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Comprehensive Metabolic Panel

Insights Insights

Most of your values are within the normal range. This is a positive outcome, indicating that your overall metabolism and organ function are functioning well. However, there are a couple of findings that are worth discussing. Your Urea Nitrogen (BUN) and Creatinine levels are high. Although they are only slightly elevated, it's important to monitor them closely. High BUN and Creatinine levels may suggest reduced kidney function or dehydration. I recommend discussing these results with your healthcare provider to determine the underlying cause and develop an appropriate management plan. It's worth noting that your EGFR, which is a measure of kidney function, is within the normal range. This is reassuring and suggests that your kidneys are still able to filter waste products effectively. Overall, it's important to remember that blood test results need to be interpreted in the context of your overall health and medical history. Your healthcare provider will be able to provide a more comprehensive analysis and guide you further based on these results.

Urea Nitrogen (BUN)
high
Low Desirable 7 – 25 High
26 mg/dL
Creatinine
high
Low Desirable 0.60 – 1.26 High
1.34 mg/dL
AST
good
Low Desirable 10 – 40 High
21 U/L
Glucose
good
Low Desirable 65 – 99 High
87 mg/dL

Note: Fasting reference interval

EGFR
good
Low Desirable > 60
71 mL/min/1.73m2
BUN/Creatinine Ratio
good
Low Desirable 6 – 22 High
19 (calc)
Sodium
good
Low Desirable 135 – 146 High
139 mmol/L
Potassium
good
Low Desirable 3.5 – 5.3 High
4.2 mmol/L
Chloride
good
Low Desirable 98 – 110 High
105 mmol/L
Carbon Dioxide
good
Low Desirable 20 – 32 High
25 mmol/L
Calcium
good
Low Desirable 8.6 – 10.3 High
9.9 mg/dL
Protein, Total
good
Low Desirable 6.1 – 8.1 High
7.4 g/dL
Albumin
good
Low Desirable 3.6 – 5.1 High
5.0 g/dL
Globulin
good
Low Desirable 1.9 – 3.7 High
2.4 g/dL (calc)
Albumin/Globulin Ratio
good
Low Desirable 1.0 – 2.5 High
2.1 (calc)
Bilirubin, Total
good
Low Desirable 0.2 – 1.2 High
0.6 mg/dL
Alkaline Phosphatase
good
Low Desirable 36 – 130 High
59 U/L
ALT
good
Low Desirable 9 – 46 High
29 U/L

Cystatin C With EGFR

Insights Insights

Your Cystatin C and eGFR levels are within the normal range. This is a positive indication of your kidney function. Research shows that Cystatin C is a reliable marker for estimating kidney function, especially in individuals with normal or only mildly impaired kidney function. Your results suggest that your kidneys are functioning well. It's recommended that you continue to maintain a healthy lifestyle and regular exercise to support your overall kidney health. If you have any concerns or questions, please consult with your healthcare provider.

Cystatin C
good
Low Desirable 0.52 – 1.35 High
1.05 mg/L
EGFR
good
Low Desirable > 60
85 mL/min/1.73m2

Note: REFERENCE RANGE:>=60 mL/min/1.73mE2

Uric Acid

Insights Insights

Your uric acid levels are normal, which is a good sign. Research shows that elevated uric acid levels may be indicative of gout or kidney stones, so it's recommended that you maintain a healthy lifestyle to prevent these conditions from developing.

Uric Acid
good
Low Desirable 2.5 – 7.0 High
3.8 mg/dL

Note: Therapeutic target for gout patients: <6.0 mg/dL

Phosphate (AS Phosphorus)

Insights Insights

Your phosphate levels are within the normal range, which is a good sign. Research shows that having normal phosphate levels is important for bone health and other bodily functions. Keep up the good work in maintaining a healthy lifestyle.

Phosphate (AS Phosphorus)
good
Low Desirable 2.1 – 4.3 High
2.6 mg/dL

Lipid Panel

Insights Insights

I am pleased to inform you that your lipid panel is within the normal range. Your HDL cholesterol, triglycerides, LDL-cholesterol, CHOL/HDLC ratio, non HDL cholesterol, and total cholesterol are all normal. This is great news as it indicates that your cholesterol levels are within a healthy range for your age and sex group. Research shows that maintaining healthy cholesterol levels is important for overall cardiovascular health. High levels of cholesterol, especially LDL-cholesterol, can increase your risk of heart disease. On the other hand, low levels of HDL cholesterol, often referred to as "good" cholesterol, can also be a risk factor for heart disease. Therefore, it's recommended that you continue to focus on lifestyle factors that support healthy cholesterol levels, such as following a balanced diet, engaging in regular physical activity, and avoiding smoking. Keep in mind that while your lipid panel results are normal, it's important to consider other factors that may contribute to your overall health. If you have any concerns or questions, I encourage you to discuss them with your healthcare provider. They will be able to provide you with personalized guidance and address any specific concerns you may have. Overall, congratulations on your healthy lipid panel results! By maintaining a healthy lifestyle, you are taking important steps towards promoting your cardiovascular well-being.

HDL Cholesterol
good
Low Desirable > 40
54 mg/dL
Triglycerides
good
Desirable < 150 High
53 mg/dL
CHOL/HDLC Ratio
good
Desirable < 5.0 High
3.0 (calc)
Non HDL Cholesterol
good
Desirable < 130 High
106 mg/dL (calc)

Note: For patients with diabetes plus 1 major ASCVD risk factor, treating to a non-HDL-C goal of <100 mg/dL (LDL-C of <70 mg/dL) is considered a therapeutic option.

Cholesterol, Total
good
Desirable < 200 High
160 mg/dL
LDL-Cholesterol
good
92 mg/dL (calc)

Note: Reference range: <100 Desirable range <100 mg/dL for primary prevention; <70 mg/dL for patients with CHD or diabetic patients with > or = 2 CHD risk factors. LDL-C is now calculated using the Martin-Hopkins calculation, which is a validated novel method providing better accuracy than the Friedewald equation in the estimation of LDL-C. Martin SS et al. JAMA. 2013;310(19): 2061-2068 (http://education.QuestDiagnostics.com/faq/FAQ164)

Lactic Acid

Insights Insights

The lactic acid levels in your plasma are elevated, indicating the possibility of an underlying condition that may need attention. Elevated lactic acid can occur due to various reasons, such as strenuous exercise, certain medications, or more serious conditions like infections or impaired oxygen delivery. It’s essential to consult with your healthcare provider to determine the cause and appropriate management.

Lactic Acid, Plasma
high
Low Desirable 0.4 – 1.8 High
2.7 mmol/L

LD

Insights Insights

Your LD test results are normal, which means the level of lactate dehydrogenase (an enzyme found in many body tissues) in your blood falls within the healthy range for someone of your age and sex. Research shows that LD levels can sometimes be elevated in certain diseases, such as liver disease or muscle damage, but in your case, there's no cause for concern.

LD
good
Low Desirable 120 – 250 High
134 U/L

Alpha Fetoprotein

Insights Insights

Your Alpha Fetoprotein, Tumor Marker test is normal, which is a good indication. Keep in mind that even if you're in the normal range, it's still important to get regular check-ups with your doctor to ensure your overall health and wellbeing.

Alpha Fetoprotein, Tumor Marker
good
Desirable < 6.1 High
1.6 ng/mL

Note: This test was performed using the Beckman Coulter chemiluminescent method. Values obtained from different assay methods cannot be used interchangeably. AFP levels, regardless of value, should not be interpreted as absolute evidence of the presence or absence of disease.

Ammonia (P)

Insights Insights

Your ammonia levels are within the normal range. Ammonia is a waste product that is produced when proteins are broken down in the body. It is primarily processed by the liver and excreted in the urine. When ammonia levels are high, it can indicate liver dysfunction or a condition called hepatic encephalopathy, which is a serious complication of liver disease. However, since your ammonia levels are normal, it suggests that your liver is functioning properly in removing ammonia from your body. It's important to note that ammonia levels can fluctuate throughout the day and can be affected by various factors such as diet and medications. If you have any concerns about your liver health or if you experience symptoms such as confusion, fatigue, or jaundice, it's recommended that you consult with your healthcare provider for further evaluation.

Ammonia (P)
good
Desirable < 72 High
43 umol/L

GGT

Insights Insights

Your GGT levels are normal. GGT stands for gamma-glutamyl transferase, which is an enzyme found in the liver. Research shows that GGT levels can indicate liver function and can be elevated in conditions such as liver disease, alcohol abuse, or certain medications. However, since your GGT levels are within the normal range, it suggests that your liver is functioning properly. It's recommended that you continue to maintain a healthy lifestyle and avoid excessive alcohol consumption to help keep your liver in good health.

GGT
good
Low Desirable 3 – 90 High
18 U/L

Copper

Insights Insights

Your copper test is normal, which is a good sign. It's important to maintain healthy copper levels as copper plays a key role in the formation of red blood cells and the function of your immune system. Keep up the good work!

Copper
good
Low Desirable 70 – 175 High
76 mcg/dL

Note: This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by the FDA. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Aldosterone/Plasma Renin Activity Ratio

Insights Insights

The results for your Aldosterone/Plasma Renin Activity Ratio are normal. This indicates that your aldosterone and renin levels are within the healthy range for someone of your age and sex. Research shows that an abnormal ratio can be an indication of certain medical conditions, such as primary aldosteronism. However, since your results are normal, there is no reason to suspect any such conditions at this time.

ALDO/PRA Ratio
good
Low Desirable 0.9 – 28.9 High
3.2 Ratio
Plasma Renin Activity, LC/MS/MS
good
Low Desirable 0.25 – 5.82 High
3.71 ng/mL/h
Aldosterone, LC/MS/MS
good
12 ng/dL

Note: Adult Reference Ranges for Aldosterone: Upright 8:00-10:00 am < or = 28 ng/dL Upright 4:00-6:00 pm < or = 21 ng/dL Supine 8:00-10:00 am 3-16 ng/dL This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by FDA. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Beta 2 Microglobulin

Insights Insights

Your BETA 2 Microglobulin, Serum levels are within the normal range for your age and sex. This is a good sign and indicates that your kidney function and immune system are functioning well. Keep up with a healthy lifestyle to maintain your overall health.

Beta 2 Microglobulin, Serum
good
Desirable < 2.51 High
1.42 mg/L

Urinalysis

Insights Insights

Everything appears to be within the normal range. This is good news, as it indicates that there are no significant abnormalities or issues with your urinary system. It's important to note that normal ranges can vary depending on age and sex, and your results fall within the healthy range for a male of your age. A normal urinalysis suggests that there are no signs of infection, inflammation, or other underlying conditions affecting your urinary system. Your test results indicate that there are no bacteria, red or white blood cells, or leukocyte esterase present in your urine. Additionally, there are no signs of abnormalities in the levels of nitrite, occult blood, ketones, bilirubin, glucose, pH, specific gravity, appearance, color, protein, or hyaline cast. It's always encouraging to see normal results, as it suggests that your urinary system is functioning as it should. However, it's important to remember that a urinalysis is just one piece of the puzzle when it comes to assessing your overall health. If you have any concerns or symptoms, it's recommended that you discuss them with your healthcare provider for further evaluation and guidance. Keep up with your regular check-ups and screenings to ensure that you continue to maintain good health.

Bacteria
good
NONE SEEN /HPF
Squamous Epithelial Cells
good
Desirable < 5 High
NONE SEEN
/HPF
RBC
good
Desirable < 2 High
NONE SEEN
/HPF
WBC
good
Desirable < 5 High
NONE SEEN
/HPF
Leukocyte Esterase
good
NEGATIVE
Nitrite
good
NEGATIVE
Occult Blood
good
NEGATIVE
Ketones
good
NEGATIVE
Bilirubin
good
NEGATIVE
Glucose
good
NEGATIVE
PH
good
Low Desirable 5.0 – 8.0 High
5.5
Specific Gravity
good
Low Desirable 1.001 – 1.035 High
1.011
Appearance
good
CLEAR
Color
good
YELLOW
Protein
good
NEGATIVE
Hyaline CAST
good
NONE SEEN /LPF

Ceruloplasmin

Insights Insights

Your ceruloplasmin levels are within the normal range. Research shows that ceruloplasmin is a protein that plays a role in iron metabolism and copper transport in the body. A deficiency in ceruloplasmin can lead to a condition called Wilson's disease. However, since your levels are normal, there is no need for concern at this time.

Ceruloplasmin
good
Low Desirable 14 – 30 High
24 mg/dL
Sample image
Sample report
Comprehensive kidney and liver function test for adults concerned about organ health and fatigue

Kidney & Liver Function Test for Fatigue and Organ Health

In-Depth Kidney & Liver Checkup

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First results as soon as overnight*

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Easy to understand results

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Lab visit as quick as 10 mins in & out

90 day happiness guarantee

We stand behind our service

Prescription & fees included

Go directly to the lab, no extra fees

Easy to understand results

With friendly doctor's notes & guidance

Fast & convenient

Lab visit as quick as 10 mins in & out

What's this test for?

This test is ideal if you're experiencing unexplained fatigue, changes in urination, swelling in your legs or ankles, or digestive issues. It provides a comprehensive evaluation of how well your kidneys and liver are functioning, helping identify potential problems before they become serious. Many people use this test when they have risk factors like high blood pressure, diabetes, alcohol use, or a family history of kidney or liver disease.

How should I prepare for this test?

Fasting: 12-14 hours

You should fast for 12-14 hours before your test, which means no food or drinks except water. Avoid smoking before your appointment as it can affect ammonia levels, and don't clench your fist during the blood draw. Discuss with your doctor about temporarily stopping certain medications like diuretics or gout medications that may affect uric acid levels. Results typically take about 5 business days, though some specialized tests may take longer if confirmation is needed.

What's included in this test?

Lactic Acid, Plasma Ammonia (P) Alpha Fetoprotein, Tumor Marker Ceruloplasmin Copper GGT LD Phosphate (As Phosphorus) Beta 2 Microglobulin, Serum Uric Acid

This comprehensive panel evaluates kidney function through creatinine, BUN, eGFR, and cystatin-C to detect early signs of kidney disease, plus a complete urinalysis to check for protein, blood, or infection. It assesses liver health with enzymes like ALT, AST, alkaline phosphatase, GGT, bilirubin, and specialized markers like alpha-fetoprotein and ammonia that reveal inflammation or damage. The panel also includes metabolic markers, lipid levels, electrolytes, and minerals that affect both organ systems, providing a complete picture of your kidney and liver health and how they're impacting your energy and wellness.

What happens after I get my results?
You'll receive detailed doctor notes in simple language explaining what your kidney and liver markers mean for your overall health and energy levels. These notes include personalized recommendations like dietary changes, hydration strategies, supplement suggestions, or whether you should follow up with a specialist. You'll also get the standard lab report and can track your organ function over time using our trends feature to monitor improvements or catch changes early.
When will I get my results?
Your results will typically be ready within 5 business days after your blood sample is collected. Some specialized markers in this comprehensive panel may require confirmation testing, which could extend the turnaround time by a few additional days. You'll receive an email notification as soon as your results are available in your secure online account.
Who should consider getting this test?
This test is important for people with risk factors like diabetes, high blood pressure, obesity, or a history of heavy alcohol use. It's also valuable if you have a family history of kidney or liver disease, take medications that affect these organs, or have symptoms like persistent fatigue, dark urine, yellowing skin, or unexplained swelling. Anyone concerned about their organ health or wanting a baseline measurement for preventive care should consider this comprehensive panel.
What symptoms indicate I may need this test?
Common symptoms include persistent fatigue, difficulty concentrating, changes in urination frequency or color, swelling in your ankles or legs, and unexplained weight changes. You might also notice digestive issues, nausea, loss of appetite, itchy skin, yellowing of the eyes or skin, or abdominal discomfort. Since kidney and liver problems often develop silently, regular testing is important even without obvious symptoms, especially if you have risk factors.
How can I naturally support my kidney and liver health?
Stay well-hydrated by drinking plenty of water throughout the day, and eat a balanced diet rich in fruits, vegetables, whole grains, and lean proteins while limiting processed foods and excess salt. Limit alcohol consumption and avoid unnecessary medications or supplements that stress these organs. Regular exercise, maintaining a healthy weight, and managing conditions like diabetes and high blood pressure are crucial for protecting both kidney and liver function.
What does high creatinine mean?
High creatinine levels suggest your kidneys may not be filtering waste from your blood as efficiently as they should. This can be caused by dehydration, kidney disease, high protein intake, intense exercise, or certain medications. Elevated creatinine is an important early warning sign that your kidney function needs attention and possibly further evaluation.
How often should I retest my kidney and liver function?
If you have risk factors like diabetes or high blood pressure, annual testing is recommended to catch problems early. If you're on medications that affect these organs or have been diagnosed with kidney or liver issues, your doctor may recommend testing every 3-6 months to monitor your condition. For general preventive care without risk factors, testing every 1-2 years provides a good baseline to track changes over time.
How’s this work?
Getting your blood test with us is easy, private & backed by the power of science.

Long story short:
  1. In the test options, use the filters or search box to narrow your choices and find the test you want.
  2. If you need a hand navigating through options, text our super friendly support team at 754-799-7833, and we'll provide tailored suggestions to help you find the ideal test.
  3. Once your order is placed, we’ll create your doctor’s lab order remotely, without any need for you to make a trip to a doctor in person or to talk to the doctor. Expect to receive your doctor’s lab order right in your inbox. It will also be in your patient portal if you need to find it later. We’ll also include instructions regarding fasting and other requirements for your test. Your patient portal will be auto-created hassle-free during checkout.
  4. If this is your first time ordering, you'll be prompted to create a password for instant login access to your patient portal. It's a quick way to conveniently access your orders and results whenever you want.
  5. When you’re ready, visit one of our 4,000 locations. Just bring your ID – no printing or faxing of your lab order is needed, as your order and details will already be in the lab system.
  6. Note that most lab locations don’t accept walk-ins, so it’s best to book an appointment in advance. Don’t worry – we’ll provide detailed instructions along the way.
  7. You’ll get your results via email & SMS and dive into understanding your body better. Yup, that easy!
  8. If you have any questions, please text us at 754-799-7833 or email [email protected] and we'll gladly help you.
How do I know which test to get?
In the test options, find the test you want. If you’re not sure which test to get, we can lend a hand in finding the right option.

Just text or call us at 754-799-7833, email us at [email protected], and we'll gladly help you. We've got your back and reply quickly.
Is it possible to make changes to my lab order if I made a mistake with the name, date of birth, or any other details?
Absolutely! We totally understand that errors can happen. No worries, we're here to help you.

Just reach out to us via text at 754-799-7833 or shoot us an email at [email protected]. Remember to include your order number and let us know the correct information you’d like to update. Our awesome team will jump right in and make sure everything is sorted out and accurate for you.

There are no changes necessary if your address is wrong on the requisition though. We don’t mail anything out.

Our lab requires an address to be listed to generate an order.
Do you accept health insurance?
Only HSA & FSA is accepted.

Our services are strictly self-pay and cannot be submitted to your health insurance provider except for Health Savings Accounts or Flexible Savings Accounts.

This policy applies to all insurance companies, including federal health insurance programs like Medicare.

If you have any questions, please text us at 754-799-7833 or email [email protected].
Can I cancel my order?
Yes.

We get it – sometimes your needs change.

As long as your samples haven’t been collected yet, we’re happy to help you cancel your order.

If you have any further questions, please text us at 754-799-7833 or email [email protected].

You can read more about our cancellation policy here.
How can I find a lab location near me?
During the ordering process, you’ll be able to select a specific lab near you, with no strings attached! You can switch it up later easily and visit any of our authorized locations as long as it’s the same lab company you selected your test for (Quest Diagnostics or Labcorp).

Before you proceed with your order, feel free to browse through all our lab locations here. This will give you the peace of mind of knowing that there's a lab nearby your home, office or your favorite gym.

If you have any questions, please text us at 754-799-7833 or email [email protected] and we'll gladly help you.

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Demo results
eGFR (Estimated Glomerular Filtration Rate) 72 mL/min/1.73m²
Demo results
Low Optimal 90 - 120 High
72 mL/min/1.73m²

What this means

Your eGFR is slightly below the optimal range, which may indicate your kidneys are not filtering waste as efficiently as they should. While this is considered mildly reduced kidney function, it's important to monitor and take steps to protect your kidney health before it progresses further.

* Regular blood test results (e.g., CBC) typically start arriving the next business day after sample collection. More complex tests, such as hormone panels, may take up to 10–15 business days due to their complexity.
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Kidney & Liver Function Test for Fatigue and Organ Health

Google
3,138 reviews
  • Reveal hidden kidney issues effortlessly
  • Expose liver problems before they escalate
  • Clarify the cause of your fatigue

1,000,000+ blood tests later, here's what our customers say

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Still got questions? Text our super-cool support team at 754-799-7833 to get help finding your ideal checkup.