Anemia is a condition that occurs when the number of red blood cells (RBCs) and/or the amount of hemoglobin found in the red blood cells drops below normal. Red blood cells and the hemoglobin contained within them are necessary for the transport and delivery of oxygen from the lungs to the rest of the body. Without a sufficient supply of oxygen, many tissues and organs throughout the body can be adversely affected.
This is a new and improved online value-priced blood test panel that includes the following tests:
- Complete Blood Count with platelets and differential
- Complete metabolic panel (CMP)
- Vitamin B12
- Reticulyte Count
For a thorough discussion and breakout of each of the tests that comprise this discount online package, please click the additional detail tab for more information.
Estimated time to receive results is 1-3 days.
Preparation: Fast 8 hours prior to blood draw, unless you are pregnant or diabetic. Fasting means abstaining from food and any non-water drink. While fasting, drink plenty of water and continue with any prescribed medications.
Please be advised, that our services are strictly self pay and are not eligible for submission as a claim to your health insurance provider. However, you can submit the receipt for reimbursement to many Flexible Spending and Health Savings Accounts for reimbursement.
Sample of Anemia Test Package
Complete Blood Count (with Differential and Platelet Count)
- White Blood Cell Count (WBC) - The infection fighting cells of the immune system found in the blood. Lowered or elevated levels may be associated with a disease process.
- Red Blood Cell Count (RBC) - Measures the number of oxygen-carrying cells in the blood. Lowered levels associated with anemia, elevated levels associated with smoking and several diseases.
- Hemoglobin (HGB) - Measures the amount of oxygen-carrying protein in the RBC. Significant increases or decreases can be seen in anemia or RBC disease.
- Hematocrit (HCT) - Measures the oxygen-carrying capability of the blood by measuring the percentage of blood made-up of red blood cells. Significant decreases are one indicator of anemia.
- MCV, MCH, MCHC, RDW - Collectively called "indices", these tests measure size and other characteristics of the red blood cells. They can be used to further define the causes of an anemia state. An isolated abnormal value probably has little clinical significance, but can only be confirmed by your physician.
- Platelet Count - These are small packages of clotting materials in the blood. Too many cause problems with unnecessary clotting; too few may cause excessive bleeding. Certain conditions alter this count.
- Lymphocytes, Monocytes, Neutrophils, Eosinophils - Different types of WBCs. They may be used to evaluate allergic reactions or differentiate between bacterial, viral or parasitic infections.
This blood test is also referred to as the Comprehensive Metabolic Panel or the CMP 14 (as opposed to the Basic Metabolic Panel or BMP 8). This is a 8 hour fasting test (check with your physician before fasting if you are diabetic and/or pregnant). This test include the following:
- Glucose (sugar) Fasting values are usually high in diabetes. Certain drugs, such as thyroid, diuretic, and birth control pills as well as recent intake of food, can elevate glucose levels.
- Urea Nitrogen (BUN): A waste product of the liver excreted by the kidneys. High values may indicate kidney malfunction and/or dehydration
- Creatinine: This is a waste product of muscle metabolism that is discarded by the kidney. It is elevated in kidney disease, muscle wasting disease, and sometimes the day after strenuous physical exercise.
- BUN/Creatinine Ratio: Both BUN and creatinine are elevated in kidney failure, but they are elevated differently depending on the cause of the failure. This ratio helps determine the type of kidney failure.
- eGFR: a calculated value to evaluate kidney function
- Sodium, Potassium, and Chloride: "Electrolytes" help make up the salt balance and acid/base balance in the body. They can be affected by diuretics or water pills, high blood pressure, heart failure, kidney and lung disease. The balance among these elements is important for proper functioning of the heart and brain.
- Carbon Dioxide: Part of the electrolyte pane used to detect, evaluate and monitor electrolyte imbalances.
- Calcium: screens for 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 total calcium or ionized calcium is circulating in the blood.
- Albumin, Globulin and Total Protein: Measures the amount and type of protein in your blood. They are a useful index of overall health and nutrition. Abnormal results are an indicator of undernutrition, liver or kidney disease, cirrhosis, multiple myeloma, sarcoid, amyloid, lupus, and/or major infections. Globulin is the "antibody" protein important for fighting disease. If one of these values is high, but the other values are within expected ranges, the result is probably not significant, but only your physician can confirm this.
- Alkaline Phosphatase: A bone and liver enzyme. High values are associated with liver and gallbladder disease. Expect to see higher values in adolescents and pregnant or breastfeeding women. Low values are probably not significant, but can only be confirmed by your physician.
- Bilirubin: Primary pigment in bile. It is derived from hemoglobin and processed by the liver, and builds up when the liver is functioning poorly or when some other disorder reduces the normal flow of bile. It is increased also when there has been destruction of red blood cells.
- AST & ALT: Injury to cells releases these enzymes into the blood. Liver disease and heart attacks, as well as serious physical injury can cause elevation of these values. Low values are probably not significant, but can only be confirmed by your physician.
Iron and TIBC
Serum iron - measures the level of iron in the blood. TIBC (total iron-binding capacity) – measures all of the proteins in the blood that are available to bind with iron, including transferrin. Since transferrin is the primary iron-binding protein, the TIBC test is a good indirect measurement of transferrin. The body produces transferrin in relationship to the need for iron. When iron stores are low, transferrin levels increase and vice versa. In healthy people, about one-third of the binding sites on transferrin are used to transport iron.
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.
The transferrin test is a direct measure of the iron binding capacity. Transferrin is thus useful in assessing iron balance. Iron deficiency and overload are often evaluated with complementary laboratory tests.
B12 and Folate
B12 and folate is 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.
Evaluate erythropoietic activity which is increased in acute and chronic hemorrhage, and hemolytic anemias; evaluate erythropoietic response to antianemic therapy
For more Information on any of your lab test results:
These are not intended as diagnostic comments, but only to give you sufficient information for further discussion with your physician. It is important that you promptly consult your physician regarding any abnormal findings.
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