Lab Tests That Can be Completed at Home (No Phlebotomy Required)

With COVID-19, in-lab phlebotomy is increasingly difficult to obtain and in many cases unsafe.

In areas that are in "shelter in place" mode, such as the Bay Area, mobile phlebotomy is also not an option until the government regulations are lifted.

To best serve your patients, we’ve made a list of testing that doesn’t require blood draws and can be done entirely at home. To search for a complete list, you can view our Rupa Lab Catalog and filter for “phlebotomy not required” tests. If you have a Rupa account, you’ll be able to compare pricing right there as well.

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Here is a comprehensive list of testing types that patients can take entirely at home.

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Part 1: Test panels that traditionally require a blood draw, but have other options.

1. Adrenal Function

Markers Measured: Cortisol patterns, CAR, DHEAs, Cortisol metabolites, Free Cortizone, etc. ‍

Sample Type: Urine, Saliva‍

Test Options: ‍

ZRT: Adrenal Stress Profile, & more‍
Precision Analytical: DUTCH Adrenal, DUTCH CAR + Insomnia Cortisol‍
Genova: Adrenocortex Stress Profile, ASP with CAR

2. Thyroid Function

Markers Measured: TSH, T4, TPOab, fT3, fT4, Tgbn, etc.

Sample Type: Blood Spot

Test Options:

ZRT: Essential Thyroid Profile, Elite Thyroid Profile, individual markers

3. Female & Male Hormone Profiles

Markers Measured: Estradiol, Progesterone, Testosterone, DHEA-S, Cortisol, Thyroid markers, SHBG, PSA, Fertility & Menopause profiles, etc.

Sample Type: Blood Spot, Saliva

Test Options:

Genova: Male Hormones Plus
Precision Analytical: DUTCH Sex Hormone Metabolites
Great Plains Laboratory: Hormones Comprehensive Profile, Hormones Comprehensive Plus Profile

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4. Cardiovascular Health & Lipids‍

Markers Measured: Cholesterol, HDL, LDL, VLDL, Triglycderides, etc.‍

Sample Type: Blood Spot

‍Test Options:‍

ZRT: CardioMetabolic Profile‍

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5. Celiac & Gluten Sensitivity

Sample Type: Blood Spot, Urine

‍Test Options:‍

Doctor’s Data: Celiac & Gluten Sensitivity

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6. Diabetes Markers‍

Markers Measured: Insulin, HbA1c, etc.

Sample Type: Blood Spot‍

Test Options:

ZRT: Insulin (single marker), HbA1c (single marker), Weight Management Profile, CardioMetabolic Profile‍

Order from 20+ labs in 20 seconds (DUTCH, GPL, Genova & More!)

We make ordering quick and painless — and best of all, it's free for practitioners.

Browse the lab catalog

7. Food Allergy & Sensitivity ‍

Markers Measured: IGE, IGG, IGG4, IGA, etc.

Sample Type: Blood Spot

‍Test Options:‍

USBiotek: Many tests - this is their specialty!
KBMO: KBMO FIT Test, FIT 22 Test (can include zonulin as well)
Alletess: 184 IgG Food Sensitivity Panel, 96 IgG Food Sensitivity Panel‍

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8. Lyme & Tick Borne Disease Testing‍

Sample Type: Blood Spot, Urine

‍Test Options:‍

IGeneX: Tick Borne Disease Panel 7, Lyme Immunoblot Panel, Lyme Urine Panel, ‍

‍

9. Immune Function‍

Sample Type: Saliva‍

Test Options: ‍

Cyrex: Array 14 (Mucosal Immune Reactivity Screen)‍

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Part 2: Individual markers that traditionally require a blood draw, but have other options.

Key: (sample type; companies that offer it)

IGF-1 (Blood Spot; ZRT)
Vitamin D (Blood Spot; Great Plains Laboratory, ZRT, Doctor’s Data)
hsCRP (Blood Spot; ZRT)

Part 3: Other important Functional Medicine tests that don’t require a blood draw.

Key: (sample type; companies that offer it)

SIBO Testing (Breath; Genova)
Glyphosate (Urine, Great Plains Laboratory)

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With COVID-19, accessing in-lab phlebotomy services can be challenging and, in some cases, may not be advisable.

In areas under "shelter in place" orders, such as the Bay Area, mobile phlebotomy services might not be available until government regulations change.

To best support your patients, we’ve compiled a list of tests that do not require blood draws and can be completed entirely at home. To explore a complete list, you can view our Rupa Lab Catalog and filter for “phlebotomy not required” tests. If you have a Rupa account, you’ll be able to compare pricing directly.

‍

‍

Here is a comprehensive list of testing types that patients can take entirely at home.

‍‍

Part 1: Test panels that traditionally require a blood draw, but have other options.

1. Adrenal Function

Markers Measured: Cortisol patterns, CAR, DHEAs, Cortisol metabolites, Free Cortizone, etc. ‍

Sample Type: Urine, Saliva‍

Test Options: ‍

ZRT: Adrenal Stress Profile, & more‍
Precision Analytical: DUTCH Adrenal, DUTCH CAR + Insomnia Cortisol‍
Genova: Adrenocortex Stress Profile, ASP with CAR

2. Thyroid Function

Markers Measured: TSH, T4, TPOab, fT3, fT4, Tgbn, etc.

Sample Type: Blood Spot

Test Options:

ZRT: Essential Thyroid Profile, Elite Thyroid Profile, individual markers

3. Female & Male Hormone Profiles

Markers Measured: Estradiol, Progesterone, Testosterone, DHEA-S, Cortisol, Thyroid markers, SHBG, PSA, Fertility & Menopause profiles, etc.

Sample Type: Blood Spot, Saliva

Test Options:

Genova: Male Hormones Plus
Precision Analytical: DUTCH Sex Hormone Metabolites
Great Plains Laboratory: Hormones Comprehensive Profile, Hormones Comprehensive Plus Profile

‍

4. Cardiovascular Health & Lipids‍

Markers Measured: Cholesterol, HDL, LDL, VLDL, Triglycderides, etc.‍

Sample Type: Blood Spot

‍Test Options:‍

ZRT: CardioMetabolic Profile‍

‍

5. Celiac & Gluten Sensitivity

Sample Type: Blood Spot, Urine

‍Test Options:‍

Doctor’s Data: Celiac & Gluten Sensitivity

‍

6. Diabetes Markers‍

Markers Measured: Insulin, HbA1c, etc.

Sample Type: Blood Spot‍

Test Options:

ZRT: Insulin (single marker), HbA1c (single marker), Weight Management Profile, CardioMetabolic Profile‍

Order from 20+ labs in 20 seconds (DUTCH, GPL, Genova & More!)

We make ordering quick and painless — and best of all, it's free for practitioners.

Browse the lab catalog

7. Food Allergy & Sensitivity ‍

Markers Measured: IGE, IGG, IGG4, IGA, etc.

Sample Type: Blood Spot

‍Test Options:‍

USBiotek: Many tests - this is their specialty!
KBMO: KBMO FIT Test, FIT 22 Test (can include zonulin as well)
Alletess: 184 IgG Food Sensitivity Panel, 96 IgG Food Sensitivity Panel‍

‍

8. Lyme & Tick Borne Disease Testing‍

Sample Type: Blood Spot, Urine

‍Test Options:‍

IGeneX: Tick Borne Disease Panel 7, Lyme Immunoblot Panel, Lyme Urine Panel, ‍

‍

9. Immune Function‍

Sample Type: Saliva‍

Test Options: ‍

Cyrex: Array 14 (Mucosal Immune Reactivity Screen)‍

‍

Part 2: Individual markers that traditionally require a blood draw, but have other options.

Key: (sample type; companies that offer it)

IGF-1 (Blood Spot; ZRT)
Vitamin D (Blood Spot; Great Plains Laboratory, ZRT, Doctor’s Data)
hsCRP (Blood Spot; ZRT)

Part 3: Other important Functional Medicine tests that don’t require a blood draw.

Key: (sample type; companies that offer it)

SIBO Testing (Breath; Genova)
Glyphosate (Urine, Great Plains Laboratory)

‍

Lab Tests in This Article

Adrenal Stress Profile

ZRT Laboratory

Saliva

The Adrenal Stress Profile measures DHEA-S and diurnal cortisol to assess the effects of stress on adrenal hormone balance.

DUTCH Adrenal (Dried Urine)

Precision Analytical (DUTCH)

Urine

The DUTCH Adrenal provides free cortisol patterns that parallel saliva with the addition of metabolite measurements for an improved marker for total cortisol production. This test cannot be ordered for patients under 12 years of age.

DUTCH Cortisol Awakening Response (CAR) (Saliva Only)

Precision Analytical (DUTCH)

Saliva

The DUTCH CAR test provides an analysis of the cortisol awakening response, as well as the daily patterns of free cortisol and cortisone. It also includes the insomnia cortisol sample. This test cannot be ordered for patients under 12 years of age.

Adrenocortex Stress Profile

Genova Diagnostics

Saliva

The Adrenocortex Stress Profile measures cortisol and DHEA through carefully timed saliva samples. It assists in understanding a patient's natural diurnal rhythm and the diagnosis of HPA imbalances. This test DOES NOT include the cortisol awakening response.

ASP with CAR

Genova Diagnostics

Saliva

The Adrenocortex Stress Profile with CAR measures cortisol and DHEA through carefully timed saliva samples. It assists in understanding a patient's natural diurnal rhythm and the diagnosis of HPA imbalances. This test also measures the cortisol awakening response.

Elite Thyroid Profile Blood Spot

ZRT Laboratory

Blood Spot

The Elite Thyroid Profile provides a baseline assessment of thyroid health. It offers the same markers as the Essential Thyroid Profile, plus thyroglobulin and thyroxine.

Essential Thyroid Profile Blood Spot

ZRT Laboratory

Blood Spot

The Essential Thyroid Profile provides a baseline assessment of thyroid health. It can help detect overt and subclinical thyroid disease, as well as monitor thyroid replacement therapy.

Male Hormones Plus™

Genova Diagnostics

Saliva

Male Hormones Plus™ is a noninvasive salivary assessment of bioavailable testosterone in circadian rhythm. It includes the Adrenocortex Stress Profile and the Comprehensive Melatonin Profile to reveal how testosterone is influenced by cortisol, DHEA, and melatonin.

Hormones Comprehensive Plus Profile

Mosaic Diagnostics (formerly Great Plains)

Saliva

The Hormones Comprehensive Plus Profile provides an assessment of sex and adrenal hormones. It builds upon the Hormones Comprehensive Profile by adding an analysis of E1, E3, and the Estrogen Quotient (EQ).

DUTCH Sex Hormone Metabolites (Dried Urine)

Precision Analytical (DUTCH)

Urine

The DUTCH Sex Hormone Metabolites test measures estrogen, progesterone, and androgen hormones and metabolites. It is perfect to use for a baseline hormone reading or to monitor hormone replacement therapy. This test cannot be ordered for patients under 12 years of age.

Hormones Comprehensive Profile

Mosaic Diagnostics (formerly Great Plains)

Saliva

The Hormones Comprehensive Profile provides a quick assessment of sex and adrenal hormones. It is designed for men and women of any age who display symptoms of hormone imbalance.

CardioMetabolic Profile

Doctor's Data

Serum

The CardioMetabolic Profile evaluates risk factors for cardiovascular disease (CVD) and metabolic factors associated with metabolic syndrome and type II diabetes.

Celiac & Gluten Sensitivity

Doctor's Data

Serum

The Celiac & Gluten Sensitivity Profile helps differentiate between celiac disease and gluten sensitivity by evaluating the serum titers of IgA and IgG for deamidated gliadin peptide, gliadin, and gluten. This is the serum version of the test. It is also available as a blood spot.

CardioMetabolic Profile

ZRT Laboratory

Blood Spot

The CardioMetabolic Profile allows for early detection of major indicators of metabolic syndrome and screens for cardiovascular disease risks.

Weight Management Profile

ZRT Laboratory

Saliva

Blood Spot

The Weight Management Profile identifies hormone imbalances that contribute to obesity, weight gain, and difficulty losing or sustaining a healthy weight.

Insulin (In)

ZRT Laboratory

Blood Spot

This is a single-marker test measuring insulin.

Hemoglobin A1c (HbA1c)

ZRT Laboratory

Blood Spot

This is a single-marker test measuring hemoglobin A1c (HbA1c). HbA1c is used to monitor long-term glucose control in individuals with diabetes mellitus.

FIT 22

KBMO Diagnostics

Blood Spot

The FIT 22 test evaluates sensitivities to 22 common foods by measuring IgG and immune complexes. It is analyzed through a blood spot sample.

184 IgG Food Sensitivity Panel

Alletess Medical Laboratory

Blood Spot

The 184 IgG Food Sensitivity Panel measures IgG response to 184 commonly consumed foods. This is the blood spot version of the test. It is also available as a serum test.

96 IgG Food Sensitivity Panel

Alletess Medical Laboratory

Blood Spot

The 96 IgG Food Sensitivity Panel measures IgG response to 96 commonly consumed foods. This is the blood spot version of the test. It is also available as a serum test.

Lyme Urine Panel 1 (LU1)

IGeneX

Urine

This panel is designed to detect Lyme disease. It combines the Lyme Dot Blot (3 samples) and Lyme Multiplex PCR Urine (pooled) tests. This test is unavailable for patients over 65 when ordered through physician services.

Lyme ImmunoBlot Panel 1 (IB1)

IGeneX

Serum

This panel is designed to detect Lyme disease. It combines three tests: Lyme IgG/IgM/IgA Screen, Lyme ImmunoBlot IgM, and Lyme ImmunoBlot IgG. This test is unavailable for patients over 65 when ordered through physician services.

Tick Borne Disease Panel 7 (TBD7)

IGeneX

Urine

This panel is designed to detect multiple tickborne diseases. It combines 7 urine tests to detect Lyme Disease, TBRF, Bartonellosis, Babesiosis, Anaplasmosis, and Ehrlichiosis. This test is unavailable for patients over 65 when ordered through physician services.

Array 14

Cyrex Laboratories

Saliva

The Mucosal Immune Reactivity Screen (Array 14) evaluates the possible outcomes of compromised immune tolerance, including intestinal barrier dysfunction, food and chemical immune reactivity, and autoimmunity.

Lab Tests That Can be Completed at Home (No Phlebotomy Required)

Why This Was Updated?

Recent Updates

June 12, 2024

Updates

With COVID-19, in-lab phlebotomy is increasingly difficult to obtain and in many cases unsafe.

Here is a comprehensive list of testing types that patients can take entirely at home.

Part 1: Test panels that traditionally require a blood draw, but have other options.

1. Adrenal Function

Test Options: ‍

2. Thyroid Function

3. Female & Male Hormone Profiles

4. Cardiovascular Health & Lipids‍

5. Celiac & Gluten Sensitivity

6. Diabetes Markers‍

7. Food Allergy & Sensitivity ‍

8. Lyme & Tick Borne Disease Testing‍

9. Immune Function‍

Part 2: Individual markers that traditionally require a blood draw, but have other options.

Part 3: Other important Functional Medicine tests that don’t require a blood draw.

With COVID-19, accessing in-lab phlebotomy services can be challenging and, in some cases, may not be advisable.

Here is a comprehensive list of testing types that patients can take entirely at home.

Part 1: Test panels that traditionally require a blood draw, but have other options.

1. Adrenal Function

Test Options: ‍

2. Thyroid Function

3. Female & Male Hormone Profiles

4. Cardiovascular Health & Lipids‍

5. Celiac & Gluten Sensitivity

6. Diabetes Markers‍

7. Food Allergy & Sensitivity ‍

8. Lyme & Tick Borne Disease Testing‍

9. Immune Function‍

Part 2: Individual markers that traditionally require a blood draw, but have other options.

Part 3: Other important Functional Medicine tests that don’t require a blood draw.

Lab Tests in This Article

Lab Tests That Can be Completed at Home (No Phlebotomy Required)

Why This Was Updated?

Recent Updates

June 12, 2024

Updates

With COVID-19, in-lab phlebotomy is increasingly difficult to obtain and in many cases unsafe.

Here is a comprehensive list of testing types that patients can take entirely at home.

Part 1: Test panels that traditionally require a blood draw, but have other options.

1. Adrenal Function

Test Options: ‍

2. Thyroid Function

3. Female & Male Hormone Profiles

4. Cardiovascular Health & Lipids‍

5. Celiac & Gluten Sensitivity

6. Diabetes Markers‍

7. Food Allergy & Sensitivity ‍

8. Lyme & Tick Borne Disease Testing‍

9. Immune Function‍

Part 2: Individual markers that traditionally require a blood draw, but have other options.

Part 3: Other important Functional Medicine tests that don’t require a blood draw.

With COVID-19, accessing in-lab phlebotomy services can be challenging and, in some cases, may not be advisable.

Here is a comprehensive list of testing types that patients can take entirely at home.

Part 1: Test panels that traditionally require a blood draw, but have other options.

1. Adrenal Function

Test Options: ‍

2. Thyroid Function

3. Female & Male Hormone Profiles

4. Cardiovascular Health & Lipids‍

5. Celiac & Gluten Sensitivity

6. Diabetes Markers‍

7. Food Allergy & Sensitivity ‍

8. Lyme & Tick Borne Disease Testing‍

9. Immune Function‍

Part 2: Individual markers that traditionally require a blood draw, but have other options.

Part 3: Other important Functional Medicine tests that don’t require a blood draw.

Lab Tests in This Article

References

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