Dr. P’s Blood/Bone Analysis Recommendation

Dr. Princetta’s Laboratory Recommendations  

bg index 3 Dr. Ps Blood/Bone Analysis Recommendation

Osteoporosis:

  1. Complete Bone Density Scan
  2. Urine Pyrlinks Test (this test shows if you are losing bone faster than creating new bone)

** Medicare will cover both of the above tests

Hormones:

  1. Saliva Test ( the most accurate method because saliva contains both RNA and DNA)

** Medicare will cover the above tests

 

Laboratory Tests: (Some if not all of these are allowable via Medicare-if not they are worth paying for via other insurance or out of pocket)

  • Urinalysis
  • CBC (Complete Blood Count)
  • Chemistry Panel (including Lipids and TSH)
  • Complete Thyroid Panel (if Thyroid is an issue)
  • hs CRP (C Reactive Protein) (Heart )
  • Homocysteine (Heart)
  • NMR: (Particle number of cholesterol) Total cholesterol means very little as a predictor for heart disease however the more particles of cholesterol the patient has the greater the risk of heart disease. This test only assesses the P-LDL and the particle size. The particle number should be less than 1000 and the small particle should be less than 600.
  • Lp-PLA2:  A new inflammation marker very specific for cellular and arterial inflammation.  On this test I like to see the numbers below 190.
  • Hemoglobin A1C (3 month blood sugar)
  • Vitamin D-25 Hydroxy
  • Leptin, Serum A hormone that has a central role in fat metabolism. Leptin was originally thought to be a signal to lose weight but it may, instead, be a signal to the brain that there is fat on the body.