Gut Health, Food Allergy & Nutrient Balance - Comprehensive Lab Panel

The Gut Health, Food Allergy & Nutrient Balance Comprehensive Lab Panel includes 38 tests and 129 biomarkers to support broad review of gut inflammation, celiac-related immune patterns, IgE food allergy markers, stool infection markers, H. pylori, parasites, malabsorption, pancreatic function, GI bleeding support, nutrient deficiencies, immune protein status, omega fatty acids, liver and bile flow, thyroid overlap, and mineral balance markers.

Serum, Stool/Feces, Blood, Plasma-Unspecified Vial Pour, Varied
Phlebotomist
Gut Health Comprehensive Panel, Food Allergy Gut Panel, Digestive Health Lab Panel, Celiac and Nutrient Panel, Gut Inflammation Panel, Stool and Nutrient Test, Malabsorption Lab Panel, Digestive Wellness Panel, Gut Health Blood and Stool 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: 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: C-Reactive Protein, CReactive Protein CRP, CRP

C-REACTIVE PROTEIN

C-reactive protein is produced by the liver. The level of CRP rises when there is inflammation throughout the body.

Also known as: Calprotectin Stool

Calprotectin, 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: Celiac Panel

Immunoglobulin A

Interpretation

Tissue Transglutaminase

Tissue Transglutaminase

Also known as: Copper Oxide, Wilson's Disease

Ceruloplasmin

Ceruloplasmin is a copper-containing protein. Lower-than-normal ceruloplasmin levels may be due to: chronic liver disease, intestinal malabsorption, malnutrition, nephrotic syndrome and Wilson's copper storage disease (rare). Higher-than-normal ceruloplasmin levels may be due to: acute and chronic infections, lymphoma, pregnancy, rheumatoid arthritis and use of birth control pills.

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.

Copper

Also known as: Fecal Fat Qualitative

Fecal Fat, Qualitative

STATUS:

Also known as: Fecal Globin by Immunochemistry InSure, FOBT, InSure®, Occult Blood, Stool Blood, Stool Hemoglobin

Fecal Globin Result:

Screen for lower gastrointestinal bleeding associated with colorectal cancer, adenomas, polyps, and other lower gastrointestinal conditions

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.

Almond (F20) IgE

Cashew Nut (F202) IgE

Codfish (F3) IgE

Egg White (F1) IgE

Hazelnut (F17) IgE

Milk (F2) IgE

Peanut (F13) IgE

Salmon (F41) IgE

Scallop (F338) IgE

Sesame Seed (F10) IgE

Shrimp (F24) IgE

Soybean (F14) IgE

Tuna (F40) IgE

Walnut (F256) IgE

Wheat (F4) IgE

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.

CRYPTOSPORIDIUM ANTIGEN,

Dfa

Eia (1)

Also known as: Helicobacter Pylori Ag Eia Stool

Result:

Also known as: Homocysteine, Homocysteine Cardiovascular

HOMOCYSTEINE,

Also known as: Immunoglobulins Panel Serum

Immunoglobulin A

Immunoglobulin G

Immunoglobulin M

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: Lactoferrin Quantitative Stool

Lactoferrin, Qn, Stool

Also known as: LPS

Lipase

Magnesium

Methylmalonic Acid

ARACHIDONIC ACID

ARACHIDONIC ACID/EPA

DHA

DPA

EPA

EPA+DPA+DHA

LINOLEIC ACID

OMEGA-3 TOTAL

OMEGA-6 TOTAL

OMEGA-6/OMEGA-3 RATIO

Also known as: Ova And Parasites Stool Conc And Perm Smear

Concentrate (1)

Trichrome (1)

Also known as: Pancreatic Elastase1

Pancreatic Elastase-1

Also known as: Thyroxine Binding Prealbumin, Thyroxine-binding Prealbumin, Transthyretin

Prealbumin

Prealbumin, also called transthyretin, is one of the major proteins in the blood and is produced primarily by the liver. Its functions are to carry thyroxine (the main thyroid hormone) and vitamin A throughout the body. This test measures the level of prealbumin in the blood.

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: ESR, SED RATE, Sed Rate by Modified Westergren ESR

Sed Rate By Modified

Erythrocyte sedimentation rate (ESR) is an indirect measure of the degree of inflammation present in the body. It actually measures the rate of fall (sedimentation) of erythrocytes (red blood cells) in a sample of blood.

Selenium

Also known as: Free T4, FT4, T4 Free

T4, Free

The free T4 test is not affected by protein levels. Since free T4 is the active form of thyroxine, the free T4 test is may be a more accurate reflection of thyroid hormone function.

Thyroglobulin Antibodies

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.

Thyroid Peroxidase

Also known as: Thyroid Stimulating Hormone Test, Thyrotropin Test

TSH

A TSH test is a lab test that measures the amount of thyroid stimulating hormone (TSH) in your blood. TSH is produced by the pituitary gland. It tells the thyroid gland to make and release thyroid hormones into the blood.

Also known as: Retinol, Vitamin A, Vitamin A Retinol

Vitamin A

This test measures the level of retinol in the blood; retinol is the primary form of vitamin A in animals. Vitamin A is an essential nutrient required for healthy vision, skin growth and integrity, bone formation, immune function, and embryonic development. It is required to produce photoreceptors in the eyes and to maintain the lining of the surface of the eyes and other mucous membranes. Deficiencies in vitamin A can impair night vision, cause eye damage, and in severe cases lead to blindness. Acute or chronic excesses of vitamin A can be toxic, cause a range of symptoms, and sometimes lead to birth defects. The body cannot make vitamin A and must rely on dietary sources of vitamin A. Meat sources provide vitamin A (as retinol), while vegetable and fruit sources provide carotene (a substance that can be converted into vitamin A by the liver). Vitamin A is stored in the liver and fat tissues (it is fat-soluble), and healthy adults may have as much as a year's worth stored. The body maintains a relatively stable concentration in the blood through a feedback system that releases vitamin A from storage as needed and increases or decreases the efficiency of dietary vitamin A absorption.

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.

Also known as: B6, B6 Vitamin, Pyridoxal, Pyridoxal Phosphate, Pyridoxal Phosphate (PLP), Vitamin B6 Pyridoxal Phosphate

Vitamin B6

Also known as: Alpha-Tocopherol, Vitamin E Tocopherol

Alpha-Tocopherol

Beta-Gamma-Tocopherol

Vitamin K

Vitamin K helps your body by making proteins for healthy bones and tissues. It also makes proteins for blood clotting. If you don't have enough vitamin K, you may bleed too much.

Also known as: ZN, Plasma

Zinc

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The Gut Health, Food Allergy & Nutrient Balance - Comprehensive Lab Panel panel contains 38 tests with 131 biomarkers .

The Gut Health, Food Allergy & Nutrient Balance - Comprehensive Lab Panel is designed for people who want a broad lab-based review of biomarkers related to digestive health, gut inflammation, celiac-related immune patterns, IgE food allergy markers, stool infection markers, H. pylori, parasites, malabsorption, pancreatic function, nutrient status, immune protein patterns, liver and bile-flow context, thyroid overlap, omega fatty acids, and mineral balance.

This panel includes 38 tests and 129 biomarkers to support provider-guided conversations about abdominal discomfort, bloating, diarrhea, constipation, food-related symptoms, suspected food allergy, celiac concerns, nutrient deficiencies, fatigue, iron status, B-vitamin status, fat-soluble vitamin status, stool inflammation, digestive enzyme function, and gut-related wellness patterns.

This panel does not diagnose food intolerance, non-IgE food sensitivity, inflammatory bowel disease, celiac disease, infection, malabsorption, pancreatic disease, thyroid disease, liver disease, or nutrient deficiency by itself. Results should be reviewed with a licensed healthcare provider and interpreted with symptoms, diet history, medications, supplements, stool patterns, travel history, allergy history, and clinical context.


Why Order This Panel?

The Gut Health, Food Allergy & Nutrient Balance - Comprehensive Lab Panel may be helpful for people who want a deeper look at digestive symptoms, food allergy markers, gut inflammation, stool-based findings, and nutrient balance.

This panel may help provide insight into:

  • Stool inflammation with calprotectin and lactoferrin
  • Systemic inflammation with CRP and ESR
  • Celiac-related immune patterns
  • IgE food allergy markers with reflex testing
  • H. pylori stool antigen patterns
  • Giardia, Cryptosporidium, ova, and parasite patterns
  • Fat malabsorption with fecal fat
  • Pancreatic exocrine function with pancreatic elastase-1
  • Pancreatic enzyme context with lipase
  • Hidden blood in stool with fecal globin by immunochemistry
  • Iron storage and iron availability
  • Vitamin B12, folate, MMA, B6, vitamin D, vitamin A, vitamin E, vitamin K, zinc, selenium, magnesium, copper, and ceruloplasmin status
  • Omega fatty acid status with OMEGACHECK™
  • Immune protein patterns with immunoglobulins
  • Liver, bile-flow, protein nutrition, and thyroid-overlap markers

This Panel May Be Helpful For People With

  • Bloating or abdominal discomfort
  • Diarrhea or loose stools
  • Constipation or changing bowel patterns
  • Food-related symptoms
  • Suspected food allergy
  • Celiac disease concerns
  • Unexplained fatigue
  • Iron deficiency or ferritin concerns
  • Low B12, folate, or vitamin D concerns
  • Greasy stools or fat malabsorption concerns
  • Nutrient deficiency symptoms
  • H. pylori concerns
  • Parasite or travel-related exposure concerns
  • Digestive enzyme or pancreatic function concerns
  • Inflammation concerns
  • Thyroid symptoms that overlap with gut motility or fatigue
  • Interest in a broad gut health, food allergy, and nutrient balance review

What This Panel Helps Evaluate

This panel helps evaluate selected biomarkers related to:

  • Gut inflammation
  • Systemic inflammation
  • Celiac-related immune patterns
  • IgE-mediated food allergy markers
  • Stool infection markers
  • H. pylori
  • Giardia, Cryptosporidium, ova, and parasites
  • Malabsorption and fat digestion
  • Pancreatic exocrine function
  • Hidden blood in stool
  • Liver and bile-flow context
  • Protein nutrition
  • Immune protein status
  • Iron status
  • B-vitamin and methylation patterns
  • Fat-soluble vitamins A, D, E, and K
  • Omega fatty acid status
  • Magnesium, zinc, selenium, copper, and ceruloplasmin balance
  • Thyroid function and thyroid autoimmunity overlap

Which Tier Is Right for Me?

Essential Lab Panel

The Gut Health, Food Allergy & Nutrient Balance - Essential Lab Panel is best for people who want a focused first-step review of gut-related inflammation, celiac-related immune patterns, IgE food allergy markers, blood health, iron status, vitamin D, B12/folate, magnesium, zinc, liver function, kidney function, and general wellness.

Choose Essential if you want an accessible starting point for digestive symptoms, food allergy concerns, nutrient balance, iron status, and celiac screening support.

Advanced Lab Panel

The Gut Health, Food Allergy & Nutrient Balance - Advanced Lab Panel is best for people who want deeper stool and nutrient insight. It may add stool calprotectin, lactoferrin, H. pylori, Giardia/Cryptosporidium, ova and parasites, fecal fat, pancreatic elastase, fecal globin, GGT, bilirubin, MMA, homocysteine, B6, vitamins A/E/K, selenium, and immunoglobulins.

Choose Advanced if symptoms are persistent or if you want broader review of gut inflammation, stool infection markers, malabsorption, pancreatic function, liver/bile-flow markers, and nutrient status.

Comprehensive Lab Panel

The Gut Health, Food Allergy & Nutrient Balance - Comprehensive Lab Panel is the broadest option. It includes 38 tests and 129 biomarkers and adds premium markers for copper/ceruloplasmin balance, lipase, prealbumin, OMEGACHECK™, thyroid function, thyroid antibodies, fat-soluble vitamins, stool inflammation, stool infection markers, and nutrient balance.

Choose Comprehensive if you want the widest review of gut inflammation, celiac screening support, IgE food allergy evaluation, stool infection markers, H. pylori, parasites, malabsorption, pancreatic function, GI bleeding support, nutrient deficiencies, immune protein context, omega fatty acids, liver/bile flow, thyroid-autoimmune overlap, and mineral balance.


Tests Included and Why They Matter

Gut Inflammation and Systemic Inflammation

Calprotectin, Stool

Calprotectin is a stool marker associated with intestinal inflammation.

This test is included because it may help provide context when digestive symptoms include diarrhea, abdominal pain, urgency, or inflammatory bowel concerns. It does not diagnose a specific condition by itself, but it can help guide provider-directed follow-up when stool inflammation is suspected.

Lactoferrin, Quantitative, Stool

Lactoferrin is another stool marker associated with intestinal inflammation.

This test is included because it complements calprotectin and may help support provider-guided review of intestinal inflammation patterns. When both calprotectin and lactoferrin are reviewed together, they may provide broader stool inflammation context.

C-Reactive Protein, CRP

CRP is a blood marker that can rise when inflammation is present.

This test is included because systemic inflammation may overlap with digestive symptoms, autoimmune patterns, infection concerns, celiac-related inflammation, and general wellness findings. CRP should be interpreted with symptoms, stool markers, ESR, CBC, and provider guidance.

Sed Rate by Modified Westergren, ESR

ESR is a broad inflammation marker.

This test is included because it adds systemic inflammation context and may complement CRP. ESR may change more slowly than CRP and should be interpreted with symptoms and other findings.

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 blood count patterns may provide context for anemia, infection clues, immune activity, platelet changes, inflammation, fatigue, and general blood health.


Celiac and Gut-Immune Context

Celiac Disease Comprehensive Panel

The Celiac Disease Comprehensive Panel evaluates immune markers associated with celiac-related patterns.

This test is included because celiac-related immune activity may overlap with bloating, diarrhea, constipation, abdominal discomfort, anemia, nutrient deficiencies, fatigue, low iron, low vitamin D, low B12, and autoimmune clustering.

Celiac testing is best interpreted with diet history, especially whether gluten is being eaten before testing, plus symptoms and provider guidance.

Immunoglobulins Panel, Serum

The immunoglobulins panel evaluates major immune protein patterns.

This test is included because immune protein patterns may provide context for recurrent infections, immune concerns, gut-immune patterns, celiac interpretation, and broader immune balance.


IgE Food Allergy Context

Food Allergy Profile with Reflexes

The Food Allergy Profile with Reflexes evaluates IgE-related food allergy markers and may reflex to additional testing depending on the laboratory’s criteria.

This test is included because IgE food allergy testing is more appropriate for allergy-type reactions than unsupported IgG food sensitivity testing. It may provide provider-guided context when symptoms suggest possible food allergy, such as hives, swelling, itching, wheezing, vomiting, or rapid symptoms after food exposure.

This test does not diagnose every food reaction or non-IgE food intolerance. Food reactions should be reviewed with a licensed healthcare provider, especially if symptoms are severe or involve breathing, swelling, or anaphylaxis risk.

Reflex Test Notice: If reflex testing is performed, additional charges may apply.


Stool Infection, Parasite and H. pylori Context

Helicobacter Pylori Ag, EIA, Stool

This test evaluates H. pylori antigen in stool.

H. pylori is included because it may be relevant when upper digestive symptoms, stomach discomfort, nausea, reflux-like symptoms, ulcer-like symptoms, or prior H. pylori treatment history are part of the review.

Giardia and Cryptosporidium Antigen Panel

This stool test evaluates Giardia and Cryptosporidium antigens.

It is included because these organisms may be associated with persistent diarrhea, water exposure, camping, travel, or ongoing digestive symptoms.

Ova and Parasites, Stool Concentration and Permanent Smear

This stool test evaluates for ova and parasites.

It is included because parasites may be considered when symptoms include chronic diarrhea, travel exposure, water/food exposure, unexplained digestive symptoms, or persistent GI complaints.


Malabsorption and Digestive Function

Fecal Fat, Qualitative

Fecal fat testing evaluates fat malabsorption patterns.

This test is included because fat malabsorption may overlap with greasy stools, floating stools, diarrhea, unexplained weight loss, or fat-soluble vitamin concerns.

Pancreatic Elastase-1

Pancreatic elastase-1 is a stool marker related to pancreatic exocrine function.

This test is included because it may provide context for digestive enzyme output and pancreatic exocrine insufficiency patterns. It is especially useful when symptoms include chronic diarrhea, greasy stools, malabsorption, or unexplained nutrient deficiencies.

Lipase

Lipase is a pancreatic enzyme.

This test is included because it provides pancreatic enzyme context when digestive symptoms, upper abdominal symptoms, or pancreatic concerns are part of the review. In this panel, it complements pancreatic elastase and fecal fat.


GI Bleeding and Colon Screening Support

Fecal Globin by Immunochemistry, InSure®

This stool test evaluates hidden blood in stool.

It is included because occult blood may provide important provider-guided context when digestive symptoms, anemia, low iron, or colorectal screening support is part of the discussion. A positive result should be reviewed promptly with a healthcare provider.


Nutrient Absorption, Iron Status and Methylation

Ferritin

Ferritin measures stored iron.

This test is included because ferritin may provide context for iron storage, anemia, inflammation, fatigue, celiac-related malabsorption, and possible GI blood loss. Ferritin should be interpreted with iron/TIBC, CBC, CRP, and symptoms.

Iron and Total Iron Binding Capacity, TIBC

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

This test is included because iron availability may provide context for fatigue, anemia patterns, low stamina, celiac-related malabsorption, and iron balance.

Vitamin B12 and Folate Panel, Serum

This panel measures vitamin B12 and folate.

B12 and folate support red blood cell production, nerve function, DNA synthesis, methylation, cognition, and energy. These markers are useful when malabsorption, fatigue, anemia, neuropathy-like symptoms, restricted diets, or digestive concerns are present.

Methylmalonic Acid

Methylmalonic acid, or MMA, is a functional B12 marker.

This test is included because MMA can provide deeper B12 interpretation when serum B12 is borderline or symptoms suggest B12-related concerns.

Homocysteine

Homocysteine is influenced by vitamin B12, folate, vitamin B6, methylation pathways, kidney function, and vascular health.

This test is included because it provides B-vitamin, methylation, vascular, cognitive, and nutrient balance context.

Vitamin B6, Pyridoxal Phosphate

Vitamin B6 supports neurotransmitter pathways, methylation, amino acid metabolism, immune function, and energy metabolism.

This test is included because B6 helps interpret homocysteine and supports nerve, energy, and nutrient status review.


Fat-Soluble Vitamins and Nutrient Balance

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

Vitamin D testing measures vitamin D status.

This test is included because vitamin D supports immune, bone, muscle, mood, inflammation, and calcium-balance pathways. Vitamin D status may also provide malabsorption and nutrient balance context.

Vitamin A, Retinol

Vitamin A is a fat-soluble vitamin involved in vision, immune function, skin health, and epithelial tissue support.

This test is included because vitamin A may provide fat-soluble vitamin and malabsorption context.

Vitamin E, Tocopherol

Vitamin E is a fat-soluble antioxidant.

This test is included because vitamin E may provide context for fat absorption, oxidative stress, and nutrient balance.

Vitamin K

Vitamin K supports clotting and bone-related pathways.

This test is included because vitamin K may provide fat-soluble vitamin, malabsorption, clotting, and bone-health context.


Minerals, Immune Support and Trace Element Balance

Magnesium

Magnesium supports muscle function, nerve signaling, bowel function, glucose metabolism, sleep, and energy production.

This test is included because magnesium status may provide context for cramps, fatigue, constipation, muscle symptoms, and nutrient balance.

Zinc

Zinc supports immune function, wound healing, gut barrier support, taste, smell, skin health, and antioxidant function.

This test is included because zinc is relevant to gut health, immune function, skin, nutrient status, and malabsorption context.

Selenium

Selenium supports thyroid-related pathways and antioxidant systems.

This test is included because selenium may provide immune, thyroid, and antioxidant context.

Copper

Copper supports iron metabolism, connective tissue, antioxidant enzyme systems, neurologic function, and cellular function.

This test is included because copper provides mineral-balance context, especially when zinc and iron markers are also measured.

Ceruloplasmin

Ceruloplasmin is a copper-carrying protein.

This test is included because it helps interpret copper status and supports mineral balance review.


Liver, Bile Flow and Protein Nutrition

Comprehensive Metabolic Panel, CMP

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

This test is included because gut and nutrient review benefits from liver, kidney, albumin, protein, glucose, calcium, electrolyte, and metabolic context.

Gamma Glutamyl Transferase, GGT

GGT is a liver and bile duct enzyme.

This test is included because it may provide liver, bile-flow, fatty liver, alcohol, medication, supplement, and digestive/metabolic context.

Bilirubin, Fractionated

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

This test is included because bilirubin patterns may provide liver processing and bile-flow context beyond standard liver enzymes.

Prealbumin

Prealbumin is a protein nutrition marker.

This test is included because it may provide context for protein nutrition, malnutrition risk, recovery, and nutrient balance.


Omega Fatty Acids and Inflammation Balance

OMEGACHECK™

OMEGACHECK™ evaluates omega fatty acid status.

This test is included because omega fatty acid patterns may provide context for inflammation balance, cardiometabolic wellness, nutrition quality, and dietary fat intake.


Thyroid Function and Autoimmune Thyroid Overlap

TSH

TSH is a key thyroid screening marker.

This test is included because thyroid function can overlap with gut motility, constipation, fatigue, weight changes, and nutrient-related symptoms.

T4, Free

Free T4 measures available thyroxine, a major thyroid hormone.

This test is included because it adds thyroid hormone production context beyond TSH alone.

Thyroid Peroxidase and Thyroglobulin Antibodies

These antibodies help evaluate autoimmune thyroid patterns.

This test is included because autoimmune thyroid patterns can cluster with celiac-related immune patterns and may overlap with fatigue, hair changes, weight changes, and digestive complaints.


Professional Reflex Testing Notice

This panel includes Food Allergy Profile with Reflexes. Reflex testing means the laboratory may automatically perform additional testing when initial findings meet specific criteria.

If reflex testing is performed, additional charges may apply. Reflex results should be reviewed with a licensed healthcare provider.


Related Biomarker Patterns This Panel May Help Identify

This panel may help identify or support provider-guided review of:

  • Stool calprotectin and lactoferrin inflammation patterns
  • CRP and ESR systemic inflammation patterns
  • Celiac-related immune patterns
  • IgE food allergy marker patterns
  • H. pylori stool antigen patterns
  • Giardia, Cryptosporidium, ova, and parasite patterns
  • Fecal fat and pancreatic elastase patterns
  • Fecal globin/InSure® stool blood findings
  • Iron, ferritin, B12, folate, MMA, homocysteine, and B6 patterns
  • Vitamins A, D, E, and K status
  • Magnesium, zinc, selenium, copper, and ceruloplasmin patterns
  • GGT, bilirubin, CMP, and prealbumin patterns
  • Omega fatty acid status
  • TSH, Free T4, and thyroid antibody patterns

Professional Safety and Interpretation Notice

This panel is designed to support gut health, food allergy, and nutrient balance review. It does not diagnose food intolerance, non-IgE food sensitivity, inflammatory bowel disease, celiac disease, H. pylori infection, parasitic infection, pancreatic disease, malabsorption, thyroid disease, liver disease, or nutrient deficiency by itself.

Results should be interpreted with a licensed healthcare provider and reviewed alongside symptoms, diet history, medication use, supplement use, stool patterns, travel history, allergy history, family history, physical exam findings, and clinical context.

Do not stop or change medications, allergy treatment, diet, supplements, or gluten intake before celiac testing without guidance from your healthcare provider.


How to Prepare for This Panel

Preparation may vary depending on the specific blood and stool tests included. In general:

  • Follow all blood and stool collection instructions carefully.
  • Bring a list of medications, supplements, vitamins, probiotics, digestive enzymes, allergy medications, acid blockers, antibiotics, and doses.
  • Tell your provider if you are avoiding gluten, because celiac testing may be affected by a gluten-free diet.
  • Note symptoms such as bloating, diarrhea, constipation, reflux, nausea, abdominal pain, food reactions, rash, hives, fatigue, weight changes, or greasy stools.
  • Ask your provider whether any medications should be paused before stool testing.
  • Do not delay medical care for severe abdominal pain, blood in stool, allergic reactions, dehydration, or unexplained weight loss.

What Happens After You Receive Your Results?

After results are available, biomarkers can be organized into key categories: gut inflammation, celiac-related immune patterns, IgE food allergy markers, stool infection markers, H. pylori, parasites, malabsorption, pancreatic function, GI bleeding support, nutrient absorption, mineral balance, immune protein status, liver/bile flow, thyroid-autoimmune overlap, omega status, and protein nutrition.

During a provider review, you can discuss whether results suggest follow-up testing, dietary review, allergy follow-up, gastroenterology referral, stool retesting, nutrient support, medication review, or additional clinical evaluation.


Additional Panels to Consider

Customers interested in the Gut Health, Food Allergy & Nutrient Balance - Comprehensive Lab Panel may also consider:

  • Gut Health, Food Allergy & Nutrient Balance - Essential Lab Panel
  • Gut Health, Food Allergy & Nutrient Balance - Advanced Lab Panel
  • Celiac Disease Lab Panel
  • Food Allergy Lab Panel
  • Vitamin, Mineral & Nutrient Deficiency Lab Panel
  • Inflammation, Autoimmune & Chronic Pain Lab Panel
  • Thyroid & Metabolism Lab Panel
  • Heavy Metals & Environmental Toxins Lab Panel
  • Prediabetes & Insulin Resistance Lab Panel
  • Fatigue, Low Energy & Brain Fog Lab Panel

FAQ: Gut Health, Food Allergy & Nutrient Balance - Comprehensive Lab Panel

What is the Gut Health, Food Allergy & Nutrient Balance Comprehensive Lab Panel?

The Gut Health, Food Allergy & Nutrient Balance Comprehensive Lab Panel is a broad blood and stool panel that includes 38 tests and 129 biomarkers to evaluate gut inflammation, celiac-related immune patterns, IgE food allergy markers, stool infection markers, H. pylori, parasites, malabsorption, pancreatic function, hidden blood in stool, nutrient deficiencies, immune protein context, omega fatty acids, liver/bile flow, thyroid overlap, and mineral balance.

Does this panel test food allergies or food sensitivities?

This panel includes a Food Allergy Profile with Reflexes, which supports IgE-related food allergy evaluation. It does not diagnose all food intolerances or non-IgE food sensitivities.

Does this panel include IgG food sensitivity testing?

No. This panel is framed around food allergy and gut/nutrient balance rather than IgG food sensitivity testing.

Why are calprotectin and lactoferrin included?

Calprotectin and lactoferrin are stool inflammation markers. They may provide context when symptoms include diarrhea, abdominal pain, urgency, or suspected intestinal inflammation.

Why are H. pylori and parasite tests included?

H. pylori, Giardia, Cryptosporidium, and ova/parasite testing may provide infectious or exposure-related context when digestive symptoms are persistent, travel-related, water-related, or unexplained.

Why are fecal fat and pancreatic elastase included?

Fecal fat helps evaluate fat malabsorption patterns, while pancreatic elastase-1 provides context for pancreatic exocrine function and digestive enzyme output.

Why are vitamins A, D, E, and K included?

Vitamins A, D, E, and K are fat-soluble vitamins. They may provide useful context when malabsorption, fat digestion issues, nutrient deficiencies, or digestive symptoms are present.

Why are copper and ceruloplasmin included?

Copper and ceruloplasmin help evaluate mineral balance and copper status. They may provide context for iron metabolism, anemia patterns, neurologic symptoms, and malabsorption review.

Why are thyroid markers included?

Thyroid function and thyroid autoimmunity can overlap with constipation, fatigue, weight changes, nutrient concerns, and autoimmune clustering with celiac-related patterns.

Should I choose Essential, Advanced, or Comprehensive?

Choose Essential for a focused gut, celiac, food allergy, inflammation, and nutrient baseline. Choose Advanced for stool inflammation, H. pylori, parasites, malabsorption, pancreatic function, and broader nutrient status. Choose Comprehensive for the broadest gut, food allergy, stool, nutrient, immune, omega, mineral, liver/bile, and thyroid-overlap review.


Important Note

This panel is designed to help evaluate selected biomarkers related to gut health, food allergy, celiac-related immune patterns, stool inflammation, stool infection markers, malabsorption, pancreatic function, GI bleeding support, nutrient status, mineral balance, thyroid overlap, immune protein status, omega status, liver function, and bile-flow context. 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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