Testing Introduction

Dear Client,

It is our belief that a yearly blood test is a good way to monitor your health. Take your test fasting! Don’t eat for about 12 hours. Have your normal amount of water (no coffee, no tea, and no sodas). If you forget, skip your test, and go the next day. Anything but water will affect your cholesterol, glucose, and triglyceride levels! Take this sheet to your Doctor or call us for a requisition to go to CPL Labs, Inc. Our Wellness blood test panel includes these components as part of an initial screening test:

Wellness Blood Test Panel

Metabolic, Liver, and Kidney Panel

A/G ratio


Alkaline Phosphatase



Bilirubin (Total)

Bilirubin (Direct)



Carbon Dioxide




Globulin, calculated




Phosphorus (inorganic)


Protein (total)


Uric Acid

Long-term sugar levels

Hemoglobin A1C

Cardiovascular Profile:



HDL “Good cholesterol”

LDL “Bad cholesterol”

Heart Disease Risk ratio

Iron Profile:

Iron (serum)

Total Iron Binding Capacity (TIBC)

% saturation


Thyroid Profile:

T3 uptake and T4




Inflammation Indicator:

Sed rate

Bone Health Indicator:

Vitamin D, 25-hydroxy

CBC and Differential














Platelet count

The Italicized tests are usually not done in routine bloodwork at a doctor’s office

Additional tests:

The laboratory keeps a sample of your blood for five to seven days, in case a test needs to be repeated or an additional test needs to be done. For example:

Heart Disease: Homocysteine, C Reactive Protein, Fibrinogen, and Lp(a), Lp-PLA2. Elevated levels are associated with a higher risk of heart disease, even if you have perfect cholesterol levels. These tests determine heart disease risk factors that are independent of cholesterol levels. Best cholesterol testing includes Lipo Protein Particle size and numbers. We can order these tests if you have a family history of heart disease, eat poorly, or have a high stress life.

Fasting Serum Insulin: Insulin prevents your blood sugar levels from going too high. High insulin contributes to excess weight, blood sugar fluctuations, diabetes,
cravings, high blood pressure, which are all part of Syndrome X. It is best to also test your insulin level 2 hours after a test meal. This checks you for insulin resistance.

HgA1C (Hemoglobin A1C) Glucose reflects your body=s ability to maintain glucose levels over the past 12 hours of fasting. HgA1C gives you the average of your glucose levels over the past eight to 12 weeks. Reasons for this test: you are diabetic, belong to a minority, or are over age 45. Or if you have two of the following risk factors: family history, (of gestational diabetes, overweight, had a baby weighing more than 9 pounds at birth, high blood pressure, high cholesterol or a history of recurrent skin, genital or urinary tract infections.

PSA test for males who have prostate or urinary difficulties, or over age 40, to establish a baseline.

Free T3 and Free T4 “Free’ is the biologically available thyroid hormone. Reverse T3 which blocks T3 and therefore slows your metabolism down. Thyroid Antibodies: Thyroglobulin and thyroid peroxidase antibodies. If your thyroid test always comes back normal, and you still feel tired and continue to gain weight, consider these tests.

Why the Wellness Blood Profile, HemoglobinA1c, 25-hydroxy Vitamin D3, and Urinalysis. We start with these tests to rule out major problems and to get an overview of your current heath status, There are over 60 different blood and urine tests, which look at good and bad cholesterol, and the function of liver, kidney, and thyroid. Also, we check how well you handle sugars, fats, and proteins in your diet, the health of your red and white blood cells, and whether you would benefit from B-vitamins, minerals, digestive support or such special nutrients as carnitine.

Consider what Ron Manzanero, MD, notes: When your medical doctor runs routine tests he/she is not looking for metabolic imbalances but rather looking for pathologies (disease). “The absence of disease does not necessarily mean the presence of wellness”. In the present paradigm most medical doctors are very good at treating disease but it takes special training in preventing disease and promoting optimal wellness.

Consider that insurance companies always test for GGT, a liver enzyme that is elevated in alcoholics. But it is not part of the routine tests that a medical doctor orders. Would that not be important to know?

How about the early detection of bloodsugar problems that can lead to Diabetes? Hemoglobin A1c is the marker for that. HbA1c is formed as hemoglobin is gradually glycosylated throughout the 120‑day lifespan of red blood cells. Therefore, the amount of HbA1c in the blood provides a good measure of the average blood glucose level over the past three months. It is, perhaps, the best indicator of overall blood glucose control. Since HbA1c is an indication of glycoxidation of bodily proteins, blood levels should be as low as possible.

Some other interesting and useful markers:

High Sensitive C‑Reactive Protein (hs‑CRP) B elevated levels of c‑reactive protein have been shown to correlate with arterial disease in healthy men and women. Anti‑inflammatory medication may be indicated to help in decreasing arterial disease.

Homocysteine B a potent cause of arterial damage that may be responsible for as many as 20 percent of all cases of arterial disease and damage, second only to oxidized cholesterol as a cause of this #1 public health problem.

Vitamin B12 B a commonly known water‑soluble vitamin; helps homocysteine levels low, as higher levels can be damaging, and thereby indirectly promotes arterial health.

Folic acid B one of the water‑soluble vitamins; helps keep homocysteine levels low.

Fibrinogen B one of the clotting factors. High levels are associated with cardiovascular risk and Thrombosis (clot formation).

Lp(a) B a rarely tested protein that is one of the most potent risk factors for arterial disease. Its importance has been validated in numerous scientific studies, yet it is infrequently measured and often explains why people with otherwise normal cholesterol panels develop arterial disease, accounting for up to 30 percent of all known cases.

Apolipoprotein A1 B a protein particle that helps provide protection from arterial disease and is related to HDL.

More info about the various tests at http://www.labtestsonline.org/index.html.

Nutriwellness – Dr. Ron & Chris Overberg – Clinical Nutrition Practice

972 239-1148 www.nutriwellness.com