On Demand Medical Testing

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Individual Blood Test

       
Individual Blood Tests:

 

AUTO-IMMUNE TESTS:

 CANCER TESTS:

 DIABETES TESTS:

 HEART HEALTH & CHOLESTEROL TESTS:

GASTRO-INTESTINAL TESTS:

 HORMONE TESTS:

 

KIDNEY DISEASE TESTS:


 

ABO Group & Rh Type……………………………………….$44.00

 Blood typing is used to determine your blood group and what type of blood or blood components you can safely receive. It is important to ensure that there is compatibility between a patient who requires a transfusion of blood or blood components and the ABO and Rh type of the unit of blood that will be transfused.

 AlanineTransferase………………………………………….$44.00

 The alanine aminotransferase (ALT) blood test is typically used to detect liver injury. It is often ordered in conjunction with aspartate aminotransferase (AST) or as part of a liver panel to screen for and/or help diagnose liver disease. AST and ALT are considered to be two of the most important tests to detect liver injury, although ALT is more specific than AST. Sometimes AST is compared directly to ALT and an AST/ALT ratio is calculated. This ratio may be used to distinguish between different causes of liver damage.

ALT values are often compared to the results of other tests such as alkaline phosphatase (ALP), total protein, and bilirubin to help determine which form of liver disease is present.

ALT is often used to monitor the treatment of persons who have liver disease, to see if the treatment is working, and may be ordered either by itself or along with other tests for this purpose

Alkaline Phosphotase……………………………………………..$44.00

The alkaline phosphatase test (ALP) is used to help detect liver diseaseor bone disorders. In conditions affecting the liver, damaged liver cells release increased amounts of ALP into the blood. This test is often used to detect blocked bile ducts because ALP is especially high in the edges of cells that join to form bile ducts. If one or more of them are obstructed, for example by a tumor, then blood levels of ALP will often be high.

 Alpha-fetoprotein (AFP)…………………………………………………..$44.00

Alpha-Fetoprotein & AFP L-3……………………………… $200.00

                                   

Assessment of risk for Hepatocellular Carcinoma

Amylase…………………………………………………………..$44.00

Anti-Nuclear Antibodies IFA with Reflex……………………$44.00

 

ASO ANTIBODIES…………………………………………………..$44.00

 

B ASIC METAB0LIC PANEL………………………………$44.00 

The BMP includes:

Glucose

Calcium .

Electrolytes

Sodium

Potassium

CO2 (carbon dioxide, bicarbonate)

Chloride

Kidney Tests

BUN (blood urea nitrogen)

Creatinine

 

DHEA-S Test

Your adrenal glands are two small pieces of tissue that sit atop each kidney. They  produce and release certain regulatory hormones and chemical messengers - one of which is Dehydroepiandrosterone Sulfate or DHEA-S for short. It’s a natural steroid hormone produced from cholesterol and it purpose is to serve as a precursor to male and female sex hormones. This hormone is also associated with immune and stress response.

 ESTRADIOL …………………………………………$66.00

The Estradiol Test measures the amount of estradiol (a form of estrogen) in your blood. This test will determine your estrogen status, evaluate your ovarian function and monitor the follicular development during ovulation. In men, this test is used to assess estrogen production levels.

  

GLUCOSE TEST…………………………………………..$44.00

The Glucose (Serum) Test, also known as the Fasting Blood Glucose Test, is the most common test used to diagnose hyperglycemia (higher-than-normal levels of blood sugar), hypoglycemia (lower-than-normal levels of blood sugar) and diabetes. It’s commonly given by your doctor every year and during pregnancy. In addition, Diabetics self-conduct this test multiple times a day to monitor their blood glucose.

Note:Be sure to fast (not eat) for 10-12 before the test to ensure its accuracy

 BETA-2 MICROGLOBULIN…………………..$66.00

The characteristics of beta2 microglobulin (B2M) make it useful as a tumor marker for some blood cell cancers, for detecting kidney damage, and for distinguishing between glomerular and tubular disorders of the kidney. B2M is not diagnostic for a specific disease, but it gives the doctor additional information about someone's likely prognosis and about the health of their kidneys.

As a tumor marker: a blood B2M test may be ordered to help determine the severity and spread (stage) of multiple myeloma and may sometimes be ordered to evaluate the effectiveness of treatment. B2M has been associated with tumor burden, the amount of cancer present, and may be ordered to help evaluate the prognosis of cancers such as leukemia and lymphoma.

In kidney disease: both blood and urine B2M tests may be ordered along with other kidney function tests such as BUN, creatinine, and microalbumin to evaluate kidney damage and disease and to distinguish between disorders that affect the glomeruli and the renal tubules. B2M tests may sometimes be ordered to monitor people who have had a kidney transplant, to detect early signs of rejection, and ordered to monitor people who are exposed to high levels of cadmium and mercury, such as with occupational exposure.

CA-125…………………………………………..$66.00

CA-125 is primarily used to monitor therapy during treatment for ovarian cancer. CA-125 is also used to detect whether cancer has come back after treatment is complete. Series of CA-125 tests that show rising or falling concentrations are often more useful than a single result. This test is sometimes used to test and monitor high-risk women who have a family history of ovarian cancer but who do not yet have the disease.

 CA-15-3……………………………………….$66.00

To monitor the response to treatment of invasive breast cancer and to watch for recurrence of the disease

CA 27-29……………………………………..$66.00

 CALCIUM…………………………………….$44.00

Blood calcium is tested to screen for, diagnose, and monitor a range of conditions relating to the bones, heart, nerves, kidneys, and teeth. Blood calcium levels do not directly tell how much calcium is in the bones, but rather, how much calcium is circulating in the blood.

 CARDIO CRP………………………………48.00

Cardio-CRP is promoted by some as a test for determining the potential risk level for cardiovascular disease, heart attacks, and strokes. The current thinking is that hs-CRP can play a role in the evaluation process before one encounters one of these health problems. More clinical trials that involve measuring hs-CRP levels are currently underway in an effort to better understand its role in cardiovascular events and may eventually lead to guidelines on its use in screening and treatment decisions.

COMPLETE BLOOD COUNT …………………………………   $44.00

White blood cell count.

White blood cell differential.

Red blood cell count.

Red blood cell density.

Hemoglobin levels.

Blood platelet count.

A Complete Blood Count or CBCis a great test to take to give you a snapshotyour health. This test gives important information about the kind and the number of cells in your blood. Physicians use this information to evaluate symptoms, help diagnose conditions and treat certain illnesses (like infections).

 CEA……………………………………………$44.00

CEA is used mainly to monitor the treatment of cancer patients, especially those with colon cancer. Following surgery, CEA values are helpful in monitoring the response to therapy and in determining whether the disease has recurred. CEA is also used as a marker for other forms of cancer, including cancers of the rectum, lung, breast, liver, pancreas, stomach, and ovary. Not all cancers produce CEA, and a positive CEA test is not always due to cancer.

CHLAMYDIA-DNA…………………………….$88.00

Chlamydia is a sexually transmitted disease (STD) caused by a bacterium that can damage a woman’s reproductive organs (infertility) if left untreated. It’s a serious disease that often has minimal or no symptoms. Chlamydia and Gonorrhea have similar symptoms such as discharge and painful urination.

CYTOMEGALOVIRUS ANITIBODY- IGg……..  $68.00

Cytomegalovirus infection (CMV) is a viral infection that rarely causes obvious illness. The virus that causes CMV is part of the herpes virus family and, like other herpes viruses, may become dormant for a period of time and then be reactivated. CMV affects young children mainly, but it is estimated that by age 30 in the United States, half of all adults are, or have been, infected. The virus can pass from an infected, pregnant mother to her child through the shared blood supply (umbilical cord).

Physicians recognize three clinical forms of CMV. These include: (1) CMV inclusion disease of the newborn, which ranges in severity from being without symptoms to being a severe disease affecting the liver, spleen and central nervous system, with possible developmental disabilities; (2) Acute acquired CMV infection, which is similar to infectious mononucleosis and characterized by fever, a feeling of beng not quite right (malaise), skeletal-muscular pain and the absence of a sore throat; (3) CMV in immunocompromised persons (for instance, people who have had organ transplants or who have HIV) with increased risk for difficult eye infections (CMV retinitis), gastrointestinal CMV, and encephalitis.

ESTRADIOL…………………………………..$66.00

An estrogen test measures the level of the most important estrogen hormones (estradiol, estriol, and estrone) in a blood or urine sample.

Estrone may be measured in women who have gone through menopause to determine their estrogen levels. It also may be measured in men or women who might have cancer of the ovaries, testicles, or adrenal glands.

Both men and women produce estrogen hormones. Estrogens are responsible for female sexual development and function, such as breast development and the menstrual cycle. In women, estrogens are produced mainly in the ovaries and in the placenta during pregnancy. Small amounts are also produced by the adrenal glands. In men, small amounts of estrogens are produced by the adrenal glands and testicles. Small amounts of estrone are made throughout the body in most tissues, especially fat and muscle. This is the major source of estrogen in women who have gone through menopause.

FERRITIN………………………………………$44.00

The ferritin test is ordered to assess a person's iron stores in the body. The test is sometimes ordered along with an iron test and a TIBC to detect the presence and evaluate the severity of an iron deficiency or overload.

FOLATE……………………………………………..$44.00

B12 and folate are primarily ordered to help diagnose the cause of macrocytic anemia. They are ordered as follow-up tests when large RBCs and a decreased hemoglobin concentration are found during a CBC test. Folate, B12, and an assortment of other tests may be ordered to help evaluate the general health and nutritional status of a patient with signs of significant malnutrition or malabsorption. This may include people with alcoholism and those with conditions associated with malabsorption such as celiac disease, Crohn’s disease, and cystic fibrosis. B12 and folate may also be ordered to help diagnose the cause of mental or behavioral changes, especially in the elderly.

FSH……………………………………………………$44.00

A follicle-stimulating hormone test measures the amount of follicle-stimulating hormone (FSH) in a blood sample. FSH is produced by the pituitary gland.

The amounts of FSH and other hormones (luteinizing hormone, estrogen, and progesterone) are measured in both a man and a woman to determine why the couple cannot become pregnant (infertility). The FSH level can help determine whether male or female sex organs (testicles or ovaries) are functioning properly.

FSH & LH…………………………………………….$88.00

A luteinizing hormone test measures the amount of luteinizing hormone (LH) in a sample of blood or urine. LH is produced by the pituitary gland.

 

GROWTH HORMONE……………………….$88.00

A growth hormone (GH) test measures the amount of human growth hormone (GH) in the blood. GH is made by the pituitary gland and is needed for growth. It plays an important role in how the body uses food for energy (metabolism). The amount of GH in the blood changes during the day and is affected by exercise, sleep, emotional stress, and diet.

Too much GH during childhood can cause a child to grow larger than normal (gigantism). Too little GH during childhood can cause a child to grow less than normal (dwarfism). Both conditions can be treated if found early.

In adults, too much GH is caused by a noncancerous tumor of the pituitary gland (adenoma). Too much GH can cause bones of the face, jaw, hands, and feet to grow larger than normal (acromegaly).

Growth hormone can cause the release of other substances (factors) that affect growth and metabolism. One of these is insulin-like growth factor 1 (IGF-1). When the GH level is very high, the IGF-1 level is also very high. A test for IGF-1 may also be done to confirm high GH levels.

H PYLORI ABS-IgA,IgG……………………………….$68.00

Helicobacter pyloritests are used to detect a Helicobacter pylori (H. pylori) infection in the stomach and upper part of the small intestine (duodenum). H. pylori can cause peptic ulcers. But most people with H. pylori in their digestive systems do not develop ulcers. Blood antibody test. A blood test checks to see whether your body has made antibodies to H. pylori bacteria. If you have antibodies to H. pylori in your blood, it means you either are currently infected or have been infected in the past.

HCG TOTAL(QUANT)……………………$44.00

The human chorionic gonadotropin (hCG) test is done to check for the hormone hCG in blood or urine. Some hCG tests measure the exact amount and some just check to see if the hormone is present. HCG is made by the placenta during pregnancy. The hCG test can be used to see if a woman is pregnant or as part of a screening test for birth defects.

HCG may also be made abnormally by certain tumors, especially those that come from an egg or sperm (germ cell tumors). HCG levels are often tested in a woman who may have abnormal tissue growing in her uterus, a molar pregnancy, or a cancer in the uterus (choriocarcinoma) rather than a normal pregnancy. Several hCG tests may be done after a miscarriage to be sure a molar pregnancy is not present. In a man, hCG levels may be measured to help see whether he has cancer of the testicles.

 HEPATITIS B SURFACE ANTIBODY……………$44.00

HEPATITIS B e-ANTIGEN……………………………….$44.00

 

HEPATITIC C ANTIBODY………………………………...$44.00

HEPATITIS C ANTIBODY-RIBA……………………..$240.00

 

HEPATIC FUNCTION PANEL………………………$44.00

A liver (hepatic) function panel is a blood test to check how well the liveris working. This test measures the blood levels of total protein, albumin, bilirubin, and liver enzymes. High or low levels may mean that liver damage or disease is present.

The liver serves several important functions in the body, including changing nutrients into energy for the body and breaking down toxic substances.

Your doctor may order a liver function panel if you have symptoms of liver disease. These symptoms include fever, vomiting, abdominal pain, yellowing of your eyes or skin (jaundice), dark yellow urine, and feeling very tired. This blood test also may be done if you have recently been exposed to a hepatitis virus or are taking a medicine that may cause liver damage.

For more information, see the medical tests:

HEPTATIS A ANTIBODY………………………..$44.00

Hepatitis A virus (HAV) test is a blood test that looks for proteins (antibodies) made by the body in response to the virus that causes hepatitis A. These proteins will be present in your blood if you have a hepatitis A infection now or have had one in the past. It is important to identify the type of hepatitis virus causing the infection to prevent it from spreading and to start the proper treatment.

HOMOCYSTEINE, CV…………………………..$98.00

Homocysteine may be ordered as part of a screen for people at high risk for heart attack or stroke. It may be useful in someone who has a family history of coronary artery disease but no other known risk factors. Its utility for this purpose, however, continues to be questioned because the role, if any, that homocysteine plays in the progression of cardiovascular disease (CVD) has not been established. Routine screening, such as that done for total cholesterol, is not yet recommended.

CHICKENPOX ANTIBODY-IgG……………………..$44.00

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INSULIN……………………………………………..$48.00

For diagnosis and monitoring of diabetes and insulin-secreting tumors.

IRON, TOTAL……………………………………….$44.00

Serum measurements are useful in the diagnosis of iron deficiency and hemochromatosis.

IRON, TOTAL & IRON BINDING CAPACITY…$68.00

Serum iron quantification is useful in confirming the diagnosis of iron-deficiency anemia or hemochromatosis. The measurement of total iron binding in the same specimen may facilitate the clinician's ability to distinguish between low serum iron levels caused by iron deficiency from those related to inflammatory neoplastic disorders. The assay for iron measures the amount of iron which is bound to transferrin. The total iron binding capacity (TIBC) measures the amount of iron that would appear in blood if all the transferrin were saturated with iron. It is an indirect measurement of transferrin concentrations but expressed as an iron measurement. To obtain the percent saturation, the serum iron is divided by the TIBC which gives the actual amount of saturated transferrin. The percent saturation is low in iron deficiency and high in iron storage diseases.

LDH…………………………………………………..$44.00

Elevations in serum lactate dehydrogenase occur from myocardial infarction, liver disease, pernicious and megaloblastic anemia, pulmonary emboli, malignancies, and muscular dystrophy. 

LEAD, BLOOD………………………………………..$88.00

This test measures the amount of lead in the blood. Lead is a poisonous (toxic) metal that can damage the brain and other parts of the body. A lead blood test may be done on blood drawn from the vein, a finger (finger stick), or the heel (heel stick).

A person can be exposed to lead:

There is no safe age to be exposed to lead. Adults can have problems from lead poisoning, but it is most harmful to children younger than age 6 (especially those younger than age 3) because it can permanently affect their growth and development. A pregnant woman who is exposed to lead can pass it to her baby (fetus). Lead can also be passed to a baby through the mother's breast milk.

LEPTIN………………………………………………$65.00

Leptin is an adipocyte-derived hormone that is essential for normal body weight regulation. Leptin production is under neuroendocrine control so that serum concentrations vary directly with the amount of triglycerides stored in adipose tissue depots.

LIPASE………………………………………………$44.00

A lipase test measures the amount of this enzyme in a blood sample. High amounts of lipase may be found in the blood when the pancreas is damaged or when the tube leading from the pancreas (pancreatic duct) to the beginning of the small intestine is blocked.

LIPID PANEL …………………………………………..$44.00


A lipid panel is a blood test that measures lipids—fats and fatty substances used as a source of energy by your body. Lipids include cholesterol, triglycerides, high-density lipoprotein (HDL), and low-density lipoprotein (LDL).

This panel measures:

Other measurements that may be done for a lipid panel include:

Lipids are found in your blood and are stored in tissues. They are an important part of cells, and they help keep your body working normally. Lipid disorders, such as high cholesterol, may lead to life-threatening illnesses, such as coronary artery disease (CAD), heart attack, or stroke.

Your doctor may order a lipid panel as part of a regular health examination. Your doctor may use the results of this test to prevent, check on, or diagnose a medical condition.

You usually need to avoid eating for 10 to 12 hours before you have this blood test. You may drink water and take medicines your doctor prescribed during this time. But avoid drinking liquids other than water.

LIPOPROTEIN-a…………………………………….$88.00

Elevated concentrations of Lp(a) are associated with increased risk of coronary artery disease.

LYME DISEASE, EIA, WITH REFLEX……………..$68.00

Lyme disease is caused by a bacterium borrelia burgdorferi and is transmitted by ticks. EIA is the screening test with high sensitivity for antibody detection. Western blot testing qualitatively examines with high specificity antibodies in a patient's specimen. Western blot testing is appropriate for confirming a detected EIA test result.

MAGNESIUM,RBC……………………………………$90.00

Magnesium is an essential trace element. Deficiency leads to irritability, neuromuscular abnormalities, cardiac and renal damage. Its salts are used as antacids and cathartics. Excessive amount may cause CNS depression, loss of muscle tone, respiratory and cardiac arrest.

MAGNESIUM, SERUM……………………………….$50.00

Magnesium measurements are used in the diagnosis and treatment of hypomagnesemia (abnormally low plasma levels of magnesium) and hypermagnesemia (abnormally high plasma levels of magnesium). Magnesium is decreased in chronic nephritis, acute pancreatitis, and alcoholic cirrhosis. It is increased in acute or chronic renal failure and Addison's Disease.

MEASLES ANTIBODY IgG………………………..$68.00

Measles is an acute infection caused by Rubeola Virus. After an incubation period of 10-14 days, cough, coryza, fever and a maculopapular rash that begins several days after the initial symptoms characterize the illness. The characteristic oral exanthem, Koplik's spots, is specific for measles and precedes the onset of rash. Serologic testing can aid in the clinical diagnosis. In the absence of a current or recent infection, a demonstration of specific IgG on a serum sample by enzyme immunoassay is evidence of immunity to Rubeola. Acute infection is diagnosed by a demonstration of IgM antibody.

 MONONUCLEOSIS SCREEN……………………….$68.00

Mononucleosis tests are blood tests to look for antibodies that indicate mononucleosis (mono), which is caused by the Epstein-Barr virus (EBV). The antibodies are made by the immune system to fight an infection.

Mono tests include:

MUMPS ANTIBODY…………………………………….$44.00

Mumps is an acute, usually self-limited systemic illness characterized by parotitis, high fever and fatigue. One-third of infections are asymptomatic. A live attenuated vaccine is available. The mumps IgG antibody test is sufficiently sensitive to establish immune status of the patient.

 

NEURON SPECIFIC ENOLASE (NSE)…………………………………………………….$88.00

NSE is useful in monitoring disease progression and therapy in patients with small cell lung cancer and neuroendocrine tumors such as neuroblastoma, medullary thyroid carcinoma, and pheochromocytoma, and other malignancies such as pancreatic islet cell carcinoma

 PREALBUMIN…………………………………………$44.00

Prealbumin is decreased in protein-calorie malnutrition, liver disease, and acute inflammation. It may be used as an indicator of nutritional requirements and response to therapy during total parenteral nutrition and as a biochemical marker of nutritional adequacy in premature infants.

 PROTHROMBIN TIME WITH INR…………………$44.00

Screening test for abnormalities of coagulation factors that are involved in the extrinsic pathway. Also used to monitor effects of Warfarin therapy and to study patients with hereditary and acquired clotting disorders.

 PROGESTERONE………………………………….$88.00

A progesterone test measures the amount of the hormone progesterone in a blood sample. Progesterone is a female hormone produced by the ovaries during release of a mature egg from an ovary (ovulation). Progesterone helps prepare the lining of the uterus (endometrium) to receive the egg if it becomes fertilized by a sperm. If the egg is not fertilized, progesterone levels drop and menstrual bleeding begins.

During pregnancy, the placenta also produces high levels of progesterone, starting near the end of the first trimester and continuing until the baby is born. Levels of progesterone in a pregnant woman are about 10 times higher than they are in a woman who is not pregnant.

Some types of cancer cause abnormal progesterone levels in men and women.

PSA………………………………………………….$44.00

A prostate-specific antigen (PSA) test measures the amount of prostate-specific antigen in the blood. PSA is released into a man's blood by his prostate gland. Healthy men have low amounts of PSA in the blood. The amount of PSA in the blood normally increases as a man's prostate enlarges with age. PSA may increase because of inflammation of the prostate gland (prostatitis) or prostate cancer. An injury, a digital rectal exam, or sexual activity (ejaculation) may also briefly raise PSA levels.

Prostate cancer often grows very slowly, without causing major problems. Detecting prostate cancer early and treating it may prevent some health problems and reduce the risk of dying from the cancer. But some treatments for prostate cancer can cause other problems, such as being unable to control urination (incontinence) or erection problems (erectile dysfunction). Some men may choose not to have a PSA test or treat prostate cancer if it is detected. For example, a man older than age 75 who has no bothersome symptoms of prostate cancer may choose not to treat the cancer if it is found, so he would not need a PSA test.

RENAL FUNCTION PANEL……………………………..$44.00

Albumin, BUN/Creatinine Ratio (calculated), Calcium, Carbon Dioxide, Creatinine, Estimated Glomerular Filtration Rate (calculated), Glucose, Phosphate (as Phosphorus), Potassium, Sodium, Urea Nitrogen

RESPIRATORY ALLERGY PROFILE (MS)…………..$395.00

 

                ImmunoCap®Specific IgE Blood Test

 

 

 

What is the ImmunoCAP Specific IgE Blood Test?
A laboratory test to rule in or rule out atopy in patients with allergy-like symptoms. ImmunoCAP provides a clinically relevant means of confirming or excluding the presence of atopic disease in patients with upper respiratory disease. These allergy-like symptoms are very difficult to differentiate. ImmunoCAP will also accurately identify specific allergen sensitivities in patients with confirmed allergy.

What Does the Test Measure?
This in vitro quantitative assay measures allergen specific IgE in human serum. It is intended for in vitrodiagnosis use as an aid in the clinical diagnosis of IgE mediated allergic disorders in conjunction with other clinical findings. ImmunoCAP assays can be performed on hundreds of allergens such as weeds, trees, pollens, mold, food, and animal dander.

What is the Role of this Test in Diagnosing and Managing Upper Respiratory Disease?
Causes of nasal symptoms associated with upper respiratory disease (URD) can range from aspirin intolerance to pregnancy. The exact etiology of allergy-like symptoms is often difficult to determine definitively. The origin could be allergic, bacterial, viral, or pathological and is virtually impossible to establish with an empirical assessment alone. Compounding this, consumer awareness is at an all-time high. Patients often come in with a pre-determined self-diagnosis and request for therapy. History and physical are important, but further inquiry is often necessary to provide an evidence-based diagnosis and treatment regimen. ImmnoCAP Specific IgE blood test can definitively rule in or rule out atopic disease as the cause of or contributing factor to these symptoms.

Once a definitive diagnosis is reached, regardless of the presence or absence of atopy, appropriate treatment options can be employed. When atopy proves to be a factor in URD, avoidance is considered the primary therapeutic approach by all leading professional allergy associations. This test can identify the specific causative allergens.    MORE INFO

RHEUMATOID FACTOR………………………………..$44.00

A rheumatoid factor (RF) blood test measures the amount of the RF antibody present in the blood. Normally, antibodies are produced by the immune system to help destroy and eliminate invading bacteria and viruses that can cause disease. But the RF antibody can attach to normal body tissue, resulting in damage.

A high level of rheumatoid factor can be caused by several autoimmune diseases (including rheumatoid arthritis) and some infections. Occasionally an elevated level of RF is present in healthy people.

RUBELLA ANTIBODY………………………………….$66.00

A rubella blood test detects antibodies that are made by the immune system to help kill the rubella virus. These antibodies remain in the bloodstream for years. The presence of certain antibodies indicates a recent infection, a past infection, or that you have been vaccinated against the disease.

The presence of IgM antibodies means you have a current or recent rubella infection.

The presence of IgG antibodies means you have immunity against the infection. This immunity could have been received either through vaccination for rubella or a past rubella infection.

Rubella (also called German measles or 3-day measles) usually does not cause long-term problems. But a woman infected with the rubella virus during pregnancy can transmit the disease to her baby (fetus). And serious birth defects called congenital rubella syndrome (CRS) could develop during the first trimester. Birth defects of CRS include cataracts and other eye problems, hearing impairment, and heart disease. Miscarriage and stillbirth are also possible consequences for pregnant women. The vaccination to prevent rubella protects against these complications.

A rubella test is usually done for a woman who is or wants to become pregnant to determine whether she is at risk for rubella. Several laboratory methods can be used to detect rubella antibodies in the blood. The most commonly used method is the enzyme-linked immunosorbent assay (ELISA, EIA).

SED RATE (ESR)……………………………………….$44.00

The sedimentation rate (sed rate) blood test measures how quickly red blood cells (erythrocytes) settle in a test tube in one hour. The more red cells that fall to the bottom of the test tube in one hour, the higher the sed rate.

When inflammation is present in the body, certain proteins cause red blood cells to stick together and fall more quickly than normal to the bottom of the tube. These proteins are produced by the liver and the immune system under many abnormal conditions, such as an infection, an autoimmune disease, or cancer.

There are many possible causes of a high sedimentation rate. For this reason, a sed rate is done with other tests to confirm a diagnosis. After a diagnosis has been made, a sed rate can be done to help check on the disease or see how well treatment is working.

SELENIUM………………………………………………$90.00

Selenium is an element of parenteral nutrition. Monitoring the Selenium concentration is useful in assessing parenteral nutrition, especially recent intake. Concentrations are also monitored in children with proprionic acidemia who require special diets with supplements.

 TESTOSTERONE……………………………………..$44.00

A testosterone test checks the level of this male hormone (androgen) in the blood. Testosterone affects sexual features and development. In men, it is made in large amounts by the testicles. In both men and women, testosterone is made in small amounts by the adrenal glands; and, in women, by the ovaries.

The pituitary gland controls the level of testosterone in the body. When the testosterone level is low, the pituitary gland releases a hormone called luteinizing hormone (LH). This hormone tells the testicles to make more testosterone. See a picture of the pituitary gland.

Before puberty, the testosterone level in boys is normally low. Testosterone increases during puberty. This causes boys to develop a deeper voice, get bigger muscles, make sperm, and get facial and body hair. The level of testosterone is the highest around age 40, then gradually becomes less in older men.

In women, the ovaries account for half of the testosterone in the body. Women have a much smaller amount of testosterone in their bodies compared to men. But testosterone plays an important role throughout the body in both men and women. It affects the brain, bone and muscle mass, fat distribution, the vascular system, energy levels, genital tissues, and sexual functioning.

Most of the testosterone in the blood is bound to a protein called sex hormone binding globulin (SHBG). Testosterone that is not bound ("free") can also be checked if a man or a woman is having sexual problems.

 TSH…………………………………………………….$44.00

A thyroid-stimulating hormone (TSH) blood test is used to check for thyroid gland problems. TSH is produced when the hypothalamus releases a substance called thyrotropin-releasing hormone (TRH). TRH then triggers the pituitary gland to release TSH. See pictures of the thyroid gland and the pituitary gland.

TSH causes the thyroid gland to make two hormones: triiodothyronine (T3) and thyroxine (T4). T3 and T4 help control your body's metabolism.

Triiodothyronine (T3) and thyroxine (T4) are needed for normal growth of the brain, especially during the first 3 years of life. A baby whose thyroid gland does not make enough thyroid hormone (congenital hypothyroidism) may, in severe cases, be mentally retarded. Older children also need thyroid hormones to grow and develop normally.

This test may be done at the same time as tests to measure T3 and T4.

 

U/A,COMPLETE………………………………………$44.00

A urine test checks different components of urine, a waste product made by the kidneys. A regular urine test may be done to help find the cause of symptoms. The test can give information about your health and problems you may have.

The kidneys take out waste material, minerals, fluids, and other substances from the blood to be passed in the urine. Urine has hundreds of different body wastes. What you eat, drink, how much you exercise, and how well your kidneys work can affect what is in your urine.

More than 100 different tests can be done on urine. A regular urinalysis often includes the following tests.

Color. Many things affect urine color, including fluid balance, diet, medicines, and diseases. How dark or light the color is tells you how much water is in it. Vitamin B supplements can turn urine bright yellow. Some medicines, blackberries, beets, rhubarb, or blood in the urine can turn urine red-brown.

Clarity. Urine is normally clear. Bacteria, blood, sperm, crystals, or mucus can make urine look cloudy.

Odor. Urine does not smell very strong, but has a slightly "nutty" odor. Some diseases cause a change in the odor of urine. For example, an infection with E. coli bacteria can cause a bad odor, while diabetes or starvation can cause a sweet, fruity odor.

Specific gravity. This checks the amount of substances in the urine. It also shows how well the kidneys balance the amount of water in urine. The higher the specific gravity, the more solid material is in the urine. When you drink a lot of fluid, your kidneys make urine with a high amount of water in it which has a low specific gravity. When you do not drink fluids, your kidneys make urine with a small amount of water in it which has a high specific gravity.

pH. The pHis a measure of how acidic or alkaline (basic) the urine is. A urine pH of 4 is strongly acidic, 7 is neutral (neither acidic nor alkaline), and 9 is strongly alkaline. Sometimes the pH of urine is affected by certain treatments. For example, your doctor may instruct you how to keep your urine either acidic or alkaline to prevent some types of kidney stones from forming.

Protein. Protein is normally not found in the urine. Fever, hard exercise, pregnancy, and some diseases, especially kidney disease, may cause protein to be in the urine.

Glucose. Glucose is the type of sugar found in blood. Normally there is very little or no glucose in urine. When the blood sugar level is very high, as in uncontrolled diabetes, the sugar spills over into the urine. Glucose can also be found in urine when the kidneys are damaged or diseased.

Nitrites. Bacteria that cause a urinary tract infection (UTI) make an enzyme that changes urinary nitrates to nitrites. Nitrites in urine show a UTI is present.

Leukocyte esterase (WBC esterase). Leukocyte esterase shows leukocytes (white blood cells [WBCs]) in the urine. WBCs in the urine may mean a UTI is present.

Ketones. When fat is broken down for energy, the body makes substances called ketones (or ketone bodies). These are passed in the urine. Large amounts of ketones in the urine may mean a very serious condition, diabetic ketoacidosis, is present. A diet low in sugars and starches (carbohydrates), starvation, or severe vomiting may also cause ketones to be in the urine.

Microscopic analysis. In this test, urine is spun in a special machine (centrifuge) so the solid materials (sediment) settle at the bottom. The sediment is spread on a slide and looked at under a microscope. Things that may be seen on the slide include:

Red or white blood cells. Blood cells are not found in urine normally. Inflammation, disease, or injury to the kidneys, ureters, bladder, or urethra can cause blood in urine. Strenuous exercise, such as running a marathon, can also cause blood in the urine. White blood cells may be a sign of infection or kidney disease.

Casts. Some types of kidney disease can cause plugs of material (called casts) to form in tiny tubes in the kidneys. The casts then get flushed out in the urine. Casts can be made of red or white blood cells, waxy or fatty substances, or protein. The type of cast in the urine can help show what type of kidney disease may be present.

Crystals. Healthy people often have only a few crystals in their urine. A large number of crystals, or certain types of crystals, may mean kidney stones are present or there is a problem with how the body is using food (metabolism).

Bacteria, yeast cells, or parasites. There are no bacteria, yeast cells, or parasitesin urine normally. If these are present, it can mean you have an infection.

Squamous cells. The presence of squamous cells may mean that the sample is not as pure as it needs to be. These cells do not mean there is a medical problem, but your doctor may ask that you give another urine sample.

 VITAMIN B-12……………………………………………$44.00\

A vitamin B12 test measures the amount of vitamin B12 in the blood. The body needs this B vitamin to make blood cells and to maintain a healthy nervous system.

Vitamin B12 is found in animal products such as meat, shellfish, milk, cheese, and eggs. Most people who eat animal products are not likely to develop vitamin B12 deficiency anemia unless their bodies cannot absorb it from food. Strict vegetarians (vegans) who do not eat animal products and babies of mothers who are strict vegetarians are at increased risk for developing anemia and should take a supplement containing vitamin B12. Vitamin B12 is stored in the liver for a year or more, which reduces a person's risk of anemia.

Vitamin B12 is usually measured at the same time as a folic acid test, because a lack of either one can lead to a form of anemia called megaloblastic anemia. Lack of vitamin B12 also affects the nervous system.

 

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