#2 NN Panel (DO NOT USE)
Fasting Required: Yes - 12 Hours

Specimen: Blood

Results: 5-7 Business Days
Note: Result turn around times are an estimate and are not guaranteed. Our reference lab may need additional time due to weather, holidays, confirmation/repeat testing, or equipment maintenance.

Tests Included:

Lipids: This is a group of simple blood tests that reveal important information about the types, amount and distribution of the various types of fats (lipids) in the bloodstream. Includes Total Cholesterol, HDL (good) Cholesterol, LDL (bad) Cholesterol, Risk Ratio (good to total), and Triglycerides

Complete Blood Count(CBC's): Used as a broad screening test to check for such disorders as anemia, infection, and many other diseases. It is actually a panel of tests that examines different parts of the blood.

Fluids and Electrolytes: Includes Chloride, Potassium, Sodium, and Carbon Dioxide

Thyroid w/TSH: Includes T-3 Uptake, Total T4, (Free thyroxine index)T7, and TSH

Liver: Includes Albumin, Alkaline Phosphatase, Alanine Transaminase (ALT or SGPT), Aspartate Transaminase (AST or SGOT), Total Bilirubin, Total Protein, LDH, Total Globulin, Albumin/Globulin Ratio, and GGT

Kidney: Includes Blood Urea Nitrogen (BUN), Creatinine, BUN/Creatinine Ratio, eGFR, and Uric Acid

Glucose (Diabetes)

Mineral and Bone: Total Iron, Calcium, and Phosphorus

Magnesium:This mineral is particularly important to nerves and muscles. Low magnesium is found in malnutrition, alcoholism, diabetes, hyperparathyroidism, and more. High magnesium is seen in kidney failure

Ferritin:Composed of iron and protein, Ferritin is a storehouse for iron in the body. Measurement provides an accurate picture of how much iron you have available in reserve. It is used to evaluate anemia and for diagnosing iron deficiency. Low Ferritin is a sign of iron deficiency. Ferritin is high with inflammation, infection, liver disease, iron overload, certain amends and certain cancers (leukemia and lymphoma

T3 Free: Tri-iodothyronine (T3):This test is used to evaluate thyroid function. It is primarily used to diagnose hyperthyroidism. It is also used to assess abnormal binding protein disorders and to monitor thyroid replacement and suppressive therapy .

T4 Free: Thyroxine T4 (Free): This test is used to evaluate thyroid function in individuals who may have protein abnormalities that could affect total T4 levels. It is used to evaluate thyroid function and monitor replacement and suppressive therapy

HgbA1C: This non-fasting test indicates how well you have controlled your diabetes over the last few months. Even though you may have some very high or very low blood glucose values, Hemoglobin A1C will give you a picture of the average amount of glucose in your blood over that time period. The result can help you and your doctor know if the measures you are taking to control your diabetes are successful. Hemoglobin A1C is not a substitute for daily, routine blood glucose diabetes testing.

C-Reactive protein,hs: a substance in the blood that indicates the presence of inflammation and could warn of a heart attack in advance. Elevated amounts of the protein in men may triple their risk for heart attack and double their risk for stroke, whereas elevated amounts in women can increase their heart attack risk up to seven times. Cardio (also specific or high sensitivity) C-Reactive Protein is a marker of inflammation to the blood vessels and a strong predictor of risk for future myocardial infarctions. Cardiovascular tests ordered vary based on patient symptoms as well as family history.

Homocysteine: commonly used as a screen for people at high risk for heart attack or stroke. It may be useful in patients who have a family history of coronary artery disease but no other known risk factors.

Vitamin D, 25 Hydroxy: This highly automated test measures both D2 and D3 together and reports a total 25-hydroxyl.

Vitamin D is also known as the "sunshine vitamin" because the body manufactures the vitamin after being exposed to sunshine. Ten to 15 minutes of sunshine 3 times weekly is enough to produce the body's requirement of vitamin D. Needed for strong bones and teeth, Vitamin D helps your body absorb the amount of calcium it needs. It also has other roles in the body, including modulation of cell growth, neuromuscular and immune function, and reduction of inflammation. There are associations between low Vitamin D levels and peripheral vascular disease, certain cancers, multiple sclerosis, rheumatoid arthritis, juvenile diabetes, Parkinson's, and Alzheimer's disease.

Foods that are rich in Vitamin D:
•milk fortified with vitamin D
•fish
•egg yolks
•liver
•fortified cereal

Insulin: Insulin is the hormone that enables cells to take in glucose. Without insulin, glucose can't get into the cells and it stays in the bloodstream. With too little insulin, blood sugar remains higher than normal (a condition known as hyperglycemia) and cells can't get the energy they need. With too much insulin, blood sugar decreases (hypoglycemia), causing symptoms such as sweating, trembling, lightheadedness, and in extreme cases, shock.

Creatine Kinase (CK):
A creatine kinase (CPK) test may be used to detect inflammation of muscles (myositis) or serious muscle damage.

A CPK test may be ordered for the following reasons:

• Whenever muscle damage is suspected, and at regular intervals to monitor for continued damage;
• A person has chest pain and a heart attack is suspected, or after a heart attack to monitor ongoing heart damage;
• When someone has experience physical trauma, such as crushing injuries or extensive burns;
• A person has symptoms associated with muscle injury, such as muscle pain or weakness; and
• When a person has nonspecific symptom – especially when taking a drug or after an exposure to a substance that has been linked to potential muscle damage.

Thyroid Peroxidase (TPO) Antibodies:
The TPO gene provides instructions for making an enzyme called thyroid peroxidase. This enzyme plays a central role in the function of the thyroid gland. Thyroid peroxidase assists the chemical reaction that adds iodine to a protein called thyroglobulin, a critical step in generating thyroid hormones. Thyroid hormones play an important role in regulating growth, brain development, and the rate of chemical reactions in the body (metabolism).

Cortisol AM:
Cortisol has a range of roles in the body. It helps break down protein, glucose and lipids, maintain blood pressure and regulate the immune system. Heat, cold, infection, trauma, stress, exercise, obesity, and debilitating disease can influence cortisol levels. The hormone is secreted in a daily pattern rising in the early morning, peaking around 8 am, and declining in the evening. This pattern, which is sometimes called the "diurnal variation" or "circadian rhythm" changes if you work irregular shifts (such as the night shift) and sleep at different times of the day.

Immunoglobulin IgA, IgG, IgM :
Test Includes: Immunoglobulin A, immunoglobulin G, and immunoglobulin M

Immunoglobulin A (IgA) – IgA comprises about 15% of the total serum immunoglobulins but is also found in saliva, tears, respiratory and gastric secretions, and breast milk. It provides protection against infection in mucosal areas of the body such as the respiratory tract and the gastrointestinal tract. When passed from mother to baby during breast-feeding, it helps protect the infant's gastrointestinal tract. Significant amounts of IgA are not present until after 6 months of age.

Immunoglobulin G (IgG) – About 70-80% of the immunoglobulin in the blood is IgG. IgG antibodies form the basis of long-term protection against microorganisms. Specific IgG antibodies are produced during an initial infection or exposure, rising a few weeks after it begins, then decreasing and stabilizing. In those with a normal immune system, sufficient IgG is produced to prevent re-infection. IgG is the only immunoglobulin that can pass through the placenta. The mother's IgG antibodies provide protection to the fetus during pregnancy and to the baby during its first few months of life.

Immunoglobulin M (IgM) – IgM antibodies are produced as a body's first response to a new infection, providing short-term protection. They increase for several weeks and then decline as IgG production begins.

Methylmalonic Acid (MMA):
Methylmalonic Acid(MMA) is a substance produced when proteins (amino acids) in the body break down. MMA is used to help detect early and/or mild vitamin B12 deficiency, especially at the tissue level.

Immunoglobulin E, Total:
IgE is associated with allergies, allergic diseases, and with parasitic infections. It is almost always measured as part of an allergy testing blood panel.

Gliadin Antibody Profile (IgG, IgA):
Gliadin is a class of proteins found in the gluten of wheat, rye, barley, and oats. This test is used to aid in the diagnosis and monitoring of certain gluten-sensitive enteropathies(diseases of the intestinal tract), such as celiac disease and dermatitis herpetiformis.

ANA (Antinuclear Antibodies) by IFA:
The indirect immunofluorescent test has three elements to consider in the result: 1.Positive or negative evidence of light radiation. 2. The titer. 3.The pattern of radioactive light.

ANA (Antinuclear Antibodies) is a group of special antibodies produced by a person's immune system when it fails to effectively separate between "self" and "nonself." These autoantibodies attack the body's own cells, causing signs and symptoms such as tissue and organ inflammation, joint and muscle pain, and fatigue. The presence of ANA is associated with several autoimmune disorders such as rheumatoid arthritis, scleroderma and Sjögren’s syndrome but is most commonly seen in systemic lupus erythematosus (SLE).