panel19 biomarkers

Wheat Allergy Nutrient Deficiency Panel

Tests wheat allergy and checks for nutrient deficiencies from wheat avoidance.

What This Test Measures

Biomarkers Included (19)

Click any biomarker for detailed information

Iron

This test measures iron concentration in liver tissue, typically obtained through biopsy. Liver iron assessment is used to diagnose and monitor hemochromatosis (iron overload) and cirrhosis. Elevated liver iron indicates excessive iron accumulation, which damages the liver and other organs, causing fibrosis, cirrhosis, and increased disease risk. Iron measurement helps distinguish iron-related liver disease from other causes and guides chelation or phlebotomy treatment.

5,10-Methylenetetrahydrofolate reductase

This test measures MTHFR, an enzyme critical for processing folate and producing molecules needed for DNA synthesis and methylation. MTHFR enzyme deficiency is a rare inherited metabolic disorder causing severe neurological problems, including intellectual disability, seizures, and movement disorders. Genetic variations (polymorphisms) in the MTHFR gene are common but usually don't cause disease. However, actual enzyme deficiency requires specialized treatment with folinic acid and other supplements. This test is ordered when genetic MTHFR deficiency is suspected based on neurological symptoms or family history.

Thiamine

Thiamine (vitamin B1) is essential for energy metabolism and nervous system function. This test measures thiamine status in the blood to identify deficiency. Thiamine deficiency causes weakness, nerve damage, and can lead to serious conditions like Wernicke-Korsakoff syndrome, particularly in people with alcohol use disorder, malnutrition, or certain genetic conditions. Symptoms of deficiency include fatigue, neuropathy (nerve pain), and cognitive problems. Testing is ordered when deficiency is suspected based on symptoms or risk factors.

Wheat dust Ab.IgE

This test measures IgE antibodies against wheat dust, relevant for people with occupational wheat exposure or wheat allergies. Elevated IgE indicates an allergic sensitization to wheat proteins. Wheat allergies differ from celiac disease; allergies cause immediate immune reactions while celiac is an autoimmune condition triggered by gluten. Symptoms can range from itching and swelling to severe anaphylaxis. This test helps identify wheat allergies in symptomatic individuals, particularly important for workers in grain and flour industries, bakers, and others with high wheat exposure.

Niacin

Niacin, also known as vitamin B3, is an essential nutrient that supports energy production, DNA repair, and nervous system function. A blood niacin test measures whether you have adequate levels of this vitamin. Deficiency can cause fatigue, skin problems, and neurological issues, while severe deficiency leads to pellagra. Most people get sufficient niacin from diet, but supplementation may be needed in certain conditions or dietary restrictions.

Bran wheat Ab.IgE

This test detects IgE antibodies to wheat bran, the outer layer of wheat grain, indicating an immediate-type allergic reaction. A positive result suggests that consuming wheat bran products could trigger allergic symptoms ranging from mild itching in the mouth to severe reactions like anaphylaxis. Wheat bran allergy is distinct from celiac disease or gluten sensitivity, representing a true IgE-mediated food allergy. This test helps confirm wheat bran allergy diagnosis in individuals with suspected reactions, guiding dietary avoidance of wheat bran-containing foods and products.

Oxygen^^saturation adjusted to 0.5

This specialized blood gas measurement indicates the partial pressure of oxygen (pO2) at which hemoglobin reaches 50% saturation—a value that reflects hemoglobin's oxygen-carrying efficiency. This adjusted measurement helps assess how readily hemoglobin releases oxygen to tissues. Abnormal values may indicate lung disease, heart conditions, altitude-related changes, or hemoglobin abnormalities. This test is primarily used in clinical settings for respiratory and critical care assessment.

Biotin

Biotin (vitamin B7) is a water-soluble B vitamin essential for energy metabolism, hair, skin, and nail health. A biotin test measures circulating biotin levels, which can be low due to insufficient dietary intake, malabsorption, or certain medications. Biotin deficiency is rare but can cause hair loss, skin rashes, and neurological symptoms. Biotin supplementation has become popular for hair and nail health, though evidence is mixed. This test helps identify true deficiency versus assessing supplement adequacy.

Triticum aestivum pollen Ab.IgE

This test detects IgE antibodies against cultivated wheat pollen in your blood, indicating allergic sensitivity to wheat pollen exposure. Wheat pollen allergies cause seasonal allergy symptoms like sneezing, nasal congestion, and itchy eyes, typically during wheat-growing and harvesting seasons. This differs from wheat food allergies or celiac disease, which involve different mechanisms. A positive result confirms wheat pollen allergy and helps you anticipate seasonal symptoms and use preventive treatments during high pollen periods.

Iron binding capacity

Iron binding capacity measures the amount of iron that can be carried by transferrin, a protein in blood that transports iron throughout the body. This test is part of iron metabolism assessment and helps evaluate iron stores and absorption. Elevated iron binding capacity may suggest iron deficiency, while low levels can indicate iron overload or chronic disease. Understanding iron binding capacity alongside other iron markers (ferritin, serum iron) provides a complete picture of iron status, which is essential for energy production, oxygen transport, and immune function.

Pantothenate

Pantothenate, also known as pantothenic acid or vitamin B5, is an essential nutrient required for energy metabolism, hormone production, and skin health. A pantothenate test measures the level of this B vitamin in your blood. Deficiency is rare in well-nourished populations but can occur with severe malnutrition, certain medications, or malabsorption disorders. Symptoms of deficiency include fatigue, numbness, and digestive issues. This test may be ordered when B vitamin deficiency is suspected or to assess nutritional status.

Folate

Folate is a B vitamin essential for DNA synthesis, cell division, and red blood cell formation. Your body cannot make folate, so it must come from foods like leafy greens, legumes, and fortified grains. Low folate levels can cause anemia, fatigue, and neurological problems. During pregnancy, adequate folate is critical for fetal development. High folate levels are rare but may suggest certain health conditions. This test screens for deficiency, which is common in vegetarians, people with malabsorption disorders, and those taking certain medications.

Nicotinamide

Nicotinamide, also known as niacinamide, is a form of vitamin B3 (niacin) essential for energy production, DNA repair, and cell signaling. Unlike nicotinic acid (the other form of B3), nicotinamide does not cause flushing. Your body obtains nicotinamide from foods like chicken, tuna, and mushrooms, or synthesizes it from tryptophan. Low levels are rare in developed countries but can occur with severe malnutrition, certain medications, or genetic disorders affecting niacin metabolism. This test helps assess nutritional status and may be useful in evaluating fatigue or neurological symptoms.

Riboflavin

Riboflavin, also known as vitamin B2, is an essential nutrient that your body uses to convert food into energy and support cell growth and metabolism. A blood riboflavin test measures the level of this vitamin circulating in your bloodstream. Deficiency is uncommon in developed countries but can occur with malabsorption disorders, certain medications, or restrictive diets. Low levels may cause fatigue, mouth sores, or skin issues. This test is typically ordered when nutritional deficiency is suspected or to monitor patients at risk.

Fagopyrum esculentum Ab.IgE

This test detects IgE antibodies specific to buckwheat (Fagopyrum esculentum), indicating your immune system's allergic response to this grain. A positive result suggests a potential IgE-mediated buckwheat allergy, which could trigger symptoms from mild oral itching to severe reactions. Buckwheat is used in some flours, noodles, and baked goods. This test helps confirm suspected buckwheat allergies and identifies cross-reactivity risks with related allergens.

Gluten Ab.IgE

This test detects IgE antibodies to gluten, the protein found in wheat, barley, and rye. A positive result indicates a potential IgE-mediated gluten allergy, distinct from celiac disease or gluten sensitivity. Gluten allergy symptoms can range from mild oral itching and gastrointestinal discomfort to severe reactions. This test helps confirm wheat or gluten allergy versus other gluten-related disorders. Accurate diagnosis is important because it guides dietary management and risk assessment.

Gliadin peptide Ab.IgA

This test measures IgA antibodies against gliadin, a protein component of gluten. Your immune system produces these antibodies when exposed to gluten in people with celiac disease or gluten sensitivity. Elevated levels suggest an immune reaction to gluten in wheat, barley, and rye. This test helps diagnose celiac disease and monitor adherence to a gluten-free diet in diagnosed individuals.

Referral lab test results

This category encompasses laboratory test results that have been sent to a specialized reference laboratory for advanced or specialized testing. Reference labs perform complex analyses that are not available at routine hospital or clinic labs, such as genetic testing, specialized microbiology cultures, or complex immunological assays. Results from these tests provide detailed diagnostic information for uncommon or complicated medical conditions.

Cobalamins

Cobalamin, also known as vitamin B12, is an essential nutrient required for nerve function, red blood cell formation, and DNA synthesis. This test measures B12 levels in blood. Deficiency causes pernicious anemia, nerve damage, and cognitive problems. B12 deficiency is common in vegetarians, older adults, and people with gastrointestinal disorders. Low levels require supplementation through injections or high-dose oral supplements to restore normal function.

Included Tests

Individual tests bundled in this panel

Individual total if purchased separately$1177.89
Panel price (you save)$161.33

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Medical Disclaimer

This information is for educational purposes only and does not constitute medical advice, diagnosis, or treatment. Always consult with a qualified healthcare provider regarding any medical condition or treatment plan.

Lab results should be interpreted by a licensed healthcare provider in the context of your complete medical history. Processing times may vary by laboratory. Charges will not be submitted to insurance, Medicare, or Medicaid. Direct-access lab testing is not available in NY, NJ, or RI.

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