Quick Facts
- Sample: Blood and Urine
- Fasting: Fast 12-14 hours, stable diet 2-3 weeks prior, stop biotin 72 hours prior
- Turnaround: 3-4 business days (may take longer based on weather, holiday, or lab delays)
What's Included
Biomarkers tested may vary slightly between labs. Review the sample report for detailed biomarker information.
Comprehensive Metabolic Panel (CMP-14) with eGFR Blood Test
Glucose
Kidney Profile
- BUN (Blood Urea Nitrogen): A waste product formed when the body breaks down protein, normally removed by the kidneys.
- Creatinine, Serum: A waste product from normal muscle activity that is filtered from the blood by the kidneys.
- BUN/Creatinine Ratio: A calculated value (BUN divided by creatinine) that can suggest conditions like dehydration or intestinal bleeding.
- Estimated Glomerular Filtration Rate (eGFR): A calculated estimate of how effectively the kidneys filter waste from the blood, used to assess kidney function.
Liver Panel
- Protein, Total: The combined amount of albumin and globulin proteins in the blood, which helps assess liver and kidney function and nutritional health.
- Albumin, Serum: A protein produced by the liver that helps maintain fluid balance and transport substances through the blood.
- Globulin, Total: A group of blood proteins involved in immune defense, transporting substances, and other important body functions.
- Albumin/Globulin Ratio (Quest Only): A calculated value (albumin divided by globulin) that, alongside other results, can assist in evaluating liver problems.
- Bilirubin, Total: A yellow pigment produced during the normal breakdown of red blood cells and processed by the liver. Elevated levels can cause jaundice.
- Alkaline Phosphatase: An enzyme found primarily in the liver, bile ducts, and bones that can help identify liver or bone disorders.
- Aspartate Aminotransferase (AST or SGOT): An enzyme found in the liver, heart, muscles, and other tissues that helps evaluate possible liver or tissue damage.
- Alanine Aminotransferase (ALT or SGPT): An enzyme that helps identify liver damage. Abnormal levels may represent liver disease.
Fluids & Electrolytes
- Sodium: One of the major salts in your body fluid, important for water balance and the electrical activity of nerves and muscles.
- Potassium: Helps control the function of your nerves and muscles.
- Chloride: Similar to sodium, it helps maintain your body's electrolyte balance.
- Carbon Dioxide, Total: A measure that primarily reflects bicarbonate in the blood, helping assess the body's acid-base balance.
- Calcium: A mineral essential for developing and maintaining healthy bones and teeth, and for normal muscle, nerve, and blood clotting function.
Lipid Panel With Total Cholesterol:HDL Ratio
- Cholesterol, Total - A measurement used to assess heart health. Cholesterol is required by your body to build healthy cells, but high cholesterol levels can increase your risk of heart disease.
- Triglycerides - Surplus fats transported in the bloodstream and provide energy to the body.
- HDL Cholesterol - High-density lipoproteins, or "good" cholesterol, take cholesterol away from the cells and transport it back to the liver for removal or processing.
- LDL Cholesterol - Low-density lipoproteins (calculation), or "bad" cholesterol, contain the highest percentage of cholesterol and are responsible for depositing cholesterol on the artery walls.
- Non HDL Cholesterol (Not Included with LabCorp): A measure of cholesterol carried outside of HDL particles.
- Total Cholesterol: HDL Ratio - The Total Cholesterol to HDL Ratio is a critical indicator of the balance between good and bad cholesterol in the body. A ratio of less than 5:1 is considered optimal, while a ratio higher than 6:1 indicates an increased risk of developing heart disease.
- VLDL Cholesterol (calculated, Labcorp only): Cholesterol carried by very low-density lipoproteins, which primarily transport triglycerides through the bloodstream.
Thyroid Panel with TSH
- TSH (Thyroid Stimulating Hormone): Produced by the pituitary gland, this hormone helps the thyroid create T4 and T3.
- T4 (Thyroxine), Total: A hormone made by the thyroid that helps maintain metabolism and other body functions.
- T3 Uptake: Evaluates the number of blood proteins that carry thyroid hormones throughout the body.
- Free T4 Index (T7): A calculated value comparing the amount of unbound (free) T4 to T4 bound to proteins in the blood.
Complete Blood Count (CBC) with Differential and Platelets Blood Test
White Blood Cells
Red Blood Cells and Red Cell Indices
- Red Blood Cells (RBC): Carries oxygen and carbon dioxide to and from your cells. Iron deficiency can lower this count.
- Hemoglobin: A compound inside red cells that carries oxygen through your bloodstream and gives blood its red color.
- Hematocrit: The percentage of blood volume made up of red blood cells.
- MCH (Mean Corpuscular Hemoglobin): The average hemoglobin amount within a single red blood cell.
- MCHC (Mean Corpuscular Hemoglobin Concentration): The average hemoglobin concentration percentage within a red blood cell.
- MCV (Mean Corpuscular Volume): The average size of your red blood cells.
- RDW (Red Cell Distribution Width): Measures the variation in volume and size among your red blood cells.
Platelets
- Platelet Count: Blood cell particles that play a role in forming blood clots.
- MPV (Mean Platelet Volume): The average size of platelets in the blood, providing information about platelet production and activity.
White Blood Cell Differential
- Neutrophils: The most common white blood cell type, created by your bone marrow to combat inflammatory and infectious conditions.
- Lymphocytes: B cells and T cells that fight bacteria and other pathogens, found mainly in your lymph system.
- Monocytes: Work alongside neutrophils to fight infections and clear away dead or damaged cells.
- Eos (Eosinophils): White blood cells that become active in response to allergies and certain infections.
- Basophils: Help detect infections early, support wound healing, and respond to allergic reactions.
- Immature Granulocytes: A component of your white blood cell differential included in this panel. (Labcorp only)
C-Reactive Protein, High Sensitivity (CRP-hs)
C-Reactive Protein, High Sensitivity (CRP-hs): A protein produced by the liver in response to inflammation. This high-sensitivity test detects low levels of CRP in the blood, helping assess inflammation and cardiovascular disease risk.
Urinalysis, Complete with a Microscopic Examination
- Specific Gravity: The concentration of the urine sample. This is used to help evaluate the level of certain substances dissolved in the urine. Low specific gravity can result from ingesting large amounts of water before urination.
- pH: This is affected by the acid/base balance in the body. A pH that is too high or low can form crystals in the urine, leading to the development of kidney stones. PH can be adjusted through diet or medication.
- Color: Darker urine coloration can result from some medications, eating certain foods, blood in the urine, dehydration, or fever
- Appearance: Bacteria, red blood cells, white blood cells, mucus, or contaminants such as lotions or powders may cause cloudy or turbid urine.
- WBC Esterase: White blood cells in the urine typically indicate a bacterial urinary tract infection. It may also be caused by inflammation in the kidneys.
- Protein: The amount of albumin in the urine. Protein in the urine can indicate kidney disease or conditions affecting the urinary tract.
- Glucose: Glucose in the urine can be a sign of abnormally high blood sugar levels, such as those caused by diabetes.
- Ketones: Ketones are produced when the body metabolizes fat. They can indicate several conditions, including starvation, a high protein/low carbohydrate diet, diabetes, or frequent vomiting.
- Occult Blood: Blood in the urine can indicate several conditions affecting the kidneys or urinary tract. It can also be caused by contamination from sources such as menstruation, hemorrhoids, or vaginal bleeding.
- Bilirubin: Bilirubin is a waste product produced by the liver. Bilirubin in urine can be an early indicator of liver disease.
- Urobilinogen: Urobilinogen is formed from Bilirubin. Its presence in urine is typically a sign of liver disease. (LabCorp Only)
- Nitrite: Nitrite in the urine is usually caused by bacteria, which can indicate a urinary tract infection.
- Microscopic Examination
- A microscopic examination will automatically be performed if any abnormalities are detected in the initial urinalysis. The microscopic examination may include some or all of the following if the results warrant:
- White Blood Cells (WBCs): WBCs in urine usually indicate inflammation or infection of the urinary tract.
- Red Blood Cells (RBC): RBCs in urine can be caused by inflammation or injury to the kidneys or urinary tract.
- Epithelial Cells: High concentrations of epithelial cells are typically caused by infection or inflammation of the urinary tract.
- Crystals: Crystals may be formed by various particles dissolved in urine. Crystal formation may be due to an abnormal pH balance or a higher-than-normal concentration of particles. Crystals formed in the kidneys may lead to the development of kidney stones.
- Casts: Casts are cylindrical particles formed from proteins secreted by the kidneys. In people with kidney disease, substances such as RBCs or WBCs may become trapped in the proteins. Examining the casts can help differentiate between types of kidney disorders.
- Mucus: Mucus in the urine may result from a urinary tract infection or conditions affecting the digestive system, specific STDs, or kidney disease.
- Bacteria: Bacteria in the urine usually indicate a urinary tract infection. Care should be taken to avoid contaminating the specimen with bacteria from the genital area or hands.
Hemoglobin A1c
Vitamin D 25-Hydroxy
Vitamin D, 25-Hydroxy: The primary circulating form of vitamin D in the blood, reflecting the body's vitamin D stores. Helps assess vitamin D status and identify deficiencies that may affect bone health and calcium absorption.
Gamma-Glutamyl Transferase
Lactic Acid Dehydrogenase
Lactic Acid Dehydrogenase (LD or LDH): An enzyme found in many tissues, including the liver, heart, muscles, and red blood cells, that is released into the blood when cells are damaged.
Benefits
- Reviews blood and urine markers together in one panel.
- Covers kidney, liver, lipid, thyroid, and blood cell measurements.
- Includes hemoglobin A1c, reflecting average blood sugar over 2 to 3 months.
- Includes high-sensitivity C-reactive protein, a marker of inflammation.
- Pairs 25-hydroxy vitamin D with calcium and phosphorus measurements.
- Gives you a broad overview to discuss with your healthcare provider.
Who Is This Test For?
- People who want a comprehensive health screening of blood and urine markers.
- Those who want a proactive snapshot of their overall well-being.
- Anyone looking at blood sugar markers, including glucose and hemoglobin A1c.
- People interested in heart health markers such as lipids and C-reactive protein.
- Those who want kidney, liver, and thyroid markers reviewed in a single panel.
How It Works
- Order Your Test Online
- Visit a Local Lab
- Get Results Online
FAQ
1. Do I need to fast or prepare for this test?
Yes, a few steps apply before your collection. You should have a stable diet for 2-3 weeks prior to blood collection, fast for 12-14 hours before specimen collection, and stop taking biotin 72 hours before the test.
2. How quickly will I get results?
Expect your results in 3-4 business days. Weather, holidays, or lab delays can sometimes mean a longer wait.
3. What can my results tell me?
Think of this panel as several views of your health taken at once. The metabolic, liver, and kidney groups look at how your body processes and clears substances, while lipids and C-reactive protein relate to heart health and inflammation. Thyroid and blood cell measurements, hemoglobin A1c, vitamin D, and urinalysis add further perspectives, together offering a broad screening overview.
4. How do I interpret the results?
Context matters more than any single number. Each marker answers a different question, so patterns across the panel, along with your symptoms, medical history, medications, preparation, and the lab's methodology, shape what the results mean. Values will not necessarily move in the same direction, and directly measured values, calculated values, and ratios each carry different information. Your healthcare provider can put them together for you.
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.
5. What should I do if my results are abnormal?
An out-of-range value is a reason to start a conversation, not a conclusion. Share your full report with a qualified healthcare provider, who can look at patterns across your results and decide whether anything further is needed. Avoid changing any medication or routine on your own based on a single result.
Pre-test preparation
You should have a stable diet for 2-3 weeks prior to blood collection, fast for 12-14 hours before specimen collection, and stop taking biotin 72 hours before the test.
