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Acromegaly Screen (Basic)	$113	Info
Description: Acromegaly is a hormonal disorder. It develops when your pituitary gland, located deep in the brain, produces too much growth hormone (GH). Growth hormone affects growth of all tissues of the body, especially bone. This screen is used to aid in the diagnosis of acromegaly. Significant deviations from the normal range may require further evaluation by your physician. Includes: Glucose, Serum Insulin-Like Growth Factor I (IGF-I, LC/MS) Thyroid-Stimulating Hormone (TSH) Thyroxine Free, Direct Dialysis (FT4) Patient Instructions: Fasting required. Fasting is defined as no consumption of food or beverage other than water for at least 8 hours before testing. Samples should not be collected during or soon after the administration of Heparin. Estimated turnaround for results is 7 business days. If confirmation testing is required, the estimated time may be extended. Categories: Hormones & metabolism, Musculoskeletal diseases, Price: $113
Creatinine, Serum *Build Your Own Panel Eligible [?]	$53	Info
Description: A renal function test used in eGFR calculation. Serum creatinine is useful in the evaluation of kidney function and in monitoring renal dialysis. A serum creatinine result within the reference range does not rule out renal function impairment: serum creatinine is not sensitive to early renal damage since it varies with age, gender and ethnic background. The impact of these variables can be reduced by an estimation of the glomerular filtration rate using an equation that includes serum creatinine, age and gender. High creatinine: Renal diseases and insufficiency with decreased glomerular filtration; urinary tract obstruction; reduced renal blood flow including congestive heart failure, shock and dehydration; rhabdomyolysis can cause elevated serum creatinine. Low creatinine: Small stature, debilitation, decreased muscle mass, some complex cases of severe hepatic disease can cause low serum creatinine levels. In advanced liver disease, low creatinine may result from decreased hepatic production of creatinine and inadequate dietary protein as well as reduced muscle mass. Antibiotics containing cephalosporin lead to significant false-positive values if samples are drawn within four hours of a dose. A significant deviation from the normal range may require further evaluation by your physician. Includes: Creatinine, Serum ** Creatinine, serum is included in the Comprehensive Metabolic Profile (CMP), Chem Panel and Kidney Function Profile.* Patient Instructions: Antibiotics containing cephalosporin lead to significant false-positive values if samples are drawn within four hours of a dose. Categories: Musculoskeletal diseases, Kidney diseases, Price: $53
ANA Screen IFA w/ Ref to Titer and Pattern *Build Your Own Panel Eligible [?]	$68	Info
Description: 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. Alternative Names(s): ANA A significant deviation from the normal range may require further evaluation by your physician. Includes: ANA Screen IFA w/ Ref to Titer and Pattern If ANA Screen, IFA is positive, ANA Titer and Pattern will be performed. Estimated turnaround for results is 4 business days. Categories: Autoimmune diseases, Musculoskeletal diseases, Price: $68
Uric Acid, Serum (Gout Test) *Build Your Own Panel Eligible [?]	$39	Info
Description: Uric acid measurements are useful in the diagnosis and treatment of gout, renal failure, and a variety of other disorders including leukemia, psoriasis, starvation, and other wasting conditions. Patients receiving cytotoxic drugs may be monitored with uric acid measurements. Only a minority of individuals with hyperuricemia develop gout. An increased uric acid level does not necessarily translate to a diagnosis of gout. The therapeutic goal for uric acid-lowering therapy is to promote crystal dissolution and prevent crystal formation. This is achieved by maintaining a uric acid level of less than 6 mg/dL. A significant deviation from the normal range may require further evaluation by your physician. Includes: Uric Acid, Serum Patient Instructions: Discuss discontinuing drugs causing increased uric acid concentration include diurectics, pyrazinamide, ethambutol, and nicotinic acid with your primary care physician before testing. Categories: Musculoskeletal diseases, Price: $39
Calcium, Serum *Build Your Own Panel Eligible [?]	$49	Info
Description: 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. A significant deviation from the normal range may require further evaluation by your physician. Includes: Serum calcium ** Calcium, serum is included in the Comprehensive Metabolic Profile (CMP), also included in Kidney Function Profile and in Chem Panel.* Categories: Musculoskeletal diseases, Kidney diseases, Fitness, nutrition, anti-aging, Price: $49
Anti-dsDNA (Double-Stranded) Antibiodies, EIA *Build Your Own Panel Eligible [?]	$57	Info
Description: dsDNA Antibody is detected in patients with active systemic lupus erythematosus (SLE) and approximately 20% of patients with Mixed Connective Tissue Disease. Significant deviations from the normal range may require further evaluation by your physician. Includes: DNA (ds) Antibody Alternative Name(s): Native DNA, dsDNA, Double-Stranded DNA Antibody, Anti-DNA, (dsDNA) Categories: Autoimmune diseases, Musculoskeletal diseases, Price: $57
Calcium, Ionized, Serum *Build Your Own Panel Eligible [?]	$66	Info
Description: The ionized calcium is determined by an ion selective electrode methodology. The result that is generated is pH adjusted. The result is empirically based on a measured pH and ionized calcium concentration normalized to a pH of 7.40. This calculation compensates for in vitro changes in pH due to loss of CO2 through specimen handling. Ionized calcium represents the true "bioavailable" calcium in the circulation. In situations where the total calcium is normal but does not fit the clinical picture, e.g., hyperparathyroidism, a determination of the ionized calcium will, many times, show an elevation in the "bioavailable" calcium component. This may be due to alterations in protein concentrations, especially albumin, that binds most of the calcium in the circulation. Significant deviations from the normal range may require further evaluation by your physician. Includes: Calcium, Ionized Alternate Name(s): Ca++, Ionized, Serum; Calcium Filterable, Serum; Calcium Free, Serum; Calcium Unbound, Serum; Ionized Calcium, Serum Categories: General wellness, Hormones & metabolism, Musculoskeletal diseases, Kidney diseases, Price: $66
C-Telopeptide, Serum *Build Your Own Panel Eligible [?]	$177	Info
Description: CTx is useful to assess bone resorption in patients with metabolic bone disease. The test is also useful in monitoring therapy to slow or halt osteoporotic bone loss. Significant deviations from the normal range may require further evaluation by your physician. Includes: C-Telopeptide, Serum Alternative Name(s): C-Telopeptide CTX Beta-Crosslaps Patient Instructions: A minimum of 12 hours fasting is required. Fasting morning collection 8-10 am (diurnal variations cause elevated levels at night). Fasting is defined as no consumption of food or beverage other than water for at least 12 hours before testing. Some tests in this panel may exhibit interference when sample is collected from a person who is consuming a supplement with a high dose of biotin (also termed as vitamin B7 or B8, vitamin H or coenzyme R). Patient should be cautioned to stop biotin consumption at least 72 hours prior to the collection of a sample. Categories: Musculoskeletal diseases, Hormones & metabolism, Price: $177
Rheumatoid Factor (RA) *Build Your Own Panel Eligible [?]	$51	Info
Description: Elevated RF is found in collagen vascular diseases such as SLE, rheumatoid arthritis, scleroderma, Sjögren's Syndrome, and in other conditions such as leprosy, tuberculosis, syphilis, malignancy, thyroid disease and in a significant percentage of otherwise normal elderly patients. Significant deviations from the normal range may require further evaluation by your physician. Includes: Rheumatoid Factor (RA) Categories: General wellness, Autoimmune diseases, Musculoskeletal diseases, Price: $51
Sedimentation Rate, Modified Westergren *Build Your Own Panel Eligible [?]	$53	Info
Description: This test is used to evaluate the nonspecific activity of infections, inflammatory conditions, autoimmune disorders, and plasma cell dyscrasias. Useful in differentiating inflammatory and neoplastic diseases and as an index of disease severity. Patients with polycythemia and many hemoglobin abnormalities may have depressed sed rates whereas patients with anemia may have elevated sed rates. A significant deviation from the normal range may require further evaluation by your physician. Alternative Names(s): Erythrocyte Sedimentation Rate; ESR; Westergren Sedimentation Rate: Sed Rate by Modified Westergren Includes: Sedimentation Rate, Modified Westergren Categories: Musculoskeletal diseases, Autoimmune diseases, General wellness, Price: $53
Phosphate (as Phosphorus) *Build Your Own Panel Eligible [?]	$53	Info
Description: Serum phosphorus (Phosphate) levels alone are of limited diagnostic value and should be correlated with serum calcium levels. An increased phosphorus with decreased calcium suggests either hypoparathyroidism or renal disease. A decreased phosphorus and an increased calcium suggests hyperparathyroidism or sarcoidosis. When both calcium and phosphorus are decreased diagnostic considerations include malabsorption, vitamin D deficiency and renal tubular acidosis. Increased phosphorus and normal or increased calcium suggests Milk-alkali syndrome or hypervitaminosis D. Alternative Name(s): Phosphorus A significant deviation from the normal range may require further evaluation by your physician. Includes: Serum phosphorus. **Phosphate (as Phosphorus) is included in the Kidney Function Profile. Categories: Musculoskeletal diseases, General wellness, Kidney diseases, Gastrointestinal diseases, Price**: $53
Potassium, Serum *Build Your Own Panel Eligible [?]	$53	Info
Description: Potassium measurements are useful in monitoring electrolyte balance in the diagnosis and treatment of disease conditions characterized by low or high blood potassium levels. Potassium is elevated in adrenal cortical insufficiency, acute renal failure and in some cases of diabetic acidosis. Potassium is decreased in diuretic administration and renal tubular acidosis. A significant deviation from the normal range may require further evaluation by your physician. Includes: Serum potassium. ** Potassium, serum is included in the Comprehensive Metabolic Profile (CMP), Chem Panel, Electrolyte Panel, Kidney Function Profile.* Categories: General wellness, Hormones & metabolism, Musculoskeletal diseases, Price: $53

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