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A1c Hemoglobin

Also known as: glycated hemoglobin; glycosylated hemoglobin; HbA1c; Hgb A1c. Used to screen for diabetes and to monitor glycemic status for patients with diabetes.

$25

Test description: Therapy for diabetes requires the long-term maintenance of a blood glucose level as close as possible to a normal level. A single fasting blood glucose measurement is an indication of the patient’s immediate past condition, but may not represent the true status of blood glucose regulation.

An accurate index of the mean blood glucose concentration may be established by the measurement of hemoglobin A1c (HbA1c) every two to three months. The level of HbA1c is proportional to both the average glucose concentration and the lifespan of the hemoglobin in the circulation. The measurement of HbA1c has therefore been accepted for the clinical management of diabetes.

This test is recommended for diabetics every three months.

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Anemia Panel

Used to determine if a patient is anemic, whether there is too much or too little iron in the body, and how the body stores iron.  

$50

Test description: Panel includes hemoglobin, ferritin, iron and TIBC. Hemoglobin is the iron-containing protein found in all red blood cells. Ferritin is a protein in the body that binds to iron. It’s found in the liver, spleen, and skeletal muscles. Serum iron, which is a mineral, is found in the blood. The iron helps make hemoglobin which is a protein in the red blood cells, which helps carry oxygen in the body. Total iron-binding capacity (TIBC) is most frequently used along with an iron test to evaluate for iron deficiency or iron overload.

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B12 and Folate

This test measures B12 and folatetwo vitamins that cannot be produced in the body and must be supplied by the diet. They are required for normal red blood cell (RBC) formation, repair of tissues and cells, and the synthesis of DNA. B12 is essential for proper nerve function.

$90

Test description: In addition to health reasons, B12 and folate tests may be used to help evaluate an individual with an altered mental state or other behavioral changes, especially in the elderly. A B12 test may be ordered with folate, by itself, or with other screening laboratory tests such as a complete blood count (CBC), comprehensive metabolic panel (CMP), antinuclear antibody (ANA), C-reactive protein (CRP), and rheumatoid factor (RF) to help determine why a person shows signs and symptoms of a condition affecting nerves (neuropathy).

This test is recommended for: Pregnancy ante-natal work-up, diagnosing and monitoring treatment of anemia, suspected folate/B12 deficiency, strict vegetarians.

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Blood Type (ABO/Rh)

This test will tell you if your blood type is A, B, AB, or O, and whether you are Rh negative or positive depending on what antigens are present on your red blood cells.

$30

Test Description: This test will determine your blood type based on antigens found in your red blood cells. Antigens are proteins on the surface of your blood cells that can cause a response from the immune system, which is good in fighting disease. The results will tell the health professional what blood or blood components will be safe for you to receive. They can also tell a pregnant woman whether she is Rh positive or Rh negative, and whether she may be a candidate for receiving Rh immune globulin to prevent her from potentially developing antibodies against her fetus blood cells. Therefore, this test is recommended for people anticipating a blood transfusion, expectant mothers, and people who are simply curious about their blood type.

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CBC (Complete Blood Count)

Used to evaluate anemia, leukemia, reaction to inflammation and infections, peripheral blood cellular characteristics, state of hydration and dehydration, polycythemia, inherited disorders of red cells, white cells, platelets, and to manage chemotherapy decisions. 

$20

Test Description: A CBC gives an overall view of the general health of a person and can detect disorders in the blood such as anemia, leukemia, and infection. It includes white blood cells (WBC), red blood cells (RBC), hemoglobin (HGB), hematocrit (HCT), mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), mean corpuscular hemoglobin concentration (MCHC), RBC distribution width (RDW), and platelets (PLT). 

It is frequently ordered when certain medications have been prescribed that could potentially impact normal values. If an individual is having symptoms such as fatigue or weakness or has an infection, inflammation, bruising, or bleeding, then a CBC can be helpful.

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Chemistry Screen

Used as a broad screening tool to evaluate organ function and check for conditions such as diabetes, liver disease and kidney disease. Aids in the evaluation of potential risk factors for atherosclerotic heart disease.

$45

Also known as: Metabolic Panel, Comprehensive; CMP; Met Comp. + Lipid Panel

Test use: The CMP is routinely ordered as part of a blood work-up for a medical exam or yearly physical. While the individual tests are sensitive, they do not usually tell a health practitioner specifically what is wrong. Abnormal test results or groups of test results are usually followed up with other specific tests to confirm or rule out a suspected diagnosis. The Lipid Panel aids in the evaluation of potential risk factors for atherosclerotic heart disease (ASHD), is used to evaluate hyperlipidemia as an index to coronary artery disease (CAD), to indicate the presence of dyslipoproteinemia, and to monitor lipoprotein-modifying drugs.

Test description: Chemistry Tests includes: Albumin; Alkaline Phosphatase, Total; ALT (SGPT); AST (SGOT); Bilirubin, Total; Calcium; Carbon Dioxide; Chloride; Creatinine; Glucose; Potassium; Protein, Total; Sodium; Urea Nitrogen, Estimated Glomerular Filtration Rate (eGFR) (calculated); and Globulin (calculated). The Lipid Panel Includes: Cholesterol, Total; Triglycerides; HDL Cholesterol; LDL Cholesterol (calculated).

This test recommended for: The General Chemistry panel is used to evaluate a person’s chemical status. Panel includes a glucose and tests that check for kidney, electrolyte and liver function.

The Lipid Panel aids in the evaluation of potential risk factors for atherosclerotic heart disease (ASHD), is used to evaluate hyperlipidemia as an index to coronary artery disease (CAD), to indicate the presence of dyslipoproteinemia, and to monitor lipoprotein-modifying drugs.

Risk factors to be considered when ordering a Lipid panel include:

  • High Total Cholesterol
  • Cigarette smoking
  • Being overweight or obese
  • Unhealthy diet
  • Being physically inactive—not getting enough exercise
  • Age (if you are a male 45 years or older or a female 50-55 years or older)
  • Hypertension (blood pressure of 140/90 or higher or taking high blood pressure medications)
  • Family history of premature heart disease (heart disease in a first degree male relative under age 55 or a first degree female relative under age 65)
  • Pre-existing heart disease or already having had a heart attack
  • Diabetes or prediabetes

Decreased lipids are found with some cases of malabsorption, malnutrition and advanced liver disease. In abetalipoproteinemia, cholesterol is less than 70 mg/dL.

Patient preparation: Patient should fast for 12 hours prior to testing.

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Chlamydia & Gonorrhea

This test is used for the detection of Chlamydia trachomatis and Neisseria gonorrhoeaeLaboratory findings demonstrating evidence of communicable disease must be reported to the Bureau of Disease Intervention of the Indiana State Department of Health. Reports may also be given to the local health officer.

$110

Test Description: Testing for Chlamydia trachomatis and Neisseria gonorrhoeae is typically done at the same time because the symptoms are similar. The nucleic acid amplification that is used with the urine test, amplifies the DNA present in the urine to determine whether the sexually transmitted disease is present.

The patient should not have urinated for at least one hour prior to having the test completed.

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Comprehensive Metabolic Panel (CMP)

Used as a broad screening tool to evaluate organ function and check for conditions such as diabetes, liver disease, and kidney disease.

$30

Test Description: The CMP is routinely ordered as part of a blood work-up for a medical exam or yearly physical. While the individual tests are sensitive, they do not usually tell a health practitioner specifically what is wrong. Abnormal test results or groups of test results are usually followed up with other specific tests to confirm or rule out a suspected diagnosis.

The test includes: albumin; alkaline phosphatase, total; ALT (SGPT); AST (SGOT); bilirubin, total; calcium; carbon dioxide; chloride; creatinine; glucose; potassium; protein, total; sodium; urea nitrogen, estimated glomerular filtration rate (eGFR) (calculated); and globulin (calculated). Panel includes electrolytes-sodium, potassium, chloride, and CO2.

Patient should fast for 12 hours prior to testing.

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Drug Screen

This test is used to detect possible drug use.

$40

Test Description: This test searches for traces of amphetamines, barbiturates, benzodiazepines, cocaine metabolite, opiates, phencyclidine, propoxyphene, and THC metabolite. Recommended for monitoring whether drugs are present in the system.

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Hepatitis B Surface Antibody

Used as an aid in the determination of susceptibility to hepatitis B virus (HBV) infection for individuals prior to or following hepatitis B vaccination, or where vaccination status is unknown.

$50

Test Description: This test is used in conjunction with other serological and clinical information for the diagnosis of individuals with acute or chronic hepatitis B.

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Hepatitis C Antibody

This test is used to detect whether or not the hepatitis C virus (HCV) is present in the patient. Laboratory findings demonstrating evidence of communicable disease must be reported to the Bureau of Disease Intervention of the Indiana State Department of Health. Reports may also be given to the local health officer.

$100

Test description: Hepatitis C is a small, single-stranded RNA virus. Infections are typically asymptomatic. For patients who develop acute hepatitis, the symptoms are generally milder than in acute infection with HAV or HBV. Hepatitis C virus (HCV) antibodies are generally non-protective, but serve as markers of chronic infection.

The hepatitis C antibody screen is recommended for people who were born between 1945 and 1965. Recommendations also include testing for people in the following risk groups:

  • Patients who may have been around contaminated equipment when receiving a tattoo or body piercing
  • Children who have mothers who have HCV, because they could have contracted it during childbirth
  • Healthcare providers who may have come in contact with blood from a patient who has HCV
  • Anyone who has had unprotected sexual activity
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HIV Antibody and Confirmation

This test is used to confirm the presence of human immunodeficiency virus (HIV), which causes AIDS. Laboratory findings demonstrating evidence of communicable disease must be reported to the Bureau of Disease Intervention of the Indiana State Department of Health. Reports may also be given to the local health officer.

$50

Test Description: The HIV assay is intended to be used as an aid in the diagnosis of HIV-1/HIV-2 infection. Positive antibody tests will be confirmed by second method at no additional cost. Early detection and treatment of HIV infection can decrease the risk of progression to AIDS and greatly improve long-term health and survival.

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Lipid Panel

Aids in the evaluation of potential risk factors for atherosclerotic heart disease. Includes cholesterol, HDL cholesterol, triglycerides, LDL cholesterol (calculated).

$20

Test description: Risk factors to be considered when ordering a lipid panel include:

  • High total cholesterol
  • Cigarette smoking
  • Being overweight or obese
  • Unhealthy diet
  • Being physically inactive—not getting enough exercise
  • Age (if you are a male 45 years or older or a female 50-55 years or older)
  • Hypertension (blood pressure of 140/90 or higher or taking high blood pressure medications)
  • Family history of premature heart disease (heart disease in a first degree male relative under age 55 or a first degree female relative under age 65)
  • Pre-existing heart disease or already having had a heart attack
  • Diabetes or prediabetes

Decreased lipids are found with some cases of malabsorption, malnutrition, and advanced liver disease. In abetalipoproteinemia, cholesterol is less than 70 mg/dL.

Patients should fast for 12 hours before testing.

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Measles

The measles antibody test determines the patient’s measles immune status. Also known as: measles (rubeola) immunity.

$45

Test Description: Designed to establish if someone has immunity to measles, either from a previous vaccination or infection. It is not intended to be diagnostic for infectious disease and should only be utilized to establish serological status of the patient to measles. Positive results may be found in patients that have not been immunized. In these cases, the patient has a positive serological status to the infectious agent through natural exposure. False positive results may occur. Repeat testing or testing with a different device may be indicated in some settings, e.g., patients with low likelihood of prior infection or vaccination.

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Measles, Mumps, and Rubella

The MMR (measles, mumps, and rubella) antibodies test is used to determine your measles, mumps, and rubella immune status. 

$90

Test Description: Designed to establish serological status of the patient to measles, mumps, and rubella. Positive results may be found in patients that have not been immunized. In these cases, the patient has a positive serological status to the infectious agent through natural exposure. False positive results may occur. Repeat testing or testing with a different device may be indicated in some settings, e.g., patients with low likelihood of prior infection or vaccination.

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Men's Health Panel

Includes a complete metabolic panel, lipid profile, PSA, A1c, and CBC. Checks for overall blood health, liver function, kidney function, electrolytes, and lipids. Also screens for diabetes and prostate cancer.

$125

Test description: This panel is recommended for men of any age who are interested in their general health and well-being.

A comprehensive metabolic panel is completed to assess glucose levels, electrolyte levels, kidney function, and liver function.

A lipid panel is completed to determine the risk of developing heart disease due to cholesterol build up in the arteries. Patients who are at risk may include those who are overweight, physically inactive, diabetics, and those who eat diets high in fat.

The CBC gives an overall view of the general health of a person and can detect disorders in the blood such as anemia, leukemia, and infection.

The A1c hemoglobin is used to screen and monitor diabetes.

The prostate releases an antigen into the blood through the prostate gland in male patients. The prostate specific antigen (PSA) screen can be completed to check for prostate cancer.

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MMRV

The MMRV (measles, mumps, rubella, and varicella-zoster) antibodies test is used for the determination of measles, mumps, rubella, and varicella-zoster immune status.

$120

Test Description: This test can establish if someone has immunity to measles, mumps, rubella, and/or varicella-zoster, either from a previous vaccination or infection. It is not intended to be diagnostic for infectious disease and should only be utilized to establish serological status of the patient to measles, mumps, rubella, and varicella-zoster.

Positive results may be found in patients that have not been immunized. In these cases, the patient has a positive serological status to the infectious agent through natural exposure. False positive results may occur. Repeat testing or testing with a different device may be indicated in some settings, e.g., patients with low likelihood of prior infection or vaccination.

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Mumps

The mumps antibody test can be used to establish if someone has immunity to mumps, either from a previous vaccination or infection.

$45

Test Description: This test is not intended to be diagnostic for infectious disease and should only be utilized to establish serological status of the patient to mumps. 

Positive results may be found in patients that have not been immunized. In these cases, the patient has a positive serological status to the infectious agent through natural exposure. False positive results may occur. Repeat testing with a different device may be indicated in some settings, e.g., patients with low likelihood of prior infection or vaccination.

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Nutritional Health Screen

Designed to evaluate your current nutrition status or to help determine the cause of certain anemias.

$140

Test description: This test evaluates your current nutrition status, including:

    • B12
    • Folate
    • Complete Blood Count (CBC)
    • Lipid Panel
    • A1c

Both vitamin B12 and folic acid help the body make red blood cells. Hemoglobin is a component of the CBC used to check for anemia. A lipid panel is completed to determine the risk of developing heart disease due to cholesterol build up in the arteries. The A1c hemoglobin is used to screen and monitor diabetes.

Patients should fast for 12 hours prior to the test.

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PSA Test (Prostate)

A PSA (prostate specific antigen, total, sensitive, screening) test should be used in conjunction with digital rectal examination (DRE) as an aid in the detection of prostate cancer in men aged 50 years and older. Prostate biopsy is required for diagnosis of prostate cancer.

$35

This test is recommended for suspected prostate cancer, people with a family/history of prostate cancer, and monitoring therapy for prostate cancer.

Prostate-specific antigen (PSA) is a glycoprotein (molecular weight 30000-34000 Daltons) having a close structural relationship to the glandular kallikreins. It has the function of a serine proteinase. The proteolytic activity of PSA in blood is inhibited by the irreversible formation of complexes with protease inhibitors such as alpha-1-antichymotrypsin, alpha-2-macroglobulin, and other acute phase proteins. Besides these complexes, about 30% of the PSA present in blood occurs in the free form, but is proteolytically inactive. Elevated concentrations of PSA in serum are generally indicative of a pathologic condition of the prostate (prostatitis, benign hyperplasia or carcinoma). As PSA is also present in para-urethral and anal glands, as well as in breast tissue or with breast cancer, low levels of PSA can also be detected in sera from women. PSA may still be detectable even after radical prostatectomy.

The main areas in which PSA determinations are employed are the monitoring of progress and efficiency of therapy in patients with prostate carcinoma or receiving hormonal therapy. The steepness of the rate of fall in PSA down to no-longer detectable levels following radiotherapy, hormonal therapy, or radical surgical removal of the prostate provides information on the success of therapy.

An inflammation or trauma of the prostate (e.g. in cases of urinary retention or following rectal examination, cystoscopy, colonoscopy, transurethral biopsy, laser treatment or ergometry) can lead to PSA elevations of varying duration and magnitude.

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Rubella Antibodies

This test can be used to establish if someone has immunity to rubella, either from a previous vaccination or infection.

$45

Test Description: This test is not intended to be diagnostic for infectious disease and should only be utilized to establish serological status of the patient to rubella.

Positive results may be found in patients that have not been immunized. In these cases, the patient has a positive serological status to the infectious agent through natural exposure. False positive results may occur. Repeat testing with a different device may be indicated in some settings, e.g., patients with low likelihood of prior infection or vaccination.

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Syphilis Screening Cascade

The purpose of this test is to aid in the diagnosis of syphilis. Laboratory findings demonstrating evidence of communicable disease must be reported to the Bureau of Disease Intervention of the Indiana State Department of Health. Reports may also be given to the local health officer.

$50

Test Description: Syphilis is a disease, usually sexually transmitted, caused by infection with the spirochete bacterium Treponema pallidum. Congenital transmission of Treponema pallidum by transplacental passage from an infected mother, and contagion through blood transfusions have been also reported in the literature. Infection is systemic from the outset and the disease is characterized by periods of latency, often in excess of 20 years. The natural course of Syphilis is divided into three phases. After an incubation period lasting about three weeks, a non-painful skin lesion (chancre) appears, often associated with regional lymphadenopathy (primary phage). The disease progresses into a secondary, disseminated phase, accompanied by general mucocutaneous lesions and lymphadenopathy. If a Treponema pallidum infections progresses into the late phase of the disease, the secondary phase is followed by a period of subclinical infection (latent syphilis) that can be detected only by serological tests, and by a late or tertiary phase, observed only in a small number of patients, characterized by progressive disease.  

This test is recommended for patients with blisters and ulcers over genitalia, multiple sexual partners, or abnormal genital discharge.

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Thyroid Screening

This screening consists of two parts: TSH and free T4. TSH is used to screen for thyroid problems, while free T4 is used to determine how the thyroid is functioning. Also known as high sensitivity-thyroid stimulating hormone (HS-TSH); sensitive TSH; S-TSH; thyrotropin; TSH, 3rd generation.

$100

Test Description: Thyroid stimulating hormone (TSH) can determine if there are problems with the thyroid gland, which produces two hormones (T3 and T4) that are instrumental in controlling metabolism. 

Free T4 is the most important form of T4 to measure when determining how the thyroid is functioning. It is used if you have signs of a thyroid disorder.

Some thyroid disorders include:

  • hyperthyroidism (overactive thyroid)
  • hypothyroidism (underactive thyroid)
  • hypopituitarism (underactive pituitary gland)

One of these thyroid conditions may be present if you have symptoms such as:

  • Eye issues, such as dryness, irritation, puffiness, and bulging
  • Skin dryness or puffiness
  • Hair loss
  • Hand tremors
  • Increased heart rate
  • Weight changes
  • Difficulty sleeping or insomnia
  • Anxiety
  • Fatigue and weakness
  • Intolerance to cold
  • Sensitivity to light
  • Menstrual irregularity

This test is also used to monitor people who are being treated for thyroid problems.

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Thyroid Stimulating Hormone (TSH)

TSH serves as the initial test in diagnosing hypo- and hyperthyroidism, and aids in monitoring and treating the conditions. Also known as high sensitivity-thyroid stimulating hormone (HS-TSH); sensitive TSH; S-TSH; thyrotropin; TSH, 3rd generation.

$35

Test Description: The determination of TSH serves as the initial test in thyroid diagnostics. Even very slight changes in the concentrations of the free thyroid hormones bring about much greater opposite changes in the TSH level. Accordingly, TSH is a very sensitive and specific parameter for assessing thyroid function and is particularly suitable for early detection or exclusion of disorders in the central regulating circuit between the hypothalamus, pituitary, and thyroid.

Some thyroid disorders include:

  • hyperthyroidism (overactive thyroid)
  • hypothyroidism (underactive thyroid)
  • hypopituitarism (underactive pituitary gland)

One of these thyroid conditions may be present if you have symptoms such as:

  • Eye issues, such as dryness, irritation, puffiness, and bulging
  • Skin dryness or puffiness
  • Hair loss
  • Hand tremors
  • Increased heart rate
  • Weight changes
  • Difficulty sleeping or insomnia
  • Anxiety
  • Fatigue and weakness
  • Intolerance to cold
  • Sensitivity to light
  • Menstrual irregularity
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Urinalysis

This panel is useful in the evaluation of conditions such as urinary tract infection, dehydration, and kidney stones.

$35

Test description: This test includes a macroscopic exam of: color, turbidity, specific gravity, pH, protein screen, glucose screen, ketones, bilirubin, blood, nitrite, and leukocyte esterase. It also includes a microscopic exam of: white blood cells (WBC), red blood cells (RBC), casts, crystals, epithelial cells, bacteria, and yeast.

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Urine Qualitative Pregnancy Test

This test is used to confirm or rule out pregnancy.

$25

Test description: Human chorionic gonadotropin (hCG) is a two-chain glycoprotein hormone (MW approx. 37,000) normally found in blood and urine only during pregnancy. It is secreted by placental tissue, beginning with the primitive trophoblast, almost from the time of implantation, and serves to support the corpus luteum during the early weeks of pregnancy.

According to literature, circulating hCG typically reaches levels of approximately 2,000 mIU/mL one month after conception. A peak level on the order of 100,000 mIU/mL is attained in the third month, after which a gradual decline sets in. Following delivery, the hCG level normally undergoes rapid descent, reaching non-pregnant concentrations some two weeks later. Ectopic pregnancies and pregnancies terminating in spontaneous abortion tend to have lower than normal circulation hCG levels, while somewhat higher levels are often seen in multiple pregnancies.

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Varicella Zoster (Chickenpox)

This test determines varicella-zoster (chickenpox) immune status.

$45

Test Description: This test is not intended to be diagnostic for infectious disease and should only be utilized to establish serological status of the patient to varicella-zoster.

Positive results may be found in patients that have not been immunized. In these cases, the patient has a positive serological status to the infectious agent through natural exposure. False positive results may occur. Repeat testing or testing with a different device may be indicated in some settings, e.g., patients with low likelihood of prior infection or vaccination.

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Vitamin D

This test is used to asses a patient’s vitamin D status, and rule out vitamin D deficiency as a cause of bone disease.

$75

Test description: When calcium is low and/or a person has symptoms of vitamin D deficiency, such as bone malformation in children (rickets) and bone weakness, softness, or fracture in adults (osteomalacia), 25-hydroxyvitamin D usually is ordered to identify a possible deficiency in vitamin D.

The test may be requested when an individual is known to be at risk of vitamin D deficiency or to monitor levels of those taking supplements. Older adults, people who are institutionalized or homebound and/or have limited sun exposure, those who are obese, who have undergone gastric bypass surgery, and/or who have fat malabsorption are at an increased risk of a vitamin D deficiency. Also included in this group are people with darker skin and breastfed infants.

The determination of 25-OH vitamin D in serum or plasma is used in the assessment of vitamin D sufficiency. Since 25-OH vitamin D is the predominant circulating form of vitamin D in the normal population, it is considered to be the most reliable index of vitamin D status. The measurement of 25-OH vitamin D is becoming increasingly important in the management of patients with various disorders of calcium metabolism associated with rickets, neonatal hypocalcemia, pregnancy, nutritional and renal osteodystrophy, hypoparathyroidism, and postmenopausal osteoporosis.

This test can reveal problems related to bone metabolism or parathyroid function, possible Vitamin D deficiency, or malabsorption. 

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Women's Health Screen

A custom testing option for women who want to track their wellness. Used to check a patient’s overall blood health, liver function, kidney function, electrolytes, thyroid function, and to screen for diabetes.

$125

Test description: The panel contains the following tests: comprehensive metabolic panel, lipid panel, TSH, A1c, and CBC. 

A comprehensive metabolic panel is completed to assess glucose levels, electrolyte levels, kidney function, and liver function. A lipid panel is completed to determine the risk of developing heart disease due to cholesterol buildup in the arteries. Patients who are at risk may include those who are overweight, physically inactive, diabetics, and those who eat diets high in fat. The TSH evaluates thyroid function and/or symptoms of hyperthyroidism or hypothyroidism. The A1c Hemoglobin is used to screen and monitor diabetes. A CBC gives an overall view of the general health of a person and can detect disorders in the blood such as anemia, leukemia, and infection.

Patients should fast for 12 hours prior to the test.

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