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Wellness #3 Extreme Blood and Urine Test Panel

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Wellness #3 Essential Blood Test Panel plus CRP hs (Cardiac Risk Assessment), Hemoglobin A1C, Vitamin D 25-Hydroxy and Urinalysis Complete with Microscopic Examination.


Test Code: 612

CPT Code: See Individual Tests

Also Known As:

Methodology:

See Individual Test

Specimen Type: Blood and Urine

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. Stop biotin consumption at least 72 hours prior to the collection.

Test Results:

3-4 days. May take longer based on weather, holiday or lab delays.

Sample Report

Test Code: 2303

CPT Code: See Individual Tests

Also Known As:

Methodology:

See Individual Test

Specimen Type: Blood and Urine

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. Stop biotin consumption at least 72 hours prior to the collection.

Test Results:

3-4 days. May take longer based on weather, holiday or lab delays.

Description

The Wellness #3 Extreme Blood Test Panel includes the Wellness #2 Essential Panel:

  • Complete Metabolic Panel (CMP-14)
  • Thyroid Panel with Thyroid-stimulating Hormone (TSH)
  • Lipid Panel With Total Cholesterol:HDL Ratio
  • Kidney Panel
  • Complete Blood Count (CBC) With Differential & Plateletes
  • Glucose
  • Liver Panel
  • Mineral and Bone
  • Fluids and Electrolytes

PLUS, C-Reactive Protein hs (Cardiac Risk Assessment) Hemoglobin A1C, Vitamin D 25-hydroxy and Urinalysis Complete with Microscopic Examination.  

The Wellness #2 Essential Blood Test Panel from Walk-In Lab is also known as a Comprehensive Wellness Profile, CWP, Comprehensive Wellness and Comprehensive Wellness Panel. To prepare for the wellness blood test, fasting for 10-12 hours prior to collection is recommended, and drinking water and taking your medications prior to testing is recommended. Test results will typically be available in 1-2 days.

The Wellness #2 Essential Blood Test Panel provides a detailed and comprehensive profile of overall health by utilizing data from 55 separate laboratory tests including:

Comprehensive Metabolic Panel (14 tests):

Glucose: The glucose test identifies blood sugar levels, the most direct way to not only discover diabetes, but to evaluate options for controlling the disease as well.

Uric Acid: The uric acid test measures the amount of uric acid found in a blood sample. Uric acid is produced in two ways, from digesting food you eat and from the natural breakdown of your body’s cells.

Kidney Profile:

BUN or Urea Nitrogen: Indicates kidney function by measuring the by-product of protein metabolism eliminated through the kidneys.

Creatinine, Serum: Indicates kidney function.  

BUN/Creatinine Ratio: Provides assessment of kidney function by dividing the BUN by the Creatinine.

Glomerular Filtration (eGFR): Provides an assessment of the kidney’s filtering capacity.

Uric Acid: Another by-product of protein metabolism eliminated through the kidneys. Uric acid is also an indicator of kidney function

Liver Panel:

Protein, Total: When paired with albumin, measures the body’s state of nutrition.

Albumin Serum: One of the major proteins in the blood. It reflects the body’s general state of nutrition.  

Globulin, Total: Another major group of proteins in the blood, comprising the infection fighting antibodies.  

Albumin/Globulin Ratio: This ratio is calculated by dividing the albumin by the globulin. 

Bilirubin, Total: A chemical involved with liver functions. Elevated concentrations may lead to jaundice. 

Alkaline Phosphatase: A body protein important in identifying proper liver and bone functionality. 

Aspartate Aminotransferase (AST or SGOT): An enzyme found in liver, heart muscle, skeletal and other organs. Abnormalities in concentration levels may indicate liver disease.

Alanine Aminotransferase (ALT or SGPT): An enzyme found mainly in the liver. Abnormalities may indicate liver disease.

Lactate Dehydrogenase (LDH): An enzyme found mostly in the heart, muscles, liver, kidney, brain, and red blood cells. When an organ of the body is damaged, LDH is released in greater quantity into the bloodstream.

GGT: Also known as Gamma-glutamyl transpeptidase, GGTP Formal name: Gamma-glutamyl transferase helps to detect liver and bile duct injury. Some doctors use it in all people they suspect of having liver disease, others use it only to help explain the cause of other changes or if they suspect alcohol abuse.

Fluids & Electrolytes:

Sodium, Serum: Sodium is one of the most important salts in the body fluid, critical to helping maintain the body's water balance and the electrical activity of muscles and nerves.

Potassium: Helps control the muscles and nerves.

Chloride Serum:Helps ensure electrolyte balance in the body, similar to sodium.

Carbon Dioxide, Total: Ordered as part of an electrolyte panel. The electrolyte panel is used to help detect, diagnose and monitor electrolyte imbalances.

Lipid Panel With Total Cholesterol:HDL Ratio:

Cholesterol, Total: A sterol in the blood used to assess heart health. Knowing your cholesterol level is just as essential as knowing your blood pressure. High cholesterol levels often indicate an increased risk of coronary heart disease.

Triglycerides: Fat in the blood, responsible for providing energy to the body’s cells. Triglycerides should remain less than 400 mg/dl even when the body is in a non-fasting state.  

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. Low HDL can result from a lack of exercise and smoking, while people with high levels of HDL may have lower chances of heart disease. 

LDL Cholesterol: Low-density lipoproteins, or “bad” cholesterol, contain the highest percentage of cholesterol and are thought of as responsible for depositing cholesterol on the artery walls. 

Total Cholesterol/HDL Ratio: This ratio is calculated by dividing the total cholesterol by the HDL cholesterol, and is used by healthcare professionals to determine your relative risk for developing heart disease.

Thyroid Panel with Thyroid-Stimulating Hormone (TSH): 

The thyroid gland synthesizes, stores and releases hormones. The hormones secreted are iodine-containing amino acids, thyroxine (T4) and triiodo-thyronine (T3). The thyroid hormones influence a diversity of metabolic processes including weight control, energy level and heart rate. This comprehensive test helps to evaluate thyroid hormones that control the body's metabolic rate and includes: Total T-4 (Thyroxine), T-3 uptake, Free—Thyroxine Index (FTI), T-7 and Thyroid-Stimulating Hormone (TSH).

Complete Blood Count (CBC) With Differential and Platelets:

A complete blood count (CBC) provides critical information about the numbers and kinds of cells in the blood, especially platelets, white blood cells and red blood cells. A CBC helps physicians identify the cause of such symptoms as bruising, weakness, or fatigue. Further, a CBC also helps diagnose infections, anemia, and many other conditions and disorders. The CBC provides information on your:

WBC: White blood cells are the body's primary defense against disease. White blood cells help fight infection. 

RBC: Red blood cells are responsible for carrying oxygen to and carbon dioxide away from all cells. Iron deficiency will lower RBC.

Hemoglobin: A chemical compound inside red cells that transports oxygen through the bloodstream to all cells of the body. Oxygen is needed for healthy organs. Hemoglobin gives the red color to blood. 

Hematocrit: Hematocrit measures the amount of space red blood cells take up in the blood. It is reported as a percentage.

Lymphocytes: The results of this and basophils, eosinophils, monocytes and neutrophils deal with white blood cell function. Important to the body's defense against infection. Also important in the assessment of nutritional status. 

Monocytes: The results of this and basophils, eosinophils, lymphocytes and neutrophils deal with white blood cell function. Important to the body's defense against infection. Also important in the assessment of nutritional status. 

MCH Mean: Corpuscular Hemoglobin is one way to measure the average hemoglobin concentration within red blood cells, which varies from normal with different diseases.

MCHC Mean: Corpuscular hemoglobin concentration. 

MCV Mean: Corpuscular volume measures red blood cell volume.

Neutrophils: The results of this and basophils, eosinophils, lymphocytes and monocytes deal with white blood cell function. Important to the body's defense against infection and also important in the assessment of nutritional status.

Platelets: Blood cell particles involved with the forming of blood clots. 

RDW: Red cell distribution width (RDW) is a calculation of the variation in the size of your RBC's. In some anemias, such as pernicious anemia, the amount of variation (anisocytosis) in RBC size (along with variation in shape – poikilocytosis) causes an increase in the RDW.

Mineral and Bone: 

Iron, Total: An abnormally low test result may indicate iron deficiency anemia.

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.

Phosphorus: Together with calcium, it is essential for healthy development of bones and teeth. Associated with hormone imbalance, bone disease and kidney disease. It is found mainly in bones and teeth. Note that a temporary drop in phosphorus level can be seen after a meal.

C Reactive Protein hs (Cardiac Risk Assessment), also known as the C-reactive protein blood test, is used to evaluate the level of inflammation in the body.  The test is commonly ordered to monitor conditions such as arthritis, pelvic inflammatory disease, inflammatory bowel disease, and coronary artery disease.  The test is also used to measure the presence of infection after surgery and the level of damage sustained from a heart attack. 

CRP is a protein that is released into the blood stream when there is inflammation or injury in the body.  The C-reactive protein blood test is often used to assess risk of coronary artery disease and heart disease.  In coronary artery disease the coronary arteries start to swell and narrow.  As this occurs more CRP is released into the blood, so high levels of CRP in the blood could indicate inflammation in the coronary arteries.  This inflammation increases one’s risk of the artery becoming completely blocked and causing a heart attack.  However, a high level of CRP in the blood does not specifically indicate that the inflammation is in the arteries – it could be anywhere in the body.  For this reason, the C-reactive protein blood test is usually only ordered to assess heart attack risk when someone has already presented with other risk factors.

The C-reactive protein blood test can be used to aid in the diagnosis and treatment of a number of conditions, and results may be interpreted differently based on the how the test is being used.  In general, though, a higher than normal level of CRP in the blood indicates that there is inflammation in the body.

The Hemoglobin A1C is primarily used as a means of calculating average levels glucose in the blood over an extended period of time.  This test is used to evaluate glucose levels in the blood over the 2 to 3 months previous to the test.  This test is very important in managing one’s diabetes.  Scientists believe that keeping the blood sugar in the body within normal range can help individuals with diabetes to avoid many of the risks and side effects that people with diabetes often face.  The benefit of the hemoglobin A1c blood test is that is provides information on overall glycemic health over a several month period.  Other blood tests of glucose level are highly sensitive to determining glucose levels at the time the test is taken, but they do not give information on average glucose blood levels.  The test works by measuring the hemoglobin A1c level.  Hemoglobin is stored in the red blood cells.  When glucose levels are high, the sugar starts to combine with the hemoglobin.  It takes the body 8 to 12 weeks to bring hemoglobin A1c levels back to normal.  Therefore, if hemoglobin A1c levels are high, that means that there has been a high level of glucose in the blood over the last 2 to 3 months. 

Vitamin D 25-Hydroxy is essential in the growth and formation of healthy bones and teeth. Without it, children can develop a bone-malformation condition known as rickets, and adults can develop osteomalacia, which is characterized by weakness, softness or fractures of the bones. Vitamin D also helps regulate levels of calcium, phosphorus and magnesium in the blood, and has been shown to influence the growth of other tissues in the body as well as the regulation of the immune system. Vitamin D deficiency has been implicated in the development of conditions such as cancer, heart disease‚ osteoporosis and multiple sclerosis.

The body gets vitamin D from two sources: dietary intake through foods and supplements (exogenous), and through production in the skin upon exposure to sunlight (endogenous). Although vitamin D is found naturally in only a few foods, in the United States, many products are supplemented with it, including milk, breakfast cereals and juices. Those at risk of vitamin D deficiency include individuals who are elderly; obese; have dark skin; are institutionalized, homebound or have limited sun exposure; have undergone gastric bypass surgery; and have conditions such as cystic fibrosis and Crohn's disease that interfere with fat absorption.

The Vitamin D 25-Hydroxy Blood Test is often ordered for individuals that have symptoms of vitamin D deficiency. It may also be ordered before an individual begins osteoporosis drug therapy. Low levels may indicate a dietary deficiency, malabsorption or lack of exposure to sunlight.

Urinalysis Complete with Microscopic Examination - This test is useful in the evaluation of conditions such as urinary tract infection (UTI), dehydration, and kidney stones. 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. 

Test includes:  Color, appearance, specific gravity, pH, protein, glucose, occult blood, ketones, leukocyte esterase, nitrite, bilirubin, urobilinogen, and microscopic examination of urine sediment.

 

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