* Thyroid Secret

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Assists in the diagnosis of thyroid diseases such as endemic goiter, Grave's Disease, autoimmune thyroiditis, Addison's Disease, insulin-dependent diabetes mellitus, Hashimoto's Disease and polyendocrine auto-immunopathies. Also valuable as a part of the thyroid autoimmune diagnostic profile.

This test can quantitate TPO beyond the 900 IU/mL limit, all the way up to 10000 via serial dilution studies.


TP - Root Cause Thyroid Panel #1 contains the following tests.

  •  T3 Reverse (RT3), LC/MS/MS #90963
  •  T3, Free #34429
  •  T4, Free #866
  •  Thyroid Peroxidase and Thyroglobulin Antibodies #7260
  •  TSH #899

"IMPORTANT - Please note that Quest returns values up to 900 for the Thyroid Peroxidase Antibodies test.  If tracking requires values above 900 for the Thyroid Peroxidase Antibodies, then order test TPO Antibody Endpoint (Test Code # 15116).


TP - Root Cause Thyroid Panel #2 contains the following tests.

  • T3, Free #34429 (3 Biomarkers)
  • Thyroid Peroxidase and Thyroglobulin Antibodies #7260 (2 Biomarkers)
  • T4, Free #866 (4 Biomarkers)
  • TSH #899 (1 Biomarkers)

"IMPORTANT - Please note that Quest returns values up to 900 for the Thyroid Peroxidase Antibodies test.  If tracking requires values above 900 for the Thyroid Peroxidase Antibodies, then order test TPO Antibody Endpoint (Test Code # 15116).






The Thyroid Secret Root Cause Plus Panel contains the following tests. 

  • CBC (includes Differential and Platelets)
  • Comprehensive Metabolic Panel (CMP)
  • T3 Reverse (RT3), LC/MS/MS
  • T3, Free
  • T4, Free
  • Thyroid Peroxidase and Thyroglobulin Antibodies
  • TSH

 "IMPORTANT - Please note that Quest returns values up to 900 for the Thyroid Peroxidase Antibodies test.  If tracking requires values above 900 for the Thyroid Peroxidase Antibodies, then order test TPO Antibody Endpoint (Test Code # 15116).


The Thyroid Secret Root Cause Panel contains the following tests:

  • CBC (includes Differential and Platelets)
  • Comprehensive Metabolic Panel (CMP)
  • T3, Free
  • T4, Free
  • Thyroid Peroxidase and Thyroglobulin Antibodies
  • TSH

IMPORTANT - Please note that Quest returns values up to 900 for the Thyroglobulin Antibodies test.  If tracking requires values above 900 for the Thyroglobulin Antibodies, then order test TPO Antibody Endpoint (Test Code # 15116).


Hashimoto’s is an autoimmune disease and a thyroid disorder, therefor one must evaluate many things not just the thyroid. This panel contains tests for Hashimoto’s.

Thyroid tests

  • T3 Reverse (RT3), LC/MS/MS
  • T3, Free
  • T4, Free
  • TSH

Blood Sugar and Cholesterol Analysis

  • Hemoglobin A1c (HgbA1C)
  • Lipid Panel with Ratios

Iron

  • Iron and Total Iron Binding Capacity (TIBC)

Vitamin D2, D3

  • Vitamin D-  25-Hydroxyvitamin D (D2, D3), LC/MS/MS

Vitamin B12 and B6

  • Vitamin B12 (Cobalamin)
  • Vitamin B6 (Pyridoxal Phosphate)

Red and White Blood Cell Count

  • CBC (includes Differential and Platelets)

Adrenal Gland Health and Electrolytes

  • Comprehensive Metabolic Panel (CMP)

Autoantibodies

  • Thyroid Peroxidase and Thyroglobulin Antibodies

 


Includes - 63 Organic Acids; Creatinine, Random Urine

Clinical Significance

Organic acidurias are a group of inborn errors of metabolism that may lead to acute life-threatening illness, developmental delays, and metabolic decompensation. Positive results may warrant confirmation by alternative specific methods.

 

Result
Code
Result Name LOINC Code Component Name
85992924 INTERPRETATION: 33477-1 Organic acids pattern
85992925 2-HYDROXY-3-METHYLVALERIC 29880-2 2-Hydroxy-3-Methylvalerate
85992926 2-HYDROXYBUTYRIC 26797-1 Alpha hydroxybutyrate
85992927 2-HYDROXYGLUTARIC 29881-0 2-Hydroxyglutarate
85992928 2-HYDROXYISOCAPROIC 43226-0 2-Hydroxyisocaproate
85992929 2-HYDROXYISOVALERIC 29882-8 2-Hydroxyisovalerate
85992930 2-HYDROXYPHENYLACETIC 29883-6 2-Hydroxyphenylacetate
85992931 2-METHYLBUTYRYLGLYCINE 29884-4 2-Methylbutyrylglycine
85992932 2-OXO-3-METHYLVALERIC 29864-6 2-Oxo,3-Methylvalerate
85992933 2-OXOISOCAPROIC 29865-3 2-Oxoisocaproate
85992934 2-OXOISOVALERIC 29866-1 2-Oxoisovalerate
85992935 3-HYDROXY-2- ETHYLPROPIONIC 30576-3 3-Hydroxy-2-Ethylpropionate
85992936 3-HYDROXY-2-METHYLBUTYRIC 30577-1 2-Methyl-3-Hydroxybutyrate
85992937 3-HYDROXY-3- METHYLGLUTARIC 29867-9 3-Hydroxy,3-Methylglutarate
85992938 3-HYDROXYADIPIC 29621-0 3-Hydroxyadipate
85992939 3-HYDROXYBUTYRIC 29622-8 Beta hydroxybutyrate
85992940 3-HYDROXYDODECANOIC 29623-6 3-Hydroxydodecanoate
85992941 3-HYDROXYGLUTARIC 29624-4 3-Hydroxyglutarate
85992942 3-HYDROXYISOBUTYRIC 27272-4 3-Hydroxyisobutyrate
85992943 3-HYDROXYISOVALERIC 26685-8 3-Hydroxyisovalerate
85992944 3-HYDROXYPROPIONIC 29625-1 3-Hydroxypropionate
85992945 3-HYDROXYSEBACIC 29626-9 3-Hydroxysebacate
85992946 3-HYDROXYVALERIC 29627-7 3-Hydroxyvalerate
85992947 3-METHYLCROTONYLGLYCINE 29628-5 3-Methylcrotonylglycine
85992948 3-METHYLGLUTACONIC 29629-3 3-Methylglutaconate
85992949 3-METHYLGLUTARIC 29630-1 3-Methylglutarate
85992950 4-HYDROXYBUTYRIC 29868-7 Gamma hydroxybutyrate
85992951 4-HYDROXYCYCLOHEXYLACETIC 29869-5 4-Hydroxycyclohexylacetate
85992952 4-HYDROXYPHENYLACETIC 27270-8 4-Hydroxyphenylacetate
85992953 4-HYDROXYPHENYLLACTIC 29870-3 4-Hydroxyphenyllactate
85992954 4-HYDROXYPHENYLPYRUVIC 29871-1 4-Hydroxyphenylpyruvate
85992955 5-OXOPROLINE 29872-9 5-Oxoproline
85992956 ACETOACETIC 27132-0 Acetoacetate
85992957 ADIPIC 26751-8 Adipate
85992958 ETHYLMALONIC 30472-5 Ethylmalonate
85992959 FUMARIC 26799-7 Fumarate
85992972 GLUTACONIC 30473-3 Glutaconate
85992973 GLUTARIC 30474-1 Glutarate
85992974 GLYCERIC 30475-8 Glycerate
85992975 GLYCOLIC 26682-5 Glycolate
85992976 GLYOXYLIC 30476-6 Glyoxylate
85992977 HEXANOYLGLYCINE 30477-4 Hexanoylglycine
85992978 HOMOGENTISIC 2432-3 Homogentisate
85992979 ISOBUTYRYLGLYCINE 29873-7 Isobutyrylglycine
85992980 ISOVALERYLGLYCINE 29874-5 Isovalerylglycine
85992981 LACTIC 29875-2 Lactate
85992982 MALONIC 30478-2 Malonate
85992983 METHYLCITRIC 29876-0 2-Methylcitrate
85992984 METHYLMALONIC 29877-8 Methylmalonate
85992985 METHYLSUCCINIC 30479-0 Methylsuccinate
85992986 N-ACETYLASPARTIC 33299-9 N-acetyl-L-aspartate
85992987 N-ACETYLTYROSINE 29632-7 N-acetyltyrosine
85992988 OROTIC 30480-8 Orotate
85992989 PHENPROPIONYLGLYCINE 32582-9 Phenylpropionylglycine
85992990 PHENYLLACTIC 32583-7 Phenyllactate
85992991 PHENYLPYRUVIC 2772-2 Phenylpyruvate
85992992 PROPIONYLGLYCINE 32584-5 Propionylglycine
85992993 PYRUVIC 30481-6 Pyruvate
85992994 SEBACIC 26835-9 Sebacate
85992995 SUBERIC 26831-8 Suberate
85992996 SUBERYLGLYCINE 30482-4 Suberylglycine
85992997 SUCCINYLACETONE 30483-2 Succinylacetone
85992998 TIGLYLGLYCINE 30484-0 Tiglylglycine
85992999 URACIL 30485-7 Uracil
86007831 AGE 30525-0 Age
85993994 CREATININE, RANDOM URINE 14683-7 Creatinine

 


Includes - 78 Organic Acids; Creatinine, Random Urine

Clinical Significance

Organic acidurias are a group of inborn errors of metabolism that may lead to acute life-threatening illness, developmental delays, and metabolic decompensation. Positive results may warrant confirmation by alternative specific methods.

Result
Code
Result Name LOINC Code Component Name
85984910 LACTIC 25112-4 Lactate/Creatinine
85984911 GLYCOLIC 25106-6 Glycolate/Creatinine
85984912 2-HYDROXYBUTYRIC 29858-8 Alpha hydroxybutyrate/Creatinine
85984913 3-HYDROXYPROPIONIC 29515-4 3-Hydroxypropionate/Creatinine
85984914 3-HYDROXYISOBUTYRIC 29511-3 3-Hydroxyisobutyrate/Creatinine
85984915 3-HYDROXYBUTYRIC 29509-7 Beta hydroxybutyrate/Creatinine
85984916 2-HYDROXYISOVALERIC 29504-8 2-Hydroxyisovalerate/Creatinine
85984917 2-METHYL,3-HYDROXYBUTYRIC 25082-9 2-Methyl-3-Hydroxybutyrate/Creatinine
85984918 3-HYDROXYISOVALERIC 29514-7 3-Hydroxyisovalerate/Creatinine
85984919 METHYLMALONIC 25116-5 Methylmalonate/Creatinine
85984920 2-ET-3OHPROPIONIC 29523-8 2-Ethyl-3-Hydroxypropionate/Creatinine
85984921 2-HYDROXYISOCAPROIC 29503-0 2-Hydroxyisocaproate/Creatinine
85984922 3-HYDROXYVALERIC 29516-2 3-Hydroxyvalerate/Creatinine
85984923 2-OH-3ME-VALERIC 29505-5 2-Hydroxy-3-Methylvalerate/Creatinine
85984925 OCTANOIC 25120-7 Octanoate/Creatinine
85984926 ETHYLMALONIC 25099-3 Ethylmalonate/Creatinine
85984927 PHENYLACETIC 25124-9 Phenylacetate/Creatinine
85984928 SUCCINIC 25136-3 Succinate/Creatinine
85984929 METHYLSUCCINIC 25117-3 Methylsuccinate/Creatinine
85984931 URACIL 25140-5 Uracil/Creatinine
85984932 FUMARIC 25101-7 Fumarate/Creatinine
85984933 PROPIONYLGLYCINE 24442-6 Propionylglycine/Creatinine
85984934 5-HYDROXYHEXANOIC 29521-2 5-Hydroxyhexanoate/Creatinine
85984935 GLUTARIC 25104-1 Glutarate/Creatinine
85984936 3-METHYLGLUTARIC 29518-8 3-Methylglutarate/Creatinine
85984937 3-METHYLGLUTACONIC 25087-8 3-Methylglutaconate/Creatinine
85984938 GLUTACONIC 25103-3 Glutaconate/Creatinine
85984939 ISOVALERYLGLYCINE 24440-0 Isovalerylglycine/Creatinine
85984940 GLYOXYLIC 25107-4 Glyoxylate/Creatinine
85984941 MALIC 25113-2 Malate/Creatinine
85984942 3-HYDROXYADIPIC 29508-9 3-Hydroxyadipate/Creatinine
85984943 ADIPIC 29859-6 Adipate/Creatinine
85984944 PYRUVIC 25132-2 Pyruvate/Creatinine
85984945 5-OXOPROLINE 29522-0 5-Oxoproline/Creatinine
85984946 2-OXOISOVALERIC 25085-2 2-Oxoisovalerate/Creatinine
85984947 3-METHYLCROTONYLGLYCINE 24436-8 3-Methylcrotonylglycine/Creatinine
85984948 TIGLYLGLYCINE 24444-2 Tiglylglycine/Creatinine
85984949 MEVALONIC 25118-1 Mevalonate/Creatinine
85984950 2-HYDROXYGLUTARIC 29502-2 2-Hydroxyglutarate/Creatinine
85984951 3-HYDROXYGLUTARIC 29510-5 3-Hydroxyglutarate/Creatinine
85984952 ACETOACETIC 29524-6 Acetoacetate/Creatinine
85984953 PHENYLLACTIC 25125-6 Phenyllactate/Creatinine
85984954 3-OH-3-METHYLGLUTARIC 26583-5 3-Hydroxy,3-Methylglutarate/Creatinine
85984955 2-OXO,3-METHYLVALERIC 25083-7 2-Oxo,3-Methylvalerate/Creatinine
85984956 2-OXOISOCAPROIC 25084-5 2-Oxoisocaproate/Creatinine
85984957 HEXANOYLGLYCINE 24438-4 Hexanoylglycine/Creatinine
85984958 4-HYDROXYPHENYLACETIC 25088-6 4-Hydroxyphenylacetate/Creatinine
85984959 2-HYDROXYADIPIC 29500-6 2-Hydroxyadipate/Creatinine
85984960 OCTENEDIOIC 25121-5 Octenedioate/Creatinine
85984961 SUBERIC 25135-5 Suberate/Creatinine
85984962 ACONITIC 29525-3 Aconitate/Creatinine
85984963 OROTIC 17869-9 Orotate/Creatinine
85984964 PHENYLPROPIONYLGLYCINE 24441-8 Phenylpropionylglycine/Creatinine
85984965 HOMOVANILLIC ACID 22708-2 Homovanillate/Creatinine
85984968 ISOCITRIC 25111-6 Isocitrate/Creatinine
85984969 CITRIC 29527-9 Citrate/Creatinine
85984970 METHYLCITRIC 25114-0 2-Methylcitrate/Creatinine
85984973 SEBACIC 25134-8 Sebacate/Creatinine
85984974 DECADIENEDIOIC 25093-6 Decadienediate/Creatinine
85984975 4-HYDROXYPHENYLLACTIC 25089-4 4-Hydroxyphenyllactate/Creatinine
85984976 2-OXOGLUTARIC 29507-1 Alpha ketoglutarate/Creatinine
85984977 PHENYLPYRUVIC 25126-4 Phenylpyruvate/Creatinine
85984978 2-OXOADIPIC 29506-3 2-Oxoadipate/Creatinine
85984979 HYDROXYDECANEDIOIC 25108-2 Hydroxydecanedioate/Creatinine
85984980 DODECANEDIOIC 25097-7 Dodecanedioate/Creatinine
85984981 N-ACETYLTYROSINE 25119-9 N-acetyltyrosine/Creatinine
85984984 4-HYDROXYPHENYLPYRUVIC 29519-6 4-Hydroxyphenylpyruvate/Creatinine
85984985 SUCCINYLACETONE 25137-1 Succinylacetone/Creatinine
85984986 INTERPRETATION 33477-1 Organic acids pattern
86004373 SUBERYLGLYCINE 24443-4 Suberylglycine/Creatinine
86006237 MALONIC 47696-0 Malonate/Creatinine
86006238 4 HYDROXYBUTYRIC 47542-6 Gamma hydroxybutyrate/Creatinine
86006239 ISOBUTYRYLGLYCINE 24439-2 Isobutyrylglycine/Creatinine
86006240 2 METHYLBUTYRYLGLYCINE 24435-0 2-Methylbutyrylglycine/Creatinine
86006241 4 HYDROXYCYCLOHEX- ANEACETIC 79178-0 4-Hydroxycyclohexylacetate/creatinine
86006242 2 METHYLACETOACETIC 59377-2 2-Methylacetoacetate/Creatinine
86006243 N ACETYLASPARTIC 47710-9 N-acetylaspartate/Creatinine
86006244 3 HYDROXYSEBACIC 47537-6 3-Hydroxysebacate/Creatinine
86006268 VMA 14948-4 Vanillylmandelate/Creatinine
86007831 AGE 30525-0 Age
85993994 CREATININE, RANDOM URINE 14683-7 Creatinine

TP - Basic Thyroid Panel

  • T3, Free
  • T4, Free
  • TSH