Pancreatitis

Pancreatitis Lab Testing and health information

Do you have sudden, unexplained pain in your abdomen?

Order from Ulta Lab Tests pancreatitis tests to check the amylase and lipase enzymes in your bloodstream to detect pancreatitis.

Pancreatitis is a disease that causes inflammation of the pancreas that causes severe abdominal pain, and can lead to death. It can be acute or chronic, and it's often caused by gallstones or excessive alcohol use. It usually occurs when there's a build-up of fluid in the pancreas, which could mean that your body has been storing too much alcohol or sugar. It's important to get tested for pancreatitis if you are experiencing any of these symptoms. Early detection is key to preventing pancreatic cancer, so if you think you might have this condition, get tested today!

In addition to abdominal pain, symptoms can include nausea and vomiting, fever, rapid heart rate, and low blood pressure. The most common cause of pancreatitis is gallstones or excessive alcohol use. However, there are other possible causes as well including trauma to the abdomen (such as from an automobile accident), infections in the pancreas or surrounding areas (such as pneumonia), medications such as steroids or valproic acid (Depakote) used for seizures or bipolar disorder, certain cancers including lymphoma and leukemia, autoimmune diseases such as lupus erythematosus and rheumatoid arthritis that affect your immune system's ability to fight off infection; inherited disorders that can damage your pancreas over time; obesity; diabetes mellitus type 2; hypertriglyceridemia which means high levels of triglycerides in your bloodstream; hypothyroidism which means low thyroid hormone production by your thyroid gland leading to weight gain even though you eat little food because you feel full quickly after eating small amounts of food due to slowed metabolism caused by lower thyroid function ; chronic kidney disease ; cirrhosis which means scarring of liver tissue from long-term damage due to hepatitis B virus , hepatitis C virus , alcoholism , nonalcoholic fatty liver disease , hemochromatosis which means excess iron storage in organs throughout the body causing organ.

If you want to learn more about the condition of pancreatitis and the lab tests that can help you, click on the title of the article below.

Pancreatitis and Lab Testing - What You Need to Know

Do you have an elevated amylase level?

Amylase is an enzyme produced by your salivary glands, stomach, small intestine, and pancreas. When there's inflammation in your body or damage to your pancreas, it releases more enzymes into the bloodstream than usual. This test measures how much amylase is in your blood at one time so doctors can determine whether or not you have pancreatitis. If they find high levels of amylase in your blood sample, then they will likely order a lipase test as well because this enzyme can be found together with amylase during pancreatic diseases such as acute pancreatitis and chronic pancreatitis (pancreatic cancer). 

The lipase test measures how much lipase is present in the bloodstream when there may be problems with the pancreas or digestive system causing fat malabsorption issues like steatorrhea (fatty stools) due to lack of bile flow from blocked bile ducts caused by gallstones or tumor compression on the common bile duct resulting in jaundice (yellowing skin/eyes), pale stools and dark urine coloration; all signs associated with obstructive jaundice syndrome

The Pancreatic Cancer Research Foundation recommends routine testing for pancreatitis in people with symptoms, including abdominal pain and weight loss. The best way to prevent pancreatitis is through early diagnosis and treatment. Our tests will help you determine if you have this condition so you can obtain the proper care for yourself before it becomes worse! 

Ulta Lab Tests is dedicated to assisting you in understanding your health! We provide discounted lab tests online 24 hours a day, seven days a week, with Quest Diagnostics results delivered in 24 to 48 hours for most tests. We also have 2,000 lab tests and 2100 testing sites around the country! 

Order your blood tests to detect, diagnose and monitor pancreatitis from the selection below today and take charge of your health!


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Description: Amylase is a blood test that is used to measure the amount of amylase in the blood’s serum. It is used to assess for and detect a pancreatic disorder.

Also Known As: Amy Test

Collection Method: Blood Draw

Specimen Type: Serum

Test Preparation: No preparation required

Average Processing Time: 1 to 2 days

When is an Amylase test ordered?

When a person displays symptoms of a pancreatic disease, a blood amylase test may be conducted.

  • Abdominal or back pain that is severe
  • Fever
  • Appetite loss.
  • Nausea

A urine amylase test may be requested in conjunction with or after a blood amylase test. A health practitioner may conduct one or both of these tests on a regular basis to evaluate the success of treatment and see whether amylase levels are increasing or decreasing over time.

What does an Amylase blood test check for?

Amylase is one of numerous pancreatic enzymes that aid in carbohydrate digestion. This test detects the presence of amylase in the blood.

Amylase is produced from the pancreas into the duodenum, the first region of the small intestine, where it aids in the digestion of carbohydrates. Other organs, including the salivary glands, generate it as well.

Amylase is normally found in modest amounts in the blood and urine. Increased levels of amylase are released into the blood when pancreatic cells are harmed, as in pancreatitis, or when the pancreatic duct is obstructed by a gallstone or, in rare situations, a pancreatic tumor. This raises amylase levels in the blood.

Lab tests often ordered with an Amylase test:

  • Lipase
  • Trypsin
  • Trypsinogen

Conditions where an Amylase test is recommended:

  • Cystic Fibrosis
  • Pancreatic Cancer
  • Pancreatic Diseases
  • Pancreatitis

How does my health care provider use an Amylase test?

An amylase test is used to identify and track acute pancreatitis. It's frequently ordered in conjunction with a lipase test. It can also be used to detect and track chronic pancreatitis and other pancreas-related conditions.

A urine amylase test may be requested as well. Its level will usually correspond to blood amylase concentrations, but the rise and decrease will occur later. A urine creatinine clearance test may be ordered in conjunction with a urine amylase test to determine the ratio of amylase to creatinine filtered by the kidneys. Because poor kidney function might result in a decreased rate of amylase clearance, this ratio is used to assess renal function.

An amylase test on peritoneal fluid may be used to assist diagnose pancreatitis in some instances, such as when there is a buildup of fluid in the abdomen.

Amylase tests are often used to track the progress of pancreatic cancer treatment and after gallstone resection that has resulted in gallbladder attacks.

What do my Amylase test results mean?

A high level of amylase in the blood may suggest the presence of a pancreas problem.

Amylase levels in the blood often rise to 4 to 6 times higher than the highest reference value, also known as the upper limit of normal, in acute pancreatitis. The increase happens within 4 to 8 hours following a pancreas damage and usually lasts until the cause is effectively treated. In a few days, the amylase levels will return to normal.

Amylase levels in chronic pancreatitis are initially fairly increased, although they frequently decline over time as the pancreas deteriorates. Returning to normal levels may not signal that the source of damage has been rectified in this scenario. The size of the amylase rise does not indicate the severity of pancreatic illness.

Amylase levels may also be elevated in persons who have pancreatic duct obstruction or pancreatic cancer.

Urine amylase levels rise in lockstep with blood amylase levels and remain elevated for several days after blood levels have returned to normal.

A high amount of amylase in the peritoneal fluid can indicate acute pancreatitis, but it can also indicate other abdominal problems including a clogged intestine or poor blood supply to the intestines.

A low amylase level in the blood and urine of a person with pancreatitis symptoms could indicate that the amylase-producing cells in the pancreas have been permanently damaged. Reduced levels can also be caused by renal illness or pregnancy toxemia.

Increased blood amylase levels along with normal to low urine amylase levels could indicate the presence of a macroamylase, a harmless compound of amylase and other proteins that builds up in the bloodstream.

We advise having your results reviewed by a licensed medical healthcare professional for proper interpretation of your results.


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Description: A Lipase test is used to measure the amount of lipase in the blood’s serum. Lipase is an enzyme that is produced by the pancreas. This test can be used to help diagnose acute pancreatic diseases and monitor chronic ones. It can also be used to measure the progress of pancreatic disease treatment.

Also Known As: LPS Test

Collection Method: Blood Draw

Specimen Type: Serum

Test Preparation: No preparation required

Average Processing Time: 1 to 2 days

When is a Lipase test ordered?

When a person shows signs of acute pancreatitis or another pancreatic condition, a lipase test may be recommended.

It may also be ordered at regular intervals when a doctor wishes to monitor someone with a pancreatic issue to see how well medication is working and whether lipase levels are rising or falling over time.

What does a Lipase blood test check for?

Lipase is one of numerous pancreatic enzymes that aid in the digestion of dietary lipids. This test determines how much lipase is present in the blood.

Lipase travels from the pancreas to the first portion of the small intestine, where it aids in the breakdown of dietary lipids into fatty acids. Lipase is produced mostly by the pancreas, but it is also produced by cells in the tongue, stomach, and liver, which are all involved in digestion and nutritional absorption.

Lipase is normally found in modest amounts in the blood. When pancreatic cells are harmed, as in pancreatitis, or the pancreatic duct is obstructed by a gallstone or, in rare situations, a pancreatic tumor, more lipase enters the bloodstream, resulting in greater blood concentrations.

Lab tests often ordered with a Lipase test:

  • Amylase
  • Trypsin
  • Trypsinogen

Conditions where a Lipase test is recommended:

  • Cystic Fibrosis
  • Diabetes
  • Pancreatic Diseases
  • Pancreatitis
  • Pancreatic Cancer
  • Celiac Disease
  • Crohn Disease

How does my health care provider use a Lipase test?

To diagnose and monitor acute pancreatitis, a blood test for lipase is frequently performed in conjunction with an amylase test. It can also be used to diagnose and monitor chronic pancreatitis and other pancreatic illnesses, but it isn't as good a test for these conditions because lipase levels stay raised for extended periods of time and don't always reflect clinical progress.

Lipase testing is sometimes used to diagnose and monitor cystic fibrosis, celiac disease, and Crohn's disease.

What do my Lipase test results mean?

A high lipase level in the blood could suggest the presence of a pancreas problem.

Lipase levels are usually quite high in acute pancreatitis, generally 5 to 10 times higher than the maximum reference point. Lipase levels normally rise within 4 to 8 hours of an acute pancreatitis incident and stay high for 7 to 14 days. The severity of an acute pancreatic attack cannot be determined by lipase levels.

Pancreatic duct obstruction, pancreatic cancer, and other pancreatic illnesses, as well as gallbladder inflammation and renal dysfunction, can raise concentrations.

Lipase levels in the blood may suggest persistent damage to the pancreas' lipase-producing cells. This can happen in pancreas-related chronic disorders like cystic fibrosis.

We advise having your results reviewed by a licensed medical healthcare professional for proper interpretation of your results.


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Description: A Magnesium test is a blood test that measures magnesium levels in your blood’s serum and is useful in determining the cause of abnormal levels of magnesium, calcium, and or potassium, and is useful in the evaluation of a wide variety of disorders such as diabetes, kidney disease, and malabsorption.

Also Known As: Magnesium Serum Test, Mg Test, Mag Test

Collection Method: Blood Draw

Specimen Type: Serum

Test Preparation: No preparation required

Average Processing Time: 1 to 2 days

When is a Magnesium test ordered?

Magnesium tests may be requested by health professionals as a follow-up to chronically low calcium and potassium levels in the blood. It may also be ordered if a person is experiencing muscle weakness, cramping, twitching, disorientation, seizures, or cardiac arrhythmias, which could be caused by a magnesium deficit.

As part of an evaluation of malabsorption, malnutrition, diarrhea, or alcoholism, a health practitioner may prescribe a magnesium level to check for a deficit. Testing may also be done if someone is taking drugs that cause the kidneys to excrete magnesium. When magnesium and/or calcium supplementation is required, the level of magnesium in the blood can be measured at regular intervals to ensure that the medication is working.

A magnesium test, along with kidney function tests such as a BUN and creatinine, may be given on a regular basis when someone has a kidney problem or uncontrolled diabetes to help monitor renal function and ensure that the person is not excreting or retaining excessive quantities of magnesium.

What does a Magnesium Serum test check for?

The magnesium test measures the amount of magnesium in your blood’s serum. Magnesium is a mineral that supports healthy bones, neuron function, muscle contraction and energy production. It enters the body through the diet and is then processed by the small intestine and colon. Tissues, cells, and bones all contain the element magnesium. It is challenging to determine the total magnesium content from blood tests alone since only 1% of the magnesium present in the body is accessible in the blood. However, this test is still useful for figuring out a person's magnesium levels.

Small levels of magnesium can be found in a range of meals, including green vegetables like spinach, whole grains, and nuts. Magnesium is commonly found in foods that contain dietary fiber. The body regulates how much magnesium it receives and excretes or conserves in the kidneys to keep its magnesium level stable.

Magnesium deficiency can occur as a result of malnutrition, malabsorption-related disorders, or excessive magnesium loss via the kidneys. Magnesium overload can occur as a result of taking magnesium-containing antacids or a decrease in the kidneys' ability to eliminate magnesium.

There may be no or few nonspecific symptoms in someone with mild to severe magnesium insufficiency. Loss of appetite, nausea, muscle cramps, confusion, exhaustion, seizures, changes in heart rate, and tingling or numbness are all symptoms of persistent or severe deficits. They can also wreak havoc on calcium metabolism and worsen calcium deficiency. Muscle weakness, nausea, loss of hunger or cravings, and an erratic heart rate are some of the symptoms of excess magnesium, which are similar to those of deficiency.

Lab tests often ordered with a Magnesium test:

  • Complete Blood Count
  • Calcium
  • Iron Total and Total Iron binding capacity
  • Potassium
  • Comprehensive Metabolic Panel
  • Lipid Panel
  • Phosphorus
  • Parathyroid Hormone
  • Vitamin D
  • Glucose

Conditions where a Magnesium test is recommended:

  • Hypomagnesemia
  • Hypermagnesemia
  • Kidney Disease
  • Hypothyroidism
  • Diabetes
  • Alcoholism
  • Malnutrition
  • Malabsorption
  • Diarrhea
  • Dehydration
  • Parathyroid Diseases
  • Addison Disease
  • Adrenal Insufficiency

How does my health care provider use a Magnesium test?

Magnesium levels in the blood are measured with a magnesium test. Atypical magnesium levels are most frequently found in conditions or illnesses that result in insufficient or excessive renal excretion of magnesium or impaired intestinal absorption of magnesium. Magnesium levels can be measured to determine the severity of kidney issues, uncontrolled diabetes, as well as to diagnose gastrointestinal diseases.

Because a low magnesium blood level can lead to chronically low calcium and potassium levels over time, it may be tested to help diagnose calcium, phosphorus, potassium, and/or parathyroid hormone – another component of calcium regulation – problems.

Magnesium levels can be checked on a regular basis to monitor the response to oral or intravenous magnesium supplements, and calcium supplementation can be monitored using calcium and phosphorus tests.

What does my Magnesium test result mean?

Low magnesium levels in the blood can suggest that a person isn't getting enough magnesium or is excreting too much. Deficiencies are most commonly encountered in:

  • Low nutritional intake 
  • Gastrointestinal conditions
  • Diabetes that is uncontrolled
  • Hypoparathyroidism
  • Use of a diuretic for a long time
  • diarrhea that lasts for a long time
  • Following surgery
  • Burns that are severe
  • Pregnancy toxicity

Magnesium levels in the blood are rarely elevated as a result of food sources, but rather as a result of an excretion problem or excessive supplementation. Increased levels can be cause by:

  • Failure of the kidneys
  • Hyperparathyroidism
  • Hypothyroidism
  • Dehydration
  • Diabetic acidosis
  • Addison's disese
  • Use of antacids or laxatives containing magnesium

We advise having your results reviewed by a licensed medical healthcare professional for proper interpretation of your results.


Description: A Lipid Panel test, also known as a lipid profile or lipid panel, is a blood test that provides valuable information about a patient's lipid levels and helps assess their risk for cardiovascular diseases. It measures various types of lipids, including cholesterol and triglycerides, which are essential for maintaining overall health. The Lipid Panel test plays a crucial role in evaluating lipid metabolism and identifying potential risks for heart disease.

Also Known As: Lipid Profile Test, Lipid Test, Cholesterol Profile Test, Cholesterol Panel Test, Cholesterol Test, Coronary Risk Panel Test, lipid blood test 

Collection Method: Blood Draw 

Specimen Type: Serum 

Test Preparation: Patient should be fasting 9-12 hours prior to collection.

Average Processing Time: 1 to 2 days

When is a Lipid Panel test ordered?  

A Lipid Panel test may be ordered in several situations to evaluate a patient's lipid levels and assess cardiovascular risk factors:

  1. Routine Health Check-ups: Doctors often include a Lipid Panel test as part of routine check-ups, especially for individuals with risk factors such as a family history of heart disease, obesity, high blood pressure, or diabetes.

  2. Assessment of Cardiovascular Risk: The Lipid Panel test helps assess a patient's risk for cardiovascular diseases like heart attacks or strokes. It is particularly important for individuals with a history of cardiovascular disease or those with risk factors such as smoking, sedentary lifestyle, or poor diet.

  3. Monitoring Lipid-Lowering Treatments: For patients already diagnosed with high cholesterol or lipid disorders, regular Lipid Panel tests are ordered to monitor the effectiveness of lipid-lowering medications or lifestyle modifications.

  4. Evaluation of Overall Lipid Metabolism: The Lipid Panel test is used to evaluate lipid metabolism and provide insights into the balance of different lipids in the body, aiding in the detection of lipid disorders or imbalances.

What does a Lipid Panel blood test check for? 

Lipids are a class of fats and fat-like compounds that are essential components of cells and energy sources. The level of certain lipids in the blood is measured by a lipid profile. 

Lipoprotein particles transport two key lipids, cholesterol, and triglycerides, through the bloodstream. Protein, cholesterol, triglyceride, and phospholipid molecules are all present in each particle. High-density lipoproteins, low-density lipoproteins, and very low-density lipoproteins are the three types of particles assessed with a lipid profile. 

It's critical to keep track of and maintain optimal levels of these lipids in order to stay healthy. While the body creates the cholesterol required for normal function, some cholesterol is obtained from the diet. A high amount of cholesterol in the blood can be caused by eating too many foods high in saturated fats and trans fats or having a hereditary tendency. The excess cholesterol may form plaques on the inside walls of blood vessels. Plaques can constrict or block blood channel openings, causing artery hardening and raising the risk of a variety of health problems, including heart disease and stroke. Although the explanation for this is unknown, a high level of triglycerides in the blood is linked to an increased risk of developing cardiovascular disease. 

A lipid profile consists of the following elements: 

  • Cholesterol total 
  • HDL Cholesterol -?commonly referred to as "good cholesterol" since it eliminates excess cholesterol from the body and transports it to the liver for elimination. 
  • LDL Cholesterol -?commonly referred to as "bad cholesterol" because it deposits excess cholesterol in the walls of blood arteries, contributing to atherosclerosis. 
  • Triglycerides 

Lab tests often ordered with a Lipid Panel test:

A Lipid Panel test is commonly ordered for:

  1. Hyperlipidemia: Lipid Panel tests are used to diagnose and monitor conditions like high cholesterol (hypercholesterolemia) or high triglycerides (hypertriglyceridemia).

  2. Cardiovascular Disease: Individuals with a history of cardiovascular diseases, heart attacks, or strokes require Lipid Panel tests to assess their lipid levels and monitor their cardiovascular risk.

  3. Metabolic Syndrome: Lipid Panel tests help evaluate lipid abnormalities associated with metabolic syndrome, a cluster of conditions including high blood pressure, high blood sugar, excess body fat around the waist, and abnormal lipid levels.

Conditions where a Lipid Panel test is recommended:

  • Hypertension
  • Cardiovascular Disease
  • Heart Disease
  • Stroke

Commonly Asked Questions: 

How does my health care provider use a Lipid Panel test? 

Healthcare providers use the results of a Lipid Panel test to:

  1. Assess Cardiovascular Risk: Lipid Panel results provide information about a patient's cholesterol, HDL, LDL, and triglyceride levels, helping healthcare providers assess the patient's risk for cardiovascular diseases and determine appropriate interventions or treatments.

  2. Guide Treatment and Lifestyle Interventions: If abnormal lipid levels are detected, healthcare providers may recommend lifestyle modifications such as dietary changes, exercise, and weight loss. Medications may also be prescribed to manage lipid disorders and reduce the risk of cardiovascular events.

  3. Monitor Treatment Effectiveness: Regular Lipid Panel tests allow healthcare providers to monitor the effectiveness of lipid-lowering treatments, such as statins, and make necessary adjustments to optimize patient care and reduce cardiovascular risk.

By effectively utilizing the results of a Lipid Panel test, healthcare providers can assess cardiovascular risk, guide treatment decisions, and help patients manage their lipid levels to reduce the risk of heart disease and related complications.

What do my Lipid Panel test results mean? 

Healthy lipid levels, in general, aid in the maintenance of a healthy heart and reduce the risk of heart attack or stroke. A health practitioner would analyze the results of each component of a lipid profile, as well as other risk factors, to assess a person's total risk of coronary heart disease, if therapy is required, and, if so, which treatment will best serve to reduce the person's risk of heart disease. 

The Adult Treatment Panel III of the National Cholesterol Education Program published guidelines for measuring lipid levels and selecting treatment in 2002. The American College of Cardiology and the American Heart Association announced updated cholesterol therapy guidelines in 2013 to minimize the risk of cardiovascular disease in adults. These guidelines suggest a different treatment method than the NCEP guidelines. Cholesterol-lowering medications are now chosen based on the 10-year risk of atherosclerotic cardiovascular disease and other criteria, rather than on LDL Cholesterol or non-HDL Cholesterol objectives. 

The revised guidelines include an evidence-based risk calculator for ASCVD that may be used to identify people who are most likely to benefit from treatment. It's for adults between the ages of 40 and 79 who don't have a heart condition. The computation takes into account a number of characteristics, including age, gender, race, total cholesterol, HDL Cholesterol, blood pressure, diabetes, and smoking habits. The new guidelines also suggest comparing therapeutic response to LDL Cholesterol baseline readings, with decrease criteria varying depending on the degree of lipid-lowering medication therapy. 

Unhealthy lipid levels, as well as the presence of additional risk factors like age, family history, cigarette smoking, diabetes, and high blood pressure, may indicate that the person being examined needs to be treated. 

The NCEP Adult Treatment Panel III guidelines specify target LDL cholesterol levels based on the findings of lipid testing and these other main risk factors. Individuals with LDL Cholesterol levels over the target limits will be treated, according to the guidelines. 

According to the American Academy of Pediatrics, screening youths with risk factors for heart disease with a full, fasting lipid panel is advised. Fasting is not required prior to lipid screening in children who do not have any risk factors. For non-fasting lipid screening, non-high-density lipoprotein cholesterol is the preferred test. Non HDL Cholesterol is computed by subtracting total cholesterol and HDL Cholesterol from total cholesterol and HDL Cholesterol. 

Is there anything else I should know? 

The measurement of triglycerides in people who haven't fasted is gaining popularity. Because most of the day, blood lipid levels reflect post-meal levels rather than fasting levels, a non-fasting sample may be more representative of the "usual" circulating level of triglyceride. However, because it is still unclear how to interpret non-fasting levels for assessing risk, the current recommendations for fasting before lipid tests remain unchanged. 

A fasting lipid profile is usually included in a routine cardiac risk assessment. In addition, research into the utility of additional non-traditional cardiac risk markers, such as Lp-PLA2, is ongoing. A health care provider may use one or more of these markers to help determine a person's risk, but there is no consensus on how to use them and they are not widely available. 

We advise having your results reviewed by a licensed medical healthcare professional for proper interpretation of your results.


Description: A Lipid Panel is a blood test that measures your cholesterol levels to evaluate your risk of cardiovascular disease.

Also Known As: Lipid Profile Test, Lipid Test, Cholesterol Profile Test, Cholesterol Panel Test, Cholesterol Test, Coronary Risk Panel Test, lipid blood test, Lipid w/Ratios Test, Cholesterol Ratio test, blood cholesterol Test

Collection Method: Blood Draw

Specimen Type: Serum

Test Preparation: Patient should be fasting 9-12 hours prior to collection.

Average Processing Time: 1 to 2 days

When is a Lipid Panel with Ratios test ordered?

A fasting lipid profile should be done about every five years in healthy persons who have no additional risk factors for heart disease. A single total cholesterol test, rather than a complete lipid profile, may be used for initial screening. If the screening cholesterol test result is high, a lipid profile will almost certainly be performed.

More regular testing with a full lipid profile is indicated if other risk factors are present or if earlier testing revealed a high cholesterol level.

Other risk factors, in addition to high LDL cholesterol, include:

  • Smoking
  • Obesity or being overweight
  • Unhealthy eating habits
  • Not getting enough exercise and being physically inactive
  • Older age
  • Having hypertension
  • Premature heart disease in the family
  • Having experienced a heart attack or having pre-existing heart disease

Diabetes or pre-diabetes is a condition in which a person has High HDL is a "negative risk factor," and its existence permits one risk factor to be removed from the total.

The American Academy of Pediatrics recommends routine lipid testing for children and young adults. Children and teenagers who are at a higher risk of developing heart disease as adults should be screened with a lipid profile earlier and more frequently. A family history of heart disease or health problems such as diabetes, high blood pressure, or being overweight are some of the risk factors, which are comparable to those in adults. According to the American Academy of Pediatrics, high-risk children should be examined with a fasting lipid profile between the ages of 2 and 8.

A lipid profile can also be done at regular intervals to assess the effectiveness of cholesterol-lowering lifestyle changes like diet and exercise, as well as pharmacological therapy like statins.

What does a Lipid Panel with Ratios blood test check for?

Lipids are a class of fats and fat-like compounds that are essential components of cells and energy sources. The level of certain lipids in the blood is measured by a lipid profile.

Lipoprotein particles transport two key lipids, cholesterol and triglycerides, through the bloodstream. Protein, cholesterol, triglyceride, and phospholipid molecules are all present in each particle. High-density lipoproteins, low-density lipoproteins, and very low-density lipoproteins are the three types of particles assessed with a lipid profile.

It's critical to keep track of and maintain optimal levels of these lipids in order to stay healthy. While the body creates the cholesterol required for normal function, some cholesterol is obtained from the diet. A high amount of cholesterol in the blood can be caused by eating too many foods high in saturated fats and trans fats or having a hereditary tendency. The excess cholesterol may form plaques on the inside walls of blood vessels. Plaques can constrict or block blood channel openings, causing artery hardening and raising the risk of a variety of health problems, including heart disease and stroke. Although the explanation for this is unknown, a high level of triglycerides in the blood is linked to an increased risk of developing cardiovascular disease.

A lipid profile consists of the following elements:

  • Cholesterol total
  • HDL Cholesterol - commonly referred to as "good cholesterol" since it eliminates excess cholesterol from the body and transports it to the liver for elimination.
  • LDL Cholesterol - commonly referred to as "bad cholesterol" because it deposits excess cholesterol in the walls of blood arteries, contributing to atherosclerosis.
  • Triglycerides
  • Ratio of LDL to HDL cholesterol

Lab tests often ordered with a Lipid Panel with Ratios test:

  • CBC (Blood Count Test) with Smear Review
  • Comprehensive Metabolic Panel
  • Direct LDL
  • VLDL
  • Lp-PLA2
  • Apolipoprotein A1
  • Apolipoprotein B
  • Lipoprotein (a)
  • Lipoprotein Fractionation Ion Mobility (LDL Particle Testing)

Conditions where a Lipid Panel with Ratios test is recommended:

  • Hypertension
  • Cardiovascular Disease
  • Heart Disease
  • Stroke

Commonly Asked Questions:

How does my health care provider use a Lipid Panel with Ratios test?

The lipid profile is used as part of a cardiac risk assessment to help determine an individual's risk of heart disease and, if there is a borderline or high risk, to help make treatment options.

Lipids are a class of fats and fat-like compounds that are essential components of cells and energy sources. It's critical to keep track of and maintain optimal levels of these lipids in order to stay healthy.

To design a therapy and follow-up strategy, the results of the lipid profile are combined with other recognized risk factors for heart disease. Treatment options may include lifestyle changes such as diet and exercise, as well as lipid-lowering drugs such as statins, depending on the results and other risk factors.

A normal lipid profile test measures the following elements:

  • Total cholesterol is a test that determines how much cholesterol is present in all lipoprotein particles.
  • HDL Cholesterol — measures hdl cholesterol in particles, sometimes referred to as "good cholesterol" since it eliminates excess cholesterol and transports it to the liver for elimination.
  • LDL Cholesterol – estimates the cholesterol in LDL particles; sometimes known as "bad cholesterol" since it deposits excess cholesterol in blood vessel walls, contributing to atherosclerosis. The amount of LDL Cholesterol is usually estimated using the total cholesterol, HDL Cholesterol, and triglycerides readings.
  • Triglycerides – triglycerides are measured in all lipoprotein particles, with the highest concentration in very-low-density lipoproteins.
  • As part of the lipid profile, several extra information may be presented. The results of the above-mentioned tests are used to determine these parameters.
  • VLDL Cholesterol — derived using triglycerides/5; this calculation is based on the typical VLDL particle composition.
  • Non-HDL Cholesterol - the result of subtracting total cholesterol from HDL Cholesterol.
  • Cholesterol/HDL ratio — total cholesterol to HDL Cholesterol ratio computed.

An expanded profile may include the amount and concentration of low-density lipoprotein particles. Rather than assessing the amount of LDL cholesterol, this test counts the number of LDL particles. This figure is thought to more accurately reflect the risk of heart disease in some persons.

What do my Lipid Panel test results mean?

Healthy lipid levels, in general, aid in the maintenance of a healthy heart and reduce the risk of heart attack or stroke. A health practitioner would analyze the results of each component of a lipid profile, as well as other risk factors, to assess a person's total risk of coronary heart disease, if therapy is required, and, if so, which treatment will best serve to reduce the person's risk of heart disease.

The Adult Treatment Panel III of the National Cholesterol Education Program published guidelines for measuring lipid levels and selecting treatment in 2002. The American College of Cardiology and the American Heart Association announced updated cholesterol therapy guidelines in 2013 to minimize the risk of cardiovascular disease in adults. These guidelines suggest a different treatment method than the NCEP guidelines. Cholesterol-lowering medications are now chosen based on the 10-year risk of atherosclerotic cardiovascular disease and other criteria, rather than on LDL-C or non-HDL-C objectives.

The revised guidelines include an evidence-based risk calculator for ASCVD that may be used to identify people who are most likely to benefit from treatment. It's for adults between the ages of 40 and 79 who don't have a heart condition. The computation takes into account a number of characteristics, including age, gender, race, total cholesterol, HDL-C, blood pressure, diabetes, and smoking habits. The new guidelines also suggest comparing therapeutic response to LDL-C baseline readings, with decrease criteria varying depending on the degree of lipid-lowering medication therapy.

Unhealthy lipid levels, as well as the presence of additional risk factors like age, family history, cigarette smoking, diabetes, and high blood pressure, may indicate that the person being examined needs to be treated.

The NCEP Adult Treatment Panel III guidelines specify target LDL cholesterol levels based on the findings of lipid testing and these other main risk factors. Individuals with LDL-C levels over the target limits will be treated, according to the guidelines.

According to the American Academy of Pediatrics, screening youths with risk factors for heart disease with a full, fasting lipid panel is advised. Fasting is not required prior to lipid screening in children who do not have any risk factors. For non-fasting lipid screening, non-high-density lipoprotein cholesterol is the preferred test. Non-HDL-C is computed by subtracting total cholesterol and HDL-C from total cholesterol and HDL-C.

Is there anything else I should know?

The measurement of triglycerides in people who haven't fasted is gaining popularity. Because most of the day, blood lipid levels reflect post-meal levels rather than fasting levels, a non-fasting sample may be more representative of the "usual" circulating level of triglyceride. However, because it is still unclear how to interpret non-fasting levels for assessing risk, the current recommendations for fasting before lipid tests remain unchanged.

A fasting lipid profile is usually included in a routine cardiac risk assessment. In addition, research into the utility of additional non-traditional cardiac risk markers, such as Lp-PLA2, is ongoing. A health care provider may use one or more of these markers to help determine a person's risk, but there is no consensus on how to use them and they are not widely available.

We advise having your results reviewed by a licensed medical healthcare professional for proper interpretation of your results.


Description: A Complete Blood Count (CBC) test is a common laboratory test that provides valuable insights into a patient's overall health and helps detect potential blood disorders or abnormalities. It examines the three major components of blood: red blood cells (RBCs), white blood cells (WBCs), and platelets. By measuring various parameters related to these blood cells, the CBC test offers essential information for diagnosis, monitoring, and treatment planning.

Also Known As: CBC test, Complete Blood Count Test, Total Blood Count Test, CBC with Differential and Platelets test, Hemogram test  

Collection Method: Blood Draw 

Specimen Type: Whole Blood 

Test Preparation: No preparation required 

Average Processing Time: 1 to 2 days

When is a Complete Blood Count test ordered?  

A CBC test may be ordered in various situations. These include:

  1. Routine Check-ups: Doctors often include a CBC test as part of routine check-ups to assess overall health and screen for any underlying blood-related conditions.

  2. Evaluation of Symptoms: When a patient presents with unexplained symptoms such as fatigue, weakness, frequent infections, bruising, or excessive bleeding, a CBC test can help identify potential causes or abnormalities.

  3. Monitoring Chronic Conditions: Patients with chronic conditions like anemia, infections, autoimmune disorders, or blood-related diseases require regular CBC tests to monitor their condition, track treatment effectiveness, and adjust therapies accordingly.

  4. Pre-Surgical Assessment: Prior to surgery or invasive medical procedures, doctors order CBC tests to evaluate a patient's blood cell counts and ensure their ability to handle the procedure safely.

What does a Complete Blood Count test check for? 

The complete blood count (CBC) is a blood test that determines the number of cells in circulation. White blood cells (WBCs), red blood cells (RBCs), and platelets (PLTs) are three types of cells suspended in a fluid called plasma. They are largely created and matured in the bone marrow and are released into the bloodstream when needed under normal circumstances. 

A CBC is mainly performed with an automated machine that measures a variety of factors, including the number of cells present in a person's blood sample. The findings of a CBC can reveal not only the quantity of different cell types but also the physical properties of some of the cells. 

Significant differences in one or more blood cell populations may suggest the presence of one or more diseases. Other tests are frequently performed to assist in determining the reason for aberrant results. This frequently necessitates visual confirmation via a microscope examination of a blood smear. A skilled laboratory technician can assess the appearance and physical features of blood cells, such as size, shape, and color, and note any anomalies. Any extra information is taken note of and communicated to the healthcare provider. This information provides the health care provider with further information about the cause of abnormal CBC results. 

The CBC focuses on three different types of cells: 

WBCs (White Blood Cells) 

The body uses five different types of WBCs, also known as leukocytes, to keep itself healthy and battle infections and other types of harm. The five different leukocytes are eosinophiles, lymphocytes, neutrophiles, basophils, and monocytes. They are found in relatively steady numbers in the blood. Depending on what is going on in the body, these values may momentarily rise or fall. An infection, for example, can cause the body to manufacture more neutrophils in order to combat bacterial infection. The amount of eosinophils in the body may increase as a result of allergies. A viral infection may cause an increase in lymphocyte production. Abnormal (immature or mature) white cells multiply fast in certain illness situations, such as leukemia, raising the WBC count. 

RBCs (Red Blood Cells) 

The bone marrow produces red blood cells, also known as erythrocytes, which are transferred into the bloodstream after maturing. Hemoglobin, a protein that distributes oxygen throughout the body, is found in these cells. Because RBCs have a 120-day lifespan, the bone marrow must constantly manufacture new RBCs to replace those that have aged and disintegrated or have been lost due to hemorrhage. A variety of diseases, including those that cause severe bleeding, can alter the creation of new RBCs and their longevity. 

The CBC measures the number of RBCs and hemoglobin in the blood, as well as the proportion of RBCs in the blood (hematocrit), and if the RBC population appears to be normal. RBCs are generally homogeneous in size and shape, with only minor differences; however, considerable variances can arise in illnesses including vitamin B12 and folate inadequacy, iron deficiency, and a range of other ailments. Anemia occurs when the concentration of red blood cells and/or the amount of hemoglobin in the blood falls below normal, resulting in symptoms such as weariness and weakness. In a far smaller percentage of cases, there may be an excess of RBCs in the blood (erythrocytosis or polycythemia). This might obstruct the flow of blood through the tiny veins and arteries in extreme circumstances. 

Platelets 

Platelets, also known as thrombocytes, are small cell fragments that aid in the regular clotting of blood. A person with insufficient platelets is more likely to experience excessive bleeding and bruises. Excess platelets can induce excessive clotting or excessive bleeding if the platelets are not operating properly. The platelet count and size are determined by the CBC. 

Lab tests often ordered with a Complete Blood Count test: 

  • Reticulocytes
  • Iron and Total Iron Binding Capacity
  • Basic Metabolic Panel
  • Comprehensive Metabolic Panel
  • Lipid Panel
  • Vitamin B12 and Folate
  • Prothrombin with INR and Partial Thromboplastin Times
  • Sed Rate (ESR)
  • C-Reactive Protein
  • Epstein-Barr Virus
  • Von Willebrand Factor Antigen

Conditions where a Complete Blood Count test is recommended: 

A CBC test can assist in diagnosing and monitoring various conditions or diseases, including:

  1. Anemia: CBC helps identify different types of anemia, such as iron deficiency anemia, vitamin B12 deficiency anemia, or autoimmune hemolytic anemia.

  2. Infections: An abnormal CBC count can indicate the presence of an infection, whether bacterial, viral, or fungal. It provides information about the severity and type of infection.

  3. Leukemia: CBC abnormalities may suggest the presence of certain blood cancers, including leukemia. Further tests are necessary to confirm the diagnosis.

  4. Inflammatory Disorders: Conditions like rheumatoid arthritis, lupus, or vasculitis can cause changes in the CBC results, indicating ongoing inflammation or autoimmune processes.

Commonly Asked Questions: 

How does my health care provider use a Complete Blood Count test? 

Health care providers use the results of a CBC test to:

  1. Confirm Diagnoses: Abnormal CBC findings help in diagnosing specific conditions or diseases, such as anemia, infections, blood disorders, or certain cancers.

  2. Monitor Treatment Progress: Regular CBC tests allow doctors to evaluate the effectiveness of treatments or therapies and make necessary adjustments based on blood cell count improvements or changes.

  3. Guide Further Investigations: If CBC results indicate abnormalities, doctors may recommend additional specialized tests or refer the patient to a hematologist or other relevant specialists for further evaluation and diagnosis.

By understanding the purpose, significance, and applications of a CBC test, patients and healthcare providers can utilize this valuable diagnostic tool to aid in the management of various health conditions and ensure optimal patient care.

What do my Complete Blood Count results mean? 

A low Red Blood Cell Count, also known as anemia, could be due many different causes such as chronic bleeding, a bone marrow disorder, and nutritional deficiency just to name a few. A high Red Blood Cell Count, also known as polycythemia, could be due to several conditions including lung disease, dehydration, and smoking. Both Hemoglobin and Hematocrit tend to reflect Red Blood Cell Count results, so if your Red Blood Cell Count is low, your Hematocrit and Hemoglobin will likely also be low. Results should be discussed with your health care provider who can provide interpretation of your results and determine the appropriate next steps or lab tests to further investigate your health. 

What do my Differential results mean? 

A low White Blood Cell count or low WBC count, also known as leukopenia, could be due to a number of different disorders including autoimmune issues, severe infection, and lymphoma. A high White Blood Cell count, or high WBC count, also known as leukocytosis, can also be due to many different disorders including infection, leukemia, and inflammation. Abnormal levels in your White Blood Cell Count will be reflected in one or more of your different white blood cells. Knowing which white blood cell types are affected will help your healthcare provider narrow down the issue. Results should be discussed with your health care provider who can provide interpretation of your results and determine the appropriate next steps or lab tests to further investigate your health. 

What do my Platelet results mean? 

A low Platelet Count, also known as thrombocytopenia, could be due to a number of different disorders including autoimmune issues, viral infection, and leukemia. A high Platelet Count, also known as Thrombocytosis, can also be due to many different disorders including cancer, iron deficiency, and rheumatoid arthritis. Results should be discussed with your health care provider who can provide interpretation of your results and determine the appropriate next steps or lab tests to further investigate your health. 

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. 
NOTE: Only measurable biomarkers will be reported. Certain biomarkers do not appear in healthy individuals. 

We advise having your results reviewed by a licensed medical healthcare professional for proper interpretation of your results.

Reflex Parameters for Manual Slide Review
  Less than  Greater Than 
WBC  1.5 x 10^3  30.0 x 10^3 
Hemoglobin  7.0 g/dL  19.0 g/dL 
Hematocrit  None  75%
Platelet  100 x 10^3  800 x 10^3 
MCV  70 fL  115 fL 
MCH  22 pg  37 pg 
MCHC  29 g/dL  36.5 g/dL 
RBC  None  8.00 x 10^6 
RDW  None  21.5
Relative Neutrophil %  1% or ABNC <500  None 
Relative Lymphocyte %  1% 70%
Relative Monocyte %  None  25%
Eosinophil  None  35%
Basophil  None  3.50%
     
Platelet  <75 with no flags,
>100 and <130 with platelet clump flag present,
>1000 
Instrument Flags Variant lymphs, blasts,
immature neutrophils,  nRBC’s, abnormal platelets,
giant platelets, potential interference
     
The automated differential averages 6000+ cells. If none of the above parameters are met, the results are released without manual review.
CBC Reflex Pathway

Step 1 - The slide review is performed by qualified Laboratory staff and includes:

  • Confirmation of differential percentages
  • WBC and platelet estimates, when needed
  • Full review of RBC morphology
  • Comments for toxic changes, RBC inclusions, abnormal lymphs, and other
  • significant findings
  • If the differential percentages agree with the automated counts and no abnormal cells are seen, the automated differential is reported with appropriate comments

Step 2 - The slide review is performed by qualified Laboratory staff and includes: If any of the following are seen on the slide review, Laboratory staff will perform a manual differential:

  • Immature, abnormal, or toxic cells
  • nRBC’s
  • Disagreement with automated differential
  • Atypical/abnormal RBC morphology
  • Any RBC inclusions

Step 3 If any of the following are seen on the manual differential, a Pathologist will review the slide:

  • WBC<1,500 with abnormal cells noted
  • Blasts/immature cells, hairy cell lymphs, or megakaryocytes
  • New abnormal lymphocytes or monocytes
  • Variant or atypical lymphs >15%
  • Blood parasites
  • RBC morphology with 3+ spherocytes, RBC inclusions, suspect Hgb-C,
  • crystals, Pappenheimer bodies or bizarre morphology
  • nRBC’s

Description: The Comprehensive Metabolic Panel (CMP) test is a widely used blood test that provides valuable insights into a patient's overall health and helps evaluate the function of various organs and systems in the body. It measures a comprehensive set of chemical substances in the blood, including electrolytes, kidney and liver function markers, glucose, and protein levels. The CMP test offers a comprehensive overview of the body's metabolic state and aids in diagnosing and monitoring various conditions.

Also Known As: CMP, Chem, Chem-14, Chem-12, Chem-21, Chemistry Panel, Chem Panel, Chem Screen, Chemistry Screen, SMA 12, SMA 20, SMA 21, SMAC, Chem test

Collection Method: Blood Draw 

Specimen Type: Serum 

Test Preparation: 9-12 hours fasting is preferred.

Average Processing Time: 1 to 2 days 

When is a Comprehensive Metabolic Panel test ordered:  

A Comprehensive Metabolic Panel (CMP) test may be ordered in several situations to assess a patient's health:

  1. Routine Health Check-ups: Doctors often include a CMP test as part of routine check-ups to assess overall health, screen for underlying conditions, and establish a baseline for future comparisons.

  2. Evaluation of Organ Function: The CMP test provides valuable information about the function of vital organs such as the liver, kidneys, and pancreas. It helps detect abnormalities or diseases affecting these organs, such as liver disease, kidney dysfunction, or diabetes.

  3. Monitoring Medications or Treatments: Patients undergoing certain medications or treatments, such as those that may impact liver or kidney function, require regular monitoring through CMP tests to ensure the treatments are well-tolerated and effective.

  4. Investigation of Symptoms: When patients present with symptoms like fatigue, abdominal pain, jaundice, frequent urination, or unexplained weight loss, a CMP test can aid in identifying potential underlying causes or imbalances.

What does a Comprehensive Metabolic Panel blood test check for? 

The complete metabolic panel (CMP) is a set of 20 tests that provides critical information to a healthcare professional about a person's current metabolic status, check for liver or kidney disease, electrolyte and acid/base balance, and blood glucose and blood protein levels. Abnormal results, particularly when they are combined, can suggest a problem that needs to be addressed. 

The following tests are included in the CMP: 

  • Albumin: this is a measure of Albumin levels in your blood. Albumin is a protein made by the liver that is responsible for many vital roles including transporting nutrients throughout the body and preventing fluid from leaking out of blood vessels. 

  • Albumin/Globulin Ratio: this is a ratio between your total Albumin and Globulin  

  • Alkaline Phosphatase: this is a measure of Alkaline phosphatase or ALP in your blood. Alkaline phosphatase is a protein found in all body tissues, however the ALP found in blood comes from the liver and bones. Elevated levels are often associated with liver damage, gallbladder disease, or bone disorder. 

  • Alt: this is a measure of Alanine transaminase or ALT in your blood. Alanine Aminotransferase is an enzyme found in the highest amounts in the liver with small amounts in the heart and muscles. Elevated levels are often associated with liver damage. 

  • AST: this is a measure of Aspartate Aminotransferase or AST. Aspartate Aminotransferase is an enzyme found mostly in the heart and liver, with smaller amounts in the kidney and muscles. Elevated levels are often associated with liver damage. 

  • Bilirubin, Total: this is a measure of bilirubin in your blood. Bilirubin is an orange-yellowish waste product produced from the breakdown of heme which is a component of hemoglobin found in red blood cells. The liver is responsible for removal of bilirubin from the body. 

  • Bun/Creatinine Ratio: this is a ratio between your Urea Nitrogen (BUN) result and Creatinine result.  

  • Calcium: this is a measurement of calcium in your blood. Calcium is the most abundant and one of the most important minerals in the body as it essential for proper nerve, muscle, and heart function. 

  • Calcium: is used for blood clot formation and the formation and maintenance of bones and teeth. 

  • Carbon Dioxide: this is a measure of carbon dioxide in your blood. Carbon dioxide is a negatively charged electrolyte that works with other electrolytes such as chloride, potassium, and sodium to regulate the body’s acid-base balance and fluid levels.  

  • Chloride: this is a measure of Chloride in your blood. Chloride is a negatively charged electrolyte that works with other electrolytes such as potassium and sodium to regulate the body’s acid-base balance and fluid levels. 

  • Creatinine: this is a measure of Creatinine levels in your blood. Creatinine is created from the breakdown of creatine in your muscles and is removed from your body by the kidneys. Elevated creatinine levels are often associated with kidney damage. 

  • Egfr African American: this is a measure of how well your kidneys are functioning. Glomeruli are tiny filters in your kidneys that filter out waste products from your blood for removal while retaining important substances such as nutrients and blood cells. 

  • Egfr Non-Afr. American: this is a measure of how well your kidneys are functioning. Glomeruli are tiny filters in your kidneys that filter out waste products from your blood for removal while retaining important substances such as nutrients and blood cells. 

  • Globulin: this is a measure of all blood proteins in your blood that are not albumin. 

  • Glucose: this is a measure of glucose in your blood. Glucose is created from the breakdown of carbohydrates during digestion and is the body’s primary source of energy. 

  • Potassium: this is a measure of Potassium in your blood. Potassium is an electrolyte that plays a vital role in cell metabolism, nerve and muscle function, and transport of nutrients into cells and removal of wastes products out of cells. 

  • Protein, Total: this is a measure of total protein levels in your blood. 
    Sodium: this is a measure of Sodium in your blood. Sodium is an electrolyte that plays a vital role in nerve and muscle function. 

  • Sodium: this is a measure of sodium in your blood's serum. Sodium is a vital mineral for nerve and muscle cell function.

  • Urea Nitrogen (Bun): this is a measure of Urea Nitrogen in your blood, also known as Blood UreaNitrogen (BUN). Urea is a waste product created in the liver when proteins are broken down into amino acids. Elevated levels are often associated with kidney damage. 

Lab tests often ordered with a Comprehensive Metabolic Panel test: 

  • Complete Blood Count with Differential and Platelets
  • Iron and Total Iron Binding Capacity
  • Lipid Panel
  • Vitamin B12 and Folate
  • Prothrombin with INR and Partial Thromboplastin Times
  • Sed Rate (ESR)
  • C-Reactive Protein

Conditions where a Comprehensive Metabolic Panel test is recommended: 

A Comprehensive Metabolic Panel (CMP) test can assist in diagnosing and monitoring various conditions or diseases, including:

  1. Liver Diseases: The CMP helps identify liver diseases such as hepatitis, cirrhosis, or liver damage due to alcohol abuse or medication toxicity.

  2. Kidney Diseases: Abnormalities in kidney function markers on the CMP test can indicate conditions like chronic kidney disease, kidney infections, or kidney stones.

  3. Diabetes or Glucose Imbalances: The CMP provides crucial information on blood glucose levels, aiding in the diagnosis and management of diabetes or identifying glucose imbalances.

  4. Electrolyte Imbalances: Abnormal levels of electrolytes detected by the CMP can indicate conditions such as dehydration, kidney dysfunction, or hormonal disorders.

Commonly Asked Questions: 

How does my health care provider use a Comprehensive Metabolic Panel test? 

Health care providers use the results of a Comprehensive Metabolic Panel (CMP) test to:

  1. Diagnose Medical Conditions: Abnormalities in CMP test results can help healthcare providers diagnose various conditions such as liver disease, kidney dysfunction, diabetes, or electrolyte imbalances.

  2. Monitor Treatment Effectiveness: Regular CMP tests allow healthcare providers to monitor the impact of treatments or medications on organ function, glucose control, or electrolyte balance.

  3. Evaluate Overall Health: The CMP test provides a comprehensive snapshot of the patient's metabolic state and aids in evaluating overall health, identifying potential risk factors, and guiding further investigations if necessary.

By effectively utilizing the results of a Comprehensive Metabolic Panel (CMP) test, healthcare providers can diagnose conditions, monitor treatment progress, and make informed decisions regarding patient care and management.

What do my Comprehensive Metabolic Panel test results mean? 

The results of the tests included in the CMP are usually analyzed together to look for patterns. A single abnormal test result may indicate something different than a series of abnormal test findings. A high result on one of the liver enzyme tests, for example, is not the same as a high result on several liver enzyme tests. 

Several sets of CMPs, frequently performed on various days, may be examined to gain insights into the underlying disease and response to treatment, especially in hospitalized patients. 

Out-of-range findings for any of the CMP tests can be caused by a variety of illnesses, including kidney failure, breathing issues, and diabetes-related complications, to name a few. If any of the results are abnormal, one or more follow-up tests are usually ordered to help determine the reason and/or establish a diagnosis. 

Is there anything else I should know? 

A wide range of prescription and over-the-counter medications can have an impact on the results of the CMP's components. Any medications you're taking should be disclosed to your healthcare professional. Similarly, it is critical to provide a thorough history because many other circumstances can influence how your results are interpreted. 

What's the difference between the CMP and the BMP tests, and why would my doctor choose one over the other? 

The CMP consists of 14 tests, while the basic metabolic panel (BMP) is a subset of those with eight tests. The liver (ALP, ALT, AST, and bilirubin) and protein (albumin and total protein) tests are not included. If a healthcare provider wants a more thorough picture of a person's organ function or to check for specific illnesses like diabetes or liver or kidney disease, he or she may prescribe a CMP rather than a BMP. 

We advise having your results reviewed by a licensed medical healthcare professional for proper interpretation of your results.

Please note the following regarding BUN/Creatinine ratio: 

The lab does not report the calculation for the BUN/Creatinine Ratio unless one or both biomarkers’ results fall out of the published range. 

If you still wish to see the value, it's easy to calculate. Simply take your Urea Nitrogen (BUN) result and divide it by your Creatinine result.  

As an example, if your Urea Nitrogen result is 11 and your Creatinine result is 0.86, then you would divide 11 by 0.86 and get a BUN/Creatinine Ratio result of 12.79. 


Description: The C-Reactive Protein (CRP) test measures the levels of C-reactive protein, a substance produced by the liver in response to inflammation in the body. It is a non-specific marker of inflammation and is used to evaluate the presence and intensity of inflammation. The CRP test helps healthcare providers assess the severity of an inflammatory condition and monitor response to treatment.

Also Known As: CRP Test, Inflammation test

Collection Method: Blood Draw

Specimen Type: Serum

Test Preparation: No preparation required

Average Processing Time: 2 to 3 days

When is a C-Reactive Protein test ordered?

A C-Reactive Protein (CRP) test may be ordered in several situations to assess a patient's inflammation levels:

  1. Infection or Inflammatory Diseases: The test is ordered when a patient shows signs of infection or has symptoms of inflammatory diseases such as rheumatoid arthritis, lupus, or inflammatory bowel disease.

  2. Monitoring Response to Treatment: For patients with known inflammatory conditions, the CRP test helps healthcare providers monitor the effectiveness of treatment and track changes in inflammation levels over time.

  3. Cardiovascular Risk Assessment: The CRP test may be ordered as part of a cardiovascular risk assessment to identify individuals at higher risk of developing heart disease or to assess the severity of existing cardiovascular conditions.

  4. Post-Surgery Monitoring: After surgical procedures, the CRP test can be ordered to monitor post-operative inflammation levels and identify any complications or infections.

What does a C-Reactive Protein blood test check for?

C-reactive protein is a protein produced by the liver and released into the bloodstream within a few hours following tissue injury, infection, or other inflammatory event. After trauma or a heart attack, with active or uncontrolled autoimmune illnesses, and with acute bacterial infections like sepsis, markedly higher levels are reported. CRP levels can rise by a thousand-fold in response to inflammatory diseases, and their elevation in the blood can occur before pain, fever, or other clinical signs. The test detects inflammation caused by acute situations or monitors disease activity in chronic diseases by measuring the level of CRP in the blood.

The CRP test is not a diagnostic tool, although it can tell a doctor if inflammation is occurring. This information can be combined with other indicators like signs and symptoms, a physical exam, and other tests to establish whether someone has an acute inflammatory disorder or is having a flare-up of a chronic inflammatory disease. The health care provider may next do additional tests and treatment.

This CRP test should not be confused with the hs-CRP test. These are two separate CRP tests, each of which measures a different range of CRP levels in the blood for different purposes.

Lab tests often ordered with a C-Reactive Protein test:

  • Sed Rate (ESR)
  • Procalcitonin
  • ANA
  • Rheumatoid Factor
  • Complement

Conditions where a C-Reactive Protein test is recommended:

A C-Reactive Protein (CRP) test is commonly ordered for:

  1. Inflammatory Diseases: The test helps assess the severity of inflammatory diseases such as rheumatoid arthritis, lupus, vasculitis, or inflammatory bowel disease.

  2. Infections: Elevated CRP levels can indicate the presence of infections, whether bacterial, viral, or fungal, and help healthcare providers identify the site of inflammation.

  3. Cardiovascular Diseases: The CRP test is used as part of cardiovascular risk assessment to identify individuals at higher risk of developing heart disease or to assess the severity of existing cardiovascular conditions.

Commonly Asked Questions:

How does my health care provider use a C-Reactive Protein test?

Healthcare providers use the results of a C-Reactive Protein (CRP) test to:

  1. Assess Inflammation Levels: Elevated CRP levels indicate the presence and intensity of inflammation in the body, helping healthcare providers evaluate the severity of an inflammatory condition.

  2. Monitor Treatment Response: Regular CRP testing allows healthcare providers to monitor the effectiveness of treatments for inflammatory conditions and track changes in inflammation levels over time.

  3. Guide Diagnosis and Further Testing: Elevated CRP levels, combined with other clinical findings, can help healthcare providers diagnose and differentiate between different inflammatory conditions and guide the need for further diagnostic tests or evaluations.

By effectively utilizing the results of a C-Reactive Protein (CRP) test, healthcare providers can assess inflammation levels, monitor treatment response, and make informed decisions regarding patient care, including treatment adjustments and further investigations if necessary.

What do my C-Reactive Protein test results mean?

CRP levels in the blood are usually low.

CRP levels in the blood that are high or rising indicate the existence of inflammation, but they don't tell you where it is or what's causing it. A high CRP level can establish the presence of a severe bacterial infection in people who are suspected of having one. High levels of CRP in persons with chronic inflammatory disorders indicate a flare-up or that treatment isn't working.

When the CRP level rises and then falls, it indicates that the inflammation or infection is diminishing and/or responding to treatment.

Is there anything else I should know about C-Reactive Protein?

CRP levels can rise during pregnancy, as well as with the use of birth control tablets or hormone replacement therapy. Obese people have also been found to have higher CRP levels.

In the presence of inflammation, the erythrocyte sedimentation rate test will also rise; however, CRP rises first and then falls faster than the ESR.

We advise having your results reviewed by a licensed medical healthcare professional for proper interpretation of your results.


Urinary amylase is useful in the consideration of macroamylasemia and pseudocyst of the pancreas. With macroamylasemia, only the serum concentration is elevated. With pseudocysts, the urinary concentration remains elevated for weeks after an episode of acute pancreatitis.


Description: An antinuclear antibody screening is a blood test that is going to look for a positive or negative result. If the result comes back as positive further test will be done to look for ANA Titer and Pattern. Antinuclear antibodies are associated with Lupus.

Also Known As: ANA Test, ANA Screen IFA with Reflex to Titer and pattern IFA Test, ANA with Reflex Test, Antinuclear Antibody Screen Test

Collection Method: Blood Draw

Specimen Type: Serum

Test Preparation: No preparation required

Average Processing Time: 2 to 3 days

IMPORTANT Reflex Information: If ANA Screen, IFA is positive, then ANA Titer and Pattern will be performed at an additional charge of $13.00

When is an ANA Screen test ordered?

When someone exhibits signs and symptoms of a systemic autoimmune illness, the ANA test is requested. Symptoms of autoimmune illnesses can be vague and non-specific, and they can fluctuate over time, steadily deteriorate, or oscillate between periods of flare-ups and remissions.

What does an ANA Screen blood test check for?

Antinuclear antibodies are a type of antibody produced by the immune system when it is unable to differentiate between its own cells and foreign cells. Autoantibodies are antibodies that attack the body's own healthy cells, causing symptoms like tissue and organ inflammation, joint and muscle discomfort, and weariness. The moniker "antinuclear" comes from the fact that ANA specifically targets chemicals located in a cell's nucleus. The presence of these autoantibodies in the blood is detected by the ANA test.

The presence of ANA may be a sign of an autoimmune process, and it has been linked to a variety of autoimmune illnesses, the most common of which being systemic lupus erythematosus.

One of the most common tests used to detect an autoimmune disorder or rule out other conditions with comparable signs and symptoms is the ANA test. As a result, it's frequently followed by other autoantibody tests that can help establish a diagnosis. An ENA panel, anti-dsDNA, anti-centromere, and/or anti-histone test are examples of these.

Lab tests often ordered with an ANA Screen test:

  • ENA Panel
  • Sed Rate (ESR)
  • C-Reactive Protein
  • Complement
  • AMA
  • Centromere antibody
  • Histone Antibody

Conditions where an ANA Screen test is recommended:

  • Autoimmune Disorders
  • Lupus
  • Rheumatoid Arthritis
  • Sjogren Syndrome
  • Scleroderma

How does my health care provider use an ANA Screen test?

One of the most often performed tests to diagnose systemic lupus erythematosus is the antinuclear antibody test. It serves as the first step in the evaluation process for autoimmune diseases that might impact various body tissues and organs.

When a person's immune system fails to discriminate between their own cells and foreign cells, autoantibodies called ANA are created. They attack chemicals found in a cell's nucleus, causing organ and tissue damage.

ANA testing may be utilized in conjunction with or after other autoantibody tests, depending on a person's indications and symptoms and the suspected condition. Antibodies that target specific compounds within cell nuclei, such as anti-dsDNA, anti-centromere, anti-nucleolar, anti-histone, and anti-RNA antibodies, are detected by some of these tests, which are considered subsets of the general ANA test. In addition, an ENA panel can be utilized as a follow-up to an ANA.

These further tests are performed in addition to a person's clinical history to assist diagnose or rule out other autoimmune conditions such Sjögren syndrome, polymyositis, and scleroderma.

To detect ANA, various laboratories may employ different test procedures. Immunoassay and indirect fluorescent antibody are two typical approaches. The IFA is regarded as the gold standard. Some labs will test for ANA using immunoassay and then employ IFA to confirm positive or equivocal results.

An indirect fluorescent antibody is created by mixing a person's blood sample with cells attached to a slide. Autoantibodies in the blood bind to the cells and cause them to react. A fluorescent antibody reagent is used to treat the slide, which is then inspected under a microscope. The existence of fluorescence is observed, as well as the pattern of fluorescence.

Immunoassays—these procedures are frequently carried out using automated equipment, however they are less sensitive than IFA in identifying ANA.

Other laboratory tests linked to inflammation, such as the erythrocyte sedimentation rate and/or C-reactive protein, can be used to assess a person's risk of SLE or another autoimmune disease.

What do my ANA test results mean?

A positive ANA test indicates the presence of autoantibodies. This shows the presence of an autoimmune disease in someone who has signs and symptoms, but more testing is needed to make a definitive diagnosis.

Because ANA test results can be positive in persons who have no known autoimmune disease, they must be carefully assessed in conjunction with a person's indications and symptoms.

Because an ANA test can become positive before signs and symptoms of an autoimmune disease appear, determining the meaning of a positive ANA in a person who has no symptoms can take some time.

SLE is unlikely to be diagnosed with a negative ANA result. It is normally not required to repeat a negative ANA test right away; however, because autoimmune illnesses are episodic, it may be desirable to repeat the ANA test at a later date if symptoms persist.

We advise having your results reviewed by a licensed medical healthcare professional for proper interpretation of your results.


C3a desArg is a cleavage product of C3 complement component activation. Elevated levels of C3a have been reported in patients with acute lyme disease, acute pancreatitis, systemic lupus erythematosus, and adult respiratory distress syndrome.


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Description: A Calcium test is a blood test that is used to screen for, diagnose, and monitor a wide range of medical conditions.

Also Known As: Ca Test, Serum Calcium Test, Calcium Blood Test

Collection Method: Blood Draw

Specimen Type: Serum

Test Preparation: No preparation required

Average Processing Time: 1 to 2 days

When is a Calcium test ordered?

A blood calcium test is frequently requested during a general medical evaluation. It's usually part of the comprehensive metabolic panel or the basic metabolic panel, two sets of tests that can be done during an initial evaluation or as part of a routine medical checks.

Many people do not experience symptoms of high or low calcium until their levels are dangerously high or low.

When a person has certain types of cancer, kidney illness, or has had a kidney transplant, calcium monitoring may be required. When someone is being treated for abnormal calcium levels, monitoring may be required to determine the effectiveness of medications such as calcium or vitamin D supplements.

What does a Calcium blood test check for?

Calcium is one of the most plentiful and vital minerals in the human body. It is required for cell signaling as well as the proper operation of muscles, nerves, and the heart. Calcium is essential for blood clotting as well as bone growth, density, and maintenance. This test determines how much calcium is present in the blood.

Calcium is found complexed in the bones for 99 percent of the time, while the remaining 1% circulates in the blood. Calcium levels are closely monitored; if too little is absorbed or consumed, or if too much is lost through the kidney or stomach, calcium is removed from bone to keep blood concentrations stable. Approximately half of the calcium in the blood is metabolically active and "free." The other half is "bound" to albumin, with a minor proportion complexed to anions like phosphate, and both of these forms are metabolically inactive.

Blood calcium can be measured using two different tests. The free and bound forms of calcium are measured in the total calcium test. Only the free, physiologically active form of calcium is measured in the ionized calcium test.

Lab tests often ordered with a Calcium test:

  • Phosphorus
  • Vitamin D
  • Magnesium
  • PTH
  • Albumin
  • Basic Metabolic Panel (BMP)
  • Comprehensive Metabolic Panel (CMP)

Conditions where a Calcium test is recommended:

  • Kidney Disease
  • Thyroid Disease
  • Alcoholism
  • Malnutrition
  • Parathyroid Diseases
  • Breast Cancer
  • Multiple Myeloma

How does my health care provider use a Calcium test?

A blood calcium test is used to screen for, diagnose, and monitor a variety of bone, heart, nerve, kidney, and tooth disorders. If a person has signs of a parathyroid disease, malabsorption, or an overactive thyroid, the test may be ordered.

A total calcium level is frequently checked as part of a standard health check. It's part of the comprehensive metabolic panel and the basic metabolic panel, which are both collections of tests used to diagnose or monitor a range of ailments.

When a total calcium result is abnormal, it is interpreted as a sign of an underlying disease. Additional tests to assess ionized calcium, urine calcium, phosphorus, magnesium, vitamin D, parathyroid hormone, and PTH-related peptide are frequently performed to assist determine the underlying problem. PTH and vitamin D are in charge of keeping calcium levels in the blood within a narrow range of values.

Measuring calcium and PTH combined can assist identify whether the parathyroid glands are functioning normally if the calcium is abnormal. Testing for vitamin D, phosphorus, and/or magnesium can assist evaluate whether the kidneys are excreting the right amount of calcium, and measuring urine calcium can help detect whether additional deficits or excesses exist. The balance of these many compounds is frequently just as critical as their concentrations.

The total calcium test is the most common test used to determine calcium status. Because the balance between free and bound calcium is usually constant and predictable, it is a reliable reflection of the quantity of free calcium present in the blood in most cases. However, the balance between bound and free calcium is altered in some persons, and total calcium is not a good indicator of calcium status. Ionized calcium measurement may be required in certain cases. Critically sick patients, those receiving blood transfusions or intravenous fluids, patients undergoing major surgery, and persons with blood protein disorders such low albumin are all candidates for ionized calcium testing.

What do my Calcium test results mean?

The amount of calcium circulating in the blood is not the same as the amount of calcium in the bones.

A feedback loop including PTH and vitamin D regulates and stabilizes calcium uptake, utilization, and excretion. Conditions and disorders that disturb calcium control can induce abnormal acute or chronic calcium elevations or declines, resulting in hypercalcemia or hypocalcemia symptoms.

Total calcium is usually tested instead of ionized calcium since it is easier to do and requires no additional treatment of the blood sample. Because the free and bound forms of calcium make up about half of the total, total calcium is usually a decent depiction of free calcium. Because nearly half of the calcium in blood is bonded to protein, high or low protein levels might alter total calcium test findings. In these circumstances, an ionized calcium test is more appropriate for measuring free calcium.

A normal total or ionized calcium test, when combined with other normal laboratory findings, indicates that a person's calcium metabolism is normal and blood levels are properly managed.

We advise having your results reviewed by a licensed medical healthcare professional for proper interpretation of your results.


Clinical Significance
Micronutrient, Calcium - Serum calcium is involved in the regulation of neuromuscular and enzyme activity, bone metabolism and blood coagulation. Calcium blood levels are controlled by a complex interaction of parathyroid hormone, vitamin D, calcitonin and adrenal cortical steroids. Calcium measurements are useful in the diagnosis of parathyroid disease, some bone disorders and chronic renal disease. A low level of calcium may result in tetany.

Patients must be 18 years of age or greater.

Reference Range(s) (mg/dL)
                        Male                  Female
18-19 years     8.9-10.4    8.9-10.4
20-49 years     8.6-10.3    8.6-10.2
>49 years        8.6-10.3    8.6-10.4
Reference range not available for individuals <18 years for this micronutrient test.


Clinical Significance
Micronutrients, Heavy Metals Panel, Blood

Patients must be 18 years of age or greater.

Includes

  • Micronutrient, Arsenic, Blood
  • Micronutrient, Cadmium, Blood
  • Micronutrient, Cobalt, Blood
  • Micronutrient, Lead, Blood
  • Micronutrient, Mercury, Blood


Description: The EBV antibody test is used to measure the antibodies present in the immune system. EBV tests are used to help diagnose mononucleosis (mono) by ruling out EBV and to differentiate between EBV infection and other infections that present with the same symptoms.

Also Known As: EBV Antibody Test, EBV Ab Test, EBV Test, EBV Panel, Epstein Barr Virus (EBV) Panel, Epstein Barr Virus EBV Antibody Panel

Collection Method: Blood Draw

Specimen Type: Serum

Test Preparation: No preparation required

Average Processing Time: 2 to 3 days

When is an Epstein-Barr Virus Antibody Panel test ordered?

When someone has symptoms that imply mono but a negative mono test, or when a pregnant woman has flu-like symptoms and her healthcare provider wants to know if the symptoms are caused by EBV or another microorganism, EBV antibody testing may be recommended.

When a healthcare provider wishes to know if they've been exposed to EBV before, testing might be ordered. When a healthcare provider wants to follow antibody concentrations or when the first test was negative but the healthcare practitioner still feels the person's symptoms are due to EBV, testing may be repeated.

What does an Epstein-Barr Virus Antibody Panel blood test check for?

The Epstein-Barr virus is a virus that causes a mild to moderate sickness in most people. Epstein-Barr virus blood tests detect EBV antibodies in the blood and aid in the diagnosis of EBV infection.

The Epstein-Barr virus produces a highly common infection. Most persons in the United States are infected with EBV at some point in their life, according to the Centers for Disease Control and Prevention. The virus is very contagious and can readily spread from one person to another. It is found in infected people's saliva and can be spread by intimate contact, such as kissing or sharing utensils or cups.

The incubation period is a period of several weeks following initial EBV exposure before related symptoms manifest. The virus multiplies in number during the acute primary infection. There is a drop in viral levels and a remission of symptoms after this, but the virus never totally disappears. EBV that stays latent in a person's body for the rest of their lives may reawaken, although it normally causes little problems unless the person's immune system is severely damaged.

The majority of people are infected with EBV as children and have few or no symptoms. When an infection arises in adolescence, however, it can lead to infectious mononucleosis, sometimes known as mono, which is characterized by fatigue, fever, sore throat, swollen lymph nodes, an enlarged spleen, and occasionally an enlarged liver. About 25% of infected teens and young adults experience these symptoms, which normally go away within a month or two.

Mono is usually diagnosed based on symptoms and the results of a full blood count and a mono test. About 25% of people with mono don't create heterophile antibodies, resulting in a negative mono test; this is especially true in youngsters. Antibodies to the EBV virus can be tested to see if the symptoms these people are having are due to a current infection with the virus.

The most prevalent cause of mono is EBV. Other causes of mono, according to the CDC, include CMV, hepatitis A, hepatitis B, or hepatitis C, rubella, and toxoplasmosis. It can be difficult to tell the difference between EBV and these other infections at times. For example, diagnosing the etiology of symptoms of a viral disease in a pregnant woman may be critical. Testing can assist distinguish between a primary EBV infection, which has not been demonstrated to harm a developing baby, and a CMV, herpes simplex virus, or toxoplasmosis infection, which can cause pregnancy difficulties and harm the fetus.

It's also crucial to rule out EBV infection and check for other possible explanations of symptoms. Those suffering from strep throat, a bacterial infection caused by group A streptococcus, must be recognized and treated with antibiotics. It's possible to have strep throat instead of mono, or to have both at the same time.

There are several assays for different types and classes of EBV antibodies. Antibodies are proteins produced by the body as part of an immune response to antigens from the Epstein-Barr virus. The amount of each of these EBV antibodies rises and declines as the illness proceeds during a primary EBV infection. Antibodies in the blood can help with diagnosis and can tell a doctor about the stage of illness and whether it's a current, recent, or past infection.

Antibody Viral Capsid Antigen-IgM antibody is commonly identified in the blood at this time. After being exposed to the virus, it appears for roughly 4 to 6 weeks before disappearing.

Antibody to VCA-IgG It appears during acute infection, with the maximum level at 2 to 4 weeks, then gradually decreases, stabilizes, and is present for the rest of one's life.

Antibody to the early antigen appears during the acute infection phase and subsequently fades; about 20% of people infected will have detectable amounts for several years after the EBV infection has cleared.

Lab tests often ordered with an Epstein-Barr Virus Antibody Panel test:

  • Mononucleosis
  • Complete Blood Count (CBC)
  • White Blood Cell Count (WBC)
  • Blood Smear
  • Cytomegalovirus
  • Toxoplasmosis

Conditions where an Epstein-Barr Virus Antibody Panel test is recommended:

  • Mononucleosis
  • Influenza
  • Pregnancy
  • Epstein-Barr Virus

How does my health care provider use an Epstein-Barr Virus Antibody Panel test?

If a person is symptomatic but has a negative mono test, blood tests for Epstein-Barr virus antibodies can help diagnose EBV infection, the most prevalent cause of infectious mononucleosis.

One or more EBV antibody tests, along with testing for cytomegalovirus, toxoplasmosis, and other infections, may be ordered in pregnant women with signs of a viral disease to assist distinguish between EBV and disorders that generate similar symptoms.

These tests may be conducted for asymptomatic people to see if they've been exposed to EBV before or are vulnerable to a primary EBV infection. This is not regularly done, but it may be requested if someone has been in intimate contact with a person who has mono, such as a teenager or an immunocompromised person.

The Centers for Disease Control and Prevention recommends ordering a variety of tests to assess whether a person is vulnerable to EBV, as well as to detect a recent or earlier infection, or a reactivated EBV infection.

What do my Epstein Barr Virus antibody test results mean?

When interpreting the findings of EBV antibody testing, caution is advised. The person being tested's indications and symptoms, as well as his or her medical history, must be considered. A healthcare provider may seek the advice of an infectious disease specialist, particularly one who is familiar with EBV testing.

If someone tests positive for VCA-IgM antibodies, they are most likely infected with EBV and may be in the early stages of the illness. Even though the mono test was negative, the individual is most likely to be diagnosed with mono if they also have symptoms linked with it.

If a person's VCA-IgG and EA-D IgG tests come back positive, it's quite likely that they have an active or recent EBV infection.

If VCA-IgM is negative but VCA-IgG and an EBNA antibody are positive, the person tested most likely had an EBV infection before.

If a person is asymptomatic and negative for VCA-IgG, he or she has most likely never been exposed to EBV and is hence susceptible to infection.

In general, growing VCA-IgG levels suggest a current EBV infection, whereas dropping values indicate a recently resolved EBV infection. However, EBV antibody concentrations must be interpreted with caution because the amount of antibody present is unrelated to the severity of the infection or the length of time it will remain. High amounts of VCA-IgG may be present, and they may stay that way for the rest of one's life.

We advise having your results reviewed by a licensed medical healthcare professional for proper interpretation of your results.

Reference Range(s)

Epstein-Barr Virus VCA Antibody (IgM)

U/mLInterpretation

  • <36.00 Negative
  • 36.00-43.99Equivocal
  • >43.99Positive

Epstein-Barr Virus VCA Antibody (IgG)

U/mLInterpretation

  • <18.00 Negative
  • 18.00-21.99Equivocal
  • >21.99Positive

Epstein-Barr Virus Nuclear Antigen (EBNA) Antibody (IgG)

U/mLInterpretation

  • <18.00 Negative
  • 18.00-21.99Equivocal
  • >21.99Positive

Epstein-Barr Virus DNA, Real-Time PCR is useful in assessing active disease. Central nervous system infections can be diagnosed with CSF specimens.

Description: The Epstein-Barr Virus Nuclear Antigen Antibody test is used to detect IgG Antibodies to Epstein-Barr Virus Nuclear Antigen which appear 2-4 months after initial infection of Epstein-Barr Virus.

Also Known As: EBNA Test, EBNA Ab Test, EBV Nuclear Antigen Antibody Test, EBV NA Ab Test

Collection Method: Blood Draw

Specimen Type: Serum

Test Preparation: No preparation required

Average Processing Time: 2 to 3 days

When is an Epstein-Barr Virus Nuclear Antigen Antibody test ordered?

When a person has symptoms that would indicate mono but a negative mono test, as well as when a pregnant woman has flu-like symptoms and her doctor wants to know whether the symptoms are caused by EBV or another microorganism, EBV antibody testing may be recommended. Some indications and symptoms of mono include:

  • extreme tiredness or weakness
  • Fever
  • Headache
  • unwell throat
  • enlarged lymph nodes in the armpits or neck
  • enlarged liver or spleen

When a medical professional wants to confirm prior EBV exposure, testing may be required. Testing may occasionally be repeated if the medical professional wants to monitor antibody levels or if the results of the initial test were negative but the doctor still believes that the patient's symptoms are being caused by EBV.

What does an Epstein-Barr Virus Nuclear Antigen Antibody blood test check for?

A mild to moderate disease is often brought on by the Epstein-Barr virus. Epstein-Barr virus blood tests aid in the diagnosis of EBV infection by detecting EBV antibodies in the blood.

Infections caused by the Epstein-Barr virus are highly prevalent. The majority of Americans have had EBV infection at some point in their life, according to the Centers for Disease Control and Prevention. The virus is quickly spread from person to person and is very contagious. It can be transmitted through close contact, such as kissing, sharing of utensils or cups, and saliva of sick people.

The incubation period after initial EBV exposure lasts for a number of weeks before any symptoms may manifest. The virus multiplies during the acute initial infection. The infection then starts to become less prevalent and the symptoms start to subside, but it never totally disappears. Latent EBV can reactivate and stays dormant in the body for the rest of a person's life, although it typically poses few risks unless the individual has seriously compromised immune function.

Most persons who receive EBV as children show little to no symptoms. But if the first infection happens in adolescence, it can lead to infectious mononucleosis, sometimes known as mono, which is characterized by fatigue, fever, sore throat, swollen lymph nodes, an enlarged spleen, and occasionally an enlarged liver. About 25% of adolescents and young adults with the infection experience these symptoms, which typically go away in a month or two.

Mono is normally identified by a person's symptoms, a full blood count, and the results of a mono test. A mono test will come back negative in about 25% of patients with mono; this is particularly true of youngsters. These patients do not produce heterophile antibodies. If these persons are currently infected with the EBV virus, it can be determined whether or not their symptoms are caused by that infection using tests for EBV antibodies.

The most typical cause of mono is EBV. The CDC lists CMV, hepatitis A, B, or C, rubella, and toxoplasmosis as examples of additional causes of mono. It can occasionally be crucial to separate EBV from these other diseases. For instance, determining the root of a pregnant woman's viral disease symptoms may be crucial. A primary EBV infection, which has not been proved to harm an unborn child, can be distinguished from CMV, herpes simplex virus, or toxoplasmosis infections through testing because these conditions can complicate pregnancy and provide a risk to the fetus.

Additionally, it may be crucial to rule out EBV infection and search for other potential reasons of the symptoms. Antibiotics must be administered to those who have group A streptococcus-related infections, such as those who have strep throat. It's possible for someone to have strep throat instead of mono, or even both illnesses simultaneously.

There are numerous tests available to check for various EBV antibody types and classes. The body produces antibodies, which are proteins, as an immunological reaction to several Epstein-Barr virus antigens. Each of these EBV antibodies has a fluctuating level during a primary EBV infection as the infection develops. The level of these antibodies in the blood can help with diagnosis and normally informs the medical professional of the infection's stage and whether it is a recent or prior infection.

Antibodies against Epstein-Barr nuclear antigen generally does not manifest until the acute illness has subsided; it appears 2 to 4 months after the initial infection and then persists for the rest of one's life.

Lab tests often ordered with an Epstein-Barr Virus Nuclear Antigen Antibody test:

  • Epstein-Barr Virus Antibody Panel
  • Epstein-Barr Virus Early Antigen D Antibody IgG
  • Complete Blood Count (CBC)
  • Mono Test

Conditions where an Epstein-Barr Virus Nuclear Antigen Antibody test is recommended:

  • Epstein-Barr Virus
  • Infuenza
  • Pregnancy

How does my health care provider use an Epstein-Barr Virus Nuclear Antigen Antibody test?

If a person has symptoms but a negative mono test, blood tests for Epstein-Barr virus antibodies can be done to assist detect EBV infection, the most prevalent cause of infectious mononucleosis.

One or more EBV antibody tests may be requested in addition to tests for cytomegalovirus, toxoplasmosis, and other infections in pregnant women who exhibit symptoms of a viral disease in order to help differentiate between EBV and other disorders that may present with similar symptoms.

An asymptomatic person may be given these tests to determine whether they have ever been exposed to EBV or are predisposed to developing a primary EBV infection. Although it is not usually done, it may be requested if a person—such as a teenager or someone with an impaired immune system—has recently been in close proximity to someone who has mono.

The Centers for Disease Control and Prevention advise running a number of tests to assist identify someone's susceptibility to EBV, as well as to look for recent, past, or reactivated EBV infections.

What do my Epstein-Barr Virus Nuclear Antigen Antibody test results mean?

Results of EBV antibody testing must be interpreted carefully. It is necessary to take into account the test subject's indications and symptoms in addition to their medical background. A physician may seek the advice of an expert in infectious illnesses, particularly one with knowledge of EBV testing.

We advise having your results reviewed by a licensed medical healthcare professional for proper interpretation of your results.


Description: The Epstein-Barr Virus VCA IgG Antibody test is a blood test used to detect IgG antibodies to Epstein-Barr Virus Viral Capsid Antigen in the blood, and is useful in determining whether or not a patient’s flu-like symptoms are due to Epstein Barr Virus or Mono.

Also Known As: EBV VCA IgG AB Test, EBV Antibodies Test, EBV VCA Test, EBV IgG Ab Test, VCA IgG Test

Collection Method: Blood Draw

Specimen Type: Serum

Test Preparation: No preparation required

Average Processing Time: 2 to 3 days

When is an Epstein-Barr Virus Viral Capsid Antigen IgG Antibody test ordered?

When a person has symptoms that would indicate mono but a negative mono test, as well as when a pregnant woman has flu-like symptoms and her doctor wants to know whether the symptoms are caused by EBV or another microorganism, EBV antibody tests may be prescribed.

When a medical professional wants to confirm prior EBV exposure, testing may be required. Testing may occasionally be repeated if the medical professional wants to monitor antibody levels or if the results of the initial test were negative but the doctor still believes that the patient's symptoms are being caused by EBV.

What does an Epstein-Barr Virus Viral Capsid Antigen IgG Antibody blood test check for?

A mild to moderate disease is often brought on by the Epstein-Barr virus. Epstein-Barr virus blood tests aid in the diagnosis of EBV infection by detecting EBV antibodies in the blood.

Infections caused by the Epstein-Barr virus are highly prevalent. The majority of Americans have had EBV infection at some point in their life, according to the Centers for Disease Control and Prevention. The virus is quickly spread from person to person and is very contagious. It can be transmitted through close contact, such as kissing, sharing of utensils or cups, and saliva of sick people.

The incubation period after initial EBV exposure lasts for a number of weeks before any symptoms may manifest. The virus multiplies during the acute initial infection. The infection then starts to become less prevalent and the symptoms start to subside, but it never totally disappears. Latent EBV can reactivate and stays dormant in the body for the rest of a person's life, although it typically poses few risks unless the individual has seriously compromised immune function.

Most persons who receive EBV as children show little to no symptoms. But if the first infection happens in adolescence, it can lead to infectious mononucleosis, sometimes known as mono, which is characterized by fatigue, fever, sore throat, swollen lymph nodes, an enlarged spleen, and occasionally an enlarged liver. About 25% of adolescents and young adults with the infection experience these symptoms, which typically go away in a month or two.

Mono is normally identified by a person's symptoms, a full blood count, and the results of a mono test. A mono test will come back negative in about 25% of patients with mono; this is particularly true of youngsters. These patients do not produce heterophile antibodies. If these persons are currently infected with the EBV virus, it can be determined whether or not their symptoms are caused by that infection using tests for EBV antibodies.

The most typical cause of mono is EBV. The CDC lists CMV, hepatitis A, B, or C, rubella, and toxoplasmosis as examples of additional causes of mono. It can occasionally be crucial to separate EBV from these other diseases. For instance, determining the root of a pregnant woman's viral disease symptoms may be crucial. A primary EBV infection, which has not been proved to harm an unborn child, can be distinguished from CMV, herpes simplex virus, or toxoplasmosis infections through testing because these conditions can complicate pregnancy and provide a risk to the fetus.

Additionally, it may be crucial to rule out EBV infection and search for other potential reasons of the symptoms. Antibiotics must be administered to those who have group A streptococcus-related infections, such as those who have strep throat. It's possible for someone to have strep throat instead of mono, or even both illnesses simultaneously.

There are numerous tests available to check for various EBV antibody types and classes. The body produces antibodies, which are proteins, as an immunological reaction to several Epstein-Barr virus antigens. Each of these EBV antibodies has a fluctuating level during a primary EBV infection as the infection develops. The level of these antibodies in the blood can help with diagnosis and normally informs the medical professional of the infection's stage and whether it is a recent or prior infection.

Antibodies to VCA-IgG Emerges during acute infection, peaking at 2 to 4 weeks, before dipping slightly, stabilizing, and remaining for the rest of one's life.

Lab tests often ordered with an Epstein-Barr Virus Viral Capsid Antigen IgG Antibody test:

  • Epstein Barr Virus Early Antigen D Antibody IgG
  • Mononucleosis Test
  • Complete Blood Count (CBC)
  • Cytomegalovirus Test

Conditions where an Epstein-Barr Virus Viral Capsid Antigen IgG Antibody test is recommended:

  • Epstein Barr Virus
  • Mono
  • Influenza
  • Pregnancy

How does my health care provider use an Epstein-Barr Virus Viral Capsid Antigen IgG Antibody test?

If a person has symptoms but a negative mono test, blood tests for Epstein-Barr virus antibodies can be done to assist detect EBV infection, the most prevalent cause of infectious mononucleosis.

One or more EBV antibody tests may be requested in addition to tests for cytomegalovirus, toxoplasmosis, and other infections in pregnant women who exhibit symptoms of a viral disease in order to help differentiate between EBV and other disorders that may present with similar symptoms.

An asymptomatic person may be given these tests to determine whether they have ever been exposed to EBV or are predisposed to developing a primary EBV infection. Although it is not usually done, it may be requested if a person—such as a teenager or someone with an impaired immune system—has recently been in close proximity to someone who has mono.

The Centers for Disease Control and Prevention advise running a number of tests to assist identify someone's susceptibility to EBV, as well as to look for recent, past, or reactivated EBV infections.

What do my Epstein-Barr Virus Viral Capsid Antigen IgG Antibody test results mean?

Results of EBV antibody testing must be interpreted carefully. It is necessary to take into account the test subject's indications and symptoms in addition to their medical background. A physician may seek the advice of an expert in infectious illnesses, particularly one with knowledge of EBV testing.

If someone tests positive for VCA-IgM antibodies, they most likely have an EBV infection and the sickness may still be in its early stages. Even if the mono test came back negative, the person will likely be diagnosed with mono if they also exhibit symptoms of the illness.

It is quite likely that someone has an active or recent EBV infection if both the VCA-IgG and the EA-D IgG tests are positive.

It is most likely that the person examined had an earlier EBV infection if the VCA-IgM test is negative but the VCA-IgG and an EBNA antibody are both positive.

A person who exhibits no symptoms and tests negative for VCA-IgG has probably never been exposed to EBV and is therefore susceptible to infection.

Rising VCA-IgG concentrations typically signify an ongoing EBV infection, whereas declining amounts typically signify a recent EBV infection that is healing. However, as the amount of antibody present does not correspond with the severity of the infection or how long it will remain, caution must be used when interpreting EBV antibody concentrations. There may be high levels of VCA-IgG and they could stay there for the rest of the person's life.

We advise having your results reviewed by a licensed medical healthcare professional for proper interpretation of your results.


Primary infection by EBV causes infectious mononucleosis, usually a self-limiting disease in children and young adults. Infection with EBV can cause lymphoproliferative disorders including tumors. VCA-IgM is typically detectable at clinical presentation, then declines to undetectable levels within a month in young children and within 3 months in other individuals.

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Description: A Glucose test is a blood test used to screen for, diagnose, and monitor conditions that affect glucose levels such as prediabetes, diabetes, hyperglycemia, and hypoglycemia.

Also Known As: Fasting Blood Glucose Test, FBG Test, Fasting Blood Sugar Test, FBS Test, Fasting Glucose Test, FG Test

Collection Method: Blood Draw

Specimen Type: Serum

Test Preparation: Fasting required

Average Processing Time: 1 to 2 days

When is a Glucose test ordered?

Diabetes screening is recommended by several health groups, including the American Diabetes Association and the United States Preventive Services Task Force, when a person is 45 years old or has risk factors.

The ADA recommends retesting within three years if the screening test result is within normal limits, but the USPSTF recommends testing once a year. Annual testing may be used to monitor people with prediabetes.

When someone exhibits signs and symptoms of high blood glucose, a blood glucose test may be conducted.

Diabetics are frequently asked to self-check their glucose levels multiple times a day in order to monitor glucose levels and choose treatment alternatives as suggested by their doctor. Blood glucose levels may be ordered on a regular basis, along with other tests such as A1c, to track glucose control over time.

Unless they show early symptoms or have had gestational diabetes in a prior pregnancy, pregnant women are routinely screened for gestational diabetes between the 24th and 28th week of pregnancy. If a woman is at risk of type 2 diabetes, she may be tested early in her pregnancy, according to the American Diabetes Association. When a woman has type 1, type 2, or gestational diabetes, her health care provider will normally order glucose levels to monitor her condition throughout the duration of her pregnancy and after delivery.

What does a Glucose blood test check for?

A fasting glucose test measures glucose. Glucose is the major energy source for the body's cells and the brain and nervous system's only source of energy. A consistent supply must be provided, and a somewhat constant level of glucose in the blood must be maintained. The glucose level in the blood can be measured using a variety of methods. 

Fruits, vegetables, breads, and other carbohydrate-rich foods are broken down into glucose during digestion, which is absorbed by the small intestine and circulated throughout the body. Insulin, a hormone generated by the pancreas, is required for the use of glucose for energy production. Insulin promotes glucose transport into cells and instructs the liver to store surplus energy as glycogen for short-term storage or triglycerides in adipose cells.

Normally, blood glucose rises slightly after you eat or drink, and the pancreas responds by releasing insulin into the blood, the amount of which is proportional to the size and substance of the meal. The level of glucose in the blood declines as glucose enters the cells and is digested, and the pancreas responds by delaying, then ceasing the secretion of insulin.

When blood glucose levels fall too low, such as between meals or after a strong activity, glucagon is released, which causes the liver to convert some glycogen back into glucose, so boosting blood glucose levels. The level of glucose in the blood remains pretty steady if the glucose/insulin feedback loop is working appropriately. When the balance is upset and the blood glucose level rises, the body strives to restore it by boosting insulin production and removing excess glucose through the urine.

Several diseases can cause the equilibrium between glucose and pancreatic hormones to be disrupted, resulting in high or low blood glucose. Diabetes is the most common cause. Diabetes is a collection of illnesses characterized by inadequate insulin production and/or insulin resistance. Untreated diabetes impairs a person's ability to digest and utilize glucose normally. Type 1 diabetes is diagnosed when the body is unable to produce any or enough insulin. People with prediabetes or type 2 diabetes are insulin resistant and may or may not be able to produce enough of the hormone.

Organ failure, brain damage, coma, and, in extreme situations, death can result from severe, sudden fluctuations in blood glucose, either high or low. Chronically high blood glucose levels can harm body organs like the kidneys, eyes, heart, blood vessels, and nerves over time. Hypoglycemia can harm the brain and nerves over time.

Gestational diabetes, or hyperglycemia that exclusively arises during pregnancy, can affect some women. If left untreated, this can result in large babies with low glucose levels being born to these mothers. Women with gestational diabetes may or may not acquire diabetes later in life.

Lab tests often ordered with a Glucose test:

  • Complete Blood Count
  • Iron Total and Total Iron binding capacity
  • Hemoglobin A1c
  • Lipid Panel
  • Urinalysis Complete
  • TSH
  • CMP
  • Insulin
  • Microalbumin
  • Fructosamine
  • C-Peptide

Conditions where a Glucose test is recommended:

  • Diabetes
  • Kidney Disease
  • Insulin Resistance
  • Pancreatic Diseases
  • Hyperglycemia
  • Hypoglycemia

Commonly Asked Questions:

How does my health care provider use a Glucose test?

The blood glucose test can be used for a variety of purposes, including:

  • Detect hyperglycemia and hypoglycemia
  • Screen for diabetes in those who are at risk before symptoms appear; there may be no early indications or symptoms of diabetes in some circumstances. As a result, screening can aid in detecting it and allowing treatment to begin before the illness worsens or complications emerge.
  • Aid in the detection of diabetes, prediabetes, and gestational diabetes.
  • Monitor your blood sugar levels and manage your diabetes

Glucose levels should be monitored in those who have been diagnosed with diabetes.

Between the 24th and 28th week of pregnancy, glucose blood tests are performed to assess pregnant women for gestational diabetes. Pregnant women who have never been diagnosed with diabetes should be screened and diagnosed using either a one-step or two-step strategy, according to the American Diabetes Association and the US Preventive Services Task Force.

Other tests, including diabetic autoantibodies, insulin, and C-peptide, may be used in conjunction with glucose to assist in detecting the reason of elevated glucose levels, differentiate between type 1 and type 2 diabetes, and assess insulin production.

What does my glucose test result mean?

High blood glucose levels are most commonly associated with diabetes, but they can also be caused by a variety of other diseases and ailments.

Hypoglycemia is defined by a drop in blood glucose to a level that triggers nervous system symptoms before affecting the brain. The Whipple triad is a set of three criteria for diagnosing hypoglycemia.

We advise having your results reviewed by a licensed medical healthcare professional for proper interpretation of your results.


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

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

The MMR (IgG) Panel is the perfect way to ensure that you are protected against measles, mumps, and rubella. This panel provides you with everything you need to know about your immunity to these diseases and will help you make sure that you are up-to-date on your vaccinations. The Measles Antibody (IgG), Mumps Antibody (IgG), and Rubella Immune Status are all included in this thorough panel, so you can rest assured that you are getting a complete picture of your health.

Order the MMR (IgG) Panel today, and be prepared for anything life throws your way.

What is MMR IgG titer?

The MMR (IgG) Panel is a blood test that measures the levels of antibodies to measles, mumps, and rubella in your body. Antibodies are proteins that your immune system produces in reaction to infections. By measuring the levels of these antibodies in the blood, it is possible to assess whether or not an individual is immune to these diseases.

What does the MMR (IgG) Panel include?

This panel includes the Measles Antibody (IgG), Mumps Antibody (IgG), Rubella Immune Status, and Rubella Virus Genotype. The Measles Antibody (IgG) portion of the panel will tell you if you have immunity to measles. The Mumps Antibody (IgG) portion of the panel will tell you if you have immunity to mumps. The Rubella Immune Status portion of the panel will tell you if you are immune to rubella. The Rubella Virus Genotype is used to determine which type of rubella virus you have been infected with.

Why do I need the MMR (IgG) Panel?

The MMR (IgG) Panel is recommended for people who want to ensure that they are up-to-date on their vaccinations. This panel is also recommended for international travelers and for students at post-high school educational institutions.

What is MMR titer positive?

A positive MMR titer means that you have immunity to measles, mumps, and rubella. A positive MMR titer is generally considered to be protective for life.

What is MMR titer negative?

A negative MMR titer means that you do not have immunity to measles, mumps, and rubella. If you have a negative MMR titer, you should receive the MMR vaccine.

I have a positive MMR titer. Do I still need vaccinations?

Yes, you should still receive vaccinations even if you have a positive MMR titer. This is because the levels of antibodies in your body can decline over time, and you may no longer be protected against these diseases. Vaccinations will help to boost your immunity and help to keep you safe.

I have a negative MMR titer; what does that mean?

A negative MMR titer means that you do not have immunity to measles, mumps, and rubella. You should receive the MMR vaccine if you have a negative titer. The MMR vaccine is an efficient and safe method of protection against many diseases.

What are the risks of the MMR (IgG) Panel?

There are no risks associated with this panel. This panel is a blood test that is performed using a small sample of blood.There is no discomfort or pain involved with this test.

How do I prepare for the MMR (IgG) Panel?

There is no preparation necessary for this panel. You can eat and drink normally before and after the test.

When will I get my results?

Your results will be available within 1-2 business days.

If you have any further questions about the MMR (IgG) Panel, please contact us at any time. We are here to help you and to ensure that you are getting the most accurate and up-to-date information possible.

How often do you need MMR titers?

It is generally recommended that you get an MMR titer test every five years or so to make sure that your immunity levels are still high. You may also need to get an MMR titer test more frequently if you are exposed to measles, mumps, or rubella. If you are unsure about how often you should get an MMR titer test, please speak to your doctor or healthcare provider.

 


Description: The Mumps antibody test is used to measure the blood’s serum for measles antibodies, which may be present because of a previous infection or a vaccination.

Also Known As: Mumps Virus Test, Mumps Antibody test, Mumps Titer Test

Collection Method: Blood draw

Specimen Type: Serum

Test Preparation: No preparation required

Average Processing Time: 1 to 2 days

When is a Mumps Antibody IgG test ordered?

An IgG antibody test for mumps may be conducted if a health care provider wants to see if a patient is immune to one or both viruses, either from a past infection or vaccination.

When a person has mumps-like signs and symptoms, or has been exposed to someone who has the virus and now has a fever and some symptoms that could be attributable to mumps, IgM and IgG antibody testing may be requested.  These tests are usually ordered early in the infection's progress.

Mumps signs and symptoms appear after a 2 to 3 week incubation period and are commonly mistaken for flu symptoms, such as:

  • Headache
  • Fever 
  • Muscle aches

These are followed by parotitis, which is a swelling of the salivary glands beneath one or both ears.

When numerous persons have been exposed and show the signs and symptoms indicated above, testing may be required during a suspected or confirmed outbreak.

What does a Mumps Antibody IgG blood test check for?

The viruses that cause measles and mumps belong to the Paramyxoviridae family. They both induce infections that normally go away within a few days, but in rare situations, they might lead to significant problems. Both can be avoided by being vaccinated. Antibodies developed in response to infection may be detected in the blood during measles and mumps testing. In addition, employing culture or a molecular approach such as polymerase chain reaction, the virus or its genetic material can be detected directly in a sample. These techniques can be used to a wide range of samples.

The number of instances of measles and mumps infections in the United States has dropped from several hundred thousand to a few hundred per year. Comprehensive measles and mumps immunization campaigns are to blame for the declines. While vaccines exist for each virus, combination vaccines, such as MMR, which protects against measles, mumps, and rubella all at once, are commonly used. In recent years, the majority of new cases in the United States have occurred in rare outbreaks, mostly among persons who have not been vaccinated, particularly those who have gone to places of the world where measles or mumps are more common.

Mumps is a viral infection spread through saliva or respiratory secretions. An infected person often gets flu-like symptoms such as a headache, muscle aches, and fever after a 2 to 3 week incubation period, followed by parotitis. Mumps is usually a mild, self-limiting condition, but some patients can develop problems like temporary or permanent deafness, testicular or ovarian inflammation, pancreatitis, meningitis, or encephalitis.

Mumps, a milder condition than measles, is no longer as frequent as it once was, although it is still endemic in many regions of the world. Mumps cases in the United States range from 200 to 2,000 every year, according to the CDC. Outbreaks can happen in places where people interact frequently, such as classrooms, sports teams, or college dorms. Several tiny outbreaks occurred on college campuses in California, Maryland, and Virginia between 2011 and 2013, for example, although their spread was limited.

Lab tests often ordered with a Mumps Antibody IgG test:

  • Measles
  • Rubella
  • Varicella Zoster Virus
  • Tuberculosis
  • Hepatitis B
  • Hepatitis C

Conditions where a Mumps Antibody IgG test is recommended:

  • Mumps
  • Measles
  • Rubella
  • Meningitis
  • Travelers’ Diseases
  • Pancreatitis
  • Infertility
  • Pneumonia

How does my health care provider use a Mumps Antibody IgG test?

Antibody tests for mumps can be used to:

  • Confirm if a person is virus-free due to previous infections or vaccinations.
  • Diagnosis of a mumps outbreak
  • In order to protect the public's health, epidemics must be detected, monitored, and tracked.

Antibody analysis

Antibody testing can be used to confirm immunity, identify a current infection, or follow outbreaks. Antibodies to the mumps viruses are viral-specific proteins produced by the immune system in response to infection with the virus or immunization. IgM and IgG antibodies are the two types of antibodies generated. IgM antibodies are the first to emerge in the blood after exposure or immunization. IgM antibody levels rise over several days to a peak, then gradually decline over the next few weeks. IgG antibodies take a little longer to develop, but once they do, they remain positive for the rest of your life, protecting you from re-infection. By comparing the levels of antibody in two blood samples taken weeks apart, it is sometimes possible to distinguish between an active and past infection.

What do my Mumps Antibody IgG test results mean?

When IgM antibodies to mumps are present in someone who hasn't been vaccinated recently, it's likely that they have a current mumps infection. When both IgM and IgG antibodies are present, or there is a fourfold increase in concentrations between acute and convalescent IgG antibody testing, it is likely that the person is now infected or has recently been infected with mumps.

When a person who has been vaccinated and/or is not currently ill possesses mumps IgG antibodies, that individual is protected from infection. A person is not deemed immune to the virus if they do not have mumps IgG antibodies. This could be due to the fact that the person hasn't been exposed to the virus, the IgG hasn't had enough time to mature, or the person doesn't have a typical antibody response.

We advise having your results reviewed by a licensed medical healthcare professional for proper interpretation of your results.


Pancreatic Elastase-1

Collection Instructions - Collect undiluted feces in clean, dry, sterile leak-proof container.

Clinical Significance

The Elastase-1 is a quantitative enzyme linked immunosorbent assay for measuring concentrations of elastase-1 in feces as an aid in diagnosis of the exocrine pancreatic function.

 

Description: The triglycerides blood test is a test used to measure levels of triglyceride, a type of fat and energy source for the body, in the blood’s serum.

Also Known As: TG Test, TRIG Test

Collection Method: Blood Draw

Specimen Type: Serum

Test Preparation: Patient should be fasting 9-12 hours

When is a Triglycerides test ordered?

For healthy adults, a lipid profile, which includes triglycerides, is advised every 4 to 6 years to assess the risk of heart disease. Between the ages of 9 and 11, as well as between 17 and 21, children should receive at least one lipid profile screening.

When persons have heart disease risk factors identified, additional testing may be required.

Triglycerides should be assessed as part of any lipid testing for diabetics because they dramatically rise when blood glucose levels are not well-controlled.

For children and young adults, screening for excessive cholesterol as part of a lipid profile is advised. Between the ages of 9 and 11, as well as between 17 and 21, they should be tested once. For children and adolescents who have a higher risk of developing heart disease as adults, earlier and more frequent screening with a lipid profile is advised. One of the risk factors includes having a family history of heart disease or having health issues like diabetes, high blood pressure, or being overweight. Other risk factors are comparable to those that affect adults.

The American Academy of Pediatrics recommends having the first cholesterol test for high-risk children between the ages of 2 and 8. Testing on children under the age of two is not appropriate.

Triglyceride tests may be requested on a regular basis as part of a lipid profile to assess the success of cholesterol-lowering lifestyle modifications like diet and exercise or to monitor the efficiency of medication therapy like statins. For people on statins, guidelines from the American College of Cardiology and the American Heart Association advise having a fasting lipid profile performed 4 to 12 weeks after beginning therapy and then every 3 to 12 months after that to ensure that the medication is effective.

What does a Triglycerides blood test check for?

Triglycerides are a type of fat and the body's main energy source. Triglyceride levels in the blood are determined by this test.

Triglycerides are primarily contained in adipose (fat) tissue, although some triglycerides also circulate in the blood to feed muscles. Triglycerides are seen in higher concentrations in the blood after eating because the body stores fat from the excess energy. Triglycerides travel from the gut to adipose tissue via the circulation to be stored there. Triglycerides are released from adipose tissue between meals and used by the body as an energy source. Very low-density lipoproteins, a type of lipoprotein, carry the majority of triglycerides in the blood.

Although the exact cause of this is unknown, high blood triglyceride levels are linked to a higher risk of cardiovascular disease development. Lack of exercise, being overweight, smoking cigarettes, drinking too much alcohol, and having medical problems like diabetes and kidney disease are just a few things that can increase triglyceride levels and increase the risk of developing cardiovascular disease.

Lab tests often ordered with a Triglycerides test:

  • Cholesterol Total
  • HDL Cholesterol
  • LDL Cholesterol
  • VLDL Cholesterol
  • Lipid Panel

Conditions where a Triglycerides test is recommended:

  • Heart Disease

How does my health care provider use a Triglycerides test?

Triglyceride blood tests are typically a component of a lipid profile, which is used to determine a person's risk of developing heart disease and to assist determine what treatment may be required if there is a borderline or high risk. It can be used to monitor persons who have heart disease risk factors, those who have had a heart attack, or those who are receiving treatment for high lipid and/or high triglyceride levels as part of a lipid profile.

A treatment and follow-up plan is created using the results of the cholesterol test and other elements of the lipid profile, as well as any recognized risk factors for heart disease. Treatment options may include lipid-lowering medications like statins or lifestyle modifications like diet and exercise regimens.

What do my Triglycerides test results mean?

Healthy lipid levels generally contribute to heart health and reduce the risk of heart attack and stroke. To evaluate a person's overall risk of heart disease, if treatment is required, and, if so, which treatment will best serve to minimize the person's risk, a healthcare professional will take into account the results of each component of the lipid profile in addition to other risk factors.

Both children and adults run the risk of getting pancreatitis when triglycerides are too high. Treatment should be started as soon as possible to lower triglyceride levels.

We advise having your results reviewed by a licensed medical healthcare professional for proper interpretation of your results.



Pancreatitis involves the inflammation of the pancreas. Chronic pancreatitis is a long-term condition, while acute pancreatitis occurs for a short duration.

The pancreas is located below the liver and behind the stomach. It has a narrow, flat shape, and is around 6 inches long. The gland is split into three sections: the head, the tail, and the middle. The head section is connected to the start of the duodenum (small intestine).

The pancreas produces bicarbonate and digestive enzymes that are transported into the large pancreatic duct by small tubes. The large duct moves the bicarbonate and digestive enzymes from the tail section of the pancreas to the head section and subsequently into the small intestine.

Another duct running through the pancreas’s head section is the bile duct, which carries bile from the gallbladder and liver into the duodenum. The pancreatic duct and the bile duct converge before entering the small intestine through the same duodenum opening.

The pancreas is comprised of two distinct types of tissues that each perform special functions:

Exocrine Tissues

The exocrine pancreas manufactures, stores, and outputs strong digestive enzymes that break down carbohydrates, proteins, and fats in the duodenum. The enzymes are transported to the small intestine in an inactive state, ready to be activated as required. In addition to potent digestive enzymes, exocrine tissues also produce bicarbonate. Bicarbonate is used to neutralize stomach acid to allows for digestive enzyme activation.

Endocrine Tissues

The endocrine pancreas makes and releases hormones, including glucagon and insulin. Glucagon and insulin are used to regulate glucose levels in the blood and maintain efficient transportation of sugar into the cells that require it for energy.

Pancreatitis occurs when digestive enzymes become activated inside the pancreas. The activation of such enzymes causes irritation and damage to pancreatic tissues, leading to swelling and inflammation.

In the case of acute pancreatitis, the onset of inflammation is rapid but only lasts a couple to days.

The causes of pancreatitis are long-term alcohol abuse and gallstones that clog the pancreatic duct. Severe attacks can necessitate a lengthy stay in a hospital so that serious complications can be treated, and the condition can be monitored. With modern treatment methods, mild cases can often be cured in a few days. Furthermore, during mild attacks, the pancreas is likely to return to normal functioning after healing.

Recurrent acute pancreatitis attacks can lead to chronic pancreatitis, which is long-lasting pancreas inflammation and swelling. The leading cause of chronic pancreatitis is long-term alcohol abuse. Those who smoke cigarettes are also at an increased risk of developing the condition.

Chronic pancreatitis can result in the development of scar tissue inside the pancreas, which can impair its functionality. A malfunctioning pancreas can cause diabetes and digestive problems.

Pancreatitis is more common in males than in females. Cases of the condition are also becoming more numerous in the USA, however, the reasons for the increasing number of cases are unclear. Around 2750,000 individuals are hospitalized for acute pancreatitis every year. Cases of chronic pancreatitis are less common, with hospitalization numbers of around 86,000 individuals each year.

Causes of Pancreatitis

As previously mentioned, the main causes of the condition are long-term alcohol abuse and gallstones. Additional causes can include:

  • Viral infections, including Epstein-Barr virus and mumps
  • Pancreatic cancer
  • Injury to the gland organ
  • Use of pharmaceutical medications like estrogen pills and valproic acid
  • High blood calcium levels or triglyceride levels
  • Cystic fibrosis
  • Carrier of the gene responsible for cystic fibrosis
  • Certain autoimmune conditions
  • Inherited pancreas defects

In some cases, the exact cause of acute or chronic pancreatitis remains unclear.

Pancreatitis can be prevalent in families, and several genes have been identified as being associated with an increased risk of developing the condition.

Signs & Symptoms

1. Acute 

Here are some of the most common acute pancreatitis signs and symptoms:

  • Fever
  • Nausea
  • Vomiting
  • Severe upper abdominal pain. The pain often worsens when lying flat or after eating and can radiate to the spine.
  • Racing pulse
  • Abdominal tenderness and swelling

An attack of acute pancreatitis causes local inflammation, hemorrhage, and swelling of the pancreas, which typically disappears after treatment, leaving no permanent damage. However, sometimes such an attack can be very severe and lead to complications, such as:

  • Kidney failure
  • Infection
  • Necrosis (tissue death)
  • Trouble breathing
  • Pancreatic pseudocysts (sacs full of dead tissue and fluid, which often become infected)
  • Low blood pressure

If you notice any of the signs and symptoms of acute pancreatitis, it’s vital that you contact a healthcare professional as the severity of symptoms does not always correspond to the amount of damage occurring. Some of the signs and symptoms of the condition can also be signs of a different medical condition that requires different treatment methods.

Swift diagnosis and treatment of acute pancreatitis are essential for preventing complications, limiting infection, and reducing inflammation. Repeated attacks of acute pancreatitis can result in chronic pancreatitis.

2. Chronic 

Individuals suffering from chronic pancreatitis might experience recurring attacks that have symptoms similar to a bout of acute pancreatitis. As the condition progresses, the frequency of the attacks often increases. Pain resulting from chronic pancreatitis can be very severe and intermittent or continuous. The pain often worsens after consuming food or drinking, in particular alcoholic beverages.

Over time, chronic pancreatitis can lead to the gland organ becoming scarred and unable to manufacture digestive enzymes properly. This can result in:

  • Malnutrition
  • Weight loss
  • Pancreatic insufficiency
  • Pancreatic pseudocysts (sacs full of dead tissue and fluid, which often become infected)
  • Ascites (fluid buildup in the abdomen)
  • Fatty, foul-smelling stools
  • Once the cells in the pancreas that make insulin are severely damaged, diabetes can develop

Diagnosis

The diagnosis of pancreatitis requires a physical exam, medical history check, imaging tests, and blood tests. Two out of the following three criteria must be met for an acute pancreatitis diagnosis:

1. “Characteristic” imaging results

2. Pain in the abdominal area that is characteristic of the condition

3. Lipase levels or amylase levels three times greater than the normal upper limit

Lab Tests

Blood tests are carried out to measure amylase and lipase levels in the blood. Amylase and lipase are digestive enzymes produced by the pancreas.

1. Lipase level test (preferred choice)

Lipase is an enzyme that digests fats. The test of lipase levels is more accurate than the test for amylase levels for diagnosing diseases of the pancreas, especially acute pancreatitis and acute alcoholic pancreatitis. Levels of the enzyme begin to rise between 4 and 8 hours following the onset of various pancreatitis symptoms. They will typically fall back to normal levels within seven days. If the lipase level is three times higher than the normal upper limit, acute pancreatitis is diagnosed. As chronic pancreatitis worsens, levels of lipase can be normal or below normal.

2. Amylase level test

Amylase is an enzyme that digests carbohydrates. Although the amylase test can signal pancreatic diseases, it is not as specific as the lipase test. This means elevated amylase levels can indicate an issue, but the cause might not be linked to the pancreas. Amylase levels begin to increase between 2 and 12 hours following the onset of various acute pancreatitis symptoms and generally return to normal levels within seven days. If levels are three times higher than the normal upper limit, acute pancreatitis is probable. Amylase levels can also be monitored in individuals with chronic pancreatitis. The levels will typically be somewhat elevated until cell damage to cells that manufacture the enzyme becomes extensive, at which stage amylase levels in the blood are likely to be decreased.

There are further blood tests than can be used to aid in the diagnosis of acute pancreatitis or help to detect complications. Such tests can include:

In addition to blood tests, other lab tests can be used to help diagnose and monitor chronic pancreatitis, including:

  • Fecal fat test to detect an excess of fat in a stool sample, which is often one of the first signs of pancreatic insufficiency. The stool elastase test (see below) is easier to carry out, so the fecal fat test is less commonly done.
  • Stool elastase test to measure the levels of elastase (a pancreatic enzyme) in a stool sample. Pancreatic insufficiency results in reduced levels of the enzyme in stools. Chronic pancreatitis can cause pancreatic insufficiency.
  • Immunoreactive trypsinogen (IRT) blood test to measure trypsinogen levels. Trypsinogen, made by the pancreas, is the inactive precursor of trypsin, an enzyme that digests protein. Elevated IRT levels can be a sign.
  • Chymotrypsin test to measure chymotrypsin in stools. Chymotrypsin is a pancreatic enzyme that digests proteins, and an absence of it in stools signifies pancreatic insufficiency.
  • Genetic mutation tests, such as cystic fibrosis gene mutation testing and test for other genes known to cause hereditary pancreatitis.
  • Chloride test (aka sweat test) to diagnose cystic fibrosis.