Good Health…A Lifetime Investment Yes, you can be proactive in helping to maintain your overall health. Eating properly, exercising regularly, maintaining your ideal weight, reducing daily stressors, and being a nonsmoker are just a few ways that you can impact your health. In addition, laboratory blood tests are an important component-along with your history and a physical .examination—that assist your physician in determining wellness or diagnosing disease. Why An Overnight Fast? Many blood tests require an individual to fast overnight to ensure accurate test results. An overnight fast means nothing to eat or drink, except water, for 12-16 hours after an evening meal. The blood tests are then compared to a “reference range” which has been statistically established from normal (healthy), fasting individuals. An “” indicates tests affected by nonfasting. Other Factors Affecting Test Results Some medications-prescription and non-prescription drugs (aspirins, cold medications, vitamins, etc.), alcohol intake, and eating within 8 to 12 hours before having blood drawn can affect test results. This information is not to be used for diagnosis. It is designed to provide sufficient information for you to understand the usefulness of these tests and be able to discuss the significance of your test results with your physician. Please remember that your physician can best interpret your test results. Albumin Albumin, made in the liver, is the major protein of the blood helping to maintain osmotic pressure (keeping water) in blood vessels and transporting substances. Decreased albumin levels can be associated with malnutrition, liver disease, and kidney disease. The A/G Ratio is a calculation of the relationship between two types of protein, albumin and globulin. Alkaline Phosphatase Bone and liver are primary adult body sites of this enzyme. Alkaline Phosphatase levels are very useful in evaluating liver and bone disease. Levels of alkaline phosphatase in children (due to increased bone growth), pregnant women, and older patients are normally higher. Bilirubin - Total & Direct As red blood cells normally age and break down, bilirubin (a by-product) is released into the blood and is normally cleared by the liver. High bilirubin values may indicate a liver function problem, bile duct blockage, or excessive destruction of red blood cells. (BUN) Blood Urea Nitrogen BUN is a waste product produced by the liver and excreted by the kidneys. An elevated BUN level may be caused by various kidney diseases, urinary tract obstruction, or highprotein diet. Calcium Calcium, the body's most important mineral, is primarily found in the bones. The calcium in blood is necessary for many important bodily functions, including muscle contraction, blood clotting, bone formation, conduction of nerve impulses, and parathyroid gland activity. Abnormal levels may be associated with bone diseases; or excess intake of antacid, calcium-rich foods (milk), and Vitamin D. Chloride Chloride, an electrolyte, is involved in maintaining the normal amount of water and acid-base balance in body fluids. Your physician will interpret the significance of low or elevated levels in relation to other electrolytes (especially sodium and potassium). Cholesterol Cholesterol, a soft, fat-like substance, is necessary for proper body function. 'Lipoproteins' serve as packages in transporting cholesterol in the blood. Major forms are highdensity lipoproteins (HDL) and low density lipoproteins (LDL). Cholesterol can build up in artery walls (narrowing or blocking arteries) causing atherosclerosis, the condition responsible for 97% of heart attacks. For most individuals, the “optimal” cholesterol is less than 200 mg/dL. Cholesterol - HDL High-density lipoprotein (HDL), a fat and protein combination, is often considered “good cholesterol” as it carries cholesterol away from blood vessels to the liver, and is then excreted from the body. Research indicates that high levels of HDL are linked with lower risk of heart and artery disease.