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 Profile, Adrenal Stress Profile, & more‍
• Precision Analytical: DUTCH Adrenal, DUTCH CAR + Insomnia Cortisol‍
• Labrix: Comprehensive Adrenal Function Profile, NeuroAdrenal Profile, & more‍
• 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:

• ZRT: Many different options - by far the most options for testing hormones. Female Hormone Panel, Male Hormone panel, etc.
• Genova: Male Hormones Plus, Complete Hormones, Sex Hormones
• Precision Analytical: DUTCH Sex Hormone Metabolites
• Labrix: Comprehensive Hormone Profile
• 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
• Great Plains Laboratory: Gluten + Casein Peptides., GPL Basic Panel - DBS‍

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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

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
• Vibrant Wellness: All Food Zoomer's and Food Sensitivity Panels

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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, ‍

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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)
• Organic Acids (Urine; Great Plains Laboratory, Vibrant Wellness, Precision Analytical, USBiotek)
• Environmental Toxins, Mycotoxins, & Biotoxins (Urine; Great Plains Laboratory, Vibrant Wellness, USBiotek)
• Metals (Hair, Urine, Stool; Great Plains Laboratory, Doctor’s Data, Vibrant Wellness)
• GI Testing (Stool; Genova, Diagnostic Solutions, Doctor’s Data, Vibrant Wellness)
• Genetic Testing (Swab; Diagnostic Solutions, Genova, Vibrant Wellness)
• Glyphosate (Urine, Great Plains Laboratory)

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