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Anemia Testing

Anemia Profile (Basic) (Quest Diagnostics)

Quest Price: $67.99

Anemia is a deficiency of red blood cells and/or hemoglobin. The most common type of anemia is iron deficiency anemia. The Anemia Profile measures the level of anemic-related blood chemistries.

A significant deviation from the normal range may require further evaluation by your physician.

Includes:
Complete Blood Count / CBC (includes Differential and Platelets): WBC, RBC, Hemoglobin, Hematocrit, MCV, MCH, MCHC, RDW, Platelet Count, MPV and Differential (Absolute and Percent - Neutrophils, Lymphocytes, Monocytes, Eosinophils, and Basophils)
Iron, Serum w/ TIBC: Total Iron, Iron Binding Capacity, % Saturation (calculated)
Reticulocyte count


Patient Instructions: Specimens should be collected in the morning from patients in a fasting state, since iron values decrease by 30% during the course of the day and there can be significant interference from lipemia.

   

Anemia Profile (Basic) (LabCorp)

LabCorp Price: $107.99

Anemia is a deficiency of red blood cells and/or hemoglobin. The most common type of anemia is iron deficiency anemia. The Anemia Profile measures the level of anemic-related blood chemistries. A significant deviation from the normal range may require further evaluation by your physician.

Includes:
Complete Blood Count (CBC) with Differential Test: (Hematocrit; hemoglobin; mean corpuscular volume (MCV); mean corpuscular hemoglobin (MCH); mean corpuscular hemoglobin concentration (MCHC); red cell distribution width (RDW); percentage and absolute differential counts; platelet count; red cell count; white blood cell count; immature granulocytes)
Iron, Serum w/TIBC: Percent of saturation; serum iron; total iron binding capacity; unsaturated iron binding capacity
Reticulocyte count


Patient Instructions: Patient should fast for 10-12 hours before collection of the specimen; morning collection preferred.

   

Anemia Profile (Advanced) (Quest Diagnostics)

Quest Price: $101.99

Anemia is a deficiency of red blood cells and/or hemoglobin. The most common type of anemia is iron deficiency anemia. The Anemia Profile measures the level of anemic-related blood chemistries.

A significant deviation from the normal range may require further evaluation by your physician.


Includes:
Complete Blood Count / CBC (includes Differential and Platelets): WBC, RBC, Hemoglobin, Hematocrit, MCV, MCH, MCHC, RDW, Platelet Count, MPV and Differential (Absolute and Percent - Neutrophils, Lymphocytes, Monocytes, Eosinophils, and Basophils)
Ferritin, Serum
Folate (Folic Acid)
Iron, Serum w/ TIBC:
Total Iron, Iron Binding Capacity, % Saturation (calculated)
Reticulocyte Count
Vitamin B12


Patient Instructions: Specimens should be collected in the morning from patients in a fasting state, since iron values decrease by 30% during the course of the day and there can be significant interference from lipemia. In patients receiving therapy with high biotin doses (ie, > 5 mg/day), no sample should be taken until at least eight hours after the last biotin administration. Folate assays of samples from patients receiving therapy with certain pharmaceuticals (eg, methotrexate or leucovorin), are contraindicated because of the cross-reactivity of folate binding protein with these compounds.
   

Anemia Profile (Advanced) (LabCorp)

Price: $202.99

Anemia is a deficiency of red blood cells and/or hemoglobin. The most common type of anemia is iron deficiency anemia. The Anemia Profile measures the level of anemic-related blood chemistries.
A significant deviation from the normal range may require further evaluation by your physician.


Includes:
Complete Blood Count (CBC) with Differential : (Hematocrit; hemoglobin; mean corpuscular volume (MCV); mean corpuscular hemoglobin (MCH); mean corpuscular hemoglobin concentration (MCHC); red cell distribution width (RDW); percentage and absolute differential counts; platelet count; red cell count; white blood cell count; immature granulocytes)
Iron, Serum w/TIBC: Percent of saturation; serum iron; total iron binding capacity; unsaturated iron binding capacity
Reticulocyte count
Ferritin, serum
Folic acid, serum
Vitamin B12, serum


Patient Instructions: Fasting specimen preferred; must draw before Schilling test, transfusions or B12 therapy is started. This test may exhibit interference when sample is collected from a person who is consuming a supplement with a high dose of biotin (also termed as vitamin B7 or B8, vitamin H, or coenzyme R). It is recommended to ask all patients who may be indicated for this test about biotin supplementation. Patients should be cautioned to stop biotin consumption at least 72 hours prior to the collection of a sample.
   

Anemia Profile (Advanced) with CMP (Quest Diagnostics)

Quest Price: $118.99

Anemia is a deficiency of red blood cells and/or hemoglobin. The most common type of anemia is iron deficiency anemia. The Anemia Profile measures the level of anemic-related blood chemistries.

A significant deviation from the normal range may require further evaluation by your physician.


Includes:
Complete Blood Count / CBC (includes Differential and Platelets): WBC, RBC, Hemoglobin, Hematocrit, MCV, MCH, MCHC, RDW, Platelet Count, MPV and Differential (Absolute and Percent - Neutrophils, Lymphocytes, Monocytes, Eosinophils, and Basophils)
Comprehensive Metabolic Profile ( includes eGFR ): Albumin, Albumin/Globulin Ratio (calculated), Alkaline Phosphatase, ALT, AST, BUN/Creatinine Ratio (calculated), Calcium, Carbon Dioxide, Chloride, Creatinine with GFR Estimated, Globulin (calculated), Glucose, Potassium, Sodium, Total Bilirubin, Total Protein, Urea Nitrogen
Ferritin, Serum
Folate (Folic Acid)
Iron, Serum w/ TIBC:
Total Iron, Iron Binding Capacity, % Saturation (calculated)
Reticulocyte Count
Vitamin B12


Patient Instructions: Patient should fast for 12 hours preceding collection of specimen. Specimens should be collected in the morning since iron values decrease by 30% during the course of the day and there can be significant interference from lipemia. In patients receiving therapy with high biotin doses (ie, > 5 mg/day), no sample should be taken until at least eight hours after the last biotin administration. Folate assays of samples from patients receiving therapy with certain pharmaceuticals (eg, methotrexate or leucovorin), are contraindicated because of the cross-reactivity of folate binding protein with these compounds. In patients receiving therapy with high biotin doses (ie, > 5 mg/day), no sample should be taken until at least eight hours after the last biotin administration.
   

Anemia Profile (Advanced) with CMP (LabCorp)

LabCorp Price: $246.99

Anemia is a deficiency of red blood cells and/or hemoglobin. The most common type of anemia is iron deficiency anemia. The Anemia Profile measures the level of anemic-related blood chemistries.
A significant deviation from the normal range may require further evaluation by your physician.


Includes:
Complete Blood Count (CBC) with Differential: (Hematocrit; hemoglobin; mean corpuscular volume (MCV); mean corpuscular hemoglobin (MCH); mean corpuscular hemoglobin concentration (MCHC); red cell distribution width (RDW); percentage and absolute differential counts; platelet count; red cell count; white blood cell count; immature granulocytes)
Comprehensive Metabolic Profile (CMP) (includes eGFR): (A:G ratio; albumin, serum; alkaline phosphatase, serum; ALT (SGPT); AST (SGOT); bilirubin, total; BUN; BUN:creatinine ratio; calcium, serum; carbon dioxide, total; chloride, serum; creatinine, serum; globulin, total; glucose, serum; potassium, serum; protein, total, serum; sodium, serum.)
Iron, Serum w/TIBC: Percent of saturation; serum iron; total iron binding capacity; unsaturated iron binding capacity
Reticulocyte count
Ferritin, serum
Folic acid, serum
Vitamin B12, serum


Patient Instructions: Patient should fast for 12 hours preceding collection of specimen. Must draw before Schilling test, transfusions or B12 therapy is started. This test may exhibit interference when sample is collected from a person who is consuming a supplement with a high dose of biotin (also termed as vitamin B7 or B8, vitamin H, or coenzyme R). It is recommended to ask all patients who may be indicated for this test about biotin supplementation. Patients should be cautioned to stop biotin consumption at least 72 hours prior to the collection of a sample.
   

Iron, Serum (Quest Diagnostics)

Quest Price: $50.49

The Serum Iron test can detect how much iron is in the blood. Serum measurements are useful in the diagnosis of iron deficiency and hemochromatosis.
A significant deviation from the normal range may require further evaluation by your physician.


Includes:
Iron, serum.

Patient Instructions: Specimens should be collected in the morning from patients in a fasting state, since iron values decrease by 30% during the course of the day and there can be significant interference from lipemia.

   

Iron, Serum (LabCorp)

LabCorp Price: $47.99

The Serum Iron test can detect how much iron is in the blood. A significant deviation from the normal range may require further evaluation by your physician.


Includes: Iron, serum.

Patient Instructions:

   

Iron, Serum w/TIBC (Quest Diagnostics)

Quest Price: $53.49

The Iron Test with Total iron-binding capacity (TIBC) can detect how much iron is in the blood. Serum iron quantification is useful in confirming the diagnosis of iron-deficiency anemia or hemochromatosis. The measurement of total iron binding in the same specimen may facilitate the clinician#s ability to distinguish between low serum iron levels caused by iron deficiency from those related to inflammatory neoplastic disorders. The assay for iron measures the amount of iron which is bound to transferrin. The total iron binding capacity (TIBC) measures the amount of iron that would appear in blood if all the transferrin were saturated with iron. It is an indirect measurement of transferrin 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 transferrin. The percent saturation is low in iron deficiency and high in iron storage diseases.

A significant deviation from the normal range may require further evaluation by your physician.


Includes:
Total Iron,
Iron Binding Capacity,
% Saturation (calculated)

Patient Instructions: Specimens should be collected in the morning from patients in a fasting state, since iron values decrease by 30% during the course of the day and there can be significant interference from lipemia.

   

Iron, Serum w/TIBC (LabCorp)

LabCorp Price: $77.99

The Iron Test with Total iron-binding capacity (TIBC) can detect how much iron is in the blood. A significant deviation from the normal range may require further evaluation by your physician.


Includes: Percent of saturation; serum iron; total iron binding capacity; unsaturated iron binding capacity

Patient Instructions:

   

Iron, Comprehensive Panel (Quest Diagnostics)

Quest Price: $72.49

This panel contains blood tests that will measure the amount of iron in your blood and measure your body#s ability to use iron.

Significant deviations from the normal range may require further evaluation by your physician.


Includes:
Ferritin, Serum
Iron, Serum w/ TIBC:
Total Iron, Iron Binding Capacity, % Saturation (calculated)

Patient Instructions: Specimens should be collected in the morning from patients in a fasting state, since iron values decrease by 30% during the course of the day and there can be significant interference from lipemia. In patients receiving therapy with high biotin doses (ie, > 5 mg/day), no sample should be taken until at least eight hours after the last biotin administration.

   

Iron, Comprehensive Panel (LabCorp)

LabCorp Price: $118.99

This panel contains blood tests that will measure the amount of iron in your blood and measure your body's ability to use iron.

Significant deviations from the normal range may require further evaluation by your physician.


Includes:
Iron, Serum w/TIBC: Percent of saturation; serum iron; total iron binding capacity; unsaturated iron binding capacity
Ferritin

Patient Instructions:

   

Iron Deficiency Anemia Profile (Quest Diagnostics)

Quest Price: $77.99

Anemia is a blood disorder that is defined as: having fewer red blood cells than normal, or having less hemoglobin than normal (hemoglobin is the part of red blood cells that carries oxygen). When there are not enough red blood cells or there is too little hemoglobin, the blood is not able to carry enough oxygen to all parts of the body. Iron deficiency anemia is one of the most common forms of anemia.

Significant deviations from the normal range may require further evaluation by your physician.


Includes:
Complete Blood Count / CBC (includes Differential and Platelets): WBC, RBC, Hemoglobin, Hematocrit, MCV, MCH, MCHC, RDW, Platelet Count, MPV and Differential (Absolute and Percent - Neutrophils, Lymphocytes, Monocytes, Eosinophils, and Basophils)
Ferritin, Serum
Iron, Serum w/ TIBC:
Total Iron, Iron Binding Capacity, % Saturation (calculated)
Reticulocyte count

Patient Instructions: Specimens should be collected in the morning from patients in a fasting state, since iron values decrease by 30% during the course of the day and there can be significant interference from lipemia. In patients receiving therapy with high biotin doses (ie, > 5 mg/day), no sample should be taken until at least eight hours after the last biotin administration.

   

Iron Deficiency Anemia Profile (LabCorp)

LabCorp Price: $142.99

Anemia is a blood disorder that is defined as: having fewer red blood cells than normal, or having less hemoglobin than normal (hemoglobin is the part of red blood cells that carries oxygen). When there are not enough red blood cells or there is too little hemoglobin, the blood is not able to carry enough oxygen to all parts of the body. Iron deficiency anemia is one of the most common forms of anemia.

Significant deviations from the normal range may require further evaluation by your physician.


Includes:
Reticulocyte count
Iron, Serum w/TIBC: Percent of saturation; serum iron; total iron binding capacity; unsaturated iron binding capacity
Ferritin
Complete Blood Count (CBC) with Differential
: (Hematocrit; hemoglobin; mean corpuscular volume (MCV); mean corpuscular hemoglobin (MCH); mean corpuscular hemoglobin concentration (MCHC); red cell distribution width (RDW); percentage and absolute differential counts; platelet count; red cell count; white blood cell count; immature granulocytes)

Patient Instructions:


What is Anemia?

Anemia is a blood disorder that is defined as: having fewer red blood cells than normal, or having less hemoglobin than normal (hemoglobin is the part of red blood cells that carries oxygen) When there are not enough red blood cells or there is too little hemoglobin, the blood is not able to carry enough oxygen to all parts of the body. There are several forms of anemia, such as: iron deficiency anemia hemolytic anemia vitamin B-12 deficiency anemia folic acid deficiency anemia anemia caused by inherited abnormalities of RBCs (for example, sickle cell anemia and thalassemia) anemia caused by chronic (ongoing) disease, such as rheumatoid arthritis

How Do the Different Forms of Anemia Occur?

Iron deficiency anemia:

This most common form of anemia results from not having enough iron in the blood. Iron is the main component of hemoglobin. Iron deficiency anemia may be caused by a lack of iron in the diet or a loss of blood. Pregnant women may have this form of anemia because the baby uses the mother's iron to make red blood cells and to grow. Women lose blood during their menstrual periods and from repeated pregnancies. Another cause of blood loss may be internal bleeding in the stomach (as with ulcers) or in the intestine (as with colon cancer).

Hemolytic anemia:

This kind of anemia occurs when red blood cells are destroyed or damaged by infection, drugs, or inherited conditions.

Vitamin B-12 (cobalamin) deficiency anemia:

This type of anemia results when the stomach or intestines have trouble absorbing vitamin B-12. For example, an immune system disorder called pernicious anemia prevents normal absorption of the vitamin by the intestinal tract. Stomach or intestinal illness, some medicines, and some inherited disorders may also cause vitamin B-12 deficiency. Some vegetarians may not get enough vitamin B-12 from the foods they eat. Besides causing anemia, a lack of vitamin B-12 affects the nervous system and may cause symptoms of numbness, tingling, balance problems, depression, or memory problems.

Folic acid deficiency anemia:

Anemia due to a lack of folic acid in the diet is similar to B-12 deficiency anemia, but there is no damage to specific nerves. However, it can cause depression. Not having enough folic acid in the diet can also cause birth defects. This anemia is common in: pregnant women people whose intestines have problems absorbing nutrients from food people using some daily medicines, such as phenytoin, sulfasalazine, and possibly birth control pills alcoholics, who often suffer from malnutrition

Anemia caused by inherited problems with red blood cells:

The most common types of inherited problems that cause anemia because the red blood cells are abnormal are sickle cell anemia and thalassemia. Sickle cell anemia is an inherited disease that causes abnormal, sickle-shaped red blood cells. Sickle cell disease is most prevalent among people who are African, African American, Mediterranean (Italian or Greek), Middle Eastern, East Indian, Caribbean, and Central or South American. The abnormal RBCs are damaged or destroyed as they pass through the circulatory system. The anemia causes many symptoms. It can cause a condition called sickle cell crisis. The crisis may occur under certain conditions such as altitude or pressure changes, low oxygen, or some illnesses. In sickle cell crisis the RBCs become even more deformed and block tiny blood vessels, causing severe, prolonged pain and other complications. Thalassemias are a group of inherited anemias caused by abnormal hemoglobin. The abnormal hemoglobin may cause abnormal red blood cells as well as low hemoglobin levels. Thalassemias most commonly affect people of Mediterranean descent, but some types also affect peoples of Africa, Asia, India, and the South Pacific. Most forms of thalassemia are mild, but some forms cause life-threatening disease in children.

Anemia caused by disease:

Some of the ongoing (chronic) diseases that may cause anemia are: cancer rheumatoid arthritis ongoing infections kidney disease

What are the Symptoms of Anemia?

Mild anemia usually does not produce symptoms. More severe anemia is associated with: weakness fatigue skin, gums, and nail beds that are pale Other symptoms of worsening anemia include: lightheadedness, especially when you change positions, for example, when you stand up fast heartbeat shortness of breath fainting chest pain Jaundice (yellow skin and eyes) may be a symptom of hemolytic anemia.

How is Anemia Diagnosed?

Your health care provider will carefully review your symptoms and examine you. You will have a complete blood count (CBC) to confirm anemia and to see how severe it is. You may need other blood tests to determine the type of anemia.


How is Anemia Treated?

The treatment depends on the type of anemia you have. You will have follow-up visits with your health care provider to check your blood count and the effect of your treatment.


Iron deficiency anemia:

To treat iron deficiency anemia (if there is no underlying disease causing blood loss), your health care provider will simply prescribe iron supplements and/or a diet of foods rich in iron. Iron tablets may have side effects such as abdominal cramps; nausea; constipation; and dark, hard stools. To lessen side effects, your health care provider will start you on a low dose of iron and slowly increase your dose to the necessary amount. He or she may suggest that you take vitamin C with the iron pills to help your body absorb the iron. Taking the iron at mealtimes can help prevent stomach and intestinal upset. Do not take antacids and do not eat or drink any dairy products at the same time you take the iron pills. Antacids and dairy products prevent the body from absorbing iron. Only rarely are iron shots needed.


Vitamin B-12 deficiency anemia:

If you have this form of anemia because your stomach does not absorb vitamin B-12 well, the usual treatment is a shot of vitamin B-12 once a month. In some cases your health care provider may prescribe an oral tablet.


Folic acid deficiency anemia:

The treatment for folic acid deficiency anemia is daily oral folate tablets. This anemia is similar to vitamin B-12 deficiency anemia. You should not start taking folate supplements until your health care provider has made sure you do not have vitamin B-12 deficiency anemia.


Anemia caused by inherited abnormalities of RBCs:

Sickle cell anemia usually requires frequent treatments. Sickle cell crisis requires IV (intravenous) fluids, rest, pain relief, and sometimes a blood transfusion. The treatment for thalassemia depends on such factors as the severity of the anemia, your age, and the risk of blood transfusions. When blood transfusions are needed for acute anemia, there is a small risk that you will get a blood-borne disease such as hepatitis or AIDS, even though donated blood is carefully screened. For this reason, your health care provider will recommend a transfusion only when it is clearly the best treatment for you. People who have thalassemia must not take iron tablets.


Anemia caused by chronic disease:

Fortunately, the effects of this type of anemia usually tend to be mild. For certain conditions, such as chronic kidney disease, your health care provider may prescribe regular shots of erythropoietin. These shots cause your body to make more red blood cells.


How Long Will the Effects of Anemia Last?

The symptoms of mild, easily treated anemias, such as iron deficiency anemia, respond quickly to treatment and improve in just a few days. The symptoms of chronic anemias, such as sickle cell anemia, come and go. Anemia associated with a chronic disease usually improves or worsens as the disease improves or worsens.


How Can I Take Care of Myself?

Follow your health care provider's instructions. Take your medicine as prescribed.

What Can I Do to Help Prevent Anemia and the Problems it Causes?

The prevention of anemia depends on the cause. If your anemia is caused by a deficiency in your diet, eating foods rich in the missing nutrient will help to prevent a recurrence. To prevent the complications of vitamin B-12 deficiency anemia, follow your health care provider's treatment of vitamin B-12 injections. If you have sickle cell disease, it is important not to get dehydrated (that is, not to lose too much body fluid) during hot weather, exercise, or illness. Dehydration can trigger a sickle cell crisis. Genetic counseling is important for families with inherited anemia.

Questions regarding online blood testing or how to order a lab test?

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