Ulta Lab Tests

Kidney, Liver & Detox Support - Comprehensive Plus Lab Panel

The Kidney, Liver & Detox Support Comprehensive Plus Lab Panel includes 50 tests and 173 biomarkers to support broad review of kidney filtration, urine albumin, urine protein, liver enzymes, bile flow, liver fibrosis support, hepatitis B and C screening, autoimmune liver markers, inherited liver markers, metabolic liver risk, heavy metals, inflammation, minerals, antioxidants, pancreatic enzymes, medication and supplement safety.

Serum, Urine, Blood, Plasma-Unspecified Vial Pour, Other, Random
Phlebotomist
Kidney Liver Detox Panel, Comprehensive Detox Support Panel, Liver Kidney Function Test, Detox Support Blood Test, Heavy Metals Detox Panel, Liver Health Lab Panel, Kidney Function Lab Panel, Liver Kidney Wellness 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: Actin, Actin Smooth Muscle Antibody IgG

Actin (Smooth Muscle)

Also known as: Microalbumin Random Urine with Creatinine

Creatinine, Random Urine

Microalbumin

Microalbumin/Creatinine

Also known as: a1-antitrypsin, Quantitative, A1AT, Quantitative, AAT, Quantitative, Alpha1 Antitrypsin, Quantitative, Alpha1Antitrypsin Quantitative

Alpha-1-Antitrypsin Qn

Alpha-1 antitrypsin deficiency (AAT deficiency) is an inherited condition that raises your risk for lung and liver disease. Alpha-1 antitrypsin (AAT) is a protein that protects the lungs. The liver makes it. If the AAT proteins aren't the right shape, they get stuck in the liver cells and can't reach the lungs.

Also known as: ANA, ANA Screen IFA with Reflex to Titer and Pattern IFA, ANA with Reflux

ANA Screen, IFA

The antinuclear antibody (ANA) test is ordered to help screen for autoimmune disorders and is most often used as one of the tests to diagnose systemic lupus erythematosus (SLE).

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-Terminal Insulin, Connecting peptide insulin, CPeptide, Insulin C-peptide, Proinsulin C-peptide

C-Peptide

Also known as: Cadmium Blood

Cadmium, Blood

Also known as: Calcium Ionized

Calcium, Ionized

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.

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: 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: CoQ10

Coenzyme Q10

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: CK (Total), CPK, CPK (Total), Creatine Kinase CK Total, Creatine Phosphokinase (CPK), Total CK

Creatine Kinase, Total

Creatinine

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

CYSTATIN C

eGFR (CREATININE)

eGFR (CREATININE,

eGFR (CYSTATIN C)

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: Heavy Metals Panel with Cadmium Random Urine

Arsenic, Random Urine

Cadmium, Random Urine

Creatinine, Random Urine

Lead, Random Urine

Mercury, Random Urine

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: Hepatitis B Core Antibody Total with Reflex to IgM

Hepatitis B Core Ab Total

Also known as: Hepatitis B Surface Antibody Quantitative

Hepatitis B Surface

Also known as: Australian Antigen, Auszyme, HBsAg

Confirmation

Hepatitis B Surface

Hepatitis C Antibody

The Hepatitis C Antibody Test, sometimes called the Anti-HCV Test, looks for antibodies to the Hepatitis C virus. Antibodies are chemicals released into the bloodstream when someone gets infected.

Signal To Cut-Off

Also known as: Homocysteine, Homocysteine Cardiovascular

HOMOCYSTEINE,

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: Lactate Dehydrogenase LD, LDH

Ld

LDH isoenzymes is a test to check how much of the different types of lactate dehydrogenase (LDH) are in the blood. Measurement of LDH isoenzymes helps determine the location of any tissue damage. LDH is found in many body tissues such as the heart, liver, kidney, skeletal muscle, brain, blood cells, and lungs. LDH exists in 5 forms, which differ slightly in structure. LDH-1 is found primarily in heart muscle and red blood cells. LDH-2 is concentrated in white blood cells. LDH-3 is highest in the lung. LDH-4 is highest in the kidney, placenta, and pancreas. LDH-5 is highest in the liver and skeletal muscle.

Also known as: BLL, Blood Lead Level, Blood Lead Test, Lead Blood

Lead, Blood

LEAD, BLOOD

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.

ALPHA 2 MACROGLOBULIN

ALT

APOLIPOPROTEIN A1

FIBROSIS INTERPRETATION

FIBROSIS SCORE

FIBROSIS STAGE

FOOTNOTE

GGT

HAPTOGLOBIN

NECROINFLAMMAT ACT GRADE

NECROINFLAMMAT ACT SCORE

NECROINFLAMMAT INTERP

TOTAL BILIRUBIN

Magnesium

Also known as: Magnesium RBC

Magnesium, Rbc

About half of the body's magnesium is found in bone. The other half is found inside cells of body tissues and organs. Magnesium is needed for nearly all chemical processes in the body. It helps maintain normal muscle and nerve function, and keeps the bones strong. Magnesium is also needed for the heart to function normally and to help regulate blood pressure. Magnesium also helps the body control blood sugar level and helps support the body's defense (immune) system.

Also known as: Mercury Blood

Mercury, Blood

Mitochondrial Ab Screen

Mitochondrial Ab Titer

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: Inorganic Phosphate, P, Phosphate as Phosphorus, Phosphorus, PO4

Phosphate (As Phosphorus)

This test is performed to see how much phosphorus in your blood. Kidney, liver, and certain bone diseases can cause abnormal phosphorus levels.

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.

Also known as: Protein Total Random Urine with Creatini

Creatinine, Random Urine

Protein, Total, Random Ur

Protein/Creatinine Ratio

Also known as: Pro Time with INR, Prothrombin Time and International Normalized Ratio, Prothrombin Time PT with INR, Prothrombin Time with INR, Protime with INR, PT

Inr

International normalized ratio (INR) - To check how well the blood-thinning medication (anticoagulant) warfarin (COUMADIN®) is working to prevent blood clots; to help detect and diagnose a bleeding disorder. Internationalized Normalized Ratio (INR) with the PT test for people who are receiving the anticoagulant warfarin (COUMADIN®).

Pt

Prothrombin time (PT) is a blood test that measures the time it takes for the liquid portion (plasma) of your blood to clot.

Also known as: "Biointact" PTH and Calcium, Intact PTH and Calcium, Parathyroid Hormone and Calcium, PTH and Calcium, PTH Intact and Calcium

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.

PARATHYROID HORMONE,

PTH stands for parathyroid hormone. It is a protein hormone released by the parathyroid gland. Parathyroid hormone controls calcium, phosphorus, and vitamin D levels in the blood and bone. Release of PTH is controlled by the level of calcium in the blood. Low blood calcium levels cause increased PTH to be released, while high blood calcium levels block PTH release.

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.

Selenium

GLUTATHIONE

Also known as: Serum Urate, UA

Uric Acid

Uric acid is a chemical created when the body breaks down substances called purines. Purines are found in some foods and drinks. These include liver, anchovies, mackerel, dried beans and peas, and beer. Most uric acid dissolves in blood and travels to the kidneys. From there, it passes out in urine. If your body produces too much uric acid or doesn't remove enough if it, you can get sick. A high level of uric acid in the blood is called hyperuricemia.

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.

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

Vitamin B6

Also known as: ZN, Plasma

Zinc

*Important Information on Lab Test Processing Times: Ulta Lab Tests is committed to informing you about the processing times for your lab tests processed through a national lab. Please note that the estimated processing time for each test, indicated in business days, is based on data from the past 30 days across the 13 laboratories for each test. These estimates are intended to serve as a guide and are not guarantees. Factors such as laboratory workload, weather conditions, holidays, and the need for additional testing or maintenance can influence actual processing times. We aim to offer estimates to help you plan accordingly. Please understand that these times may vary, and processing times are not guaranteed. Thank you for choosing Ulta Lab Tests for your laboratory needs.

The Kidney, Liver & Detox Support - Comprehensive Plus Lab Panel panel contains 50 tests with 180 biomarkers .

Overview

The Kidney, Liver & Detox Support - Comprehensive Plus Lab Panel is designed for people who want a broad lab-based review of biomarkers related to kidney filtration, urine albumin, urine protein, liver enzymes, bile flow, liver fibrosis support, hepatitis B and C screening, autoimmune liver markers, inherited liver markers, metabolic liver risk, heavy metals, inflammation, pancreatic enzymes, muscle injury, mineral balance, antioxidant status, mitochondrial support, and medication or supplement safety.

This panel includes 50 tests and 173 biomarkers to support provider-guided conversations about kidney health, liver health, bile-flow patterns, urine findings, metabolic liver risk, fatty-liver context, hepatitis screening, autoimmune liver patterns, heavy metal exposure, detox-support biomarkers, supplement use, medication safety, inflammation, mineral balance, and general wellness.

This panel does not diagnose kidney disease, liver disease, hepatitis, autoimmune hepatitis, primary biliary cholangitis, liver fibrosis, heavy metal toxicity, pancreatic disease, or any medical condition by itself. Results should be reviewed with a licensed healthcare provider and interpreted with symptoms, medications, supplements, alcohol use, occupational exposures, environmental exposures, diet, hydration, medical history, family history, and clinical context.

Why Order This Panel?

The Kidney, Liver & Detox Support - Comprehensive Plus Lab Panel may be helpful for people who want the broadest review of kidney, liver, urine, metabolic, inflammatory, exposure, and detox-support biomarkers.

This panel may help provide insight into:

  • Kidney filtration using creatinine and cystatin C-based eGFR
  • Urine albumin, urine protein, and urinalysis findings
  • Liver enzymes and bile-flow markers
  • Liver synthetic function with PT/INR
  • Liver fibrosis and activity support markers
  • Hepatitis B and hepatitis C screening markers
  • Autoimmune liver-related antibody patterns
  • Inherited liver-related markers such as alpha-1-antitrypsin and copper/ceruloplasmin patterns
  • Metabolic liver risk, insulin resistance, A1c, lipids, and inflammation
  • Heavy metals and exposure-related markers
  • Pancreatic enzyme context with lipase
  • Muscle injury and supplement-safety context with CK
  • Mineral balance, vitamin D, phosphate, calcium, magnesium, selenium, zinc, and uric acid
  • Antioxidant and mitochondrial support markers such as glutathione, CoQ10, and OMEGACHECK™

This Panel May Be Helpful For People With

  • Concerns about kidney function
  • Concerns about liver enzymes
  • Fatty-liver or metabolic liver risk concerns
  • Long-term medication or supplement use
  • Alcohol-related liver wellness concerns
  • Heavy metal or environmental exposure concerns
  • Occupational exposure concerns
  • High blood sugar or insulin resistance concerns
  • High cholesterol or triglyceride concerns
  • Inflammation concerns
  • Urine protein or urine albumin concerns
  • History of abnormal liver labs
  • History of abnormal kidney labs
  • Hepatitis B or hepatitis C screening needs
  • Interest in broad detox-support biomarker context
  • Interest in a premium kidney, liver, urine, exposure, and metabolic wellness review

Which Tier Is Right for Me?

Essential Lab Panel

The Kidney, Liver & Detox Support - Essential Lab Panel is best for people who want a focused kidney and liver baseline. It typically reviews CBC, CMP, urinalysis, GGT, bilirubin, hs-CRP, A1c, magnesium, and uric acid.

Choose Essential if you want an accessible first-step review of kidney function, liver enzymes, urine health, inflammation, blood sugar, mineral status, and metabolic stress.

Advanced Lab Panel

The Kidney, Liver & Detox Support - Advanced Lab Panel is best for people who want deeper kidney, urine, and metabolic liver context. It may add eGFR with creatinine and cystatin C, urine albumin/creatinine, urine protein/creatinine, phosphate, PTH/calcium, ionized calcium, ferritin, iron/TIBC, insulin, C-peptide, lipid ratios, vitamin D, B12/folate, homocysteine, and vitamin B6.

Choose Advanced if you want stronger review of kidney filtration, urine protein, metabolic liver risk, insulin resistance, iron status, cardiometabolic patterns, and kidney-mineral balance.

Comprehensive Lab Panel

The Kidney, Liver & Detox Support - Comprehensive Lab Panel is best for people who want a broader kidney and liver review. It may add PT/INR, hepatitis B screening markers, hepatitis C reflex testing, liver fibrosis support markers, CK, lipase, ApoB, RBC magnesium, selenium, zinc, and OMEGACHECK™.

Choose Comprehensive if you want broader review of liver synthetic function, viral hepatitis screening, liver fibrosis support, pancreatic and muscle safety markers, mineral balance, and cardiometabolic liver risk.

Comprehensive Plus Lab Panel

The Kidney, Liver & Detox Support - Comprehensive Plus Lab Panel is the broadest option. It includes 50 tests and 173 biomarkers and adds premium markers for autoimmune liver patterns, inherited liver patterns, heavy metals, antioxidants, mitochondrial support, detox-support biomarkers, and exposure-related context.

Choose Comprehensive Plus if you want the widest review of kidney filtration, urine protein, liver enzymes, bile flow, liver synthetic function, liver fibrosis support, viral hepatitis, autoimmune liver markers, inherited liver markers, metabolic liver risk, heavy metals, antioxidant status, mitochondrial support, and detox-support biomarkers.

Tests Included and Why They Matter

Kidney Filtration, Urine Protein and Kidney Safety

Estimated Glomerular Filtration Rate with Creatinine and Cystatin C

This test estimates kidney filtration using both creatinine and cystatin C.

It is included because kidney filtration can be affected by age, muscle mass, diet, medications, chronic disease, and metabolic risk. Using both creatinine and cystatin C may provide a broader kidney filtration context than creatinine alone.

Albumin, Random Urine with Creatinine

This urine test evaluates albumin relative to creatinine.

It is included because urine albumin may provide kidney and vascular risk context, especially when blood pressure, diabetes risk, insulin resistance, metabolic stress, or kidney wellness are part of the review.

Protein, Total, Random Urine with Creatinine

This test evaluates total urine protein relative to creatinine.

It is included because it adds broader urine protein context beyond albumin alone. It may support provider-guided review of kidney involvement, protein loss, and urine protein patterns.

Urinalysis, UA, 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 hydration, kidney, glucose, ketone, protein, blood, and urine-health context.

Uric Acid

Uric acid is a metabolic waste product.

This test is included because uric acid may provide context for kidney stone risk, gout risk, kidney function, blood pressure, metabolic stress, and cardiometabolic wellness.

Liver Enzymes, Bile Flow, Fibrosis and Synthetic Function

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 kidney and liver review requires a broad organ-function baseline. CMP provides context for liver enzymes, kidney markers, glucose, electrolytes, calcium, albumin, protein status, and metabolic wellness.

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 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 routine liver enzymes.

Prothrombin Time, PT with INR

PT/INR evaluates clotting time and can provide liver synthetic-function context.

This test is included because the liver produces clotting factors. PT/INR may provide provider-guided context when liver function, liver synthetic capacity, medication use, or bleeding-risk concerns are part of the review.

Liver Fibrosis, FibroTest ActiTest Panel

This panel provides noninvasive liver fibrosis and activity support markers.

It is included because it may provide context for liver fibrosis risk and liver inflammatory activity. It does not replace imaging, biopsy, hepatology evaluation, or medical diagnosis.

Lactate Dehydrogenase, LD

LD is an enzyme found in many tissues.

This test is included because LD may provide nonspecific tissue turnover, liver, muscle, blood, and cellular stress context. It should be interpreted with other liver, muscle, and blood markers.

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 and platelet patterns may provide context for inflammation, infection clues, anemia, liver-related platelet patterns, and general wellness.

Viral Hepatitis Screening and Reflex Testing

Hepatitis B Surface Antigen with Reflex Confirmation

This test helps evaluate current hepatitis B infection patterns. If the initial result meets laboratory criteria, confirmatory testing may be performed.

It is included because hepatitis B can affect liver health and may be part of a provider-guided liver screening review.

Hepatitis B Surface Antibody, Quantitative

This test evaluates hepatitis B surface antibody levels.

It is included because it may provide context for hepatitis B immunity, including vaccine response or past exposure patterns.

Hepatitis B Core Antibody, Total, with Reflex to IgM

This test evaluates total hepatitis B core antibody and may reflex to IgM testing when appropriate.

It is included because hepatitis B core antibody may provide context for past or current hepatitis B exposure. Reflex IgM may help clarify acute or recent infection patterns when laboratory criteria are met.

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

This test evaluates hepatitis C antibody and may reflex to RNA PCR testing when criteria are met.

It is included because hepatitis C antibody screening can identify possible prior exposure, while reflex RNA testing helps determine whether current infection is present.

Reflex Test Notice: Hepatitis B and hepatitis C reflex testing may be performed when initial results meet laboratory criteria. If reflex testing is performed, additional charges may apply.

Autoimmune and Inherited Liver Context

ANA Screen, IFA with Reflex to Titer and Pattern, IFA

ANA testing evaluates antinuclear antibody patterns and may reflex to titer and pattern when criteria are met.

This test is included because autoimmune overlap may be relevant when liver enzyme abnormalities, systemic symptoms, fatigue, joint symptoms, rashes, or autoimmune history are part of the review.

Reflex Test Notice: If ANA reflex titer and pattern testing is performed, additional charges may apply.

Actin, Smooth Muscle Antibody IgG

Actin or smooth muscle antibody testing may provide autoimmune liver-related context.

This test is included because smooth muscle antibody patterns may be reviewed when autoimmune hepatitis is part of a provider-guided liver evaluation.

Mitochondrial Antibody with Reflex to Titer

Mitochondrial antibody testing may provide autoimmune bile-duct-related context.

This test is included because mitochondrial antibody patterns may be reviewed when primary biliary cholangitis-related patterns are part of the provider-guided liver evaluation.

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

Alpha-1-Antitrypsin, Quantitative

Alpha-1-antitrypsin is a protein made mainly by the liver.

This test is included because low or abnormal alpha-1-antitrypsin patterns may provide inherited liver and lung-related context when liver enzymes or family history suggest deeper review.

Ceruloplasmin

Ceruloplasmin is a copper-carrying protein.

This test is included because it may provide liver and copper-metabolism context. It is especially useful when interpreted with copper.

Copper

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

This test is included because copper and ceruloplasmin together may provide mineral-balance and liver-related context.

Heavy Metals and Exposure Support

Heavy Metals Panel with Cadmium, Random Urine

This urine panel evaluates selected heavy metals and includes cadmium.

It is included because urine heavy metal testing may provide exposure or excretion context. Results should be interpreted with exposure history, timing, occupation, smoking history, seafood intake, supplements, and provider guidance.

Lead, Blood

Lead testing evaluates blood lead levels.

This test is included because blood lead may provide exposure context when environmental, occupational, household, imported product, hobby, or supplement exposure is possible.

Mercury, Blood

Mercury testing evaluates blood mercury levels.

This test is included because mercury exposure may relate to seafood intake, occupational exposures, environmental exposure, or other sources. Results should be reviewed with diet and exposure history.

Cadmium, Blood

Cadmium testing evaluates blood cadmium levels.

This test is included because cadmium exposure may relate to smoking, occupational exposure, environmental exposure, or contaminated products. Blood and urine cadmium may provide different exposure-context information.

Metabolic Liver and Cardiometabolic Risk

Hemoglobin A1c

Hemoglobin A1c reflects longer-term blood sugar patterns.

This test is included because blood sugar patterns may provide context for metabolic liver risk, fatty-liver risk, kidney risk, and long-term cardiometabolic wellness.

Insulin

Insulin helps move glucose from the bloodstream into cells.

This test is included because insulin resistance may overlap with fatty-liver risk, metabolic stress, weight changes, and cardiometabolic patterns.

C-Peptide

C-peptide is released when the body makes insulin.

This test is included because it adds insulin-production context when reviewed with glucose, A1c, and insulin.

Lipid Panel with Ratios

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

This test is included because lipids may provide context for metabolic liver risk, fatty-liver patterns, cardiometabolic risk, and long-term wellness.

Ferritin

Ferritin measures stored iron.

This test is included because ferritin may provide context for iron storage, inflammation, metabolic liver patterns, liver stress, and iron overload review.

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 and iron overload patterns can provide context for liver, metabolic, anemia, and inflammation review.

hs-CRP

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

This test is included because inflammation may overlap with metabolic liver risk, cardiometabolic risk, kidney risk, and general wellness.

Medication, Supplement, Pancreatic and Muscle Safety

Creatine Kinase, CK Total

CK is an enzyme found mainly in muscle tissue.

This test is included because CK may provide context for muscle injury, exercise recovery, statin use, medication/supplement safety, and muscle symptoms.

Lipase

Lipase is a pancreatic enzyme.

This test is included because it provides pancreatic enzyme context, especially when upper abdominal symptoms, GLP-1 medication use, medication safety, or pancreatic concerns are part of the review.

Coenzyme Q10

CoQ10 supports mitochondrial energy production and antioxidant function.

This test is included because CoQ10 may provide context for statin use, muscle symptoms, mitochondrial energy, fatigue, and supplement monitoring.

Detox-Support Antioxidant and Nutrient Context

Total Glutathione

Glutathione is a major antioxidant involved in redox balance.

This test is included because total glutathione may provide antioxidant-status context. It should be described carefully as a supportive biomarker, not proof of detox capacity.

OMEGACHECK™

OMEGACHECK™ evaluates omega fatty acid status.

This test is included because omega fatty acid patterns may provide context for inflammation balance, liver-metabolic wellness, cardiometabolic risk, and nutrition quality.

Selenium

Selenium supports antioxidant and thyroid-related pathways.

This test is included because selenium may provide antioxidant, liver-support, immune, and mineral-balance context.

Zinc

Zinc supports immune function, wound healing, antioxidant activity, liver/kidney wellness, and nutrient balance.

This test is included because zinc may provide antioxidant and recovery context in a detox-support biomarker review.

Vitamin B12 and Folate Panel, Serum

This panel measures vitamin B12 and folate.

B12 and folate support methylation, red blood cell production, nerve function, DNA synthesis, cognition, and energy. These markers are useful when liver health, methylation, medication use, fatigue, or nutrient status are part of the review.

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, kidney, and nutrient-balance context.

Vitamin B6, Pyridoxal Phosphate

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

This test is included because B6 helps interpret homocysteine and supports methylation and nutrient-balance review.

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

Vitamin D testing measures vitamin D status.

This test is included because vitamin D supports bone, immune, muscle, inflammation, and kidney-mineral balance.

Mineral and Bone-Kidney Balance

Magnesium

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

This test is included because magnesium may provide kidney, metabolic, supplement, and mineral-balance context.

Magnesium, RBC

RBC magnesium may provide deeper magnesium status context.

This test is included because deeper magnesium evaluation may be useful when muscle symptoms, supplementation, fatigue, sleep disruption, or mineral-balance concerns are present.

Calcium, Ionized

Ionized calcium measures active calcium.

This test is included because calcium is important for bone health, muscle contraction, nerve signaling, kidney-mineral balance, and mineral interpretation.

Phosphate, as Phosphorus

Phosphorus supports bone-mineral balance, ATP/energy pathways, kidney function, and vitamin D regulation.

This test is included because phosphate adds kidney-mineral, bone-mineral, and energy-context information.

PTH, Intact and Calcium

PTH helps regulate calcium and phosphorus balance.

This test is included because PTH may provide parathyroid, vitamin D, calcium, phosphorus, bone-mineral, and kidney-mineral context.

Prealbumin

Prealbumin is a protein nutrition marker.

This test is included because protein nutrition, inflammation, and liver context can affect interpretation of wellness and recovery patterns.

Professional Reflex Testing Notice

This panel includes several tests that may reflex to additional testing when initial findings meet laboratory criteria, including:

  • ANA Screen, IFA with Reflex to Titer and Pattern
  • Mitochondrial Antibody with Reflex to Titer
  • Hepatitis B Core Antibody, Total, with Reflex to IgM
  • Hepatitis B Surface Antigen with Reflex Confirmation
  • Hepatitis C Antibody with Reflex to Hepatitis C Virus RNA, Quantitative, Real-Time PCR

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:

  • eGFR, urine albumin, urine protein, and urinalysis patterns
  • CMP, GGT, bilirubin, PT/INR, LD, and liver fibrosis support patterns
  • Hepatitis B and hepatitis C screening and reflex patterns
  • ANA, smooth muscle antibody, mitochondrial antibody, alpha-1-antitrypsin, copper, and ceruloplasmin patterns
  • Heavy metal exposure markers, including cadmium, lead, and mercury
  • A1c, insulin, C-peptide, lipid, ferritin, iron/TIBC, and hs-CRP patterns
  • CK, lipase, CoQ10, glutathione, and OMEGACHECK™ patterns
  • Vitamin D, B12, folate, homocysteine, B6, selenium, zinc, magnesium, calcium, phosphate, PTH, and uric acid patterns

Professional Safety and Interpretation Notice

This panel is designed to support kidney, liver, urine, metabolic, exposure, and detox-support biomarker review. It does not diagnose kidney disease, liver disease, hepatitis, autoimmune hepatitis, primary biliary cholangitis, liver fibrosis, heavy metal toxicity, pancreatic disease, cardiovascular disease, metabolic disease, or any condition by itself.

Results should be interpreted with a licensed healthcare provider and reviewed alongside symptoms, medications, supplements, alcohol use, occupational exposure, environmental exposure, smoking history, seafood intake, diet, hydration, medical history, family history, and clinical context.

Do not stop or change medications, supplements, alcohol-related treatment, liver-related treatment, kidney-related treatment, or prescribed therapies without guidance from your healthcare provider.

How to Prepare for This Panel

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

  • Follow all blood and urine collection instructions carefully.
  • Bring a list of medications, supplements, vitamins, minerals, herbal products, alcohol intake, occupational exposures, seafood intake, smoking history, and doses.
  • Tell your provider about any possible heavy metal exposure, workplace exposure, hobbies, imported products, supplements, or recent seafood intake.
  • Fasting may be recommended because glucose, insulin, C-peptide, lipids, and metabolic markers are included.
  • Drink water normally unless instructed otherwise.
  • Do not delay medical care for jaundice, severe abdominal pain, confusion, swelling, chest pain, shortness of breath, blood in urine, severe weakness, or suspected poisoning.

What Happens After You Receive Your Results?

After results are available, biomarkers can be organized into key categories: kidney filtration, urine albumin, urine protein, liver enzymes, bile flow, liver synthetic function, liver fibrosis support, viral hepatitis screening, autoimmune liver patterns, inherited liver patterns, metabolic liver risk, heavy metals, pancreatic enzymes, muscle injury, inflammation, antioxidant status, mitochondrial support, mineral balance, and detox-support context.

During a provider review, you can discuss whether results suggest follow-up testing, repeat testing, imaging, hepatitis follow-up, hepatology referral, nephrology follow-up, toxicology consultation, medication review, supplement review, nutrition changes, or additional clinical evaluation.

Additional Panels to Consider

Customers interested in the Kidney, Liver & Detox Support - Comprehensive Plus Lab Panel may also consider:

  • Kidney, Liver & Detox Support - Essential Lab Panel
  • Kidney, Liver & Detox Support - Advanced Lab Panel
  • Kidney, Liver & Detox Support - Comprehensive Lab Panel
  • Heavy Metals & Environmental Toxins Lab Panel
  • Medication & Supplement Safety Lab Panel
  • Vitamin, Mineral & Nutrient Deficiency Lab Panel
  • Prediabetes & Insulin Resistance Lab Panel
  • Heart Health & Cholesterol Lab Panel
  • Longevity & Healthy Aging Lab Panel
  • Inflammation, Autoimmune & Chronic Pain Lab Panel

FAQ: Kidney, Liver & Detox Support - Comprehensive Plus Lab Panel

What is the Kidney, Liver & Detox Support Comprehensive Plus Lab Panel?

The Kidney, Liver & Detox Support Comprehensive Plus Lab Panel is a broad blood and urine test panel that includes 50 tests and 173 biomarkers to evaluate kidney filtration, urine albumin, urine protein, liver enzymes, bile flow, liver synthetic function, liver fibrosis support, viral hepatitis screening, autoimmune liver markers, inherited liver markers, metabolic liver risk, heavy metals, inflammation, antioxidants, minerals, and supplement safety.

Does this panel diagnose kidney or liver disease?

No. This panel does not diagnose kidney disease or liver disease by itself. Results should be interpreted by a licensed healthcare provider using symptoms, exam findings, medical history, medications, imaging, and follow-up testing when appropriate.

What kidney markers are included?

This panel includes eGFR with creatinine and cystatin C, urine albumin/creatinine, urine protein/creatinine, urinalysis, CMP kidney markers, uric acid, phosphate, PTH with calcium, ionized calcium, and magnesium.

What liver markers are included?

This panel includes CMP liver markers, GGT, bilirubin fractionated, PT/INR, FibroTest ActiTest, LD, hepatitis B markers, hepatitis C antibody with reflex RNA, autoimmune liver markers, alpha-1-antitrypsin, copper, and ceruloplasmin.

What hepatitis tests are included?

This panel includes hepatitis B surface antigen with reflex confirmation, hepatitis B surface antibody quantitative, hepatitis B core antibody total with reflex to IgM, and hepatitis C antibody with reflex to hepatitis C RNA PCR.

What heavy metal tests are included?

This panel includes Heavy Metals Panel with Cadmium, Random Urine, plus blood cadmium, blood lead, and blood mercury.

Does this panel prove whether my body is detoxing properly?

No. This panel does not prove detox capacity. It provides biomarker context related to kidney filtration, liver function, urine findings, bile flow, exposure markers, inflammation, antioxidant status, and nutrient cofactors.

Why are autoimmune liver markers included?

ANA, smooth muscle antibody, and mitochondrial antibody may provide autoimmune liver-related context when liver enzyme abnormalities or autoimmune patterns are part of a provider-guided evaluation.

Why are FibroTest and PT/INR included?

FibroTest ActiTest provides noninvasive liver fibrosis and activity support information, while PT/INR provides liver synthetic/clotting context. These tests do not replace medical diagnosis, imaging, or specialist evaluation.

Should I choose Essential, Advanced, Comprehensive, or Comprehensive Plus?

Choose Essential for a focused kidney and liver baseline, Advanced for deeper kidney filtration, urine protein, metabolic liver, and iron review, Comprehensive for viral hepatitis, fibrosis support, muscle/pancreatic safety, and mineral markers, and Comprehensive Plus for the broadest autoimmune liver, inherited liver, heavy metals, antioxidant, mitochondrial, and detox-support review.

Important Note

This panel is designed to help evaluate selected biomarkers related to kidney filtration, urine protein, liver enzymes, bile flow, liver synthetic function, liver fibrosis support, viral hepatitis screening, autoimmune liver markers, inherited liver markers, metabolic liver risk, heavy metals, inflammation, antioxidants, medication and supplement safety, mineral balance, and detox-support context. It is not intended to diagnose, treat, cure, or prevent disease by itself.

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