September 2008

CFS-ME Diagnostic Tests:

What, Where, Who, How much?



Adrenal Fatigue

Adrenal Stress Index (ASI), US $149.00 (2007)
Integrative Psychiatry
3392 Magic Oak Lane, Sarasota, Fl 34232
Phone 941 371-7997 -- Fax 941 371-7667
Email: info@IntegrativePsychiatry.net

Diagnos-Techs, 1-800-878-3787
of Kent (Seattle area), Washington.
With their Adrenal Stress Index (ASI), saliva samples are collected by the patient at home at approximately 8:00 a.m., 12 noon, 4:00 p.m., and 11:00 p.m

Adrenal Stress Index Test, by Diagnos-Techs
http://www.integrativepsychiatry.net/index.php?pr=Adrenal_Stress_Index

Cortisol Testing:
Total urinary cortisol levels have been found to be significantly lower in CFS patients than in normal controls although, in contrast to CFS patients, cortisol excretion in depressed patients was actually increased. ... found normal cortisol levels in CFS patients in a subsequent study perhaps underlines the superiority of total cortisol excretion as a means of evaluating adrenal status.

Adrenal Gland Size:


DHEA and Pregnenolone hormone levels.


Labs Listing for Adrenal Fatigue Testing
http://www.adrenalfatigue.org/labs.php




Fish-Tick Lyme Neurotoxins

Esoterix Lab Form, US $50 per test.
Center for Research on Biotoxin Associated Illnesses
http://www.chronicneurotoxins.com/downloads/esoterixlabform.pdf
Lab and Test Requirements
http://www.chronicneurotoxins.com/prod_services/labandtestrequirements.cfm Results will be sent back within 7 working days.
500 Market Street,
Pocomoke, MD 21851

ToxiTec Test Kit,
http://cigua.oceanit.com/, 1(808) 531-3017, cigua@oceanit.com
A home test kit available for those consumers who wish to reduce the risk of ciguatera by testing the fish before it is consumed. Test kits range in price from AUD $10.99 for a single test to AUD $29.30 for 3-tests.

Visual Contrast Sensitivity test, VCS, US $8.95
http://www.chronicneurotoxins.com/purchase/index.cfm
- Dr. Ritchie C. Shoemaker, Graham Williamson

Vitamin B12 blood tests - Graham Williamson




Human Herpes Virus 6

HHV6 IgM and IgG Serology
PHSA Laboratories
The centralized client service contact centre
(1.877.747.2522)
located in the new Central Processing & Receiving facility.

Immunosciences Lab, Inc.
http://www.immunoscienceslab.com/
8693 Wilshire Blvd. Ste. 200, Beverley Hills, CA 90211
Phone: 800-950-4686 -- Fax: 310-657-1053
Email: immunsci@ix.netcom.com

$100 -- Herpes Type 6 (IgG, IgM)

Meridian Valley Laboratory:
http://meridianvalleylab.com/
801 SW 16th Suite 126, Renton, WA. 98055
Phone: (425) 271-8689 Fax: (425) 271-8674

Order Form online
http://meridianvalleylab.com/pdf/test_kits.pdf
Adrenal Steroid 24-hr Analysis
http://meridianvalleylab.com/steroid_adrandom.html


Thyroid irregular dysfunction

Thyroid Scan - Description:
There are two types of thyroid nuclear medicine tests.
A thyroid scan produces a picture of the gland to help evaluate any lumps or inflammation, or to investigate the cause of an overactive thyroid.

A radioactive iodine uptake test is performed to see if your thyroid is functioning normally and to determine why thyroid hormone levels may be elevated. For both types of test, a small amount of a weakly radioactive substance, known as a radionuclide, is either injected into a vein or given to you as a pill.

Meridian Valley Laboratory:
http://meridianvalleylab.com/
801 SW 16th Suite 126, Renton, WA. 98055
Phone: (425) 271-8689 Fax: (425) 271-8674

Order Form online
http://meridianvalleylab.com/pdf/test_kits.pdf
*Complete Thyroid Panel
http://meridianvalleylab.com/steroid_thyroid.html


Rhein Consulting Laboratories:
http://www.rheinlabs.com/
4475 SW Scholls Ferry Rd, Ste 101
Portland, OR 97225
503-292-1988 --- 888.292-1988

To Order Free Collection Kits Call
Professional Consultations Included
3-7 Day Turn-Around
Complete 24-hr Urine Steroid Hormone Profile

Rocky Mountain Analytical:
http://www.rmalab.com/
Unit A, 253147 Bearspaw Road NW, Calgary, Alberta, Canada T3L 2P5
Email: info@rmalab.com Phone: (403) 241-4513

Saliva hormone assay


Parasites (virus-bacteri-fungus-worm)




Mycoplasma cellular infections



Stealth (Hidden) Virus & Bacteria Detection:

Center for Complex Infectious Diseases (CCID),
http://www.ccid.org
3328 Stevens Ave., 2nd Floor, Rosewood, CA 91770,
(626) 572-7288, Fax (626) 572-9288,
email: ccidlab@hotmail.com




Mycoplasmas:
These are specialized blood tests called polymerase chain reactions (PCR) for hard to detect pathogens (Chronic Fatigue Syndrome, Gulf War Syndrome, fibromyalgia, chronic undiagnosed infections)

C Reactive Protein are inflammatory markers which, if elevated, return to baseline along with Triglycerides, Alkaline Phosphatase and 1,25D as the MP does its job. These markers typically start to drop after about 6-12 months.

International Molecular Diagnostics, Inc. (IMD),
15162 Triton Lane, Huntington Beach, CA 92649-1041,
(888) 882-8838, (714) 799-7177, Fax 714-799-9787,

Meridian Valley Laboratory:
http://meridianvalleylab.com/
801 SW 16th Suite 126, Renton, WA. 98055
Phone: (425) 271-8689 Fax: (425) 271-8674

Order Form online
http://meridianvalleylab.com/pdf/test_kits.pdf
*Vitamin D, MVL Test 1250 25 Hydroxy detail


SpectraCell Laboratory:
http://www.spectracell.com/
10401 Town Park Dr, Houston, Texas 77072
800.227.5227 --- 713.621.3101 -- 713.621.3234 (fax)BR> spec1@spectracell.com

SpectraCell Laboratories is the industry's leading provider of Functional Intracellular Analysis™ (FIA™), patented tests for assessing the function of specific vitamins, minerals, antioxidants and other essential micronutrients within an individual's white blood cells (lymphocytes).

FIA™ Comprehensive Profile 5000
Includes Vitamins B6, D, and Fructose Sensitivity.



Nanobacteria:
Nanobacteria are microbes that are generally much smaller than normal bacteria and are not viruses. They form a hard coat around their particles called carbonate apatite that may be involved with a number of diseases in animals and humans.

Amscot Medical Labs,
11365 Williamson Rd., Cincinati, OH 45241,
(800) 851-1708 or (513) 469-8200, Fax 513-605-3343,
email: AMSCOT@EARTHLINK.NET.

Nanobac Pharmaceuticals
http://www.nanobaclabs.com/
4730 North Habana, Suite 205, Tampa, FL 33614
Phone: (813) 264-2241 -- Fax: (813) 264-5512
Email: info@nanobac.com



Vitamin D metabolite testing.
http://articles.mercola.com/sites/articles/archive/2008/09/20/
warning-are-your-vitamin-d-test-results-valid.aspx?source=nl

it is very important that your physician orders the correct test as there are two vitamin D tests -- 1,25(OH)D, and 25(OH)D.

25(OH)D is the better marker of overall D status. It is this marker that is most strongly associated with overall health.

The correct test is 25(OH)D, also called 25-hydroxyvitamin D.

Second – Measure Your Results Against Optimal Values
Please note the difference between normal and optimal. You don't want to be average here; you want to be optimally healthy.

These optimal values have been confirmed by more recent studies into vitamin D status and its effects on health and reduced disease risks.

OPTIMAL
25-Hydroxyvitamin D Values
45-50 ng/ml or
115-128 nmol/l
NORMAL
25-Hydroxyvitamin D lab Values
20-56 ng/ml
50-140 nmol/l
Your vitamin D level should NEVER be below 32 ng/ml.
Any levels below 20 ng/ml are considered serious defiency states and will increase your risk of breast and prostate cancer and autoimmune diseases like MS and rheumatoid arthritis.

If you have the above test performed, please recognize that many commercial labs are using the older, dated reference ranges. The above values are the most recent ones based on large-scale clinical research findings.

Third -- Make Sure Your Lab Uses the STANDARD Assay

There are a number of different companies that have FDA approval to perform vitamin D testing, but the gold standard is DiaSorin. Their radioimmunoassay (RIA) method for measuring total vitamin D levels has become the gold standard, not because it’s more accurate than the others, but because it’s the one used in almost every major vitamin D study, on which the recommended blood levels for clinical efficacy are based.

Therefore, in order for any other testing method to offer clinically relevant results, the test values must agree with DiaSorin RIA results, since those were used to establish the recommended levels.

Vitamin D status is measured by looking at blood levels of 25-hydroxyvitamin D3. There are three common methods used for measuring vitamin D3:

1. LC-MS/MS -- This test measures 25-hydroxyvitamin D2 and D3 separately.

2. RIA (DiaSorin)
-- Developed in 1985, it accurately measures total 25-hydroxyvitamin D (It does not separate D2 and D3)

3. Liaison (DiaSorin)
-- a more recently developed automated immunoassay by DiaSorin that has largely replaced the RIA

The LC-MS/MS (liquid chromotatography-mass spectrometry) method is the preferred method for many labs, including the Mayo Clinic, Quest Labs, Esoterix, ZRT, and others, while Liaison is favored by other testing labs like LabCorp.

Since the DiaSorin assay (RIA) was used in the major clinical studies that led to the recommended vitamin D levels, any lab using the LC-MS/MS method needs to make sure their test correlates with the RIA test values in order to accurately determine your vitamin D status.

WARNING: Your Lab Can Give You the WRONG Results!

It recently came to our attention that the test Quest uses, while analytically accurate, gives vitamin D values that are consistently about 25-40 percent higher than the DiaSorin assay.

What does this mean?

If you are using Quest labs you are getting FALSE reassurances that your levels are accurate and may even stop or discontinue treatment thinking that you are in the toxic range when you still need more vitamin D.

Some labs, such as ZRT and the Mayo Clinic, have recognized the severity of this problem and have already calibrated their LC-MS/MS results against the DiaSorin RIA values -- in order to be clinically applicable -- whereas Quest has failed to do so.

This is a serious problem since Quest probably runs the most vitamin D assays of any lab in the U.S.

Which Lab Should You Use?

The single biggest concern in this area is Quest Labs as their lab is reporting results as much as 40 percent higher than those found with the DiaSorin assay. That means, if you are seeking to obtain levels similar to those that have been confirmed optimal in the scientific literature, you will be falsely reassured by their test results.

At this point in time (2008-09-22) Quest has NOT recalibrated their test values to be aligned with DiaSorin, and it appears unlikely that they will do so anytime in the near future. Making matters worse, Quest is currently doing over 500,000 tests a month -- much of this increase has occurred over the past year -- and the consistent reports we are getting from the field is that many split samples being sent to them are coming back widely different, indicating a lack of consistency and quality. The LC-MS/MS is clearly a highly accurate test, but only in the hands of experienced technicians who have the time to do the test properly, and only if it’s calibrated against the RIA.

Liaison, which is a more recently developed DiaSorin test that renders clinically accurate results, is also a much more accurate testing method for high volume throughput of tests, and does not depend as much on lab technician’s expertise.

LabCorp uses this method, which makes them better able to handle large volumes of tests without sacrificing clinical accuracy or worrying about the qualifications of the staff.

Additionally the charge for the Lab Corp test should be less than half of that of the Quest test.

For all these reasons I now strongly recommend using LabCorp for these reasons until Quest can guarantee accurate, usable results. ..

LabCorp: http://lsscreening.com/labs
You just call and pay via credit card over the phone and they set it up electronically. You can then go to any LabCorp to have your blood collected.




Immunosciences Lab, Inc.
http://www.immunoscienceslab.com/
8693 Wilshire Blvd. Ste. 200, Beverley Hills, CA 90211
Phone: 800-950-4686 -- Fax: 310-657-1053
Email: immunsci@ix.netcom.com

$100 -- Herpes Type 6 (IgG, IgM)
$100 -- Epstein-Barr Virus or VCA (IgG, IgM)
$822 -- Premier Autism Panel (17 antibodies)
$463 -- Autoimmune (14+ Lupus & Arthritis)
$304 -- Gastro-Intestinal (Parasitic, Heliobactor, Candida, ..)
$582 -- Cardiovascular Diseases Panel
$ 50 --- C-Reative Protein Level

Integrative Psychiatry
http://www.integrativepsychiatry.net/
3392 Magic Oak Lane, Sarasota, Fl 34232
Phone 941 371-7997 -- Fax 941 371-7667
Email: info@IntegrativePsychiatry.net

Adrenal Stress Index Test, by Diagnos-Techs
http://www.integrativepsychiatry.net/index.php?pr=Adrenal_Stress_Index

Article: Adrenal Fatigue and How to Beat It


Meridian Valley Laboratory:
http://meridianvalleylab.com/
Email: info@meridianvalleylab.com 801 SW 16th Suite 126, Renton, WA. 98055
Phone: (425) 271-8689 Fax: (425) 271-8674

Order Form online
http://meridianvalleylab.com/pdf/test_kits.pdf
E95 Basic Food Panel Test report sample
*Vitamin D, MVL Test 1250 25 Hydroxy detail
*Complete Thyroid Panel
http://meridianvalleylab.com/steroid_thyroid.html
Comprehensive Stool and Digestive Analysis (CSDA)
http://meridianvalleylab.com/micro_dept.html
Adrenal Steroid 24-hr Analysis
http://meridianvalleylab.com/steroid_adrandom.html

Nanobac Pharmaceuticals
http://www.nanobaclabs.com/
4730 North Habana, Ste 205, Tampa, FL 33614
Phone: (813) 264-2241 --- Fax: (813) 264-5512
Email: info@nanobac.com

w/AmScot Laboratories in Cincinnati, OH


Neuroscience Inc.:
http://www.neuroscienceinc.com/
373 280th St., Osceola, WI 54020
Phone: (888) 342-7272 Fax: (715) 294-3921
Lab tests are performed by
Pharmasan Labs, CLIA 52D091-4898, NY Lab PFI#7426

Online Seminars,
https://www.neurorelief.com/...

Symptom Specific Panels, Chart, Desc & Panel LINKS
Urinary Neurotransmitter Panels, Chart, Desc & Prep LINKS
9031 NeuroSelect Profile, Urine specimen
* 9057 NeuroAdrenal Profile 2, Urine and Saliva samples
* Thyroid Panel 2- 7024
* Fatigue Profiles- 9042 Basic - 9043 Expanded


Rhein Consulting Laboratories:
http://www.rheinlabs.com/
4475 SW Scholls Ferry Rd, Ste 101
Portland, OR 97225
503-292-1988 --- 888.292-1988

To Order Free Collection Kits Call
Professional Consultations Included
3-7 Day Turn-Around
Complete 24-hr Urine Steroid Hormone Profile

Biochemistry & Metabolism of Steroid Hormones
http://www.rheinlabs.com/Rhien_Images/05_IL/05_SterPath.pdf

Download and Forms
http://www.rheinlabs.com/il.html


Rocky Mountain Analytical:
http://www.rmalab.com/
Unit A, 253147 Bearspaw Road NW, Calgary, Alberta, Canada T3L 2P5
Email: info@rmalab.com Phone: (403) 241-4513

Saliva hormone assay
Male hormone imbalance symptoms checklist
http://www.rmalab.com/male_symptoms.htm

Female hormone imbalance symptoms checklist
http://www.rmalab.com/female_symptoms.htm

Saliva - Scientific Abstracts for Specific Hormones
http://www.rmalab.com/articles.htm

SpectraCell Laboratory:
http://www.spectracell.com/
10401 Town Park Dr, Houston, Texas 77072
800.227.5227 --- 713.621.3101 -- 713.621.3234 (fax)BR> spec1@spectracell.com

SpectraCell Laboratories is the industry's leading provider of Functional Intracellular Analysis™ (FIA™), patented tests for assessing the function of specific vitamins, minerals, antioxidants and other essential micronutrients within an individual's white blood cells (lymphocytes).

FIA™ Comprehensive Profile 5000
Includes Vitamins B6, D, and Fructose Sensitivity.

SPECTROX™- a total antioxidant function test which assesses the ability of cells to resist damage caused by free radicals and other forms of oxidative stress. Due to the considerable number of cellular antioxidants with extensive interactions, redundancies, repair and recharging capabilities, measuring total function is the most accurate and clinically useful way to assess total antioxidant function.


Harvard Medical School Diagnostic Test descriptions:
http://www.health.harvard.edu/fhg/diagnostics/