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Thyroid Panel Comprehensive

Test details

• TSH (thyroid stimulating hormone): the signal from the brain that tells the thyroid how much hormone to make. It is the most common first thyroid test.
• Free T4: the main hormone the thyroid makes. “Free” means the part not attached to proteins, which is the part the body can use.
• Free T3: the more active thyroid hormone. The body makes it mostly from T4.
• TPO antibodies (thyroid peroxidase antibodies): immune system markers that can be raised in autoimmune thyroid conditions such as Hashimoto’s thyroiditis.
• Thyroglobulin antibodies: another immune marker that can be raised in autoimmune thyroid conditions.
• Blood sample, collected in person at our Buffalo Grove or Lake Zurich location. For ages 18 and older. The person being tested must bring a matching photo ID.

How?

• Buy the test online, then visit either location for a short blood draw.
• A morning collection is generally preferred, since TSH is usually highest overnight and early morning.

How long?

• Results are typically ready in 2-3 days after the lab receives your sample. Some results take longer.

How to prepare?

• Fasting is generally not required for thyroid tests, though some labs ask for it. Follow the instructions given when you order and at your visit.
• Stop biotin and hair, skin and nail supplements at least 72 hours before your draw. Biotin can change thyroid test results.
• If you take thyroid medicine, ask your prescriber whether to take it before or after your draw. Do not stop or change a medicine without asking your prescriber.
• Tell the person drawing your blood about all medicines and supplements you take.

Do I need to see a doctor?

• A doctor’s visit is not required to buy this test.
• This test does not diagnose a condition. Review your results with your own healthcare provider.

Additional information about the panel

People order a thyroid panel when they have symptoms that can go along with thyroid changes, such as tiredness, weight change, feeling too cold or too hot, hair thinning, a fast or slow heartbeat, or changes in mood or periods. Many other conditions can cause the same symptoms, and this test may not explain them.

It is also used by people with a known thyroid condition, a family history of thyroid disease, or an autoimmune condition. Thyroid levels can change during and after pregnancy and around menopause.

Results are shown with reference ranges from the performing laboratory. A result is a snapshot of the time of your blood draw. A healthcare provider looks at results together with your symptoms and history.

If you only want a TSH check, see the Thyroid Function Test (TSH). Related tests include the Female Hormone Panel, the Anemia Panel and the Vitamin D Test.

What is included in a comprehensive thyroid panel?

This panel measures TSH, free T4, free T3, TPO antibodies and thyroglobulin antibodies in a blood sample.

Why test more than TSH?

TSH shows how hard the brain is signaling the thyroid. Free T4 and free T3 show the thyroid hormones themselves, and the antibody tests look for immune activity linked to autoimmune thyroid conditions.

Do I need to fast for a thyroid panel?

Fasting is generally not required, though some labs ask for it. Follow the instructions given when you order and at your visit.

Can biotin affect thyroid test results?

Yes. Biotin can change results. Stop biotin and hair, skin and nail supplements at least 72 hours before your draw, and ask your prescriber before changing any medicine.

What do raised thyroid antibodies mean?

Raised TPO or thyroglobulin antibodies can be seen in autoimmune thyroid conditions such as Hashimoto’s thyroiditis. They do not diagnose a condition by themselves, so review them with your healthcare provider.

Do I need a doctor’s order?

A doctor’s visit is not required to buy this test. Review your results with your own healthcare provider.

Safety and when to get care

• A very fast or irregular heartbeat, severe tremor, fever with confusion, or fainting needs emergency care.
• If you take thyroid medicine, keep taking it as directed. Your provider should adjust the dose.
• This test is not an emergency service. For severe or sudden symptoms, call 911 or go to the nearest emergency room instead of waiting for results.

Questions about this test

What does the Comprehensive Thyroid Panel include?

TSH, free T4, free T3, TPO antibodies (thyroid peroxidase) and thyroglobulin antibodies. It is the full workup for thyroid function and autoimmune thyroid disease.

Can this panel detect Hashimoto’s?

Yes. Elevated TPO antibodies, and often thyroglobulin antibodies, indicate Hashimoto’s thyroiditis, the most common cause of hypothyroidism. Antibodies can be positive years before TSH changes.

Why test free T3 in addition to TSH and free T4?

T3 is the active thyroid hormone. Some people have normal TSH and T4 but low T3 conversion, and T3 is the key marker in hyperthyroidism and Graves’ disease.

Do I need to fast for the Comprehensive Thyroid Panel?

No. Stop biotin supplements for 72 hours before the draw. If you take thyroid medication, draw before your morning dose.

What does it mean if my TSH is high or low?

High TSH with low free T4 is hypothyroidism. Low TSH with high free T4 or T3 is hyperthyroidism. High TSH with normal T4 is subclinical hypothyroidism, often monitored rather than treated. Positive antibodies point to an autoimmune cause.

How long do Comprehensive Thyroid Panel results take?

2 to 3 business days. Antibody tests take a day longer than TSH and T4.

See all frequently asked questions

Wellness Panel Comprehensive

Test details

• Complete Blood Count (CBC): counts red cells, white cells, hemoglobin and platelets. It screens for anemia and can flag infection, inflammation or a bleeding tendency. Abnormal values point to a cause but do not identify it on their own.
• Comprehensive Metabolic Panel (CMP): 14 tests covering blood sugar, electrolytes, calcium, kidney function (BUN, creatinine, eGFR) and liver enzymes. Fasting glucose on this panel is the diabetes screen.
• Cholesterol (Lipid) Panel: total cholesterol, LDL, HDL and triglycerides, used with age and blood pressure to estimate heart disease risk.
• Vitamin D, 25 hydroxy: your vitamin D level. Low levels are common in Illinois winters and affect bone and muscle health.
• Hemoglobin A1c: your average blood sugar over the past 2 to 3 months. 5.7 to 6.4 percent is prediabetes and 6.5 and above is in the diabetes range.
• High Sensitivity C Reactive Protein (hs-CRP): a marker of low grade inflammation used alongside cholesterol to estimate cardiovascular risk. A recent cold, injury or hard workout raises it temporarily.
• Urinalysis: screens urine for protein, glucose, blood, white cells and nitrite. It can suggest kidney disease, diabetes or a urinary infection. A suspected infection is confirmed with a urine culture and provider evaluation.
• Thyroid Stimulating Hormone (TSH): the pituitary signal that controls the thyroid and the standard first screen for an underactive or overactive thyroid.

How?

• A blood sample and a urine sample are required for the test.

How long?

• 1 to 3 business days after the lab receives your sample. Some results take longer.

Do I need to see a doctor?

• No, unless you want to discuss your results with one of our providers.

Additional information about the panel

This is the standard annual baseline most providers order: blood counts, kidney and liver function, blood sugar, cholesterol, inflammation, thyroid and vitamin D in one draw. Fast 8 to 12 hours beforehand for accurate glucose and triglycerides. Results are a snapshot of the day you were drawn and are reported with the lab’s reference ranges. The provider on shift calls you the same day about any critical value.

Safety and when to get care

• Chest pain, trouble breathing, fainting, sudden weakness or confusion need emergency care, not a lab test.
• A panel can look normal even when a condition is present. If you have symptoms, see a provider whatever your results show.
• Do not stop or change any medicine because of a result without talking with your provider.
• This test is not an emergency service. For severe or sudden symptoms, call 911 or go to the nearest emergency room instead of waiting for results.

Questions about this test

What is included in the Wellness Panel Comprehensive?

Eight tests from one visit: Complete Blood Count (CBC), Comprehensive Metabolic Panel (CMP), cholesterol (lipid) panel, hemoglobin A1c, vitamin D, high-sensitivity C-reactive protein (hs-CRP), TSH thyroid screen and urinalysis. Together they cover blood counts, kidney and liver function, blood sugar, cholesterol, inflammation, thyroid and vitamin D.

What blood tests should I get every year?

For most adults the annual baseline is a CBC, CMP, lipid panel, A1c, TSH and vitamin D. The Wellness Panel Comprehensive bundles all of these plus hs-CRP and urinalysis in one draw for less than ordering them separately.

Do I need to fast for the wellness panel?

Yes. Fast 8 to 12 hours before your appointment for accurate cholesterol and glucose. Water is fine. A morning appointment makes this easiest.

What blood tests should I get for fatigue or always feeling tired?

The most common causes show up on a CBC (anemia), TSH (thyroid), CMP (kidney, liver, electrolytes, glucose) and vitamin D, all of which are in the Wellness Panel Comprehensive. If you want iron, B12 and folate checked as well, add the Anemia Panel.

What is the difference between a CMP and a BMP?

A Basic Metabolic Panel has 8 tests: glucose, calcium, sodium, potassium, chloride, CO2, BUN and creatinine. A Comprehensive Metabolic Panel adds 6 more for liver and protein: albumin, total protein, ALP, ALT, AST and bilirubin. Our panels use the CMP.

How long do wellness panel results take?

1 to 3 business days. Most components post within 1 to 2 days; A1c and vitamin D can take a day longer. You are notified when the full report is ready.

What is hs-CRP and why is it in the panel?

High-sensitivity C-reactive protein is a marker of low-grade inflammation in the body and is used to help estimate cardiovascular risk alongside cholesterol. Under 1 mg/L is low risk, 1 to 3 is average, above 3 is higher risk. A recent cold, injury or hard workout can raise it temporarily.

What is the difference between the Wellness Panel and the Comprehensive Health Panels for men and women?

All three share the same core: CBC, CMP, lipid panel, A1c, hs-CRP, TSH and urinalysis. The Wellness Panel and the Women’s panel add vitamin D. The Men’s panel swaps vitamin D for a testosterone test. Choose by which extra marker matters more to you.

See all frequently asked questions

Comprehensive Health Panel — Man

Test details

• Complete Blood Count (CBC): counts red cells, white cells, hemoglobin and platelets. It screens for anemia and can flag infection, inflammation or a bleeding tendency. Abnormal values point to a cause but do not identify it on their own.
• Comprehensive Metabolic Panel (CMP): 14 tests covering blood sugar, electrolytes, calcium, kidney function (BUN, creatinine, eGFR) and liver enzymes. Fasting glucose on this panel is the diabetes screen.
• Cholesterol (Lipid) Panel: total cholesterol, LDL, HDL and triglycerides, used with age and blood pressure to estimate heart disease risk.
• Total Testosterone: the main male sex hormone. Levels peak in the morning, so a draw before 10 AM gives a result that can be compared with reference ranges.
• Hemoglobin A1c: your average blood sugar over the past 2 to 3 months. 5.7 to 6.4 percent is prediabetes and 6.5 and above is in the diabetes range.
• High Sensitivity C Reactive Protein (hs-CRP): a marker of low grade inflammation used alongside cholesterol to estimate cardiovascular risk. A recent cold, injury or hard workout raises it temporarily.
• Urinalysis: screens urine for protein, glucose, blood, white cells and nitrite. It can suggest kidney disease, diabetes or a urinary infection. A suspected infection is confirmed with a urine culture and provider evaluation.
• Thyroid Stimulating Hormone (TSH): the pituitary signal that controls the thyroid and the standard first screen for an underactive or overactive thyroid.

How?

• A blood sample and a urine sample are required for the test.

How long?

• 1 to 3 business days after the lab receives your sample. Some results take longer.

Do I need to see a doctor?

• No, unless you want to discuss your results with one of our providers.

Additional information about the panel

This panel covers blood counts, kidney and liver function, blood sugar, cholesterol, inflammation, thyroid and testosterone in one draw. Fast 8 to 12 hours beforehand for accurate glucose and triglycerides, and book a morning draw for testosterone. Results are a snapshot of the day you were drawn and are reported with the lab’s reference ranges. The provider on shift calls you the same day about any critical value.

Safety and when to get care

• Chest pain, trouble breathing, fainting or sudden weakness need emergency care, not a lab test.
• A normal result does not rule out heart disease or other conditions. If you have symptoms, see a provider whatever your results show.
• Do not stop or change any medicine because of a result without talking with your provider.
• This test is not an emergency service. For severe or sudden symptoms, call 911 or go to the nearest emergency room instead of waiting for results.

Questions about this test

What is included in the Comprehensive Health Panel for men?

Complete Blood Count (CBC), Comprehensive Metabolic Panel (CMP), cholesterol (lipid) panel, testosterone, hemoglobin A1c, high-sensitivity C-reactive protein (hs-CRP), TSH thyroid screen and urinalysis. It covers blood counts, kidney and liver function, blood sugar, cholesterol, inflammation, thyroid and testosterone in one draw.

Do I need to fast for the men’s health panel?

Yes. Fast 8 to 12 hours and book a morning appointment. Fasting gives accurate cholesterol and glucose, and testosterone is highest before 10 AM, so an early draw serves both.

What are the symptoms of low testosterone?

Low energy, reduced sex drive, erectile difficulty, loss of muscle, increased body fat, low mood and poor concentration. These overlap with thyroid, anemia and blood sugar problems, which is why the men’s panel checks all of them together.

What is a normal testosterone level by age?

Labs typically report a total testosterone reference range of about 264 to 916 ng/dL for adult men. Levels decline gradually after 30, roughly 1 percent per year. A single low result on an afternoon draw is not conclusive; morning repeat testing is standard.

Which blood tests should I get before starting TRT or a weight loss medication?

A baseline CBC, CMP, lipid panel, A1c and testosterone, which this panel includes. A prescriber will usually also want PSA for men over 40 and may add free testosterone, SHBG or estradiol; those can be added to your order.

How long do results take for the men’s health panel?

1 to 3 business days for the full report. You are notified when it is ready.

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Tuberculosis Blood Test

Tuberculosis Blood Test is a screening test for Tuberculosis bacteria.  It is important for people at a higher risk of TB infection. This includes those who’ve been around someone with TB, healthcare workers, individuals who’ve lived in or visited countries where Tuberculosis is common. Many employers, schools and healthcare programs ask for a negative TB test.

Test details

• QuantiFERON-TB Gold Plus (Tuberculosis Blood Test)

How?

• A blood sample

How long\?

• 2 to 4 business days after the lab receives your sample. Some results take longer.

How to prepare?

• No special preparation is needed.

Safety and when to get care

• A cough lasting more than 3 weeks, coughing up blood, fever, night sweats or weight loss need prompt medical care, whatever your result is.
• This blood test cannot tell latent from active TB. A positive result needs a visit with a provider and usually a chest x ray.
• A negative result does not rule out active TB disease.
• Do not stop or change any medicine because of a result without talking with your provider.
• This test is not an emergency service. For severe or sudden symptoms, call 911 or go to the nearest emergency room instead of waiting for results.

Questions about this test

What is the TB blood test and how is it different from a skin test?

The QuantiFERON-TB Gold Plus is an IGRA blood test that detects immune response to tuberculosis bacteria from a single blood draw. Unlike the skin test, it needs no return visit to read, is not affected by prior BCG vaccination, and is the preferred test for anyone who has had BCG.

Do I need to fast for the TB blood test?

No. Come in at any time of day.

Is the TB blood test accepted for work and school?

Many employers, healthcare facilities and schools accept a QuantiFERON TB Gold Plus result. Check with yours first. For a U.S. immigration medical exam, the USCIS civil surgeon must perform or order the test, so a result from another source is not accepted. Your report comes directly from Labcorp or Quest.

What does a positive TB blood test mean?

That your immune system has encountered TB bacteria. It does not distinguish latent infection from active disease, so a positive result is followed by a chest X-ray and provider evaluation. Vitality Urgent Care can do both in the same building.

How long do TB blood test results take?

2 to 4 business days. The sample must reach the lab within a set time window, so same-day courier pickup matters; book a weekday morning appointment when possible.

How often do I need a TB test?

Healthcare workers and students are usually required to test on hire or enrollment and then annually or per facility policy. A single test is sufficient for most immigration and employment purposes.

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