All Stress and Fatigue Tests

Did you know that over 40% of Americans experience more daily stress than they're comfortable with? Here's why it's so important to order lab tests to monitor for stress, anxiety, and fatigue.

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Stress Testing Base Panel

Ulta - Stress & Steroid Hormone Addendum

Some of your hormones are in response to stress. DHEA, Testosterone and Cortisol should properly respond to the stresses and demands of your life and lifestyle.

  • Cortisol, A.M.
  • DHEA Sulfate, Immunoassay
  • Testosterone, Total And Free And Sex Hormone Binding Globulin

17-Hydroxypregnenolone, LC/MS/MS

Clinical Significance

17-Hydroxypregnenolone is useful in the diagnosis of 3-Beta-Hydroxylase enzyme deficiency, a rare cause of congenital adrenal hyperplasia, and 17-Hydroxylase (P450c17) enzyme deficiency.


17-hydroxyprogesterone is elevated in patients with congenital adrenal hyperplasia (CAH). CAH is a group of autosomal recessive diseases characterized by a deficiency of cortisol and an excess of ACTH concentration. 17-hydroxyprogesterone is also useful in monitoring cortisol replacement therapy and in evaluating infertility and adrenal and ovarian neoplasms.

Clinical Significance

21- Hydroxylase Antibody - 21-Hydroxylase Antibody is present in patients with autoimmune destruction of the adrenal glands, leading to Addison's disease. Antibody is also seen in autoimmune polyglandular syndrome.

Determination of ACTH is useful in differentiating between primary and secondary adrenocortical hypo- and hyperfunctional disorders: Addison's disease, Cushing's syndrome, adrenal carcinoma, ectopic ACTH syndrome, and adrenal nodular hyperplasia.

The Adrenal Complete Panel includes the following tests 

  • Aldosterone/Plasma Renin Activity Ratio, LC/MS/MS
  • Comprehensive Metabolic Panel (CMP)
  • DHEA Sulfate, Immunoassay 
  • Iron, Total
  • Lipid Panel with Ratios
  • Magnesium
  • Sex Hormone Binding Globulin (SHBG)

Determination of aldosterone is useful in the diagnosis and evaluation of primary aldosteronism, selective hypoaldosteronism, edematous states, and other conditions of electrolyte imbalance

The Aldosterone-renin ratio is used to screen for primary aldosteronism

Antinuclear antibodies are associated with rheumatic diseases including Systemic Lupus Erythematous (SLE), mixed connective tissue disease, Sjogren's syndrome, scleroderma, polymyositis, CREST syndrome, and neurologic SLE. 

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

Androstenedione is useful when evaluating patients with androgen excess and managing patients with Congenital Adrenal Hyperplasia (CAH).

Antiadrenal Antibody Screen With Reflex To Titer

This is a reflex test that may require additional tests to be run at additional cost to the patient.

If  Adrenal Antibody Screen is positive, Adrenal Antibody Titer will be performed at an additional charge (CPT code(s): 86256).

Increased CRP levels are found in inflammatory conditions including: bacterial infection, rheumatic fever, active arthritis, myocardial infarction, malignancies and in the post-operative state. This test cannot detect the relatively small elevations of CRP that are associated with increased cardiovascular risk.

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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.

HDL Cholesterol is inversely related to the risk for cardiovascular disease. It increases following regular exercise, moderate alcohol consumption and with oral estrogen therapy. Decreased levels are associated with obesity, stress, cigarette smoking and diabetes mellitus.

There is a correlation between increased risk of premature heart disease with decreasing size of LDL particles. Ion mobility offers the only direct measurement of lipoprotein particle size and concentration for each lipoprotein from HDL3 to large VLDL.

Measurement of serum 25-OH vitamin D concentrations provide a good index of circulating vitamin D activity in patients not suffering from renal disease. Lower than normal 25-OH vitamin D levels can result from a dietary deficiency, poor abosrption of the vitamin or impaired metabolism of the sterol in the liver. A 25-OH vitamin D deficiency can lead to bone diseases such as rickets and osteomalacia. Above normal levels can lead hypercalcemia. This assay employs liquid chromatography tandem mass spectrometry to independently measure and report the two common forms of 25-hydroxy vitamin D: 25OH D3 - the endogenous form of the vitamin and 25OH D2 - the analog form used to treat 25OH Vitamin D3 deficiency.

HDL cholesterol is inversely related to the risk for cardiovascular disease. It increases following regular exercise, moderate alcohol consumption and with oral estrogen therapy. Decreased levels are associated with obesity, stress, cigarette smoking and diabetes mellitus.

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CoQ10 (Coenzyme Q10)

Coenzyme Q10 (CoQ10) is a substance similar to a vitamin. It is found in every cell of the body. Your body makes CoQ10, and your cells use it to produce energy your body needs for cell growth and maintenance. It also functions as an antioxidant, which protects the body from damage caused by harmful molecules.

A Complete Blood Count (CBC) Panel is used as a screening test for various disease states including anemia, leukemia, and inflammatory processes.

A CBC blood test includes the following biomarkers: WBC, RBC, Hemoglobin, Hematocrit, MCV, MCH, MCHC, RDW, Platelet count, Neutrophils, Lymphs, Monocytes, Eos, Basos, Neutrophils (Absolute), Lymphs (Absolute), Monocytes(Absolute), Eos (Absolute), Basos (Absolute), Immature Granulocytes, Immature Grans (Abs)

NOTE: Only measurable biomarkers will be reported.

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,
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

A shocking statistic you may not know is that 55 percent of Americans experience stress during the day. That’s about one in two people! 

It’s a statistic that should get one concerned, considering what stress can do to our bodies. 

If you feel overwhelmed by stress in your day-to-day life, you should consider a stress lab test. A lab test can check various biomarkers that can help establish whether or not your well-being is taking a hit from your level of stress. 

Let’s start by learning more about stress.

What is Stress? 

Stress is the body’s reaction upon being put under pressure by internal or external stimuli. Whenever your body responds to stressful stimuli, you may have a physical, emotional, or mental response. 

It is normal for every person to deal with stress at a point in their life. It may have come about due to the loss of a loved one, dismissal from your job, or any other occurrence that made your body trigger a stress response. 

Then again, stress shouldn’t always be considered a negative thing. You could have experienced stress because you landed a new job, had your first child, or due to any other positive occurrence. Such stressors open up your mind, making you more conscious about your surroundings. 

Despite that, stress significantly affects our bodies. Whenever we’re subjected to positive or negative stressors, stress can shift the normal levels of our bodily hormones. 

Risk Factors for Stress 

We’ve already mentioned that stress is a normal part of life. As such, everyone is bound to experience it at one point in life. 

Keeping that in mind, researchers and scientists have been studying the main stressors in the patients’ lives. Below, we’ve listed the most prevalent stressors that may trigger the development of stress-related conditions: 

  • Loss of a partner 
  • Divorce 
  • Separation in marriage 
  • Incarceration 
  • Loss of a close relative 
  • Injury or sickness 
  • Marriage 
  • Dismissal from your job 
  • Marriage reunion 
  • Retirement 

If any of these has recently occurred or you’re currently going through any of these scenarios, you have to be mindful of the stress levels that are piling up. If you’re experiencing an abnormal level of stress, this could adversely affect your health. 

Ensure that you keep a keen eye on the common indicators of high stress levels. We’ll get to the details of that later on. 

Causes of Stress 

There are differences in how everyone experiences stress. When subjected to a stressor, some people may develop long-term illnesses. Some people may not experience any change even when subjected to several stressors. 

Typically, the stress you’re feeling is usually due to a significant occurrence in your life. However, what causes stress is how your body responds to such an occurrence. 

Our bodies convey a signal when subjected to stress. The signal travels throughout the body, alerting every cell of the occurrence that you’re experiencing or already went through. 

As a result, all the body systems react to the signal: your circulatory system, hormonal system, nervous system, respiratory system, and others. The response your body gives can be likened to what is experienced with the ‘flight-or-fight response.’ 

Whenever you experience stress, there’s a chain of chemical reactions that occurs. Again, how you respond to the various changes in your life is nothing out of the ordinary. 

Your body’s reaction is an adjustment to the stressor(s), and what you’re experiencing is the outcome of the changes. 

It’s possible to experience more severe symptoms and even develop sicknesses if your body doesn’t move on from this state. 

What are the signs and symptoms of Stress? 

We’ve already mentioned that stress affects all of the body’s systems. As such, numerous signs may show up whenever you’re stressed: 

  • Mood swings 
  • Feeling of being overburdened 
  • Struggling to relax 
  • Feeling lonely and/or low 
  • Keeping off family and friends 
  • Fatigue 
  • Nausea 
  • Headaches 
  • Chest pain 
  • Sleeping disorders 
  • Constant anxiety 
  • Recurrent sickness 
  • Low libido 
  • Dry mouth 
  • Constricted jaw 
  • Constant uneasiness 
  • Lapse of memory 
  • Inability to concentrate 
  • Negativity 
  • Appetite loss or gain 
  • Misjudgment 
  • Procrastination 
  • Excessive use of alcohol or drugs 

Every system in the body contributes to the symptoms of stress. This list is just the tip of the iceberg when it comes to how people feel due to stress. It is not uncommon for stress to culminate in strokes and heart attacks in some people. 

To avoid compromising your immune system or triggering other health problems, you need to suppress your stress levels. 

Diagnosing Stress 

You should see a medical professional if you’re experiencing a heightened level of stress. With their help, you can avoid being overwhelmed by stress. 

A common way to diagnose excessive stress is by evaluating your present social life. They’ll want to know if there have been recent changes or tough spells in your life. 

Another way is by running lab tests to identify any strong stress response by your body. 

Lab Tests to Observe the Effect of Stress on an Individual’s Health 

Cortisol is the most common test ordered when checking for chronic stress. Cortisol is also called the stress hormone. Your body releases cortisol when subjected to more stressors than it can handle.   

A health professional may also want to measure your testosterone and DHEA sulfate levels. Both males and females produce these sex hormones, and their levels can significantly go up when the body experiences too much stress. Such an increase can, in turn, result in other problems in the body. 

Get a Stress Lab Test with Ulta Labs Today! 

If you want to know your body’s stress level, consider a stress test from Ulta Lab Tests. We look for various biomarkers that are common indicators of stress and its effects on your health. Here’s why you should try Ulta Lab Test: 

  • Precise and dependable results that are out in 1 or 2 days for most tests 
  • Secure and confidential results 
  • No need for a doctor’s referral or insurance 
  • Affordable prices for all tests 
  • 100% guaranteed satisfaction 

Keep in mind that if the body experiences stress for too long, your well-being will likely suffer. Your body could be immunodeficient, and you could suffer acute and long-term diseases. 

Ulta Lab Tests helps you take the wheel when it comes to your health. Let us provide you with the answers you need so you can keep off stress.