Family Tree
Midwifery
Home Office located in Orangevale, California 95662 - Text/Call: (916) 542-9644 - Fax: (916) 527-2272 - FamTreeandMe@gmail.com
Womens Health Screenings
Long Covid Expanded Panel - $99
Despite having mild or no symptoms while infected with COVID-19, 10-30% of people experience lingering symptoms lasting 4 weeks or longer, commonly known as post-COVID-19 conditions, or Long COVID. Some people who have had a severe COVID-19 infection may have symptoms that linger for weeks or months. While the link is still unclear, these long-term effects may increase the risk of diabetes, heart conditions, autoimmune disorders, and neurological conditions.
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Clinical findings are an important key in evaluating care and potential treatment pathways for those with Long COVID or Post COVID-19 conditions, as stated by the Centers for Disease Control (CDC). This expanded panel provides information for those with ongoing symptoms. These tests are to help determine if your current symptoms are potentially due to a post-COVID-19 infection or if you have another underlying health problem causing your symptoms.
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Although there is no clear pattern as to who may develop post COVID-19 symptoms or health complications, there are tests that can be performed to help determine if there is an increased risk for post COVID-19 health issues. Our Post COVID-19 Expanded Test Panel measures the following components: Basic Metabolic Panel (BMP), Complete Blood Count (CBC), C-Reactive Protein (CRP), Ferritin, Hepatic Function Panel, Thyroid Function Test, Vitamin B12 Test, Vitamin D Test, and Urinalysis.
This panel does NOT test for or diagnose COVID-19.
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Post COVID-19 conditions include a wide range of symptoms that can last more than 4 weeks or even months after infection. Although most symptoms slowly improve with time, some Post COVID-19 conditions can last weeks, months, or longer after a COVID-19 infection and could result in a disability. Post COVID-19 conditions may not affect everyone the same way and can happen together or separately over time.
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People who experience Post COVID-19 conditions most commonly report:
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Constant fatigue interfering with daily life
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Symptoms that worsen after physical or mental effort
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Fever
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Difficulty breathing or shortness of breath
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Cough
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Chest pain
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Fast-beating or pounding heart
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Brain fog, difficulty thinking or concentrating
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Headache
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Sleep problems
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Dizziness when you stand up
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Pins-and-needles feelings
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Change in smell or taste
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Depression or anxiety
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Diarrhea
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Stomach pain
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Joint or muscle pain
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Rash
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Changes in menstrual cycles
Please be sure to drink plenty of fluids before your urine sample collection. Fasting is not required for this test.
Autoimmune Screening - $49.99
This immunofluorescence assay (IFA) is often ordered as part of an initial diagnostic evaluation of individuals with clinical suspicion of autoimmune diseases associated with antinuclear antibodies (ANAs). ANAs are associated with several autoimmune diseases, such as systemic lupus erythematosus, systemic sclerosis, mixed connective tissue disease, polymyositis, primary biliary cholangitis, rheumatoid arthritis, juvenile rheumatoid arthritis, Sjogren syndrome, and autoimmune hepatitis. The laboratory evaluation for individuals with clinical suspicion of these autoimmune diseases often begins with an ANA screen.
Knowing the ANA titer can be helpful in interpreting positive ANA results. A titer of at least 1:40 is considered positive, but low-positive titers are not uncommon in healthy individuals. Higher titers are generally associated with greater likelihood of autoimmune disease. When results are positive, various fluorescent staining patterns observed in the nucleus or the cytoplasm can aid in the differential diagnosis and guide selection of further testing for specific autoantibodies. The International Consensus on Antinuclear Antibody Pattern provides guidance on interpretation and reporting.
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Individuals with negative results on the ANA IFA usually also have negative results on specific ANAs. Therefore, subserology testing is generally not recommended in individuals without positive ANA IFA results and clinical suspicion of relevant autoimmune disease. The results of this test should be interpreted in the context of pertinent clinical and family history and physical examination findings.
Oxidative Stress Screening - $49.99
This test could be for you if:
- You are interested in assessing your health risks related to oxidative stress for overall well-being.
- You want to understand your health risks associated with oxidative stress due to a family history of cancer or heart disease.
- You are or were a smoker of any kind.
- You have symptoms of High Oxidative Stress.
Symptoms of High Oxidative Stress
Elevated levels of oxidative stress in the body can lead to various symptoms, including:
- Fatigue
- Brain fog and memory loss
- Headaches
- Sensitivity to noise
- Depression or anxiety
- Decreased vision
- Muscle or joint pain
- Increased susceptibility to infections
- Unstable blood sugar levels
- Premature gray hair
- Changes in skin complexion, such as wrinkling, dryness, roughness, and loss of elasticity.
Cortisol Stress Screening - $59
This cortisol hormone test can help determine the amount of cortisol present in your blood in the morning. Cortisol is the human body’s main stress hormone. It is necessary for the body to control things like fear, mood, and motivation. It also aids in regulating inflammation, blood pressure, blood sugar, sleep cycles and managing how foods are used, especially during stressful situations. Cortisol tests can help determine if there are issues with your body’s “alarm system.”
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This cortisol blood test measures the morning level of cortisol present in your blood. The adrenal glands above the kidneys produce cortisol. Normally the body will regulate cortisol levels to deal with stress and pressure, but sometimes our bodies remain in a stressed state for too long. Too much (hypercortisolism) or too little (hypocortisolism) cortisol can result in the body’s inability to complete its normal functions and may lead to health problems such as anxiety, depression, headaches, memory issues, digestion problems, trouble sleeping, weight gain, and heart disease.
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A cortisol imbalance test can help determine if the following signs and symptoms are due to:
Too little cortisol:
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Overly tired
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Worsening muscle weakness
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Skin changes (darkening in folds & of scars)
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Nausea/vomiting/diarrhea
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Appetite loss/weight loss
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Low blood pressure
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Addison’s disease
Too much cortisol:
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Trouble sleeping
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Digestion problems
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Headaches
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Concentration/memory issues
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Easy-to-bruise skin
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Anxiety/depression
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Weight gain
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Heart disease
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Cushing’s disease
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You must schedule an appointment for sample collection in the morning only (between the hours of 7am and 9am).You do not need to do anything special to prepare for the sample collection. Fasting is not required for this test.
MTHFR Screening - $299
The MTHFR gene provides instructions for making an enzyme called methylenetetrahydrofolate reductase. This enzyme plays a role in processing amino acids, the building blocks of proteins. Methylenetetrahydrofolate reductase is important for a chemical reaction involving the vitamin folate (also called vitamin B9). Specifically, this enzyme converts a form of folate called 5,10-methylenetetrahydrofolate to a different form of folate called 5-methyltetrahydrofolate. This is the primary form of folate found in blood, and is necessary for the multistep process that converts the amino acid homocysteine to another amino acid, methionine. The body uses methionine to make proteins and other important compounds.
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Polymorphisms in the MTHFR gene can alter or decrease the activity of methylenetetrahydrofolate reductase, leading to a mild increase of homocysteine in the blood (hyperhomocysteinemia). Some health conditions related to these genetic changes include Homocystinuria, hearing loss, alopecia areata, anencephaly, and spina bifida. A larger increase in homocysteine levels caused by MTHFR gene polymorphisms have been studied as possible risk factors for a variety of other conditions including high blood pressure (hypertension), blood clots, pregnancy loss, psychiatric disorders, and certain types of cancer. Research indicates that individuals who have the 677C>T polymorphism on both copies of the MTHFR gene have an increased risk of developing vascular disease, including heart disease and stroke. The 677C>T polymorphism has also been suggested as a risk factor for cleft lip and palate, a birth defect in which there is a split in the upper lip and an opening in the roof of the mouth.
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Studies of MTHFR gene variations in people with these disorders have had mixed results, with associations found in some studies but not in others. Therefore, the role that changes in the MTHFR gene play in these disorders remains unclear. It is likely that additional factors influence the processing of homocysteine and that variations in homocysteine levels play a role in whether a person develops any of these conditions. A large number of genetic and environmental factors, most of which remain unknown, likely determine the risk of developing most common complex conditions.
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Our MTHFR DNA analysis tests for the presence or absence of two variants in the MTHFR gene: C677T and A1298C.
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This test does not require fasting.
Menopause Panel - $99
The Menopause Panel measures hormone levels in the blood to help determine if you’re entering or are already in the menopause transition phase - which can begin as early as 35 years of age, but commonly begins around 45. This panel may be helpful for women who have a history of irregular menstrual periods and a negative pregnancy test to help your Midwife recommend appropriate diet, supplement and lifestyle changes for symptom management.
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The following signs and symptoms may indicate perimenopause or menopause:
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Hot flashes or flushes (most common)
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Irregular menstrual cycles
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Insomnia
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Weight gain or bloating
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Mood changes
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Breast tenderness or pain
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Depression
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Headaches
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If you are having menstrual cycles, it is best to have your sample collected on cycle days 2, 3 or 4 (cycle day 1 is the first day of your period). If you are not having menstrual cycles, the test can be performed at your convenience.
You do not need to do anything special to prepare for the sample collection. Fasting is not required for this test.
Ovulation Screening - $49.99
This screening measures hormone levels in your blood during the part of your cycle after ovulation should have occurred. A higher level may mean ovulation was successful. A lower level may point to potential fertility issues. While this test can indicate if ovulation occurred, it does not predict the most fertile days of your cycle.
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This test should be taken 21 days into a 28-day cycle (or 7 days before the expected start of your next menstrual period). Day 1 of your cycle is the day that your menstrual period begins.
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This test may be right for you if:
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You’re trying to get pregnant
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You’re experiencing fertility issues
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You want to know if you’re ovulating normally
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You want to know when you’ve resumed ovulating
This test may not be right for you if you:
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Have irregular cycles
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Have not had a menstrual period in more than 12 months
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You do not need to do anything special to prepare for the sample collection. Fasting is not required for this test.
Pregnancy Test (hCG - Quantitative) - $29.99
The quantitative pregnancy test measures hCG (human chorionic gonadotropin) levels in your blood to help provide pregnancy results as early as seven days after conception. The hCG hormone is produced by the developing placenta (within the uterus) and steadily increases throughout the first trimester of a normal pregnancy.
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This test is highly accurate and indicates whether or not your hCG levels reach the detectable limit of more than 5 mlU/mL. A progressing pregnancy typically has doubling hCG levels every 48 hours, a repeat hCG Qanititative can indicate healthy progression in the very early days and weeks of pregnancy until ultrasound can be used for visual confirmation.
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The following signs and symptoms may indicate early pregnancy:
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Missed menstrual period
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Tender, swollen breasts
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Fatigue
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Increased urination
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Nausea
Anemia Panel - $99.00
Our Adult Anemia Panel includes a CBC (with differential and platelets), an Iron, TIBC, and Ferritin Panel, Vitamin B12 and Folate tests, and a reticulocyte count to help detect anemia and identify the next steps.
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Signs and symptoms of anemia can vary from mild to severe depending on the cause. Early anemia may not show any symptoms at all.
Common signs and symptoms of anemia may include:
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Lack of energy/fatigue
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Headaches
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Foggy thinking
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Lightheadedness/dizziness
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Decrease in/loss of appetite
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Irritability
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Numbness/tingling in hands/feet
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Additional/advanced signs and symptoms of anemia may include:
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An intense craving to chew and eat ice, eat non-food items, or both (pica)
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Pounding sound in ears
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Sluggishness
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Apathy
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Depression
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Poor memory
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Pale or sore tongue
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Pale or yellow skin color
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Hair loss
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Spoon-shaped or brittle nails
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Frequent infections
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Restless legs syndrome (RLS)
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Cold hands or feet
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Extreme tiredness
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Weakness
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Fasting (not eating or drinking anything except water) for 8-12 hours is recommended.
Fatigue Test Panel - $49.99
Many people in the United States feel tired every single day.Some of these people may be suffering from ​chronic fatigue syndrome ​or other diagnosable conditions causing fatigue. Chronic fatigue ​​​may present differently from person to person. Our fatigue test panel is screening measurable factors in the body that can contribute to extreme tiredness and present as the underlying cause for fatigue.
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Common signs and symptoms of chronic fatigue include:
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Extreme tiredness that is not a result of unusually difficult activity
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Extreme tiredness that is not relieved by sleep or rest
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Drop in activity level / inability to do usual activities
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Sleep problems
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Brain fog
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Muscle or joint pain
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Headaches
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Worsening of symptoms while standing or sitting upright
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You have noticed a difference in your activity levels and abilities compared to six months ago (or longer)
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These symptoms can worsen over time. By getting tested, you may be able to better understand the cause of your extreme tiredness and identify the next steps for treatment that are right for you.
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Fasting (not eating or drinking anything except water) for 8-12 hours before this test is recommended. If you are not able to fast before the test, certain levels may be elevated providing false results.
If you are taking medications, check to see whether you should take them before the test.
Comprehensive Metabolic Panel - $49.99
The comprehensive metabolic panel (CMP) helps assess overall health, detect early signs of disease, and monitor chronic conditions. It measures 14 components: blood sugar (glucose), calcium, total protein, liver enzymes, bilirubin, blood urea nitrogen, creatinine, albumin, carbon dioxide, and key electrolytes. Abnormal CMP test results may indicate various health conditions, such as developing or active liver or kidney disease, hypertension, or diabetes.
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This test is a useful tool containing routine screening tests that may help healthcare providers identify signs of certain medical conditions, such as kidney or liver disease, diabetes, hypertension, and other health conditions.
Glucose
Calcium
Total protein
Alanine aminotransferase (ALT)
Aspartate aminotransferase (AST)
Alkaline phosphatase (ALP)
Bilirubin
Blood urea nitrogen
Creatinine
Albumin
Carbon dioxide
Chloride
Potassium and sodium
Globulin, Calculated
Albumin/Globulin Ratio
BUN/Creatinine Ratio
Estimated Glomerular Filtration Rate (eGFR)
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Overnight fasting is required for this panel (10-12 hours without food).
Complete Blood Count (CBC) - 19.99
Includes: WBC, RBC, Hemoglobin, Hematocrit, MCV, MCH, MCHC, RDW, Platelet Count, MPV and Differential (Absolute and Percent - Neutrophils, Lymphocytes, Monocytes, Eosinophils, and Basophils)
This test is a great way to keep an eye on iron (hemoglobin/hematocrit) levels! Recommended for vegan/vegetarians, women who have heavy menstrual cycles, those who were low iron during pregnancy and/or breastfeeding. Testing can help with decision making around iron supplementation.
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Fasting is not required for this test.
STI Panel - $299
Sexually transmitted diseases (STDs) are common infections that spread from person to person during sexual activity and skin-to-skin contact. People with STDs may not have any signs or symptoms, but could be infected and may pass the infection to others. If you’re sexually active and have unprotected sex, it’s important to screen for STIs/STDs, so you can stay informed about your sexual health.
This comprehensive panel screens for chlamydia, gonorrhea, hepatitis B, hepatitis C, trichomoniasis, syphilis, HIV-1, HIV-2, HSV-1 and HSV-2. Keep in mind some of these infections can take months to result in labs. We recommend repeat testing every 3-6 months for one year if you think you have had an exposure.
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Please be sure to drink plenty of fluids before your urine sample collection. Fasting is not required for this test.
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Thyroid Panel & TSH - $49.99
This panel may be useful for evaluating thyroid function when pituitary disease is not suspected. The results of the panel may help in the diagnosis of hyperthyroidism and hypothyroidism.This panel provides an assessment of thyroid function and includes tests for thyroid stimulating hormone (TSH), total thyroxine (T4), triiodothyronine (T3) uptake (T3 resin uptake), and free T4 index.
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Fasting is not required for this test.
Vitamin & Mineral Panel - $99
Our Comprehensive Vitamin & Mineral Panel starts with a CBC and includes Vitamin D, Magnesium, Calcium, Iron, Ferritin, B12 and Folate!
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Vitamin D: Monitoring your vitamin D levels is crucial for bone health as it aids in calcium absorption and bone strength, reducing the risk of fractures. Additionally, adequate vitamin D levels support immune function, potentially lowering the risk of infections and autoimmune diseases. Vitamin D may also play a role in mood regulation and mental health, with low levels linked to an increased risk of depression. Furthermore, maintaining optimal vitamin D levels may help lower the risk of chronic diseases like heart disease, diabetes, and certain cancers. Muscle function and strength are also supported by vitamin D, and maintaining adequate levels can reduce the risk of muscle weakness and falls, particularly in older adults. Overall, monitoring and ensuring sufficient vitamin D levels are essential for promoting overall health and well-being.
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Magnesium: Magnesium is essential for various aspects of your health and well-being. Magnesium plays a crucial role in over 300 biochemical reactions in the body, including energy production, muscle function, and nerve transmission. Adequate magnesium levels are vital for maintaining healthy bones and teeth, as magnesium is involved in bone mineralization. Furthermore, magnesium is known to support cardiovascular health by helping to regulate blood pressure and maintain normal heart rhythm. Magnesium also plays a role in supporting the immune system and may help reduce inflammation in the body. Additionally, magnesium is important for proper muscle function, including relaxation and contraction, making it essential for physical performance and recovery. Low magnesium levels have been associated with conditions such as muscle cramps, fatigue, and even mood disorders like anxiety and depression. Therefore, monitoring and ensuring adequate magnesium levels through diet, supplementation, or medical intervention is crucial for overall health and optimal bodily function.
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Calcium: Monitoring your blood calcium levels is important for several reasons, even if you assume you are getting enough calcium in your diet. Calcium is a vital mineral that is essential for various bodily functions, including bone health, muscle function, nerve transmission, and hormone secretion. Adequate blood calcium levels are necessary for maintaining strong bones and teeth, as well as for ensuring proper muscle contraction and nerve signaling. If your blood calcium levels are too low, your body may compensate by drawing calcium from your bones, which can lead to a decrease in bone density over time, increasing the risk of osteoporosis and fractures. On the other hand, if your blood calcium levels are too high, it can lead to conditions like hypercalcemia, which can cause symptoms such as fatigue, nausea, and confusion, and may even have serious consequences for your health. Monitoring your blood calcium levels through periodic testing is important to ensure that your body is functioning optimally and to detect any potential imbalances early on.
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Iron & Ferritin: Iron is an important mineral that plays a key role in various bodily functions, including oxygen transport, energy production, and immune system support. Low iron levels can lead to iron deficiency anemia, which can result in symptoms like fatigue, weakness, pale skin, and impaired cognitive function. Ferritin, a protein that stores iron in the body, reflects the body's iron stores. Monitoring ferritin levels can help assess the body's iron reserves and detect iron deficiency or overload early on. Iron deficiency can impact not only physical health but also cognitive function, immune response, and overall quality of life. On the other hand, high iron levels can indicate conditions like hemochromatosis, which can lead to organ damage if left untreated. Regularly checking your iron and ferritin levels through blood tests allows for early detection of imbalances and enables appropriate interventions, such as dietary modifications, iron supplementation, or medical treatment, to optimize your health and prevent potential complications associated with iron deficiency or excess.
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B12: Vitamin B12 is essential for the formation of red blood cells, proper neurological function, and DNA synthesis in the body. Low levels of B12 can lead to megaloblastic anemia, which can cause symptoms like fatigue, weakness, and shortness of breath due to decreased oxygen-carrying capacity of the blood. B12 deficiency can also affect neurological function, leading to symptoms such as numbness and tingling in the extremities, balance problems, memory issues, and mood changes. Since B12 is primarily found in animal products, individuals following vegetarian or vegan diets may be at a higher risk of deficiency. Moreover, certain gastrointestinal conditions can impair B12 absorption, necessitating regular monitoring of B12 levels. Detecting and addressing B12 deficiency early through blood tests is essential to prevent long-term complications such as cognitive decline, nerve damage, and anemia.
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Folate: Folate, also known as vitamin B9, plays a crucial role in DNA synthesis, cell division, and the formation of red blood cells. Adequate folate levels are particularly important during periods of rapid cell growth, such as pregnancy and infancy. Folate deficiency can lead to megaloblastic anemia, a condition characterized by large, immature red blood cells that can result in symptoms like fatigue, weakness, and shortness of breath. Folate is also important for proper brain function and mood regulation, and low levels have been associated with conditions like depression and cognitive impairment. Since folate is necessary for preventing neural tube defects in developing fetuses, pregnant women are often advised to ensure sufficient folate intake. Monitoring folate levels through blood tests is important for detecting deficiency early and taking appropriate steps to address it through dietary changes, supplementation, or medical intervention.
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This panel should be drawn before 11am for the most accurate results. You do not need to do anything special to prepare for the sample collection. Fasting is not required for this test.
Hemoglobin A1C - $29.99
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Hemoglobin A1c testing, also known as glycated hemoglobin testing, is a common blood test used to diagnose and monitor diabetes. Here are several ways in which hemoglobin A1c testing is helpful:
Diagnosis of Diabetes: Hemoglobin A1C levels reflect the average blood sugar levels over the past 2-3 months. It is used to diagnose prediabetes and diabetes. A high A1C level indicates poor blood sugar control and can indicate the presence of diabetes.
For individuals with diabetes, hemoglobin A1c testing is used to monitor long-term blood sugar control. It provides an average of blood sugar levels over time rather than just a snapshot of the current blood sugar level. Regular testing can help individuals and healthcare providers assess the effectiveness of the treatment plan and make adjustments as needed.
Hemoglobin A1c testing can also help assess the risk of developing diabetes-related complications. Studies have shown that higher A1c levels are associated with an increased risk of complications such as heart disease, kidney disease, nerve damage, and eye problems.
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You do not need to do anything special to prepare for the sample collection. Fasting is not required for this test.
Blood Type and Factor - $29.99
This test will identify your ABO blood group and Rh factor type. Your inherited blood type is based on the presence or absence of certain sugars (ABO blood group antigens), or proteins (Rh antigen) attached to the surfaces of red blood cells. There are 4 common blood groups in the ABO system: O, A, B, and AB. People with A antigens on the surfaces of their red blood cells are in blood group A. Those with B antigens belong to group B. People with both A and B antigens are in blood group AB, and those with neither of these markers are in blood group O.
Your blood also has Rh factor, a protein found on the surfaces of red blood cells. It either contains the protein or not. If the protein is present in your blood, you are Rh positive. However, if your blood does not contain the protein, you are Rh-negative. The possible combinations of blood groups create 8 different blood types: A+, A-, B+, B-, AB+, AB-, O+ and O-.
Pre-Pregnancy Screening - $129
This test may be right for you if
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You are considering pregnancy and want to evaluate your health
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There is a history of preterm birth or low birth weight in your family
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You have been diagnosed with diabetes or high blood pressure
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You experienced a previous preterm or low birth weight delivery or pre-eclampsia
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The tests in the Pre-Pregnancy Panel include a CBC, Comprehensive Matabolic Panel, Folate Test and Thyroid Panel & TSH. Combined, these tests provide information about various health measures that may impact pregnancy and fetal development; this testing can help identify conditions that may impact the overall health of a pregnancy or baby. The information received from the results of this panel can help women make decisions during preconception planning and promote conversations with their healthcare providers to optimize their health before conception and pregnancy.
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You do not need to do anything special to prepare for the sample collection. Fasting is not required for this test.
*PAP Smear and HPV Screening - $49.99
*This fee is for specimen collection ONLY at our office or private local residence. PAP & HPV test fees will be billed directly from the lab to the patient and will vary from $40-$225 based on results and the need for physician review and verification at the laboratory.
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Liquid Based Pap Testing is intended for use in the screening and detection of cervical cancer, pre-cancerous lesions, atypical cells and all other cytologic categories as defined by The Bethesda System for Reporting Results of Cervical Cytology. Pap screening is not reliable for the detection of endometrial cancer.
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One of the primary purposes of a PAP smear is to detect precancerous changes or early signs of cervical cancer. By identifying abnormal cells in the cervix early on, healthcare providers can initiate appropriate treatment to prevent the progression to cervical cancer.
Screening for Human Papillomavirus (HPV): HPV is a common sexually transmitted infection that can lead to cervical cancer. PAP smears can detect the presence of HPV in the cervix, helping healthcare providers assess the risk of developing cervical cancer and take necessary steps for monitoring and treatment. Our Paps will automatically screen for HPV if indicated by PAP results.
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Regular PAP smears help identify any abnormalities in the cervix that may require further investigation or treatment, even in the absence of symptoms. If abnormal cells are detected during a PAP smear, further diagnostic tests or treatments may be recommended.
For women who have had abnormal PAP smear results in the past or have a history of cervical abnormalities, regular PAP smears are crucial for monitoring their health status over time. Monitoring changes in cervical cells can help detect any recurrence of abnormalities or signs of progression to cervical cancer.
Regular screening with PAP smears can help reduce the incidence of cervical cancer and improve outcomes through timely detection and intervention.
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Urine Culture & UTI Testing - $29.99
A UTI (urinary tract infection) is caused by bacteria entering the urinary system, leading to symptoms like frequent urination, burning sensation, and cloudy urine. It can affect the bladder (cystitis), kidneys (pyelonephritis), or urethra (urethritis). Preventive measures include staying hydrated, good hygiene, and urinating after sex. Recurrent UTIs may require further evaluation for prevention.
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Quantitative culturing of urine is an established tool to differentiate significant bacteria from contamination introduced during voiding. This test has a reference range of less than 1,000 bacteria per mL. More than 95% of Urinary Tract Infections (UTI) are attributed to a single organism. This screening helps not only identify IF a urinary tract infection is present but also will offer which bacteria are present giving a tremendous advantage when considering treatment options.
Kidney Health Panel - $49.99
Your kidneys play a vital role in keeping your body healthy and functioning properly. The main function of the kidneys is to remove waste products and excess fluid from the blood and excrete them in the urine. This process is known as filtration, and it helps to keep the blood free of toxins. The kidneys also manage fluid levels in the body, control electrolyte concentrations in the blood, regulate blood pressure, and stimulate red blood cell production.
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Measuring blood creatinine levels, urine creatinine levels, eGFR levels, albumin levels, and Albumin/Creatinine urine ratio indicate your kidneys’ ability to filter waste and toxins. This profile helps identify your risk of developing chronic kidney disease (CKD) and aids in the diagnosis, staging, or monitoring of CKD.
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Creatinine-based eGFR:
The liver produces creatine, which the muscles use as an energy source. During normal muscle use, some creatine will be broken down into creatinine as a waste product by the muscles. Creatinine is transported through the bloodstream to the kidneys, where it is filtered and eliminated from the body through urine. This kidney Panel also includes an estimated glomerular filtration rate (eGFR), which measures how much blood the tiny renal filters (glomeruli) filter every minute based on your body size.An abnormally high creatinine level may suggest damage to the kidneys or renal blood vessels. The eGFR indicates how efficiently the kidneys remove toxins and excess fluid from the blood.
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Albumin/Creatinine ratio:
Albumin is a protein produced by the liver and secreted into the bloodstream. Albumin is the main protein circulating in your blood; provides tissue nourishment, carries hormones, medications, and other substances in the blood; and helps keep fluids within the bloodstream rather than leaking into other tissues. When the kidneys become damaged, albumin passes through and ends up in the urine where it should not be. Screening is performed by measuring the ration of albumin/creatinine in the urine (uACR). This calculation is used to help check whether there is too much albumin in the urine. Albuminuria or proteinuria occurs when albumin is found in the urine. If your kidneys are healthy, they should allow little, if any, protein into your urine. However, if your kidneys are damaged, protein may leak into your urine. People with elevated levels of albumin in their urine are more likely to develop CKD and eventually, kidney failure.
Liver Health Panel - $49.99
This panel comprises of two liver panels that provide information on an individual's blood levels of electrolytes, calcium, phosphorus, and glucose as well as renal function, hepatic function, and acid-base balance.This panel may be helpful in assessing liver injury, and diagnosing liver diseases.
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The Comprehensive Metabolic Panel and The Hepatic Panel include total protein, albumin, globulin (calculated), albumin/globulin ratio, total bilirubin, direct bilirubin, indirect bilirubin (calculated), alkaline phosphatase (ALP), aspartate aminotransferase (AST), and alanine aminotransferase (ALT). ALT, AST, ALP, and bilirubin are common liver chemistry analytes that can be used to evaluate liver injury. In the absence of identifiable risk factors, ALT or AST levels above the upper limit of the normal range are associated with increased liver-related mortality. Evaluation of direct and indirect bilirubin levels is helpful for assessing the possibility of hepatocellular disease. Elevated direct bilirubin levels imply hepatocellular dysfunction or cholestasis.
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Albumin is a marker of liver synthetic function; low levels may indicate liver disease of more than 3 weeks' duration. Total protein levels reflect the sum of albumin and globulins and may aid in the diagnosis of disorders involving the liver, kidney, or bone marrow.
This panel may be useful in evaluating individuals who have symptoms or signs of chronic liver disease, conditions associated with a high risk of developing liver disease, lifestyle risk factors for nonalcoholic fatty liver disease, or a family history of liver disease.
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You do not need to do anything special to prepare for the sample collection. Fasting is not required for this test.