Quick Facts
- Sample: Blood and urine
- Fasting: Fasting for at least 12 hours is required. Stop biotin consumption at least 72 hours prior to collection.
- Turnaround: 1 - 2 days (may take longer based on weather, holiday, or lab delays)
What's Included in This Panel
Comprehensive Metabolic Panel (CMP-14) with eGFR
- Glucose: Measures blood sugar level, used to screen for and manage diabetes.
Kidney Profile
- BUN (Urea Nitrogen): An indicator of kidney function.
- Creatinine, Serum: An indicator of kidney function.
- BUN/Creatinine Ratio: Calculated ratio that can suggest dehydration or intestinal bleeding.
- eGFR: Estimates kidney function to help detect early kidney damage.
Liver Panel
- Protein, Total: Assists in assessing liver, kidney, and nutritional status.
- Albumin, Serum: A major protein supporting liver and kidney function.
- Globulin, Total: Supports clotting and includes infection-fighting antibodies.
- Albumin/Globulin Ratio: Calculated ratio that can assist in evaluating liver conditions.
- Bilirubin, Total: Aids in detecting hepatitis, anemia, cirrhosis, or jaundice.
- Alkaline Phosphatase: Helps detect bone disorders and liver disease.
- AST (SGOT): An enzyme used to evaluate liver function.
- ALT (SGPT): An enzyme used to help identify liver damage.
Fluids & Electrolytes
- Sodium: Supports water balance and nerve/muscle electrical activity.
- Potassium: Helps regulate nerve and muscle function.
- Chloride: Helps maintain electrolyte balance.
- Carbon Dioxide, Total: Used to help evaluate electrolyte balance.
- Calcium: Important for bone, muscle, nerve, and clotting function.
Complete Blood Count (CBC) With Differential and Platelets
- WBC: Reflects your body's primary defense against infection.
- RBC: Carries oxygen and carbon dioxide; lowered by iron deficiency.
- Hemoglobin: Transports oxygen through the bloodstream.
- Hematocrit: Reports the percentage of blood volume made up of red cells.
- Lymphocytes, Monocytes, Neutrophils: White blood cell types reflecting immune function.
- MCH, MCHC, MCV: Measures related to red blood cell size and hemoglobin content.
- Platelets: Cell particles involved in blood clot formation.
- RDW: Measures variation in red blood cell size.
Iron and Total Iron-Binding Capacity (TIBC)
- Iron, Total and TIBC: Used to help differentiate types of anemia and evaluate iron status. Specimen collection should occur before therapeutic iron or transfusion, and testing should be delayed at least four days after a transfusion.
Thyroid-Stimulating Hormone (TSH)
- TSH: Serum measurement used to help diagnose thyroid disorders, monitor thyroid replacement therapy, and evaluate pituitary function. This is a standard serum TSH measurement; the panel does not specify AM, PM, or timed collection.
Sedimentation Rate, Westergren (ESR)
- ESR: A nonspecific test that helps evaluate acute and chronic inflammation, including infections and autoimmune conditions. Because it is nonspecific, it is intended to be interpreted alongside other panel results.
Urinalysis, Complete with Microscopic Examination
- Urinalysis with Microscopic Exam: Detects urine abnormalities and assists in evaluating renal disease, urinary tract infection, and related conditions.
Benefits
- Evaluates kidney and liver function through the CMP-14 panel.
- Assesses red and white blood cell patterns via CBC with differential.
- Checks iron status alongside TIBC for anemia-related evaluation.
- Includes TSH to help assess thyroid function.
- Adds ESR to help identify signs of inflammation.
- Screens urine for abnormalities linked to renal or urinary tract issues.
Who Is This Test For?
- Individuals whose healthcare provider wants a broad metabolic and blood picture.
- People wanting to check kidney and liver function markers together.
- Those interested in reviewing thyroid function through a TSH result.
- Individuals wanting an iron and anemia-related blood workup.
- People wanting a general inflammation marker alongside other blood tests.
- Those wanting a combined blood and urine screening panel.
How It Works
- Order Your Test Online
- Visit a Local Lab
- Get Results Online
FAQ
1. Do I need to fast before this test?
Yes. Fasting for at least 12 hours is required before your blood draw. You should also stop biotin consumption at least 72 hours prior to collection, since biotin can interfere with certain lab results.
2. How quickly will I get results?
Results are typically available in 1 to 2 days. Turnaround may take longer depending on weather, holidays, or other lab delays, so build in some flexibility when scheduling around your results.
3. Can timing affect any tests in this panel?
The TSH test in this panel is a standard serum measurement, and the source does not specify a required time of day for collection. For the Iron and TIBC test, timing relative to any recent iron therapy or blood transfusion matters: specimens should be collected before therapeutic iron or transfusion, and iron testing should be delayed at least four days after a transfusion. The remaining tests in this panel do not have stated timing requirements beyond the fasting window noted above.
4. Can this panel identify the cause of fatigue by itself?
No single panel can pinpoint one definitive cause of fatigue, since fatigue can stem from many different factors. This panel provides information across the specific systems its included tests cover, such as kidney and liver function, blood cell counts, iron status, thyroid function, inflammation, and urine findings. A normal result in one area does not rule out other contributors, and this panel is not a substitute for a full medical evaluation.
5. How do I interpret results across multiple biomarkers?
Each test in this panel should first be understood based on what it specifically measures, since the CMP-14, CBC, iron studies, TSH, ESR, and urinalysis each reflect different body systems. Looking at patterns among related markers, such as the components within the CBC or within the kidney and liver profiles, may add helpful context. These markers are not interchangeable across categories, and interpretation is best done with a qualified healthcare provider.
Disclaimer: Reference ranges may vary by laboratory. Listed ranges are general guidelines and may differ from those used by the performing lab. Always consult your healthcare provider for interpretation.
6. What should I do if my results are abnormal?
Review any results that fall outside the expected range with a qualified healthcare provider. An abnormal result does not automatically confirm a specific condition or require treatment; it should be considered alongside your health history and any other relevant testing. Your provider can help determine whether any additional evaluation is appropriate based on your individual results.
Pre test preparation
Fasting for at least 12 hours is required before specimen collection. Stop biotin consumption at least 72 hours prior to the collection. For the Iron and TIBC component, specimen collection should be done before you receive therapeutic iron or a blood transfusion, and if you have had a blood transfusion, iron testing should be delayed at least four days.
