Personal Prevention Profile

$235.00

PROFILES

BLOOD PANELS

	Heart Health Profile
	Wellness Profile
	Fitness Profile
	Stress Profile
	Nutritional Analysis
	Wellness Attitude
	Health Hazard
	Prevention Guide

Complete Blood Count

	Liver Panel
	Minerals and Bone Panel
	Kidney Panel
	Fluids and Electrolytes
	Diabetes Check

	Thyroid Panel
	Lipid Panel
	Urinalysis

BlPanels

Preparations for your Personal Prevention Profile
• Wear sleeves that roll up easily
• Be prepared to give a urine sample
• Fasting required 12 hours before your test

Fax Questionnaire to: 267-295-8384

or mail to

InforMed Centers
5517 State Rd.
Cleveland OH 44134

or email to
ask@informedcenters.com

Questionnaire

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Liver Panel

The Liver Panel includes:

Alanine aminotransferase (ALT or SGPT)- an enzyme found primarily in the liver. Abnormalities may represent liver disease.

Albumin - one of the major proteins in the blood and a reflection of the general state of nutrition.

Albumin/Globulin ratio - Calculated by dividing the albumin by the globulin.

Alkaline phosphatase - A body protein important in diagnosing proper bone and liver functions.

Aspartate aminotransferase (AST or SGOT) - an enzyme found in skeletal and heart muscle, liver and other organs. Abnormalities may represent liver disease.

Bilirubin - Total A chemical involved with liver functions. High concentrations may result in jaundice.

Globulin, Total - A major group of proteins in the blood comprising the infection fighting antibodies.

Protein, Total - Together with albumin, it is a measure of the state of nutrition in the body.

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Kidney Panel

This Panel is composed of:

Urea Nitrogen (BUN) - A by-product of protein metabolism eliminated through the kidneys. BUN is an indicator of kidney function.

Creatinine, Serum - An indicator of kidney function.

Uric acid - Another by-product of protein metabolism eliminated through the kidneys. Uric acid is an indicator of kidney function.

Bun/Creatinine - Ratio Calculated by dividing the BUN by the Creatinine.

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Diabetes Check

Glucose - Blood sugar level, the most direct single test to uncover diabetes, may be used not only to identify diabetes, but also to evaluate how one controls the disease

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Bone & Minerals Health Panel

The Bone & Minerals Health Panel includes:

    Iron, Total - An abnormally low test result may indicate iron deficiency anemia.

   Calcium - A mineral essential for development and maintenance of healthy bones and teeth. It is important also for the normal function of muscles, nerves and blood clotting.

   Phosphorus - Together with calcium, it is essential for healthy development of bones and teeth. Associated with hormone imbalance, bone disease and kidney disease. It is found mainly in bones and teeth. NOTE: a temporary drop in phosphorus level can be seen after a meal.

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Fluids & Electrolytes

The Fluids & Electrolytes Panel includes:

    Chloride, Serum - Similar to sodium, it helps to maintain the body's electrolyte balance.

    Potassium - Helps to control the nerves and muscles.

    Sodium, Serum - One of the major salts in the body fluid; sodium is important in the body's water balance and the electrical activity of nerves and muscles.

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THYROID PANEL

Temp Log

The symptoms of a low body temperature are classic for low thyroid function and they often get better with thyroid medicine. Body temperatures are normally lower in the morning, higher in the afternoon, and lower again in the evening. So if the temperatures are low during the day when they're supposed to be at their highest, that's better evidence that there's a problem. Temperature patterns are also important and illuminating. How patients feel can be affected not only by how high or low their temperatures are but also on how steady their temps are. This is especially important during T3 therapy. One temperature reading a day is not enough to see how widely the temperature is fluctuating, but more than three a day can be too time consuming.

T3 uptake

This test measures the amount of thyroxine-binding globulin (TBG) in the patient's serum. When TBG is increased, T₃ uptake is decreased, and vice versa. T₃ Uptake does not measure the level of T₃ or T₄ in serum. Increased T₃ uptake (decreased TBG) in euthyroid patients is seen in chronic liver disease, protein-losing states, and with use of the following drugs: androgens, barbiturates, bishydroxycourmarin, chlorpropamide, corticosteroids, danazol, d-thyroxine, penicillin, phenylbutazone, valproic acid, and androgens. It is also seen in hyperthyroidism. Decreased T₃ uptake (increased TBG) may occur due to the effects of exogenous estrogens (including oral contraceptives), pregnancy, acute hepatitis, and in genetically-determined elevations of TBG. Drugs producing increased TBG include clofibrate, lithium, methimazole, phenothiazines, and propylthiouracil. Decreased T₃ uptake may occur in hypothyroidism

This is a measurement of the total thyroxine in the serum, including both the physiologically active (free) form, and the inactive form bound to thyroxine-binding globulin (TBG). It is increased in hyperthyroidism and in euthyroid states characterized by increased TBG (See "T₃ uptake," above, and "FTI," below). Occasionally, hyperthyroidism will not be manifested by elevation of T₄ (free or total), but only by elevation of T₃ (triiodothyronine). Therefore, if thyrotoxicosis is clinically suspect, and T₄ and FTI are normal, the test "T₃-RIA" is recommended (this is not the same test as "T₃ uptake," which has nothing to do with the amount of T₃ in the patient's serum). T₄ is decreased in hypothyroidism and in euthyroid states characterized by decreased TBG. A separate test for "T₄" is available, but it is not usually necessary for the diagnosis of functional thyroid disorders.

T7 (FTI)

This is a convenient parameter with mathematically accounts for the reciprocal effects of T₄ and T₃ uptake to give a single figure which correlates with free T₄. Therefore, increased FTI is seen in hyperthyroidism, and decreased FTI is seen in hypothyroidism. Early cases of hyperthyroidism may be expressed only by decreased thyroid stimulation hormone (TSH) with normal FTI. Early cases of hypothyroidism may be expressed only by increased TSH with normal FTI. Currently, the method of choice for screening for both hyper- and hypothyroidism is serum TSH only. Modern methodologies ("ultrasensitive TSH") allow accurate determination of the very low concentrations of TSH at the phyisological cutoff between the normal and hyperthyroid states

TSH

TSH has been recognized as an exquisitely sensitive indicator of thyroid status. TSH assays (second or third generation) have therefore been widely adopted as the front-line thyroid function test. In ambulatory patients with intact hypothalamic and pituitary function, a normal TSH result excludes hypo- or hyperthyroidism; whereas elevated and suppressed TSH results are diagnostic of hypo- and hyperthroidism, respectively. Abnormal TSH results are generally confirmed with a complementary determination of thyroid hormone levels.

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Lipid Panel

This profile requires you to be fasting 12-14 hours. No appointment necessary.

Components of a Lipid Profile

Total Cholesterol

Cholesterol is a necessary substance in your body from your first day of life. Experts recommend a cholesterol level below 200 for good health. Between 200 and 239 is borderline and above 240 is dangerous. When associated with at least two risk factors such as high blood pressure, diabetes, previous heart disease or stroke, excess weight and being a smoker, it increases the incidence of having coronary artery disease and heart attacks.

HDL (Good Cholesterol)

High density lipoproteins (HDL) are proteins coated "packages" that carry fat and cholesterol through the body. The function of HDL is to remove cholesterol from the blood by transporting it to the liver where it will be prepared for excretion through the bile. HDL has a protective effect on the deposit of fat in the wall of blood vessels. Increasing its level in the blood will reduce the risk of cardiovascular disease. The use of polyunsaturated, monounsaturated fats (Olive Oil), and physical exercise may increase the level of HDL.

Triglycerides

Triglycerides are a type of fatty substance which must be measured together with your cholesterol for a complete picture of your circulating blood fats. Blood triglycerides tend to be elevated in people who have high cholesterol levels, in people with diabetes or chronic kidney disease, and in those who are obese. The relationship between triglycerides and coronary artery disease is still controversial. Some studies suggest that high blood triglycerides might increase the risk of coronary artery disease. If your blood level of triglycerides is elevated you should consult your doctor for dietary changes and weight loss and exercise program or for the use of medication which may be necessary in some cases.

LDL (Bad Cholesterol)

Low density lipoproteins (LDL) transport one half to two thirds of all blood cholesterol to various body tissues. A certain amount of LDL cholesterol (up to 130) is normal. But when the level increases, LDL promotes plaque development on the walls of the coronary arteries, slowing the flow of blood and sometimes blocking the artery entirely. Levels of 130-160 are considered borderline high and levels of 160 or higher are definitely abnormal and should be reduced with rigorous diet, other lifestyle changes, and/or with drug therapy.
Controversies are now surfacing on the danger of having LDL blood levels which are too low. The relation to some type of cancers and other diseases have been noticed with LDL levels reduced below 90 and closer to 50. Therefore is unclear today how safe is to lower your LDL blood level. A safer level seems to be between 90-130 and should be associated with an increase in the HDL levels.

VLDL (Very Low Density Lipoprotein)

VLDL (Very Low Density Lipoprotein) is a fraction of Triglycerides circulating in your blood stream. Not as important as the LDL, this blood fats follows the levels of your Triglycerides.
Tryglycerides levels may be elevated either for the presence of high fats in your food which when absorbed in your intestine is transformed as Chylomicrons and give a milky appearance to the liquid part of your blood ( serum ) or for the presence of Very Low Density Lipoproteins (VLDL) which is the part of Triglycerides produced by your body and not ingested with food.

Cholesterol/HDL Ratio.

The HDL in the blood is believed to serve two functions: 1) it coats the inside of the artery wall and provide a kind of protective layer of grease to prevent fat deposits from building up and 2) it serves as scavenger by actually helping dissolve fatty deposits when they occur. The basic rule of balance for your blood is to have a relatively high amount of HDL in your body in relation to your total amount of cholesterol. This is called the Cholesterol/HDL Ratio.
The ratio in men should always be less than 5.0, and

preferably less than 4.5. For women, the ratio should be lower and always under 4.0 and preferably under 3.5. In other words the man's HDL should always represent at least 20% of the total cholesterol count (and preferably should be 25% or greater). For a woman the HDL cholesterol should make up

at least 25% (or preferably 30%) of the total cholesterol. The Cholesterol/HDL Ratio is probably the best predictor of future coronary disease. Active people with low levels of body

fat tend to show the best cholesterol balance (ratio) in their blood.

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Urinalysis

Specific Gravity

The specific gravity of urine depends on the gravity and number of molecules dissolved in solution of the urine sample. The normal urinary specific gravity may range from 1.002 to 1.030. Most of the molecules dissolved in the urine are made of Sodium Chloride and Urea. Urine is usually More concentrated in the morning which, is a normal phenomenon. Abnormally diluted urine may be present in kidney disease whereas very concentrated urine with high specific gravity may be present in diabetes, vomiting, diarrhea, and fever.

Leukocytes

Leukocytes are one of the white (Leuko) cells (Cytes) present in blood stream which defend the body from bacterial invasion. When present in the urine may suggest the presence of an underlying mild urinary tract infection. A repeated presence of leukocytes indicate the needs for further testing such as cultures or blood test.

Nitrates

The presence of nitrates in the urine is due to the conversion of nitrates in food by the action of the bacteria. Therefore, a positive nitrate test is a good indicator for the presence of a significant amount of bacteria in urine. This may be associated with a urinary tract infection of a bladder or urethral the tube which connects the bladder to the outside) infection. Significant bacteriuria is estimated to affect 1%-2% of young girls,5%-10% of pregnant women and is also associated with diabetes, hypertension, herniation of the urinary bladder, Prostate problems and the use of a catheter for drawing certain anatomic abnormalities.

Normally freshly voided urine is acid. Therefore, the PH which is a measure of acidity may range from 4.0-7.0. People who eat high protein diets produce a more acid urine than those that consume mostly fruits and vegetables. Increased urinary acidity (lower PH) may also be present in diabetes, fever, pulmonary emphysema, diarrhea and dehydration. Alkaline PH (Higher PH) may also be noted in chronic inflammation of the urinary bladder, acute or chronic kidney failure, or for intoxication of salicylate ( such as aspirin) or other drugs.

Proteins

The presence of proteins in the urine is called "Proteinuria" and is an important sign of renal disease. Proteinuria can be due to an increased permeability of the walls of the filtering components of the kidneys (The glomerulus). Proteins may be present in a number of kidney diseases. However a small amount of proteins, mostly albumin, may appear in the urine in response to excessive muscular exertion, exposure to colds, or with extra ingestion of proteins with food. In some people the presence of proteins in the urine may occur upon arising from a sitting position. This is called " Orthostatic Proteinuria". Proteinuria may also be present in acute inflammation of the kidneys as acute nephritis, or in the presence of malignant hypertension, heart failure and diabetes.

Ketones

Ketones are called "Ketone bodies" and include acetone, diacetic acid and beta hydrobutyric acid and and appear in normal urine of patients on a carbohydrate-deficent diet. When the body can not find sufficient sugar for its metabolism it turns to its fat stores for energy which in turn are reduced to ketone bodies. Ketone bodies appear in urine before they increase significantly in blood and this is called "Ketonuria". The presence of ketones in the urine may occur in uncontrolled diabetes and hyperthyroidism.

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Bone & Minerals Health Panel

The Bone & Minerals Health Panel includes:

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Complete Blood Count

A complete blood count (CBC) provides important information about the kinds and numbers of cells in the blood: red blood cells, white blood cells and platelets. A CBC can help you and your health professional evaluate symptoms (such as weakness, fatigue, or bruising) and diagnose conditions (such as anemia, infection, and many other disorders).

A CBC test usually includes:

White blood cell (WBC) count. White blood cells protect the body against infection. If an infection develops, white blood cells attack and destroy the bacteria, virus, or other organism causing it. White blood cells are bigger than red blood cells and normally fewer in number. When a person has a bacterial infection, the number of white cells can increase dramatically. The white blood cell count shows the number of white blood cells in a sample of blood. The number of white blood cells is sometimes used to identify an infection or monitor the body's response to cancer treatment.
White blood cell types (WBC differential). There are five major kinds of white blood cells: neutrophils, lymphocytes, monocytes, eosinophils, and basophils. Immature neutrophils, called band neutrophils, are also included and counted as part of this test. Each type of cell plays a different role in protecting the body. The numbers of each one of these types of white blood cells give important information about the immune system. An increase or decrease in the numbers of the different types of white blood cells can help identify infection, an allergic or toxic reaction to certain medications or chemicals, and many conditions (such as leukemia ).
Red blood cell (RBC) count. Red blood cells carry oxygen from the lungs to the rest of the body. They also help carry carbon dioxide back to the lungs so it can be exhaled. The red blood cell count shows the number of red blood cells in a sample of blood. If the RBC count is low, the body may not be getting the oxygen it needs. If the count is too high (a condition called polycythemia), there is a risk that the red blood cells will clump together and block tiny blood vessels (capillaries).
Hematocrit (HCT, packed cell volume, PCV). This test measures the amount of space (volume) red blood cells occupy in the blood. The value is given as a percentage of red blood cells in a volume of blood. For example, a hematocrit of 38 means that 38% of the blood's volume is composed of red cells.
Hemoglobin (Hgb). Hemoglobin is the substance in a red blood cell that carries oxygen. The hemoglobin test measures the amount of hemoglobin in blood and is a good indication of the blood's ability to carry oxygen throughout the body.
Red blood cell indices. There are three red blood cell indices: mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), and mean corpuscular hemoglobin concentration (MCHC). They are not measured directly but are determined from other measurements noted during a CBC. The MCV shows the size of the red blood cells. The MCH value is the amount of hemoglobin in an average red blood cell. The MCHC measures the concentration of hemoglobin in an average red blood cell. These numbers help in the diagnosis of different types of anemia.
Platelet (thrombocyte) count. Platelets (thrombocytes) are the smallest type of blood cell. They play a major role in blood clotting. When bleeding occurs, the platelets swell, clump together, and form a sticky plug that helps stop the bleeding. If there are too few platelets, uncontrolled bleeding may be a problem. If there are too many platelets, there is a risk of a blood clot forming in a blood vessel.
Blood smear. In this test, a drop of blood is spread (smeared) on a slide and stained with a special dye. The slide is then examined under a microscope. The numbers, size, and shape of red blood cells, white blood cells, and platelets are recorded. Blood cells with unusual shapes or sizes can help diagnose many blood diseases, such as leukemia, malaria, or sikle cells anemia.

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