Quick Facts
- Sample: Blood and urine
- Fasting: Fasting for at least 12 hours is required. Stop biotin 72 hours before testing. Draw blood before a Schilling test, transfusions, or B12 therapy. Avoid exercise before collection.
- Turnaround: 4-5 business days. May take longer due to weather, holidays, or lab delays.
What's Included
Complete Blood Count (CBC)
- White Blood Cells (WBC) - Your body's primary defense against infection.
- Red Blood Cells (RBC) - Carry oxygen and carbon dioxide throughout the body.
- Hemoglobin - The protein in red cells that carries oxygen.
- Hematocrit - The percentage of blood made up of red blood cells.
- Neutrophils - White blood cells that combat infection and inflammation.
- Lymphocytes - Cells that fight bacteria and other pathogens.
- Monocytes - Help fight infection and clear damaged cells.
- Eosinophils - Activated in response to allergies and certain infections.
- Basophils - Help detect infection and support wound healing.
- Mean Corpuscular Hemoglobin (MCH) - Average hemoglobin amount per red blood cell.
- Mean Corpuscular Hemoglobin Concentration (MCHC) - Average hemoglobin concentration in red blood cells.
- Mean Corpuscular Volume (MCV) - Average size of your red blood cells.
- Platelet Count - Blood cell particles involved in clotting.
- Red Cell Distribution Width (RDW) - Variation in red blood cell size.
- Absolute Neutrophils - The total number of neutrophils in your blood.
- Absolute Lymphocytes - The total number of lymphocytes in your blood.
- Absolute Monocytes - The total number of monocytes in your blood.
- Absolute Eosinophils - The total number of eosinophils in your blood.
- Absolute Basophils - The total number of basophils in your blood.
- Immature Granulocytes - Early-stage white blood cells, including their absolute count.
Comprehensive Metabolic Panel (CMP-14)
- Glucose - Your blood sugar level.
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 other issues.
- eGFR - Estimated measure of kidney filtration.
Liver Panel
- Protein, Total - Reflects liver, kidney, and nutritional health.
- Albumin, Serum - A key protein for liver and kidney function.
- Globulin, Total - Supports clotting and immune defense.
- Albumin/Globulin Ratio - Calculated ratio used alongside other results to assess liver health.
- Bilirubin, Total - Helps detect liver and blood-related conditions.
- Alkaline Phosphatase - Helps detect bone and liver conditions.
- AST (SGOT) - An enzyme used to evaluate liver function.
- ALT (SGPT) - An enzyme used to identify liver damage.
Fluids & Electrolytes
- Sodium - Supports fluid balance and nerve and muscle activity.
- Potassium - Helps regulate nerves and muscles.
- Chloride - Helps maintain electrolyte balance.
- Carbon Dioxide, Total - Used to evaluate electrolyte balance.
- Calcium - Supports bone, muscle, nerve, and clotting health.
Inflammation Markers
- C-Reactive Protein (CRP), High Sensitivity Cardiac - Measures inflammation levels that may relate to fibromyalgia symptoms.
- Erythrocyte Sedimentation Rate (ESR), Westergren - Measures how quickly red blood cells settle, indicating possible inflammation.
Autoimmune Screening
- Antinuclear Antibodies (ANA) - Screens for antibodies linked to autoimmune conditions with symptoms similar to fibromyalgia.
Important: The ANA test included in this panel varies by laboratory. The LabCorp version includes the Antinuclear Antibodies (ANA) Direct Blood Test, Qualitative, while the Quest Diagnostics version includes the ANA Screen, IFA, with Reflex to Titer and Pattern Blood Test. Both tests evaluate antinuclear antibodies for autoimmune disease assessment but use different methods and may differ in reflex testing and result reporting. Results should be interpreted along with your symptoms, medical history, and other laboratory findings.
Muscle Health
- Creatine Kinase, Total, Serum - Measures an enzyme that rises with muscle damage or inflammation.
Iron Studies
- Iron & TIBC - Measures iron levels and the blood's capacity to carry iron.
- Iron, Total - Total iron level in the blood.
- Iron Binding Capacity (TIBC) - Reflects the blood's capacity to transport iron.
- UIBC - Unsaturated iron binding capacity.
- Iron Saturation - Percentage of iron-binding sites occupied by iron.
- Ferritin - Measures stored iron to help rule out iron deficiency.
Vitamins & Minerals
- Magnesium - Helps rule out magnesium deficiency linked to muscle pain and cramping.
- Vitamin B12 - Helps rule out B12 deficiency linked to fatigue and weakness.
- Vitamin D, 25-Hydroxy - Helps rule out vitamin D deficiency linked to muscle pain and fatigue.
Thyroid Function
- Thyroid-Stimulating Hormone (TSH) - Helps rule out thyroid conditions that can cause fatigue and muscle pain.
Urinalysis, Complete
- Color, Appearance, Specific Gravity, pH - General urine characteristics.
- Protein, Glucose, Ketones, Occult Blood - Screens for substances that may indicate underlying issues.
- Bacteria, Nitrite, Leukocyte Esterase - Screens for signs of infection.
- Epithelial Cells, Casts, Hyaline Cast - Microscopic components evaluated for abnormalities.
- Urobilinogen, Semi-Qn - Byproduct evaluated as part of liver and blood health screening.
Benefits
- Checks multiple body systems that can produce fibromyalgia-like symptoms.
- Helps rule out autoimmune, thyroid, and inflammatory conditions.
- Screens for nutrient deficiencies linked to fatigue and pain.
- Supports informed conversations with your healthcare provider.
- Provides a broad baseline for tracking changes over time.
Who Is This Test For?
- Individuals experiencing widespread pain, fatigue, or sleep difficulties.
- People wanting to rule out other conditions with similar symptoms.
- Those working with a provider to better understand ongoing symptoms.
- Individuals wanting to check for nutrient or hormone imbalances.
- People wanting a broad baseline panel before further evaluation.
How It Works
- Order Your Test Online
- Visit a Local Lab
- Get Results Online
FAQ
1. What is the purpose of this test?
This panel combines a CBC, CMP-14, inflammation markers (CRP and ESR), autoimmune screening (ANA), muscle enzyme testing (Creatine Kinase), iron studies, vitamin and mineral levels, thyroid function (TSH), and a complete urinalysis. Together, these tests give your provider a broad view of factors that can contribute to widespread pain, fatigue, and sleep difficulties, helping rule out other conditions with similar symptoms.
2. Who would benefit from this test?
This panel may benefit people experiencing ongoing pain, fatigue, or sleep disturbances who want a broad picture of their overall health. It can also be useful for those working with a healthcare provider to explore possible causes of these symptoms or to rule out other conditions.
3. When should I order this panel?
You might consider this panel when you're experiencing persistent, unexplained pain or fatigue and want a broad set of results to discuss with your healthcare provider. It can also support ongoing monitoring as part of a broader evaluation plan established with your provider.
4. Do I need to fast before this test?
Yes. Fasting for at least 12 hours is required.
5. How quickly will I get results?
Results are typically available in 4 to 5 days. This may take longer due to weather, holidays, or lab delays.
6. How do I interpret the results?
Patterns across multiple biomarkers are often more meaningful than any single result on its own. Your healthcare provider can help you understand what your combined results mean in the context of your health history and symptoms.
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.
7. What should I do if my results are abnormal?
If any of your results fall outside the expected range, share them with your healthcare provider. They can help determine what the results mean for you and whether any follow-up testing or care is needed.
8. How often should I get tested?
There isn't a single testing frequency that fits everyone. Talk with your healthcare provider about how often retesting makes sense for you, as directed by your healthcare provider.
9. Why early detection matters
Broad panels like this one can help surface patterns in your health earlier, giving you and your provider more information to work with. Identifying nutrient imbalances or ruling out other conditions early may support more informed, timely conversations about your care.
Pre-test preparation
Fasting for at least 12 hours is required. Stop biotin consumption at least 72 hours prior to the collection. This test must be drawn before a Schilling test, transfusions, or B12 therapy are started. Avoid exercise prior to collection.
Do not stop prescribed medication unless instructed by your healthcare provider.
