eGFR

Cystatin C with eGFR provides an additional way to evaluate kidney filtration.

This test is included because cystatin C can add kidney function context beyond creatinine alone. It may be useful when reviewing medication safety, dehydration risk, muscle mass changes, weight loss, or kidney function concerns during GLP-1 therapy.

Albumin, Random Urine with Creatinine

This urine test evaluates albumin relative to creatinine.

It is included because urine albumin may provide early kidney and vascular stress context. This can be especially relevant for people using GLP-1 medications for diabetes, prediabetes, metabolic syndrome, high blood pressure, or kidney-risk monitoring.

Urinalysis, UA, Complete

A complete urinalysis evaluates urine markers such as protein, blood, glucose, ketones, specific gravity, pH, and other findings.

This test is included because urine findings may provide practical safety context for hydration, kidney health, glucose handling, ketone production, protein, blood, and urinary abnormalities. It may be especially useful if a customer has reduced intake, increased ketones from low-carbohydrate eating, or dehydration concerns.

Liver Function, Bile Flow & Gallbladder Context

GLP-1 medications and weight loss may overlap with liver, bile flow, and gallbladder-related discussions. FDA labeling for semaglutide and tirzepatide includes warnings related to acute gallbladder disease. 

Gamma Glutamyl Transferase, GGT

GGT is a liver and bile duct enzyme.

This test is included because it may provide additional context for bile flow, liver stress, fatty liver patterns, alcohol exposure, medication use, supplement use, and metabolic liver health. In a GLP-1 panel, GGT adds useful bile-flow and liver-processing context beyond standard CMP liver enzymes alone.

Bilirubin, Fractionated

Bilirubin, Fractionated measures total, direct, and indirect bilirubin.

This test is included because bilirubin patterns may provide more detailed context for liver processing, bile flow, red blood cell breakdown, and bilirubin metabolism. Fractionated bilirubin is useful in a GLP-1 safety panel because bile-flow and gallbladder-related concerns may require careful provider-guided interpretation.

Pancreatic Enzyme Support

FDA prescribing information for GLP-1 medications includes warnings about acute pancreatitis, and patients are generally advised to contact a healthcare provider if pancreatitis is suspected. 

Lipase

Lipase is an enzyme related to pancreatic function and fat digestion.

This test is included because lipase may provide pancreas-related context when people using GLP-1 medications have abdominal symptoms or provider concerns. Lipase is often more pancreas-specific than amylase and is a strong fit for a GLP-1 medication safety panel.

Amylase

Amylase is an enzyme involved in carbohydrate digestion and is produced by the pancreas and salivary glands.

This test is included because it may provide additional pancreatic enzyme context when reviewed with lipase, symptoms, medication history, and provider guidance. Amylase should not be interpreted alone, but it can add value when abdominal symptoms or pancreatic concerns are part of the clinical picture.

Blood Sugar, Insulin & Metabolic Response

GLP-1 medications are commonly used for blood sugar control, weight management, and metabolic health. This group helps evaluate blood sugar patterns, insulin response, and cardiometabolic changes during therapy.

Hemoglobin A1c

Hemoglobin A1c measures average blood sugar over approximately the past two to three months.

This test is included because GLP-1 medications are often used to improve blood sugar and metabolic health. A1c can help track longer-term glucose trends, diabetes or prediabetes risk, and response to lifestyle and medication changes.

Insulin

Insulin helps move glucose from the bloodstream into cells.

This test is included because insulin may provide additional context for insulin resistance, metabolic flexibility, appetite and weight-loss response, and blood sugar regulation. It may be useful when evaluating how the body’s metabolic signals are changing during GLP-1 therapy.

Lipid Panel with Ratios

The Lipid Panel with Ratios evaluates cholesterol, triglycerides, and cholesterol ratios.

This test is included because weight loss, dietary changes, metabolic improvement, and medications can influence lipid patterns. Lipid ratios may provide additional cardiovascular and metabolic context beyond individual cholesterol values.

Inflammation, Blood Health & Iron Status

Weight loss, metabolic changes, nutrient intake, and inflammation can affect energy, recovery, and overall wellness. This group helps evaluate blood count patterns, iron status, and low-grade inflammation.

CBC, includes Differential and Platelets

The CBC evaluates red blood cells, white blood cells, hemoglobin, hematocrit, platelets, and white blood cell types.

This test is included because GLP-1 users may benefit from a blood count baseline when evaluating fatigue, low energy, inflammation, infection clues, anemia-related patterns, or general wellness.

Ferritin

Ferritin measures stored iron.

This test is included because ferritin may provide context for iron storage, anemia-related patterns, inflammation, liver/metabolic patterns, and fatigue. Ferritin can be low with iron deficiency or elevated with inflammation, so it should be interpreted with iron/TIBC, CBC, hs-CRP, symptoms, and health history.

Iron and Total Iron Binding Capacity, TIBC

Iron and TIBC help evaluate circulating iron and iron transport capacity.

This test is included because iron deficiency, iron overload, or abnormal iron availability may contribute to fatigue, weakness, poor stamina, and anemia-related concerns. It adds useful context when appetite and dietary intake change during GLP-1 therapy.

hs-CRP

High-sensitivity C-reactive protein is a marker of low-grade inflammation.

This test is included because inflammation may provide useful context for metabolic health, cardiometabolic risk, ferritin interpretation, liver/metabolic patterns, and general wellness during weight loss.

Nutrient, Mineral & Weight-Loss Support

Reduced appetite, smaller meals, nausea, dietary changes, and rapid weight loss may affect nutrient intake. This group helps evaluate nutrients that are commonly reviewed when energy, muscle symptoms, bone health, or reduced intake are concerns.

Magnesium

Magnesium supports muscle function, nerve signaling, blood pressure regulation, glucose metabolism, sleep, and energy production.

This test is included because magnesium status may provide context for muscle cramps, fatigue, blood pressure, metabolic health, constipation, and supplement safety during GLP-1 therapy.

QuestAssureD™ 25-Hydroxyvitamin D, D2, D3, LC/MS/MS

Vitamin D testing measures vitamin D status.

This test is included because vitamin D may be relevant to bone health, immune function, muscle symptoms, inflammation, calcium balance, and general wellness. It is especially useful when appetite, dietary intake, or weight status changes.

Vitamin B12 and Folate Panel, Serum

This panel measures vitamin B12 and folate.

These nutrients support red blood cell production, nerve function, DNA synthesis, methylation, and general wellness. This test is included because B12 and folate status may be relevant to fatigue, neurologic symptoms, restricted intake, metformin use, acid-reducing medications, and reduced food intake during GLP-1 therapy.

Related Biomarker Patterns This Panel May Help Identify

This panel may help identify or rule out lab patterns related to:

  • Kidney filtration changes
  • Urine albumin or urinalysis abnormalities
  • Hydration-related urine patterns
  • Liver enzyme or bile-flow changes
  • Bilirubin pattern changes
  • Pancreatic enzyme elevation
  • Blood sugar improvement or imbalance
  • Insulin resistance patterns
  • Cholesterol and triglyceride changes
  • Low-grade inflammation
  • Anemia-related patterns
  • Iron deficiency or abnormal iron availability
  • Magnesium status
  • Vitamin D status
  • Vitamin B12 and folate status
  • General GLP-1 medication safety concerns

Professional Safety and Interpretation Notice

This panel is designed to support GLP-1 medication safety review. It does not prove that a GLP-1 medication is safe or unsafe by itself. Results should be interpreted with a licensed healthcare provider and reviewed alongside medication type, dose, duration, symptoms, hydration, diet, weight-loss rate, medical conditions, other medications, and health goals.

Do not stop or change any prescribed medication without guidance from your healthcare provider.

Additional Panels to Consider

Customers interested in the GLP-1 Medication Safety Essential Lab Panel may also consider:

  • GLP-1 Medication Safety Advanced Lab Panel
  • Medication Safety Lab Panel
  • Medication & Supplement Safety Lab Panel
  • Supplement Safety Lab Panel
  • Kidney, Liver & Detox Support Lab Panel
  • Prediabetes & Insulin Resistance Lab Panel
  • Heart Health & Cholesterol Lab Panel
  • Vitamin, Mineral & Nutrient Deficiency Lab Panel
  • Athletic Performance & Recovery Lab Panel
  • Hormone Therapy Safety Lab Panel

How to Prepare for This Panel

Preparation may vary depending on the specific tests included and instructions provided with your order. In general:

  • Fasting may be recommended because glucose, insulin, and lipid markers are included.
  • Bring or keep a list of medications, including GLP-1 medication name, dose, start date, dose changes, and any other diabetes, blood pressure, cholesterol, or weight-loss medications.
  • Note symptoms such as nausea, vomiting, diarrhea, constipation, abdominal pain, dehydration, dizziness, fatigue, or low appetite.
  • Drink water normally unless instructed otherwise.
  • Do not overhydrate before urine testing.
  • Continue medications unless your healthcare provider tells you otherwise.
  • Follow all lab collection instructions provided with your order.

What Happens After You Receive Your Results?

After your results are available, your biomarkers can help organize GLP-1 safety findings into areas such as kidney filtration, urine health, hydration context, liver function, bile flow, pancreatic enzymes, blood sugar, insulin, cholesterol ratios, inflammation, iron status, magnesium, vitamin D, B12, and folate.

During the physician consultation, you can discuss whether your results suggest the need for follow-up testing, medication review, hydration changes, nutrition support, dose discussion, or additional monitoring based on your health history and current GLP-1 use.

Frequently Asked Questions

What is the GLP-1 Medication Safety Essential Lab Panel?

The GLP-1 Medication Safety Essential Lab Panel is a focused lab panel that evaluates selected biomarkers related to kidney function, liver function, pancreatic enzymes, blood sugar, insulin, cholesterol, inflammation, iron status, magnesium, vitamin D, B12, folate, and urine health for people using GLP-1 medications.

Who may benefit from this panel?

This panel may be useful for people taking semaglutide, tirzepatide, Ozempic, Wegovy, Mounjaro, Zepbound, or compounded GLP-1 medications.

Why are kidney markers included?

Kidney markers are included because nausea, vomiting, diarrhea, dehydration, or reduced fluid intake may affect kidney safety during GLP-1 therapy. FDA labeling for GLP-1 medications includes warnings related to acute kidney injury, particularly in the setting of volume depletion. 

Why are lipase and amylase included?

Lipase and amylase are pancreatic enzymes. They are included to provide pancreas-related context when GLP-1 medication use, abdominal symptoms, or provider concerns are present.

Why are liver and bile-flow markers included?

Liver and bile-flow markers are included because GLP-1 medication use and weight loss may overlap with gallbladder, bile-flow, and liver health discussions. FDA labeling includes warnings related to acute gallbladder disease. 

Does this panel prove my GLP-1 medication is safe?

No. No lab panel can prove a medication is safe in every situation. This panel helps evaluate selected safety markers that may be useful to review with a licensed healthcare provider.

Important Note

This panel is designed to help evaluate selected biomarkers that may be related to GLP-1 medication safety, kidney function, liver function, pancreatic enzymes, blood sugar, insulin, cholesterol, inflammation, iron status, magnesium, vitamin D, vitamin B12 and folate status, urine health, and metabolic wellness. It is not intended to diagnose, treat, cure, or prevent disease by itself. Results should be reviewed with a licensed healthcare provider.

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