Health Essentials-Vitamins B12, D, Omega 3, CMP, Lipids

Health Essentials Test Package

This discounted blood test package has five test components:  

  • Comprehensive Metabolic Panel w/ eGFR
  • Lipid Panel - includes cholesterol, tryiglycerides, HDL cholesterol and LDL cholesterol.
  • Vitamin B12
  • Vitamin D
  • Omega 3s and 6 Fatty Acids

Online Lab Results: Please allow 3-5 business days for results.

Preparation: fast 12 hours prior to this test, unless you are diabetic or pregnant. Fasting means abstaining from food and any non-water drinks. Do drink plenty of water while fasting 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.

Metabolic Panel - Comprehensive

This online 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 an 8 hour fasting test (check with your physician before fasting if you are diabetic and/or pregnant) because of the Glucose test. This test includes the following:

  • Glucose - blood sugar, diabetes screening test. Fast 8 hours.
  • 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
  • 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 under nutrition, liver or kidney disease, cirrhosis, multiple meyloma, 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 gall-bladder disease. Expect to see higher values in adolescents and pregnant or breast feeding 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.

Lipid Panel Online Blood Test

  • Cholesterol - There are two main groups of fat in the blood, cholesterol and triglycerides. Increased cholesterol may lead to arteriosclerosis (hardening of the arteries), diabetes, thyroid, liver and pancreatic disease.
  • Triglycerides - This blood fat is also involved in arteriosclerosis, diabetes, thyroid, liver and pancreatic disease. They may be elevated in the 200-400 range if you have eaten within 10 hours of the blood draw. If your results are in this range and you did not fast, a repeat evaluation should be obtained.
  • HDL (High Density Lipoprotein) Cholesterol - This is the "good" fat-protein combination. The higher the value, the lower the risk of developing heart disease. HDL can be increased with regular aerobic exercise, monounsaturated fats such as olive and canola oils, and cessation of smoking. Mild use of alcohol (one or two glasses of wine per day) has been reported to increase HDL.
  • LDL (Low Density Lipoprotein) Cholesterol - This is the "bad" fat-protein combination, and the lower the LDL the better. The higher the LDL, the higher the risk of developing heart disease. This level can be decreased with reduction in fat intake, weight control, and regular exercise. Because this value is calculated using the triglyceride result, fasting is important for an accurate LDL and triglyceride result.

Vitamin B12

B12 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.

Vitamin D, 25 Hydroxy

The Vitamin D test is used to determine if bone weakness, bone malformation, or abnormal metabolism of calcium is occurring as a result of a deficiency or excess of vitamin D.

Since vitamin D is a fat-soluble vitamin and is absorbed from the intestine like a fat, vitamin D tests are sometimes used to monitor individuals with diseases that interfere with fat absorption, such as cystic fibrosis and Crohn's disease, to assure that they have adequate amounts of vitamin D. Vitamin D tests are sometimes used to determine effectiveness of treatment when vitamin D, calcium, phosphorus, and/or magnesium supplementation is prescribed.

Omega 3 and 6 Fatty Acids

This test is used to determine fatty acid-associated risk for cardiovascular events, screen for omega-3 fatty acid deficiency and montior omega-3 fatty acid intake (diet, over-the-counter supplements, prescription medication).  

Omega-3 fatty acids, also called n-3 polyunsaturated fatty acids (n-3 PUFAs), are involved in multiple biological pathways, including coagulation, muscle function, cellular transport, and cell division and growth. The 3 major omega-3 fatty acids are eicosapentaenoic acid (EPA), docosahexaenoic acid (DHA), and alpha-linolenic acid. Fish oil and fatty fish such as salmon, mackerel, herring, and tuna are the primary dietary sources of EPA and DHA. Alpha-linolenic acid is found in plant-based foods such as green leafy vegetables, beans, and vegetable oils; it is metabolized to EPA and then, though very inefficiently, to DHA after being ingested.

This test provides measurements of EPA, DHA, and AA. The report also includes the omega-3 index, the omega-6/omega-3 ratio, and the EPA/AA ratio.

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