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Nutrition and Wellness #3 Extreme Blood and Urine Test Panel

The Nutrition and Wellness #3 Extreme Blood and Urine Test Panel includes a Complete Blood Count (CBC), Lipid Panel, Complete Metabolic Panel (CMP-14), Urinalysis with Complete Microscopic Examination, Iron w/TIBC, Vitamin D 25-hydroxy, Prealbumin, Coenzyme Q10, Vitamin B12, Folate (Folic Acid), Vitamin A, Vitamin E, Beta Carotene, Vitamin B1, Vitamin B6, Vitamin C.

Sample Report

Test Code: 892

Also Known As:

Methodology: See Individual Tests

Preparation: Patient should be on a stable diet, ideally for two to three weeks prior to collection of blood, and should fast for 12 to 14 hours before collection of the specimen. Refrain from taking vitamin C supplements, fruits, and alcohol 24 hours before the collection and biotin for at least 72 hours prior to the collection. Must draw before Schilling test, transfusions or B12 therapy is started.

Test Results: 3-5 days. May take longer based on weather, holiday or lab delays.

Sample Report

Test Code: 2260

Also Known As:

Methodology: See Individual Tests

Preparation: Patient should be on a stable diet, ideally for two to three weeks prior to collection of blood, and should fast for 12 to 14 hours before collection of the specimen. Refrain from taking vitamin C supplements, fruits, and alcohol 24 hours before the collection and biotin for at least 72 hours prior to the collection. Must draw before Schilling test, transfusions or B12 therapy is started.

Test Results: 3-5 days. May take longer based on weather, holiday or lab delays.


Complete Blood Count (CBC) - A CBC gives important information about the numbers and kinds of cells in the blood, especially red blood cells, white blood cells, and platelets. A CBC helps your health professional check any symptoms, such as fatigue, weakness, or bruising, that you may have. A CBC also helps your health professional diagnose conditions, such as infection, anemia, and several other disorders. Test includes: WBC, RBC, Hemoglobin, Hematocrit, MCV, MCH, MCHC, RDW, Platelets, Neutrophils, Lymphs, Monocytes, Eos, Basos, Neutrophils (Absolute), Lymphs (Absolute), Monocytes(Absolute), Eos (Absolute), Basos (Absolute), Immature Granulocytes, Immature Grans (Abs).



Lipid Panel includes Cholesterol, total; high-density lipoprotein (HDL) cholesterol; low-density lipoprotein (LDL) cholesterol (calculation); triglycerides; very low-density lipoprotein (VLDL) cholesterol (calculation).


The Comprehensive Metabolic Panel is a group of 14 laboratory tests ordered to give information about the current status of your liver, kidneys, and electrolyte and acid/base balance.  The test gives the current status of your blood sugar and blood proteins also. This panel includes:
Glucose - Blood sugar level, the most direct test to discover diabetes, may be used not only to identify diabetes, but also to evaluate how one controls the disease.
Kidney Profile
Bun or Urea Nitrogen - is another by-product of protein metabolism eliminated through the kidneys and an indicator of kidney function. 
Creatinine, Serum  An indicator of kidney function. 
Bun/Creatinine Ratio - Calculated by dividing the BUN by the Creatinine.
Liver panel
Protein, Total
- Together with albumin, it is a measure of the state of nutrition in the body.
Albumin Serum one of the major proteins in the blood and a reflection of the general state of nutrition. 
Globulin, Total A major group of proteins in the blood comprising the infection fighting antibodies. 
Albumin/Globulin Ratio Calculated by dividing the albumin by the globulin.
Bilirubin, Total A chemical involved with liver functions. High concentrations may result in jaundice.
Alkaline Phosphatase A body protein important in diagnosing proper bone and liver functions.
Aspartate Aminotransferase (AST or SGOT)an enzyme found in skeletal and heart muscle, liver and other organs. Abnormalities may represent liver disease.
Alanine Aminotransferase (ALT or SGPT) an enzyme found primarily in the liver. Abnormalities may represent liver disease.
GGT: Also known as Gamma-glutamyl transpeptidase, GGTP Formal name: Gamma-glutamyl transferase helps to detect liver and bile duct injury.
Fluids & Electrolytes
- One of the major salts in the body fluid, sodium is important in the body's water balance and the electrical activity of nerves and muscles.
Potassium Helps to control the nerves and muscles.
Chloride Similar to sodium, it helps to maintain the body's electrolyte balance.
Carbon Dioxide, Total Used to help detect, evaluate, and monitor electrolyte imbalances.
Calcium- A mineral essential for development and maintenance of healthy bones and teeth. It is important also for the normal function of muscles, nerves and blood clotting).

Urinalysis Complete with Microscopic Examination detects abnormalities of urine and urinary tract infection (UTI); diagnoses and manages renal diseases, urinary tract infection, urinary tract neoplasms, systemic diseases, and inflammatory or neoplastic diseases adjacent to the urinary tract. 

The Iron and Total Iron-binding Capacity test is used for testing differential diagnosis of anemia, evaluation of thalassemia and possible sideroblastic anemia, and the evaluation of iron poisoning. Specimen collection must be done before patient is given therapeutic iron or blood transfusion. Iron determinations on patients who have had blood transfusions should be delayed at least four days.


Vitamin D 25-hydroxy is used to determine if bone malformation, bone weakness, or abnormal metabolism of calcium (reflected by abnormal calcium, phosphorus or PTH tests) is occurring as a result of a deficiency or excess of vitamin D. Because vitamin D is a fat-soluble vitamin and is absorbed from the intestine like a fat, vitamin D tests are at times used to monitor individuals with diseases that interfere with fat absorption, such as cystic fibrosis and Crohn's disease, to assure that they have adequate amounts of vitamin D. Vitamin D tests are used to determine effectiveness of treatment when vitamin D, calcium, phosphorus, and/or magnesium supplementation is prescribed as well.


Prealbumin - Screens to see whether you are getting proper nourishment from your diet. Specifically, the test finds out if you have been getting enough protein and if not, whether you are at risk for malnutrition or already suffering from it. Prealbumin is a protein that is made mainly by your liver. Your body uses prealbumin as a building block to make other functional in transporting T4 and T3. It is a negative acute phase reactant and has a molecular mass of 54,000. Values are decreased in inflammatory processes, malignancy, protein malnutrition, and protein wasting diseases of the gut or kidney. Values are increased in Hodgkin disease.


Coenzyme Q10 (CoQ10) is a fat-soluble, vitamin-like substance in all human cells.  It aids in biochemical reactions that produce energy in cells.  CoQ10 also acts as an antioxidant and is naturally present in a variety of foods such as heart, liver and kidney as well as in beef, soybean oil, sardines, mackerel and peanuts. In some people with cardiac failure due to different causes, less CoQ10 has been observed, especially in patients with congestive heart failure. Some studies have shown positive results and others haven't. These studies, with one exception, have been done with small numbers of patients for relatively short periods. It is important to note that in these studies, CoQ10 was given in addition to traditional drug treatments, which makes it hard to know which treatment was the effective one. 


Vitamin B12 helps make red blood cells.  It is also important to nerve cell fuction.


Folic acid (Folate) is a B9 vitamin that our bodies uses to make new cells. It is important because it can help prevent major birth defects of the baby's brain and spine (anencephaly and spina bifida) by 50% to 70%. Women need folic acid every day, whether they're planning to get pregnant or not, for the healthy new cells the body makes daily. The amount of folate inside the red blood cell (RBC) is usually at a higher concentration inside the cell than in the serum. Folate may also be ordered to help in diagnosing the cause of behavioral or mental changes, especially in the elderly. Necessary for normal RBC formation, tissue and cellular repair, and DNA synthesis, folate is found in leafy green vegetables, citrus fruits, dry beans and peas, liver, and yeast. 


Vitamin A, E & Beta Carotene
Vitamin A is a group of compounds that aid in vision, reproduction, cell division, bone growth, and cell differentiation (in which a cell becomes part of the brain, muscle, lungs, blood, or other specialized tissue.) Vitamin A helps to regulate the immune system, which helps prevent or fight off infections by making white blood cells that destroy harmful bacteria and viruses. Vitamin A may also help lymphocytes, which are a type of white blood cell fight infections more effectively. Vitamin A promotes healthy surface linings of the ex and the urinary, respiratory, and intestinal tracts. If those linings break down, it becomes easier for bacteria to enter the body and cause infection. Vitamin A also helps mucous membranes and the skin function as a barrier to bacteria and viruses. |
Vitamin E is found naturally in certain foods, added to others, and available as a dietary supplement. "Vitamin E" is the collective name for a group of fat-soluble compounds that have distinctive antioxidant activities. Serum concentrations of vitamin E (alpha-tocopherol) depend on the liver, which takes up the nutrient after various forms are absorbed from the small intestine. The liver preferentially resecretes only alpha-tocopherol via the hepatic alpha-tocopherol transfer protein and the liver metabolizes and excretes the other vitamin E forms. As a result, blood and cellular concentrations of other forms of vitamin E are lower than those of alpha-tocopherol and have researched less. Antioxidants protect cells from the damaging effects of free radicals, molecules that contain an unshared electron. Free radicals damage cells and may contribute to the development of cancer and cardiovascular disease. Unshared electrons are very energetic and react rapidly with oxygen to form reactive oxygen species (ROS). The body forms ROS endogenously when it converts food to energy, and antioxidants may protect cells from the damaging effects of ROS. The body is also exposed to free radicals from environmental exposures, such as air pollution, cigarette smoke, and ultraviolet radiation from the sun. ROS are part of thesignaling mechanisms among cells. Vitamin E is a fat-soluble antioxidant that stops the production of ROS that is formed when fat undergoes oxidation. Scientists are investigating whether, by limiting free-radical production and possibly through other mechanisms, vitamin E might aid in preventing or delaying the chronic diseases associated with free radicals.
Beta Carotene is a substance found in carrots, apricots, sweet potatoes, pumpkin, cantaloupe, winter squash, mangos, collard greens, spinach, kale, broccoli, and other orange, red, and dark green fruits and vegetables. It is a carotenoid that may be made into vitamin A in the body. It is most efficiently made into retinol. Alpha-carotene and beta-cryptoxanthin are converted to vitamin A as well, but only half as efficiently as beta-carotene.


Vitamin B1 (Thiamine) deficiency can cause weakness, fatigue, psychosis, and nerve damage. Thiamine deficiency in the US is most often seen in those who abuse alcohol. Excess alcohol makes it hard for the body to absorb thiamine from foods. The body will not get enough of the substance unless those with alcoholism receive higher-than-normal amounts of thiamine to make up for the difference.  


Deficiency of Vitamin B6 has been implicated in a wide variety of clinical conditions. Important in neonatology, it is the syndrome of jittery characteristics, irritability, easy startling, colic and seizures due to B6 deficiency following ingestion of formula rendered B6 depleted by excessive heating. B6 may be decreased with inflammatory disease of the small bowel and malabsorption and in some cases of jejunoileal bypass.

Serum or plasma levels of Vitamin C are an adequate measurement of clinical status. Vitamin C is a cofactor for protocollagen hydroxylase; it promotes the conversion of tropocollagen to collagen. Low values occur in malabsorption, alcoholism, scurvy, pregnancy, hyperthyroidism, and renal failure. Smokers have lower levels than nonsmokers. Patients with scurvy have values <0.2 mg/dL. Principal clinical findings in scurvy include petechiae, bleeding gums, follicular hyperkeratosis, perifollicular hemorrhages beginning on the lower thighs, muscle aches, easy fatiguability, and emotional changes.


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