Laboratory Review and Resources
During your visit, we discussed possible options for lab resources. I believe we should start with testing that answers our questions the majority of the time. Some patients come to me with many of the basic labs completed, and still no answers. In this case we utilize more advanced or detailed testing; not everyone needs those tests.Â
Below are the links to many of the testing locations I utilize.Â
After I place an order, FullScripts and Vibrant Wellness will likely reach out to you. If you have not heard from a laboratory company by text or email within 3 days of our visit, please call the office, message me through Jane, or if a member, message through pMD.Â
When laboratory testing is recommended as part of your Valivera Health evaluation, you may receive your lab order through Fullscript. You will receive an email or text prompting you to log in to your Fullscript account, where you can review the recommended tests, associated costs, preparation instructions, and next steps. For standard blood testing, Fullscript may provide a requisition for testing through Quest Diagnostics or Labcorp, depending on the test ordered and available options. Some specialized tests may instead require a collection kit that is shipped directly to your home. Please carefully review the instructions for each test, as some labs require fasting, specific timing, or temporary changes to supplements or medications. Do not stop a prescription medication unless specifically instructed by your healthcare provider. Once your sample is processed, results are sent to Valivera Health and may also become available in your Fullscript account. Your laboratory results should be interpreted in the context of your health history, symptoms, medications, and goals, so we will review clinically relevant findings and next steps with you as part of your care plan.
If your laboratory testing is ordered directly through Labcorp, Valivera Health will send your lab order electronically to Labcorp. Once your order has been placed, you are responsible for completing your laboratory testing. You may visit a Labcorp patient service center as a walk-in, but scheduling an appointment in advance is recommended and can help minimize your wait time.
To schedule your blood draw, visit the Labcorp website or use the Labcorp Patient™ portal or mobile app to choose a convenient location and appointment time. Because your order has been submitted electronically, you typically will not need a paper lab order; however, please bring a photo ID and your insurance information, if applicable. If we provide you with a printed copy of your order, we recommend bringing it with you.
Please follow any preparation instructions provided by Valivera Health, including fasting or specific timing of your laboratory testing. Some tests—particularly hormone, metabolic, or medication-related testing—may need to be collected at a particular time or under specific conditions to provide the most useful information. Do not stop prescription medications unless specifically instructed to do so.
After your testing is complete, Labcorp will process your samples and send the results to Valivera Health. Results may also be available through your Labcorp Patient™ account. We will review your results in the context of your health history, symptoms, medications, and goals and discuss clinically relevant findings and next steps as part of your care plan.
If your laboratory testing is ordered directly through Quest Diagnostics, Valivera Health will send your lab order electronically to Quest. Once your order has been placed, you are responsible for scheduling and completing your laboratory testing.
To schedule your blood draw, visit the Quest Diagnostics website or use MyQuest® to select a convenient Patient Service Center and appointment time. Appointments are recommended and are given priority over walk-in visits. Because your order has been submitted electronically, a paper order may not be necessary; however, if we provide you with a printed copy of your order, we recommend bringing it with you.
Please bring a photo ID and your current insurance information, if applicable. Quest may also request a credit, debit, or health savings account card for estimated patient financial responsibility.
Please follow any preparation instructions provided by Valivera Health. Depending on the testing ordered, this may include fasting or completing your blood draw at a particular time of day. Certain hormone, metabolic, medication-related, and other laboratory tests are most useful when collected under specific conditions. Unless specifically instructed otherwise, continue your usual prescription medications. If you are unsure about how to prepare for your testing, please contact us before your blood draw.
After your testing is complete, Quest will process your samples and send the results to Valivera Health. Your results may also become available to you through your MyQuest® account. We will interpret your results in the context of your health history, symptoms, medications, and goals and discuss clinically relevant findings and next steps as part of your care plan.
Not every health question requires advanced testing. Most patients can obtain a great deal of useful information from their health history, physical examination, and traditional laboratory testing. In certain situations, however, a more detailed evaluation may help us explore a specific concern or better understand patterns that are not captured by routine laboratory tests.
Valivera Health may use Vibrant Wellness for selected advanced or specialty laboratory testing. Depending on your individual health history, symptoms, and goals, testing may evaluate areas such as nutrient status, gastrointestinal and microbiome health, hormone metabolism, cardiovascular health, environmental exposures, immune-related markers, or other specialized areas. These tests are not routinely recommended for every patient. We will discuss whether advanced testing is likely to provide information that could meaningfully contribute to your care before recommending it.
If Vibrant Wellness testing is recommended, Valivera Health will order the specific test or panel selected for you. The type of sample required depends on the testing and may include blood, urine, saliva, stool, or a combination of samples. Some testing can be collected at home using a kit, while other testing may require a blood draw at an appropriate collection location.
Your test kit will include detailed instructions for collecting, storing, and returning your samples. Please read these instructions carefully before beginning, as preparation and timing can be important for certain tests. Some testing may require fasting, collection at a particular time of day or menstrual cycle, or multiple samples collected over a specified period. Unless specifically instructed otherwise, do not stop or change prescription medications, supplements, or your usual diet solely for testing.
After collection, samples are returned to Vibrant Wellness for processing according to the instructions provided with your kit. Once testing is complete, results are released to Valivera Health and may also be available to you through the Vibrant Wellness patient platform.
Advanced laboratory reports can contain a large amount of information. An abnormal or out-of-range result does not necessarily represent a diagnosis or require treatment. We will interpret relevant findings alongside your medical history, symptoms, physical examination, medications, lifestyle, and conventional laboratory results to determine whether they meaningfully affect your health plan.
Our goal is not to order the most testing—it is to order the right testing when it has the potential to provide useful information.
Commonly ordered labs
Your laboratory evaluation is personalized to your health history, symptoms, medications, and goals. Not every patient will need every test. Below are some of the laboratory tests we commonly consider and what they can help us understand.
CBC with Differential (Complete Blood Count) — Evaluates red blood cells, white blood cells, and platelets and can provide information about anemia, infection, immune activity, and overall blood health.
CMP (Comprehensive Metabolic Panel) — Provides a broad look at metabolic health, including blood sugar, electrolytes, kidney and liver function, calcium, and protein levels.
Hemoglobin A1c — Estimates your average blood sugar over the previous several months and helps screen for and monitor prediabetes and diabetes.
Fasting Insulin — Measures the amount of insulin circulating after a period without food and, when considered alongside glucose and other metabolic markers, may provide additional insight into insulin regulation and metabolic health.
Lipid Panel — Measures cholesterol and triglycerides to help assess cardiovascular and metabolic risk; additional lipid markers may be ordered when a more detailed assessment is appropriate.
Thyroid Panel — May include TSH, free T4, free T3, and thyroid antibodies to evaluate thyroid function and, when indicated, look for evidence of autoimmune thyroid disease.
Inflammation Markers — Tests such as high-sensitivity C-reactive protein (hs-CRP) and/or ESR measure markers associated with inflammation and can provide additional context when interpreted with your symptoms and overall health.
Hormone Panel — Depending on your age, symptoms, sex, menstrual status, and treatment goals, testing may include estradiol, progesterone, testosterone, SHBG, FSH, LH, DHEA-S, and other hormones to help evaluate hormonal health and guide treatment when appropriate.
Iron & Anemia Evaluation — May include a CBC, ferritin, iron, TIBC/transferrin saturation, vitamin B12, and folate to look for nutritional deficiencies and other factors that may contribute to anemia, fatigue, weakness, or reduced exercise tolerance.
Vitamin D (25-OH Vitamin D) — Measures vitamin D status, which is important for bone and muscle health and may be particularly relevant when evaluating skeletal health or deficiency risk.
Vitamin B12 & Folate — Evaluate nutrients important for normal blood cell production and neurologic function and may be considered when investigating anemia, fatigue, dietary risk, or certain neurologic symptoms.
Magnesium — Measures circulating magnesium, a mineral involved in muscle, nerve, bone, and metabolic function; testing may be useful when deficiency is suspected or certain medications or medical conditions increase risk.
Apolipoprotein B (ApoB) — Measures the number of cholesterol-carrying particles that can contribute to plaque formation and may provide a more detailed assessment of cardiovascular risk than a standard cholesterol panel alone.
Apolipoprotein E (ApoE) Genotype — Identifies inherited variants of the APOE gene that influence how the body handles fats and cholesterol and may provide additional information about cardiovascular and neurologic risk; results indicate genetic susceptibility, not whether you have or will develop a particular disease.
Homocysteine — Measures an amino acid in the blood that can be influenced by vitamin B12, folate, kidney function, genetics, and other factors; elevated levels may provide additional information when evaluating nutritional status and cardiovascular or metabolic risk.
Â
Additional Testing — Depending on your individual history and goals, we may recommend other conventional or advanced laboratory testing. More testing is not necessarily better—the goal is to select tests that can provide meaningful information and help guide your care.
