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COMPREHENSIVE WELLNESS PANEL TESTING
(testing includes all tests listed on this page)
Albumin: An important enzyme produced in the liver that helps keep water inside the blood vessels to prevent dehydration.
High Albumin levels could mean: Dehydration
Low Albumin levels could mean: liver disease, nephritic syndrome, heart failure, low intake/absorption of protein
Albumin/Globulin Ratio: Calculated ratio of both tests.
Alkaline Phosphatase: Enzyme that is found primarily in bone and liver. Abnormalities can reflect increased activity of bone forming cells or obstruction of bile flow to the liver. Reference range: 20-125 u/L
High Alkaline Phosphatase levels could mean: bone growth & disease, liver disease, malignancies in bone & liver, leukemia
ALT & AST: ALT is produced in the liver, red blood cells, and the heart. AST is found in high concentrations in the liver, skeletal, and heart muscles. Enzyme molecules that enhance chemical reaction.
High ALT levels could mean: Liver disease (hepatocyte injury). Hepatitis, drug therapy, biliary disease
High AST levels could mean: Alcoholism, cirrhosis, hepatitis, drug therapy, biliary disease
Low AST levels could mean: Uremia, B6 deficiency, drug therapy
Bilirubin, Total & Direct: Main pigment in bile and major product of red cell breakdown. This is helpful in evaluating liver functions such as anemias and jaundice.
High Total Bilirubin levels could mean: Liver disease (hepatitis, cirrhosis, neoplasm), alcoholism, hemolytic disease, biliary obstruction, neonatal jaundice, anorexia
High Direct Bilirubin levels could mean: Liver disease (hepatitis, cirrhosis, neoplasms), biliary disease, neonatal jaundice
Gamma Glutamyltransferase (GGT): GGT is produced in highest concentrations within bile ducts in the liver. It can be used as an indicator of liver disease.
High GGT levels could mean: biliary obstruction, cirrhosis, hepatitis, liver & pancreatic cancer, alcoholism
Globulin: Group of sixty different proteins that help fight infection, play an important role in blood clotting, and serve as carrier proteins for hormones.
High Globulin levels could mean: some Chronic Inflammatory diseases (ex: TB, Syphilis), multiple myeloma, collagen disease, and rheumatoid arthritis
Low Globulin levels could mean: hepatic dysfunction, renal disease, various neoplasms, elevated globulins, or low albumin.
Total Protein: Combination of your Albumin and Globulin tests. Liver and renal function influences the test results.
High Protein levels could mean: dehydration
Low Protein levels could mean: decreased intake/absorption, edema
Blood Urea Nitrogen (BUN): Urea measured as Blood Urea Nitrogen (BUN) is a waste product obtained from natural breakdown of protein in the liver. It is excreted in the urine after it has filtered through the kidneys. The Urea Nitrogen level reflects both the metabolism of the protein and the effectiveness of the kidneys filtering blood.
High BUN levels could mean: Chronic renal disease, acute renal failure, ketoacidosis, dehydration, GI bleeding
Low BUN levels could mean: Late normal pregnancy, decreased protein intake, IV fluids, SIADH, severe liver damage
BUN/Creatinine Ratio: Urea Nitrogen/Creatinine result. Can determine whether elevated urea nitrogen is due to impaired kidney function or to other factors such as dehydration, urinary blockage, or excessive blood loss.
Creatinine: Creatinine is derived from muscles and released into the blood. It is removed from the body by the kidneys. When creatinine level is elevated, a decrease in kidney function is suggested.
High Creatinine levels could mean: renal disease, insufficiency, low glomerular filtration
Low Creatinine levels could mean: decreased muscle mass, severe liver disease
Uric Acid: Serum Uric Acid measurements are useful in the diagnosis and treatment of numerous renal and metabolic disorders, including renal failure, gout, leukemia, psoriasis, starvation or other wasting conditions, and in patients receiving cytotoxic drugs.
High Uric Acid levels could mean: gout, kidney stone, inborn error of metabolism, diuretics, disseminated neoplasms, alcohol consumption, renal failure, hypertenstion
Thyroid Stimulating Hormone (TSH): The TSH Test is often the test of choice for evaluating thyroid function and/or symptoms of hyper/hypo thyroidism. If TSH is out of range with our panel, it will reflex to a Free T4 test.
High TSH levels could mean: under-active thyroid gland that is not responding adequately to the stimulation of WSH due to some type of acute or chronic thyroid dysfunction, or in patients with a known thyroid disorder (or those that have had their thyroid gland removed) are receiving too little thyroid hormone medication.
Low TSH levels could mean: overactive thyroid gland (hyperthyroidism) or excessive amounts of thyroid hormone medication in those who are being treated for an under-active (or removed) thyroid gland.
Total Cholesterol: Cholesterol is an important fatlike substance (lipid) that is made in the liver and is necessary for the body to function. It also is found in foods made from animal products (meat and dairy products).
High Cholesterol levels could mean: Coronary arterial occlusion, atherosclerosis, hypothyroidism
Low Cholesterol levels could mean: Low intake/absorption, hematologic disorders
HDL Cholesterol: High-density lipoprotein cholesterol is sometimes called �good� cholesterol. HDL cholesterol helps remove LDL cholesterol from the body by binding with it in the bloodstream and carrying it back to the liver for disposal. A high level of HDL cholesterol appears to lower your risk of developing heart disease and stroke.
High HDL levels could mean: estrogens, birth control pills, drug therapy
Low HDL levels could mean: coronary atherosclerosis & heart disease, obesity, diabetes, uremia
LDL Cholesterol: Low-density lipoprotein cholesterol is sometimes called �bad� cholesterol. LDL cholesterol collects inside the walls of the arteries and often contributes to the formation of plaque. LDL cholesterol is calculated from the total cholesterol, HDL, and triglyceride levels.
High LDL levels could mean: coronary atherosclerosis
Cholesterol/HDLC Ratio: Assessment of cardiac disease risk.
Triglycerides: Triglycerides are a type of fat the body uses to store energy. Only a small amount of triglycerides are found in the blood. Having a high triglyceride level along with high LDL cholesterol may increase your risk for heart disease more than having only a high LDL cholesterol level.
High Triglyceride levels could mean: atherosclerosis, coronary artery disease, diabetes, high carbohydrate intake, obesity, pancreatitis
BONE AND MINERALS:
Calcium: Major component of bones. Important in functions of the muscles, the brain and the nervous system, and blood clotting. Calcium is released from bones or stored in bones based on the calcium level in the blood.
High Calcium levels could mean: Hyperparathyroidism, bone, lung & breast cancer, bone resorption.
Low Calcium levels could mean: Low intake/absorption, vitamin D deficiency
Ferritin: In the body, iron is incorporated into heme proteins (including hemoglobin), transported via transferrin, or stored in ferritin and hemosiderin. Serum ferritin reflects the total amount of stored iron, being directly proportional to that stored in the tissues and the circulation. Useful in the diagnosis of hypochromic, microcytic anemias.
High Ferritin levels could mean: hemochromatosis, hematologic disorders, acute liver disease, leukemia, lymphoma, hepatocellular carcinoma
Low Ferritin levels could mean: iron deficiency
Iron: The body must have iron to make hemoglobin, the primary protein of red blood cells. A large amount of iron is found in red blood cells and muscle cells. Iron helps convert oxygen and other nutrients to energy that fuels the cells activity.
High Iron levels could mean: hemochromatosis, hemolytic anemia, acute liver disease
Low Iron levels could mean: iron deficiency anemia
Total Iron Binding Capacity (TIBC): The assay for iron measures the amount of iron which is bound to transferring. The total iron binding capacity (TIBC) measures the amount of iron that would appear in blood if all the transferring were saturated with iron. It is an indirect measurement of transferring 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 transferring. The percent saturation is low in iron deficiency and high in iron storage disease.
FLUIDS & ELECTROLYTES & OTHER:
Carbon Dioxide: Measurements are used in the diagnosis and treatment of numerous potentially serious disorders associated with changes in body acid base.
High levels of CO2 could mean: Respiratory acidosis, metabolic alkalosis
Low levels of CO2 could mean: Respiratory alkalosis, metabolic acidosis
Chloride, Potassium, Sodium: Four chief electrolytes that are important for salt and water balance. Disorders may be due to problems with diet, medication, or breathing disorders.
High Chloride levels could mean: dehydration, metabolic acidosis
Low Chloride levels could mean: over hydration, respiratory acidosis, metabolic alkalosis
High Potassium levels could mean: Trauma, Addison�s disease, acidosis, renal disease
Low Potassium levels could mean: Primary aldosteronism, metabolic alkalosis, Cushing�s syndrome, renal tubular disease
High Sodium levels could mean: Dehydration, Cushing�s syndrome, aldosteronism
Low Sodium levels could mean: Addison�s disease, hypopituitarism, liver disease
Glucose: Chief source of energy for all the cells in your body. Glucose test measures concentration of glucose in the blood. Decreased level of Glucose equals hypoglycemia (low blood sugar) which can prevent the body from functioning properly. Certain conditions such as liver disease, hypothyroidism can contribute to low levels of glucose in the blood stream.
High Glucose levels could mean: Diabetes
Low Glucose levels could mean: Insulinoma
PROSTATE SPECIFIC ANTIGEN:
Prostate Specific Antigen (PSA): A blood test that measures the level of prostate-specific antigen (PSA), a substance produced by the prostate and some other tissues in the body.
High PSA levels could mean: prostate cancer, benign prostatic hypertrophy, and inflammatory conditions of the prostate
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