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

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.

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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

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, ‍

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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)
• Glyphosate (Urine, Great Plains Laboratory)

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