Micro Nutrient Testing - Spectracell

SpectraCell Laboratories has become the leader in innovative clinical testing by utilizing the most advanced technology, providing the highest quality service to our physician clients, and understanding the ultimate responsibility is towards patient care.

COMPREHENSIVE

A N A L Y S I SVITAMINS

MINERALS

AMINO ACIDS

ANTIOXIDANTS

FATTY ACIDS

METABOLITES

CARBOHYDRATE METABOLISM

of those taking supplements will remain de�cient.

50%

Call 800.227.LABS (5227) or visit us online at www.SpectraCell.com

MicronutrientTesting

Uses active peripheral lymphocytes instead of serum Measures the end point of DNA synthesis Re�ects nutrient status over the last 4-8 months Measures how micronutrients and antioxidants are actually functioning within the white blood cells Re�ects total metabolic function rather than isolated biochemical pathways Demonstrates the intracellular func tion of micronutrients simultaneously Gives physicians the ability to tailor treatment plans to each patient’s speci�c requirements rather than to “norms”

Testing Lymphocytes

Provides a more accurate measurement of long term functional nutritional levels Are host to cell-mediated immune system Possesses metabolic pathways common to other cells Contains nucleus which permits rapi d DNA synthesis and cell growth Measures DNA synthesis and cell growth Are easily available in large numbers from a standard blood draw Indicates if nutrients are being absorbed and functioning properly

Clinical Applications

Knowing nutritional risk factors and treating their causes can contribute to the arrest or prevention of many degenerative conditions Patients derive signi�cant bene�ts Measuring and correcting vitamin de�ciencies are essential for patients concerned with wellness and anti-aging Micronutrient testing provides important baseline tests to identify de�ciencies

Measuring Functional Levels

Allows physicians to get more sensitive and accurate nutritional reading Provides long term status, not just an immediate snapshot Determines if the nutrient is being absorbed and functioning properly on the cellular level

Tests for B6, B12, Folate &

Homocysteine

Gives the physicians an overall informative cardiovascular program, not just a lab number Combines Micronutrient testing and HPLC methodology for Homocysteine Examines the cellular function of each individual to �nd out what is needed to �x the homocysteine problem and reduce risk, cardiovascular disease and stroke

SPECTROX® - Antioxidant Testing

Percentage gives a total antioxidant measurement, not just one or two speci�c values Measures ability of cells to withstand attack from free radicals and other oxidative stresses (antioxidant reserve) Allows for early intervention to correct de�ciencies and promote health Plays role in prevention and clinical treatment of a large variety of disease modalities

Easy Sample Collection

No refrigeration or freezing Complete test kit and transportation provided No centrifugation

Visit us at www.spectracell.com or call us at 800.227.LABS (5227) ADVANCED CLINICAL TESTING© 2009 SpectraCell Laboratories Inc. All rights reserved. DOC 305 06.09

MicronutrientTesting

Features and Bene�ts

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Nutrient Functions

Deficiency

Symptoms

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NUTRIENT POTENTIAL WHAT IT DOES WHERE IT’S FOUND SYMPTOMS AND PROBLEMS

VITAMIN EVERY

COMMON

Antioxidant, regulates oxidation reactions,stabilizes cell membrane, immune function, protects against cardiovascular disease, cataracts, macular degeneration

Wheat germ, liver, eggs, nuts, seeds, cold - pressed vegetable oils, dark leafy greens, sweet potatoes, avocados, asparagus

Skin, hair, rupturing of red blood cells, anemia, bruising, PMS, hot flashes, eczema, psoriasis, cataracts, wound healing, muscle weakness, sterility

CALCIUMVERY

COMMON

Bones, teeth, helps heart, nerves, muscles,body systems work properly, needs othernutrients to function

Dairy, wheat/soy flour, molasses, Brewer’s yeast, Brazil nuts, broccoli, cabbage, dark leafy greens, hazelnuts, oysters, sardines, canned salmon

Osteoporosis, osteomalacia, osteoarthritis, muscle cramps, irritability, acute anxiety, colon cancer risk

CHROMIUM COMMONAssists insulin function, increases fertility,carbohydrate/fat metabolism, essential for fetal growth/development

Supplementation, Brewer’s yeast, whole grains, seafood, green beans, broccoli, prunes, nuts, potatoes, meat

Metabolic syndrome, insulin resistance, decreased fertility

MAGNESIUMVERY

COMMON

300 biochemical reactions, muscle/nervefunction, heart rhythm, immune system,strong bones, regulates calcium, copper,zinc, potassium, vitamin D

Green vegetables, beans, peas, nuts, seeds, whole unprocessed grains

Appetite, nausea, vomiting, fatigue cramps, numbness, tingling, seizures, heart spasms, personality changes, heart rhythm

SELENIUM COMMON

Antioxidant, works with vitamin E, immunefunction, prostaglandin production

Brewer’s yeast, wheat germ, liver, butter, cold water fish, shellfish, garlic, whole grains, sunflower seeds, Brazil nuts

Destruction to heart/pancreas, sore muscles, fragility of red blood cells, immune system

ZINCMOST

COMMON

Supports enzymes, immune system, wound healing, taste/smell, DNA synthesis, normal growth & development during pregnancy, childhood and adolescence

Oysters, red meat, poultry, beans, nuts, seafood, whole grains, fortified breakfast cereals, dairy

Growth retardation, hair loss, diarrhea, impotence, eye & skin lesions, loss of appetite, taste, weight loss, wound healing, mental lethargy

CO Q10 COMMON

Powerful antioxidant, stops oxidation of LDL cholesterol, energy production, important to heart, liver and kidneys

Oily fish, organ meats, whole grains Congestive heart failure, high blood pressure, angina, mitral valve prolapse, fatigue, gingivitis, immune system stroke, cardiac arrhythmias

CARNITINELESS

COMMON

Energy, heart function, oxidize amino acids for energy, metabolize ketones

Red meat, dairy, fish, poultry, tempeh (fermented soybeans), wheat, asparagus, avocados, peanut butter

Elevated cholesterol, liver function, muscle weakness, reduced energy, impaired glucose control

N - ACETYL CYSTEINE (NAC)

& GLUTATHIONE

MOST COMMON

Glutathione production, lowers homocysteine, lipoprotein (a), heal lungs, inflammation, decrease muscle fatigue, liver detoxification, immune function

Meats, ricotta, cottage cheese, yogurt, wheat germ, granola, oat flakes

Free radical overload, elevated homocysteine, cancer risk, cataracts, macular degeneration, immune function, toxin elimination

ALPHA LIPOIC ACID

COMMONEnergy, blood flow to nerves, glutathione levels in brain, insulin sensitivity, effectiveness of vitamins C, E, antioxidants

Supplementation, spinach, broccoli, beef, Brewer’s yeast, some organ meats

Diabetic neuropathy, reduced muscle mass, atherosclerosis, Alzheimer’s, failure to thrive, brain atrophy, high lactic acid

COPPERLESS

COMMON

Bone formation, involved in healing process, energy production, hair and skin coloring, taste sensitivity, stimulates iron absorption, helps metabolize several fatty acids

Oysters, seeds, dark leafy vegetables,organ meats, dried legumes, whole grain breads, nuts, shellfish, chocolate, soybeans, oats, blackstrap molasses

Osteoporosis, anemia, baldness, diarrhea, general weakness, impaired respiratory function, myelopathy, decreased skin pigment, reduced resistance to infection

Nutrient Functions

Deficiency

Symptoms

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VITAMIN B1VERY

COMMON

Carb. conversion, breaks down fats & protein, digestion, nervous system, skin, hair, eyes, mouth, liver, immune system

Pork, organ meats, whole grain and enriched cereals, brown rice, wheat germ, bran, Brewer’s yeast, blackstrap molasses

Heart, age-related cognitive decline, Alzheimer’s, fatigue

VITAMIN B2VERY

COMMON

Metabolism, carb. conversion, breaks down fats & protein, digestion, nervous system, skin, hair, eyes, mouth, liver

Brewer’s yeast, almonds, organ meats, whole grains, wheat germ, mushrooms, soy, dairy, eggs, green vegetables

Anemia, decreased free radical protection, cataracts, poor thyroid function, B6 deficiency, fatigue, elevated homocysteine

VITAMIN B3LESS

COMMON

Energy, digestion, nervous system, skin, hair, eyes, liver, eliminates toxins, sex/stress hormones, improves circulation

Beets, Brewer’s yeast, meat, poultry, organ meats, fish, seeds, nuts

Cracking, scaling skin, digestive problems, confusion, anxiety, fatigue

VITAMIN B6 COMMON

Enzyme, protein metabolism, RBC production, reduces homocysteine, nerve & muscle cells, DNA/RNA, B12 absorption, immune function

Poultry, tuna, salmon, shrimp, beef liver, lentils, soybeans, seeds, nuts, avocados, bananas, carrots, brown rice, bran, wheat germ, whole grain flour

Depression, sleep and skin problems, confusion, anxiety, fatigue

VITAMIN B12VERY

COMMON

Healthy nerve cells, DNA/RNA, red blood cell production, iron function

Fish, meat, poultry, eggs, milk, milk products

Anemia, fatigue, constipation, loss of appetite/weight, numbness and tingling in the hands and feet, depression, dementia, poor memory, oral soreness

BIOTINLESS

COMMON

Carbs, fat, amino acid metabolism (the building blocks of protein)

Salmon, meats, vegetables, grains, legumes, lentils, egg yolks, milk, sweet potatoes, seeds, nuts, wheat germ

Depression, nervous system, premature graying, hair, skin

FOLATEVERY

COMMON

Mental health, infant DNA/RNA, adolescence & pregnancy, with B12 to regulate RBC production, iron function, reduce homocysteine

Supplementation, fortified grains, tomato juice, green vegetables, black-eyed peas, lentils, beans

Anemia, immune fuction, fatigue, insomnia, hair, high homocysteine, cardiovascular disease

PANTOTHENATELESS

COMMON

RBC production, sex and stress-related hormones, immune function, healthy digestion, helps use other vitamins

Meat, vegetables, whole grains, legumes, lentils, egg yolks, milk, sweet potatoes, seeds, nuts, wheat germ, salmon

Stress tolerance, wound healing, skin problems, fatigue

VITAMIN ALESS

COMMONEyes, immune function, skin, essential cell growth and development

Milk, eggs, liver, fortified cereals, orange or green vegetables, fruits

Night blindness, immune function, zinc deficiency, fat malabsorption

VITAMIN C COMMON

Enzyme activation, second messenger roles (transmitting hormonal information), blood clotting, cell and cell organelle membrane function, nerve impulse transmission and muscular contraction, tone and irritability

Supplemention, broccoli, brussel sprouts, cantaloupe, cauliflower, citrus, guava, kiwi, papaya, parsley, peas, potatoes, peppers, parsley, rose hips, strawberries and tomatoes

Muscular and nervous irritability, muscle spasms, muscle cramps and tetany, tooth decay, periodontal disease, depression, possibly hypertension

VITAMIN DVERY

COMMONCalcium and phosphorus levels, calcium absorption, bone mineralization

Sunlight, milk, egg yolks, liver, fish Osteoporosis, calcium absorption, thyroid

VITAMIN KLESS

COMMON

Aids in the formation of clotting factors and bone proteins and the formation of glucose into glycogen for storage in the liver

Kale, green tea, turnip greens, spinach, broccoli, lettuce, cabbage, beef liver, asparagus, watercress, cheese, oats, peas, whole wheat

Excessive bleeding, a history of bruising, appearance of ruptured capillaries or menorrhagia (heavy periods)

SOURCE: DRUG-INDUCED NUTRIENT DEPLETION HANDBOOK, 2ND EDITION

Do the Prescriptions You TakeDeplete Your Nutritional Status?

ANTACIDS/ULCER MEDICATIONS Pepcid, Tagamet, Zantac, Prevacid, Prilosec, Magnesium & Aluminum antacids

ANTIBIOTICSGentomycin, neomycin,streptomycin, cephalosporins, penicillins

Vitamin B12Folic AcidVitamin DCalciumIronZinc

B VitaminsVitamin K

Tetracyclines

Dilatin, Tegretol, MysolineDepakane/Depacon

Major Tranquilizers (Thorazine, Mellaril, Prolixin, Serentil & others)

ANTI-DEPRESSANTSAdapin, Aventyl, Elavil, Pamelor,& others

ANTICONVULSANTSPhenobarbital & barbituates

CalciumMagnesiumIronVitamin B6Zinc

Coenzyme Q10Vitamin B2

Vitamin DCalciumFolic AcidBiotinCarnitineVitamin B12Vitamin B1Vitamin KCopperSeleniumZinc

Anemia, depression, tiredness, weakness, increased cardiovascular riskBirth defects, cervical dysplasia, anemia, heart disease, cancer riskOsteoporosis, muscle weakness, hearing lossOsteoporosis, heart and blood pressure irregularities, tooth decayAnemia, weakness, fatigue, hair loss, brittle nailsWeak immunity, wound healing, sense of smell/taste, sexual dysfunction

Short term depletio ects are minimal, but failure to re-inoculate theGI tract with bene cial bacteria (probiotics) often results in dysbiosis which causes gas, bloating, decreases digestion & absorption of nutrients, and also may lead to a variety of other health problems.

Osteoporosis, heart & blood pressure irregularities, tooth decayCardiovascular problems, asthma, osteoporosis, cramps, PMSSlow wound healing, fatigue, anemiaDepression, sleep disturbance, increased cardiovascular disease riskWeak immunity, wound healing, sense of smell/taste, sexual dysfunction

Various cardiovascular problems, weak immune system, low energyProblems with skin, eyes, mucous membranes and nerves

Osteoporosis, muscle weakness, hearing lossOsteoporosis, heart & blood pressure irregularities, tooth decayBirth defects, cervical dysplasia, anemia, cardiovascular diseaseHair loss, depression, cardiac irregularities, dermatitisVarious cardiovascular problems, weak immune system, low energyAnemia, depression, tiredness, weakness, increased cardiovascular riskDepression, irritability, memory loss, muscle weakness, edemaBlood coagulation, skeletal problemsAnemia, fatigue, cardiovascular and connective tissue problemsLower immunity, reduced antioxidant protectionWeak immunity, wound healing, sense of smell/taste, sexual dysfunction

DRUGNUTRIENTDEFICIENCY POTENTIAL HEALTH PROBLEM

Oral Contraceptives

FEMALE HORMONESOral Estrogen/Hormone Replacement

Folic AcidVitamin B1Vitamin B2Vitamin B3Vitamin B6Vitamin B12Vitamin CMagnesiumSeleniumZinc

Vitamin B6

Birth defects, cervical dysplasia, anemia, cardiovascular diseaseDepression, irritability, memory loss, muscle weakness, edemaProblems with skin, eyes, mucous membranes and nervesCracked, scaly skin, swollen tongue, diarrheaDepression, sleep disturbances, increased cardiovascular disease riskAnemia, depression, tiredness, weakness, increased cardiovascular riskLowered immune system, easy bruising, poor wound healingCardiovascular problems, asthma, osteoporosis, cramps, PMSLower immunity, reduced antioxidant protectionWeak immunity, wound healing, sense of smell/taste, sexual dysfunction

Depression, sleep disturbance, increased cardiovascular disease risk

ADVANCED CLINICAL TESTIN GVisit us at www.spectracell.com or call us at 800.227.5227

CHOLESTEROL DRUGSLipitor, Crestor, Zocor, and others

Coenzyme Q10 Various cardiovascular problems, weak immune system, low energy

Copyright © 2008 SpectraCell Laboratiores, Inc. All Rights Reserved. FIA 306 - 12.08

Visit us at www.spectracell.com or call us at 800.227.LABS (5227) ADVANCED CLINICAL TESTINGCopyright © 2010 SpectraCell Laboratories DOC 306 03.10


Aspirin & Salicylates

Thiazid Diuretics (HCTZ, Enduron, Diuril, Lozol, Zaroxolyn, Hygroton and others

Potassium Sparing Diuretics

Bete Blockers (Inderal, Corgard, Lopressor and others)

ACE Inhibitors (Capoten, Vasotec, Monopril & others)

DIURETICS Loop Diuretics (Lasix, Bumex, Edecrin)

CARDIOVASCULAR DRUGSAntihypertensives (Catapres, Aldomet)

Vitamin CCalciumFolic AcidIronVitamin B5

CalciumFolic AcidZinc

Coenzyme Q10

Zinc

CalciumMagnesiumVitamin B1Vitamin B6Vitamin CZincCoenzyme Q10PotassiumSodium

Coenzyme Q10Vitamin B6ZincVitamin B1

Lowered immune system, easy bruising, poor wound healingOsteoporosis, heart & blood pressure irregularities, tooth decayBirth defects, cervical dysplasia, anemia, cardiovascular diseaseAnemia, weakness, fatigue, hair loss, brittle nailsfatigue, listlessness, and possible problems with skin, liver and nerves

Osteoporosis, heart & blood pressure irregularities, tooth decayBirth defects, cervical dysplasia, anemia, cardiovascular diseaseWeak immunity, wound healing, sense of smell/taste, sexual dysfunction

Various cardiovascular problems, weak immune system, low energy

Weak immunity, wound healing, sense of smell/taste, sexual dysfunction

Osteoporosis, heart and blood pressure irregularities, tooth decayCardiovascular problems, asthma, osteoporosis, cramps, PMSDepression, irritability, memory loss, muscle weakness, edemaDepression, sleep disturbance, increased heart disease riskLowered immunity, easy bruising, poor wound healingWeak immunity, wound healing, sense of smell/taste, sexual dysfunctionVarious cardiovascular problems, weak immune system, low energyIrregular heartbeat, muscle weakness, fatigue, edemaMuscle weakness, dehydration, memory problems, loss of appetite

Various cardiovascular problems, weak immune system, low energyDepression, sleep disturbance, increased cardiovascular disease riskWeak immunity, wound healing, sense of smell/taste, sexual dysfunctionDepression, irritability, memory loss, muscle weakness, edema


ANTI-INFLAMMATORIESCorticosteriods: Prednisone, Medrol, Aristocort, Decodron

Folic Acid

CalciumVitamin DMagnesiumZincVitamin CVitamin B6Vitamin B12Folic AcidSeleniumChromium

Birth defects, cervical dysplasia, anemia, cardiovascular disease

Osteoporosis, heart and blood pressure irregularities, tooth decayOsteoporosis, muscle weakness, hearing lossCardiovascular problems, asthma, osteoporosis, cramps, PMSWeak immunity, wound healing, sense of smell/taste, sexual dysfunctionLowered immunity, easy bruising, poor wound healingDepression, sleep disturbances, increased cardiovascular disease riskAnemia, depression, tiredness, weakness, increased cardiovascular riskBirth defects, cervical dysplasia, anemia, cardiovascular diseaseLower immunity, reduced antioxidant protectionElevated blood sugar, cholesterol & triglycerides, diabetes risk

NSAIDS (Motrin, Aleve, Advil, Anaprox, Dolobid, Feldene, Naprosyn and others

Foscarnet CalciumMagnesiumPotassium

Osteoporosis, heart and blood pressure irregularities, tooth decayCardiovascular problems, asthma, osteoporosis, cramps, PMSIrregular heartbeat, muscle weakness, fatigue, edema

ANTIVIRAL AGENTS Zidovudine (Retrovir, AZT & other related drugs)

CarnitineCopperZincVitamin B12

Increased blood lipids, abnormal liver function and glucose controlAnemia, fatigue, cardiovascular and connective tissue problemsWeak immunity, wound healing, sense of smell/taste, sexual dysfunctionAnemia, depression, tiredness, weakness, increased cardiovascular risk

ADVANCED CLINICAL TESTIN GVisit us at www.spectracell.com or call us at 800.227.5227

Copyright © 2007 SpectraCell Laboratiores, Inc. All Rights Reserved.

Sulfonylureas (Dymelor, Tolinase,Micronase/Glynase/DiaBeta)

DIABETIC DRUGSMetformin

Coenzyme Q10

Coenzyme Q10Vitamin B12Folic Acid


Various cardiovascular problems, weak immune system, low energy Anemia, depression, tiredness, weakness, increased cardiovascular risk Birth defects, cervical dysplasia, anemia, heart disease, cancer risk



Visit us at www.spectracell.com or call us at 800.227.LABS (5227) ADVANCED CLINICAL TESTINGCopyright © 2010 SpectraCell Laboratories DOC 306 03.10

356.9 Hereditary and idiopathic peripheral neuropathy, unspecified

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CODE DIAGNOSIS (SYMPTOMS, ILLNESS, INJURY OR COMPLAINT) CODE DIAGNOSIS (SYMPTOMS, ILLNESS, INJURY OR COMPLAINT)

781.0

276.2

253.0

293.0

535.00

461.1

436

288.0

477.9

995.3

704.00

314.01

088.82

353.0

490

112.85

112.9

354.0

447.4

579.0

496

780.71

245.2

472.0

346.00

414.01

255.4

269.1

311

272.9

781.1

270.4

786.09782.3259.9

401.1

401.9

345.00240.9

784.0

786.3

789.1

Abnormal involuntary movements

Acidosis

Acromegaly and gigantism

Acute delirium

Acute gastritis

Acute sinisitis, frontal

Acute, but ill-defined, cerebrovascular disease

Agranulocytosis

Allergic rhinitis, cause unspecified

Allergy, unspecified

Alopecia, unspecified

Attention deficit disorder, with hyperactivity

Babesiosis

Brachial plexus lesions

Bronchitis, not specified as acute of chronic

Candidal enteritis

Candidiasis, of unspecified site

Carpal tunnel syndrome

Celiac artery compression syndrome

Celiac disease

Chronic airway obstruction, not elsewhere classified

Chronic fatigue syndrome

Chronic lymphocytic thyroiditis

Chronic rhinitis

Classical migraine, without mention of intractable migraine

Coronary atherosclerosis, of native coronary artery

Corticoadrenal insufficiency

Deficiency of other vitamins

Depressive disorder, not elsewhere classified

Disorder of metabolism, unspecified

Disturbances of sensation of smell and taste

Disturbances of sulphur-bearing amino-acid metabolism

Dyspnea and respiratory abnormalities, other EdemaEndocrine disorder, unspecified

Essential hypertension, benign

Essential hypertension, unspecified

Generalized no convulsive epilepsyGoiter, unspecified

Headache

Hemoptysis

Hepatomegaly272.4

600.00

621.2

244.9

279.3

279.10

607.84

075

711.90

564.1

218.9

088.81

174.9

174.4

996.54

780.93

269.3

729.1

269.9

491.21

796.4

277.00

266.2

780. 79

269.8

277.89

281.1

719.44

719.48

786.52

486

272.0

753.0

786.05

780.2

786.06

985.9

785.2

266.1

269.2

Hyperlipidemia, other and unspecified

Hyperplasia of prostate (additional code required to identify urinary incontinence)

Hypertrophy of uterus

Hypothyroidism, unspecified

Immunity deficiency, unspecified

Immunodeficiency with predominant T-cell defect, unspecified

Impotence of organic origin

Infectious mononucleosis

Infective arthritis, unspecified

Irritable bowel syndrome

Leiomyoma of uterus, unspecified

Lyme disease

Malignant neoplasm, of female breast, unspecified

Malignant neoplasm of female breast, upper-outer quadrant

Mechanical complication of other specified prosthetic device, implant, and graft, due to breast prosthesis

Memory disturbance, loss or lack

Mineral deficiency, unspecified

Myalgia and myositis, unspecified

Nutritional deficiency, unspecified

Obstructive chronic bronchitis, with acute exacerbation

Abnormal clinical findings - other

Cystic Fibrosis

B-complex deficiency - other

Malaise and fatigue - other

Nutritional deficiency - other

Specified disorders of metabolism - other

Vitamin B12 deficiency anemia - other

Pain in joint, hand

Pain in joint, other specified sites

Painful respiration

Pneumonia, unspecified

Pure hypercholesterolemia

Renal agenesis and dysgenesis

Shortness of breath

Syncope and collapse

Tachypnea

Toxic effect of other metals, unspecified metal

Undiagnosed cardiac murmurs

Vitamin B6 deficiency

Vitamin deficiency, unspecified

To prevent denials, when billing third party payors, all requisitions must include all medically necessary ICD-9 diagnosis codes. ICD-9 codes are required bycertain third party payors to confirm the medical necessity of the test(s), and/or profile(s) ordered. The codes listed below are some of the most commonly received codes for testing performed at SpectraCell Laboratories. These were taken from the 2008 ICD-9 manual issued by AMA. While this list may be a useful tool, depending upon the nature of your practice, it is not complete. Please refer to the ICD-9 manual for a complete listing. The ultimate responsibility for correct coding lies with the ordering physician. Please place all medically appropriate ICD-9 codes on the requisition. If ordering for screening purposes, please provide the appropriate screening ICD-9 codes.

Diagnosis Codes

250 Diabetes mellitus250.0 Diabetes without complications250.0 O type II or unspecified type, not stated as uncontrolled250.1 1 type I (juvenile type), not stated as uncontrolled250.2 2 type II or unspecified type, uncontrolled250.3 3 type I (juvenile type), uncontrolled250.00 Diabetes mellitus without mention of complication250.10 Diabetes with ketocidosis250.20 Diabetes with hyperosmolarity250.30 Diabetes with other coma250.40 Diabetes with renal manifestations250.50 Diabetes with ophthalmic manifestations250.60 Diabetes with neurological manifestations250.70 Diabetes with peripheral circulatory disorders250.80 Diabetes with other specified manifestations250.90 Diabetes with unspecified complication

ADVANCED CLINICAL TESTING

AddressURL

Phone/FaxNo Appointment, Doctor's Note or Insurance Necessary

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You may not have to.

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TODAY

WITH THE

MICRONUTRIENT

TEST.

AVAILABLE AT

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Product Tools

Ocular Health - Good eyesight and prevention of cataracts and macular degeneration

require adequate levels of Vitamin E and Vitamin A.

Cardiovascular Support - Vitamin B2, Vitamin B6, Vitamin B12 and Folic Acid are all required for reducing homocysteine levels in the blood and protecting arteries and nerve fibers.

Heart Health - Nutrients that protect the cardiovascular system include Vitamin B6, Vitamin B12, Folic Acid, Vitamin E, CoQ10, Calcium,

Magnesium and Carnitine.

Bone Health - Vitamin D, Vitamin B6, Vitamin B12, Folic Acid,

Calcium, Magnesium and Zinc are all nutrients that assist in bone remodeling, to ward off osteoporosis and other diseases that weaken the skeletal system.

Liver Health - Cysteine and N-Acetyle Cysteine, Selenium, Vitamin B2 and Vitamin B3 enhance liver function and optimize levels of glutathione which helps cells fight off toxic challenges.

Joint Support - Vitamin E, Alpha-Lipoic Acid and

B Vitamins all contribute to joint support and controlling inflammation.

Antioxidant Status -Measures the nutrients that help prevent or repair cellular damage

caused by oxidation.

SPECTROX® measures the total antioxidant function of cells by measuring their ability to withstand oxidative stress.

MicroNutrient Testingis available now exclusively from SpectraCell Laboratories. This patented analysis measures levels of selected vitamins, minerals, antioxidants and other essential micronutrients within your white blood cells.www.SpectraCell.com

Metabolic Health - Vitamin B3, Vitamin B6, Vitamin B12 Vitamin E, Biotin, CoQ10, Chromium, Magnesium and Zinc all help the body handle daily sugar load, keeping systems responsive to insulin

and restoring lost insulin sensitivity.

50% of people at risk for HEART DISEASE are not identified by routine testing.50%

Standard Cholesterol Testingis NOT ENOUGH.

ADVANCED TESTING FOR CARDIOVASCULAR RISK

800.227.LABS (5227)www.SpectraCell .com

Visit SpectraCell Laboratories to learn about the Lipoprotein Particle ProfileTM to assess cardiovascular risk.

of those taking multivitaminsARE STILL DEFICIENT

50%50%Research has shown that

If only an apple a day

was really enough.

Ask your doctor today about a simple comprehensive blood test to analyze vitamins, minerals and nutrients vital to your well being.

800.227.LABS (5227) www.SpectraCell.com


VITAMIN E VERY

COMMON

Antioxidant, regulates oxidation reactions, stabilizes cell membrane, immune function, protects against cardiovascular disease, cataracts, macular degeneration

Wheat germ, liver, eggs, nuts, seeds, cold-pressed vegetable oils, dark leafy greens, sweet potatoes, avocados, asparagus

Skin, hair, rupturing of red blood cells, anemia, bruising, PMS, hot flashes, eczema, psoriasis, cataracts, wound healing, muscle weakness, sterility

CALCIUM VERY

COMMON

Bones, teeth, helps heart, nerves, muscles, body systems work properly, needs other nutrients to function

Dairy, wheat/soy flour, molasses, Brewer's yeast, Brazil nuts, broccoli, cabbage, dark leafy greens, hazelnuts, oysters, sardines, canned salmon

Osteoporosis, osteomalacia, osteoarthritis, muscle cramps, irritability, acute anxiety, colon cancer risk

CHROMIUM COMMON Assists insulin function, increased fertility, carbohydrate/fat metabolism, essential for fetal growth/development

Supplementation, Brewer’s yeast, whole grains, seafood, green beans, broccoli, prunes, nuts, potatoes, meat

Metabolic syndrome, insulin resistance, decreased fertility

MAGNESIUM VERY

COMMON

300 biochemical reactions, muscle/nerve function, heart rhythm, immune system, strong bones, regulates calcium, copper, zinc, potassium, vitamin D

Green vegetables, beans, peas, nuts, seeds, whole unprocessed grains

Appetite, nausea, vomiting, fatigue cramps,, numbness, tingling, seizures, heart spasms, personality changes, heart rhythm

SELENIUM COMMON Antioxidant, works with vitamin E, immune function, prostaglandin production

Brewer's yeast, wheat germ, liver, butter, cold water fish, shellfish, garlic, whole grains, sunflower seeds, Brazil nuts

Destruction to heart/pancreas, sore muscles, fragility of red blood cells, immune system

ZINC MOST

COMMON

Supports enzymes, immune system, wound healing, taste/smell, DNA synthesis, normal growth & development during pregnancy, childhood, adolescence

Oysters, red meat, poultry, beans, nuts, seafood, whole grains, fortified breakfast cereals, dairy

Growth retardation, hair loss, diarrhea, impotence, eye & skin lesions, loss of appetite, taste, weight loss, wound healing, mental lethargy

COQ10 COMMON Powerful antioxidant, stops oxidation of LDL cholesterol, energy production, important to heart, liver and kidneys

Oily fish, organ meats, whole grains

Congestive heart failure, high blood pressure, angina, mitral valve prolapse, fatigue, gingivitis, immune system stroke, cardiac arrhythmias

CARNITINE LESS

COMMON Energy, heart function, oxidize amino acids for energy, metabolize ketones

Red meat, dairy, fish, poultry, tempeh (fermented soybeans), wheat, asparagus, avocados, peanut butter

Elevated cholesterol, liver function, muscle weakness, reduced energy, impaired glucose control

N-ACETYL CYSTEINE (NAC)

& GLUTATHIONE

MOST COMMON

Glutathione production, lowers homocysteine, lipoprotein(a), heal lungs, inflammation, decrease muscle fatigue, liver detoxification, immune function

Meats, ricotta, cottage cheese, yogurt, wheat germ, granola, oat flakes

Free radical overload, elevated homocysteine, cancer risk, cataracts, macular degeneration, immune function, toxin elimination

ALPHA LIPOIC ACID

COMMON Energy, blood flow to nerves, glutathione levels in brain, insulin sensitivity, effectiveness of vitamins C, E, antioxidants

Supplementation, spinach, broccoli, beef, Brewer's yeast, some organ meats

Diabetic neuropathy, reduced muscle mass, atherosclerosis, Alzheimer’s, failure to thrive, brain atrophy, high lactic acid

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ANTACIDS/ULCER MEDICATIONS Pepcid, Tagamet, Zantac, Prevacid, Prilosec, Magnesium & Aluminum antacids

ANTIBIOTICSGentomycin, neomycin,streptomycin, cephalosporins, penicillins

Vitamin B12

Folic Acid

Vitamin D

Calcium

Iron

Zinc

B Vitamins

Vitamin K

Tetracyclines

Dilatin, Tegretol, Mysoline

Depakane/Depacon

Major Tranquilizers (Thorazine, Mellaril, Prolixin, Serentil & others)

ANTI-DEPRESSANTSAdapin, Aventyl, Elavil, Pamelor,& others

ANTICONVULSANTSPhenobarbital & barbituates

Calcium

Magnesium

Iron

Vitamin B6

Zinc

Coenzyme Q10

Vitamin B2

Vitamin D

Calcium

Folic Acid

Biotin

Carnitine

Vitamin B12

Vitamin B1

Vitamin K

Copper

Selenium

Zinc

Anemia, depression, tiredness, weakness, increased cardiovascular risk

Birth defects, cervical dysplasia, anemia, heart disease, cancer risk

Osteoporosis, muscle weakness, hearing loss

Osteoporosis, heart and blood pressure irregularities, tooth decay

Anemia, weakness, fatigue, hair loss, brittle nails


Short term depletion affects are minimal, but failure to re-inoculate the

GI tract with beneficial bacteria (probiotics) often results in dysbiosis which

causes gas, bloating, decreases digestion & absorption of nutrients, and also

may lead to a variety of other health problems.

Osteoporosis, heart & blood pressure irregularities, tooth decay

Cardiovascular problems, asthma, osteoporosis, cramps, PMS

Slow wound healing, fatigue, anemia




Problems with skin, eyes, mucous membranes and nerves

Osteoporosis, muscle weakness, hearing loss

Osteoporosis, heart & blood pressure irregularities, tooth decay


Hair loss, depression, cardiac irregularities, dermatitis



Depression, irritability, memory loss, muscle weakness, edema

Blood coagulation, skeletal problems

Anemia, fatigue, cardiovascular and connective tissue problems

Lower immunity, reduced antioxidant protection



Oral Contraceptives

FEMALE HORMONESEstrogen/Hormone Replacement

Folic Acid

Vitamin B1

Vitamin B2

Vitamin B3

Vitamin B6

Vitamin B12

Vitamin C

Magnesium

Selenium

Zinc

Vitamin B6


Depression, irritability, memory loss, muscle weakness, edema

Problems with skin, eyes, mucous membranes and nerves

Cracked, scaly skin, swollen tongue, diarrhea

Depression, sleep disturbances, increased cardiovascular disease risk


Lowered immune system, easy bruising, poor wound healing

Cardiovascular problems, asthma, osteoporosis, cramps, PMS

Lower immunity, reduced antioxidant protection



ADVANCED CLINICAL TESTINGVisit us at www.spectracell.com or call us at 800.227.5227

CHOLESTEROL DRUGSLipitor, Crestor, Zocor, and others

Coenzyme Q10 Various cardiovascular problems, weak immune system, low energy


Visit us at www.spectracell.com or call us at 800.227.LABS (5227) ADVANCED CLINICAL TESTINGCopyright © 2009 SpectraCell Laboratories DOC 306-01.09

Take ActionSpectraCell’s FIA™ picks up nutritional deficiencies that routine testing does not. If you are pre-diabetic or already have diabetes, functional testing from SpectraCell is right for you, so act now. Ask your doctor about SpectraCell’s FIA™ tests to find out if you are deficient in any nutrients presented in this brochure and take action to prevent and fight diabetes.

Your NutritionalStatus Matters10401 Town Park Drive Houston, Texas 77072

For more information call 800.227.LABS (5227)or visit us online at www.SpectraCell.com ADVANCED CLINICAL TESTING

a ea e ctct ooUnderstanding DiabetesAccording to the American DiabetesAssociation, type 2 diabetes is the mostcommon form of diabetes. With this typeof diabetes, cells do not receive enoughinsulin. As a result, cells starve for energy, and over time, a glucose buildup in the blood stream causes negative effects on a person’s eyes, kidneys, nerves or heart.

Today’s fast-paced society has led to quicker, higher carbohydrate alternatives as food sources. As a result, there is a greater threat of developing diabetes due to cells becoming insulin-resistant.

Micronutrients such as niacin, magnesium, calcium, zinc, carnitine, inositol, alpha-lipoic acid, as well as vitamins E, B6 and D all play an important role in the prevention and treatment of diabetes.

Ask your doctor today about SpectraCell’s FIA™ tests to accurately diagnose your body’s exact needs and/or deficiencies. Though diabetes is a serious disease - with the right treatment - living a longer, healthier life can be made easier.

20.8 million people in the United States, or 7% of the population, have diabetes.An estimated 14.6 million have been diagnosed.6.2 million people (or nearly one-third) are unaware that they already have the disease.41 million people in the United States, ages 40 to 74, have pre-diabetes. 10.9 million, or 10.5% of all men aged 20 years or older, have diabetes although nearly one-third of them do not know it.9.7 million, or 8.8% of all women aged 20 years or older, have diabetes although nearlyone-third of them do not know it.The prevalence of diabetes is at least 2 to 4 times higher among non-Hispanic Black, Hispanic/Latino American, American Indian, and Asian Pacific Islander women than amongnon-Hispanic white women.

Did You Know...

A C L O S E R L O O K A T

Balancing your nutritional status has never been easier.

Ask your doctor about MicroNutrient Testing!

Does your body

need all of these?

Find out today with the

MicroNutrient Test available at

AddressURL

Phone/Fax

No Appointment, Doctor's Note or Insurance Necessary

ARE YOU WELLBALANCED?BALANCED?

FIND OUT TODAY IF YOU’RE GETTING THE VITAMINS & MINERALS THAT

YOUR BODY NEEDS.

E X E C U T I V E H E A L T H

A N DW E L L N E S S

E X E C U T I V E H E A L T H

A N DW E L L N E S S

Does your nutritional balance stack up?FIND OUT TODAY IF YOU’RE GETTING

THE VITAMINS & MINERALS THAT

YOUR BODY NEEDS.

www.SpectraCell.com

Want to feel young again? WE CAN HELP!

www.BeyondWellnesscc.com

The LPP Advantage

Copyright © 2008 SpectraCell Laboratories DOC 412-12.08ADVANCED CLINICAL TESTING

Visit us at www.spectracell.com or call us at 800.227.LABS (5227)

Cholesterol has historically been used as the standard indicator for cardiovascular disease, being classified as HDL (good) or LDL (bad). However, it is actually the lipoprotein particles that carry the cholesterol throughout the body, not the cholesterol within them, that are responsible for key steps in plaque production and the resulting development of cardiovascular disease.

Why is it important to know lipoprotein numbers?Cardiovascular risk increases with a higher number of low density lipoprotein (LDL) particles, regardless of how much cholesterol each lipoprotein particle contains. This is because both a higher number of LDL particles or smaller sized LDL particles dramatically increase the probability of lipoproteins penetrating the arterial wall, where it can cause serious damage.

Why measure lipoprotein subgroups?Measuring the lipoprotein subgroups is the only way to evaluate new risk factors, which is crucial for accurate assessment of cardiovascular risk and treatment, according to the National Cholesterol Education Program (NCEP).

Over 20% of the population has cholesterol-depleted LDL. This is a condition in which a patient’s cholesterol may be “normal,” but their lipoprotein particle number and hence their actual risk would be much higher than conventional cholesterol tests would indicate. This is especially common in persons whose triglycerides are high or HDL is low. In a cholesterol-depleted patient, there can be up to a 40 percent error in risk assessment in a standard lipid panel.

Use LPPTM in your practice for accurate cardiovascular risk assessment. With LPPTM, a physician can begin to treat patients with atherogenic lipoprotein profiles before overt dyslipidemia becomes apparent.

NCEP Emerging Risk Factors � Small, dense LDL – these atherogenic particles easily penetrate the arterial endothelium causing plaque.

� RLP (Remnant Lipoprotein) – very atherogenic lipoprotein that doesn’t need to be oxidized to form plaque.

� Lp(a) – a prothrombotic small, dense LDL

� HDL2b – positively correlates with heart health because it is an indicator of how well excess lipids are removed.

Approximately 50 percent of people suffering from heart attacks have shown “normal” cholesterol numbers. NIH – National Heart, Blood and Lung Institute, 2001

Only measuring cholesterol can be misleading.

Copyright © SpectraCell Laboratories 2008 All Rights Reserved

PLAQUE RUPTURES DUE TO INFLAMMATION

Lp(a) RLP HDL2b

HDL3

Foam Cells Build Plaque

Foam Cell

LDL

DENSE LDL

OXIDIZED LDL

MACROPHAGE CELL

ARTERIAL INTIMA

ARTERIAL LUMEN MONOCYTE CELL

DAMAGED

CELL

ENDOTHELIUM

SpectraCell’s Lipoprotein Particle Profile™ (LPP™) identifies all the National

Cholesterol Education Program’s (NCEP) Lipoprotein Risk Factors.

DOC 416 LPP™ 12.08




are small dense LDL’s and easily oxidized. Lp(a) is prothrombotic in many of the genetic variations.

50%of people at risk for

HEART DISEASE

are not identified

by routine testing.50%Standard Cholesterol Testing

is NOT ENOUGH.


800.227.LABS (5227)

www.SpectraCell .com

Ask your doctor about the LPPTM test today.

Standard Cholesterol Testing

is NOT ENOUGH.

SPECTRACELL LABORATORIES


25%of patients on aspirin therapy

receive little or no benefit.

If you… take a cholesterol lowering drug...

you test your cholesterol.

take blood pressure medication...

you test your blood pressure.

take aspirin to prevent a heart attack...

NOW you can test your

Aspirin Effect!

Did you know?

People who do not respond to aspirin

are three times more likely to die of

cardiovascular disease than those

who respond well to aspirin.

Nearly 2,400 people die of cardiovascular

disease EACH DAY in the United States.

An estimated 1.1 million Americans

will have a new or recurrent heart

attack this year.

40% of these heart attacks will be fatal.

Studies show that the correct dose of

aspirin helps to significantly reduce

thromboxane levels.

Are you taking aspirin

to prevent a heart attack?

Is it working?

Copyright © 2008 SpectraCell Laboratories - DOC 505 (12.08)

10401 Town Park Drive Houston, Texas 77072 800.227.LABS (5227) www.SpectraCell.com

Aspirin Response Test - laboratory test for urinary 11dhTxB2

Pathways of Thromboxane Production

Check for Concomitant Ibuprofen or NSAID usage—this can inhibit effect of aspirin

Modify Aspirin Dose

Check for Elevated Cholesterol- this can alter aspirin’s effect

Consider underlying condition i.e. Pre-Diabetes/Diabetes

Lower and Control Cholesterol

Retest

If results remain > 1500 with no aspirin effect consider changing dose; additional and/or

alternative anti-platelet therapy

≤ 1500 pg/mg

Aspirin Effect

> 1500 pg/mg

No Aspirin Effect

Aspirin

Ingested

Ensure

Compliance

Step 1

Step 2

Step 3

Step 4

COX-2 COX-1

Inflammation Low-dose

aspirin

Points toconsider when interpreting results.

10401 Town Park Drive Houston, Texas 77072 800.227.LABS (5227) www.SpectraCell.com

Copyright © 2008 SpectraCell Laboratories. All Rights Reserved DOC 507 (08.08)


Q. Why do I need the Aspirin Response Test ?A. Medical studies indicate that not everyone benefits equally from low dose aspirin. In fact some

people have been reported to be aspirin “resistant” but increasing studies indicate that it may be

a question of aspirin therapy “failure”. Because aspirin is known to reduce the risk of heart attack

and stroke by helping stop platelets from sticking together, the Aspirin Response Test allows the

doctor to determine if you are benefiting optimally from your aspirin regimen.Q. What are the chances that my platelets are not responding to aspirin?

A. According to reports in the medical literature, 10% to 40% of patients taking aspirin were not

receiving the desired result. The fact is that even if aspirin is working on your platelets, there are

other factors that may overcome the benefit of the aspirin. Traditional platelet function assays can

not detect this result.Q. What are the dangers to me if I am not benefiting from my aspirin?

A. Outcome studies have demostrated that patients with a poor response to aspirin therapy have

a higher incidence of second heart attacks, strokes or even death when compared to patients with

a good response. Q. Why shouldn’t I just take more aspirin?A. Increasing the amount of aspirin you take may cause an increase in unwanted side effects such as

stomach discomfort or gastrointestinal bleeding. More importantly, the aspirin may be doing its job

but there is some other factor overcoming its benefit which may require an additional medication.

Only your physician should decide if it is safe to change your aspirin dosage.Q. How often should I be tested?A. The optimum frequency of testing has not been established. Clinical studies indicate that certain

individuals lose the benefit of aspirin therapy over time due to atherosclerotic disease or

increases in cholesterol. Q. What does the Aspirin Response Test measure?A. When an individual’s platelets become activated they release a chemical called Thromboxane A2

(TxA2) which causes more platelets to become activated and stick together. This may

cause formation of a blood clot. The ART test measures a metabolite of TxA2 called

11-dehydro thromboxane B2 which is excreted in the urine. When an individual is benefiting

from their aspirin therapy the level of 11-dehydroTxB2 in the urine is very low.Q. Is the Aspirin Response Test complicated?A. No. This test is performed on a random urine sample. It is important that you be able to give your

doctor a thorough history of the other drugs you have taken during the past 10 days, especially

other non-steroidal anti-inflammatory drugs. Be sure to mention any dietary supplements and

alcohol intake. Note the amount and frequency of aspirin usage.

Copyright © 2008 SpectraCell Laboratories. All Rights Reserved DOC 506 (08.08)


Q. Do all NSAID’s interfere with aspirin binding?

A. To date, only Ibuprofen has been proven to interfere with the binding of aspirin to the

platelet which prevents acetylation of the COX-1 enzyme.

Q. How soon after taking NSAID’s is it safe to take aspirin for heart benefit?

A. Again this has been addressed only in regard to Ibuprofen. It is presently recommended that

the individual must wait at least 8 hours after ingesting Ibuprofen before ingesting aspirin or at

least 30 minutes after aspirin ingestion before ingesting Ibuprofen.

Q. How long should I wait after a patient has begun aspirin therapy to test?

A. According to the literature, it takes up to 5 days for low-dose aspirin therapy to achieve

maximum reduction in urinary 11-dehydro thromboxane B2 levels.

Q. Does liver disease affect the results?

A. Yes. Liver disease may prevent the metabolism of thromboxane A2 to

11-dehydro thromboxane B2.

Q. Does renal disease affect the results?

A. Yes. Kidney disease may prevent the metabolism of thromboxane A2 to

11-dehydro thromboxane B2.

Q. Does the platelet count of the patient have an effect on the test?

A. To date no studies have been performed addressing a relationship between platelet count

and levels of 11-dehydro thromboxane B2. If there is sufficient aspirin on board to block the

COX-1 pathway, then the individual is benefiting. Platelet count does not necessarily reflect

functional platelets, therefore a correlation can not be assumed. More importantly, if the

individual does not have a high percentage of platelet turnover, a daily regimen of aspirin

should eventually knock out all of the platelets because the effect of aspirin on the platelet is

irreversible and lasts for the lifetime of the platelet.

Q. How much aspirin should I be recommending and what about adding Plavix?

A. Within the guidelines for treatment with aspirin, the physician may administer doses from 81

to 325 mg. It is completely up to the physician to recommend any change in aspirin dose based

on the individual’s circumstances. Adding Plavix to a patient’s anti-platelet regimen is strictly

up to the physician and depends on the clinical condition of the patient. Certain studies have

demonstrated an added benefit with Plavix in addition to aspirin in symptomatic patients;

however, asymptomatic patients have not always demonstrated an added benefit.

SPECTRACELL LABORATORIES ADVANCED CLINICAL TESTING

327 309 335 306303

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781.0

276.2

253.0

293.0

535.00

461.1

436

288.0

477.9

995.3

704.00

314.01

088.82

353.0

490

112.85

112.9

354.0

447.4

579.0

496

780.71

245.2

472.0

346.00

414.01255.4

269.1

311

272.9

781.1

270.4

786.09782.3259.9

401.1

401.9

345.00240.9

784.0

786.3

789.1

Abnormal involuntary movements

Acidosis

Acromegaly and gigantism

Acute delirium

Acute gastritis

Acute sinisitis, frontal

Acute, but ill-defined, cerebrovascular disease

Agranulocytosis

Allergic rhinitis, cause unspecified

Allergy, unspecified

Alopecia, unspecified

Attention deficit disorder, with hyperactivity

Babesiosis

Brachial plexus lesions

Bronchitis, not specified as acute of chronic

Candidal enteritis

Candidiasis, of unspecified site

Carpal tunnel syndrome

Celiac artery compression syndrome

Celiac disease

Chronic airway obstruction, not elsewhere classified

Chronic fatigue syndrome

Chronic lymphocytic thyroiditis

Chronic rhinitis

Classical migraine, without mention of intractable migraine

Coronary atherosclerosis, of native coronary artery Corticoadrenal insufficiency

Deficiency of other vitamins

Depressive disorder, not elsewhere classified

Disorder of metabolism, unspecified

Disturbances of sensation of smell and taste

Disturbances of sulphur-bearing amino-acid metabolism

Dyspnea and respiratory abnormalities, other EdemaEndocrine disorder, unspecified

Essential hypertension, benign

Essential hypertension, unspecified

Generalized no convulsive epilepsyGoiter, unspecified

Headache

Hemoptysis

Hepatomegaly272.4

600.00

621.2

244.9

279.3

279.10

607.84

075

711.90

564.1

218.9

088.81

174.9

174.4

996.54

780.93

269.3

729.1

269.9

491.21

796.4

277.00

266.2

780. 79

269.8

277.89

281.1

719.44

719.48

786.52

486

272.0

753.0

786.05

780.2

786.06

985.9

785.2

266.1

269.2

Hyperlipidemia, other and unspecified

Hyperplasia of prostate (additional code required to identify urinary incontinence)

Hypertrophy of uterus

Hypothyroidism, unspecified

Immunity deficiency, unspecified

Immunodeficiency with predominant T-cell defect, unspecified

Impotence of organic origin

Infectious mononucleosis

Infective arthritis, unspecified

Irritable bowel syndrome

Leiomyoma of uterus, unspecified

Lyme disease

Malignant neoplasm, of female breast, unspecified

Malignant neoplasm of female breast, upper-outer quadrant

Mechanical complication of other specified prosthetic device, implant, and graft, due to breast prosthesis

Memory disturbance, loss or lack

Mineral deficiency, unspecified

Myalgia and myositis, unspecified

Nutritional deficiency, unspecified

Obstructive chronic bronchitis, with acute exacerbation

Abnormal clinical findings - other

Cystic Fibrosis

B-complex deficiency - other

Malaise and fatigue - other

Nutritional deficiency - other

Specified disorders of metabolism - other

Vitamin B12 deficiency anemia - other

Pain in joint, hand

Pain in joint, other specified sites

Painful respiration

Pneumonia, unspecified

Pure hypercholesterolemia

Renal agenesis and dysgenesis

Shortness of breath

Syncope and collapse

Tachypnea

Toxic effect of other metals, unspecified metal

Undiagnosed cardiac murmurs

Vitamin B6 deficiency

Vitamin deficiency, unspecified

Diagnosis Codes

CODE DIAGNOSIS (SYMPTOMS, ILLNESS, INJURY OR COMPLAINT) CODE DIAGNOSIS (SYMPTOMS, ILLNESS, INJURY OR COMPLAINT)

To prevent denials when billing third party payors, all requisitions must include all medically necessary ICD-9 diagnosis codes. ICD-9 codes are required bycertain third party payors to confirm the medical necessity of the test(s), and/or profile(s) ordered. The codes listed below are some of the most commonly received codes for testing performed at SpectraCell Laboratories. These were taken from the 2008 ICD-9 manual issued by AMA. While this list may be a useful tool, depending upon the nature of your practice, it is not complete. Please refer to the ICD-9 manual for a complete listing. The ultimate responsibility for correct coding lies with the ordering physician. Please place all medically appropriate ICD-9 codes on the requisition. If ordering for screening purposes, please provide the appropriate screening ICD-9 codes.

250 Diabetes mellitus250.0 Diabetes without complications250.0 O type II or unspecified type, not stated as uncontrolled250.1 1 type I (juvenile type), not stated as uncontrolled250.2 2 type II or unspecified type, uncontrolled250.3 3 type I (juvenile type), uncontrolled250.00 Diabetes mellitus without mention of complication250.10 Diabetes with ketocidosis250.20 Diabetes with hyperosmolarity250.30 Diabetes with other coma250.40 Diabetes with renal manifestations250.50 Diabetes with ophthalmic manifestations250.60 Diabetes with neurological manifestations250.70 Diabetes with peripheral circulatory disorders250.80 Diabetes with other specified manifestations250.90 Diabetes with unspecified complication

Visit us at www.spectracell.com or call us at 800.227.LABS (5227) ADVANCED CLINICAL TESTING

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V I D E O S

DR. WILDER

LOOP VIDEO

PATIENT HANDOUT PHYSICIAN HANDOUT PATIENT FAQs PHYSICIAN FAQs

PILLS IN HAND

3 PEOPLE W/ VEGGIESJUMP YOUNG

BALANCE

STACKED APPLE

BROCHURES ARE ALSO

AVAILABLE IN SPANISH

BROCHURES ARE ALSO AVAILABLE IN SPANISH

Mark Houston, M.D. M.S., SCH, ABAAM, FACP, FAHA Internal Medicine Hypertension Institute – A Cardiovascular Center of Excellence St. Thomas Medical Center Nashville, TN "SpectraCell offers a unique, scientifically-based nutrient evaluation of specific deficiencies that allows targeted treatment with nutritional supplements. The detection of these abnormalities allows for a biological, functional and nutritional biochemistry approach for the prevention and treatment of many diseases for which the basic problem originated with the missing nutrient and subsequent downstream nutritional dysfunction and illness. Patient and physician recognition of this valid testing will improve patient compliance, allow for tailored therapy and reduce numerous diseases” Seth Baum, M.D. Cardiologist VitalRemedy MD Boca Raton, FL “As an interventional cardiologist and electrophysiologist dedicated to the advancement of cardiovascular health, I have come to appreciate the need for individualizing our approach to patient care. Though it’s important to use large clinical trials as a means of guiding us in an “evidence based” manner, it has become clear to most of us that these trials too often fall short in their clinical utility. They frequently fail to address the needs of individual patients, unique and extraordinarily complex beings who’ve entrusted their health and well being to us, their doctors. A question often raised by patients and physicians alike relates to the use of antioxidant supplements such as vitamins C and E, Co Q10, and alpha lipoic acid. Trials evaluating antioxidants have been mixed, spanning the gamut from very positive to equally negative. Most of these trials, however, have been neutral. The failure of these studies to solve the antioxidant puzzle relates to their reliance upon fixed dose supplementation; they neglect the wide range of individual responses that occur when using antioxidants. They have also ignored the issue of balancing antioxidants. As antioxidants exist in vivo within a constantly recirculating and regenerating network, they must be consumed in balance so that an excess of one does not adversely affect the remaining “players” in what ought to be a harmonious system. In order to help my patients navigate the tumultuous seas of antioxidant supplementation, I have relied upon the Spectrox® blood test for the better part of the last decade. By utilizing this test, I have the ability to supplement patients on an individual, and an “as need” basis. Spectrox® eliminates the guesswork from supplementation, and permits not only my patients, but me as well, to feel comfortable that we are “doing the right thing.” Follow up blood tests enable us to document that any changes we’ve made have had their desired affect. If they haven’t, then it’s back to the drawing board for another attempt. “


Copyright © 2009 SpectraCell Laboratories DOC 310-01.09

Client Testimonials

Rita Ellithorpe, M.D. Internal Medicine Tustin Longevity Center “SpectraCell’s MicroNutrient Testing is a truly valuable diagnostic tool for my practice.” Michael O'Neal, D.O. Internal Medicine Primary Care Team Physician Toronto Blue Jays Major League Baseball Club Chief Executive Officer CooperativeMed "SpectraCell’s MicroNutrient Testing allows me to diagnose specific functional deficienciesand subsequently compound supplements appropriate for the individual needs of my patients."

Diana Schwarzbein, M.D. Endocrinologist Endocrinology Institute of Santa Barbara Santa Barbara, CA “There are many supplements from vitamins to orthomolecular molecules that can influence a person's metabolism. As we all know, multiple supplements can be as overwhelming as prescription drugs and just as costly. Will I recommend zinc, lipoic acid and Co Q-10 to help a patient recover from adrenal gland burn out, or does the individual make enough lipoic acid and I need to only recommend zinc and CoQ10? I use the information from SpectraCell’sMicroNutrient Testing to determine which of these would be the first line choices for that particular patient and their current situation.

I have found that when my patients are shown their particular data from this blood test, it motivates them to take their supplements consistently and I am able to put together a supplement and dietary regimen that targets my patient’s unique deficiencies. Objective data is always helpful.”


Copyright © 2009 SpectraCell Laboratories DOC 310-01.09

Client Testimonials

Ocular Health - Good eyesight and prevention of cataracts and macular degeneration

require adequate levels of Vitamin E and Vitamin A.

Cardiovascular Support - Vitamin B2, Vitamin B6, Vitamin B12 and Folic Acid are all required for reducing homocysteine levels in the blood and protecting arteries and nerve fibers.

Heart Health - Nutrients that protect the cardiovascular system include Vitamin B6, Vitamin B12, Folic Acid, Vitamin E, CoQ10, Calcium,

Magnesium and Carnitine.

Bone Health - Vitamin D, Vitamin B6, Vitamin B12, Folic Acid,

Calcium, Magnesium and Zinc are all nutrients that assist in bone remodeling, to ward off osteoporosis and other diseases that weaken the skeletal system.

Liver Health - Cysteine and N-Acetyle Cysteine, Selenium, Vitamin B2 and Vitamin B3 enhance liver function and optimize levels of glutathione which helps cells fight off toxic challenges.

Joint Support - Vitamin E, Alpha-Lipoic Acid and

B Vitamins all contribute to joint support and controlling inflammation.

Antioxidant Status -Measures the nutrients that help prevent or repair cellular damage

caused by oxidation.

SPECTROX® measures the total antioxidant function of cells by measuring their ability to withstand oxidative stress.

MicroNutrient Testing is available now exclusively from SpectraCell Laboratories. This patented analysis measures levels of selected vitamins, minerals, antioxidants and other essential micronutrients within your white blood cells.www.SpectraCell.com

Metabolic Health - Vitamin B3, Vitamin B6, Vitamin B12 Vitamin E, Biotin, CoQ10, Chromium, Magnesium and Zinc all help the body handle daily sugar load, keeping systems responsive to insulin

and restoring lost insulin sensitivity.

Micro Nutrient Testing - Spectracell

Health & Medicine

Transcript of Micro Nutrient Testing - Spectracell