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Wellness #4 Extensive Blood and Urine Test Panel

The Wellness #4 Extensive Blood and Urine Test Panel analyzes blood and urine samples to comprehensively assess overall health, identify potential health concerns, and monitor treatment effectiveness.


Test Code: 2166

CPT Code: See Individual Tests

Also Known As:

Methodology:

See Individual Test

Specimen Type: Blood and Urine

Preparation:

Patients should be on a stable diet, ideally for 2-3 weeks prior to collection of blood. Patients should also fast for 12-14 hours before blood collection and avoid vitamin C, fruits, alcohol, and biotin before the test. Blood should be drawn before Schilling test, transfusions, or B12 therapy.

Test Results:

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


Details:

Please note: Any result for the Testosterone Free (Direct) and Total Testosterone Test in excess of 1500 will be reported as >1500

Sample Report

Test Code: 2240

CPT Code: See Individual Tests

Also Known As:

Methodology:

See Individual Test

Specimen Type: Blood and Urine

Preparation:

Patients should be on a stable diet, ideally for 2-3 weeks prior to collection of blood. Patients should also fast for 12-14 hours before blood collection and avoid vitamin C, fruits, alcohol, and biotin before the test. Blood should be drawn before Schilling test, transfusions, or B12 therapy.

Test Results:

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

Description

What is the purpose of this test?

The Wellness #4 Extensive Blood and Urine Test Panel is designed to provide a comprehensive analysis of your overall health and wellness. This panel includes a range of tests that measure various markers in your blood and urine, including cholesterol levels, liver and kidney function, blood sugar levels, and more. The results of these tests can help you and your healthcare provider identify potential health issues and develop a plan to address them. Additionally, regular testing can help you track changes in your health over time and monitor the effectiveness of any treatments or lifestyle changes you may have implemented.

 

The Wellness #4 Extensive Blood and Urine Test Panel includes the following:

Comprehensive Metabolic Panel (CMP-14) with eGFR Blood Test - A Comprehensive Metabolic Panel (CMP-14) with eGFR is a blood test that measures the levels of various substances in your blood, including electrolytes, glucose, and kidney function markers. This test is important because it can help assess your overall health and detect any underlying medical conditions. The eGFR reading specifically measures how well your kidneys are functioning, which is important for overall wellness since the kidneys play a key role in filtering toxins and waste products from the blood. By identifying any abnormalities in the levels of substances in your blood, this test can help you and your doctor make informed decisions about your health and develop a plan to address any issues that may arise. Regularly monitoring your CMP-14 with eGFR results can help you track changes in your health over time and make adjustments to your lifestyle as needed to maintain overall wellness.

  •  Glucose - Blood sugar level, the most direct test to screen for diabetes and also used in diabetes management.
  •  Kidney Profile
    • Bun or Urea Nitrogen (BUN) - An indicator of kidney function.  
    • Creatinine, Serum - An indicator of kidney function.  
    • Bun/Creatinine Ratio - Calculated by dividing BUN by creatinine. This ratio can suggest conditions including dehydration or intestinal bleeding.
    • Estimated Glomerular Filtration Rate (eGFR) - Measures kidney function to determine kidney disease stage and detect early kidney damage.
  •  Liver Panel
    • Protein, Total - Assists in determining liver and kidney function and nutritional health.
    • Albumin Serum - One of the major proteins essential for the healthy function of the liver and kidney. 
    • Globulin, Total - One of the major proteins that assist the blood to clot properly and also comprises infection-fighting antibodies. 
    • Albumin/Globulin Ratio - Calculated by dividing albumin by globulin. When paired with other test results, this ratio can assist in diagnosing various liver problems. 
    • Bilirubin, Total - Aids in detecting hepatitis, sickle cell, anemia, cirrhosis, alcohol, and drug abuse. High concentrations may result in jaundice.
    • Alkaline Phosphatase - A protein vital in detecting bone disorders and liver disease.
    • Aspartate Aminotransferase (AST or SGOT) - An enzyme helpful in evaluating liver function. An elevated level is an indication of hepatitis. 
    • Alanine Aminotransferase (ALT or SGPT) - An enzyme helpful in identifying liver damage. Abnormalities may represent liver disease.
  •  Fluids & Electrolytes
    • Sodium - One of the major salts in body fluid. Sodium is important in 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.
  • Mineral and Bone
    • Iron, Total - An abnormally low test result could indicate anemia caused by iron deficiency.
    • Calcium - A mineral essential for the development and maintenance of healthy bones and teeth. It is also important for the normal function of muscles, nerves, and blood clotting.
    • Phosphorus - A crucial mineral for energy production, muscle and nerve function, and bone formation. Most of the body's phosphorus mixes with calcium to form teeth and bones. Phosphorus is also important for keeping the body's acid-base balanced.

Lipid Panel With Total Cholesterol: HDL Ratio - A lipid panel with total cholesterol: HDL ratio is a blood test that measures the amount of cholesterol in your blood. This test is important because cholesterol can build up in your arteries and increase your risk of heart disease. The ratio of total cholesterol to HDL cholesterol is used to assess your risk of developing heart disease. A higher ratio can indicate a higher risk of heart disease, while a lower ratio can indicate a lower risk. Maintaining a healthy ratio through lifestyle changes, such as a healthy diet and regular exercise, can help improve overall wellness and reduce the risk of heart disease.

  •  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 that are transported in the bloodstream and are also responsible for providing 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.
  • Total Cholesterol/HDL Ratio - This ratio is calculated by dividing total cholesterol by HDL cholesterol and is used in determining the relative risk of heart disease.

Complete Blood Count (CBC) - The CBC with Differential & Platelets is a blood test that measures different components of your blood, including red blood cells, white blood cells, and platelets. It can help identify a wide range of health conditions, including anemia, infections, and certain types of cancer. By understanding the results of this test, you and your healthcare provider can work together to identify potential nutrition deficiencies or other lifestyle factors that may be contributing to your health concerns. Eating a balanced diet rich in nutrients, staying hydrated, and getting regular exercise can all help improve your CBC with Differential & Platelets results and promote overall wellness.

  • White Blood Cells (WBC) - The body's primary defense against disease and helps to fight infection.
  • Red Blood Cells (RBC) - Responsible for carrying oxygen and carbon dioxide away from all cells. Iron deficiency will lower the RBC count.
  • Hemoglobin - A chemical compound inside red cells that transports oxygen through the bloodstream to all body cells. Hemoglobin gives the red color to blood.
  • Hematocrit - Measures the amount of space red blood cells take up in the blood. It is reported as a percentage.
  • Neutrophils - Neutrophils are the most common type of white blood cells and are created by the bone marrow to combat a wide range of inflammatory and infectious diseases.
  • Lymphocytes - B-cells and T-cells are lymphocytes that fight bacteria and other pathogens in the blood. They are primarily found in the lymph system.
  • Monocytes - Working alongside neutrophils, monocytes play a vital role in fighting infections and other diseases and clearing away dead or damaged cells.
  • Eosinophils - White blood cells called eosinophils become activated in response to allergies and certain infections.
  • Basophils - Basophils play a role in detecting infections early on, as well as aiding in wound healing and reacting to allergic responses.
  • Mean Corpuscular Hemoglobin (MCH) - The average hemoglobin concentration within a red blood cell.
  • Mean Corpuscular Hemoglobin Concentration (MCHC) - The average hemoglobin concentration percentage within a red blood cell.
  • Mean Corpuscular Volume (MCV) - The average size of red blood cells.
  • Platelets - Blood cell particles associated with the forming of blood clots.
  • Red Cell Distribution Width (RDW) - Measures the amount of red blood cell variation in volume and size.
  • Absolute Neutrophils - The absolute neutrophil count measures the number of neutrophils in your blood. Normal range is 2,500-7,000 per microliter. Counts outside this range indicate a possible condition.
  • Absolute Lymphocytes -To calculate your absolute lymphocyte count, multiply your white blood cell count by the percentage of lymphocytes. This gives you the number of lymphocytes as an absolute number.
  • Absolute Monocytes -The absolute monocyte count indicates the number of monocytes in the blood, helping to identify if the count is normal, high, or low.
  • Absolute Eosinophils - Absolute eosinophil count measures the number of eosinophils in blood by multiplying the percentage of eosinophils in a complete blood count with the total number of white blood cells in the same count.
  • Absolute Basophils - Absolute basophil count is calculated by multiplying the percentage of basophils by the total number of white blood cells in a blood sample.

Thyroid Panel with Thyroid-Stimulating Hormone (TSH) - The Thyroid Panel with Thyroid-Stimulating Hormone (TSH) is a blood test that checks the health of your thyroid gland. The thyroid gland plays a crucial role in regulating many bodily functions, including metabolism, heart rate, and body temperature. The test measures the levels of different hormones produced by the thyroid gland, including TSH, T3, and T4. Abnormal levels of these hormones can indicate an underactive or overactive thyroid, which can lead to various health problems. By identifying any issues with the thyroid gland early, you can work with your healthcare provider to manage your condition and improve your overall wellness.

C-Reactive Protein, High Sensitivity (CRP-hs) - CRP-hs is a blood test that measures the level of a protein produced by the liver in response to inflammation. A high level of CRP-hs can indicate inflammation in the body, which can be caused by various factors. By monitoring CRP-hs levels, doctors can identify inflammation early on and potentially reduce the risk of developing certain health problems.

Hemoglobin A1C - Hemoglobin A1C is a blood test that measures the amount of sugar (glucose) that has been attached to your red blood cells over the past 3 months. It shows the average blood sugar level during that time, which is important in managing diabetes. A high A1C level indicates poor blood sugar control and can increase the risk of complications such as nerve damage, kidney disease, and heart disease. Maintaining a healthy A1C level is a key factor in overall wellness for people with diabetes.

Urinalysis Complete with Microscopic Examination - Urinalysis is a medical test that examines a person's urine for various health conditions. The complete urinalysis test includes a microscopic examination that checks for the presence of bacteria, red and white blood cells, and other substances that may indicate an infection or disease. It can also detect conditions such as diabetes, liver disease, and kidney problems. As for its relation to nutrition and wellness, urinalysis can provide insights into a person's hydration status and indicate whether they are consuming enough fluids. Additionally, it can detect the presence of certain substances like protein and glucose, which may indicate an issue with diet or metabolism. Urinalysis can be an important tool in monitoring and maintaining one's overall health and wellness.

 

Cancer Antigens:

Carcinoembryonic Antigen (CEA) - Carcinoembryonic Antigen (CEA) is a protein that is present in the body, but it is typically produced in higher levels by certain types of cancer cells. Therefore, testing for CEA levels in the blood can be used as a tool to monitor for the presence or recurrence of certain types of cancer, such as colorectal, breast, and lung cancer. However, it's important to note that elevated levels of CEA can also be caused by other factors, such as smoking or inflammation, so CEA testing is typically used in conjunction with other diagnostic tools to evaluate overall wellness.

Cancer Antigen 27.29 (CA 27-29) - CA 27-29 is a type of protein that is found in the blood of some people who have breast cancer. It is a tumor marker that can be measured through a blood test. The levels of CA 27-29 can help doctors monitor the progression of breast cancer and determine the effectiveness of treatment. However, it's important to note that a high level of CA 27-29 does not necessarily mean that someone has breast cancer, as it can also be elevated in other conditions, such as benign breast conditions or liver disease. Monitoring CA 27-29 levels can be useful in managing breast cancer and promoting overall wellness.

CA 19-9 - CA 19-9 is a type of tumor marker that is often used to help diagnose and monitor pancreatic cancer. It is a protein that is found in the blood and can be elevated in people with pancreatic cancer. However, it is important to note that an elevated CA 19-9 level does not always mean that someone has pancreatic cancer, as it can also be elevated in people with other conditions. Regular monitoring of CA 19-9 levels can help detect pancreatic cancer early, which can lead to better outcomes. Maintaining a healthy lifestyle, getting regular check-ups, and monitoring tumor markers like CA 19-9 can all contribute to overall wellness.

 

Vitamins:

Vitamin D 25-Hydroxy -Vitamin D 25-hydroxy is a blood test that measures the amount of vitamin D in your body. Vitamin D is an essential nutrient that helps your body absorb calcium and maintain healthy bones. It also plays a role in supporting your immune system and overall health. Low vitamin D levels have been linked to a range of health issues, including weakened bones, muscle weakness, and an increased risk of certain diseases. Maintaining adequate levels of vitamin D through sun exposure, diet, and supplements can help support your overall wellness.

Vitamin A - Vitamin A is a fat-soluble vitamin that plays a crucial role in maintaining good vision, healthy skin, and a strong immune system. It is also important for growth and development, particularly in children. Vitamin A can be found in various food sources, such as carrots, sweet potatoes, spinach, and liver. Adequate intake of Vitamin A is essential for overall wellness, but excessive intake can lead to toxicity symptoms.

Vitamin B1, Whole Blood - Vitamin B1, also known as thiamine, is a water-soluble vitamin that plays a crucial role in converting food into energy. It is essential for proper functioning of the nervous system, heart, and muscles. On the other hand, whole blood refers to blood containing all its components - red blood cells, white blood cells, platelets, and plasma. It is used in blood transfusions to treat various medical conditions. Both vitamin B1 and whole blood are important for overall wellness as they support proper bodily functions and can help prevent certain health issues when consumed or used appropriately.

Vitamin B6 - Vitamin B6 is a water-soluble vitamin that plays an important role in several bodily functions. It helps in the metabolism of protein, carbohydrates, and fats and is involved in the production of neurotransmitters such as serotonin and dopamine. Vitamin B6 also helps in the formation of red blood cells and supports the immune system. Adequate intake of Vitamin B6 is important for overall wellness as it helps maintain healthy brain function, supports the cardiovascular system, and promotes healthy skin and hair.

Vitamin B12 - Vitamin B12 is essential for maintaining healthy nerve cells, DNA production, and red blood cell formation. It also helps in the metabolism of fats, proteins, and carbohydrates. Adequate levels of vitamin B12 can boost energy levels, improve mood, and support brain function. It plays a crucial role in maintaining overall wellness, including healthy skin, hair, and nails, and a strong immune system.

Vitamin E - Vitamin E is a fat-soluble nutrient that acts as an antioxidant in the body. It helps protect cells from damage caused by free radicals and supports the immune system. Vitamin E is also important for maintaining healthy skin and eyes, and may play a role in preventing chronic diseases such as heart disease and cancer. Including nuts, seeds, and leafy greens in your diet can help ensure adequate vitamin E intake for overall wellness.

Vitamin C -Vitamin C is a nutrient that is essential for overall health and wellness. It is also known as ascorbic acid and is found in a variety of foods, including citrus fruits, berries, kiwi, broccoli, and bell peppers. Vitamin C is important for the growth and repair of tissues in the body, as well as the maintenance of healthy skin, bones, and teeth. It is also a powerful antioxidant that helps protect the body against damage caused by harmful molecules known as free radicals. Consuming enough Vitamin C can also boost the immune system, helping prevent illnesses like the common cold.

Beta Carotene - Beta carotene is a pigment found in plants that the body can convert into vitamin A. It is an antioxidant that helps protect cells from damage caused by harmful molecules called free radicals. Beta Carotene is thought to support eye health, boost the immune system, and lower the risk of certain diseases such as cancer and heart disease. It can be found in orange and yellow fruits and vegetables such as carrots, sweet potatoes, and cantaloupe.

Folate or Folic acid - Folate, or folic acid, is a B-vitamin that is essential for various bodily functions. It plays a crucial role in the formation of red blood cells, as well as in the development of the fetal neural tube during pregnancy. Folate also helps to convert food into energy and supports healthy brain function. Adequate folate intake is important for overall wellness and can reduce the risk of certain congenital disabilities, anemia, and other health issues. Good dietary sources of folate include leafy greens, fruits, beans, and fortified grains.

 

Hormones:

Testosterone, Total and Free - Testosterone is a hormone that is present in both men and women, but is primarily known as the male sex hormone. Total testosterone refers to the total amount of this hormone present in the body, while free testosterone refers to the portion of the hormone that is not bound to proteins and is therefore available for use by the body. Testosterone plays an important role in many bodily functions, including the development of male sexual characteristics, muscle strength and mass, bone density, and mood. Low levels of testosterone can lead to a variety of health problems, including decreased muscle mass, increased body fat, decreased sex drive, and depression. On the other hand, high levels of testosterone can also have negative effects on health, such as an increased risk of heart disease. Therefore, it is important to maintain a healthy balance of testosterone in the body for overall wellness.

Estradiol - Estradiol is a type of estrogen hormone that mainly affects the reproductive system in both men and women. In women, estradiol plays a key role in the menstrual cycle, bone health, and helps protect the heart and brain. In men, it also contributes to bone strength and has a role in sexual function. However, too much or too little estradiol can have negative effects on overall wellness. For instance, high levels of estradiol in men are associated with an increased risk of cardiovascular disease, while low levels in women can lead to bone loss and other health issues. Therefore, it's important to maintain a healthy balance of estradiol for optimal wellness.

FSH and LH - FSH (follicle-stimulating hormone) and LH (luteinizing hormone) are two important hormones produced by the pituitary gland. FSH is responsible for stimulating the growth and development of follicles in the ovaries, while LH triggers ovulation. In men, LH stimulates the production of testosterone in the testes. These hormones play a crucial role in the reproductive system and overall reproductive health. Any imbalance in these hormones can lead to various health issues, including infertility, irregular periods, and hormonal imbalances. Therefore, it is important to maintain a healthy balance of FSH and LH for overall wellness.

DHEAS - DHEAS (Dehydroepiandrosterone sulfate) is a hormone produced by the adrenal gland. It plays a crucial role in the production of other hormones like testosterone and estrogen. DHEAS levels can indicate the overall health of the adrenal gland and can also be an indicator of overall wellness. Low DHEAS levels can be associated with various health issues like osteoporosis, depression, and even heart disease. Maintaining optimal levels of DHEAS can help promote overall wellness and prevent such health issues.

 

Benefits of the Wellness #4 Extensive Blood and Urine Test Panel:

  1. Comprehensive evaluation: The panel includes a wide range of blood and urine tests covering essential health markers such as liver function, kidney function, electrolyte balance, metabolic health, hormonal balance, nutritional status, and markers of inflammation and immune function. This comprehensive evaluation offers a detailed overview of various aspects of health.
  2. Early detection of health issues: By identifying abnormalities in blood and urine markers, the panel can help detect potential health problems at an early stage, allowing for timely intervention and treatment. Early detection is key to preventing the progression of certain diseases and improving long-term outcomes.
  3. Nutritional status assessment: The panel includes tests for essential vitamins, minerals, and nutrients such as vitamin D, vitamin B12, folate, and iron. Assessing nutritional status helps identify deficiencies that may contribute to fatigue, poor immune function, and other health issues, allowing for targeted supplementation or dietary adjustments.
  4. Hormonal balance evaluation: Hormones play crucial roles in regulating various bodily functions, including metabolism, energy levels, mood, and reproductive health. The panel includes tests for thyroid hormones (TSH, T3, T4) and sex hormones (estradiol, testosterone). Evaluating hormonal balance can provide insights into hormonal imbalances that may affect overall health and well-being.
  5. Metabolic health assessment: The panel includes tests for markers of glucose metabolism (fasting glucose, HbA1c), lipid profile (cholesterol, triglycerides), liver function (AST, ALT, GGT), and kidney function (creatinine, BUN). Assessing metabolic health helps identify risk factors for conditions such as diabetes, cardiovascular disease, and liver or kidney dysfunction.
  6. Inflammation and immune system markers: The panel includes tests for markers of inflammation (CRP) and immune function (WBC count, lymphocyte count). Chronic inflammation and immune dysfunction are associated with various health conditions, and evaluating these markers can provide insights into overall immune system health and inflammatory status.
  7. Personalized health insights: The results of the Wellness #4 Extensive Blood and Urine Test Panel provide individuals with personalized insights into their unique health profile, enabling them to make informed decisions about lifestyle changes, dietary modifications, supplementation, and other interventions to optimize their health and well-being.

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